I've been working for a plaintiffs personal injury attorney for 4 years. I just accepted a job working for the defense for medical malpractice. My current employer told me I'm going over to the dark side. Is that true? Am I selling my soul for defending doctors?

like
Posting as :
works at
You are currently posting as works at

No. The vast majority of your your clients do what they do because they genuinely want to help people who have no way to help themselves. They literally save lives and allow our society to continue functioning. The human body is not infallible and sometimes bad outcomes happen despite the great care. A bad outcome isn’t synonymous with care that’s unreasonable.

I would say probably a third of the cases I defend are bs, and I have no qualms about fighting as hard as I’m allowed to make sure the other side gets absolutely nothing, or next to nothing. These are the fun ones. Also in this camp are cases where the plaintiff may have a decent case but I represent one of the defendants who didn’t do a damn thing and really just got lumped into the mix. No qualms whatsoever digging in for a fight on these.

another third are truly shades of gray. It could really go either way, with comparable amounts of literature in support of each position. These are also fun. No qualms here either. This is what lawyers get paid for. It’s up to a jury or neutral third party to figure out who is right. Not us.

And the rest are the dumpster fires. Cases where there was just a mistake made and someone shit the bed. They will make you feel a bit disgusted but frankly those cases are just going to settle and when you talk to the providers you see that that feel absolutely terrible and sorry about the outcomes. People mess up sometimes with a lot on the line.

The overwhelming majority of cases in the last two categories settle for very fair and reasonable amounts. You’re not trying to get get a guilty scumbag client off and back walking the streets. You’re just guiding a health care provider to a fair deal and way out of the case and making sure they aren’t extorted. I’m not saying all plaintiffs lawyers are extortionists but let’s face it - if they don’t push for absolute Maximum value, are they really doing their job for their client or separating themselves from their competitors? The system by nature leads the plaintiff bar and our clients to be far apart in terms of case valuations, and really we do is try to bridge that gap and keep it fair. At the end of the day it’s representing clients like the other side is.

like

That’s what hammer clauses are for

It's called the Dark Side because you're now helping insurance companies in their mission to screw people over. You're now helping big corporate interests. It's called the Dark Side (Star Wars reference) because you're working for the evil "Empire." Anyone on here saying otherwise is just trying to convince themselves that they don't represent the Empire.

Also, have you ever sat in on a surgeon's deposition or even just met one in your personal life? These are the most arrogant pricks you'll ever meet. If they care about their patients, they sure have a funny way of showing it. Your primary doctor makes you wait an hour to see them and then spends a total of 3 minutes in your presence, largely disregarding all that your say. Medicine in the only business in America where they can treat their "customers" like garbage still make a ton of money.

Are there problems on the Plaintiff's side? Yes. Some Plaintiffs lie or exaggerate. Some think they should get lottery winnings or a windfall.

But let's weight the inequities:

Scenario 1: Plaintiff gets paid more than he should (or gets paid at all when he shouldn't'). The carriers and their lawyers are NOT dumb, so rarely will they overpay by much (usually it's the opposite). The money is also coming from massive insurance company accounts and the carrier doesn't even feel it. If the carrier is "harmed at all," it will be forgotten about quickly, if anyone even noticed.

Scenario 2: Insurance company gets away with not paying someone who should have been paid. In the med mal context, this means a doctor made a mistake and permanently F'd someone up. This is after the carrier denied their claim, forced them to get a lawyer, forced them to come up with litigation money (med mal is expensive to pursue for the Plaintiff - those experts are NOT free), and then made them expose themselves for a jury. This is all highly stressful and difficult for people to go through. Then, the jury gets confused (probably because of insurance company propaganda) and drops the ball. This human being, this person with a soul and many years of life to live, has been screwed over, badly. They will remain F'd up for the rest of their life and have not been compensated.

We all know which scenario is more unjust and more harmful. And that is why it's called the Dark Side - because folks on that side are helping Scenario 2 happen.

This is not to say that ID lawyers are bad people. They're not. They needed a job out of law school like anyone else. Maybe that side fits their skillset and personality better. Most are actually advising their carriers to settle the deserving cases. But some, over time, start to slowly shift their thinking. They have been encouraged to create "gray areas" in cases and over time they start to believe in this "gray area." Then over more time certain parts of that "gray area" become "black and white" - kind of like the stormtrooper outfit that they didn't even realize they are now wearing.

likesmart

The best explanation!

like

The soul-crushing stuff is not going to come from defending the doctors - it’s going to come from being beholden to the doctors’ insurers. As others pointed out above, there are liability insurers with an agenda who will make you defend cases through trial that should be settled. Cases where your client is remorseful and acknowledges liability, but the insurance takes a no-pay position.

You’ll find yourself trying cases where you know the plaintiff’s case is meritorious and they’ve suffered catastrophic harm, and winning those cases because the multi-billion dollar insurance industry has won in the court of public opinion and jurors think plaintiffs are just money-hungry sheisters. Try getting a good night’s sleep knowing a patient or their family went through years of hardship, reliving time and again the worst moments of their lives, and was right all along that the provider was negligent - but that through your work at the insistence of the insurer, they will walk away with nothing.

And all the while, the insurers will undercut your time billed on these cases, criticize your handling of the case, and kick you to the curb the moment they think they can find a better deal or more pliable attorney elsewhere. No thank you!

likesmart

This sounds like very one sided dichotomous thinking. The true catastrophically injured plaintiff with a strong case on liability against all parties does exist, but it’s not the norm. There’s a smattering of crappy cases, shades of gray, and good cases. That is how it’s been since I started doing this.

I’m sure working at some places is like what you’ve described, but it hasn’t been my experience. If you represent hospitals or get work from a good carrier, it doesn’t happen. If anything, they are the exact opposite. They settle everything and are afraid to go to trial. I’m sure some of this depends on where in the country you are. I can see carriers or hospitals being a bit more risk taking if they are in a favorable venue.

There are definitely carriers who pull this kind of crap repeatedly but thankfully I don’t work with them.

I’ve been a defense attorney for 12 years and consider plaintiff’s work the dark side as do my colleagues. Just office banter between adversaries. You will HATE billable hours though. Good luck!

like

Not true when insurance companies won’t even pay their attorneys for basic things like research, subpoenas, etc

like

You will have to meet billable hours. If you were getting a huge bonus, that’s out the window

likesmart

And you’ll get you time nit picked/cut from the client pretty regularly. Most med mal insurers are really tightening up what they’ll allow an attorney to bill for

like

I don't think you will like it but that's me. My paralegal who did it before said it was awful. He worked for State Farm and now works for Plaintiff.

like

It's just a phrase. I know that you can definitely make better money (you can get still bonuses doing defense work and often a better hourly rate) and everyone deserves a good defense. And, no I don't work for a defense firm.

Not true!!! There is a dark side to plaintiff’s work and to defense work. Stay true to your values and know the line you will not cross and you will be fine.

No. That’s what they all say. It just means depending on where you’re going… Better pay and benefits.

I practice in med mal defense and know plenty of defense lawyers who switch to Plaintiff side and we always say they are going to the dark side lol
You will have the plaintiffs playbook so you will be a valuable asset to your new firm :)

Depends on your state. Many states have insurers that try clear negligence cases as a business decision. I actually think this puts medmal def in an unethical position (that will never be addressed by ethical opinions bc insurers are too powerful and this helps them) and it’s truly horrible for the soul imho. That’s the dark side. Left pl medmal because of that and what others have said. I couldn’t watch it anymore. And I lost respect for colleagues that tried cases they begged insurers to settle but still defended them with vigor against their own legal assessment. That shit is dark, sorry.

Related Posts

May be this is off the topic..
One of my friend who is a doctor & is an international med graduate. He passed his United States Medical Licensing Exams with above average scores. He has applied fr the match last yr & was nt able to match. Match process costs around USD10k; this year he is applying again after borrowing funds frm different sources bt he is under tremendous pressure to get match. I feel his pain as he has studied for 10+ yrs and is struggling to match nw. I m nt sure hw I can help

like

When amd how to submit Medical report aa virtual joining is there. Medical certificate is one of mandatory document from TCS at the timw of joining

like

Can I take sick leave in my notice period in wipro?

like

Hi, new to this bowl.

Looking for a new role leading a PM and/or ops team. I'm an agency (media & creative) vet - depth in digital, crm, creative, tech, data, & process dev/deploy.

Have also worked ~4 years transforming / running ops at Kimbery-Clark's Digital COE and ~a year on web & digital projects at NYU Langone Medical Center.

Do IH agencies have substantial PM teams / need for leadsrship? I know many need operations & process enhancement.

Any specific roles on anyone's radar?

Thx!

like

I recently took a sick day and felt like my team was judging me / didn’t believe me. How do you approach taking time of when you are legitimately at a breaking point? AND if people ask

like

I’m cracking under pressure. My whole team is overworked and understaffed with no relief coming. People are working while sick cuz we can’t afford to take time off. It’s always like this and I can’t take it anymore. Advice on how to survive until I can find something new?

like

Hello everyone. I am looking to transition into the medical writing field, but I don’t seem to have the right type of experience. I have technical writing experience, but I don’t have experience with clinical studies or clinical trials. Does anyone have any advice on how I can gain more experience in this field? I am pursuing the AMWA Essential Skills certificate and am working on a master degree, but any other information would be greatly appreciated!

like

Friendly reminder that depression is a protected disability. File paperwork with your company and they legally cannot destroy your health by overworking you.

like

Hi All,

My H1B is set to expire in Aug 2022, my employer is filing my extension, assuming I will get it till aug 2025 and I need to go to stamping.Parent is sick, needs to undergo a surgery. I want to go to India, to be with her during this time. My question here is if I go for visa stamping will I get stamping till Aug 2022 or aug 2025?
If I get stamping till Aug 2025, Can I come back before aug 2022 without any issue?
If I get stamping till Aug 2022, will there be any issues at port of entry

like

Currently a medical assistant and considering the PA route. Living in Canada where the PA profession is relatively new (not as many specialities for PAs as the US, and salary is lower). I’m nervous about future burn out and unfavourable working hours - any advice?

like

Hi. My baby seems to have an infection in her paw. Any home remedies until i get her to the vet tomorrow? She has been experiencing joint issues so I put grip socks on her to help ease while walking. I’ve been sick this week and haven’t changed her socks daily like i normally do😔😔😭😭 and i notice it’s super swollen and red. Help help i feel so bad

like

What is an average pay for a clinical lead medical assistant in Philadelphia area?

Just completed my last shift in the ICU. I'm glad to be shifting back to the Maternatity ward. It was exhausting, and emotionally draining working with such sick patients. I know the work we did made a big difference, but I'm glad to go back to my favorite role!

like

I am a creative designer/animator with a leading medical tech company with 6 yrs exp and based in NY. Currently looking for new roles because of relocation requirement at my current role. Any tips or referrals would be really appreciated. TIA!

like

it’s disgusting to see in this city how people pay more attention to the dogs homeless people have than the people themselves - it’s dehumanizing and makes me sick when people give a strained smile to the homeless person while patting their pup like come on

like

I am a medical social worker at a hospital since graduating with my MSW. I have been at the job a year and feeling burnout with little options for movement within the company at the moment. Besides case management and therapy (no individual, school, or CMH), what else can I do with my degree? Any advice is appreciated! :)

like

Quality engineering VS software engineering. I am currently a quality engineer in medical device. I have 4.5 years of experience. I’m stuck between getting a degree and continuing in quality / manufacturing or switching to software where I know money is great. Thoughts?

likehelpful

Are you sick of tired of being sick and tired!!??

I know I am. Just like you the recent murders of two black men have done a number on me.... and I can’t just sit still with this. I wanna take action. I want to do something. Create something. Develops something that can create change.

So what is the output? I’m not sure. And that’s why I am reaching out to you all. Let’s use our talent in advertising to make something that will sway people to “PULL UP”!!! Let’s chat!! The time is now!!!!

like

I’ve worked in clinical research in the academic/non profit world for the past five years. I want to transition to a role in pharma or a CRO, but haven’t been successful yet because I don’t have industry experience. Does anyone know of any CROs/pharma companies that are willing to hire someone with research expertise from an academic medical center rather than already in industry? Thanks!

like

More Posts

Hi people,
Need referals at
Eli lilly . I am currently an analyst in Novartis. Yoe- 1.8
Kindly refer if possible
Thankyou

Hiya Friends,

SAP labs HR said they will release offer letter, but 1 week passed, no offer letter given.

am I rejected? even after clearing all rounds?

like

Hello Fishes, I'm a UI/UX designer with ten years of experience and hold a GL offer of 25 lakhs. Is it a good company to join? Kindly do reply with job security perspective. 

I want to be a client instead of an investment banker. Where do I sign up?

likefunny

Is there anyone who works for Google or Amazon and has a healthcare background with no tech skills? I have my MBA with a healthcare concentration and I’m looking to switch industries. I’ve started to take certification courses on Udemy but would love any insight on how I could get my foot in the door with those companies. Thank you!!

like

Can get advice on TC?
Let’s say your original TC in your current is 300k, but because of stock appreciation, your actual TC now is 500k (same base, same bonus, but stock appreciated). When negotiating with new company, will the new company consider your TC as 500k, or 300k? Thanks

like

36mm Rolex explorer on a 7.5 inch wrist? Thoughts?

like

How do filmmakers find investors?

like

Don't you think it's high time ppl start calculating in hand salary and how much % hike to ask n all?? I feel that's immatured behaviour when few of them ask these questions 😐
Itna padliya, coding bhi ati h, exp bhi h... Phr kyu??

likefunny

The "who loves dogs?" bowl is making my life much better right now

like

Which consulting company has the highest level access to WWBD in pharma?

like

How to ask a company for counter offer (means how to sentence it correctly)?

I do have multiple offers and want to match the maximum amount with the company that I want to join.

Please share your valuable inputs.

Book recommendations on leadership, career development, etc?

like

What are some of the best books you’ve read about people and investing? Such as dealing with people (business psychology almost) and then investing (real estate more specifically)!

I am looking for books that give practical advice, not just big picture theory and motivation.

like

Once, when I was little, I was playing Monopoly with my cousin. I was the banker, and I liberally “quantitatively eased” myself whenever he wasn’t looking.

I got unlucky and lost the game but I threw an absolute FIT, accusing my cousin of cheating because I knew how severely I’d cheated myself. How could he have won if HE didn’t cheat?!

Donald Trump’s righteous, desperate conviction is that of a losing cheater. I only hope he gets the time out he so richly deserves.

like

PhDs of Fishbowl, what's the worst thesis premise you've ever encountered?

like

For Stock-based comp - What's an "average" and "good" number when factoring an all-in comp number? $20K? $30K?

like

Salary credit timings? Icici bank

like

Hello Fishes

I have recently completed my MBA program and I am looking out for a job in Finance profile and I am having 4 years of experience in Accounts Payable profile.

Also are there any openings for finance and Accounts Payable in Big 4's.

Any sort of referral or help will be appreciated as I am already looking out for job from last year and not able to get any calls its really frustrating and demoralizing..😔😔

like

How does Christians feel about therapy sessions? Should we be taking our problems to therapists and psychologists or should we take them to God and pray about it?

like

Additional Posts in Personal Injury Lawyers

Hi all, new-ish associate here at a Virginia firm - quick question: if a pleadings filing deadline for a GDC case ends up being on a Saturday or Sunday, does that mean that it can actually be filed by that following Monday since the court and clerk's office will be open then?

like

I give my cell phone to all clients routinely. However, there are always 1 to 2 clients who abuse this and it seems as soon as their cases are over I find a new one and it is making me rethink. I hate to do this because 98% do not abuse it and I like being connected to my people. Thoughts??

like

What’s a good LA or NY business litigation firm and salary to expect? I’m a 2yr with quite frankly a lot of experience across civ rights, PI, excessive force, wrongful death, employment defense, K dispute, corp. structure dispute, professional licensure. Write every kind of brief, appeals, argue motions, take depos. Am the only associate working directly under partner on all cases. In house or M&A/Real Estate Transactional are likely the end goal but want to get the litigation out of me first.

funny

I’m a 3L applying in NYC for post grad employment. Which plaintiffs PI/Med firms have the best opportunities for a junior? Everything I find, including my past summer job, is a small shop with 3 partners max and a handful of established associates. I would really like plaintiffs side.

likesmart

When y’all have bench trials, what are typical awards?

Here in my jx, in little league/entry level court, it’s pretty typical judges award 2x the medical bills.

like

What are good KPIs for personal injury support staff?

like

Chicago attorneys: what is the base salary of a 3 year associate? What % of fee do they get on cases they bring in? Do they get paid any money on cases they’re working on but didn’t bring in? I know it varies, looking for info based on personal experience/knowledge.

like

What’re the primary differences in PI when practicing in NJ v. NY? Benefits? Drawbacks? Which do you prefer?

likehelpful

I have a dumb question... I have my first jury trial coming up in a few months. It's a 3-day auto accident trial. I'm the plaintiff attorney. My question is, should I have my client present the entire three days, or am I okay to tell them that they're fine to leave after they testify?

like

What time do you all go to bed/wake up? Told a colleague I went to bed around 1am every night and they just about gasped (as in that’s so late)…now I’m self conscious?

like

I know this is a broad question but how much should a 3 year PI attorney going into their 4th year make approx. I’m in Chicago, a range is fine too.

like

What kind of split does your firm give you for bringing in cases? Trying to negotiate with my firm for an increase. Currently, I get 15% plus my base salary.

like

First PI case. Just got defendant’s discovery back. I asked for all policies to see any potential coverage and was just sent back the 2-page dec page. Is that normal? What is my response/objection to this?

like

What % of settlements do you take home as an associate? Trying to gauge what I should be seeking in my next contract. Currently at 3% split prorated with all handling attys. Is this normal?

like

Anyone know a Connecticut or 2nd circuit case for this rule? I can’t find one to save my life. A defendant generally is liable for all harmful results that are the normal incidents of and within the increased risk caused by their negligent acts. If a defendant's negligence was a substantial factor in producing the plaintiff's injuries, the element of proximate cause has been satisfied and the defendant would not be relieved from liability for those injuries even though another force concurred..

like

How do “commissions” on top of base salary typically work for pre-litigation associate compensation?

like

What do you guys send as gifts to referral sources for attorneys and/or former client referral sources?

*Assume in my jurisdiction there are no ethical issues associated with this

likehelpful

Currently at a medium sized firm but want to make the jump to big law - doing Plaintiffs PI and just need some advice on how to make myself more attractive to larger firm.

like

3P Policy Limits: $100k
Liability has been accepted
Property Damage: $10k
Current Medical Bills: $65k
MRI findings (lumbar): 4mm
Client has received 3 injections and a surgery rec for laser discectomy

Sent 2 policy limits demands. Adjuster offered $60k both times because they don’t see a “causal relationship” without offering us any articulated supporting facts.

The insured is a Radiologist, he appears to own a home valued over $2M.

Is this policy open? Best approach? Thoughts?

like

Any idea on what the salaries are for junior associates at the top plaintiffs firms in Miami?

like

New to Fishbowl?

Download the Fishbowl app to
unlock all discussions on Fishbowl.
That was just a preview…
Sign Up to see all discussions
  • Discover what it’s like to work at companies from real professionals
  • Get candid advice from people in your field in a safe space
  • Chat and network with other professionals in your field
Sign up in seconds to unlock all discussions on Fishbowl.

Already a user?
Login here

Share

Embed this post

Copy and paste embed code on your site

Preview

Download the
Fishbowl app

See what’s happening in your industry
from the palm of your hand.

A phone with Fishbowl app

Scan your QR code to download
Fishbowl app on your mobile

Download app

Sign up for free to view this conversation on Fishbowl

By continuing you agree to Terms of Use and Privacy Policy

Already have an account? Log in

Sign up for free to continue using Fishbowl

By continuing you agree to Terms of Use(New) and Privacy Policy(New)
Messaging rates may apply

Already have an account? Log in

For account settings, visit Fishbowl on Desktop Browser or

General

Legal