Identifying and Overcoming Insurance
Defense
Trial Tactics In A MIST* Case: *Minor Impact Soft tissue
This article is an
attempt to identify and expose unfair insurance defense trial
tactics, so deserving victims receive full justice.
As
practitioners, we regularly see the injured in our offices
pretrial. They move slow and stiffly. They grimace and worry about
their health as well as interruption of the family’s income
and bills. They worry because they cannot work. They ask for our
help because the insurance adjusters promises have fallen flat i.e.
“Mamm, we just need your tape recorded statement and written
releases of your medical/employment records to make you a fair
settlement offer”. No settlement. Third party bad faith is
gone, and so is the motivation for insures to act fairly and
promptly. Instead, they litigate – even if their costs exceed
the plaintiff’s settlement demands. They drive the claim
value down at any cost. As practitioners, we know this scenario all
to well.
Injury victims
are now forced into the courts system. The system’s response
to these tactics that have deflected settlement is to divert them
into mediation, in hopes of fairness and reducing the courts
swelling caseloads. The hardworking mediator’s earn
about $600 a case for three to four hours work. Judges can
only try so many cases, just like trial lawyers. They get tired of
it all. Even the defense lawyers’ tire of marching to the
drum beat orders to save profits as well as having to protect their
trial record. But, when forced into the trial corner by their
corporate master, some resort to subtle prejudicial dirty tricks in
court in order (in concert with their hired gun experts) to destroy
our client’s credibility, often before we or the good trial
judge can un ring the bell. Just think, if they played fair, there
would be less motions in limine, less trial objections and side
bars, less new trial and additur motions, appeals, and . . . more
justice. Here are a few examples with responses referenced by
footnotes:
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Actual
Testimony
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Intended Effect
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1. Voir Dire – Have
you heard about frivolous lawsuits?
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1. Insurance Rates and
court filing will go up with a Plaintiff’s
verdict.
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2. Voir Dire - No
visible bumper damage means no injury?
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2. There is a
correlation. Plaintiff is a phony.
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3. Defense Dr.
– prior injury and old age did this; it was just a matter of
time.
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3. No causation;
plaintiff is a phony.
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4. X-exam –
attorney referral to doctor.
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4. Secondary gain
by plaintiff; fraud without proof.
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5. Opening – The
defendant personally retained and paid me.
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5. No insurance
exists; defendant is poor; plaintiff is mean.
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6. Closing –
Plaintiff over treated
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6. Plaintiff is
building a claim
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7. X-exam –
unrelated medical problems
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7. Plaintiff is a
hypochondriac
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8. X-exam – medical
lien exists
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8. Doctor has a financial
interest in the outcome.
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9. Argument –
Plaintiff suppressed evidence or failed to produce
it.
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9. Plaintiff is hiding
evidence and lacks trust.
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10.I’m paying defense
expert costs.
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10. Defendant is uninsured
and
poor.
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11.Argument –
“I” …(this or that)
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11.Defendant is uninsured,
defense attorney vouching, testimony and personal beliefs warrant
defense credibility.
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12.Argument – These
cases are monitored by plaintiff’s attorneys
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12.Juror self interest
warrants a low verdict to discourage lawsuits.
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13.Argument – After
she hires attorney XYZ plaintiff’s bills
increased.
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13.Plaintiff is a phony; a
case of fraud.
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14.Argument – The
“g” forces stated by the medical Dr. are
.06
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14.The defense medical
doctor is also a biomechanical expert.
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15.Argument –
Plaintiff over treated
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15.Plaintiff is building a
claim.
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16.Argument –
Unrelated medical problems
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16.Plaintiff is a
hypochondriac.
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17.Non-testifying
co-workers said they were unaware of plaintiff’s
injuries.
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17.Plaintiff is a
phony.
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18.Adjusters tape
recorded statement of the defendant says . . . (good
things)
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18.Defendant is more
credible.
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19.The impact and
delta V (velocity) is like a sneeze, cough, stepping off a
curb.
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19.The forces of
impact are low; plaintiff is a phony.
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20.God would not
approve of Plaintiff’s claim.
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20.Plaintiff lacks
credibility.
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CONCLUSION
The attached footnotes provide
annotated responses, facts, and authority to help plaintiffs
lawyers identify and overcome defense trial tactics in minor
impact, soft tissue (MIST) cases. My hope is that the
Plaintiff’s bar and court will put a stop to those tactics
that impugn the integrity of the court and deny Plaintiff’s
justice.
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False – the CA judicial council
statistics show a decrease in filings in the last decade.
Also, CA victim’s claims decreased 26%, whereas nationwide
claims increased 8.5%. (LA Times, March 20, 1999 –
“Insurer’s Cut Car Claims in the
Ninety’s”.)
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Brault study says 2.5 mph delta V, hit many times and
multiple whiplash victims existed with symptoms. Low speed impact
causes whiplash disorders.
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Baji 14.65 -
aggravation of a prior condition. Injury and Neurology Clinic
Magazine study says people go years without flare up –
natural progression will not automatically go symptomatic.
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Evidence code
§786, 787, (credibility) attorney-client privilege, work
product doctrine. CCP 2018 Evidence Code 801, 802 (experts)
psych. Profile.
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Financial condition and lies are illegal. This opens the door to
cross exam defendant existence of billing, a retainer, insurance,
and credibility by impeachment. Hoffman v Brand (1966) 65 C2d
549, 553. Evidence Code 780
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Studies
say soft tissue takes time to heal. Average recovery time 17 to 123
days – European Spine (2001). 24% still symptomatic
after 1 year - Journal of Neurology (1995)
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Irrelevant, improper character evidence, and expert testimony
(DME is not a psychiatrist).
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Irrelevant, many victims have no medical insurance and a lien is
their only hope for treatment – merely a form of credit
– that’s all. Evidence Code 402; MIL.
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Accusing
the plaintiff of suppression of evidence without support in the
record through hints, suggestions or insinuations is illegal.
Keena v United R (1925) 197 C 148, 155. This also
assumes facts not proven.
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Financial condition and lies are illegal. This opens the door to
cross exam defendant existence of billing, a retainer, insurance,
and credibility by impeachment. Hoffman v Brand (1966) 65 C2d
549, 553. Evidence Code 780
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Arguing
matters not in evidence is illegal, and so is vouching. This
is irrelevant. Evidence Code 352. Brokopp v Ford Motor (1977)
71 CA3rd 841, 862. Attempting to use closing to invite jury
speculation on unsupported inferences or to introduce new evidence
is misconduct. People v Bolton (1929) 23 C3d 208,
213. Also, so is stating personal beliefs.
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Appealing to juror self interest violates the fundamental
concept of an objective trial by an impartial jury
(“Brokopp”, supra).
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Personal attacks by counsel on the character or motive of
an adverse party witness, or counsel
constitutes misconduct. Stone v Foster (1980) 106 CA3d 334,
355. Las Palmus Association v Las Palmas Center
Association (1991) 235 CA3d 1220, 1247.
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Evidence
codes 800, 352, 402, and the Kelly/Frye rules limit testimony by
experts. A biomechanic cannot render medical opinion as an M.D.
i.e. force and g’s. They are simply not qualified.
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Evidence
Code 352, 402. See number’s 11, 13, and 14 above. They have
no “fee facts” knowledge of chiropractic in our
community, nor knowledge of chiropractic prices per se.
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Evidence
Code 350, 352
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See
numbers 11, 13, and 14 above
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See
numbers 11 and 13 above
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See
numbers 11 and 13 above
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Kelly/Frye: Evidence 350, 352, 402. This reference to the
“Allen” study is an over generalization of the entire
population. It’s misleading, as the risk factors that
increase susceptibility to injury are different in each case. The
pulse is short. This study is criticized and not generally accepted
in our scientific community. No one gets hurt stepping off a
curb or sneezing, whereas accidents do hurt people.
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Evidence
Code 352, passion, prejudice and appeals to sympathy are
illegal.
*I
would like to thank George Andreos
Esq., the CASD list members and Carl
Berkovitz, Esq. for their contributions to this
article.
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