To be clear: I have serious doubts about the efficacy of tort reform in driving down medical costs, and anyone who has examined Tom Baker's seminal research on medical malpractice will probably share them as well. That said, it is politics and not policy that drives what goes into the health insurance reform bill, as Shirley quotes Howard Dean as admitting: "The reason why tort reform is not in the bill is because the people who wrote it did not want to take on the trial lawyers in addition to everybody else they were taking on, and that is the plain and simple truth. Now, that’s the truth.” Actually, that's not the truth. It's not like the people drafting the bill wanted to take on tort reform but were somehow afraid of a confrontation with trial lawyers. Not hardly. Here's what progressive strategist George Lakoff has always maintained about tort reform and trial lawyers : Another multifaceted conservative strategic initiative is "tort reform," w...