Political Hotsheet
March 4, 2009 11:48 AM

No Preempting Regularly Scheduled Negligence

(AP Photo/Toby Talbot)

The sky will not fall upon the pharmaceutical industry in the wake of the Supreme Court’s important preemption ruling this morning. In a 6-3 vote, the Justices declared that drug giant Wyeth could not hide behind the Food and Drug Administration to protect itself from a jury’s finding that its negligent labeling caused horrible injury to a Vermont woman named Diana Levine.

The Court’s majority noted that Wyeth had an opportunity to fix its label but chose not to do so and that Congress never intended to block state-court lawsuits (like the one Levine brought) when it established the FDA and authorized its labeling regulations. In so doing, it deferred to the jury’s conclusion that Wyeth’s drug Phenargen was a “defective product” as a result of its inadequate label warnings—a defective product that directly caused grave injury to an innocent consumer.

The dissenters, led by Justice Samuel A. Alito, Jr., warned that the ruling flipped existing law on its head by making “a state tort jury, rather than the FDA, is ultimately responsible for regulating warning labels for prescription drugs.” The “tort jury” (as Justice Alito pejoratively called it) should not have been allowed to “countermand” the FDA’s “considered judgment” that the warning labels on Phenargen “rendered” its “use safe.” I guess it all depends upon what your definition of “safe” is.

In the short term, it’s likely that the ruling will increase the number of lawsuits against drug companies. Some of these cases will be legitimate. Some will not be. In the longer term, the ruling is likely to push companies like Wyeth into enhancing their labels—into making them safer before litigation-- and perhaps as well push FDA regulators as well to be less beholden to the industry they regulate. In other words, the threat of these sorts of lawsuits—now made more tangible and forceful by the Supreme Court-- may generate more safety more quickly for more consumers than the FDA and the companies have so far been unable and unwilling to guarantee on their own.

Andrew Cohen is CBS News Chief Legal Analyst and Legal Editor..
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supreme court ,
diana levine ,
scotus ,
wyeth ,
drug ,
Phenargen ,
lawsuit
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by Jackie_Wellbaum March 4, 2009 2:20 PM EST
Drug companies like Pfizer and Wyeth can run but cannot hide. It is simply untrue that, as Wyeth attorney Rein asserts in a written statement:

"The medical and scientific experts at FDA are in the best position to weigh the risks and benefits of a medicine and to assess how those risks and benefits should be described in the product's label."

Drug companies 'negotiate' vigorously with the U.S. Food and Drug Administration (FDA) over the text of the warning label which accompanies each drug to the marketplace. Drug companies such as Pfizer and Wyeth hold the results of their clinical trials close, keeping from the public AND the FDA analysis of clinical data which link the use of their drugs to serious adverse events and deaths. Is it still true that potential tragedies for a 'few' American consumers become the 'cost of doing business' for Pfizer and others as they have practiced a strategy of lobbying to dilute FDA enforcement while also hiding behind it's 'expertise' as an insulation against litigation? Answer before today's supreme court ruling: Yes! Today's supreme court decision upholding a cash award for Ms. Levine may be an early warning signal to pharmaceutical companies such as Pfizer and Wyeth to take far more responsibility for what is contained in AND omitted from their warning labels. These drug companies have failed in their attempt to lead the public into believing that a chronically hog-tied Food and Drug Administration maintains ultimate legal and moral responsibility for the safety of the American public from harmful and deadly side-effects. How long did Pfizer think it could succeed with this strategy knowing how many deaths and other serious side-effects are suffered by its 'customers?' To pharmaceutical companies everywhere: If your product maims and kills people, you will be exposed and will pay either in negative publicity or cash or both. And when will either Bush or Cheney, leaders of an failed and embarrassed American administration, finally suffer a drug-company-induced serious adverse event? Sooner rather than later is my fervent hope.
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by TomMariner March 4, 2009 1:34 PM EST
Those who are damaged by anything should have the right to obtain a financial remedy. The article points out the problem of defining "safe".

Every entitiy regulsted by the FDA begins their product development and / or modification with a study of how safe and effective the new drug will be, If under rigorous comparison to strict standards, both safe and effective cannot be proved, it never goes forward.

If we say that a jury of housewives in Iowa can decide what is safe --- after the fact, then a firm has not only as many standards to meet as their are attorneys, but they won't know these until after they have spent hundreds of millions in development. Aside from a few highly publicized stupids in isolated food manufacturing, the FDA has some very bright, dedicated rule makers.

Now that we have the ruling, expect dramatically more expensive drugs which are dramtically less effective, because the emphasis will no longer be on both safe and effective, but just safe. And the nod will go to the gazillion dollar investment into something that will produce mediocre results, but under the most extreme examples of user insanity cannot do anything remotely resembling harm.

And, as a corollary, diminish the frightening power that the FDA has to summarily padlock the doors of a plant even without any field incidents at all. After the decision, a drug manufacturer would have a right to question whether the FDA inspector has a right to take any action at all, since their judgment can and probably will be overruled, at least in one state.

So, although I do not diminish the right to an amazing financial reward for harm, we do have to be aware that we have just turned the system on its head and we had better find something for the FDA to do for a living.
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