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Virtually lost in the debate over health care reform and whether it will contain a public option is an effort by advocates of medical malpractice reform to advance their cause and obtain some form of relief to the steadily increasing cost of premiums and the negative impact of defensive medicine.

Over the course of a decade, the therapeutic pendulum in treating urinary incontinence in women swung dramatically from needle suspension and anterior urethropexy to collagen injections and back again to suspension procedures with no sound clinical trials driving the move to either approach.