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Uncertain Causation in Medical Liability
Hart Publishing

Uncertain Causation in Medical Liability

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Uncertain Causation in Medical Liability
Author(s): Lara Khoury

'Proving' the cause of the plaintiff's injury in personal injury litigation often entails significant challenges, particularly when science cannot identify the cause of a biological phenomenon or when the nature of this cause is debatable. This problem is frequently encountered in medical malpractice cases, where the limitations of scientific knowledge are still extensive. Yet judges must decide cases, however uncertain the evidence with regard to proof of causation. Reluctant to leave patients without compensation, courts have in some cases challenged their traditional approach to causation through recourse to such techniques as reliance on factual presumptions and inferences, the concept of loss of chance, and reversal of the burden of proof. This book analyses and criticises the use of these various techniques by the courts of England, Australia, Canada, France, and the civilian Canadian province of Quebec in confronting evidentiary causal difficulties caused by the uncertainties of medical science.

Review(s):

“Khoury's book expertly shows and explains the attempted solutions and their shortcomings with regard to medical liability…” —The Law Quarterly Review - volume 123

“This is a magisterial discussion of the complexities surrounding causal issues in medical negligence cases. It provides a detailed analysis of the courts' approach to these issues in England, Australia, Canada, France and Quebec. The scholarship is thorough and detailed. I could not find a single case or relevant article that was not referred to. The writing is clear and engaging. The reasoning is careful and deep. It is easy to see how the book won the Prix Minerve 2004.” —Legal Studies, Vol. 27, No. 4

“...thorough and informative..” —Yearbook of European Tort Law

“This book undertakes a very valuable project in a detailed and thoughtful way…The comparative focus is undoubtedly a strength of the book...it is hard to imagine that anyone would fail to learn something useful from the analysis.” —King's Law Journal, Vol 19, Issue 1

“...Lara Khoury's book will provide lawyers with valuable guidance on proof of causation in such cases.” —Torts Law Journal

“...Khoury has made an interesting contribution to the never-ending academic dissection of this issue...” —Canadian Business Law Journal, Vol 47





ISBN:  9781841135175