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I had a chat with my American relatives at one point which began with me asking why it seems medical malpractice suits have such soaring high settlements compared to where I am in Canada? They explained it to me like this. Say a botched procedure leaves you requiring constant medical treatments for the rest of your life. You have to sue for any treatments you would otherwise have to pay out of pocket. Where you have a public healthcare system, the state would cover that. You may still sue for loss of employment if you are no longer able to work, say, but settlements tend to be orders of magnitude higher because of those additional costs. Unfortunately, this leads to a proliferation of bottom-feeding personal injury lawyers who try to get you to litigate and overstate your injuries to get bigger settlements.
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