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The New York Times has published an interesting article on troubled hospitals in New York which are not maintaining medical malpractice insurance.  The article (and common sense) suggests this may be a “good” short term fiscal choice, it is generally not sustainable long-term.  This is not a new issue as uninsured or underinsured hospitals have been in the news for years.  According to one recent report, nearly three quarters of hospitals are now self insured.  While self insurance by hospitals is regulated, the required limits are quite low.