 Paul has proposed radical changes in the way medical malpractice claims are handled.Under bills he has introduced multiple times beginning in 2003, a patient planning pregnancy, surgery, or other major medical procedures or medical treatment would be able to buy "negative outcomes" insurance at very low cost.If the patient were to experience a negative outcome in association with the medical procedure or treatment, he or she would then seek compensation through binding arbitration, rather than through a medical malpractice trial before a jury.