Doctors in West Virginia Strike (CNN reports). Almost 40 surgeons in West Virginia requested 30-day leaves of absence from their hospitals...and went on strike, because they can't afford to pay. Malpractise premiums are around $150,000 a year for the orthopaedic surgeon mentioned in the story (Interview here). Pennsylvania barely avoided a similar situation with a $220M bailout proposed by the governor-elect. Only three states in the Union have laws aimed at reducing malpractise costs. Indiana (thank God) is one of them.