Canadian Province Tobacco Trial Marches Forward - The Defense Loses Most Every Motion

A new post on Eye on the Trials provides a concise summary of the tobacco companies losing a series of defense motions launched at the conclusion of the plaintiff's case, including a motion to dismiss for lack of evidence. One hopes big tobacco continues to lose on all issues. It's well past time to end the massive economic and human harms caused by smoking.

In my view, virtually all employers (including my law firm) subsidize big tobacco in several ways. For example, employers pay health  insurance premiums and worker's compensation payments that are increased because of illness and disease in persons whose immune systems are compromised by their employees who smoke (or did smoke). We likewise collectively eat part of the cost (through income taxes) for free or subsidized low cost medical care provided to smokers via  Medicare, Medicaid and charity care payments. Certainly asbestos defendants are providing major subsidies to tobacco companies as they pay for cancers and non-malignant diseases mainly or exclusively caused by smoking. 

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"A smoking gun in lung cancer epigenetics" - NCI's New Press Release

Scientists continue to close in on fingerprints to show when, why and how cigarette smoke causes lung cancer. The latest paper takes the evidence another step down the path towards objective fingerprinting of cancers caused by cigarette smoke. 

The press release is online here, and pasted below: The full article is online at no cost. 

 Public release date: 15-Feb-2013 

Contact: Jillian Hurst
press_releases@the-jci.org
Journal of Clinical Investigation 
A smoking gun in lung cancer epigenetics
 
Recent studies have identified correlations between cigarette smoke-induced microRNA (miRNA) expression and different aspects of lung cancer; however, it is unclear how miRNA expression directly contributes to carcinogenesis. MiRNAs regulate the expression of target genes and can have a significant impact on when and how well different gene products are expressed. In this issue of the Journal of Clinical Investigation, David Schrump and colleagues at the National Cancer Institute in Bethesda, MD, measured miRNA expression in normal human lung cells exposed to cigarette smoke condensate (CSC) and lung cancer cells derived from smokers and non-smokers. They found that CSC exposure repressed the miRNA miR-487b. Loss of miR-487b increased the expression of several oncogenes and enhanced the proliferation, invasion, tumorigenicity, and metastatic capacity lung cells. Loss of miR-487b and concomitant up-regulation of the five oncogenes was also observed in patient lung cancer specimens. These results reveal a direct mechanism by which cigarette smoke-induced miRNA alterations promote lung carcinogenesis.
 
###
TITLE:
 
Cigarette smoke mediates epigenetic repression of miR-487b during pulmonary carcinogenesis
 
AUTHOR CONTACT:
 
David Schrump
 
National Cancer Institute, Bethesda, MD, USA
 
Phone: 301-496-2128; E-mail: david_schrump@nih.gov
 
View this article at: http://www.jci.org/articles/.
 

 

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Second Hand Tobacco Smoke - Examples of Proof of Exposure

Objective, quantifiable science continues to prove the widespread impacts of tobacco smoke. This new study establishes second hand smoke inhalation in a car even when the front windows are wide open. 

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Big Tobacco Loses New York Trial on Lung Cancer Claims Brought by An Estate

Big tobacco recently suffered a significant loss in a cigarette smoking trial in federal court in New York (White Plains). The suit involved claims by the estate of a man who started smoking before turning 18, and prior to the Surgeon General's warning.  The jury awarded damages for the death, and also found fraudulent concealment of material information regarding smoking.  The verdict sheet is online here. Set out below is the full text of the press release from plaintiff's counsel at Levy Phillips & Konigsberg in New York. 
 
This latest verdict brings to mind the issues arising from the growing numbers of lung cancer claims against former manufacturers of asbestos-containing products. As pointed out in yesterday's post, there is a significant and ever growing body of evidence proving that cigarette smoking significantly increases the risk of lung cancer among persons exposed to asbestos. One wonders whether or if  asbestos bankruptcy trusts and asbestos defendants will have the moxy to bring contribution claims against big tobacco in lung cancer cases arising from a combination of smoking and asbestos inhalation.  On one hand, it is true that one prior effort did not succeed (the Falise case brought by the Manville Trust.) On the other hand, lessons were learned from that case, and another case perhaps could avoid the problems that arose just before that trial went to verdict. 
_____________________________________________________________________ 
 
"NEW YORK, New York, December 13, 2012 - The law firm of Levy Phillips & Konigsberg obtained a historic verdict yesterday in the Southern District of New York (White Plains), on behalf of the estate of William Champagne. At the conclusion of a three-week trial, the jury determined that RJ Reynolds (through a predecessor company American Tobacco) negligently failed to warn William Champagne during his teenage years of the health hazards and addictiveness of its Lucky Strike cigarettes, and that this failure to warn was a cause of his lung cancer and death.
 
Mr. Champagne, born in 1950, started smoking Lucky Strike cigarettes by the age of 12 years old. He became severely addicted, and continued to smoke until shortly before he was diagnosed with lung cancer in 2003. The youth smoking allegations against American Tobacco were limited to the time period up until September 11, 1968, when Mr. Champagne turned 18 years old. During these years, in which Mr. Champagne was a minor, American Tobacco did not include any warnings on its cigarette advertisements and did not include any warning on cigarette packs until the federal government required a “caution” label beginning in 1966, stating only that “cigarettes may be hazardous to your health.”
 
Mr. Champagne's lung cancer was ultimately fatal and he passed away on June 25, 2004, at the age of 53. Mr. Champagne, a self-made man who owned several successful trucking businesses, is survived by his wife Eileen Clinton and his children, Jennifer and Billy Champagne. Jerome Block and Amber Long of Levy Phillips & Konigsberg LLP tried the case on their behalf.
 
American Tobacco unsuccessfully argued that Mr. Champagne suffered from a type of lung cancer not caused by smoking. American Tobacco also argued to the jury that it had no duty to warn Mr. Champagne of the health hazards and/or addictiveness of smoking because it had legitimate doubts in the 1950s and 1960s about whether smoking was a cause of lung cancer and because it claimed such hazards were already “common knowledge” during the same time period. The jury rejected these arguments in finding for Mr. Champagne and his family, and awarded $1,345,000 in damages2.
 
The 1994 Surgeon General’s Report, Preventing Tobacco Use Among Young People, recognized that addiction to nicotine in cigarettes frequently begins in adolescence and that youth smokers are more likely to become heavily addicted adult smokers.
 
On a separate claim, the jury found that co-defendant Phillip Morris fraudulently marketed “Marlboro Lights”, a brand of cigarettes that Mr. Champagne later smoked as an adult, but that this was not a cause of his lung cancer.
 
For more details about the trial and verdict, contact either Jerome Block (212-605-6270 or jblock@lpklaw.com) or Amber Long (212-605-6249 or along@lpklaw.com)."
 
The case is:  Eileen A. Clinton, on behalf of herself and as administratrix of the estate of William A. Champagne, Jr., vs. Brown & Williamson Holdings, Inc., as successor by merger to American Tobacco Company, and Philip Morris USA Inc., No. 05 Civ. 9907 (CS) (LMS) (S.D.N.Y).
 
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Secrecy Runs Amok - Tobacco Companies Obtain an Order Suppressing A List of Tobacco Lawsuits (But the List is Republished Here)

Secrecy in litigation: good, bad or otherwise?

Court orders for secrecy sometimes raise difficult issues and one understands a sealing order. Other times, the secrecy appears completely undeserved. A recent example of apparently undeserved secrecy is playing out in Canada in connection with tobacco companies seeking insurance payments for their expenses in defending tobacco cases. 

The unfolding story arises from a blog known as Eye on the Trials. The blog provides a daily summary of a lengthy, ongoing trial involving government cost recovery claims against the Canadian arms of tobacco companies - this FAQ page provides a summary of the trial issues.  

The secrecy issues arise from the December 12, 2012 post at Eye on the Trials. The post was writteny by Cynthia Callard, and summarized the contents of a tobacco company affidavit filed in a different case. Specifically, the affidavit identified underlying cases for which the tobacco companies were seeking reimbursement from a defunct insurance company (Kansa). The summary included a list of the underlying cases. As it turns out, the affidavit was supposed to be under seal and not accesible. However, things happened and the affidavit was left open in a court file, leading to the blog post summarizing the affidavit. 

In short order, however, the tobacco company obtained a court order requiring Eye on the Trial to delete the summary of the affidavit. That set of events is covered in a December 14, 2012 post on Eye on the Trials. 

As it happens, I subscribe by email to the Eye on the Trial blog posts, and so have an email copy of the now altered December 12, 2012 post. The text of that email is pasted below in full  so that readers can decide for themselves the appropriateness of the sealing order. I cannot see any reasonable justification for sealing a list of lawsuits against tobacco companies.  

 ________________________________________________________________________

"Day 94. Nineteen Documents. One hundred twenty-seven million dollars

Posted: 13 Dec 2012 07:46 AM PST
Courtroom 17.09 at Montreal's Palais de Justice was almost empty today. There was no witness. No media. No audience. There were hardly any lawyers.
 
The entire day was given to discussions about the status of  19 documents that were referred to in historian Robert Proctor's (now abridged) expert report. 
 
The list of documents under discussion was flashed on the screen, and most of them are already on the trial record as exhibits. Without a witness to testify about them, however, they have been relegated to the category of documents admitted under Justice Riordan's "May 2nd Judgement." It would seem this is not good enough.
 
The plaintiffs want each of these 19 documents to be given a higher standing and asked Justice Riordan to admit them as proof under the provisions of Quebec's Code of Civil Procedure:
2870. A statement made by a person who does not appear as a witness, concerning facts to which he could legally testify, is admissible as testimony on application and after notice is given to the adverse party, provided the court authorizes it.
The court shall, however, ascertain that it is impossible for the declarant to appear as a witness, or that it is unreasonable to require him to do so, and that the reliability of the statement is sufficiently guaranteed by the circumstances in which it is made.
The reliability of documents drawn up in the ordinary course of business of an enterprise, of documents entered in a register kept as required by law and of spontaneous and contemporaneous statements concerning the occurrence of facts is, in particular, presumed to be sufficiently guaranteed.
After nine months of trial-watching, I should have a better handle on these issues. But even after listening to the presentations by Philippe Trudel and Guy Pratte on the legal theory and practice, and their thoughtful discussions with Justice Riordan, my attempt to explain the legal issues would be counter-productive.
 
What I could understand is that this is a reminder of the challenges in redressing wrongdoings from previous generations. Evidence delayed may become evidence denied!
 
Gossip from another trial
 
The session adjourned early and, a little embarrassed at having so little to report on my day, I dropped by the 12th floor office of another justice of the Quebec Superior Court who is a long trial involving Imperial Tobacco and Rothmans, Benson and Hedges.
 
This case involves a dispute between the failed insurance company Kansa General and the two tobacco companies it insured. Documents on the Legacy site explain why the IMASCO chose this insurer, as it was the only company willing to include liability for "health hazards" and it was willing to pick up legal costs of defending against liability claims.
 
I was intrigued by the number of Appeal Court rulings (such as this one) on the issue of whether or not the companies would be required to disclose itemized accounts for the legal fees they were claiming from the insurance company. I wondered if the court file had any further details.
 
I spent a pleasant half hour sitting in airy office of the secretary to Justice Jean-Yves Lalonde. With files from other cases stacked around me, I used the remaining small space of a coffee table to rummage through a banker's box of filings.
 
In the time available, I did not get very far. But I did uncover an interesting affidavit signed earlier this year (March 30, 2012) by Imperial Tobacco's Manager of Pension Investment and Insurance, Algis Janusauskas.
 
His affidavit explains that Imperial Tobacco had three "Excess/Umbrella" policies with Kansa General Insurance. It identifies 34 liability suits the company had been involved in. (For ease of reference, I have pasted a table of these below -- with the provincial suits filed this summer, the current number would be higher.)
 
 
The most jaw-dropping sentence in his affidavit read:
Pursuant to the Policies and Claims, ITCAN hereby claims from the Liquidator the amount of 146,916,461.63 Canadian dollars and 271,404.00 United States Dollars, composed of 126,916,461.63 Canadian Dollars and 271,404.00 United States Dollars incurred and paid as of the date hereof as defence fees and costs and the aggregate amount of 20,000,000.00 Canadian Dollars representing the total indemnity payable to ITCAN under the Policies, in accordance with the terms set forth therein. (Emphasis worth adding!)
Can Imperial Tobacco really have already spent $127 million on legal fees? When someone else is picking up the tab for legal expenses but not for claims, no wonder they have adopted a scorched earth policy!
 
Cases listed in Mr. Janusauskas' March 2012 affidavit
 
David Caputo
Ontario Court General Division No. 95-CU-82186
 
Battaglia
Ontario Court (General division) Small claims court No. 21513-1997
 
Spasic
Ontario Court (General Division) No. C17773/9
 
Ragoonanan
Ontario Superior Court. O. 00-CV-183165
 
Ronald McIntyre
Ontario Superior Court 00-CV-196070
Ontario Superior Court 00-CV-195898
 
Scott Landry
Ontario Superior Court 1442/03
 
David Rowland
British Columbia Supreme Court No. C961769
 
HMTQ British Columbia
Supreme Court of British Columbia No. C985776
Supreme Court of British Columbia No. S010421
 
Kenneth Knight
Supreme Court of British Columbia No. L031300
 
Cecilia Létourneau
Quebec Small claims. No. 100-32-000734-963
 
Suzanne Dumais
Quebec Small claims Division No. 100-32-000781-964
 
Christine Fortin, Cécilia Létourneau and Joseph Mandelman
Superior Court of Quebec No. 500-06-000070-983
 
Conseil Quebecois
 Superior Court of Quebec No. 500-06-000076-0980
 
Yves Gagnon
Superior Court of Quebec No. 500-06-000278-057
 
James Middlekauff
Superior Court of the state of California No. 307006
 
Janos Kardos
Court of Queens Bench of Alberta No. 0001-05941
 
Peter Stright
Supreme Court of Nova Scotia No. 177663
 
Tobacco Health Care Costs Recovery Act
Supreme Court of Newfoundland and Labrador, Corut of Appeal No. 2002 01 H 0087
Supreme Court of Newfoundland and Labrador 2002 01 T 4720
 
Victor Todd Sparks
Supreme Court of Newfoundland and Labrador No. 2004 01 T 2716 CP
 
HMTQ Ontario
Ontario Superior Court No. CV-09-387984
 
Flue Cured Tobcco Growers Marketing Board
Ontario Superior Corut No. CV-10-14709
 
Barbara Bourassa
Supreme Court of British Columbia No. 10-2780 Victoria Registry
 
Roderick McDermid
Supreme Court of British Columbia No. 10-2769 Victoria Registry
 
Sylvie Lévesque
Superior court of Quebec no. 505-17-003095-074
 
Imperial Tobacco vs. AG Quebec
Superior Court of Quebec No. 500-17-052494-096
 
Linda Dorion
Alberta Court of Queens Bench No. 0901-08964
 
Ben Semple
Supreme Court of Nova Scotia No. 312869 2009
 
HMTQ New Brunswick
New Brunswick Court of Queens Bench No. F/C/88/08
 
Thelma Adams
Saskatchewan Court of Queen’s Bench No. 1036 of 2009
Saskatchewan Court of Queen's Bench No. 916 of 2009
 
Deborah Kunka
Manitoba Court of Queen’s Bench No. CI09-01-61479
 
AG Newfoundland and Labrador
Supreme Court of Newfoundland and Labrador Trial Division No. 2011 01G 0826
Supreme Court of Newfoundland and Labrador Trial Division No. 2011 01 G 3695
 
HMTQ Ontario
United States District Court for Southern District of New York 00-CIV-1593"
 

 

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Fingerprinting a History of Cigarette Smoking Through Epigenetic Changes

For asbestos litigation defendants, a recurrent fear is facing waves of lung cancer claims that we would today say are completely or mainly caused by cigarette smoking. Accordingly, most lung cancer claimants face interrogatories and deposition questioning about whether, how much and how long they smoked. 

Over time, science may also answer the questions, as suggested by research work discussed this week at one of the UK's pre-eminent conferences the NCRI Cancer Conference. How? "Researchers ... have identified a number of sites in the DNA of blood that have been chemically tagged as a result of smoking." That is, the smoking produced epigenetic changes." 

What does all this mean? Down the road, for litigators and their clients, it may mean an objective measure for determining the actual smoking history of a person.  For the person, it may mean a way to measure the risk of cancer arising from current or past smoking. Here is the abstract for the paper, and the complete press release is here. Key quotes are set out below:

"Dr James Flanagan, Breast Cancer Campaign scientific fellow at Imperial College London and co-author of the research, said: “This research may help to build a test that will be able to look at a person’s epigenetic information at the molecular level and measure in great detail the added risk of cancer from exposures such as smoking. 

“Previous research into smoking has often asked people to fill out questionnaires, which have their obvious drawbacks and inaccuracies. Using this approach, we will be able to read the fingerprint on a person’s DNA to tell us a story of how their habit may have changed over the course of their life.”(emphasis added)
 
Professor Paolo Vineis, chair in environmental epidemiology at Imperial College London’s School of Public Health and head of the HuGeF laboratory in Italy, said: “This research will help us to build a molecular profile of cancer risk, where we can screen people and quantify the exposure they’ve had to a number of risk factors over their lifetime, just by examining a blood sample.
 
“We hope that smoking is just the start – further work will look into other factors like alcohol and start to measure the risk an individual has built up over a lifetime of exposure to these contributors to cancer.
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Australia's Supreme Court Upholds Law Requiring Plain Labels for Cigarettes

Australia's Supreme Court issued an order - but not yet a full opinion - upholding the constitutionality of a law requiring plain paper labels for cigarettes. The court thus rejects the claim that there is a "right" to use flashy packaging to sell the carcinogens commonly known as cigarettes. Common sense prevails. 

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Government Tobacco Case to Move Forward in New Brunswick

A trial judge in New Brunswick has ordered the various tobacco defendants to answer New Brunswick's complaint by August 20. The complaint was filed in March 2008 after the passage of enabling legislation. 

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Phillip Morris Loses Again on the Appeal from a Large Post-Engle Verdict

Tobacco.org and LAW360 brings news that big tobacco has once again lost on appeal in another large verdict in a post-Engle case. The case is captioned as Philip Morris USA Inc. v. Lucinda Naugle, and the opinion is here.  In the case, the trial judge had reduced the verdict to  $36.8 million after the jury originally had awarded $ 56.6 million in compensatory damages and $ 244 million in punitive damages.

Three holdings from the appellate court are key, and indicate why future losses are probable:

“[It] was for the jury to determined (1) whether [plaintiff Lucinda] Naugle would have continued to smoke [Philip Morris’s] cigarettes if not for [Philip Morris’s] nondisclosures, and (2) whether Naugle justifiably relied on the false controversy created by the tobacco industry after May 5, 1982.”
 
“The jury found for Naugle on these issues, and as the jury’s findings are supported by competent substantial record evidence, we do not disturb these findings on appeal.”

“In this case, the verdict compensates Naugle for a period of approximately 40 years (approximately 17 years for past pain and suffering and 22 years for future pain and suffering). “Therefore, the size of this verdict does not shock the conscience of this court. A verdict is not excessive just because it is large.”
 

 

Racing to the Bottom - Illinois Legislators Continue Efforts to Protect Big Tobacco

The Madison County Record has the story on Illinois' GOP legislators leading the charge  to help protect big tobacco against big bonds in appeals with proposed legislation specific to tobacco companies.  Apparently big tobacco is not satisfied with rule changes the Illinois Supreme Court made to allow discretion on the size of bonds after massive verdicts. The effort has failed so far, but will be back. In view of Illinois' massive pension payments crisis, a cynic might think legislators are secretly hoping that tobacco-caused deaths will help reduce pension costs. 

The theme of supporters of the legislation seem to focus on state by state races to the bottom to protect big tobacco against big verdicts. Thus, the article states:

 

"Rather than propose legislation, Covington said proponents of the measure should petition the state high court to amend Rule 305, which governs stay of judgments pending appeal. He said the court amended this rule shortly after the Philip Morris case.

The court in 2004 changed the rule to give judges discretion to set a bond lower the judgment amount. Citing Price v. Philip Morris, the commentary to the rule amendment noted that "in limited instances, the appeal bond requirement may be so onerous that it creates a barrier to appeal, forcing a party to settle a case or declare bankruptcy." 

Putting the Philip Morris case aside, Kay said he believes legislation like SB 1355 needs to be approved in order to create a level playing field for businesses. 

He said 44 other states impose caps on appeal bonds at amounts less than the $250 million cap proposed in Illinois. 

Kay said Kansas and Michigan have a $25 million limit on appeals bonds while Missouri has a $50 million cap and Wisconsin's is set at $100 million. 

"You look at our neighboring states and they all get it. Why is it we don't?" he said. "
 

 

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Quebec Sues Big Tobacco for $ 60 Billion

Quebec has filed its suit against big tobacco for past and future expenses - the press release is here and the complaint is here, but in French.  The opening section of the press release is pasted below. 

"QUEBEC CITY, June 8, 2012 / CNW Telbec / - The Minister of Justice and Attorney General of Quebec, Mr. Jean-Marc Fournier, and the Minister of Health and Human Services, Dr. Dr.  Yves Bolduc, announced that the government Quebec takes legal action against the manufacturers of tobacco products for their claim the cost of health care related to tobacco.

The amount claimed is over $ 60 billion. It represents the expenses incurred by the Quebec government since the establishment of Quebec's health insurance and planned spending by 2030.

Concealed information about the dangers of tobacco

In its application, the Quebec government essentially argues that the tobacco companies have made false representations and that they failed to inform consumers about the dangers and addictive effects of their products. According to the lawsuit, these acts were committed intentionally and in concert with respect to users of tobacco products, among which are many children and adolescents.

"We are filing today a request particularly detailed and documented, which builds and cites more than 1,300 documents from the manufacturers themselves as well as rigorous evaluation of health care costs related to tobacco. This comprehensive approach is unique in Canada . Our team has worked hard and has taken the best ways to ensure the most effective progression of this unprecedented record for Quebec, "said Minister of Justice."
 

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Saudi Arabian Province to Shut Down Stores that Sell Cigarettes to Kids Under 18

Big tobacco and the Republican party are opposing California imposing a $1 per pack tax that would be used to fund cancer research. Bog tobacco opposes the tax so that sales of carcinogens can continue at higher levels. If passed, the tax imposed by Proposition 29 would result in California becoming the second largest funder of cancer research, and the tax also would discourage smoking. The human and financial costs of smoking are obscene - millions of lung cancer deaths and $1.5 trillion in costs per year on a global basis - specifics here with links

For an interesting contrast, consider events in Saudi Arabia as to smoking. There, plans are being put in place to close down entities that sell tobacco to children. Pasted below is the lead paragraph from the article:

Manama: Saudi Arabia’s eastern province has banned smoking in restaurants and closed areas.

Under a new anti-smoking law, no shop can display a poster encouraging or indicating smoking and any shop, regardless of its size, caught selling cigarettes to 18-year-olds and under will be shut down.

The new anti-smoking laws took effect on Saturday.

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Tobacco Suits Teed Up by Alberta and The Other Canadian Provinces Which Have Not Yet Sued

The Edmonton Journal reports that Alberta is teeing up a $ 10 billion claim against big tobacco, and litigation also is being teed up by the other Canadian provinces which have not yet filed tobacco litigation. 

"EDMONTON — The Alberta government is set to launch one of the largest legal actions in the province's history, a $10-billion lawsuit against the tobacco industry to recover decades worth of smoking-related health care costs.

Premier Alison Redford said the province is finalizing the statement of claim, which is expected to be filed within the next two weeks.

***
Alberta will be the fifth province to file suit against Big Tobacco, joining British Columbia, Ontario, New Brunswick, and Newfoundland and Labrador. The remaining five province have signalled their intention to also file lawsuits.

***

Several of the provinces have united by hiring the same law firm to represent them. Alberta has hired its own legal representatives, known as Tobacco Recovery Lawyers LLP, but Health Minister Fred Horne said the decision to have separate counsel does not mean Alberta will avoid collaborating with the other provinces."

 
 

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Big Tobacco and California Republican Party Spend Heavily to Oppose New California Tobacco Tax to Fund Cancer Research

California's Proposition 29 is a proposal to implement a $1.00 per pack increase in the price of cigarettes (and equivalent increase on other tobacco products) to fund research into cancer and tobacco-related diseases as well as prevention and education programs. The issues goes to the ballot box during California's June 5 primary.  

Maplight has compiled numbers on contributed funds, and puts big tobacco's contributions at over $ 40 million. Maplight finds a $1.4 million in contributions from the California Republican Party. Maplight's collected data is here.

The good guys, in contrast, have far less funding at about $ 11.7 million, mainly from the American Cancer Society and Lance Armstrong's Livestrong Foundation, and a $ 500,000 contribution from New York's Mayor Bloomberg. 

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More Evidence Demonstrating the Utility of Low Dose CT Scans to Find Lung Cancers Earlier

Low dose CT scans to detect lung cancer are an example of using new technologies to try to reduce deaths by finding cancers earlier. And, low dose CT scans are the medical monitoring sought in the landmark case approved by the Massachusetts Supreme Court.  

New analysis of data finds that the scans do indeed reduce mortality for some, but there are still many variables and some false positives. The summary of the study is set out below - the entire study is available at JAMA's web site. This new study fits with prior news from NCI. 

ONLINE FIRST

Benefits and Harms of CT Screening for Lung CancerA Systematic Review ONLINE FIRST

Peter B. Bach, MD, MAPP; Joshua N. Mirkin, BA; Thomas K. Oliver, BA; Christopher G. Azzoli, MD; Donald A. Berry, PhD; Otis W. Brawley, MD; Tim Byers, MD, MPH; Graham A. Colditz, MD, DrPH; Michael K. Gould, MD, MS; James R. Jett, MD; Anita L. Sabichi, MD; Rebecca Smith-Bindman, MD; Douglas E. Wood, MD; Amir Qaseem, MD, PhD, MHA; Frank C. Detterbeck, MD
JAMA. 2012;():1-12. doi:10.1001/jama.2012.5521
Text Size: A A A
Published online May 20, 2012
 
 
 
 
 
 
 

Context  Lung cancer is the leading cause of cancer death. Most patients are diagnosed with advanced disease, resulting in a very low 5-year survival. Screening may reduce the risk of death from lung cancer.

Objective  To conduct a systematic review of the evidence regarding the benefits and harms of lung cancer screening using low-dose computed tomography (LDCT). A multisociety collaborative initiative (involving the American Cancer Society, American College of Chest Physicians, American Society of Clinical Oncology, and National Comprehensive Cancer Network) was undertaken to create the foundation for development of an evidence-based clinical guideline.

Data Sources  MEDLINE (Ovid: January 1996 to April 2012), EMBASE (Ovid: January 1996 to April 2012), and the Cochrane Library (April 2012).

Study Selection  Of 591 citations identified and reviewed, 8 randomized trials and 13 cohort studies of LDCT screening met criteria for inclusion. Primary outcomes were lung cancer mortality and all-cause mortality, and secondary outcomes included nodule detection, invasive procedures, follow-up tests, and smoking cessation.

Data Extraction  Critical appraisal using predefined criteria was conducted on individual studies and the overall body of evidence. Differences in data extracted by reviewers were adjudicated by consensus.

Results  Three randomized studies provided evidence on the effect of LDCT screening on lung cancer mortality, of which the National Lung Screening Trial was the most informative, demonstrating that among 53 454 participants enrolled, screening resulted in significantly fewer lung cancer deaths (356 vs 443 deaths; lung cancer−specific mortality, 274 vs 309 events per 100 000 person-years for LDCT and control groups, respectively; relative risk, 0.80; 95% CI, 0.73-0.93; absolute risk reduction, 0.33%; P = .004). The other 2 smaller studies showed no such benefit. In terms of potential harms of LDCT screening, across all trials and cohorts, approximately 20% of individuals in each round of screening had positive results requiring some degree of follow-up, while approximately 1% had lung cancer. There was marked heterogeneity in this finding and in the frequency of follow-up investigations, biopsies, and percentage of surgical procedures performed in patients with benign lesions. Major complications in those with benign conditions were rare.

Conclusion  Low-dose computed tomography screening may benefit individuals at an increased risk for lung cancer, but uncertainty exists about the potential harms of screening and the generalizability of results.

Lung cancer is the leading cause of cancer death in the United States (and worldwide), causing as many deaths as the next 4 most deadly cancers combined (breast, prostate, colon, and pancreas).Despite a slight decline in US lung cancer mortality rates since 1990, lung cancer will account for more than 160 000 deaths in the United States in 2012.Most patients diagnosed with lung cancer today already have advanced disease (40% are stage IV, 30% are stage III), and the current 5-year survival rate is only 16%.3

Earlier randomized controlled trials (RCTs) involving chest radiographs and sputum cytology for lung cancer screening found that these strategies detected slightly more lung cancers, smaller tumors, and more stage I tumors, but the detection of a larger number of early-stage cancers was not accompanied by a reduction in the number of advanced lung cancers or a reduction in lung cancer deaths.14 Renewed enthusiasm for lung screening arose with the advent of low-dose computed tomography (LDCT) imaging, which is able to identify smaller nodules than can chest radiographs.

This systematic review focuses on the evidence regarding the benefits and harms of LDCT screening for lung cancer. Other potential screening methods (eg, chest radiographs, sputum cytology or biomarkers, exhaled breath) are not addressed. This review is a collaborative initiative of the American Cancer Society (ACS), the American College of Chest Physicians (ACCP), the American Society of Clinical Oncology (ASCO), and the National Comprehensive Cancer Network (NCCN) and forms the basis for the clinical practice guideline of the ACCP and ASCO. This work will be reassessed when pertinent new data become available, consistent with the Institute of Medicine recommendations for guideline development.15

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Russia Raising Pressures Against Smoking

Tobacco smoking creates enormous amounts of disease and expense. The ACS and others estimate the annual global cost at $ 1.5 trillion - that's annually. So, Russia is now planning a series of actions to reduce smoking, including tax increases and banning smoking in various public places. One wonders - will tobacco litigation follow ?

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Big Tobacco Pursuing Emergency Appeals Trying to Hide Internal Documents

The Canadian tobacco trial continues, and Big Tobacco is trying emergency appeals to try to keep documents hidden under seal. The full story is here from Eye on the Trials. 

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Tobacco Trials - Daily Blog Coverage for Canadian Government Cost Recovery Trial Trial

The ongoing Canadian tobacco trial is being covered - in detail every day -  by a blog - here. The blog is known as: Eye on the Trials.

The blog is sponsored by a public interest group known as ASPQ, which appears to be involved in far more than just tobacco. 

Many lessons here for tobacco in particular, and defendants in general. 

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Tobacco Industry Creates Law Firm Change for Shook, Hardy and Hughes, Hubbard

Tobacco industry defense is the driving force behind 25 or so lawyers exiting Shook, Hardy to join Hughes Hubbard. The Kansas City office of Shook Hardy is famous as the long time home for the national strategy for tobacco defense and defense of Phillip Morris. But today, Lorillard and Phillip Morris seek to have separate counsel, so lawyers are leaving Shook's Kansas City office to work for Hughes Hubbard in a new Kansas City office it is creating to serve Lorillard. AmLaw Daily has the story here. Excerpts follow on the tobacco litigation industry aspects of the moves:

"The Kansas City office opening is largely a product of the shifting regulatory landscape confronting Big Tobacco.

With the Food and Drug Administration turning up the heat on tobacco makers in recent years, industry rivals are increasingly at odds over how far regulators should go, says Stephen Sugarman, a professor at the University of California, Berkeley School of Law who has written extensively on tobacco litigation and regulation.

Philip Morris, Sugarman says, has generally been more supportive of stricter regulations, in part because  its dominance within the industry—in 2010, the company controlled nearly half the domestic retail market for cigarette sales—makes it more immune to those regulations. Bans on certain types of advertising, for example, would have less impact on a nationally recognized brand such as Philip Morris's Marlboro than on lesser known brands trying to elbow their way into the market, Sugarman says.

Until the 1990s, the industry presented more of a united front, says Sugarman. That unity began to crumble with the landmark $200 billion Tobacco Master Settlement Agreement in 1998, in part because the settlement stipulated that several industry groups disband, he says.

That tobacco industry rivals are following divergent paths is no different than what has happened in other industries, according to Murphy, who adds that Hughes Hubbard was the only firm in the running to take over Shook's Lorillard team.

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Smoking in Young People - Correlations Between Smoking Habits and Movies Showing Smoking - Science Weighs in on Social Influences - A Podcast Too

Thorax is an international medical journal, and is noted here because one of its October 2011 issues included a trio of  articles on smoking among young people and its relationship to movies showing smoking. The articles are here, here, and here.  Pasted below is the abstract from this article finding a cross-cultural study finding a positive correlation between teen age smoking and the portrayal of smoking in movies. One might debate the research methods, but the findings are provocative, especially for those of us who are parents of teen-agers, and see some of the kids making the mistake of lighting up.  

There also is a related a podcast, which is here. The podcast introduction states:

"We were delighted to speak to Professor John Britton about the research published in the October issue of Thorax, by his and other groups, on smoking in the young.

John is a chest physician, an epidemiologist and a former editor of Thorax. He is the director of the UK Centre for Tobacco Control Studies at the University of Nottingham. John has been a giant in tobacco research. He chaired the influential RCP Tobacco Advisory Group and played a major role in making the case for banning smoking in public places. Arguably, he has done more than anyone else in this country to limit tobacco exposure. We applaud his contribution." 

_______________________________________________________________________________

 

Abstract

Aim To investigate whether the association between exposure to smoking in movies and smoking among youth is independent of cultural context.

Method Cross-sectional survey of 16 551 pupils recruited in Germany, Iceland, Italy, the Netherlands, Poland and Scotland with a mean age of 13.4 years (SD=1.18) and an equal gender distribution. School-based surveys were conducted between November 2009 and June 2010. Using previously validated methods, exposure to movie smoking was estimated from the 250 top-grossing movies of each country (years 2004–2009) and related to ever smoking.

Results Overall, 29% of the sample had tried smoking. The sample quartile (Q) of movie smoking exposure was significantly associated with the prevalence of ever smoking: 14% of adolescents in Q1 had tried smoking, 21% in Q2, 29% in Q3 and 36% in Q4. After controlling for age, gender, family affluence, school performance, television screen time, number of movies seen, sensation seeking and rebelliousness and smoking within the social environment (peers, parents and siblings), the adjusted ORs for having tried smoking in the entire sample were 1.3 (95% CI 1.1 to 1.5) for adolescents in Q2, 1.6 (95% CI 1.4 to 1.9) for Q3 and 1.7 (95% CI 1.4 to 2.0) for Q4 compared with Q1. The adjusted relationship between ever smoking and higher movie smoking exposure levels was significant in all countries with a non-linear association in Italy and Poland.

Conclusions The link between smoking in movies and adolescent smoking is robust and transcends different cultural contexts. Limiting young people's exposure to movie smoking could have important public health implications.

 

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Tobacco Patents on a Method to Reduce Carcinogens in Cigarettes

Amazing what's out there. This blog post by patent lawyer and molecular biologist  Kevin E. Noonan describes litigation over a tobacco company patent aimed at reducing carcinogens in tobacco. After decades of industry denial that cigarettes caused cancer, this seems rather surreal. Here's a key excerpt:

 

"The Federal Circuit reaffirmed the primacy of the factual disclosures used to establish obviousness, and how deficiencies thereof can defeat an obviousness claim, in reversing an invalidity determination in Star Scientific, Inc. v. R.J. Reynolds Tobacco Co.  It also showed how persistently defendants pursue the tarnish of inequitable conduct even under circumstances where the Federal Circuit has held that no inequitable conduct occurred.

The patents-in-suit, U.S. Patent Nos. 6,202,649 and 6,425,401 (filed as a continuation of the '649 patent), were directed to methods for curing tobacco in a way that reduced the amount of a carcinogen, tobacco-specific nitrosamines (TSNAs), in the cured product used in cigarettes and other tobacco-containing products.  The patents were specifically directed to "indirect" flue curing with gas or propane heaters.  Former methods used "direct" flue curing that mixed the exhaust gasses with the tobacco, but this resulted in an oxygen-free environment that fostered the growth of bacteria on the leaves, leading to production by the bacteria of the carcinogenic TSNAs.  The patented methods can be used with either direct or indirect curing methods by using "controlled conditions" involving humidity, temperature, rate of temperature exchange, carbon monoxide levels, carbon dioxide levels, oxygen levels, and how the tobacco plants are arranged in the curing shed.  The claims specify "controlling conditions" by "determining and selecting" the "appropriate" values for these variables that results in the reduction of TSNA production "at least one").  However, the patents admit that the choice of these conditions are "more art than science," so need to choose the appropriate combination of these variables; however, the important consideration is maintaining an aerobic environment that prevents bacterial growth. (emphasis added)

 

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Part 2 - Seeing the The Global Mosaic of Tobacco Litigation - Professor Richard L. Cupp, Jr. Provides a Valuable Overview Article

Part 1 of this line of posts provides an introduction to a valuable resource for seeing the global tobacco litigation mosaic. The resource is a recent law review: “International Tobacco Litigation’s Evolution as a United States Torts Law Export: To Canada and Beyond?” ("ITL"). Written by Richard L. Cupp, Jr., a Pepperdine law professor and tort scholar, the ITL article is freely available on this page of SSRN, and was last updated February 13, 2011. Professor Cupp’s article begins with a broad survey of tobacco litigation, and then moves to some specific examples of and issues in ITL. 

Today’s post highlights one of the specific topics described by Professor Cupp: tobacco cost recovery litigation by provincial governments in Canada. The litigation apparently is going well for the plaintiffs, and provides a possible model for cost recovery litigation in other nations, and against other groups of defendants. ITL describes in some detail a cornerstone of the litigation - provincial statutes which provide for and govern the litigation. One of the novel statutes was upheld against a constitutional challenge by big tobacco in an opinion titled British Columbia v. Imperial Tobacco Canada, Ltd., 2005 SCC 49[2005] 2 S.C.R. 473.  The decision is here. (Also, fyi, here is a Canadian Supreme Court decision on tobacco advertising legislation).

Professor Cupp's article provides significant analysis of the statutes, the ruling and related points. The article provides good reading for people interested in thinking about new possibilities. New thinking seems needed when one considers that we collectively pay the devastating human and financial prices for legislative failure to control the business of selling carcinogens intended for human ingestion. 

 

 

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Seeing the The Global Mosaic of Tobacco Litigation - Professor Richard L. Cupp, Jr. Provides a Valuable Overview Article

Yesterday’s post noted the latest chapter in big tobacco’s many losses in smoking litigation in Florida regarding individual cancers and other injuries. Florida is a real problem for the tobacco industry. So is the Massachusetts Supreme Court's embrace of low-dose CT scans as medical monitoring appropriate for a subset of smokers and former smokers.  But, Florida and Massachusetts are just two parts of a much larger global mosaic of tobacco litigation. No doubt that’s why Philip Morris hired David Bernick away from Kirkland & Ellis to move to Switzerland to run its global litigation. 

A valuable resource for seeing the global tobacco litigation mosaic is a recent law review:  International Tobacco Litigation’s Evolution as a United States Torts Law Export: To Canada and Beyond?”  ("ITL"). Written by Richard L. Cupp, a Pepperdine law professor and tort scholar, the ITL article is freely available on this page of SSRN, and was last updated February 13, 2011.  Professor Cupp’s article begins with a broad survey of tobacco litigation, and then moves to some specific examples of and issues in ITL.  Today’s post recaps some of the ITL article’s information on the scope of the litigation. Subsequent posts will address some of the specific points identified by Professor Cupp. The easy to read article should be read as a whole to feel the way that tort litigation is spreading globally, and to feel the examples provides as to the wide range of attitudes and outcomes related to ITL in particular, and tort litigation more generally.

As to the broad scope of tobacco litigation, footnote 18 of ITL describes the  “government cost recovery” lawsuits brought by a wide range of  nations.  According to Professor Cupp and his research team and sources, the governments bringing cost recovery suits are many, and:

“include Argentina, Australia, Bulgaria, Brazil, Canada, Chile, China, Columbia, Costa Rica, Finland, France, French Guiana, Germany, Greenland, India, Ireland, Israel, Italy, Japan, Kazakhstan, Mali, Marshall Islands, Niger, Nigeria, Norway, Pakistan, Philippines, Poland, South Korea, Spain, Sri Lanka, Uganda, United Kingdom, United States, and Venezuela.  See Lawrence O. Gostin, The “Tobacco Wars”—Global Litigation Strategies, 298 J. AM. MED. ASS’N 2537, 2537–38 (2007); Richard A. Daynard, Clive Bates & Neil Francey, Tobacco Litigation Worldwide, 320 BRIT. MED. J. 111, 112 (2000); D. Douglas Blanke, Towards Health with Justice: Litigation and Public Inquiries as Tools for Tobacco Control, WHO TOBACCO FREE INITIATIVE, http://www.who.int/tobacco/media/en/final_jordan_report.pdf (last visited Dec. 24, 2010); M.L. Flores et al., Litigation in Argentina: Challenging the Tobacco Industry, 15 TOBACCO CONTROL 90, 90–92 (2006), http://www.bvsde.paho.org/bvsacd/cd42/90.pdf; Andrew Walker, Nigeria Takes on Tobacco Giants, B.B.C. NEWS (Jan. 14, 2008, 0:23.stm; Mackay & Erikson, supra note 16, at 86–87.

Government medical cost recovery litigation of course is not the same as the Engle-type personal injury litigation brought to obtain compensation for individuals. The ITL article covers both categories of litigation. Thus, footnote 19 of the article recaps the nations where individuals have filed suits for diseases caused by smoking.  Footnote 19 states:

“Individual lawsuits against tobacco companies have been brought in numerous countries, some of which include Argentina, Ireland, Israel, Finland, France, Japan, Norway, Sri Lanka, Thailand, and Turkey. Daynard, Bates & Francey, supra note 18, at 111. One famous individual case was filed in Norway by Robert Lund who developed lung cancer from working in a smoky bar for fifteen years. See Blanke, supra note 18, at 40. Two other illustrations of these types of cases are Spasic v. Imperial Tobacco and Spasic Estate v. B.A.T. Industries p.l.c., filed in Canada, demanding millions in damages. See Tobacco-Related Litigation in Canada, NON-SMOKERS’ RIGHTS ASSOCIATION 22 (2009), http://www.nsra-adnf.ca/cms/file/pdf/Tobacco_Related_Litigation_in_Canada_ 2009.pdf. As of 2002, there were four private class actions pending in the Canadian Provinces of Ontario, Quebec and British Columbia. See Blanke, supra note 18, at 40.  Class actions have also been filed in Australia against the major Australian tobacco companies.  Daynard, Bates & Francey, supra note 18, at 112. Health care reimbursement lawsuits have been filed in the Canadian Province of British Columbia, as well as by the governmental health insurance body in France. Id. at 111. The government of the Republic of the Marshall Islands has brought a health care reimbursement case against international tobacco companies that supply the local market.  Id. Other countries, including Guatemala, Bolivia, Nicaragua, reimbursement suits pending in federal court in the United States.  Id.”

 

 

 

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Tobacco Industry Takes Another Hit in Florida

Big tobacco took another hit in Florida as the state supreme court refused to hear an appeal from an intermediate appellate court decision on a post-Engle trial verdict for $ 28 million. AmLaw's Litigation Daily provides this fairly extensive article by David Bario with myriad links to opinions, past article and briefs.

The key take away? Big tobacco is anxious to undo its prior loss of a "limited issues" phase of a class action trial in Florida. The prior phase 1 class action win for all class members means that current plaintiffs (who were class members) do not have to prove facts already found to be true by the jury which heard the evidence in the phase 1 trial. That phase of the trial focused on industry's actions and the reality that smoking causes cancer in smokers and others. Applying those findings again to new trials makes it easier for class members to win current trials limited to individual issues not considered in phase 1 of the class action trial. Big tobacco hates that outcome, and seeks to undo the prior class action loss. 

If big tobacco finds a way to undo to the past, it will change class action law in a meaningful way. Its lawyers now plan to file a cert petition with the US Supreme Court. It will be interesting to see if Justice Scalia once again acts alone to protect big tobacco. The story on Justice Scalia's prior unilateral stay for big tobacco is covered in this prior post.

 

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Major New Study Explicitly Identifies Deformed Limbs, Heart Defects, and Other Birth Defects Caused by Cigarette Smoking During Pregnancy

Smoking imposes a staggering human and financial toll through the cancers it causes. Less well defined and known are the human and financial costs of birth defects caused by smoking during pregnancy. This  major new study from the UK helps to define the burden as it comprehensively reviews 50 years of scientific papers, and presents  the increased risk levels for numerous, severe birth defects.  Here are key excerpts from the ScienceDaily summary of the paper, followed by the more technically worded "results" section of the abstract for the paper. The results section provides the specific odds ratios, which some courts consider important to product liability claims. The full paper is here, and is an "open access" paper, meaning that the full text and tables are available from the journal's website at the link. 

"The study, published July 12 in Human Reproduction Update, is the first comprehensive review to identify the specific birth defects (malformations) most associated with smoking.

***

The authors examined a total of 172 research papers published over the last 50 years, which looked at a combined total of 174,000 cases of malformation alongside 11.7 million controls. The risk was increased by 26% for having a baby with missing or deformed limbs, 28% for clubfoot, 27% for gastrointestinal defects, 33% for skull defects, 25% for eye defects, and 28% for cleft lip/palate. The greatest increase in risk (50%) was for a condition called gastroschisis, where parts of the stomach or intestines protrude through the skin.

The research authors recommend that public health guidance should now be more explicit about the specific malformations associated with maternal smoking, in order to try and reduce the numbers of pregnant women who smoke."

______________________________________________________________________ 


RESULTS Significant positive associations with maternal smoking were found for: cardiovascular/heart defects [OR 1.09, 95% confidence interval (CI) 1.02–1.17]; musculoskeletal defects (OR 1.16, 95% CI 1.05–1.27); limb reduction defects (OR 1.26, 95% CI 1.15–1.39); missing/extra digits (OR 1.18, 95% CI 0.99–1.41); clubfoot (OR 1.28, 95% CI 1.10–1.47); craniosynostosis (OR 1.33, 95% CI 1.03–1.73); facial defects (OR 1.19, 95% CI 1.06–1.35); eye defects (OR 1.25, 95% CI 1.11–1.40); orofacial clefts (OR 1.28, 95% CI 1.20–1.36); gastrointestinal defects (OR 1.27, 95% CI 1.18–1.36); gastroschisis (OR 1.50, 95% CI 1.28–1.76); anal atresia (OR 1.20, 95% CI 1.06–1.36); hernia (OR 1.40, 95% CI 1.23–1.59); and undescended testes (OR 1.13, 95% CI 1.02–1.25). There was a reduced risk for hypospadias (OR 0.90, 95% CI 0.85–0.95) and skin defects (OR 0.82, 0.75–0.89). For all defects combined the OR was 1.01 (0.96–1.07), due to including defects with a reduced risk and those with no association (including chromosomal defects).

CONCLUSIONS Birth defects that are positively associated with maternal smoking should now be included in public health educational materials to encourage more women to quit before or during pregnancy. 

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Independence Day News - Supreme Court Reverses Justice Scalia's Lone Wolf Effort to Protect Tobacco Companies

Some  "conservatives" decry "activist" judges who take the law into their own hands. For example, here, Senator Orrin Hatch of Utah criticized activist judges.  And, the same conservatives often are fond of stating that the federal government exercises too much power, and that state law needs to be given far more respect. Here's Senator Hatch talking that talk.    So, what should these conservatives say when a Supreme Court Justice goes way out on a limb and acts alone to protect big tobacco against paying a state court judgment ?

The question arises because last fall, Justice Scalia took it on himself to issue - alone -    this opinion to  protect big tobacco against paying out money while it asked the Supreme Court to grant a discretionary appeal.  SCOTUS blog's story from last fall is here.   Now, the Court  has reversed Justice Scalia, as described online here, and pasted below.  Apparently the Justice's views are his own, and not the views of the Court. 

Enjoy Independence Day !

 

Full court reverses Scalia on tobacco case stay order

June 30, 2011
By  Mark Sherman
Associated Press writer

WASHINGTON — Supreme Court Justice Antonin G. Scalia exercised a rarely used power last fall to let Philip Morris USA and three other big tobacco companies delay making multimillion-dollar payments for a program to help people quit smoking.

Scalia, a cigarette smoker himself, justified acting on his own by predicting that at least three other justices would see things his way and want to hear the case and that the high court then would probably strike down the expensive judgment against the companies.

This week, the court said he was wrong about that.

On a court that almost always acts as a group, Scalia single-handedly blocked a state court order requiring the tobacco companies to pay $270 million to start a smoking cessation program in Louisiana.

The payment was ordered as part of a class-action lawsuit that Louisiana smokers filed in 1996. They won a jury verdict seven years ago.

Scalia said in September that the companies met a tough standard to justify the Supreme Court's intervention.

"I think it reasonably probable that four justices will vote to grant certiorari," Scalia said, using the legal term to describe the way the court decides to hear most appeals, "and significantly possible that the judgment below will be reversed."

Not only did the justices say Monday they were leaving the state court order in place, there were not even four votes to hear the companies' full appeal.

And the court provided no explanation of its action.

Scalia said through a court spokeswoman that he also had no comment on the matter.

Robert Peck, the Washington-based lawyer representing the Louisiana smokers at the Supreme Court, recalled thinking Scalia had made unwarranted assumptions about the case.

"I was really rather surprised he would issue the stay," Peck said of Scalia's order blocking the judgment from taking effect.

The case went to Scalia because he oversees the 5th Circuit, which includes Louisiana.

Justices have the authority to act on their own to issue an order that blocks another court's decision from taking effect, often in cases that are being appealed to the high court.

But in recent years they rarely have done so.

The last time a justice acted alone in similar circumstances was in 2006, when Justice Anthony M. Kennedy blocked a court order to remove a giant cross from a public park in San Diego while the matter remained under appeal.

The cross case still is working its way through the courts.

Thomas Goldstein, a Washington lawyer and close observer of the court, said: "This was a very rare and unusually assertive ruling by a single justice. The later briefing in the case seems to have persuaded the court, and maybe even Scalia himself, not to get involved."

In issuing his order, Scalia noted national concern over the abuse of class-action lawsuits in state courts and raised concerns about the companies' legal rights.

He said that without delaying payment, the companies might not be able to recover all their money if they ended up winning in the Supreme Court.

The other companies in the case are Brown and Williamson Holdings Inc., R.J. Reynolds Tobacco Co. and Lorillard Tobacco Co.

A Louisiana appeals court had a different take on the subject of delay, noting that the plaintiffs are aging and dying at a significant rate.

One of the two named plaintiffs, Gloria Scott, was diagnosed with lung cancer in 2000 and died in 2006.

 

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Big Tobacco Hit With $ 152 Million Verdict - Trial Available on TV - Should this Be Deemed Part of Litigation Funding

The tobacco wars have moved another couple of  steps. A new AmLaw article by Susan Beck covers 1) a Florida appellate court affirming a $ 28 million plaintiff's verdict, and 2) a  $ 152 million verdict in Massachusetts in a lung cancer death case pushed by the Tobacco Litigation Project at Northeastern Law School. The AmLaw article includes various helpful links, including a link to a sister publication which televised the trial.

One wonders about future spinoff products from a televised trial.  Perhaps YouTube segments will follow ?  

One other thought to consider.  Should the Tobacco Litigation Project be considered a positive example of  "litigation funding" ?

As to the new verdict, here are key excerpts from Ms. Beck's article:

The Evans verdict appears to be largest  compensatory verdict ever in a individual smoking case. It's also notable because it occurred in Massachusetts, which, in contrast to Florida, is not exactly a hotbed of smoking litigation. In fact, according to plaintiffs lawyer Frisardi, this is the first tobacco plaintiffs verdict in Massachusetts and just the second smokers case to go to trial in the state. Frisardi stressed that this jury found that cigarettes were unreasonably defective. "That's an important milestone," he said.

Marie Evans, who died at age 54, claimed she was lured into a smoking habit when she was 13, after accepting free cigarettes handed out in the largely African American community of Roxbury. Under Massachusetts law, the plaintiffs were not allowed to ask for a specific amount of damages. The $71 compensatory award consists of $21 million for her son for the loss of companionship of his mother, and $50 million to Ms. Evans's estate for her pain and suffering.

Professor Philip Howard of Northeastern University School of Law, who worked on the plaintiffs legal team, told the Litigation Daily that this verdict is strategically important in the fight against the tobacco industry. "We brought this case in Massachusetts to establish additional fronts for tobacco to defend on," Howard told us. "This is an effort to light a fire in another region of the country." (Northeastern Law School is the home of the Tobacco Products Liability Project, which assists tobacco litigation around the country.)

 

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Update - Big Tobacco Loses Big - Examples of the Variance in Mass Tort Trial Outcomes

Update on November 1 post

Big tobacco's winning streak  came to an abrupt end. As explained below, outcomes vary for tort trials, and repetitive claims tend to "mature" over a period of years and trials. New science, however, also will change the maturation process.  Accordingly, it  is not wise to declare or presume victory is at hand after a few wins.

As described in this Law.com article by David Bario, the end of the defense string arrived with a plaintiff's verdict for  $ 80 million, which includes a punitive damages component at less than the  much-argued 10:1 ratio.   According to the article:

"Before the recent defense hegemony, plaintiffs lawyers at Searcy Denney Scarola Barnhart & Shipley had taken three Engle progeny cases to trial and won them all, including the last plaintiffs verdict before Big Tobacco began winning. Earlier this month, David Sales and James Gustafson went to trial with the firm's fourth Engle case. And on Monday, state court jurors in Bronson, Fla., delivered their client a verdict that breaks the defense winning streak in a big way.

The jury hit R.J. Reynolds with $72 million in punitive damages and $8 million in compensatory damages, finding that the tobacco company was 90 percent responsible for the death of James Horner, who died of lung cancer after smoking for 60 years. Here's
the amended complaint Searcy Denney filed on behalf of Horner's daughter, Diane Webb; and here are the verdict forms the jury returned on compensatory and punitive damages."
 

November 1 Post

In mass tort litigation involving repeated trials of similar issues, the outcomes can go back and forth as the parties shift strategies and tactics. Thus, Law.com reports that the cigarette companies recently have won six straight Engle trials in Florida. Plaintiff's counsel say they will keep trying cases, and estimate that the defendants are spending   $ 5 million per trial.  The defense string no doubt is encouraging for the defendants. 

But, the defense win streak follows an even larger number of wins for plaintiffs at the start of the series of trials, as described here. Defendants also lost their 11th Circuit effort to avoid the series of trials. So, now it's up to plaintiffs to look afresh at their tactics and see if the trial approach needs freshening or improvement.

Perhaps the David Bernick factor is now at work in the Engle trials. In any event, the Engle trials are just one part of part of global tobacco litigation, as described here and here. And then there are media efforts too.

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New Insights into The Global Tobacco Wars - Big Tobacco and Farmers Seek to Continue Sellings Carcinogens

Last week brought new insights into the global tobacco wars.  The insights are contained in information from four sources:

 

1)      the US Food and Drug Administration’s proposed new visual warnings for cigarette packages (click here to go to zipped package of the pictures)

2)      Duff Wilson’s Sunday front page NYT article detailing tobacco regulation litigation around the globe;  

3)       this Foley Hoag media piece regarding Uruguay retaining the law firm to defend it in a lawsuit filed by tobacco industry members; and

4)      this international treaty aimed at reducing the devastating human and financial tolls inflicted by sales of the packaged carcinogens commonly referred to as cigarettes.   

 

According to Mr. Duff’s article, “Uruguay’s groundbreaking law mandates that health warnings cover 80 percent of cigarette packages. It also limits each brand, like Marlboro, to one package design, so that alternate designs don’t mislead smokers into believing the products inside are less harmful.”  According to Foley Hoag, the litigation against Uruguay  “was initiated by FTR Holdings SA, a Swiss conglomerate that owns fellow plaintiffs Philip Morris as well as Abal Hermanos SA, the second-largest Uruguayan tobacco company.”

 

The big picture? Big tobacco, aided by tobacco farmers, has created a vast network to execute its strategy. The strategy?  Four steps.  First, sell packaged carcinogens to the addicted, uninformed and ignorant of the world.  Second, maintain the ability to sell by seducing governments with tax revenues or bludgeoning governments with litigation when meaningful regulations are imposed. Third, hire really smart litigation lawyers and settle litigation with agreements which perpetuate the opportunity to sell cigarettes. Fourth, create a vast web of corporate entities structured and operated to limit the assets reachable by disease victims, with litigators keeping the companies free of massive losses; losing slowly and in small amounts is acceptable because the companies remain wildly profitable.

 

Fighting back are some national governments, but many are woefully too small to effectively argue with big tobacco. 1As detailed by Mr. Duff, 171 countries meet this week in Uruguay to try to counter big tobacco. As detailed in an NYT article linked below, “the conference beginning on Monday in Punta del Este, Uruguay, will try to add specific terms to a public health treaty known as the Framework Convention on Tobacco Control, which since 2003 has been ratified by 171 nations. It would eventually oblige its parties to impose tighter controls on tobacco ingredients, packaging and marketing, expand cessation programs and smoke-free spaces and raise taxes — proven tactics against smoking.” 

 

The stakes are enormous in both lives and dollars. Globally, millions die every year from tobacco. WHO foresees 8 million annual tobacco cancer deaths by 2030.  And, as described in this prior post, The American Cancer Society estimates that tobacco-caused cancer deaths impose annual direct and indirect global economic costs of between $1.5 and 2 trillion. Remember, that's an annual number. No doubt it’s also too low because most cancer victims are left to die with no real fight to save them because their countries lack the necessary medical infrastructure.

 

What is the US doing? Not enough. In the US, we face daily headlines regarding medical care costs bankrupting companies and governments. Accordingly, one would think the United States would do all it can to stamp out sales of the leading and obvious cause of rampant, expensive diseases.  But that’s not been the case. President Bush focused his eight years on escalating multiple wars, but never found the time or courage to escalate the war against cancer deaths and big tobacco.  “President George W. Bush signed the treaty in 2004 but did not send it to the Senate, where a two-thirds vote is needed for ratification. President Obama hopes to submit it to the Senate next year, a White House spokesman said on Thursday.”    (The betting window is open as to the votes of tobacco state senators, and some but not all of their Blue Dog brethren.) 

 

Additional specifics follow, beginning with big picture information provided by Mr. Duff’s article, and concluding with specifics on big tobacco’s – shameful - litigation against Uruguay.  

 

NYT Excerpts

__________________________________________________________________________

“They’re using litigation to threaten low- and middle-income countries,” says Dr. Douglas Bettcher, head of the W.H.O.’s Tobacco Free Initiative. Uruguay’s gross domestic profit is half the size of the company’s $66 billion in annual sales.”

 

 

But Philip Morris International, the separate company spun out of Altria in 2008 to expand the company’s presence in foreign markets, has been especially aggressive in fighting new restrictions overseas.

 

 

It has not only sued Uruguay, but also Brazil, arguing that images the government wants to put on cigarette packages do not accurately depict the health effects of smoking and “vilify” tobacco companies. The pictures depict more grotesque health effects than the smaller labels recommended in the United States, including one showing a fetus with the warning that smoking can cause spontaneous abortion.

 

 

In Ireland and Norway, Philip Morris subsidiaries are suing over prohibitions on store displays.

 

In Australia, where the government announced a plan that would require cigarettes to be in plain brown or white packaging to make them less attractive to buyers, a Philip Morris official directed an opposition media campaign during the federal elections last summer, according to documents obtained by an Australian television program, and later obtained by The New York Times.”

 

 

Foley Hoag Excerpts

____________________________________________________________________

 

In a first-of-its-kind case focusing on areas of conflict between a nation’s tobacco control regulations and the treaty rights of a multinational corporation, the government of Uruguay has retained Foley Hoag LLP to represent it in an arbitration case brought by Philip Morris, at the International Centre for Settlement of Investment Disputes (ICSID).

 

 

The Foley Hoag team is led by international law specialists and Washington-based partners Paul Reichler and Ronald Goodman.

 

 

The current ICSID arbitration was initiated by FTR Holdings SA, a Swiss conglomerate that owns fellow plaintiffs Philip Morris as well as Abal Hermanos SA, the second-largest Uruguayan tobacco company. The cigarette manufacturers contend that Uruguay’s restrictions on sales and marketing of tobacco products, violate the bilateral investment treaty between Switzerland and Uruguay by harming the companies’ business operations and trademarked brands.

 

 

Uruguay enacted the measures as part of a broad effort to safeguard and enhance public health. In 2005 it became one of 170 countries to sign the World Health Organization’s Framework Convention on Tobacco Control, a global initiative to reduce or eliminate tobacco use. Soon after, the Uruguayan government introduced restrictions on cigarette marketing and packaging, including:

 

 

Limiting each brand of cigarette to a “single representation,” that is, forbidding multiple iterations of a brand such as “light,” “menthol,” etc.;

 

Requiring pictograms on tobacco packages to graphically illustrate the possible adverse health effects of sustained tobacco use;

 

Mandating that 80 percent of the surface area of cigarette packages be covered with health warnings to consumers.

 

 

Cigarettes sold in Uruguay include such well known Philip Morris brands as Marlboro and L&M, as well as locally made Casino and Premier brands. As a result of the regulations Philip Morris has ceased marketing Marlboro varieties called “Gold,” “Green (Fresh Mint),” and “Blue.” The claim alleges that the government’s actions violate both the 1988 Switzerland-Uruguay bilateral investment treaty and international law, by imposing unreasonable restrictions and subjecting FTR and its subsidiaries to unfair treatment.

 

 

Mr. Reichler believes the plaintiffs have targeted Uruguay as a test case. “Our view is that Philip Morris is hoping to use this case to deter not only Uruguay but other signatories to the WHO’s Framework Convention from taking effective measures to safeguard the public health against the known hazards of tobacco consumption,” he said.

 

“Sovereign states are normally given wide discretion in enacting legislation or promulgating regulations to protect and promote public health,” Mr. Reichler noted. “Indeed, that is one of the fundamental aspects of sovereignty. This is not a case of economic regulation, but of government action strictly in the name of public health.”

 

 

Mr. Goodman said, “Uruguay’s regulations are aimed at tobacco products which, it is scientifically proven, kill people or cause grave illnesses to those who smoke and to those around them. Because of the widespread illness, disease and mortality created by smoking, tobacco products impose tremendous burdens on a country’s public health system.   In many countries the state pays for or subsidizes the care and treatment of sick people. The financial burdens on states caused by smoking are enormous.”

 

 

“Philip Morris and its associated companies are challenging the right and discretion of Uruguay to make its own determination on how to protect public health – which in our view is a sovereign right that no private company can overrule,” Mr. Goodman added.

 

 

The Campaign for Tobacco-Free Kids, a U.S.-based research and advocacy organization funded by the Bloomberg Foundation, has agreed to help finance Uruguay’s defense.

 

 

The arbitral tribunal will be comprised of one arbitrator selected by each side and a third whom the parties agree on.

 

 

Philip Morris is represented by the Swiss firm Lalive

 

 

 

 

 

 

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Tobacco Wars Continue: California Secretary of State Certifies Ballot Initiative to Raise Tobacco Tax by $ 1 per pack, with Funds to Benefit Cancer Research

Tobacco sales continue today thanks to "big tobacco" long ago obtaining federal law preemption against most product liability claims. The industry strategy was both brilliant and deadly. Then, when litigation risks were closing in from cost recovery lawsuits by the states, the tobacco settlement kept the industry moving ahead as it locked states into enjoying the tax revenue being used to fund state budgets.

So, industry won a couple of times, and therefore people keep smoking and dying. In that light, it's good to see some potential offset ahead from a California ballot initiative to raise tobacco taxes by $ 1 per pack, with proceeds to fund cancer research. The initiative’s website is here

The initiative was officially certified on August 24, 2010 by the California Secretary of State, as described here. The net result is that the initiative will be on the ballot for the 2012 national election.

 

The organizers of the initiative would love financial support for the battle ahead to get the initiative passed. Set out below are key excerpts from the Secretary of State’s website:

 

The Attorney General’s official title and summary of the initiative is as follows:

IMPOSES ADDITIONAL TAX ON CIGARETTES FOR CANCER RESEARCH. INITIATIVE STATUTE. Imposes additional five cent tax on each cigarette distributed ($1.00 per pack), and an equivalent tax increase on other tobacco products, to fund cancer research and other specified purposes. Requires tax revenues be deposited into a special fund to finance research and research facilities focused on detecting, preventing, treating, and curing cancer, heart disease, emphysema, and other tobacco-related diseases, and to finance prevention programs. Creates nine-member committee charged with administering the fund. Summary of estimate by Legislative Analyst and Director of Finance of fiscal impact on state and local government: Increase in new cigarette tax revenues of about $855 million annually by 2011-12, declining slightly annually thereafter, for various health research and tobacco-related programs. Increase of about $45 million annually to existing health, natural resources, and research programs funded by existing tobacco taxes. Increase in state and local sales taxes of about $32 million annually. (09-0097.)

 

Mass Tort Battles Ahead - New Thinking and Arguments, UK Report Endorses Litigation Funding, and Phillip Morris Hires David Bernick from K & E

I'm setting aside James Hardie and Australia for a few days. News on Friday provides a great springboard for some comments in the same general area of what's new in mass tort resolution thinking, and some points related to corporate actions to cope with/avoid/limit the corporate damage from mass tort claims.
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How does big tobacco admit it  faces massive global tort warfare ahead ? By hiring David Bernick away from Kirkland & Ellis, as was announced Friday - see article at the bottom.

Why is hiring Mr. Bernick so telling ? Look at what he has done.  K &  E  teams headed up by Mr. Bernick have often (but not always) won some of the most  difficult battles in mass tort litigation, and have included various creative and massive efforts to buy time and/or survival for corporate defendants. For example, his team successfully defended Grace executives in a criminal trial involving asbestos regulations and "tremolite contamination" in mined products; that trial would have been easy to lose due to asbestos hysteria. The team also was winning the W. R. Grace asbestos bankruptcy trial by thoroughly discrediting the seamy side of asbestos claiming by the not sick, and so they capitalized by reaching a fantastic mid-trial settlement in the  bankruptcy. Bernick and others  also did a business-saving (albeit unconstitutional) deal  in chapter 11 to free Asea Brown (ABB ) from its Combustion Engineering asbestos liabilities, and obtained that result despite the stench from ABB's   $ 20 million payment to plaintiff's counsel.  Mr. Bernick and others also undertook an ill-fated but brilliant effort on behalf of car companies to use the Federal-Mogul bankruptcy to convene one massive  Daubert hearing in federal court regarding whether brake linings with asbestos actually cause cancers. Even though the latter effort did not succeed on the merits; it bought much needed time for car companies at a time when asbestos litigation was at one of its most frenzied points.

One cannot help but wonder the price. If Mr. Bernick can do for PM what he has done for other entities, the financial dividend for PM shareholders will be huge. Indeed, Mr. Bernick actually will add real value to the bottom line with actual creative thinking and hard work. That said, perpetuating smoking is anything but the work of angels.

What issues are out there to keep Mr. Bernick busy and challenged ? A recent example arises from the disastrous $294 million verdict entered last fall in one of the thousands of pending post-Engle tobacco cases that are being  set for trials in Florida.  If one took that verdict into bankruptcy court and handed it to the "liability estimators," they could generate a future liability range of numbers that probably would include numbers in the trillions of dollars. Those numbers also could be offered in bankruptcy court to support fraudulent conveyance claims involving various corporate moves by tobacco companies. Recall, for example, that Asarco was hit this past year with a $ 6 billion dollar bankruptcy court judgment based on fraudulent conveyance claims tied to corporate activities undertaken in anticipation of tort and environmental claims.

That said, the bankruptcy liability estimation process is not even close to scientific, as Mr. Bernick well knows. Indeed, the Grace bankruptcy included one of the strongest indictments issued to date regarding the lack science and due process in bankruptcy proceedings, That indictment is set out in the testimony of Professor Heckman,  a University of Chicago economist and Nobel prize winner, as described  in item 4 of this prior post.

Meanwhile, there is global cigarette litigation. In Nigeria, the tobacco companies are the subject of $ 45 billion government cost recovery claims, as described, for example, here and here. And, as noted on Saturday, there have even been tobacco claims in Japan, which are not noteworthy for any success but are note worthy for the statistics regarding the continuing smoking patterns in Asia.

Perhaps most significantly, the tobacco industry recently suffered a resounding loss as the Massachusetts Supreme Court endorsed in sweeping terms a medical monitoring class action case against tobacco companies. Due to Congressional hearings and the tobacco settlements, it's very plain that the cigarette manufacturing industry very closely follows science, and so its senior executives undoubtedly are aware of the indicators that their companies soon enough will face a wave of  expensive medical monitoring and therapy claims arising from new scientific discoveries. Soon enough, it will be routine to provide effective screening examinations to find cancers when they are still microscopic. Incredible new devices and techniques will be used to create innovative therapies that will be developed to "cure" or manage the tumors, all at some significant amount of expense. See generally the many papers of Professor Gary Marchant, most of which are collected on his law school's website at the page which is here. Those developments will make it practical for plaintiff's lawyers to bring claims on behalf of persons in developing countries for which the opportunity for expensive life-saving treatment will create enough economic value to incentivize litigating cases that will have significant emotional appeal to any judge or jury.


My bet? Mr. Bernick's will architect and oversee an effective defense across the broad range of pending cases, all while planning for future efforts to obtain absurdly favorable settlements that promote continuing tobacco use by sharing revenues with governments and lawyers, not to mention, litigation funders, to produce securitized cash flows. The settlement also produced ancillary litigation over access to information from state attorney's general on why and how they settled. Certainly Mr. Bernick is well suited by experience to lead PM through the issues ahead.

Mr. Bernick will have plenty of new challenges because more and more commentators are speaking out on the myriad problems with the handling of mass tort claims. Indeed, new commentators are emerging. Commentators include Prof. Erichson on "The Trouble With All or Nothing Settlements" and others who last year spoke on whether more mass tort claims need to be litigated instead of settled. Prof. Burch wrote a post this past Friday on Prof. Redish's new book arguing that many mass tort class action procedures are unconstitutional (an issue I've been litigating and arguing since the late 1980s.) She also links to a summary of contra papers by Prof. Issacharoff, who also is a paid partisan and advocate in asbestos litigation, including (among others) the THAN bankruptcy (click by the first screen and then you should land at the page for In re T H Agriculture & Nutrition, L.L.C., Case No. 08-14692 (REG). The THAN case is the asbestos bankruptcy that produced a declaration from an asbestos  plaintiff's lawyer regarding his understandings from chapter 11 plan negotiations regarding his firm's clients being paid an average of over 700k per claimant for future claims against the THAN trust.

Challenges also will arise due to commentary and new thoughts from overseas. Prof. Burch wrote this recent cogent post summarizing a new report from the UK on tort claiming. To tease you to go read more, here are two key excerpts from the post summary:

"Of additional import, the final report recommends that solicitors and barristers should be allowed to enter into contingency fee arrangements, which are currently prohibited. Before entering into such an arrangement, the report recommends that claimants receive independent advice. It also suggests capping the fees at 25%.



Finally, the report recommends making third-party funding available to personal injury claimants (including those involved in collective actions). It defines third party funding as "The funding of litigation by a party who has no pre-existing interest in the litigation, usually on the basis that (i) the funder will be paid out of the proceeds of any amounts recovered as a consequence of the litigation, often as a percentage of the recovery sum; and (ii) the funder is not entitled to payment should the claim fail." (Final Report at p. 17). Very interesting."

UK corporate and insurance company lawyers issued a January 19 report she links to; here's their bottom line:

"If Jackson LJ's recommendations are passed into law, it seems safe to predict that they will lead to an increase in the number of collective actions seeking damages for personal injury. In particular, group claims against the manufacturers of allegedly defective products, which are no longer routinely funded by legal aid as they were in the 1980s and 1990s, are likely to become more common. Claimants with an arguable claim of this type would generally be able to proceed under a contingency fee, CFA or third-party funding arrangement without the spectre of possibly having to pay, out of their own pockets, either their own lawyers' fees or the costs of their opponent.

Costs shifting would remain in place for most types of collective action, such as those involving claims for anti-competitive behaviour or consumers' claims for economic loss. In these cases, the loser-pays rule would remain a significant disincentive to claimants considering a group action and would protect defendants against frivolous or speculative lawsuits.

The big question now is whether these reforms will be implemented. Jackson LJ appears to hold the view that his recommendations, which he describes as "a coherent package of interlocking reforms", should not be viewed individually but as a comprehensive set of proposals. Some of these proposals could be introduced relatively easily by amendment to the Civil Procedure Rules, such as the introduction of a qualified one-way costs shifting regime, but for the most part primary legislation would be required in order to give effect to other recommendations, such as abolishing the recoverability of success fees from defendants. With the general election taking place this year, civil justice reform is unlikely to be high on the Government's agenda. The likely delay will provide a window of opportunity for those who have concerns about particular aspects of these recommendations to make them known before the reforms are finally implemented."


We surely are living in interesting times for mass tort claiming.
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Here is the article from the Chicago Tribune regarding Mr. Bernick; the text is pasted below.

Friday, January 22, 2010

Top litigator at Kirkland leaving for Philip Morris

David Bernick, a star litigator at Kirkland & Ellis, is leaving the firm to become general counsel at Phillip Morris International.

Bernick has been with Kirkland for 31 years and has been involved in nearly every type of complex litigation imaginable, from defending companies with asbestos liability to representing breast-implant manufacturers.

"I have spent my entire career at Kirkland & Ellis and I am proud to have contributed to the growth and success of one of the top law firms," said Bernick in a statement provided by the firm. "I will remain close to my many friends and colleagues at the firm, but I look forward to pursuing new challenges during the next phase of my career with Philip Morris International."

Kirkland's incoming chairman, Jeffrey Hammes, said: "David has been an integral part of our premier litigation practice, and his achievements during his 31 years at Kirkland are truly remarkable. We thank him for his varied and long-standing service to the Firm and we wish him success in his new role.

Bernick will join Philip Morris on March 1. As part of the move, he will relocate to Switzerland from New York.

Tip of the hat to Above the Law for breaking the news.

Tobacco Lawsuit in Japan - No Relief Obtained

An article is here regarding a tobacco suit in Japan http://www.washingtonpost.com/wp-dyn/content/article/2010/01/22/AR2010012203301.htmlfailing to garner any relief.

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Interesting Posts at Nudge, Including Old Tobacco Ad

One of the best books I read last year was Nudge by Profs. Thaler and Sunstein, so I try to follow their ongoing Nudge blog. A post this week includes links to some interesting wesbsite on "greenwashing," "and a picture of a priceless old tobacco ad. Ads of that sort matter in some law suits today because some young jurors today have no idea why people ever smoked.