The costs of lawyering have to include the massive insurance policies which doctors have to have, and needless CYA tests which are now being required prior to operations, and numerous similar things. It’s very hard to get an absolute handle on.
Shouldn't tort reform have lessened that risk? Eliminate the risk of a multi-million dollar payout from a malpractice suit then you greatly reduce the need for CYA medicine. So states like Texas should have fewer unnecessary tests and, consequently, lower insurance premiums. They do have lower malpractice insurance costs but healthcare rates have increased at the same rate as other states.