It wanted to promote standardization in training physicians and in the practice of medicine. By achieving this goal the AMA hoped to enhance the social and economic standing of the medical profession. It wanted to improve the scientific face of medicine to make it more effective and respected. Ironically, developing standards of practice for physicians to follow created benchmarks by which physicians were judged in medical malpractice litigation. When standards are in place the potential for deviating from them arises. The physicians who aspired to the highest level of medical practice possible were well educated and well trained. They were successful professionally and financially, ironically making them attractive targets for medical malpractice claims. The charlatans who did not claim to follow any standards and who claimed no widely recognized expertise were judgment proof. With the arrival of medical malpractice insurance at the end of the 19th century, all physicians became prospective