Speaker Pelosi's health care overhaul bill (pdf) includes a little present to that Democratic constituency group known as trial lawyers. Buried on page 1432 of the 1990-page bill is a provision that would require the health and human services secretary to determine the effectiveness of medical liability reform by ascertaining that "the law does not limit attorneys' fees or impose caps on damages." Even President Obama, in his speech to a joint session of Congress on health care, expressed support for reforming medical malpractice laws. If it's up to Speaker Pelosi, those reforms won't include damage caps or limits on lawyers' fees. Which means that they won't be much of a reform at all.