That's essentially Rayiner's point--focusing on large payouts is not an effective response to this concern. In states with a cap on the maximum medmal claim, t

That's essentially Rayiner's point--focusing on large payouts is not an effective response to this concern. In states with a cap on the maximum medmal claim, the cap often "saves" the defendant money in situations where docs/hospitals really did screw up badly. But that cap has not effect on small, frivolous lawsuits where the doc/hospital weren't at fault.