5 posts categorized "Legislation"

November 13, 2007

Yes, Walter - judges are supposed to uphold the constitution.

Walter Olson at Point Of Law attempts to use sarcasm to question court rulings in Illinois:

A right under the state constitution to unlimited damage awards, permanently and forever, no matter what elected state lawmakers may have to say about the matter?

PointofLaw.com | PointOfLaw Forum: Illinois judge strikes down med-mal caps

As Walter no doubt knows, this is the way the system is supposed to work.  No matter what state lawmakers may desire, the courts are not supposed to uphold laws that are unconstitutional.  The fact that (as Walter points out) this is the third time this has happened in Illinois shows two things:

  1. The "reform" movement can't afford to buy a constitutional amendment to get their way;
  2. A group of state lawmakers doesn't give a damn about the Illinois constitution.

There's absolutely nothing wrong with judges refusing to trample the constitution.  You would think that would be obvious, given the constitutional crises here and in Pakistan.

On a related matter, I just noted at TortDeform, insurers don't need "reform" to operate profitably in Illinois.

April 25, 2007

What side will the "reform" advocates take?

"Reform" advocates often claim that trial lawyers and the lawsuits they file prevent many people from getting access to needed medicines.  Supposedly, the threat of product liability lawsuits is so scary that pharmaceuticals aren't releasing perfectly safe drugs.  To hear them tell it, "reformers" are actually consumer advocates, working to ensure more people have access to better medications. 

If increasing access to medications is one of their goals, I would hope that "reform" advocates will work to end the practice of "reverse payments" or "reverse settlements" in the pharmaceutical industry.  Reverse payments allow large pharmaceuticals to pay their competitors not to bring generic drugs to market.  Here are some relevant articles about the practice:

"To qualify for the program [The program that simplifies the approval process for generic drugs. - Justinian], however, the generic lab must show that the original drug's patent is either expired or invalid. When generic labs opting for the latter route -- known as "Paragraph IV certification," after the section of the application attesting to the patent's invalidity -- file their ANDA, they automatically create a patent-infringement cause of action against them by the pioneer drug company. In return for imposing the burden of litigating that patent's validity on a generic manufacturer, the Hatch-Waxman Act rewards it with a 180-day exclusivity period so that it can get a jump on other generic labs if the patent is declared invalid.

If the pioneer company is insecure about the validity of its patent, it may simply choose to reach a "reverse settlement" with the generic entrant -- i.e., it pays the generic manufacturer to drop the case and agree not to bring the generic version to market. An arrangement of this sort between pharmaceutical giant Zeneca and generic manufacturer Barr Laboratories is at the heart of a case up for consideration on Friday by the Court, Joblove v. Barr Labs (No. 06-830). At issue is the patent for tamoxifen, a drug used to treat breast cancer that has become the most widely used cancer drug in the world." (Emphasis in original.)

Source: Philip Brooks' Patent Infringement Updates: Reverse Payments

"AstraZeneca paid Barr $56.9 million to delay its generic version of the breast-cancer drug Tamoxifen, and supplied Barr with Tamoxifen for resale in the US under a royalty arrangement."

Source: Pharmalot: DOJ To FTC: Reverse Payments Are OK

Conveniently, Philip Brooks already emphasized a very important part of his article.  The Hatch-Waxman encourages generic drug manufacturers to bring patent challenges, because if the challenge is successful, the generic manufacturer is rewarded with a six-month period of time in which it will be the only manufacturer allowed to market the generic drug in question.  This is a strong incentive for generic manufacturers to bring patent challenges - which is good for consumers as it leads to cheaper generic drugs.  But it is unquestionably bad for consumers when pharmaceuticals are allowed to bribe generic manufacturers to keep their factories idle.

It will be interesting to see how the Supeme Court resolves the Barr Laboratories case.  Even if the Court continues to allow these bribes, the practice still may be doomed:

"The Senate Judiciary Committee today passed a bill that takes aim at the growing problem of brand-name drug manufacturers using pay-off agreements to delay the public’s access to generic medicines.  The bipartisan Preserve Access to Affordable Generics Act (S. 316) would prohibit brand-name drug companies from exploiting a loophole in the Hatch-Waxman Act to pay generic drug companies to delay entry of new generic medicines into the market." (Emphasis in original.)

Source: Philip Brooks' Patent Infringement Updates: Reverse Payments

Groups like the American Tort Reform Association are generously funded by the drug manufacturers who bribe their competitors.  Will the ATRA bite the hand that feeds it and prove they really are consumer advocates and oppose the loophole?  Or will they show their true color is green and support the "right" of their funders to deny people access to lifesaving medications?  If the latter, I would hope the ATRA will have the integrity not to accuse trial lawyers of denying consumers access to the medications the ATRA's funders are spending millions to keep off the market.

April 16, 2007

Damage caps do the same thing in reverse:

Saw a few blogs grousing about SB 1296 in Illinois:

Among other things, the proposed law would allow the plaintiffs’ lawyers (the personal injury lawyers) to manipulate which defendants in a personal injury case actually go to trial...

Source: ILLINOIZE: Diverse Coalition Opposes Trial Lawyer 'Deep Pockets' Bill

Damage caps do the same thing, only in reverse.  They allow defendants to determine which cases go to trial.  Those in which the defendant really has something to hide, such as the deaths of dozens of customers due to defective tires or medicines, would never go to trial as the defendant can force the plaintiff to settle for the cap.

One way you can tell this bill isn't all bad is to look at who opposes it.  A partial list includes:

• Illinois Business Roundtable
• Illinois Chamber of Commerce
• Illinois Petroleum Council
• Illinois Insurance Association
• Illinois Association of Defense Trial Counsel
• Illinois Manufacturers Association

There's a list of anti-consumer groups if there ever was one, eh?

April 12, 2007

Why does the wind blow across Texas?

 Because Oklahoma tort reform sucks.  (If you've lived in Texas or Oklahoma, it's funny.)  My good friends at the Oklahoma Center for Consumer and Patient Safety wrote about SB 507 on their Myspace site.  This one sounds pretty nasty:

Source: blog.myspace.com/okccps

"SB 507 is being yielded as a comprehensive tort reform bill but should be entitled a comprehensive immunity bill.  There are some really bad sections to the bill which I will highlight below.  Also, we have compiled a list of resources and completed a series of white papers which are on our website at: http://www.okccps.org/okccps.site/civiljusticeresources.htm

· Hard caps on non-economic damages (which would discriminate against elderly, women, and children)  SEE WHITE PAPER found at above listed link

· Provides for an 8 year statute of repose (FOR MORE INFORMATION, SEE WHITE PAPER found at above listed link)

· Eliminates the collateral source rule (FOR MORE INFORMATION, SEE WHITE PAPER found at above listed link)

· Abolishes Joint and Several Liability (FOR MORE INFORMATION, SEE WHITE PAPER found at above listed link)

· Allows for periodic payments on damages (allowing the one who caused harm to pay out their judgment to the injured party)"

I haven't had a chance to check out the bill myself, so if anyone has any additional info about it, shoot it my way.  Better yet, shoot an email to the OKCCPS and get involved with them if you live in Oklahoma. 

April 08, 2007

Big Pharmaceuticals Push Legislation to Hurt Generic Drugs

If you want proof that the pharmaceutical industry looks out only for itself, here it is. Right now, the industry is lobbying for legislation that will make it difficult and in some cases impossible for Medicare patients to get generic drug prescriptions filled. From The Coshocton Tribune:

"This new plan… would pay pharmacists on average 36 percent less than their cost to provide generic drugs, according to a U.S. Government Accountability Office study that was released in December…The federal government's reimbursement rates for brand name drugs would not be affected. Brand name drugs make up 41 percent of the drugs being dispensed in the Medicaid program. Currently, pharmacies make anywhere from 1 to 5 percent profit on their drug sales to Medicaid patients, depending on the area of the country they're in and how they're operated, according to the National Community Pharmacists Association, or NCPA." (Emphasis added.)

The article doesn't make clear that the price reductions don't really affect major pharmacies like Walgreens, but only small neighborhood pharmacies. From The Chilicothe Gazette:

"CMS said it is following guidelines set forth by Congress when it passed the Deficit Reduction Act of 2005, which required the use of average manufacturer price, or AMP to set reimbursement guidelines.

The AMP takes into account outpatient clinic and outpatient hospital prices, mail-order prices and rebates to the big pharmacy-benefit managers, Boyd said.

"Smaller independent pharmacies don't get those rebates and discounts," Boyd said. "And that's where most Medicaid beneficiaries buy their drugs."

Glad to know we're working on reducing the deficit by helping big pharmaceuticals and putting small pharmacies out of business.