Voters will decide at least 10 ballot initiatives affecting the courts on Nov. 4 — ranging from raising a limit on medical malpractice damages to creating an intermediate appellate court.

The most expensive campaign is in California, where the plaintiffs bar has poured more than $10 million into an initiative that would raise the statutory $250,000 limit on noneconomic damages in medical malpractice cases to an amount annually adjusted for inflation — initially to about $1.1 million.

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