By ROBERT PEAR - NEW YORK TIMES
Published: July 25, 2004
ASHINGTON, July 24 - The Bush
administration has been going to court to block lawsuits
by consumers who say they have been injured by
prescription drugs and medical devices.
The administration contends that
consumers cannot recover damages for such injuries if the
products have been approved by the Food and Drug
Administration. In court papers, the Justice Department
acknowledges that this position reflects a "change in
governmental policy," and it has persuaded some judges to
accept its arguments, most recently scoring a victory in
the federal appeals court in Philadelphia.
Allowing consumers to sue
manufacturers would "undermine public health" and
interfere with federal regulation of drugs and devices, by
encouraging "lay judges and juries to second-guess"
experts at the F.D.A., the government said in siding with
the maker of a heart pump sued by the widow of a
Pennsylvania man. Moreover, it said, if such lawsuits
succeed, some good products may be removed from the
market, depriving patients of beneficial treatments.
In 2002, at a legal symposium, the
Bush administration outlined plans for "F.D.A. involvement
in product liability lawsuits," and it has been
methodically pursuing that strategy.
The administration's participation
in the cases is consistent with President Bush's position
on "tort reform."
Mr. Bush often attacks trial
lawyers, saying their lawsuits impose a huge burden on the
economy and drive up health costs. The Democrats'
vice-presidential candidate,
Senator John Edwards, a longtime plaintiffs'
lawyer, says his proudest
accomplishment in Washington was to help win Senate
passage of a bill defining patients' rights, including the
right to sue. (The bill never became law.)
Jay P. Lefkowitz, former director
of Mr. Bush's Domestic Policy Council, said the F.D.A.'s
litigation strategy embodied "good health policy and good
tort reform."
But Representative Maurice D.
Hinchey, Democrat of New York, said the administration had
"taken the F.D.A. in a radical new direction, seeking to
protect drug companies instead of the public." Mr. Hinchey
recently persuaded the House to cut $500,000 from the
budget of the agency's chief counsel as a penalty for its
aggressive opposition to consumer lawsuits.
In the Pennsylvania ruling, issued
Tuesday, the appeals court threw out a lawsuit filed by
Barbara E. Horn, who said her husband had died because of
defects in the design and manufacture of his heart pump.
The Bush administration argued that federal law barred
such claims because the device had been produced according
to federal specifications. In its briefs, the
administration conceded that "the views stated here differ
from the views that the government advanced in 1997," in
the United States Supreme Court.
At that time, the government said
that F.D.A. approval of a medical device set the minimum
standard, and that states could provide "additional
protection to consumers." Now the Bush administration
argues that the agency's approval of a device "sets a
ceiling as well as a floor."
The administration said its
position, holding that individual consumers have no right
to sue, actually benefited consumers.
The threat of lawsuits, it said,
"can harm the public health" by encouraging manufacturers
to withdraw products from the market or to issue new
warnings that overemphasize the risks and lead to
"underutilization of beneficial treatments."
Allison M. Zieve, a lawyer at the
Public Citizen Litigation Group who represented the
plaintiff in the Pennsylvania case, said, "The government
has done an about-face on this issue." If courts accept
the administration's position, Ms. Zieve said, it would
amount to a backdoor type of "tort reform" that would
shield manufacturers from damage suits.
In the Pennsylvania case, the
federal appeals court quoted extensively from the
administration's brief and said the views of the F.D.A.
were entitled to great deference because the agency was
"uniquely qualified" to determine when federal law should
take precedence over state law.
Bush administration officials said
their goal was not to shield drug companies, but to
vindicate the federal government's authority to regulate
drug products.
Patients and their families said
they felt betrayed.