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Reading… Writing…. Arithmetic….. Simplify t o Quantify Bernard F. Pettingill, Jr., PhD Palm Beach Gardens, FL October 2010 Las Vegas. INTRODUCTION. Outline. Background Contact Points Terms of Art Presentation - Putting It All Together. Juror Profile. Potential Jurors.
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Reading… Writing….Arithmetic….. Simplify to Quantify Bernard F. Pettingill, Jr., PhDPalm Beach Gardens, FL October 2010 Las Vegas
Outline • Background • Contact Points • Terms of Art • Presentation - Putting It All Together
Potential Jurors Keep Estate Tax Get Rid of Estate Tax
Jury • Banker • Engineer • Nurse Practitioner • Arms Crossed / Legs • Age Factor • Note Takers • Sleeper • Questions from Jurors
Hooks • New Orleans • Military HS • Catholic / Ivy League College / Ph.D. • England (Foreign) • Professor (Medical School - 4 yrs) • Articles • Three Kids - Teacher / Empathy • Organizations • Court TV / Congress • Two Grandkids
Jury Awareness • Posture / Clothes / Watch / Car / Truck • Body Language - Rocket Clemens; • McGuire • Out of the Box • Permission
Economic Terms • Life Expectancy / Work Life Expectancy • Inflation Measures - (Local News Stories) • Medflation • Interest Rates (IRR) • Consumption Expenses • Replacement Services at Home • Paradox of Thrift
CPI • Typical Market Basket • 95 Locations • Twice / Month • 211 Consumer Goods • Average Prices
CPI - cont. Food & Beverages Housing Apparel Transportation Recreation Education & Communication Other Goods & Services MEDICAL CARE
Abbreviations GIGO PRN QD / BID / TID DUCES TECUM CETERIS PARIBUS SWAG
Forecasting • OLD INDICATORS • AUTO • HOUSING • RETAIL
Forecasting - cont. • NEW INDICATORS • WAL-MART • STARBUCKS • APPLE • NETFLIX • PAWN SHOPS • ANIMAL RESCUE LEAGUE • McDONALDS • DOLLAR STORE
Rates • Discounting to PV - Recent Historic Rate • Alaskan - Total Offset • Nominal Rate / Average Rate - 25 yrs
Discount Rates • JUNK DOWN • MUNIS DOWN • CORPORATE DOWN • TREASURIES RETURN RISK U.S. TREASURIES
$65 M Verdict Bartow 3/2009
Life Expectancy • Census Data - 2010 • Optimal Care - Based on L.E.
LESSON 1 LIFE EXPECTANCY = 2.9 = 1.7
Classification of Economists • Labor • Public Policy • Financial • Agricultural • Behavioral • Health/Medical
Nationalized Health Care • ENGLAND, CANADA & SWEDEN • INSURE 30+ MILLION PEOPLE - H.R. 3200 • AMERICA’S AFFORDABLE HEALTH CHOICES ACT • ELECTRONIC MEDICAL RECORDS
Reasons for Cost Increases • New Technology • Waste, Inefficiency & Fraud • Drug Company R&D • Aging Population
Health Care - DILEMMA • ELECTIVE SURGERY • WAITING LIST - HERNIA REPAIR • RENAL DIALYSIS • 55+ Yr Old, GREAT BRITAIN – DENIED….DEAD
Organ Replacement - DILEMMA • SIXTY YEAR OLD MALE POSTAL WORKER • SINGLE MOTHER OF FOUR CHILDREN • EIGHTEEN YEAR OLD NEVER WORKED • RETIRED PALM BEACHER
LESSON 2 • MEDICAL INFLATION RATES • Current (NOW) = 3.5% • Recent (10Yrs) = 4.0% • Historic (25Yrs) = 5.0%
YEAR 199520002004200620082010 MEDICAL 5.1%4.3%4.3%4.2%3.8%3.5%
Sequence of Experts Therapists / Nurses Treating / Evaluating M.D.’s Continuation of Care Planner / Rehab Expert Economist
Categories of Need • Routine M.D. Visits • Therapies • ADL’s • Diagnostics • Orthopedic Equipment • Supplies • Attendant Care
Treatment Patterns • Boston Vs New Haven • Large Med-Schools • Well Informed M.D.’s • Same Region Country • No Difference in Socio-Economic Status
Example • White Female • Age 2.0 • Life Expectancy = 79.9 years • 24 Hour Nursing Care (HOME) • $30.50/Hour/LPN • Discount Factor = 4.0%
MEDICAL INFLATION • Current (NOW) = 3.5% • Recent (10Yrs) = 4.0% • Historic (25Yrs) = 5.0%
RESULTS Current: Growth Rate = 3.5%Present Value = $17.5m Recent: Growth Rate = 4.0%Present Value = $21.2m Historic: Growth Rate = 5.0%Present Value = $31.1M
Trial Charts • Recent Life Expectancy Tables • Medical vs. General Inflation • Sample - Goods / Services • 1940, 50, 60, 70, 80, 90’s
Presentation • Earning Capacity - Cistern • Present Value - ‘Car Loan’ • Court Reporter Interruptions • 9/11 - Security • Jack Pot Justice / Home Cooking
$44.9 M VerdictFort Meyers - John Romano, Esq. Florida 12/2009
$11.6 M Verdict Miami, FL 4/2010
$8.2 M Verdict Florida 9/2010