Making sense of Congress

Hard cases make bad law, but bad law too makes hard cases. We’ll see that today when the Supreme Court tries parsing the opaque National Vaccine Injury Compensation Act of 1986 to determine whether it pre-empts state law “design defect” suits brought against vaccine manufacturers. One of four pre-emption cases the Court has taken so far this term, Bruesewitz v. Wyeth is likely a portent of litigation to come if ObamaCare isn’t repealed — once we find out what’s in it.

As with ObamaCare, here too Congress was addressing a “national problem,” but one that seemed more clearly to call for a national solution — to handle the risks inherent in vaccinations through a federal no-fault system rather than through the vagaries of state tort law. No liability without fault is a principle that works well in a great range of tort claims. But here the inability to make vaccines entirely safe, plus uncertainty surrounding causation, coupled with the penchant of state juries to discount those issues in favor of sympathetic plaintiffs, had rendered most manufacturers unwilling to produce needed vaccines at reasonable costs.

Into the breach stepped Congress, creating a mandatory federal Vaccine Court — a less adversarial no-fault forum designed to enable alleged victims to be compensated quickly from federal funds drawn from surcharges on vaccines. With “Table injuries,” found to result from particular vaccines, the system seems to have worked well. If victims suffer a non-Table injury, however, they can still prevail, but they must prove that the vaccine caused the injury. Nonetheless, critics claim that the court has not worked as intended, with unconscionable delays, among much else, and victims wrongly being denied relief.

One such case, they argue, is that of Hannah Bruesewitz, who was administered her third dose of diphtheria-pertussis-tetanus (“DPT”) vaccine on schedule, just short of her six-month birthday. She then suffered a series of seizures, later diagnosed as residual seizure disorder and developmental delay. Now a teenager, she’ll likely require medical care related to her condition for the rest of her life.

Hannah’s parents filed a petition with the Vaccine Court when she was three, one month after new regulations deleted her disorder as a DPT Table injury. Nearly eight years later the court ruled that they had not proven causation, dismissing the claim with prejudice. The parents then filed a federal suit against Wyeth, which manufactured the vaccine, claiming, among other things, that Wyeth was strictly liable for a design defect. Again they lost in both the district and appellate courts.

The narrow question before the Supreme Court is whether a unanimous Third Circuit panel correctly applied the Act’s pre-emption language — made more pressing because only five months before the panel ruled, a unanimous Georgia Supreme Court, facing a similar case, read the same language as not pre-empting design defect suits. In relevant part, that language reads: “No vaccine manufacturer shall be liable in a civil action for damages arising from a vaccine-related injury or death associated with the administration of a vaccine…if the injury or death resulted from side effects that were unavoidable even though the vaccine was properly prepared and was accompanied by proper directions and warnings.”