LEGAL PROCEEDINGS

What is the opioid litigation? →

Why are localities and tribal sovereign nations also suing opioid corporations, in improver to states? →

Are tribal opioid cases beingness treated fairly? →

THE OPIOID Crunch' ORIGINS

Is big pharma really to arraign? Why are governments litigating their way through a public health crunch at all? →

What were some of the central FDA failures leading up to the opioid crunch? →

What were some of the primal DEA failures leading up to the opioid crunch? →

GLOBAL SETTLEMENT CHATTER

What is a global settlement, and why is it and then hard to accomplish? →

Is at that place anything preventing states from spending their opioid settlement funds as poorly as they spent their big tobacco settlement funds from the 90s? →

What is the opioid litigation?

When you hear nigh opioid lawsuits, settlements, or judgments in the news, they likely pertain to one of these four principal categories of legal happenings:

one. Civil lawsuits by local governments (city, county) and tribal sovereign nations confronting pharmaceutical opioid manufacturers, distributors, and retailers (the "MDL").

"Unlike class deportment, which are conducted nether strict rules, MDLs ofttimes continue in a more than unstructured fashion with judges who are theoretically only in charge of pretrial proceedings, issuing rulings that make information technology financially impossible for defendants to do anything but settle."
— Daniel Fisher, Legal News Line

Over 3,000 of these cases by plaintiff cities, counties, and tribal sovereign nations confronting dozens of "big pharma" opioid defendants are lassoed together in the opioid multi-district litigation (MDL): MDL 2804, In Re: National Prescription Opiate Litigation. MDLs are an alternative to form activeness used to procedurally streamline cases with similar questions of facts before trial. Though many cases brought by local governments or tribal sovereign nations be outside of the MDL, the MDL contains the bulk of them.

2. Civil lawsuits by states' attorneys general (AGs) against pharmaceutical opioid manufacturers, distributors, and retailers.

Here, plaintiffs are U.S. states. Each land's case is spearheaded past its AG, who files in the land court system and uses, amongst other things, the land's special status in the Constitution as a "sovereign entity" to sue opioid corporations for violations against the health and well-being of its residents. (For more than on parens patriae lawsuits, please see "Is there anything preventing states from spending their opioid settlement funds as poorly equally they misspent their large tobacco settlement funds from the 90s?")

At that place is no single judge at the helm of all these land actions. Simply Judge Polster has actively encouraged collaboration between state AGs and localities to facilitate global settlement negotiations.

3. Purdue Pharma's and Mallinckrodt'south ceremonious defalcation cases.

These cases exist in the federal court system. Updates regarding both companies tin can be establish on the Global Settlement Tracker page here.

4. Civil enforcement actions and criminal prosecutions of opioid-related defendants.

These cases are brought by attorneys for land and federal governments. Defendants range from opioid corporations to individual doctors and "pill mills."

Click to view a timeline of all settlement agreements reached by the local, tribal, and state governments, from 2015 through the end of 2019.

Click to view a timeline of all settlement agreements reached by the local, tribal, and state governments from 2015 through 2019.

Why are localities and tribal sovereign nations also suing opioid corporations, in addition to states?

Welcome to the historic period of millennial legal analysis. (This is a meme .)

Yous might be wondering why so many different levels of government are suing opioid corporations at the same fourth dimension.

Judge Polster thinks localities and tribal sovereign nations are suing alongside their containing state's AGs because of "the legacy of the tobacco settlement, when most of the $200 billion that was paid by tobacco manufacturers did non go toward reducing smoking and treating lung cancer" and was used instead for "other state purposes."

Much has been written about the lessons nosotros ought to learn from our big tobacco Master Settlement Agreement (MSA). One lesson governments are taking to heart, based on the intensity of their bickering about information technology, is that how settlement winnings are spent depends quite a bit upon which level of government controls its pursestrings.

SEE Too

  • "New Written report: 20 Years After Tobacco Settlement, States Still Shortchanging Prevention Programs That Save Lives and Wellness Intendance Dollars," Campaign for Tobacco-Free Kids (Dec. 14, 2018)

  • "States Clash With Cities Over Potential Opioids Settlement Payouts," The New York Times (Aug. five, 2019)

  • "In the Opioid Litigation, It'southward Now States 5. Cities," Wall Street Periodical (Aug. half-dozen, 2019)

  • "Learning The Lessons of Tobacco: A Public Health Approach To The Opioid Settlements," Health Affairs Blog (Sept. 26, 2019)

  • "A lot went wrong with the tobacco settlement. Let'south not make the aforementioned mistakes with opioids," The Washington Post (Oct. 8, 2019)

Big tobacco settlement administration retrospectives reveal that states take been spending merely2.7% of the MSA gain they receive each year on their originally intended causes (due east.g., smoking treatment and prevention). "[N]o states are spending even the recommended minimum allocation for tobacco control proposed by the Centers for Disease Control and Prevention." And very, very few cities and counties receive any of that $246 billion from big tobacco, "despite the fact that cities, counties, and other local units of regime (who run hospitals, ambulances, and outreach services) incurred meaning financial losses every bit a upshot of tobacco's agin health consequences." In fact, states are able to classify the majority of their MSA proceeds to expenses "counter-productive to tobacco control," like the $41 million N Carolina used to support the economic development of tobacco farmers.

As a outcome, we know that "it is simply untrue that states generously laissez passer forth to cities the resources earned from plaintiff's-side litigation." And so, localities file accommodate in this crisis because officials at every level of government, and not just country AGs, "desire[] to make sure that whatever deal is struck gets the money to where they want it to go."

Local governments, the comparative runts of the government litter, began suing pharmaceutical opioid corporations in 2014, before land AGs began filing their opioid suits. But certain country AGs have been lionizing their elevated, Ramble statuses every bit sovereign entities to fence "that they are better positioned to strike large settlements with drug companies" in social club to bolster their entitlement to directly receipt of funds. To them, the localities involved in the federal MDL "advance claims that vest to the Land in an effort to commandeer moneys that rightfully should be distributed beyond the country" — presumably by u.s. and states lone.

In that location's an inherent sense of hierarchical messiness to country and local opioid lawsuits proceeding in tandem. The obsessive-compulsive among us might imagine the field of government plaintiffs every bit a table littered with disassembled Matryoshka dolls, with localities — otherwise nested Babushkas — rejecting the coverture of their containing states. (A word of opioid suits filed by federally recognized Native American tribes, sovereign entities who shouldn't take been included in the MDL at all, is and then saucy that it deserves its own article.)

But justice would entitle localities to have their say in the opioid litigation. Because "West Virginia Uses OxyContin Settlement Money to Build Gym"isn't a fictional, futuristic headline from theOnion, but a real one from 2012.

Is big pharma actually to blame? Why are governments litigating their style through a public health crisis at all?

"Two agencies in particular, the Food and Drug Administration (FDA) and the Drug Enforcement Assistants (DEA), are highly answerable for regulating the legal prescription drug industry. The FDA is responsible for regulating prescription painkillers prior to their entrance into the market, whereas the DEA regulates the manufacture, distribution, and possession of prescription medications once they are released to the public."
— Edgar Aliferov, "The Role of Directly-Injury Government-Entity Lawsuits in the Opioid Litigation"

A want to blame opioid manufacturers, distributors, and retailers for our opioid crisis drives much of the dragnet of its associated ceremonious litigation — both in the Guess Polster-led multi-district litigation ("MDL") in federal court, where plaintiffs are metropolis, county, and tribal governments; and in state attorneys general (AG)-led suits in state courts, where plaintiffs are states.

"With the privilege of lawfully manufacturing and distributing Schedule II narcotics—and thus enjoying the profits therefrom—comes the obligation to monitor, study, and preclude downstream diversion of those drugs."
— Approximate Polster, citing 21 U.Southward.C. § 823(a)-(b)

According to those government plaintiffs, "big pharma" aggressively oversupplied a despairing America with 100 billion pain pills chemically engineered to mimic the highs and lows of recreational heroin apply, generated black market need for illicit opioids, and ultimately "caused" 400,000 Americans to perish from opioid overdoses. To them, corporate opioid manufacturers, distributors, and retailers ought to be held answerable for vitiating their contract with guild at large to maintain the careful, détente-like rest between the pursuit of healthcare profits and upholding the public's health.

Government officials hound on opioid corporations' "moral, if not legal obligation" to abate the costs of our crisis. Should it hateful annihilation, though, that these companies owe their fiduciary duties not to us, merely to their shareholders?

"This is an industry that's out of command. If they don't follow the law in drug supply, and diversion occurs, people dice. That'due south just it, people die. … And what they're maxim is, 'The heck with your compliance. We'll simply get the law changed."
— Joseph T. Rannazzisi, erstwhile head of the DEA's Office of Diversion Control

Nosotros snack on our fantasies of disengorging billions from opioid manufacturers, distributors, and retailers, partly because our karmic sense of residuum entails that they deserve it. But nosotros also do information technology to stave off the devastating fictionality of recompense and legal wholeness when people are losing loved ones rather than belongings. What would make a mother — grieving a son deceased to his opioid use disorder, a condition enabled by the capitalistic gluttony of an manufacture that prefers profit over the public's wellness — whole?

And what would recompense a nation left to sue corporations to abate a crisis exacerbated by the failures of their federal regulators? Observing capitalism wreak havoc on the health and wellbeing of everyday Americans — and the FDA and DEA bow to the wishes of the pharmaceutical lobby — feels disturbingly like watching ethical coastlines disappear. And to fully acknowledge this dystopia forces the states to accept that the extraction of hefty settlements via litigation may be one of the few tools we have left to blame wayward industries entirely incentivized to hijack both their regulators and legislators as their common business practise. In a society inured over decades to "accept[ its] multiparty wellness organization with a significant profit motive," massive ceremonious settlements, according to Yale law professor Abbe Gluck, may be "the only way to become relief in anyone's lifetime. [They're] just more than applied."

Nosotros take to strong stances near retribution in this crisis because the instinct to blamesomebodyfor this crunch is strong. It'due south easier to detest corporations for their capitalistic offenses than to confront our disappointment at the federal government'south devastating failures of defense.

But what nosotros run a risk by focusing our arraign on big pharma and writing off the desire for governmental accountability equally folly is a candid discussion of the contextual failures that allowed this crisis to occur.

Below is a yr-past-twelvemonth breakdown of the specific decisions illustrating the corporate opioid industry'southward slow, creeping capture of its regulators. The horizontal centrality chronicles the years of our crisis, while the vertical axis charts almanac overdose deaths involving opioids:

"Whether settled out of court or litigated to an ultimate finding of liability, however, ceremonious justice in a matter such as this tin can be only rough justice. Responsibleness for the opioid disaster extends well beyond the corporate makers and distributors of the pills, to include prescribers, pharmacists and regulators. In many ways, the opioid crunch illustrates what economists call regulatory capture: Gatekeepers in both the public and private sectors bought into the idea, promoted by industry and past many doctors, that pain was vastly undertreated and that new, extended-release opioid formulations would non be addictive."
— Editorial Board, The Washington Post

Each of the decisions above might exist explained abroad as mere symptoms of an manufacture destined for problems from the beginning. Healthcare is "'big business concern'" in usa, "with many professionals, organizations, wellness systems, insurers, and product and service suppliers" accustomed to "significant profits." And the federal government agrees: the Federal Trade Committee (FTC) and the Department of Justice (DOJ) get every bit far to say that competition in the industry is "ruthless" and creates "cognitive dissonance" for those "who prefer to focus on the necessity for trust and the importance of compassion in the delivery of health intendance services" — a statement that prompts the residuum of usa to question what the "intendance" in "healthcare" could possibly mean otherwise.

The opioid crunch is a cataclysmically devastating crash of myriad factors, some of which are certainly the cosmos of private industry lonely. But every bit greenbacks-strapped jurisdictions sue opioid companies for exacerbating our need for a drug they were happy to oversupply, and as the litigatory posturing of plaintiffs in our opioid litigation verges on policy theater, where opposing settlement expresses that one is, according to one plaintiffs' attorney and former DEA enforcer, "difficult on white collar crime," let united states of america non forget those united federal bureau failures — the FDA's and DEA's in particular — that allowed our epidemic to occur.

What were some of the fundamental FDA failures leading up to the opioid crisis?

One-time FDA commissioner David Kessler states that when OxyContin was initially approved for brusque-term employ, the bureau'due south approval processes lacked "[t]he rigorous kind of scientific evidence that the agency should be relying on," and that there still, as of today, be "no studies on the safety or efficacy of opioid for long-term utilize." Whether the FDA's approval processes account for the likelihood of addiction at all is "unclear," as evidenced by its initial failure to "identify … significant addictive risks and associated sequelae" prior to OxyContin's release into the market.

What is very clear, however, is that "[a]t the time that OxyContin was first marketed, at that place were no industry or federal guidelines for the promotion of prescription drugs." This is in spite of the fact that opioid drug marketing is known to exist so "significantly associated" with opioid overdose bloodshed that it runs directly "counter [to] … national efforts to reduce the number of opioids prescribed." Drug manufacturers consider a drug'south characterization to exist its "single nigh important document," as its language determines "whether somebody can brand $ten one thousand thousand or a billion dollars" from it. So, when the FDA canonical OxyContin's revised, 2001 label for "around-the-clock" pain relief — with zero new science but with heavy pressure from pharma — it was, as Dr. Kessler put it, a veritable "marketing tsunami" for opioid manufacturers, and certain death to swaths of a nation craving analgesic relief.

With this "bare check" to "push button opioids to tens of millions of new pain patients nationwide," opioid makers "cashed in for billions and billions of dollars." And this regulatory gap-exploiting genius was enabled in role past the corporate mercenaries who jumped between government and industry positions with ease. "[N]ews stories take documented how FDA employees who worked on opioid regulation accustomed high-paying jobs with Purdue," and "[t]he two medical officers who originally approved Oxycontin, Curtis Wright and Douglas Kramer," actually "went to work for the opioid maker … not long after leaving the FDA." But the practice extends beyond the reach of on particular company, as a "large number of central FDA regulators who went through the revolving door to jobs with drug manufacturers" — a practice that, while "suspicious," remains legal.

Displayed are lethal doses of each. Fentanyl, dissimilar heroin, is a fully constructed opioid. It is not merely 100 times more than potent than natural morphine, but 50 times stronger than heroin.

Also legal under FDA regulations at the time were the more dubious marketing attempts made by the more than philandering opioid manufacturers. Former employees of Insys, makers of "powerful fentanyl spray" Subsys, testified to the "habit of hiring attractive women as representatives to boost [drug] sales." I of the women hired under this model "once gave a lap dance at a Chicago nightclub to a md Insys was pushing to write more prescriptions," while other reps were shown motivational "rap video[south]" of "employees danc[ing] and rapp[ing] around a person dressed equally a giant bottle of the fentanyl spray."

The lethal dose of fentanyl remains, as always, the size of four grains of salt.

What were some of the key DEA failures leading upward to the opioid crisis?

"The drug industry, the manufacturers, wholesalers, distributors and chain drugstores, have an influence over Congress that has never been seen before."
— Joseph T. Rannazzisi, onetime caput of DEA's Office of Diversion Control ("The Drug Industry'due south Triumph Over the DEA," The Washington Mail service)

The DEA did go after specific opioid distributors shipping suspicious orders, just to have them flout and re-flout warnings. McKesson repeatedly ignored enforcement efforts between their $13.2 million settlement 2008 to their $150 million settlement with the Justice Department in 2017 — the latter of which was considered a win by the DEA attorneys who negotiated it, but a failure by the DEA investigators who pushed for a $1 billion fine and criminal charges after building the case for years. A $150 million fine is merely "$fifty million more than the compensation concluding year for McKesson board chairman and chief executive John H. Hammergren, the nation's third-highest-paid main executive." Which makes the thrice-flouted warnings of another pharma company, Cardinal Wellness — whose $34 meg in 2008 penalty was quickly followed upwards by another DEA settlement in 2012, and a $44 million penalty in 2016 — entirely unsurprising.

Unsurprising also are the revolving door-related problems that plague the DEA, which work to strengthen pharma'southward regulatory and legislative capture. ("If you want to understand how we were doing our investigations," says Joseph T. Rannazzisi, the DEA'southward old caput of diversion, "the best way to do it is to accept our people who are doing the investigations and put them in place in your visitor.") Every bit the crisis progressed, and as "pharma spent hundreds of millions lobbying Congress," over fifty DEA and DOJ officials were poached by opioid corporations and the law firms that defend them. The "crowning accomplishment" of these efforts occurred "in April 2016, at the height of the deadliest drug epidemic in U.S. history," when "Congress effectively stripped the Drug Enforcement Assistants of its most strong weapon confronting large drug companies suspected of spilling prescription narcotics onto the nation'southward streets."

According to Rannazzisi, for opioid companies "to get Congress to pass a pecker to protect their interests in the height of an opioid epidemic" illustrates "merely … how much influence they take."

What is a global settlement, and why is it and then difficult to achieve?

Adieu Negotiation Class

On September 24, 2020, the opioid litigation world received a bit of juicy news. The Sixth Circuit Courtroom of Appeals issued a ruling decertifying the federal opioid multi-district litigation'south novel negotiation class, which "[a]due south envisioned" would have facilitated settlements with opioid companies past requiring proposed settlement offers to be approved by 75% of the 33,000 cities and counties participating every bit class members. The novel form was intended to provide localities a voice in global settlement negotiations, which have largely favored the demands of states' attorneys full general.

"While companies did not need to use the negotiation class to settle cases, many, including the drug distributors McKesson Corp, Central Health Inc.[,] and AmerisourceBergen Corp, objected. Many state attorneys general too argued that Polster's ruling could complicate settlement talks and interfere with states' rights over their political subdivisions."

Without the negotiation class, "information technology looks likely that the litigation will drag on for years to come up," and "probable that diverse groups will strike 'piecemeal' deals equally the litigation progresses."

Depending on the way y'all await at information technology, there are two "types" of global opioid settlement offers: those from companies still in business organization and actively defending opioid cases, and those in bankruptcy, like Purdue. This answer only discusses the sometime, but my Global Settlement Tracker folio provides updates on both categories.

A global settlement is a legal settlement offer that'd (ideally) resolve all of the opioid litigation — by all three types of authorities plaintiffs (country, local, tribal sovereigns) against all three types of opioid defendants (manufacturers, distributors, and retailers). Judge Polster, the federal estimate at the helm of the opioid multi-commune litigation containing all local and tribal sovereign suits, is open most the fact that reaching one is his goal with the MDL.

But a global settlement offer in the fashion of that big tobacco Master Settlement Agreement (MSA) of the nineties has not yet been reached. The current offer on the table requires participating states to convince their political subdivisions (cities and counties) to surrender their own opioid cases and assent to the deal as well in lodge for the deal to become through.

In litigation speak, this blazon of intra-plaintiff bullying is called a "cramdown."Local governments, the comparative runts of the government litter, began suing opioid corporations in 2014, before state AGs began filing their opioid suits. They spent millions on the litigation before state AGs got into the opioid litigation mix, but certain states' AGs lionize their elevated, Constitutional statuses every bit sovereign entities to argue "that they are better positioned to strike large settlements with drug companies" in gild to bolster their entitlement to straight receipt of funds. To them, the localities involved in the federal MDL "accelerate claims that belong to the State in an effort to commandeer moneys that rightfully should be distributed across the state" — presumably past the states and states alone.

Is there annihilation preventing states from spending their opioid settlement funds equally poorly as they spent their big tobacco settlement funds from the 90s?

The route to spending hell is lined with tempting conflicts of interest even for the most pious of sovereign consciences.

I once asked a settlement administration attorney if in that location was anythingactually preventing state AGs from misappropriating opioid settlement funds equally they did their big tobacco monies. I will never forget his response:

"Settlement terms are only binding on the conscience of the sovereign."

The reference to sovereignty here is legally deliberate, not simply poetic. Sovereignty is what affords states the ability to sue using parens patriaecontinuing, which is every bit paternalistic as your rusty Latin makes it audio. It's the right to sue that allowed states to become after large tobacco in the nineties, and allows them to sue pharmaceutical opioid manufacturers, distributors, and retailers today, to recover confronting corporate defendants for harm inflicted to their "quasi-sovereign involvement" in the health and well-being of their "residents in general."

Federal, country, and tribal governments are constitutionally recognized sovereign entities. This special designation in our American system of authorities allows federal and state governments to function, at least conceptually speaking, equally co-equals. (The respect for tribal sovereignty is an entirely unlike story.)

Cities and counties — "unlike states — are not formal 'sovereigns,'" and "[f]ederal courts have consistently held that cities may not sue asparens patriae." It matters not that localities are also suing to protect the health and well-being of their residents as states are, or "affirm nearly identical claims" to those of states. It also doesn't matter whether localities "bear the burden of the impairment related to a national, hot-push topic," as they frequently practice during public health crises. As mere "political subdivisions" of the state, cities and counties "have to tough it out like ordinary plaintiffs" to constitute federal standing the old-fashioned (Lujan) manner. And their "inability to sue equallyparens patriae makes it difficult … to bring a straightforward public-interest conform based on a harm that has been visited on [their] residents." For if cities and counties can't pigeonhole their lawsuits into a legal fiction — "namely, that the damage being inflicted on citizens is injuring the urban center equally a body corporate" — they must "forego a lawsuit entirely."

This sovereignty-based distinction between states' and local governments' rights to sue in this opioid litigation is the exact type of thing that seems too academic to matter until it isn't. Because here, information technology's precisely what allows the constabulary to assume that states' reasons for seeking abatement funds will as well guide the intent of their legislatures as they determine how to spend information technology.

"Unfortunately, nosotros on the litigation side, we tin can only recover funds. We don't appropriate funds. Nosotros didn't get to control how the tobacco money was used, and there have been a lot of complaints most it."
— Joe Rice, co-lead counsel for local government plaintiffs, to Law 360

As we know from big tobacco, though, there'south a stiff chance that executives' and legislatures' priorities will diverge. States keep to receive and misspend their annually distributed proceeds from the $246 billion big tobacco Master Settlement Agreement (MSA), which omitted limited terms requiring the money to exist spent on public health-related causes. Only even if it hadn't, the terms alone couldn't have commandeered the individual states to spend settlement funds a detail fashion. A country's executive branch — via its AG — may recover funds, but appropriations "are near ever fabricated by a … legislature."

"I don't know why the legislature … call up[southward] they're smarter than and know a community better than people who are actually in the community and piece of work with the issues each and every day. The state basically needs to keep their hands off of dollars that are needed here to address our epidemic. And we know how to invest those dollars meliorate than they practice."
— Lorain Canton Commissioner Matt Lundy

It is this inter-branch punt that makes "subsequent funding allocations for public health initiatives … difficult to implement, both politically and procedurally," every bit the power to gatekeep settlement monies is central to a legislature's own sense of sovereign power. Instance in point: the $572 one thousand thousand opioid crunch-related judgement Oklahoma's AG won against Johnson & Johnson final year, which was later reduced to $465 million due to a judicial "math fault." With big tobacco's failures in mind, the court issued a plan that "set forth specific allocation" of the resources that'd earmark roughly $200 meg to create the National Center for Habit Studies and Treatment at Oklahoma Land Academy. The Oklahoma state legislature responded by "quickly pass[ing] a unanimous bill reasserting its appropriations jurisdiction over chaser general settlements," requiring future settlements to exist deposited into the state treasury. An Oklahoma state approximate chosen for mediation between the various country leaders. Though the meeting resulted in a deal that'd funnel settlement winnings into an "opioid lawsuit settlement fund" that "shall only be for the abatement of the nuisance related to the opioid crisis," the state legislature retained its power to make "specific appropriations" — a tug-of-war that aptly illustrates the schism that occurs when a sovereign state procures a settlement in its executive capacity while defective the political volition in its legislature to ensure that information technology's spent on the very interests it aims to vindicate.

Thus, the sovereignty-based considerations supplyingparens patriaestanding rights to states at therecovery stage ought not also force the states to assume that states' sovereign consciences are also proficient at theappropriations phase. Insofar as parens patriae continuing doctrine encourages us to conflate our faith in a sovereign's deservedness of settlement coin with our state legislature'southward ability to spend it well, the doctrine upholds a system that allows states to spend opioid settlement funds in violation of both the letter and spirit of their enabling agreements, provided that their legislatures' political priorities allow for information technology. Nearly importantly: it also fails to do whatsoever favors for those on the basis.

States'parens patriaesuits, unlike course deportment (their "procedural sibling"), are non required to obey the Federal Rules of Civil Procedure, which allows them to "evade virtually all of the class action hurdles … erected by Congress and the Supreme Courtroom." Chief among these hurdles for our purposes is something called Rule 23(a), which requires representatives in class actions to "fairly and adequately protect the interests of the grade," and courts to "assiduously inspect class action counsel."

Judges do "sh[y] away from questioning the adequacy" ofparens patriaerepresentation by country AGs, probable because the "public quality" of nighparens patriaesuits works to relax their otherwise ever-present concerns almost representative fidelity. The doctrine's historical, sovereignty-based origins practice have the effect of imbuing state AGs with "somewhat of a façade of constitutional adequacy," while land AGs' "responsibleness to the public involvement," plus the "absence of a contingency fee arrangement," together suggest that they are "less likely than private lawyers to have incentives that essentially diverge from the class they purport to represent."

"Indeed, the cadre precedent defining [parens patriae] doctrine from the turn of the century illustrated the problem during the industrialization of the economic system: regional pollution and rights to clean air and waterways could not have been adequately redressed on an individual level, fifty-fifty though individuals might accept had private claims."
— Margaret H. Lemos, "Amass Litigation Goes Public"

This halo effect can be a useful thing.Parens patriae standing doctrine is, subsequently all, a type of procedural privilege that empowers states to "win recoveries throughparens patriae that individual citizens often could not win on their own," provided that those individual harms become "widespread enough to implicate the country's interest in the welfare of its citizens." The doctrine is what helped states circumvent large tobacco's and big pharma's defenses against individual lawsuits — that each smoker, prescription drug user, or intermediary was aware of the risks of utilise — and demand recompense from an industry as well rich to be disincentivized by individual lawsuits. And the big tobacco MSA — the product of 46 separateparens patriaeactions confronting an industry powerful enough to flout federal and state laws — can thus accurately be described equally "i of the near successful uses of the civil judicial system to right a wrong that wasn't being addressed in the congressional procedure."

But parens patriae doctrine likewise "has maximum force where the individual harms may otherwise go unredressed" by Congress, which results in uses "parasitic on the interests of individual citizens'" under the guise of the "common adept." And these parasitically derived monies do have the trend to create "interesting, unintended effect[due south]." The MSA's 25-year terms naturally conditioned proceeds "on the continuing economic health of the cigarette makers" and their cigarette sales. By installing itself into land budgets as a predictable source of income for the next quarter century, the MSA "align[ed] the economic interests of u.s.a. with the economical interests of the tobacco companies." So when Philip Morris lost a class action suit in Illinois, the judge ordered it to mail a $12 billion bail. The company aghast, stating information technology'd be driven into defalcation if made to pay the total corporeality. Officials from 33 states submitted an amicus brief asking the Illinois estimate to reduce the bail. And the bail was halved — a decision "cheered by states awaiting their share of Philip Morris's $2.six billion payment."

Make no mistake: opioid manufacturers in particular view the "[l]arge," "unmet need[s]" of the "vulnerable, underserved and stigmatized patient population suffering from substance abuse, dependence[,] and addiction" every bit an "attractive market place," one where its overdose reversal drugs may part every bit a "complementary" production and "strategic fit" to prescription opioids on the market place today. Purdue has "long considered" condign a public trust, and has pondered "whether it might brand money treating addiction" since 2014. The Democratic and Republican Attorneys General Associations both received hundreds of thousands of dollars from opioid companies as recently as 2019. Given that parens patriae doctrine explicitly prevents states from using it to sue in a "proprietary capacity," at what betoken will the state'southward litigatory capitalization of harm — via their reallegation of individuals' harms as their ain — render the sovereign's censor bad?

The battle over how to spend global settlement winnings has already begun, and whether abatement actually occurs on the ground will depend both on the political integrity of state legislatures and the power of local and country executives to recognize a bad deal when they see it.

The power to preclude our spending nightmares from reoccurring exists squarely in our willingness to recognize the forces that wish for, and do good from, us reliving them again. And so as the costs of this crisis and its litigation propagandize speedy settlement, pay close attention to the governments who fall prey to the allure of ill-considered settlement offers, like those that status settlement money on connected sales.