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1992 Wis. L. Rev. 1193 (1992)
One Hundred Years of Harmful Error: The Historical Jurisprudence of Medical Malpractice

handle is hein.journals/wlr1992 and id is 1205 raw text is: ONE HUNDRED YEARS OF HARMFUL ERROR:
THE HISTORICAL JURISPRUDENCE OF
MEDICAL MALPRACTICE
THEODORE SILVER'
In this Article, Professor Silver examines the origins of present-day malpractice
law. He begins by noting that negligence and medical malpractice as the common law
now knows them made their debut in the nineteenth century although their roots lie deep
in the turf of trespass and assumpsit. He argues, however, that toward the turn of the
century several episodes of linguistic laziness purported to produce a separation between
negligence and medical malpractice so that the two fields are conventionally thought to
rest on separate doctrinal foundations.
According to Professor Silver, historically based scrutiny of medical malpractice
and its ties to negligence reveal that any differentiation between the two bodies of law
arose solely by accident; the distinction is devoid of rational basis and serves only to
confound and confuse. Thus, he concludes, the common law, through its own devices
or those of our legislatures, should be forced to renounce it.
'Twill be recorded for a precedent,
And many an error by the same example
Will rush into the state.'
I. INTRODUCTION
A medical malpractice action is identical in all vital respects to any
and every suit sounding in negligence. That simple truth, however, has
been lost in a maze of judicial mistakes one century in the making.
Consequently, most legal minds identify medical malpractice as a discrete
body of law and the medical malpractice suit is thought to proceed from
its own set of rules, doctrines, and principles.
That fundamental misconception is traceable primarily to nineteenth
century courts who built and bequeathed to the common law a host of
unfortunate inventions. These include the professional custom stan-
dard, the locality rule, the best judgment principle, the expert
witness requirement, the common knowledge exception, and special
rules concerning the so-called doctrine of res ipsa loquitur. All of these
doctrines purportedly followed from some rational design, but historical
*    B.A. Yale University, J.D. University of Connecticut, M.D. Yale
University; Associate Professor of Law, Touro College Jacob D. Fuchsberg
Law Center.
1.   WILLIAM SHAKESPEARE, THE MERCHANT OF VENICE act 4, sc. 4.

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