SANTA FE — Nearly two-thirds of New Mexico physicians who responded to a recent statewide survey say they are considering leaving the state, with many citing the state’s medical malpractice climate as lawmakers begin a legislative session expected to revisit malpractice reform.
A survey conducted by the Legislative Finance Committee in December and presented this month found that 65% of more than 1,200 current and former physicians said they are contemplating practicing outside New Mexico. Among those considering relocation, more than 80% pointed to the state’s lack of a cap on punitive damages in medical malpractice cases as a reason for leaving.
The findings come as policymakers begin the 30-day legislative session this week, during which health care access and provider shortages are expected to be a focus, including proposals related to medical malpractice reform.
Physicians responding to the survey also described widespread impacts from workforce shortages. Among those currently practicing in New Mexico, 94% said shortages affect their day-to-day work, 74% reported personal burnout, and 84% said shortages negatively affect the quality of care. Nearly all respondents reported being forced to delay patient care due to a shortage of providers.
More than three-quarters of respondents also cited high medical malpractice insurance costs as a factor in their decision to consider leaving. Most physicians departing the state are relocating to nearby states, suggesting the factors driving their decisions are specific to New Mexico.
The survey included physicians currently licensed in New Mexico, as well as those who retired within the past three years or moved their practices out of state. It did not collect data on where respondents practiced geographically or whether they worked in rural or urban areas.
Physicians who reported leaving New Mexico cited three primary reasons for their departure. Compensation was a common concern, though data from the Legislative Finance Committee’s physician wage dashboard show salaries in New Mexico have largely caught up with, or in some cases exceed, those in surrounding states. Respondents also pointed to concerns about exposure to punitive damages and broader quality-of-life issues, including schools and crime.
New Mexico faces a documented shortage of health care professionals, with nearly all 33 counties designated as shortage areas for primary care, behavioral health or dental services. State officials have said thousands of additional providers are needed to meet current demand.
Supporters of malpractice reform argue that limiting punitive damages and making other changes would help the state recruit and retain physicians. Opponents, including trial lawyers and patient advocates, say limits on damage awards could reduce accountability for negligent care.
Medical malpractice reform is once again on the legislative agenda. The debate comes as New Mexico continues to face widespread physician shortages.
