Where would you like your tax dollars to go?

[Aroura]

Given the slim reductions possible, don't you think every efficiency ought to be brought to bear?

Is there enough inefficiency there to worry about it?  Studies don't really support that idea.
There are a lot of places to cut the fat, and victim compensation for legitimate injuries hardly seems the place to start. Do frivolous lawsuits exist?  Yes, but they are already rare, and there are already laws in place to punish those who bring those to bear.  Tort reform only hurts actual, legitimate victims, not frauds.

So to answer your question, yes.  Every efficiency ought to be bought to bear. However, this area is already pretty efficient (and steadily growing better over time, not worse) and doesn't seem to need more trimming atm.  

Our efforts would be much better spent on things like reducing outrageous drug costs, increasing preventative care (in order to reduce expensive emergency visits), normalizing costs (so that it costs the same to get an MRI in southern NY as it does in southern Arizona, not 6k in one place and 90k in the other) among other things.