Tort reform has become a necessity, according to the United States medical profession and the state of Ohio. When President Bill Clinton vetoed reform in 1996, medical professionals turned to individual states for redress. Ohio, a state in which doctors are now refusing to work because of the high cost of medical liability insurance, has responded by passing several tort reform bills. For Ohio, this crisis has become their method of medical reform the state is simply interested in keeping its medical doctors, whatever the cost to civil liberties. Yet, it has been forced over the years to adjust its reforms to meet somewhere in the middle between multimillion dollar settlements for a coffee burn on the leg and setting the cap too low to be an effective deterrent to poor business practices. That process is continuing.