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Reading… Writing…. Arithmetic….. Simplify t o Quantify

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 t o Quantify

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  1. Reading… Writing….Arithmetic….. Simplify to Quantify Bernard F. Pettingill, Jr., PhDPalm Beach Gardens, FL October 2010 Las Vegas

  2. INTRODUCTION

  3. Outline • Background • Contact Points • Terms of Art • Presentation - Putting It All Together

  4. Juror Profile

  5. Potential Jurors Keep Estate Tax Get Rid of Estate Tax

  6. Jury • Banker • Engineer • Nurse Practitioner • Arms Crossed / Legs • Age Factor • Note Takers • Sleeper • Questions from Jurors

  7. 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

  8. CREDIBILITY

  9. Jury Awareness • Posture / Clothes / Watch / Car / Truck • Body Language - Rocket Clemens; • McGuire • Out of the Box • Permission

  10. 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

  11. CPI • Typical Market Basket • 95 Locations • Twice / Month • 211 Consumer Goods • Average Prices

  12. CPI - cont. Food & Beverages Housing Apparel Transportation Recreation Education & Communication Other Goods & Services MEDICAL CARE

  13. LOCAL NEWSPAPER

  14. Abbreviations GIGO PRN QD / BID / TID DUCES TECUM CETERIS PARIBUS SWAG

  15. Forecasting • OLD INDICATORS • AUTO • HOUSING • RETAIL

  16. Forecasting - cont. • NEW INDICATORS • WAL-MART • STARBUCKS • APPLE • NETFLIX • PAWN SHOPS • ANIMAL RESCUE LEAGUE • McDONALDS • DOLLAR STORE

  17. Rates • Discounting to PV - Recent Historic Rate • Alaskan - Total Offset • Nominal Rate / Average Rate - 25 yrs

  18. Discount Rates • JUNK DOWN • MUNIS DOWN • CORPORATE DOWN • TREASURIES RETURN RISK U.S. TREASURIES

  19. $65 M Verdict Bartow 3/2009

  20. Life Expectancy • Census Data - 2010 • Optimal Care - Based on L.E.

  21. LESSON 1 LIFE EXPECTANCY = 2.9 = 1.7

  22. Classification of Economists • Labor • Public Policy • Financial • Agricultural • Behavioral • Health/Medical

  23. Not The Same

  24. Nationalized Health Care • ENGLAND, CANADA & SWEDEN • INSURE 30+ MILLION PEOPLE - H.R. 3200 • AMERICA’S AFFORDABLE HEALTH CHOICES ACT • ELECTRONIC MEDICAL RECORDS

  25. Reasons for Cost Increases • New Technology • Waste, Inefficiency & Fraud • Drug Company R&D • Aging Population

  26. Health Care - DILEMMA • ELECTIVE SURGERY • WAITING LIST - HERNIA REPAIR • RENAL DIALYSIS • 55+ Yr Old, GREAT BRITAIN – DENIED….DEAD

  27. Organ Replacement - DILEMMA • SIXTY YEAR OLD MALE POSTAL WORKER • SINGLE MOTHER OF FOUR CHILDREN • EIGHTEEN YEAR OLD NEVER WORKED • RETIRED PALM BEACHER

  28. LESSON 2 • MEDICAL INFLATION RATES • Current (NOW) = 3.5% • Recent (10Yrs) = 4.0% • Historic (25Yrs) = 5.0%

  29. Medical CareGrowth Rates

  30. YEAR 199520002004200620082010 MEDICAL 5.1%4.3%4.3%4.2%3.8%3.5%

  31. AMERICA’S AFFORDABLE HEALTH CHOICES ACTHR 3200 ?

  32. Sequence of Experts Therapists / Nurses Treating / Evaluating M.D.’s Continuation of Care Planner / Rehab Expert Economist

  33. Continuation of CareLife Care Plan

  34. Categories of Need • Routine M.D. Visits • Therapies • ADL’s • Diagnostics • Orthopedic Equipment • Supplies • Attendant Care

  35. Treatment Patterns • Boston Vs New Haven • Large Med-Schools • Well Informed M.D.’s • Same Region Country • No Difference in Socio-Economic Status

  36. Example • White Female • Age 2.0 • Life Expectancy = 79.9 years • 24 Hour Nursing Care (HOME) • $30.50/Hour/LPN • Discount Factor = 4.0%

  37. MEDICAL INFLATION • Current (NOW) = 3.5% • Recent (10Yrs) = 4.0% • Historic (25Yrs) = 5.0%

  38. 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

  39. INTEGRITY

  40. Trial Charts • Recent Life Expectancy Tables • Medical vs. General Inflation • Sample - Goods / Services • 1940, 50, 60, 70, 80, 90’s

  41. Presentation • Earning Capacity - Cistern • Present Value - ‘Car Loan’ • Court Reporter Interruptions • 9/11 - Security • Jack Pot Justice / Home Cooking

  42. $44.9 M VerdictFort Meyers - John Romano, Esq. Florida 12/2009

  43. $11.6 M Verdict Miami, FL 4/2010

  44. $8.2 M Verdict Florida 9/2010

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