On the economics of trials: adversarial process, evidence, and equilibrium bias

The adversarial provision of evidence is modeled as a game inwhich two parties engage in strategic sequential search. Anaxiomatic approach is used to characterize a court's decisionbased on the evidence provided. Although this process treatsthe evidence submissions in an unbiased way, the equilibriumoutcome may still exhibit bias. Bias arises from differencesin the cost of sampling or asymmetry in the sampling distribution.In a multistage model, a prodefendant bias arises in the firststage from a divergence between the parties' stakes. Finally,the adversarial process generates additional costs that screenout some otherwise meritorious cases.     

Race, ethnicity, and insurance as determinants of epidural use: analysis of a national sample survey

Despite widespread availability of pain interventions in childbirth, for most women, childbirth is associated with labor pain that exceeds expectations. Although epidural is superior to other medical interventions, the choice to use epidural still remains a matter of patient and doctor preference. Whether racial or ethnic characteristics influence preference of physician use or interact with insurance coverage is still unknown. This study used a large national sample of women to measure significant determinants of epidural use in order to discuss disparities in pain management. The findings suggest the need for nurse leaders to foster health policies that are sensitive to diversity and economics.