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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: Dr Mohr¹ argues that 3 medical and 3 legal factors sustain medical malpractice litigation. I believe that an additional factor is the modern attitude that values litigation above other approaches to resolving disputes. Individual and institutional members of society are increasingly litigious as is evidenced by caseload data from the National Center for State Courts.² Recent tobacco court cases demonstrate that the government also is suing its own citizens to resolve disputes instead of using the legislative process.

From 1984 to 1994, the number of cases filed for juvenile, domestic, criminal, and civil offenses increased by 59%, 65%, 35%, and 24% respectively.² The total number of cases in 1994 for these 4 categories was more than 34 million and represented 13.75 cases per year per 100 citizens, assuming a total US population of 250 million.

At the same time (1984-1994), tort filings increased 20%, from 251,983 to . . . [Full Text of this Article]

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American Medical Malpractice Litigation in Historical Perspective
James C. Mohr
JAMA. 2000;283(13):1731-1737.
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