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Title: Johnson & Johnson liable for $572 million in Oklahoma opioid epidemic trial; shares rise
Source: Reuters
URL Source: https://www.reuters.com/article/us- ... =trueAnthem&utm_source=twitter
Published: Aug 26, 2019
Author: Heide Brandes, Nate Raymond
Post Date: 2019-08-27 05:58:42 by Deckard
Keywords: None
Views: 1908
Comments: 26

NORMAN, Okla./BOSTON (Reuters) - An Oklahoma judge on Monday ordered Johnson & Johnson (JNJ.N) to pay $572.1 million to the state for its part in fueling an opioid epidemic by deceptively marketing addictive painkillers, a sum that was substantially less than investors had expected, driving up J&J’s shares.

The state’s attorney general had filed the lawsuit, seeking $17 billion to address the impact of the drug crisis on Oklahoma. It had been considered a bellwether for other litigation nationwide over the opioid epidemic.

“The expectation was this was going to be a $1.5 billion to $2 billion fine,” said Jared Holz, healthcare strategist for Jefferies & Co. “$572 million is a much lower number than had been feared.”

J&J said it would appeal the decision.

Shares of J&J were up 2% in extended trading following the decision, after an initial gain of more than 5%. Other drugmakers that sell opioid painkillers and are defending against similar lawsuits also rose after-hours, including Teva Pharmaceutical Industries Ltd (TEVA.TA) up 2.6%, and Endo International Plc (ENDP.O), up 1.4% higher.

Opioids were involved in almost 400,000 overdose deaths from 1999 to 2017, according to the U.S. Centers for Disease Control and Prevention. Since 2000, some 6,000 Oklahomans have died from opioid overdoses, according to the state’s lawyers.

Roughly 2,500 lawsuits have been brought by states, counties and municipalities nationally seeking to hold drugmakers responsible for opioid abuse nationwide. Oklahoma’s case was the first to go to trial. Some drugmakers have chosen to settle cases.

In holding J&J liable after a seven-week, non-jury trial, Judge Thad Balkman of Cleveland County District Court in Norman, Oklahoma, said the state proved that J&J’s misleading marketing and promotion of its Duragesic and Nucynta painkillers created a public nuisance.

“The opioid crisis is an imminent danger and menace to Oklahomans,” Balkman said.

Oklahoma wanted J&J to help it address the epidemic for the next 30 years by funding addiction treatment and prevention programs.

Balkman said in his written ruling that the award covered only one year of addressing the crisis because Oklahoma did not demonstrate the time and costs needed beyond that.

Lance Lang, a 36-year-old recovering user of opioids turned activist in Oklahoma City, said it was “short sighted” for the judge to have only ordered funding for a year. “There’s going to be people struggling with this for years,” he said in an interview.

J&J said it will ask that the award be put on hold during an appeal process that could stretch into 2021. The company also said Oklahoma failed to show that its products and activities had created a public nuisance.

“You can’t sue your way out of the opioid abuse crisis,” Sabrina Strong, a lawyer for J&J, said at a news conference after the verdict. “Everyone must come together to address this. But J&J did not cause the opioid crisis.”

“ACCOUNTABLE FOR DEATHS AND ADDICTIONS”

The case was brought by Oklahoma Attorney General Mike Hunter, who alleged that J&J’s marketing practices helped fuel the opioid epidemic by flooding the market with painkillers.

“Johnson & Johnson will finally be held accountable for thousands of deaths and addictions caused by their actions,” Hunter said.

The trial came after Oklahoma had resolved claims against OxyContin maker Purdue Pharma LP in March for $270 million and Teva in May for $85 million, leaving J&J as the lone defendant.

The verdict came as two Ohio counties prepare for a scheduled October trial before a federal judge in Cleveland. About 2,000 lawsuits out of some 2,500 filed nationwide are consolidated in the case in Cleveland.

Endo International Plc (ENDP.O) and Allergan Plc (AGN.N) last week agreed to pay $15 million to avoid going to trial in October in a case by two Ohio counties, subject to court approval.

Some plaintiffs’ lawyers have compared the opioid cases to litigation by states against the tobacco industry that led to a $246 billion settlement in 1998.

Joe Rice, a lead plaintiff’s attorney for municipalities in the federal litigation, said if the Oklahoma award were extrapolated to other states, it could mean an annual abatement cost of around $38 billion.

“It does indicate that if I’m in the pharmaceutical business, I’ve got to think long and hard about annual payments of my share of that,” he said.

The judge overseeing the federal litigation in Ohio has been pushing for a global settlement.

J&J, which is among multiple pharmaceutical companies that are defendants in the federal litigation, said it remains “open to viable options” to resolve the Ohio case, including through settlement.

During the Oklahoma trial, lawyers for the state argued that J&J carried out a years-long marketing campaign that minimized the painkillers’ addiction risks and promoted their benefits.

The lawyers called J&J an opioid “kingpin” and argued that its marketing created a public nuisance as doctors over-prescribed the drugs, leading to a surge in overdose deaths.

J&J countered that its marketing claims had scientific support and its painkillers accounted for a tiny fraction of opioids prescribed in Oklahoma. The company said in a statement that since 2008, its painkillers accounted for less than 1% of the U.S. market, including generics.

Teva said the ruling supported its rationale for settling the case before trial, and said it was preparing to defend itself in the upcoming trial in Ohio.

Purdue, which is also among the defendants in the Ohio litigation, did not immediately respond to a request for comment.

Reporting by Heide Brandes in Norman, Oklahoma, and Nate Raymond in Boston; Additional reporting by Julie Steenhuysen in Chicago and Jonathan Stempel in New York; Writing by Tom Hals; Editing by Noeleen Walder, Bill Berkrot and Leslie Adler

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Begin Trace Mode for Comment # 26.

#18. To: Deckard, misterwhite, nolu chan (#0)

I notice John Lott published on this case at Townhall. The key fact I noticed in his writing was that the $572M was just to cover a single year of J&J's liability and only for Oklahoma. Yeow.

I think that such a huge award cannot possibly hold up on appeal.

I decided to include Lott's reporting here on this thread rather than start a new one. Lott, ever the expert statistian, hews to a libertarian fact-based free-market philosophy which we should expect from his previous work. He compares this case pointedly to some other earlier litigation of a similar nature.

Here's What Needs to Happen After the Johnson & Johnson Lawsuit

When General Motors and Ford sell more cars, they are involved in more accidents. They undoubtedly advertise more in those places where they sell more cars. Does that mean that the car companies are responsible for additional accidents in those places? That they are purposefully plotting to create more accidents?

Let’s hope not, but if Monday’s $570 million verdict by an Oklahoma judge against Johnson & Johnson for making opioids is any indication, those types of cases aren’t going to be far off. Oklahoma had refused to settle out of court believing that they could receive a very large verdict. And the actual verdict is much larger than it might appear as it just represents the penalty for damages from a single year. 

The state of Oklahoma claimed Johnson & Johnson and other pharmaceutical companies spent tens of millions of dollars annually in direct-to-physician marketing of opioids and that as opioid sales grew, so did addiction and overdoses.

 “That’s the message to other states: We did it in Oklahoma. You can do it elsewhere,” Oklahoma Attorney General Mike Hunter said on Monday. He said that their case provided a “road map” for other states to follow in holding drugmakers responsible for the deaths and addiction created by the drugs.

Exhibit 1 for Oklahoma’s case has been a set of studies like one in the Journal of the American Medical Association. The authors claimed they found an “association between pharmaceutical company marketing of opioids to physicians and deaths from prescription opioid overdoses, we found that counties receiving such marketing subsequently experienced elevated mortality. In addition, opioid prescribing rates were strongly associated with the burden of opioid marketing across counties and partly mediated the association between marketing and deaths from opioid overdoses.”

One wonders why such a study was needed, but, as usual, the public health researchers grossly misinterpreted their results. More drug use means more people get addicted, but that doesn’t mean they have done something wrong. The drugs also made life livable for a lot of people.

If you think that this is an idea that you have heard about before, you probably have. About 20 years ago this “public nuisance” theory was tried in lawsuits by cities against gun makers. The 2005 Protection of Lawful Commerce in Arms Act stopped many cities from simultaneously bringing these suits and bankrupting the gun makers. The law doesn’t protect the gun makers from making faulty products or from lying to customers or if they break the law.

This claim is no different than the car example mentioned earlier. This applies to other cases. More surgeries are more likely to result in more malpractice claims and deaths from those surgeries. Presumably, also the more doctors recommend surgery to their patients (read “marketing”) the more people will have surgery and the more malpractice cases there will be. 

Here is one example litigious lawyers might appreciate. More lawyers mean more legal cases and more malpractice cases by lawyers. Should we then sue law schools for producing more lawyers?

With every product, the more that it is used, the number of problems that will arise will be greater. That is true even if the rate of problems is very low.

According to Oklahoma, Johnson & Johnson marketed the drugs irresponsibly. “Many studies show that opioids are rarely addictive when used properly for the management of chronic pain,” was a claim in one of the company’s marketing materials. 

Unfortunately, not everyone uses the drugs properly. Just like not everyone drives their car correctly and not all lawyers or doctors practice their professions correctly, Johnson & Johnson’s statement was exactly right. Having people abuse a drug is no different than people driving too fast. According to the National Institute of Drug Abuse, around 8 to 12 percent misuse opioids and develop an opioid use disorder, with as many as 6 percent transitioning to other drugs such as heroin. 

The problem is the cases brought by Oklahoma and numerous other states will be used to create new precedents that will allow cases to be brought against all sorts of other companies. It looks like it is about time that we pass a Protection of Lawful Commerce in Arms Act for all other companies.

* Lott is the president of the Crime Prevention Research Center and the author most recently of “The War on Guns.”

Tooconservative  posted on  2019-08-28   19:01:59 ET  Reply   Untrace   Trace   Private Reply  


#23. To: Tooconservative (#18)

and that as opioid sales grew, so did addiction and overdoses.

I bet they grew through Medicaid. Claim back pain, get a free 30-day supply of 90 Oxycontin, and sell them for $10 each.

Then sue Johnson & Johnson because you're unable or unwilling to stop this from happening.

misterwhite  posted on  2019-08-29   9:48:55 ET  Reply   Untrace   Trace   Private Reply  


#24. To: misterwhite (#23)

I bet they grew through Medicaid. Claim back pain, get a free 30-day supply of 90 Oxycontin, and sell them for $10 each.

I see you are aware of how much 0bamaCare contributed to the growth of the crisis.

Shady doctors, handing out opiods and other drugs to newly enrolled Medicaid people who use those prescriptions to make hard cash. They can use a McJob at a fast food joint, perhaps part-time, to make the minimum qualifying standard for subsidy (about $13K/year) and not have to pay anything to be part of the 0bamaCare system. And they get free or subsidized drugs which can be sold for a lot of cash. And they are careful not to exceed the base pay to qualify for fully-subsidized 0-care. Nice.

I haven't yet seen any hard data on how much this occurred but my guess is that people learned to game that system in only a year or two. There have been a few studies that dipped their toes into the data but nothing you could call comprehensive. We know it has happened but not the true scale of this kind of fraud.

Tooconservative  posted on  2019-08-29   11:19:41 ET  Reply   Untrace   Trace   Private Reply  


#25. To: Tooconservative (#24) (Edited)

There have been a few studies that dipped their toes into the data but nothing you could call comprehensive.

Imagine the outcry if a credible study was done which documented the abuse of the welfare system and the abusers.

It would be less well received than The Bell Curve.

misterwhite  posted on  2019-08-29   14:24:16 ET  Reply   Untrace   Trace   Private Reply  


#26. To: misterwhite (#25)

You wouldn't be able to publish it, no matter how compelling the data.

They'd start screaming white supremacy at the first hint.

Tooconservative  posted on  2019-08-29   21:40:31 ET  Reply   Untrace   Trace   Private Reply  


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