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Abstract: Before the current economic downturn, Mississippi enjoyed net increases in new jobs as major companies like Toyota, General Electric, and others opened new manufacturing facilities. One of the major reasons for this ability to attract new business is Mississippi's tort reform legislation, the most comprehensive in the United States, which restored the balance between plaintiffs and defendants in civil justice cases. One year after the reform became law, medical liability lawsuits were down 91 percent from their peak before passage of this reform.