Pubdate: Sat, 23 Oct 2004 Source: Curry Coastal Pilot (Brookings, OR) Copyright: 2004 Western Communications, Inc Contact: http://www.currypilot.com/ Details: http://www.mapinc.org/media/1721 Author: Brian Bullock, Pilot Staff Writer Cited: Measure 33 www.Yeson33.org Bookmark: http://www.mapinc.org/topics/Measure+33 BROOKINGS-HARBOR CITIZENS DISCUSS BALLOT MEASURES Ballot measures affecting medical care and insurance issues were among the topics discussed Thursday at a forum at the Chetco Community Public Library. The Curry County League of Women Voters shifted the political spotlight from candidates to the eight ballot measures facing Oregon voters. League members Judy Kaplan, Georgia Nowlin and Tom Broderick provided a crowd of about a dozen South Coast residents background of five selected measures and addressed questions about them. Measures 32 (mobile home fees), 33 (medical marijuana), 35 (medical malpractice awards), 37 (land use regulations) and 38 (workers compensation insurance) were all discussed. Kaplan said the aim of the forum was to "provide objective, unbiased information so voters can make informed decisions." Medical marijuana and malpractice insurance and lawsuits received most of the discussion. Measure 33 attempts to reform medical marijuana use. Measure 35 seeks to limit non economic damages that can be litigated. Broderick handled presentation of the ballot measures affecting medical issues. Broderick is a retired hospital administrator with 40 years experience. Measure 33 would amend the Medical Marijuana Act of 1998. It would allow patients and caregivers to buy medical marijuana from state licensed distributors. It would also increase the amount of marijuana patients could possess and grow. Cost for the measure is estimated at approximately $135,000 with a $340,000 to $560,000 annual cost. Fees patients pay for the marijuana would account for most of the cost, according to ballot literature. Broderick said the ballot measure would considerably raise the volume of marijuana available for the program. He said it would include two categories of caregivers, who could prescribe medical marijuana. He said it would create nonprofit agencies that would sell and distribute the drug. And it would limit the number of patients to 10 that a caregiver could handle. "It really changes it from a personal program to a much farther reaching program," said Broderick, who related personal experiences with similar programs in California. "The current system is not regulated much at all." Broderick and a number of people in the audience concluded the measure would provide more oversight and regulation than exists in the current program. Some people questioned local costs to administer the program. "It seems like more oversight than the current system," said Mary Lou Milstone. Law enforcement agencies oppose the measure. They claim increases in possession and growth limits would make it difficult to enforce unlawful possession, distribution and transportation laws. Currently, there are more than 10,000 patients in the care of 1,413 doctors in the state program. "Is this jumping from the frying pan into the fire? Or is it an improvement over what we have now?" Kaplan said. "It's a challenging issue. Measure 35 would limit non economic damages a plaintiff and spouse could seek in medical malpractice cases to $500,000. The measure allows for that limit to be adjusted in relation to cost of living indexes. Arguments for approval of the measure are that medical services and health care in certain areas has been decreased because of the high cost of malpractice insurance. Arguments against the measure claim other measures should be tried before arbitrary limits are set. It has also been said it is a patient's constitutional right to allow a jury to determine damage costs. Broderick also lent first-hand experience to this discussion. He said California, where he was the administrator of a hospital, dealt with this problem 25 years ago. "That system has worked for 25 years. I can say for many, many years, that system has worked very well," he said. Broderick said the system in California allowed many of the cases to be settled out of court. He said during his tenure his hospital he would see four to five claims per month, but saw only one case ever go to trial. He said part of the reason for that percentage is because of the way cases are handled in California. Broderick explained that from 1987 to 1999 Oregon had a $500,000 cap on compensation for non economic damages. In 1999, the state supreme court ruled the cap violated the state constitution which provided all civil cases be ruled upon by a jury. Broderick said in the years since that cap was eliminated, malpractice awards have risen from $870,000 to over $3 million. He said the 65 percent increase in annual awards has resulted in 75 to 175 percent higher insurance rates. Emergency room, neurosurgeons, obstetricians, orthopedists and anesthesiologists are among those most affected by higher insurance rates. Opponents of the measure say it doesn't guarantee lower premiums. Their argument also says the measure does nothing to regulate or punish doctors responsible for the malpractice cases, and the measure would hurt people who have suffered from negligent care. Measure 38 proposes to abolish the State Accident Insurance Fund, which provides workers compensation insurance to small businesses. Problems with mismanagement and excessive withholding of reserve funds have spawned federal investigations of the state-run service. They have also led to Ballot Measure 38. Proponents claim 15 states have lower workers compensation rates than Oregon. Nine of those have no state fund. They also claim workers compensation rates have decreased in states that have abolished their state funds. Opponents of the measure claim it is an attempt to grab market share by Liberty Northwest, an insurance company which sponsored it. The initiative was placed on the ballot by 87,479 verified signatures. Jim Bernau and Lorinda Gauthier were the chief petitioners. Opponents claim a 98 percent renewal rate by SAIF policy holders and an 80 percent good to excellent service rating shows SAIF is doing a good job. The fund insures 60 percent of small businesses in the state. "As a business owner, I do not want to see SAIF go away," said Nowlin, co-owner of Brandy Peak distillery. "I think you're killing the golden goose." - --- MAP posted-by: Richard Lake