Neurosurgical malpractice insurance survey. Florida 1993

A survey of Florida neurosurgeons was conducted in April 1993 with a 68% response rate. One hundred twenty-three (81%) had malpractice insurance. Of the 29 (19%) without insurance, all but one practiced in South Florida. Cost was the major factor in dropping coverage. The cutoff appeared to be in excess of $100,000 per year for coverage for $250,000 per incident. Over 50% have considered early retirement. Those without coverage are limiting patient access. The number unable to afford minimal coverage is likely to increase; consequently patient access will continue to decline unless reforms allow coverage at a reasonable cost.