In this executive summary, Chad C. Karls, editor of the Medical Liability Monitor’s 22nd Annual Rate Survey, explores when the current medical professional liability (MPL) market will break out of its current state and examines other factors influencing the MPL insurance market. He describes how the MPL market arrived in its current position and the contradictory state of the market today; he also offers new ideas about how long it will be before the market begins to harden and why that will be necessary before change can occur.

This article was first published in Medical Liability Monitor.