In 2009, the number of new medical-malpractice lawsuits filed in Pennsylvania courts fell for the fifth straight year, according to a report released by Pennsylvania Chief Justice Ronald D. Castille. The report provides new evidence that the malpractice climate in Pennsylvania has cooled since the early part of the decade, when rising costs led many doctors and hospital administrators to worry that the state's medical system might collapse, the Philadelphia Inquirer reports. Philadelphia saw the most dramatic declines in new suits and in large jury awards, as well as a rise in defense verdicts.