Medical malpractice insurance premiums have declined for the 6th straight year in a row for obstetrician-gynecologists, internists and general surgeons. Collective premium rates for these three medical specialties have fallen by about 2% each year. There is no current medical malpractice insurance crisis and continued efforts to further limit injured patients' access to the courts are not needed. There has been a 50% drop in malpractice claims since the supposed "liability crisis" in the early 2000s. The decrease in claims has resulted from tort reform that has been instituted in many states, but claims have also decreased in states that have not implemented such reforms.