I agree Kim et al.’s [1] comment that mediation and arbitration are important in managing a damage case in the obstetric care. Insurance companies are the most important actors. In Belgium, France and the Netherlands there are few guidelines concerning these systems. Similar to the Korean situation in France and Belgium, there is a no-fault insurance system compensating victims of no-fault damage cases. Especially in Belgium it is too soon to make conclusions, considering the ‘Fund of medical incidents’ is only in force since 2012. One of the goals of this Fund is definitely to reduce the number of liability cases and to make it less complex for the patient to achieve compensation.