Madge Kaplan, senior editor of American Public Media's Marketplace Health Desk moderates a discussion about malpractice law reform with several Massachusetts physicians. Threats of malpractice lawsuits hang over doctor's heads from the day they earn their degrees. Some higher risk specialists, like OB-GYNs, can expect to be sued nearly three times over their careers. Jury awards in all cases have soared, averaging nearly $3.5 million in 1999. In turn, professional liability insurance for physicians is astronomical. As a result, physicians curtail or stop services, move out of state, or retire early. Access is restricted, longer waits occur, and doctors practice costly 'defensive medicine'.