vaccines

Tort shield is wrong defense against flu

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In fact, shielding drug manufacturers from lawsuits could actually reduce the number of Americans who get flu shots in an emergency. That's not the trial lawyers talking; it's the American Nurses Association, Consumers Union and the American Public Health Association, groups that oppose the liability shield.

www.startribune.com/stories/561/5767489.html
StarTribune
December 7, 2005

With a scary new strain of bird flu hopscotching across Asia, it's encouraging that Congress and President Bush spent much of this fall working up strategies to protect Americans from what could be a deadly influenza pandemic.

One strategy on their list, however, should be dumped: Giving vaccine manufacturers sweeping protection against lawsuits filed by injured patients.

Public-health experts say offering such liability protection would actually decrease the number of Americans who seek flu shots in a crisis without doing much to increase the number of vaccine manufacturers.

We trust that members of the Minnesota delegation won't get hoodwinked into supporting this wrongheaded idea as the year's congressional session draws to a close.

The premise behind the liability shield is familiar, even plausible: American drugmakers have been pulling out of the vaccine business for the last 20 years, and fear of lawsuits must be one reason. But that argument falls apart on close examination. A recent study in the Journal of the American Medical Association found only 10 lawsuits in the last 20 years over flu vaccines; the authors have concluded that drug companies withdrew from the vaccine business mainly because of low-profit margins and unpredictable demand.

In fact, shielding drug manufacturers from lawsuits could actually reduce the number of Americans who get flu shots in an emergency. That's not the trial lawyers talking; it's the American Nurses Association, Consumers Union and the American Public Health Association, groups that oppose the liability shield.

Why? Every vaccine, no matter how effective, will cause side effects or adverse reactions in a small number of patients. Public-health experts know this, and they say there must be some way to reassure or compensate those who might be injured.

When the Bush administration encouraged first-responders to get smallpox shots in 2003, for example, there was a huge backlash because there was no compensation program for the small number of recipients who might suffer adverse reactions.

All this is no secret to public-health officials, which is why Congress established the Vaccine Injury Compensation (VIC) Program in 1986. It shields drug manufacturers from most lawsuits, but establishes a special fund and a speedy no-fault court to compensate patients injured by a vaccine.

Sen. Christopher Dodd, D-Conn., has been arguing for months that the VIC, or something like it, should be extended to any new federal pandemic vaccine campaign. Instead, a handful of senators are clinging to the broad liability shield and planning to attach it to a defense spending bill that Congress must pass this month. That would be a shameless favor to the drug industry and a dangerous sellout of public health.

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