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accidents administrative allocating liability alternative amount attorneys awards beneﬁciaries bill claimants compensation Congress consumers cost of malpractice costs and beneﬁts costs of litigation courts Danzon decisions defendant defensive medicine deterrence disputes doctors drug or vaccine drugs and vaccines duty to warn effects federal government fees ﬁnancial ﬁnd ﬁrst government’s health care costs Henson Moore Hill-Burton hospital hospital’s immunization incurred informed consent issue jury lawyers legal system liability rules litigation costs malpractice claims malpractice litigation malpractice system manufacturer’s manufacturers medicaid medical malpractice medicare medicare program Merrell Dow Pharmaceuticals negligence no-fault pain and suffering parties patients payment percent personal injury pharmaceutical physicians plaintiffs potential problem product liability product liability law public policy Rand Corporation reduce reﬂect reform regulation reimbursement related injuries require responsible result risks signiﬁcant signiﬁcantly Sindell speciﬁc standards statute strict liability theory tort law tort liability tort system trial U.S. Department U.S. Representative vaccine injury vaccine litigation victims