By Author:Iain MurrayJonathan H. Adler Amy Ridenour Tom Tanton Steve Hayward Randal O'Toole Michael DeAlessi Joel Schwartz IMGrant Andrew Morriss J. Bishop Grewell Chris Horner Marlo Lewis Carlo Stagnaro Pete Geddes John Downen John Baden Jane Shaw John La Plante Fred L. Smith Ken Green Ben Lieberman By Category:AgricultureAir Quality Biotechnology Brownfields CAFE Standards Climate DDT/Malaria Energy Energy Independence/National Security Environmental Alarmism Environmental Economics Environmental Risk European Union Extinction Federal Lands and Parks Federal Programs Federalism Forests International Media Oceans Pollution Population Poverty and Hunger Precautionary Principle Private Conservation Property Rights Recycling Sustainable Development Tragedy of the Commons Transportation Urban Planning and Sprawl Water Wildlife By Month:September 2007April 2007 March 2007 February 2007 January 2007 December 2006 November 2006 October 2006 September 2006 August 2006 July 2006 June 2006 May 2006 April 2006 March 2006 February 2006 January 2006 December 2005 November 2005 October 2005 September 2005 August 2005 July 2005 June 2005 May 2005 April 2005 March 2005 February 2005 January 2005 December 2004 November 2004 October 2004 September 2004 August 2004 July 2004 June 2004 May 2004
Powered by
Site design by |
Almost OT: Vioxx, Precautionary Principle, and the Environment
Posted by Carlo Stagnaro · 22 August 2005 · Precautionary Principle
A Texas jury has found the pharmaceutical company Merck liable for the death of a man who took the painkiller Vioxx. The man's widow has been awarded $253.5 million in damages. Actually she will get some 10% of that amount because of a Texas's cap on punitive damage. While that may have little or nothing to do with environmental issues, it has a lot to do with the principles upon which environmental regulation rests. In particular, the court's ruling stems from an extremistic application of the precautionary principle - its purpose is to "send a message" in the first place - and may have a dramatic impact on the incentives to innovate for both drug and other companies. The man had taken Vioxx for some 8 months. At the moment of dying his arteries were 70% clogged. According to the death certificate, the cause of death was arrhytmia. There was no mention of heart attack. Alas, the doctor who authored the death certificate testified later that an undetected blood clot could have caused the death - it was just speculation, supported by no evidence. Yet that was a key testimony: Vioxx had been retired from the market by Merck itself because the company's own research showed it might increase the risk of heart attack if taken in heavy doses for more than 18 months. No risk was found in taking it for less then 18 months, as it was the case of the Texas man. Moreover, the commercialization of Vioxx had been authorized by FDA, and its withdrawal had not been requested. Merck gave up its blockbuster in the name of patients' safety, despite the negative reactions of shareholders. Now, after the Texas ruling new suits are expected - over 4,000 in the US and others to come in Canada, Europe, Brazil, Israel, and Australia. Obviously Merck will have to face rising legal costs . I am concerned of the unintended consequences that may stem from the ruling. The unwritten message is what follows: Beware of you, drug producers, because you may be held liable of the death of whoever has used a medicine that is not 100% safe. And of course no medicine is 100% safe. The obvious result is to deter companies from innovate and sell new drugs. Guess who's worse off - you and me, as actual or potential patients. University of Chicago's Richard Epstein has a great piece in today's Wall Street Journal [Subscribers only]. He writes: Understand that no future drug will be free of adverse side effects, nor reach market, without the tough calls that Merck had to make with Vioxx. Your implicit verdict is to shut down the entire quest for new medical therapies. Your verdict says you think that the American public is really better off with just hot-water bottles and leftover aspirin tablets. Ah, you will say, but we're only after Vioxx, and not those good drugs. Sorry, the investment community won't take you at your word. It realizes that any new drug which treats common chronic conditions can generate the same ruinous financial losses as Vioxx, because the flimsy evidence on causation and malice you cobbled together in the Ernst case can be ginned up in any other. Clever lawyers like Mr. Lanier will be able to ambush enough large corporations in small, dusty towns where they will stand the same chance of survival that Custer had at Little Big Horn. Investors can multiply: They won't bet hundreds of millions of dollars in new therapies on the off-chance of being proved wrong. They know they'll go broke if they win 90% of the time. |