Absolutely true: Floriduh's statewide trauma system is in free fall collapse as we speak, for example.
One maddening thing (for the docs) about the med malpractice industry is that the suits and payouts generally bear no relationship to competence.
Thus doctors who agree see the most high risk (sickest) patients are the most likely to be sued. Very sick patients are more likely to have adverse outcomes. Emergency trauma cases (often performed under insane battlefield type conditions) are the ones where sponges (pads to soak up blood) and other objects are left behind, something the democrats will never tell you.
Other shyster scams include the gold mine (for crooked lawyers) with mega-bucks from the neurosurgeons (brain injury almost always has some residual brain damage, by definition) and obstetricans (congenital blameless birth defects equals lawyer yachts and French Riviera condos)