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