First, the problem: According to the conservatives on this board, or at least those who are parroting Bush's recent talking points, this is because of litigation. Other causes include litigation, litigation, illegal immigration, and litigation. Want to know what is really responsible? This is from the New England Journal of Medicine (http://content.nejm.org/cgi/content/full/351/16/1591). The article does mention costs associated with litigation, but that passage only merits a couple of sentences. As I mentioned in another thread, litigation is responsible for something like 1% of the increase in health care spending.