Med-mal: new at Point of Law

Our sister website has published numerous posts this month on medical malpractice issues, including a modest proposal for doctors to make money by suing each other; certificates of merit, done right; what kind of insurance premiums one law prof doesn’t find shocking; more and yet more on anonymous medical experts; a Flash animation game on med-mal; in search of a few bad ob/gyns; and commentaries by Ted Frank and Jim Copland on Maryland’s crisis.

“It’s always recession-proof”

Such happy news for Florida law firms, and such unhappy news for the rest of us: “‘Litigation is the No. 1 growth area. It’s always recession-proof,’ said Peter Prieto, executive partner of the Miami office of Holland & Knight, in an interview.” (Harris Meyer, “Legal Market in Florida ‘Flourishing'”, Miami Daily Business Review, Oct. 11).

Ninth Circuit: marine mammals don’t have standing…yet

There’ll always be a Ninth Circuit: “The world’s whales, porpoises and dolphins have no standing to sue President Bush over the U.S. Navy’s use of sonar equipment that harms marine mammals, a federal appeals court ruled yesterday. A three-judge panel of the U.S. 9th Circuit Court of Appeals in San Francisco, widely considered one of the most liberal and activist in the country, said it saw no reason why animals should not be allowed to sue [emphasis added] but said they had not yet been granted that right.” (“Court Says Whales, Dolphins Cannot Sue Bush”, Reuters/PlanetArk, Oct. 21). For more on giving animals standing to sue (= giving human lawyers standing to sue on their claimed behalf) see our animal rights archives and specifically May 14-15 and Apr. 29-30, 2002. More: Legal Reader has a link to the opinion (PDF), and Martin Grace also comments. More: Jeff Chorney, “Call Me Ishmael — and Call My Lawyer!”, The Recorder, Nov. 1.

Criminalizing pain treatment

The New York Times has a short piece on how medical disputes over proper forms of pain treatment have effectively been criminalized by a phobic and overzealous DEA. Reason Magazine has a longer piece on the subject, and has been covering this topic for quite some time.

“We are unable to refer patients to doctors who will treat pain, if only because once a name gets out there, patients understandably flock, and then the doctor is targeted,” said Siobhan Reynolds of Pain Relief Network, a patient advocacy group based in New York. The Association of American Physicians and Surgeons, based in Tucson and dedicated to the concerns of private practitioners, has gone so far as to warn doctors against managing chronic pain, lest they face of years of harassment and legal fees, even prison. “If you do,” the association enjoins, “first discuss the risks with your family.”

Scattered evidence confirms these impressions. A 1998 survey of more than 1,300 physicians by the New York State Medical Society found that 60 percent were moderately or very concerned about the possibility of being investigated by regulatory authorities for prescribing opiates for noncancer pain.

A third said they prescribed lower quantities of pills and lower dosages “frequently” because of the possibility of eliciting an investigation. When asked how often they avoided prescribing a preferred drug for noncancer pain, because doing so required triplicate forms, half said “frequently.”

(Sally Satel, M.D., “Doctors Behind Bars: Treating Pain Is Now Risky Business”, New York Times, Oct. 19; Maia Szalavitz, “Dr. Feelscared”, Reason, Aug/Sep.; Jacob Sullum, “Pill Stoppers”, Reason Online, Aug. 20).

Three guilty pleas in Miss. fen-phen fraud case

Not long after federal authorities arrested twelve Fayette, Mississippi residents on charges of fraud relating to the fen-phen settlement (see Sept. 1, 2004 and Oct. 3, 2003), three of the arrestees agreed to plead guilty and cooperate with the probe. All of the twelve “are accused of receiving at least $250,000 [each] in settlement funds through false prescriptions, netting about $150,000 after attorney fees and expenses.” (Jimmie E. Gates, “3 plead guilty in Fen-Phen probe”, Jackson Clarion-Ledger, Sept. 22). “A Jefferson County jury had awarded $150 million to five people who claimed fen-phen gave them heart and lung problems,” and there had followed a $400 million settlement with nearly 800 people nationwide. Included in that sum were high payments to many claimants from Jefferson County, which includes Fayette, who said they had taken the diet compound. (Denise Grones, “12 Charged With Fraud in $400 Million Fen-Phen Settlement”, AP/Law.com, Sept. 2). At least one of the twelve has protested her innocence and says she really did take the drug (Jerry Mitchell, “Fen-Phen arrests revive rap on county”, Jackson Clarion-Ledger, Sept. 5).

Another tidbit from the last-mentioned article: “A few years ago, the roof collapsed at the Family Dollar store in Fayette. A handful of people were shopping there at the time, but dozens who weren’t showed up in the emergency room for treatment.”

Lockmaker class actions

Following revelations that some Kryptonite bicycle locks can be easily picked, the maker has offered to replace all of the locks with new ones free from the flaw. This has however not mollified class action lawyers who’ve been rushing to sue the firm. “What if people don’t want a Kryptonite lock anymore?,” asks Darrell Palmer, one of two lawyers who filed would-be class actions in San Diego County Superior Court. Company spokeswoman Donna Tocci said that the newly revealed security issue “is not just a Kryptonite concern. Anything with a tubular cylinder — vending machines, soda machines, ignition systems, coin-operated laundry and other security products — could be a concern.” And indeed, lawyers pursuing intended class actions (and s. 17200 actions in California) have been suing other makers of U-locks as well, including Master Lock. (Pam Smith, “Plaintiffs Firms Lock Onto Kryptonite”, The Recorder, Sept. 28).

Trial lawyers and the flu vaccine shortage

Kevin Drum argues that the reason that liability fears are not enough to keep vaccine makers out of the market is because vaccine makers can buy liability insurance and then raise their uncapped prices to compensate them for this additional expense. Thus, he concludes, restrictive FDA regulations are behind the shortage.

But why can vaccine makers raise their prices to cover liability insurance costs, but not raise their prices to cover their regulatory costs? After all, regulatory costs are much more predictable than liability costs.

The Weekly Standard correctly pins the culprit: strict product liability. American vaccine manufacturers have fallen by the wayside because trial lawyers have succeeded in driving them out of business.

In 1974, a British researcher published a paper claiming that the vaccine for pertussis (whooping cough) had caused seizures in 36 children, leading to 22 cases of epilepsy or mental retardation. Subsequent studies proved the claim to be false, but in the meantime Japan canceled inoculations, resulting in 113 preventable whooping cough deaths. In the United States, 800 pertussis vaccine lawsuits asking $21 million in damages were filed over the next decade. The cost of a vaccination went from 21 cents to $11.

Every American drug company dropped pertussis vaccine except Lederle Laboratories. In 1980, Lederle lost a liability suit for the paralysis of a three-month-old infant–even though there was almost no evidence implicating the vaccine. Lederle’s damages were $1.1 million, more than half its gross revenues from sale of the vaccine for that entire year.

(William Tucker, “La Grippe of the Trial Lawyers”, Oct. 25; this site, Oct. 14, Dec. 23). If only the Discovery Institute could stick to its sound work on tort reform and give up its embarrassing support for creationism quackery, I wouldn’t be so reluctant to cite to an article by one of its fellows.

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NYT on “Friends” harassment case

Speaking of sexual harassment charges involving highly rated TV shows that have caused many readers to consult TheSmokingGun.com, Sunday’s New York Times has a story about Amaani Lyle’s lawsuit claiming to have been scandalized by sexually explicit discussion among the scriptwriters of the comedy Friends (see Jul. 31, Jul. 19, Apr. 23). Inevitably, a law professor — in this case Joanna Grossman of Hofstra — makes an appearance to argue that joke-writers for ribald sitcoms should be held to the same standards of workplace decorum as managers of hymnbook stores (more of her views)(Christopher Noxon, “Television Without Pity”, Oct. 17). And more on the case: Harvey Silverglate, “What Would Rachel Say?”, Wall Street Journal, Aug. 4, reprinted at Center for Individual Rights site; (PDF links:) California appellate decision at CIR site; CIR amicus brief.