Florida Workers' Comp
Musings of David Langham on the workers' compensation world
Sunday, July 26, 2026
Evidence, Perspectives, and More
Thursday, July 23, 2026
Causation Analysis
Causation Analysis: AI as a Tool for Structured, Defensive Medical Reasoning
Monday, August 24, 2026; 2:10 – 3:10 p.m.
Grand Ballroom 8B (Entrance through corridor Grand Ballrooms 7 & 8)
Causation Analysis: AI as a Tool for Structured, Defensive Medical ReasoningMonday, August 24, 2026; 2:10 – 3:10 p.m. (Room TBA)
Causation Analysis: AI as a Tool for Structured, Defensive Medical Reasoning
Monday, August 24, 2026; 2:10 – 3:10 p.m.
Grand Ballroom 8B (Entrance through corridor Grand Ballrooms 7 & 8)
Moderator:
Panelists:
Alex Alamazon, Esq., Almazan Law, Miami, FL
Heidi Sellers, Acrisure, Bradenton, FL
NWCR 2026 program overview:
Monday, August 24, 2026
1:00-2:00 Litigation Strategy
2:10-3:10 Causation Analysis
3:15-4:15 Stewardship of Truth
Tuesday, August 25, 2026
8:45-9:45 State of the States
9:55-10:55 Actuarial Insight and Mysterious Underwriting
11:00-12:00 Empathy
1:00-2:00 Rapid Fire Hot Topics
2:10-3:10 Beyond Exclusive Remedy
3:15-4:15 Strategies to Thrive in Times of Change
Tuesday, July 21, 2026
Aligning Litigation Strategy
NWCR 2026!
The National Workers' Compensation Review (NWCR) presents a two-day program each August at the WCI. The NWCR program will be informative this year, and the breadth of topics is notable. It begins Monday afternoon and extends throughout the day Tuesday.
The premier, "session ONE," will be a Litigation Management Panel featuring claims, legal, and medical perspectives. The moderator is Nicole DuShane of Summit Insurance. This will be:
Aligning Litigation Strategy, Defense Counsel, and Employer Outcomes
Monday August 24, 2026; 9:55 – 10:55 a.m.
Grand Ballroom 8B (Entrance through corridor Grand Ballrooms 7 & 8).
The world is awash in financial incentives. These can be obvious and rudimentary, such as comparing the price of gasoline among various stations. But incentives can be less apparent when they are intertwined in large, integrated systems. Workers' compensation obviously fits that bill. There have been various efforts over decades to either incentivize or disincentivize actions or reactions in the delivery of these benefits. Each of them had an intended consequence but too often precipitated other unintended behaviors.
The panel will also discuss the challenges of confidentiality of client information. While this is not an artificial intelligence or cybersecurity panel, the implications of each are readily apparent and may perhaps be the 800-pound gorilla in the room. The claims process will always involve sensitive, private, and even confidential information. How, when, and why it is disseminated is a critical part of the litigation practice, from the perspective of those who seek recovery and those who defend it.
One of the great challenges of the workers' compensation system is the intimate relationship that exists long before an injury occurs. The employer and employee are well acquainted. They have past experiences of trust, performance, and reliability. They come to any dispute with pre-existing perceptions that may be fact, opinion, or a combination. These may be recognized or lurking in the shadows of inherent predisposition that the NWCR exposed in 2025. How the expectations of employers, employees, and the workplace figure into the management of litigation is complex and worthy of discussion.
Part of that complexity is the relationship between defense counsel and their two clients. Too often, it is forgotten that the one attorney represents both the employer and the carrier or servicing agent. These two clients may sing in harmony, but there are ample opportunities for their interests to diverge. Who selects defense counsel? Who directs their actions and makes the ultimate decisions? What is the process for reaching the conclusion points to afford counsel their marching orders? It is a myriad of potentials and challenges.
Counsel's relationships with the management, claims, risk, and financial professionals may be complex and may differ from claim to claim. Expectations are a given. Recognizing them, defining them, and addressing them will lead to greater harmony, predictability, and concert.
Monday August 24, 2026; 9:55 – 10:55 a.m.
Moderator: Nichole DuShane – Summit Ins., Lakeland, FL
Panelists:
Becky Hillhouse, Sr. VP & Head of WC Claims, Ascot Ins. Group, Madison, MS
Alan Pierce, Esq., Pierce, Pierce, and Napolitano, Salem, MA
Melissa Spurlock, Select Medical, Mechanicsburg, PA
NWCR 2026 program overview:
Monday, August 24, 2026
1:00-2:00 Litigation Strategy
2:10-3:10 Causation Analysis
3:15-4:15 Stewardship of Truth
Tuesday, August 25, 2026
8:45-9:45 State of the States
9:55-10:55 Actuarial Insight and Mysterious Underwriting
11:00-12:00 Empathy
1:00-2:00 Rapid Fire Hot Topics
2:10-3:10 Beyond Exclusive Remedy
3:15-4:15 Strategies to Thrive in Times of Change
Sunday, July 19, 2026
Mental/Mental at Home?
Thursday, July 16, 2026
How Could You Not Know Now
Early in my legal career, there was excitement when the Florida Legislature changed the law slightly, and the result was the potential for cigarette companies to be successfully sued. The legislation was not the end by any means; there have since followed a whole raft of lawsuits. Some say there have been thousands; others say that it is many more.
I remember many conversations about the litigation. The plaintiffs, thereafter, in the 1990s, often alleged that they did not know of the dangers of smoking. Had they known, they posited, they would never have taken up such a dangerous distraction, habit, or addiction. Or, at least, they would have striven harder to quit. If only someone had told them.
There was much discussion among lawyers about the federally-mandated warning on cigarettes that was established in 1966 (for those struggling with math, that was 28 years before the start of Florida lawsuits following the 1994 statutory enabling change.
Was there bad action by "big tobacco?" I doubt there is anyone who would argue that there was not any. It is generally accepted that the cigarette companies hid internal research data about dangers and diseases.
There is little doubt that nicotine addiction was manipulated, children were targeted, misdirected research was allegedly bought and paid for, and the whole "low-tar" campaign could be a lesson all its own. There is some seeming consensus that various companies acted inappropriately from time to time. Google "Gladys Kessler Philip Morris RJ Reynolds, corrective statements."
I personally harbored some skepticism about the "I didn't know" arguments in the 1990s as I watched Florida tobacco litigation expand and accelerate. How was it possible for smokers to not know of the dangers? I got the warnings as a youth, echoed by every adult smoker I knew (many), repeated later in high school, they were printed on the packages, and also on stickers on the vending machines where many bought cigarettes (machines did not discriminate on age).
"Caution: Cigarette smoking may be hazardous to your health."
"Strictly a novelty, do not open, consume, or light under any circumstance."
"These cigarettes will undoubtedly destroy your mouth, esophagus, lungs and will kill you. Do not smoke."
“Isn’t making a smoking section in a restaurant like making a peeing section in a swimming pool?”
Tuesday, July 14, 2026
The Pretty Good Imposter
"a law student, a zoology graduate, a career researcher and teacher at a junior college in Maine, a surgeon in the Royal Canadian Navy, an assistant warden of a Texas prison and a teacher on a Maine island village."
Sunday, July 12, 2026
Probate Judge Suspended
"she ran the probate court in an incompetent and unprofessional manner, routinely targeted attorneys and staff, and manufactured a backlog that created havoc in involuntary commitments"
"a pattern of failing to follow the law by exhibiting bias against attorneys in her court; failure to disqualify from a case in which Blanchard was an attorney; and harassment, intimidation and retaliation against probate court staff."
"Judge Blanchard's conduct has degraded the public's confidence in the integrity of the judiciary and brought the judicial office into disrepute."
- Pattern and practice of failing to diligently discharge judicial duties
- Pattern and practice of failing to follow the law
- Pattern and practice of exhibiting bias against attorneys appearing in Judge Blanchard's court
- Failure to disqualify from a case in which Judge Blanchard served as an attorney
- Harassment, intimidation, and retaliation against probate court staff
- Allowing other court officials, subject to Judge Blanchard's direction and control, to engage in harassment and intimidation of probate court staff
- Failure to maintain professional competence in judicial administration
Thursday, July 9, 2026
A Judge Too Busy
“I would like to remind everyone that we, as public officials, must be ready and willing to do our jobs every day unless on vacation or out on sick leave.”
"The duties of judicial office, as prescribed by law, shall take precedence over a judge's other professional activities."
"A judge shall hear and decide matters assigned to the judge, except when the judge permissibly disqualifies himself or herself or disqualification is required by Rule 3.10 or other law. " Rule 3.6.
Tuesday, July 7, 2026
The Workforce Pipeline
Sunday, July 5, 2026
Another Birthday
Translation of the Paris plaque: "In this building, formerly the Hôtel d'York, on September 3, 1783, David Hartley, in the name of the King of England, and Benjamin Franklin, John Jay, and John Adams, in the name of the United States of America, signed the Definitive Peace Treaty recognizing the independence of the United States."





