Nowadays, the way it is handled in Australia is significantly different, for two reasons (1) we have a national disability insurance scheme (NDIS), under which the federal government funds lifelong care for the disabled, irrespective of how the disability was acquired (accident, medical negligence or natural causes) (2) whereas in most American states tort law reform is merely a topic of perennial debate in which little actually changes, Australian states enacted major tort reform which significantly capped personal injury payouts. A big motivation for that was to control their own medico-legal risk due to the extensive public health systems they operate