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Addressing the Conflict: FDA vs. Torts

BY Bert W. Rein, William A. McGrath,
November 10, 2003

Our legal system supports two regulators of the safety of prescription drugs ' the U.S. Food and Drug Administration and courts applying the tort liability regime. The FDA's mission, while narrowly circumscribed in its early years, grew dramatically over the last half of the twentieth century. Today, the FDA administers the most comprehensive drug regulatory system in the world. (See Jeffrey E. Shuren, The Modern Regulatory Administrative State: A Response to Changing Circumstances, 38 Harvard J. on Legis. 291, 299-315 (2001); Michael D. Green, Statutory Compliance and Tort Liability: Examining the Strongest Case, 30 U. Mich. J.L. Ref. 461, 464 (1997); Charles J. Walsh et al., Rationalizing the Regulation of Prescription Drugs and Medical Devices: Perspectives on Private Certification and Tort Reform, 48 Rutgers Law Rev. 883, 890-929 (1996) (detailing the 'pervasive' reach of FDA regulation as controlling 'nearly every aspect of the development and marketing of a prescription drug or medical device, from the earliest clinical testing to the contents of the final advertisements used to present the final product to health care providers.').

Yet despite the agency's pervasive oversight of drug safety and effectiveness, and its accumulated expertise, the state-law-based tort system routinely invites judges and juries to second-guess the agency's regulatory decisions in order to ensure compensation to plaintiffs who allege a drug-related injury. This second-guessing raises serious questions concerning the applicability of federal pre-emption principles to avoid inconsistencies between the two regulatory schemes. The tort system may actually have played a role in enhancing drug safety in the days when the FDA did not engage in a thorough review of prescription drugs for safety and efficacy both prior to their distribution and once on the market.

Today, however, tort lawsuits pose an increasing risk of conflicting with the greatly expanded regulatory scheme under which the FDA operates. Unbridled tort litigation also poses the risk of supplanting the FDA's rational, science-based regulation of drugs with judgments made by sympathy-driven lay juries. Indeed, as the FDA's chief counsel recently explained (See Daniel E. Troy, FDA Involvement in Product Liability Lawsuits, FDLI Update, Jan./Feb. 2003), the FDA itself has confronted these conflicts in a number of recent court submissions seeking pre-emption of actions brought under state law where the relief requested would conflict with the Agency's prior scientific determinations.

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