When we walk into a hospital or a doctor’s office, we are at our most vulnerable. We place our health, and often our very lives, in the hands of professionals who have sworn an oath to do no harm. When that trust is shattered by a careless mistake or a failure to follow basic medical protocols, the physical and emotional fallout can be devastating. At Castan, Lecca & Boeschen, we have spent over 30 years fighting for individuals who have been silenced by large healthcare systems. As we navigate the complex legal environment of 2026, the path to obtaining justice for medical negligence has become more technical and demanding than ever before.
The year 2026 has seen significant shifts in how Georgia courts handle personal injury and malpractice claims. With the full implementation of the 2025 tort reform packages, specifically Senate Bills 68 and 69, the rules regarding how we present evidence of medical expenses and how we argue for pain and suffering have changed. Proving medical malpractice is no longer just about showing a bad outcome. It requires a meticulous, high level legal strategy that accounts for new limitations on damages and stricter procedural hurdles. This guide is designed to help you understand what it truly takes to hold a healthcare provider accountable in the current era.
In 2026, the core of any malpractice case remains the “standard of care.” This is a legal term that refers to the level of care and skill that a reasonably competent healthcare professional in the same specialty would have provided under similar circumstances. To win a case, it is not enough to show that the surgery was unsuccessful or that you did not get better. We must prove that the doctor or nurse deviated from what their peers consider acceptable practice.
The challenge in 2026 is that the medical industry has become increasingly automated. We often see hospitals trying to hide behind “algorithmic medicine” or “protocol software” to justify errors. However, at our firm, we know that technology does not replace professional judgment. Whether it is a misdiagnosis in an Atlanta emergency room or a surgical error in a Norcross outpatient center, our job is to strip away the corporate excuses and show exactly where the human error occurred. We look for the moment where a doctor chose convenience over your safety, or where a hospital’s understaffing led to a fatal delay in treatment.
To successfully prove medical malpractice in Georgia, your legal team must establish four distinct elements. If even one of these pillars is missing, the court will likely dismiss the case before it ever reaches a jury.
First, we must prove the existence of a doctor,patient relationship. this establishes that the provider owed you a professional duty of care. Second, we must demonstrate a breach of that duty. This is where we prove that the provider failed to meet the standard of care. Third, we must show causation. This is often the most difficult part of a case in 2026. We must prove that the medical error, and not your underlying condition, was the direct cause of your injury. Finally, we must prove damages. This includes the physical, financial, and emotional toll the error has taken on your life.
Recent changes in Georgia law have added layers of complexity to the “damages” pillar. Under the 2025 reforms, we are now limited in how we present “phantom damages.” This means the jury now sees the difference between what a hospital billed and what was actually paid by insurance. This change was designed to lower settlement amounts, but our experienced attorneys know how to emphasize the real, human cost that numbers on a ledger cannot capture.
One of the most rigid requirements in Georgia law, which remains a cornerstone of litigation in 2026, is the Expert Affidavit (O.C.G.A. § 9,11,9.1). Unlike a standard car accident case, you cannot simply file a medical malpractice lawsuit and figure out the details later. At the very moment the lawsuit is filed, we must include a sworn statement from a qualified medical expert.
This expert must be someone who practices or teaches in the same field as the defendant and has done so for at least three of the last five years. The affidavit must specifically identify at least one negligent act or omission and provide a factual basis for that claim. In the current 2026 landscape, defense attorneys are more aggressive than ever in challenging the qualifications of these experts. They will look for any technicality to have the affidavit thrown out, which effectively ends the case. This is why Castan, Lecca & Boeschen works with a national network of top tier medical professionals. We ensure that our experts are not only highly qualified but also prepared to withstand the intense scrutiny of a courtroom.
Timing is everything in a malpractice case. In Georgia, you generally have two years from the date of the injury or death to file a claim. However, we also have what is known as the “Statute of Repose,” which creates an absolute five year cutoff from the date the negligence occurred, regardless of when you discovered it.
The reality of 2026 is that the courts are still dealing with administrative backlogs. Furthermore, the new 2025 laws allow defendants to request a “stay of discovery” the moment they file a motion to dismiss. This can freeze your case for months, preventing us from getting the records and depositions we need. By contacting us early, you give us the time needed to investigate and file your case before these procedural traps can be used against you. Waiting even a few months can make the difference between a successful recovery and being legally barred from ever seeking justice.
Medical malpractice is deeply personal. It involves your body, your privacy, and your future. For the Latino community in Georgia, these cases often carry an extra layer of difficulty due to language barriers and a lack of culturally sensitive care in some medical facilities. At Castan, Lecca & Boeschen, we take pride in being a bridge for our community.
We understand that when a doctor fails to provide a Spanish interpreter or ignores the concerns of a patient who doesn’t speak fluent English, it can lead to catastrophic medical errors. In 2026, we are seeing more cases where “translation software” in hospitals has failed, leading to incorrect dosages or misunderstood symptoms. Our bilingual team ensures that your voice is heard and that your story is told with the dignity it deserves. We don’t just translate words: we translate the pain and the injustice you have suffered into a legal argument that a Georgia jury can understand.
Most medical malpractice in 2026 is the result of systemic failures. Large healthcare corporations often prioritize profit margins over patient ratios. When a nurse is forced to manage too many patients at once, or when a hospital fails to maintain its equipment, they are the ones who should be held responsible.
Our firm has the resources to take on these massive institutions. We conduct deep dives into hospital protocols, staffing records, and internal communications. We look for patterns of negligence that suggest your injury was not an isolated incident but an inevitable result of a flawed system. By holding these systems accountable, we not only secure compensation for you but also force changes that protect future patients in our community.
If you or a loved one has been injured by medical negligence, you are likely facing a mountain of new medical bills and a long road to recovery. You may be unable to work, and the stress on your family can be overwhelming. Do not try to fight the insurance companies alone. They have teams of lawyers whose only job is to ensure you receive as little as possible.
At Castan, Lecca & Boeschen, we offer more than just legal advice: we offer a partnership. We work on a contingency fee basis, meaning you pay nothing unless we win your case. Our 30 years of experience in the Georgia legal system gives us the insight needed to navigate the challenges of 2026 and deliver the superior results our clients expect. Call us today for a free, confidential consultation. Let us help you take the first step toward the justice you deserve.
Part A (Internal Sources):
Part B (Recent External Research):
American Medical Association: Impact of Lifting Damage Caps (2025): https://www.ama-assn.org/practice-management/sustainability/noneconomic-damage-caps-lifted-medical-liability-rates-jump
Preston Moore
Attorney
Preston Moore is a trial attorney whose injured clients have seen more than $30 million in settlements and jury verdicts. An alumni of Georgetown University (B.A.) and Harvard Law School (J.D.), Preston started practicing law at a multinational firm in Atlanta where he represented large corporations in high-value lawsuits. From there, Preston joined a well-respected product liability practice in Atlanta where he focused on representing two key sorts of cases: workplace product injury matters and high-limit insurance litigation. Now, Preston serves his clients by providing high-quality, no-nonsense representation for those catastrophically injured by the negligence of others, whether by settlement (where his clients have obtained over $10 million in recoveries since January 2024) or trial (where his clients have earned over $10 million in jury verdicts since 2022). Preston is loved by Jesus and attends Calvary Baptist Church in Smyrna. He lives in Kennesaw, GA with his wife, Brooks (9), Tripp (3), Emma Kate (newborn), and his Pomeranian, Birdie.
Dustin Thompson
Attorney
Dustin Thompson was raised in rural Camilla, Georgia. Dustin graduated from Georgia Southern University majoring in political science and history. After graduation, Dustin obtained a law degree from Georgia State University College of Law in Atlanta. Before becoming a lawyer, Dustin worked a variety of jobs from a watermelon farm in Mitchell County to a policy think tank in Washington D.C. Dustin has practiced law almost exclusively in the workers’ compensation arena since 2014. For nearly a decade, he worked for a large defense firm in Georgia representing employers and insurers and gaining the invaluable experience and knowledge of how insurers defend claims. In 2023, Dustin joined the firm to use his expertise and litigation skills to help individuals who have been injured as a result of work accidents and third-party negligence. Dustin has been repeatedly recognized by Best Lawyers: “Ones to Watch” in the practice of workers’ compensation. Outside of work, Dustin enjoys traveling, hunting, and attending sporting events. He and his family are active in Buckhead Church.
MICHAEL BOESCHEN
Attorney
Michael Boeschen (Mike) was born in Wichita, KS and raised in Chattanooga, TN. Mike graduated from The McCallie School and went on to study history, Spanish, and Latin American Studies at Southern Methodist University in Dallas, TX. After graduation, he went on to pursue a law degree from the University Of Georgia School Of Law. During law school, Mike participated in the Legal Aid Clinic, assisting in the defense of indigent criminal defendants. Mike has been licensed to practice law in Georgia since 2002 and his main practice area consists of representing injured workers as they navigate through the Georgia workers’ compensation system. Mike is also fluent in Spanish. In his spare time Mike enjoys following soccer, cooking, and spending time with his wife and two young daughters. Mike and his family are parishioners of the Holy Spirit Catholic Church in Sandy Springs, GA
CHRISTIAN PECONE
Attorney
ED DENKER
Attorney
ILIANA DOBREV
Attorney
Iliana Dobrev was born in Bulgaria. After high school, she immigrated to the United States to study law. She graduated magna cum laude from Georgia State University with a Bachelor’s in political science concentrating on pre-law and minoring in Spanish. In 2015, she graduated from Georgia State University College of Law. While in law school, Iliana completed a Graduate Research Assistantship in Labor and Employment Law and Employment Discrimination and two externships in Immigration Law. As an immigrant herself, Iliana is passionate about advocating for and defending immigrants. She is delighted to help families stay together and pursue the American dream. Iliana is a member of the American Immigration Lawyers Association and worked in both a fellowship and a firm specializing in immigration law. Iliana is fluent in Bulgarian and Spanish
KEN THAXTON
Attorney
ALEXANDER LECCA
Attorney
DANIEL CASTAN
Attorney
Dan Castan is a senior partner at Castan and Lecca, PC in Buckhead and represents injured workers before the State Board of Workers’ Compensation and plaintiffs in State and Superior Courts of Georgia for injuries suffered in accidents. Dan litigated one of the seminal claims securing the rights of undocumented workers to receive Workers’ Compensation benefits in the state of Georgia when injured in the case of Wet Walls, Inc. vs. Ledesma. Dan has successfully fought and settled multi million dollar cases. He was born and raised in Newark, New Jersey to immigrant parents from Cuba. He received a Bachelor of Arts degree from Boston College and received his Juris Doctor from The Washington College of Law at The American University in Washington D.C. Dan was admitted to the Georgia Bar in November, 1993. He is an active member of the Hispanic Chamber of Commerce, Georgia Trial Lawyers Association, Atlanta Bar Association and the Workers’ Compensation Section of the State Bar of Georgia. Dan is a founding member and Director of the Latino Victory Fund Georgia and serves on the Board of The Latin American Association. Dan has been dedicated to getting Latinos elected to local, state and Federal offices in Georgia. He has been a Big Brother through Big Brothers and Sisters of Metro Atlanta and a mentor through The Latin American Association’s mentor/mentee program. Dan is married with two children.