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New York state Senate Majority Leader Joseph L. Bruno on Tuesday repeated his commitment to tort reform and promised to make a $250,000 cap on pain and suffering the linchpin of that effort. But Assembly Speaker Sheldon Silver, D-Manhattan, immediately said he had no intention of passing the tort reform legislation, which means the goal of doctors and others will likely remain elusive and possibly unattainable for the foreseeable future. Bruno’s remarks to the Medical Society of the State of New York drew a standing applause as doctors and their political allies brought a huge lobbying campaign to Albany, N.Y. Physicians and insurers annually lobby Albany for reform of the tort and medical malpractice systems, and typically get nowhere. This year, with momentum in Washington, D.C., and across the country, and with the strong support of the most powerful member of the state Senate, there is both a renewed optimism and urgency. But they still need Silver, and they do not have him. Doctors, who already took part in a massive phone bank effort to contact lawmakers, on Tuesday were presented with a “tort reform tool kit” that describes an aggressive action plan and provides medical practitioners with sample letters that can be sent to newspaper editors, proposed op-ed pieces and even a fill-in-the-blank letter from patients. Additionally, Dr. Ann C. Cea, president of the Medical Society, announced Tuesday the establishment of a Tort Reform Action Committee, and promptly donated $1,000 to the effort. That sort of “grassroots” lobbying has become standard modus operandi at the Capitol, and rousing the citizenry — read voters — may be the only way to get Silver to budge. “This is something we have to stay focused on,” Bruno told the doctors’ lobby. “It is not easy. The forces that are out there are, believe me, very, very difficult to deal with. But we are going to deal in common sense and reason, and that is what it takes. I think that will prevail if you do your part. You are a mighty force … and you can be extremely helpful.” The Medical Society is promoting legislation sponsored in the Senate by Dale Volker, R-Erie County, and in the Assembly by Joseph D. Morelle, D-Rochester, that would:

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