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Done away with, for a doctor who does deliberate harm? Why?
In medical malpractice cases, punitive damages are unusual, are only permitted by some states, and are generally awarded only when there has been proof that the harm was the result of an act that was reprehensible, which usually means that there was actual intent to cause harm or that there was reckless disregard for the safety of others.
Those states that permit punitive damages in medical malpractice cases often limit the amount of damages that can be awarded, and many states set standards of proof that are higher than are needed for ordinary damages.
Medical Malpractice Insurance and Punitive Damages - Physician Entrepreneur
Just because they are relatively rare and capped does not mean that they are insignificant in the grand scheme of things.