More Workers’ Comp via NY Times

Today, the Times continues its series on workers’ comp in New York.  This piece is slightly more claimant leaning than yesterday’s but still gives some excellent insight on the comp system and how lousy it actually is.  It rightly notes that physician exams paid for by insurers (laughingly called independent medical examinations) are frequently skewed in favor of… wait for it… the insured.  They touch on but don’t go into great detail that this is also very true of physician exams that are arranged by the claimant’s attorney which are skewed in favor of the claimant (there’s a pattern here).  There are physicians who do work for insurers/employers and ones who work for the claimant’s bar who are not the least bit predictable in what they’ll say regarding disability status.  Unfortunately, the same can be said for many hearing officers here in Ohio.  I’ll go one step further and say that it’s not limited to Ohio as I’ve had first hand experience with this in Pennsylvania.  What started as a no fault insurance system to 1) take care work workers who are injured on the job and 2) indemnify employers from being sued for those injuries has turned into such a monstrosity that the original intent can’t even be recognized.

At our firm, we do minimal workers’ compensation work but do a fair amount of litigation consultation.  This is split between plaintiff and defense cases.  I think the most important thing to do is to remain intellectually honest in the work you turn out.  You only get one shot at credibility and when it’s gone, it’s gone.  In the cases sited in the Times series, it’s really gone.

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  • http://www.insideworkerscompny.com Mike Berns

    I am the former NY State Workers Comp Board Commissioner quoted in the Times article as having, among other things, written a book about the inner workings of the Board : Behind The Closed Doors – An insider’s look at how things really work at the NYS Workers Compensation Board and how to fix them. (http://www.createspace.com/3358424)

    During my 12 years at the Board I participated in about 40,000 decisions (on paper) and another 1200 or so at full hearings.

    The issue about the IME’s (independent medical examiners) needs clarification for everyone’ benefit. They are called ‘independent’ because they are not employees of the carrier any more than the claimant doctors are employees of the claimants or their attorneys. That they have a prejudices is 100% correct, and I mean both sets of doctors. One can see a glass half-empty and the other half-full.

    But anyone who has ever had an injury, even from a rough game of touch football, knows that the level of pain and immobility varies of day to day or even changes during the day. This alone can cause a difference of opinion between doctors.

    And, yes, both doctors cloud their reports. I have read enough testimony and cross-examinations to know that (1) it is not easy for a doctor to put everything into a report and (2) take a position contrary to their client’s position.

    In reality, no matter what position anyone takes or anecdote someone tells, I can give you one that is 100% opposite based on all the cases in which I have participated. There are really bad doctors on both sides and there will always be bad doctors on both sides and designing a system based on this 1% makes a system that is impossible for the other 99% to participate in good faith.

    In any event, the purpose of this e-mail is to introduce myself and see if we can collaborate.

    Mike Berns
    TheInsider@InsideWorkersCompNY.com

  • http://donaldryan.net DonRyan

    I'd love to have a dialogue. I'll shoot you an email.

  • http://www.marylandworkerscompensationattorney.net/ workers_compensation_attorney

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