Is out of court settlement beneficial to victim of medical malpractice or to the medical care provider or to the lawyers?

You ask a difficult question to shich there is no one answer frankly. You don't give specific facts that will allow your question to be answered in any specific context. Not settling, and going to trial, involves risk for everyone involved. Going to trial will almost always end up with one side being disappointed in the result; sometimes both sides are disappointed. If you have a case, and you don't settle, you might lose your case. Or you might win your case, but receive a shockingly disappointing verdict. If the defendant does not settle, he may lose too. And perhaps the verdict will be more than his insurance coverage. Every settlement involves a degree of compromise by all involved. The defendant would rather pay nothing than pay anything. The plaintiff would rather get more than what he settles for. I often think that a good settlement leaves everyone involved a liittle unhappy. Ultimately, you have to trust in your lawyer's advice, and then try to make the decision that is the best for you. I hope that helps to answer your question. Good luck.