
Common law in healthcare covers a wide range of issues, from medical malpractice suits to a doctor's lack of license. It also includes informed consent, the right of refusal, negligence, and fraud. Healthcare attorneys handle these issues by providing legal advice and representation to healthcare providers, hospitals, insurance companies, and government agencies. They assist with contract negotiations, regulatory compliance, and defending against malpractice claims. Common law affects healthcare by setting standards for care, protecting patient rights, and ensuring access to quality health services.
| Characteristics | Values |
|---|---|
| Scope | Covers a wide range of issues, including malpractice suits, licensing, informed consent, right of refusal, negligence, and fraud. |
| Basis | Originated in England and forms the basis of the current American legal system. |
| Precedent | Decisions made in past cases become precedents that can be cited in future cases. |
| Patient Rights | Protects patient rights, including informed consent, right of refusal, and access to quality health services. |
| Standard of Care | Varies by jurisdiction but generally requires physicians to conform to the standard of a reasonably prudent practitioner under similar circumstances. |
| Physician-Patient Relationship | An implicit contract is formed between the physician and patient, creating a duty of care. |
| Medical Negligence | Defined as a breach of the standard of care resulting in harm to the patient. |
| Malpractice | Refers to claims of serious medical negligence or mistakes, fraud, or bad medicine. |
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What You'll Learn

Medical negligence
Common law in healthcare covers a wide range of issues, including medical negligence. Medical negligence is a civil wrong, or a "tort", for which common law provides remedies. In the case of medical negligence, compensatory damages (money) are usually the remedy.
In the case of Bolam V. Friern Hospital Management Committee, (1957) 2 All ER 118, McNair, J. summarised the law as follows: "The test is the standard of the ordinary skilled man exercising and professing to have that special skill. A man need not possess the highest expert skill: it is well established law that it is sufficient if he exercises the ordinary skill of an ordinary competent man exercising that particular art. In the case of a medical man, negligence means failure to act in accordance with the standards of reasonably competent medical men at the time."
To bring a successful claim for medical negligence, a patient must demonstrate a direct causal link between the defendant's negligence and their injury, sickness, or loss. This typically requires the testimony of a professional, such as a medical expert or professor in the same field as the defendant. The patient must also show that the mistake made by the healthcare professional resulted in losses, such as the cost of additional medical care or loss of earnings.
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Informed consent
In certain situations, such as when a patient lacks decision-making capacity or chooses not to participate in decision-making, a legally authorised representative or surrogate may be involved to provide consent on the patient's behalf. This could be a family member, a legal guardian appointed by the court, or another individual authorised under the relevant laws of the jurisdiction.
In emergency situations, physicians may initiate treatment without prior informed consent if a decision must be made urgently and neither the patient nor their surrogate is available. However, it is important to emphasise that withholding pertinent medical information from patients without their knowledge or consent is ethically unacceptable, except in rare circumstances where disclosure is medically contraindicated.
Common law, which forms the basis of the American legal system, plays a significant role in healthcare. When patients take legal action regarding issues such as medical malpractice or a doctor's lack of license, they often cite common law precedents set by previous court decisions. While common laws may originate from customs, they can evolve over time, and these precedents guide how similar cases are handled in the future.
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Patient privacy
The Privacy Rule permits covered healthcare providers to offer patients the choice of disclosing their health information for specific purposes, such as treatment, payment, and healthcare operations. While not mandatory, providers may opt for an "opt-in" or "opt-out" policy or a combination of both. The rule also allows providers to disclose information to family members or friends involved in a patient's care with the patient's informal permission. However, it is essential to note that mental health notes and specific sensitive health conditions are generally protected and cannot be shared without explicit authorization.
HIPAA also includes the Security Rule, a federal law mandating security measures for health information in electronic form. This rule provides healthcare institutions with a flexible framework to implement security measures, allowing them to adapt to their resources, infrastructure, and functionality. Additionally, the Genetic Information Nondiscrimination Act (GINA) of 2008, prohibits genetic discrimination in health and life insurance and employment, protecting patient privacy regarding their genetic information.
State laws also play a role in patient privacy. For example, California has stronger legal protections, with laws like the Confidentiality of Medical Information Act (CMIA) and sections of the Health and Safety Code, providing enhanced privacy safeguards. Furthermore, federal and state privacy laws often require healthcare providers to obtain written consent from patients before disclosing their health information, even for treatment purposes.
While most people believe in the importance of patient privacy, there is a tension between ensuring individual privacy and facilitating the flow of information within the healthcare industry. This balance is crucial to maintain trust and enable effective communication between patients and healthcare providers, ultimately improving the quality of care.
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Medical malpractice
To prove medical malpractice, four legal elements must be established:
- A professional duty owed to the patient: The physician must have owed the patient a duty of care, which is the standard of care accepted and recognised by the medical profession.
- Breach of such duty: The treatment provided must not have been consistent with the standard of care, constituting a breach of the duty owed.
- Injury caused by the breach: The patient must have suffered an injury or harm due to the negligence or breach of duty.
- Resulting damages: The injury must have resulted in significant damages, such as disability, unusual pain, suffering, loss of income, or a significant burden of medical bills.
Informed consent is also a critical aspect of medical malpractice. Patients have the right to be aware of the risks, benefits, and procedures involved in a medical treatment before it begins. If a patient does not give informed consent and the procedure results in harm or injury, the doctor or healthcare provider may be held liable, even if the procedure was carried out perfectly.
The law of medical malpractice varies across different jurisdictions, and in the United States, it is under the authority of individual states. While the principles are similar across states, the specific rules and frameworks may differ. Healthcare lawyers play a crucial role in handling medical malpractice claims, representing both patients and healthcare providers in these complex legal matters.
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Health insurance
The impact of common law on health insurance is primarily related to eligibility, coverage, and employee classification.
Eligibility and Coverage
Common-law spouses and their children may be eligible for health insurance coverage as dependents under family medical plans. While the specific requirements vary by jurisdiction and insurer, common-law relationships are generally recognised for insurance purposes after a certain period of cohabitation, ranging from six months to five years. In New York, for example, common-law marriages are not recognised, but the state will acknowledge such marriages contracted in other states where they are valid. In this case, a common-law spouse would be viewed as the legal spouse of the insured, allowing them to be covered under a family medical plan.
Employee Classification
The term "common law employee" is used in the context of health insurance to differentiate between employees and independent contractors. This distinction is crucial for small business owners when determining the type of health insurance available to their workers. Common law employees are typically defined as those who are subject to a higher degree of control by the employer in terms of their work behaviour and finances, as opposed to independent contractors who have more autonomy. To qualify for a small business health insurance plan, most companies require at least one common law employee, working full-time, and opting to enrol in the group plan.
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Frequently asked questions
Health law is a multidisciplinary field that focuses on the regulations and policies governing the healthcare industry. This area of law affects legal issues related to medical providers, health insurers, patients, and government agencies.
Common law in healthcare covers a wide range of issues, including informed consent, right of refusal, negligence, and malpractice. It often involves citing past cases as precedents.
Common law sets standards for care and protects patient rights by ensuring access to quality health services, informed consent, and privacy. It allows patients to seek legal recourse in cases of negligence or malpractice.
Healthcare lawyers assist in navigating complex regulations, providing guidance on compliance, and advocating for patients' rights. They handle medical malpractice claims, contract negotiations, and fraud allegations.
Common law establishes standards of care and protects the rights of healthcare providers. It helps providers navigate issues related to health insurance, reimbursement, and contract negotiations. Healthcare lawyers defend providers against malpractice claims and ensure fair compensation.








































