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Posted with permission of TRIAL (March 2007)                                             TRIAL · Fighting preemption · March 2007 · Volume 43, Issue 3
Copyright American Association for Justice, formerly Association of Trial Lawyers of America.




                     Why preemption
                proponents are wrong
Corporate defendants' claim that the effect of state tort actions is equivalent to
state positive law has no merit. The reality is that consumer protection can be
guaranteed only when tort remedies work in tandem with federal regulation.
                                                                                                                           BRIAN WOLFMAN



T
        he basic idea of federal preemp-           because, for instance, these products              seeking damages on the ground that the
        tion is easily stated: It is a con-        have been approved for marketing by a              plaintiff's injuries were caused by the
        stitutionally mandated principle           federal agency harms both the injured              device's defective design or inadequate
that demands that federal law trumps               people and society generally.                      labeling is also preempted.
state law when the two conflict or in                                                                     In other words, is the effect of posi-
the rare instances when a federal law is           An unsound theory                                  tive law (in this case, a state's positive
so comprehensive that there's no role                                                                 law requirement that a product not be
                                                      The theoretical basis that defendants
left for state law to fill. But in practice,                                                          marketed) the same as a jury's damag-
                                                   offer for preemption of state tort law
courts have often had difficulty applying                                                             es verdict (in this case, a state's award
                                                   is not firmly established in preemption            of damages based on a design defect)?
the principle.
                                                   doctrine. I don't mean the detailed com-           This is an important question because
    For plaintiff lawyers, preemption is
an ever-present worry. When your cli-              parison between a particular federal reg-          defendants have relied heavily on the
ent has been injured by a defective car,           ulatory regime and the state tort claims           argument that positive law and com-
truck, medical device, boat, tobacco               asserted in a particular case. There, as           mon law damages exert the same regu-
product, pesticide, or mislabeled drug,            the case law shows, the devil is in the            latory effect and that when positive law
or has been victimized by a bank or                details.2 I am referring to defendants' ef-        is preempted, common law should be as
other lending institution, the defendant           forts to equate the effect of tort law--of         well.
will probably assert that federal law pre-
empts your client's state law damages                 Defendants have relied heavily on the argument
claim. You can expect this argument no
matter how weak the federal regulatory                that positive law and common law damages exert
scheme or how attenuated the connec-                  the same regulatory effect and that when positive
tion between that scheme and the harms
your client suffered or the state law                 law is preempted, common law should be as well.
duties under which your client seeks a
remedy.1
                                                   state law damages actions--with posi-                 Does the Supreme Court buy into
    But defendants' and tort "reformers'"
                                                   tive state regulation.                             this equivalence between positive state
pro-preemption arguments do not reflect
                                                      For example, assume that a fed-                 regulation and a jury's award of damag-
current preemption doctrine as estab-
lished by the courts. A common--and                eral agency has approved the market-               es? To put it mildly, the Court has been
false--argument for preemption, for ex-            ing of a particular medical device as it           unpredictable.
ample, is that state tort law necessarily          is currently designed, manufactured,                  Its first statement on this topic was
interferes with federal regulatory objec-          and labeled and that a state's ban on              in the labor law context, in San Diego
tives.                                             the marketing of this device would be              Building Trades Council v. Garmon.3
    Moreover, preemption of state tort             preempted on the ground that it would              Garmon involved a business's attempt
law is a bad idea. Immunizing the mak-             conflict with federal law. The question,           to prevent union picketing by bringing a
ers of products that cause injury simply           then, is whether a state law tort suit             suit under California law seeking an in-
junction and damages. In an early stage               In 1992, the Court seemed to change       to warn.
of the litigation, the Supreme Court ruled         course. A plurality opinion in the fa-           In responding to the tobacco in-
that the injunctive relief was preempted           mous tobacco liability case, Cipollone       dustry's arguments that the 1965 act
by the National Labor Relations Act.4              v. Liggett Group, Inc., relied on the        preempted state law damages claims
The Court also rejected the attempt to             language from Garmon quoted above            based on the industry's failure to warn,
impose damages under California law:               and concluded that the Public Health         the Court seemed to reject the Garmon
                                                   Cigarette Smoking Act of 1969, which         viewpoint as a general, overarching jus-
   [State] regulation can be as effectively        requires specific warnings on cigarette      tification for preemption: "[T]here is no
   exerted through an award of damages as          packages, preempted some, but not all,       general, inherent conflict between feder-
   through some form of preventive relief.
                                                   tort claims based on a failure to warn       al preemption of state warning require-
   The obligation to pay compensation can
   be, indeed is designed to be, a potent
                                                   about the dangers of smoking.8               ments and the continued vitality of state
   method of governing conduct and control-           This section of the Cipollone deci-       common law damages actions."11
   ling policy. Even the states' salutary effort   sion was premised in part on particular          The internal tension in Cipollone
                                                                                                carried over to a 1996 medical device
The Supreme Court has said it is `perfectly rational'                                           preemption case, Medtronic v. Lohr.12
                                                                                                A plurality opinion, again authored by
for Congress to preempt state positive law but not                                              Justice Stevens, suggested that a ratio-
                                                                                                nal Congress could (and did) treat state
common law claims, which `perform an important                                                  common law damages actions differ-
remedial role in compensating accident victims.'                                                ently from positive state law,13 while the
                                                                                                dissenters and one concurring justice
                                                                                                generally equated the two.14
   to redress private wrongs or grant com-         language of the 1969 act that purported-
   pensation for past harm cannot be exerted       ly pointed in the direction of preemption
   to regulate activities that are potentially
                                                   of common law duties.9 But it also relied    Divining congressional
                                                                                                intent
   subject to the exclusive federal regulatory
   scheme.5                                        on Garmon's claim that damages liabil-
                                                   ity can have, and is intended to have, the       Although the Supreme Court's con-
   Garmon was not a products liability             same effect on the defendant's future        fusion on this score runs deep, it is im-
case, and federal labor laws, unlike most          conduct as would positive state regula-      portant to mention three rulings from
federal statutes that regulate consumer            tion. Since then, defendants in products     the Court that directly challenge the
products and services, authorize mone-             liability and similar cases have relied on   premise that positive law and damages
tary remedies. Garmon thus presented a             this language from Garmon and Cipol-         liability are the same for preemption
different situation from the medical de-           lone ad nauseam, in an effort to show        purposes. First, in Goodyear Atomic
vice example above because neither the             that state tort law and state positive law   Corp. v. Miller, the Court considered
relevant federal regulatory statute nor            have the same regulatory effect--that is,    whether an Ohio administrative agency
any other federal law provides a means             that they are inherently the same.           could, consistent with federal preemp-
to compensate people harmed by medi-                   But not so fast. In the majority por-    tion principles, award additional work-
cal devices.6                                      tion of the Cipollone decision--which        ers' compensation benefits based on
   Nevertheless, it is easy to see why             addressed the preemptive effect of an        violations of state safety standards at
preemption-seeking defendants rely so              earlier version of the cigarette-labeling    a federally owned, privately operated
heavily on Garmon. Its exclusive focus             law (the 1965 Federal Cigarette Label-       nuclear production facility.15
on tort damages as a regulatory, rather            ing and Advertising Act)--just a few             The Court held that the additional
                                                   paragraphs above the endorsement of          award was not preempted. Acknowledg-
than a compensatory, tool is useful to
                                                                                                ing that state positive law safety require-
defendants seeking to equate positive              Garmon, the same justice who wrote
                                                                                                ments might be preempted, the Court
law with tort law.                                 the plurality opinion, Justice John Paul
                                                                                                viewed damages liability as fundamen-
   But Garmon arose in a context quite             Stevens, said something quite different:
                                                                                                tally different:
different from modern tort law, and even           that the 1965 act, because of its particu-
after Garmon, the prevailing assumption            lar wording, preempts "only positive            Congress' reluctance to allow direct state
in the courts was that regulatory stan-            enactments by legislatures or adminis-          regulation of federal projects says little
                                                                                                   about whether Congress was likewise
dards and state compensation schemes               trative agencies that mandate particular
                                                                                                   concerned with the incidental regulatory
occupied separate spheres.7 Indeed, until          warning labels" and "not . . . common           effects arising from the enforcement of a
the 1990s, the Supreme Court had never             law damages actions."10 The Court held          workers' compensation law, like Ohio's,
held a state law tort claim preempted              that although the 1965 act preempted            that provides an additional award when the
                                                                                                   injury is caused by the breach of a safety
by federal regulation, at least not where          state positive law labeling requirements,
                                                                                                   regulation. The effects of direct regula-
federal law itself did not provide a right         it did not preempt any state damages ac-        tion on the operation of federal projects
of action for damages.                             tions, even those premised on a failure         are significantly more intrusive than the
   incidental regulatory effects of such an ad-   itive law, it has not expressly touted tort   protector of its citizens' health and safe-
   ditional award provision. [The] appellant      law's remedial function. And tort law's       ty.23
   may choose to disregard Ohio safety regu-
   lations and simply pay an additional work-     ability to compensate the injured is one          In short, once the overarching justifi-
   ers' compensation award if an employee's       way that tort law and positive adminis-       cation for tort preemption is gone, pre-
   injury is caused by a safety violation. We     trative law requirements differ funda-        emption proponents must come up with
   believe Congress may reasonably deter-         mentally.                                     some other, more case-specific, justifi-
   mine that incidental regulatory pressure is
   acceptable, whereas direct regulatory au-
                                                      Finally, in Bates v. Dow Agrosci-         cation. They no longer have a knockout
   thority is not.16                              ences, a 2005 case about whether the          punch.
                                                  Federal Insecticide, Fungicide, and Ro-           A typical express preemption provi-
    The last sentence, which suggests             denticide Act preempts state tort claims,     sion goes something like this: Preemp-
that Congress had thought about the dif-          the Court overruled the pro-preemption        tion occurs where a state law "require-
ferences between "incidental regulatory           position of nearly every federal circuit      ment" conflicts with a federal positive
pressure" and "direct regulatory author-          and about 30 state appellate courts.19        law "requirement."24 That language,
ity," seems a misstatement. Like most                 The Court confronted an express pre-      standing alone, doesn't tell the courts
federal regulatory statutes--even those           emption provision that preempts state         much about whether state tort law is or
that expressly preempt state law--the             law "requirements" when they differ           is not preempted. If anything, because
statutes relevant in Goodyear Atomic              from, or add to, federal regulatory re-       the federal law "requirement" is indis-
had said nothing about preemption of              quirements.20 In holding that most (and       putably a positive regulatory require-
state law monetary liability. In reality,         possibly all) of the plaintiff's claims       ment, it makes sense to think of the state
the Court was saying that positive law            were not preempted, the Court ex-             law "requirement" as being one of posi-
and damages liability do not exert the            plained that a positive law "requirement      tive law as well.25
same regulatory effect and that a reason-         is a rule of law that must be obeyed; an          And these ambiguous provisions sit
able Congress, if it had thought about            event, such as a jury verdict, that merely    smack-dab in the middle of statutes en-
the question, would not have equated              motivates an optional decision, is not a      acted in the 1960s and 1970s to improve
the two in confronting the issue present-         requirement."21 The Court was making          consumer safety and health or financial
ed by the case.                                   the point that positive regulation has a      security, such as the Medical Device
    Nor can the Garmon formulation be             much more direct effect on conduct than       Amendments or the National Traffic
squared with two more-recent Supreme              does a damages award.                         and Motor Vehicle Safety Act, to name
Court forays into tort preemption. In                 Why are these cases important? Be-        but two. And those statutes contain not
Sprietsma v. Mercury Marine, which                cause if the basic theoretical justifica-     a word--not a single word--suggesting
considered a preemption argument                  tion for preemption--equating state           that what Congress was really doing was
based on the Federal Boat Safety Act              positive law and state tort law--is not       enacting massive tort "reform" more ex-
(FBSA), a young woman died tragically             really a part of the legal landscape, then    pansive than the express tort "reform"
when she fell overboard and was struck            defendants have only two things on            statutes that Congress has been repeat-
by a boat's propeller blades.17 One of the
questions the case presented was wheth-              To the extent that tort law exerts regulatory effect
er a state common law claim premised
on a boat manufacturer's failure to in-              on a drug maker, it does so only after repeated suits,
stall a propeller guard was preempted
by the FBSA's express preemption pro-
                                                     settlements, and findings of liability; even then
vision--which, according to the manu-                the cause-and-effect relationship is rarely clear.
facturer, preempted all positive law and
common law regarding boat safety.
                                                  which to hang their hats: highly ambigu-      edly unwilling to enact over the last 20
    The Court rejected that argument. It
                                                  ous express preemption provisions cre-        years.26
noted that it is "perfectly rational" for
Congress to preempt state positive law            ated by Congresses that were striving to         Let's take one possible illustration of
but not "common law claims, which--               increase protections for consumers, or,       such a claim's implausibility. Is it pos-
unlike most administrative and legisla-           even less plausibly, claims of implied        sible that the Medical Device Amend-
tive regulations--necessarily perform             preemption arising from the interstices       ments to the Food, Drug, and Cosmetic
an important remedial role in compen-             of federal law.22                             Act27--sponsored by Sen. Edward Ken-
sating accident victims."18                          Neither of these assertions should         nedy (D-Mass.) and passed in 1976 by
    This statement is important because,          fare well if the courts consistently ap-      an overwhelmingly Democratic post-
generally, even when the Court has re-            ply the presumption against preemption        Watergate Congress in response to
fused to find tort claims preempted and           of state law, which is said to apply with     medical device tragedies such as the
has challenged the notion that tort law           particular force in tort cases because of     Dalkon Shield saga28--were intended to
exerts the same regulatory effect as pos-         the state's traditional role as the prime     eliminate the right to recover under state
law for injuries caused by defective         duct of the regulated industry.                has a nonregulatory component--com-
FDA-approved medical devices? Some               Contrast that direct regulatory power      pensation--that is virtually never a
people may believe that tort preemption      with the tort system. Large industry play-     component of the U.S. administrative
is a good thing, but they can't seriously    ers generally react slowly, and some-          law system. To put it another way, feder-
believe that it arises from an enactment     times not at all, to liability pressures.      al agencies that regulate virtually never
like the Medical Device Amendments.          Most instances of liability are absorbed       compensate.
    As Kennedy bluntly put it, "The leg-     without a change in the manufacturer's            Unfortunately, much modern preemp-
islation is written so that the benefit of   conduct, or at least the kind of change        tion doctrine and many legal academics,
the doubt is always given to the con-        that a regulator could bring about swift-      intrigued by the theoretical regulatory
sumer. After all, it is the consumer that    ly. As the District of Columbia Circuit        effect of tort as a means of social con-
pays with his health and life for medical    has recognized, the imposition of dam-         trol, have not focused on the compensa-
device malfunctions."29                      ages liability does not legally compel the     tory component. Yet the principal pur-
                                                                                            pose of tort law--particularly in a world
Even those inside the FDA have raised serious                                               where, at least in theory, the agencies
                                                                                            are already accomplishing their regula-
questions about the agency's ability to achieve its                                         tory function--is compensation.
                                                                                               Compensation is what distinguishes
mission. FDA employees have expressed alarm at                                              the tort system from the modern regula-
the improper pressure they felt to approve drugs.                                           tory state. That is not to say that the cre-
                                                                                            ation and perpetuation of tort duties are
                                                                                            not intended to have an effect on future
A practical question                         defendant to alter its future conduct.32
                                                                                            conduct. They are. But, at the very least,
    The doctrinal playing field regarding        To the extent that tort law exerts a
                                                                                            regulatory control and compensation
preemption is therefore wide open. The       regulatory effect on a drug manufac-
                                                                                            are major goals of tort law. That being
next question, then, is a practical one:     turer, it does so only after repeated suits,
                                                                                            so, why should the compensation prin-
Does equating positive law with tort         settlements, and findings of liability--
                                                                                            ciple give way to the regulatory prin-
law work as a practical matter? In other     and even then the cause-and-effect rela-       ciple when there is a perceived "regula-
words, does the equation make empiri-        tionship is rarely clear. In many instanc-     tory" conflict between tort law and the
cal sense? That's an easy one, and the       es, even after an onslaught of lawsuits,       administrative state? And why shouldn't
answer is no.                                the manufacturer holds out for a long          the plaintiff's interest in compensation
    As a matter of regulatory impact, it     time--or forever. The Supreme Court            prevail, particularly given the current
is a huge leap from the proposition that     put this well in Goodyear Atomic, when         political reality, in which federal law
tort law is meant to (and does to some       it said that "the effects of direct regula-    provides neither comprehensive health
degree) have a regulatory effect, to the     tion on the operation of federal projects      care nor accident insurance?
proposition that its impact is equivalent    are significantly more intrusive than the         Given these political deficiencies and
to direct, positive law regulation.          incidental regulatory effects of such an       the relatively weak regulatory effect of
    When the FDA, for instance, wants to     additional award provision."33                 tort, the compensation principle should
get a food, drug, or device off the mar-         Of course, there is some symbiosis         trump the regulation principle, at least
ket, it can do so swiftly. It can actually   here. The regulatory system exerts pres-       in the absence of the most direct types
seize products, like David Kessler did       sures on the tort system and vice versa,       of conflict between federal law and state
with misbranded orange juice when he         both exert financial and political pres-       law (for instance, where federal law for-
first became FDA commissioner.30 It can      sure on politicians and industry, and          bade boat propeller guards, and the state
deny regulatory approval; it can impose      both are capable of publicizing informa-       law tort claim was premised on a duty
advertising restrictions; it can demand      tion that would otherwise stay locked          to provide one,34 or where federal law
data. The Food, Drug, and Cosmetic           away in corporate file cabinets. But that      prohibited air bags, and the state law tort
Act gives industries the right to oppose     doesn't alter the basic truth: There is no     claim was premised on a duty to require
agency action, but as a practical matter,    reason to build a body of legal literature     them35). In this regard, one conception
the agency generally can exert its posi-     and judicial doctrine on the equivalency       of strict products liability--in which
tive law priorities with great force.        between tort and direct regulation when        the law acknowledges that even social-
    Of course, agencies often do not         that equivalency is not remotely accu-         ly beneficial products can cause grave
exercise their full regulatory authority     rate.                                          harm and allows those products on the
because of indifference, insufficient re-                                                   market but compensates those who are
sources, lack of political will, or "cap-    Compensatory role                              injured--is perfectly consistent with a
ture" by the regulated industry.31 But          Against this background, there are          regulatory system that seeks, but can
federal agencies, if they wish to do so,     two reasons why tort preemption is gen-        never fully achieve, optimal health and
have the ability to quickly alter the con-   erally a bad idea. First, the tort system      safety benefits.36
    The regulatory system is not intend-       preemption, but to show why preemp-              propriately exclude or alter technical in-
ed to prevent all harm, nor could it--and      tion would do violence to public safety          formation or my conclusions in an FDA
this is the second reason why preemp-          and to the agency's mission. To put it           scientific document."44
tion is generally a bad idea. Regulation       mildly, the FDA's preemption plea is ill-           Similarly, in a 2003 survey by the
is meant to balance risks and benefits         timed. Recently, two independent gov-            FDA's parent agency, the Department
(with the knowledge that injuries will         ernment reports have described the dan-          of Health and Human Services, 18 per-
occur) in a highly imperfect system,           gerous shortcomings in FDA oversight             cent of FDA physicians and scientists
where regulators depend almost ex-             of drug safety.                                  who responded reported pressure to rec-
clusively on profit-motivated sellers to          First, in a report issued in March            ommend that drugs be approved, even
submit all available, relevant data--data      2006, the Government Accountability              when they had reservations about the
that changes over time, as new informa-        Office concluded that the                        drugs' safety, effectiveness, or quality,
tion emerges after a product is marketed                                                        and 66 percent lacked confidence that
                                                  FDA lacks clear and effective processes
to the public.                                    for making decisions about, and provid-
                                                                                                the agency "adequately monitors the
    Even if we assume that tort law ex-           ing management oversight of, postmarket       safety of prescription drugs once they
erts some regulatory pressure--and I              safety issues. The process has been limited   are on the market."45
do--why wouldn't we want it to do so?             by a lack of clarity about how decisions         Rezulin, Lotronex, Celebrex, Vioxx,
                                                  are made and about organizational roles,
The Supreme Court itself has seemed                                                             Zoloft, Prozac, and Accutane are among
                                                  insufficient oversight by management, and
to answer that question affirmatively,            data constraints.41                           the many drugs that have required post-
understanding both that tort law does                                                           approval labeling changes to add or
not exert the same regulatory effect as           And more recently, a National Acad-           strengthen warnings. Several were re-
positive law and that it can apply use-        emies Institute of Medicine report,              moved from the market entirely.
ful pressure where the regulatory system       prepared at the FDA's request, found                The labeling changes were due, at
fails to achieve its full purposes.37          that the drug safety system is impaired          least in part, to information and pressure
    A present-day example helps il-            by "serious resource constraints that            derived from the tort system. As a 2002
lustrate the serious concerns raised by        weaken the quality and quantity of the           medical journal article noted, "Many
a system that would tolerate both tort         science that is brought to bear on drug          serious [adverse drug reactions] are
preemption and regulatory failure. In a        safety; an organizational culture in [the        discovered only after a drug has been
regulatory preamble accompanying a             FDA] that is not optimally functional;           on the market for years. Only half of
new FDA rule concerning drug labeling,         and unclear and insufficient regulatory          newly discovered serious [adverse drug
the agency has claimed that its labeling       authorities particularly with respect to         reactions] are detected and documented
rules preempt state tort claims based on       enforcement."42                                  in the Physicians' Desk Reference [the
a drug manufacturer's failure to warn.38
    In other words, the agency maintains          The Supreme Court recognizes that tort law does
that the principal type of state law dam-
ages claim raised by people injured by            not exert the same regulatory effect as a positive
drugs has been silently obliterated by
federal law--silently, because no fed-            law and can apply useful pressure where the
eral statute or regulation remotely sug-          regulatory system fails to achieve its full purposes.
gests such a result. As a legal matter, the
FDA's view seems like a stretch for a
                                                  Even those inside the agency have             doctors' drug-labeling bible] within sev-
host of reasons, not the least of which is
                                               raised serious questions about the FDA's         en years after drug approval."46
that when Congress was considering the
                                               ability to achieve its mission. In two re-          With all that said, do we really want
legislation that became the Food, Drug,
                                               cent surveys, FDA employees expressed            to override the tort system? Do we real-
and Cosmetic Act in 1938--the legis-
                                               alarm at the improper pressure they felt         ly want a system where imperfect regu-
lation that authorizes the FDA to issue
                                               to approve new drugs.                            latory agencies, all too often influenced
labeling rules in the first place--it "re-
                                                  In one survey, released by the Union          by the regulated industries, must do the
jected a provision in a draft of the origi-
                                               of Concerned Scientists last summer,             job on their own, while those who are
nal (FDCA) providing a federal cause of
                                               60 percent of FDA employees who re-              injured have no means of compensation?
action for damages because `a common
                                               sponded knew of situations "where                To ask those questions is to answer them.
law right of action [already] exists.'"39
As my colleague Allison Zieve and I            commercial interests have inappropri-            B R I A N W O L F M A N is director of the
have elsewhere explained, the FDA's            ately induced or attempted to induce the         Public Citizen Litigation Group in
preemption position has no legal support       reversal, withdrawal, or modification of         Washington, D.C. The group litigates
and is not entitled to judicial deference.40   FDA determinations or actions."43 Eigh-          preemption cases at all levels of the
    My point for present purposes is not       teen percent agreed that "I have been            federal and state courts. Wolfman can
to undermine the FDA's legal claim to          asked, for nonscientific reasons, to inap-       be reached at brian@citizen.org.
    Notes                                              by judges and juries. . .[,] suggesting that the pre-   rity/FDA-Survey-Brochure.pdf (accessed Feb. 5,
    1.    For a discussion of strategies for defeat-   empted `requirements' established or continued by       2007).
ing a preemption defense based on identifying          states also refer primarily to positive enactments         44.   Id.
differences between the purpose of the relevant        of state law.").
                                                                                                                   45. U.S. Dept. of Health & Human Servs.,
federal regulatory scheme and the purpose of the           26. See e.g. Robert S. Adler & Richard A.           Off. of Inspector Gen., FDA's Review Process for
relevant state common law, see Brian Wolfman &         Mann, Preemption and Medical Devices: The               New Drug Applications--A Management Review
Douglas L. Stevick, Preempting the Preemption          Courts Run Amok, 59 Mo. L. Rev. 895, 940-42 &           12, 19 (Mar. 2003), www.oig.hhs.gov/oei/reports/
Defense, TRIAL 54 (July 1998).                         nn. 185-89 (1994).                                      oei-01-01-00590.pdf (accessed Feb. 5, 2007).
   2.    See e.g. Bates v. Dow Agrosciences, 544          27.   Pub. L. No. 94-295, 90 Stat. 539 (1976).           46. Karen E. Lasser et al., Timing of New
U.S. 431, 437-42 (2005); Medtronic, Inc. v. Lohr,          28. See e.g. Medtronic, 518 U.S. at 475-76          Black Box Warnings and Withdrawals for Pre-
518 U.S. 470, 475-80 (1996) (plurality).               (plurality); Adler & Mann, supra n. 26, at 912 &        scription Medications, 287 JAMA 2215, 2218
    3.     359 U.S. 236 (1959).                        n. 84.                                                  (2002).
    4.     Id. at 238.                                     29. 121 Cong. Rec. 10688 (1975); see gen-
    5.     Id. at 247.                                 erally Food & Drug Law Inst., An Analytical
                                                       Legislative History of the Medical Device Amend-
   6.    See Medical Device Amendments to the
                                                       ments of 1976 (Daniel F. O'Keefe Jr. & Robert A.
Food, Drug, and Cosmetic Act, Pub. L. No. 94-
                                                       Spiegel eds., 1976).
295, 90 Stat. 539 (1976) (codified chiefly at 21
U.S.C. §§360c-360k (2000)).                                30. Warren E. Leary, Citing Labels, U.S.
                                                       Seizes Orange Juice, N.Y. Times A18 (Apr. 25,
    7.    See e.g. Silkwood v. Kerr-McGee Corp.,
                                                       1991).
464 U.S. 238, 251-53 (1984); Hurley v. Lederle
Laboratories, 863 F.2d 1173, 1176-78 & n. 2 (5th           31. For a comprehensive review of these
Cir. 1988); Osburn v. Anchor Laboratories., Inc.,      problems at an agency particularly indifferent
825 F.2d 908, 911-13 (5th Cir. 1987); Ferebee          to its safety mission, the Federal Motor Carrier
v. Chevron Chem. Co., 736 F.2d 1529, 1539-43           Safety Administration, see Stephen Labaton, As
(D.C. Cir. 1984); Feldman v. Lederle Laborato-         Trucking Rules Are Eased, a Debate on Safety
ries, 479 A.2d 374, 390-91 (N.J. 1984).                Grows, N.Y. Times A1 (Dec. 3, 2006), http://se-
                                                       lect.nytimes.com/search/restricted/article?res=F5
   8.   505 U.S. 504, 521 (1992) (quoting Gar-
                                                       0F15FC345A0C708CDDAB0994DE404482 (fee
mon, 359 U.S. at 247).
                                                       required) (accessed Feb. 5, 2007).
    9.     Id.
                                                          32.   See e.g. Ferebee, 736 F.2d at 1541.
    10.    Id. at 519.
                                                          33.   486 U.S. at 185.
    11.    Id. at 518.
                                                          34.   Sprietsma, 537 U.S. 51.
    12.    518 U.S. 470.
                                                          35. Geier v. Am. Honda Motor Co., 529 U.S.
    13.    Id. at 486-89.                              861 (2000).
    14. Id. at 504-05 (Breyer, J., concurring),            36. See William Lloyd Prosser et al., Prosser
510 (O'Connor, J., Rehnquist, C.J., Scalia, J., &      & Keeton on Torts 536-37, 692-93 (4th ed., West
Thomas, J., concurring in part and dissenting in       1984); Clarence Morris, Morris on Torts 240-41
part).                                                 (2d ed., Foundation Press 1980).
    15.    486 U.S. 174 (1988).                           37. See e.g. Bates, 544 U.S. at 451 (quoting
    16.    Id. at 185-86.                              Ferebee, 736 F.2d at 1541-42).
    17.    537 U.S. 51 (2002).                            38.   71 Fed. Reg. 3922, 3933-3936 (Jan. 24,
                                                       2006).
    18. Id. at 64. The Court also rejected the
manufacturer's argument that the plaintiff's com-          39. Adler & Mann, supra note 26, at 924 &
mon law claim was impliedly preempted by the           n. 130.
Coast Guard's supposed safety-based opposition             40. Allison M. Zieve & Brian Wolfman, The
to propeller guards or by the FBSA more gener-         FDA's Argument for Eradicating State Tort Law:
ally. Id. at 64-70.                                    Why It Is Wrong and Warrants No Deference, 21
    19.    544 U.S. 431, 441 (2005).                   Toxics Law Rep. 516 (2006) & 34 Prod. Safety &
                                                       Liab. Rep. 308 (2006). See also Louis M. Bograd,
    20.    7 U.S.C. §136v(b) (2000).
                                                       Taking on Big Pharma--and the FDA, on page 30
    21.    Bates, 544 U.S. at 445.                     of this issue.
     22.   See e.g. Medtronic, 518 U.S. at 487 (plu-       41. U.S. Govt. Accountability Off., Improve-
rality).                                               ment Needed in FDA's Postmarket Decisionmaking
    23.    Id. at 485.                                 and Oversight Process, Highlights GAO-06-402
    24. See e.g. 7 U.S.C. §136v(b) (2000) (pes-        (Mar. 2006), www.gao.gov/new.items/d06402.pdf
ticides); 21 U.S.C. §360k(a) (2000) (medical de-       (accessed Feb. 5, 2007).
vices).                                                     42. Inst. of Med., The Future of Drug Safety:
     25. See e.g. Medtronic, 518 U.S. at 489 (plu-     Promoting and Protecting the Health of the Pub-
rality) (21 U.S.C. §360k "refers to `requirements'     lic, S-4 (Sept. 22, 2006), http://iom.edu/?id=37339
many times throughout its text. In each instance,      (accessed Feb. 5, 2007).
the word is linked with language suggesting that           43. Union of Concerned Scientists, Voices of
its focus is device-specific enactments of positive    Scientists at the FDA: Protecting Public Health
law by legislative or administrative bodies, not       Depends on Independent Science (2006), www.
the application of general rules of common law         ucsusa.org/assets/documents/scientific_integ-