A collaboration among experts in the field produced this white paper to discuss their perspectives on the medical liability issue. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) suggests that the current medical liability system fails patients because it does not effectively deter negligence, truly offer corrective justice, or provide fair compensation to those injured through the care process. The expert panelists share 19 specific recommendations and identify three strategies for achieving its overall goal: (1) actively pursue patient safety initiatives that prevent medical injury, (2) promote open communication between patients and practitioners, and (3) create a patient-centered injury compensation system.