Pre-emption could give Bayer an escape from Trasylol case

November 11th, 2008 by Kurt Niland

Zero accountability for drug companies?

Bloomberg recently ran an article about pharmaceutical companies enjoying their “get out of jail free cards” — revisions to regulations that favor the rights of pharmaceutical companies over consumers who use their drugs. The revised regulations, written just after George W. Bush’s second inauguration in 2005, allow federal law to trump state law, thereby clearing the path for drug manufacturers to develop, test, market, and essentially do business with impunity from the law.

Think corporate Utopia. Think David vs. Goliath where Goliath enjoys a major handicap.

According to the U.S. Constitution, any decision to pre-empt state law must be authorized by Congress. However, several federal agencies have navigated around that obstacle (probably whining that it takes an act of Congress to trump state law) by inconspicuously writing language into the preamble of federal regulations and then using those preambles to change the law.

The issue, however, is not as clear cut as it would seem. Some trial courts have ruled the regulatory preambles to be permissible. The American Association for Justice on the other hand belies them to be unconstitutional. In any case, pre-emption effectively strips state government and courts – and the U.S. Congress – of its authority.

Not exactly the antithesis of “big government,” yet some politicians would whisk away any concerns as tort reform. To get a clearer picture of the dangers posed by corporate immunity, look at the individual cases – the examples of real people who are grappling with greatly diminished protection.

Look at Joe Randone and his family, who are suing . Randone was a 52-year-old heart patient when he was given Trasylol in an IV drip. Immediately after the surgery, Randone suffered from two heart attacks and kidney failure. His gall bladder had to be removed and he was so swollen he couldn’t close his eyes, which were eventually sewn shut to protect his corneas. Gangrene set in to his lower extremities and both of his legs had to be amputated. Randone held on like this for 8 months but ultimately passed away in his hospital bed. All of this happened while , the manufacturer of , was aware of the drug’s dangers and took no measures to prove its safety one way or another, even after smaller tests indicated the drug was highly toxic.

is claiming immunity in the Randone  case because was approved by the . Also, language in the preamble to the ’s prescription drug labeling rule also may turn out to be an easy escape route for .

Who are the government and the really protecting? Pharmaceutical companies and medical device manufacturers are businesses; they need to make profits and their pipeline must look promising to investors. Loosening regulations and excusing corporations from accountability, however, seems to be as shortsighted as it is callous.

As scores of people become injured or die from taking newer, barely tested medications, doesn’t it stand to reason that doctors and patients would want to stick with the tried and trusted generics? How long will it be before the regulations intended to help corporations cause them to implode?

  • D. Hall
    I actually know someone whose mother died from being given Trasylol. Kidney failure was the biggest problem. Her family received a settlement of almost $20M from Bayer.
  • Hello,

    Thank you so much for taking the time to comment here on this site. I am
    so sorry to hear of your friend's mother's passing as a result of
    Trasylol. However, it sounds as if her family got their day in court to
    secure justice against the manufacturer. Even though no amount of money
    can make up for the loss of their mother, we can hope that such a lesson
    will teach the drug company to pay more attention to the value of human
    life, and hopefully prevent more families from suffering in the future.
    Thank you again for sharing!

    Sincerely,
    Wendi L. Lewis
    Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.
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