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GAZETTE

AUGUST/SEPTEMBER 1996

Does Advertising by Solicits

These two differing opinions on this topic were first published in the Julyft

'Ambulance

chasers' are on

our doorstep

"Flashy" advertising by a minority of

solicitors is having an influence far

greater than their numbers, writes

Mr. Brendan Healy.

An individual,firm or organisation that

engages in advertising does so for two

reasons:

(a) To convey information

(b) To generate business/customers.

Any solicitor who advertises his

expertise does so to let the public know

that his expertise is available to them

and in the hope that some section of the

public will be enticed to use his

services. It is common practice in the

advertising world and, regrettably,

among some solicitors to offer a carrot

to potential customers. So we read in

the Golden Pages thatfirst consultations

are free: hospital or home visits can be

arranged with the solicitor and, yes of

course, the reminder that "most cases

are settled out of court". Advertising

one's availabilty and expertise is totally

different to the "practice announce-

ment" as used by the medical profession

or the majority of solicitors to acquaint

the public of their practice details.

Whatever may have been the original

thinking of the Incorporated Law

Society when it relaxed its rules on

advertising, I doubt that it envisaged

that advertising one aspect of the

profession's expertise, namely injury

claims/compensation, would be

marketed so aggressively. While I

accept that this form of advertising is

resorted to by only a tiny minority of

solicitors, their influence is far greater

than their numbers. A "flashy"

advertisement in the Golden Pages can

cost over £12,000, almost as much as a

surgeon's malpractice insurance this

22X

year! I estimate that well in excess of

£500,000 will be spent this year on

advertising by solicitors. Somebody has

to foot the bill for this astronomical

outlay and in thefinal analysis these

overheads are paid for out of the

solicitor's "success" in winning injury

claims for his clients.

The cost of injury claims

It is well established that the Irish are a

litigious people. Business and industry,

the professions, and every arm of the

State has been hit for millions of

pounds through injury claims. At this

stage I should emphasise that genuine

victims deserve, as of right, a

speedy and proper compensation

arising from injuries, however or

wherever received.

Our present court system leaves much

to be desired in the area of speedy

administration of justice to victims of

injuries. However, the statistics

surrounding litigation in Ireland in

comparison with the UK and the EU are

extremely worrying.

• Irish doctors are four times more

likely to be sued than their UK

counterparts.

• Irish legal costs are four times

greater than the UK.

• Irish awards for pain and suffering

are the highest in Europe.

• A total pay out of in excess of £600

million results from injury claims.

• The Department of Health pays over

£20 million in insurance premia on

behalf of doctors/consultants.

• Ten years ago an obstetrician paid

£800 medical malpractice insurance.

Today he pays £30,000 for that same

cover. Have medical standards fallen

that much in the intervening years?

• Nobody can estimate the cost to the

Exchequer and to private health

insurance providers of defensive

medicine.

Brendan Healy

Business aims

One would not have to be a solicitor to

argue, with reasonable success, that all

the above indicators existed long before

the Law Society's rules governing

solicitors advertising were relaxed.

Others would argue that the volumes of

patients seen by consultants, the lack of

resources and an ever increasing public

expectation of a perfect outcome to all

courses of medical treatment are what

give rise to increased litigation. In a

word, doctors have nobody to blame but

themselves.

All of these comments have an element

of truth. I suggest however, that the

relatively recent move towards advertis-

ing by segments of the legal profession

are merely fanning the flames. The

"ambulance chasing" mentality of the

US is now on our doorstep. Advertising

is expensive. Its purpose is to generate

business, which I emphasise is

legitimate, but this business aim should

not be camouflaged or presented as a

social service whereby "St. Vincent de

Paul minded people" are offering their

services free of charge to the injured or

underprivileged. More rather than less

doctors are likely to be sued as a result

of advertising by solicitors.

Mr. Brendan Healy is a consultant

orthopaedic surgeon in Sligo General

Hospital.