A recent study by the National Bureau of Economic Research found that the cost of rising malpractice premiums is not a major contributing factor in affecting the delivery of care to patients. To the contrary, they found weak evidence that physicians are either not entering the field or retiring early due to rising medical malpractice premiums. In other words, the politicians’ claims that we need tort reform to keep doctors from leaving practice is dubious at best. The strongest evidence the study found for malpractice premiums affecting availability of care is the affect of rising premiums on rural doctors. Their study showed that a 10% rise in premiums results in a 1% decrease in rural physicians. That could be a problem, but who is to blame? The victims of the malpractice or the negligent doctor?