Even when medical malpractice occurs and causes serious injury and death, a lawsuit rarely follows. When a lawsuit is filed, that generally results in an out of court settlement, or a jury trial if the case goes all the way to court. However, there's an alternative being proposed by Ohio Representative Jim Butler that would change the way medical malpractice claims are handled. His "comprehensive medical reform" would create a mandatory, binding administrative bureaucracy that draws some of its ideas from worker compensation regulations. Unlike the worker compensation system, however, which does not require a worker to prove their employer negligently caused his or her injury, Rep. Butler's proposal would force injured patients to take on the medical establishment and prove negligence to obtain compensation.