American Medical Associatiion reported a new AMA report alleging that the average expense payments for professional medical liability insurance increased in real terms by 43 percent from 2005 to 2010. According to the report, indemnity payments have generally been stable over the past decade, particularly since 2005. The disposition of claims has remained relatively unchanged over time. Most claims are dropped, dismissed or withdrawn, and 63.7 percent of claims in 2010 fell into this category. Another 25.4 percent of 2010 claims were settled, and fewer than 10 percent of claims were decided by trial verdict. Of the claims that went to trial, 93.4 percent were decided in favor of the defendant. So less than one percent of claims are successful at trial. Where is the need for more tort reform?