TORTINI

For your delectation and delight, desultory dicta on the law of delicts.

The Recrudescence of Ferebee – Part One

June 29th, 2026

The infamous Ferebee decision is certainly a contender to be a Dred Scott decision involving scientific evidence,[1] by declaring that science has no validity issues that the law is bound to respect.[2] The decision is often cited for its dictum, written with impressive rhetorical flourish, about how courts should not interfere with expert witness opinion testimony. The dictum, when written in 1984, was contrary to the law of Federal Rule of Evidence 702, and was relegated in 1993 to the trash bin of jurisprudential history by the Supreme Court’s 1993 decision in Daubert.[3]

Since 1993, scofflaw judges continued to cite Ferebee’s discredited dictum, without looking at the specific facts of the case. Indeed, even after Rule 702 was amended to clarify its meaning, courts have cited Ferebee as precedential for a let-it-all-in approach to expert witness testimony. As recently as February 2026, the Chief Judge of the Federal Circuit, of the United States Court of Appeals, cited Ferebee in derogation of Federal Rule of Evidence 702.[4] This recrudenscence of Ferebee warrants revisiting the case, what was actually decided, and whether it has any continuing jurisprudential relevance.

The Ferebee case was a personal injury case against the manufacturer of paraquat, a herbicide, for damages for severe pulmonary fibrosis. Interestingly, the case is sometimes erroneously cited as a cancer causation case, which may explain why some commentators criticize its dismissal of epidemiology and statistical significance.

Critics of Ferebee, as well as its acolytes, rarely describe the factual context of the case. The facts of a case are always germane to its holding, and Ferebee cannot be cited appropriately without a sane appreciation of its facts.

  1. Ferebee is a government negligence case.

The plaintiff worked for the federal government when he was exposed to paraquat. Richard Ferebee began working for the Department of Agriculture’s Beltsville Agricultural Research Center (BARC), in Beltsville, Maryland. He started spraying paraquat in the summer of 1977, and used the herbicide regularly through the time he was diagnosed with pulmonary fibrosis, in November 1979.[5] Mr. Ferebee sued Chevron Chemical Company, the supplier of the paraquat, for failing to warn. The important failure to warn, however, was committed by the federal governmental, which had actual knowledge of the hazard, and which owned the BARC facility, employed Ferebee, controlled and supervised his use of paraquat, and failed to comply with Chevron’s instructions. The federal government itself further regulated the sale and use of paraquat extensively, first by the Department of Agriculture, and later by the Environmental Protection Agency. [6]

  1. The exposure.

Ferebee filed his lawsuit in 1981; he died in 1982. His case was tried twice. In the first trial, the jury deadlocked. In the second trial, the jury returned a verdict in favor of his estate, and for his family, for $60,000. In his deposition testimony, Ferebee described how he sprayed paraquat, in the summer of 1977. The chemical was diluted for use, per Chevron’s instructions. There was no evidence that Ferebee ever had direct contact with undiluted paraquat, or that the paraquat he was exposed to was not diluted according to the proportions recommended on Chevron’s label.[7]

Crediting Ferebee’s testimony, the federal government was at best grossly negligent; at worst, the government was an intentional tortfeasor. In flagrant disregard of Chevron’s written instructions (as required by federal regulation), Ferebee frequently had the chemical on his ungloved hands.[8] Ferebee further described an occasion when he was drenched with paraquat as he walked behind a tractor that was spraying the chemical, and another incident when he used a defective sprayer that leaked paraquat “all over his pants.”[9]

On the occasions of Ferebee’s being exposed to paraquat without appropriate protective gear, the federal government deviated from its employer common law, statutory, and regulatory duties. Ferebee did not wash when he was dermally exposed to paraquat, and he went home contaminated, where he fell asleep, tired and dizzy, without showering.[10]  The exposure that Ferebee described would not have occurred had his federal employer followed the instructions on the label that the government itself mandated. In 1978, the federal Occupational Health & Safety Administration published Guidelines on the need for protective clothing, respirators, immediate washing of contaminated skin. Ferebee’s federal governmental employer recklessly disregarded the guidelines it mandated that Chevron provide.

  1. The warnings.

Paraquat could be sold in the United States only when labeled in accordance with EPA regulations, promulgated pursuant to the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA).[11] The statute bars EPA from allowing sale of regulated herbicides, such as paraquat, unless the chemicals, as labeled, will not cause “unreasonable adverse effects on the environment.”[12] Such effects are in turn defined as any unreasonable risk to man or the environment, taking into account the economic, social, and environmental costs and benefits of the use of [the] pesticide.[13] FIFRA further requires the EPA to require labeling that is “adequate to protect health and the environment” and that is “likely to be read and understood.”[14]

In the Ferebee case, both the district and the circuit courts failed to provide the complete warning label and the material data safety sheets that Chevron supplied to the federal government employer, as required by the federal government. There are “snippets” of the warning communications in the published opinions, which make clear that the government was largely if not entirely to blame for failing to comply with the directions required under FIFRA. For instance, the district court, in a footnote, acknowledged:

“For example, the label advised the user spraying paraquat to wear waterproof clothing and goggles, to avoid working in spray mist, and to wash splashes on the skin or eyes immediately with water.”[15]

The Court of Appeals Ferebee opinion described the label,[16] as stating a warning in large bold letters:

DANGER

CAN KILL IF SWALLOWED

HARMFUL TO THE EYES AND SKIN

The label also informed users to wash any exposed areas immediately, and to remove contaminated clothing.[17]

  1. The Stipulation.

Essential to understanding the holding in Ferebee are the facts of the case, including the parties’ stipulation:

“that Mr. Ferebee’s only significant exposure to paraquat was on his intact skin; i.e., there was no evidence that Mr. Ferebee swallowed or inhaled paraquat, or that he spilled or sprayed it on an area of his skin upon which he had any apparent cuts or scrapes. The jury was not, of course, precluded from concluding that a person engaged in Mr. Ferebee’s line of work could have had some, or even many, minor cuts or abrasions not readily discernible to the naked eye or likely to be remembered some time later.”[18]

Why did the plaintiffs try to present their case solely as a dermal exposure cases? As we will see, this stratagem made their medical causation case a little more difficult, but it avoided defenses of serious misuse and lack of proximate cause. Ferebee had been instructed by his co-workers and supervisors that paraquat was extremely dangerous if swallowed or inhaled. The warning label was unequivocal in detailing the dangers and the need to avoid ingestion. (Without the full label, it is difficult to evaluate how well the label warned against inhalation, but the 1978 OSHA guidelines address the use of a proper respirator for situations in which paraquat may be inhaled.) On the other hand, the label had a weakness, which could be exploited, as long as the preemption defense could be held at bay: the label urged protective clothing, goggles, and immediate washing of contaminated skin, but it failed to describe the consequence of dermal exposure other than irritation. Ferebee could thus try to avoid his own culpable conduct, as well as a sophisticated intermediary defense, by claiming that his exposure was only dermal.

Why did Chevron agree to the stipulation? Ferebee surely had some inhalational exposure when he walking behind applicators and when he was drenched in paraquat. The Chevron warning label, per government-employer regulations, did not specify respirator usage for ordinary work exposures of applicators (as opposed to workers who handled undiluted paraquat, or who worked in confined spaces). The defendant probably felt sanguine about its preemption defense, and thus also about the adequacy of its warnings overall. The stipulation limited the plaintiff’s medical causation case to a route of exposure that put it into an arguable “first instance” case report. Chevron stood to gain a claim of “lack of notice,” and thus lack of actual or constructive knowledge of the risk of lung disease from dilute dermal exposure. The clinical presentation itself differed from many of the cases of known paraquat poisoning, and Chevron probably believed that it could deal with the medical causation claim better if exposure was limited to transdermal absorption on unbroken skin.

  1. Medical causation

Chevron stridently argued that there had been no previous documented cases of pulmonary fibrosis in workers exposed to diluted paraquat on unbroken skin. The manufacturer’s argument was clever by halves.  The following facts were uncontroverted as known at the time of Chevron’s sale of the product:

  • Paraquat causes pulmonary fibrosis in humans.
  • The evidence that established paraquat as a cause of pulmonary fibrosis was largely case series of acute onset of pulmonary fibrosis after ingestion.
  • Paraquat induces pulmonary fibrosis relatively rapidly.
  • Paraquat can be absorbed through the skin.
  • The parties agreed that any type of exposure – ingestion, inhalation, or dermal absorption – could cause lung damage.[19]
  • Once paraquat is ingested, inhaled, or absorbed, it can travel to the lungs.
  • Lung fibrosis caused by dermal absorption of paraquat had been described previously only with skin lesions before or after the injury.[20]
  • The lungs are the target organ for paraquat, regardless of route of administration.
  • There are numerous causes of pulmonary fibrosis (such as asbestosis, scleroderma, rheumatoid arthritis, etc.).
  • The variants of pulmonary fibrosis do not all look alike clinically or pathologically, present alike, or progress alike.
  • Ferebee had no known other disease or exposure that could account for his pulmonary fibrosis.
  • There are cases of pulmonary fibrosis with no identifiable cause, known as idiopathic pulmonary fibrosis (IPF).
  • IPF is relatively rare; it too has a rapid onset and progression, although arguably not as fast as the cases described after exposure to undiluted paraquat.
  • Ferebee’s medical history was largely unhelpful in explaining his clinical course.
  • Ferebee had some shortness of breath before starting to use paraquat.[21]
  • Ferebee used or was exposed to paraquat occasionally over three years before he was diagnosed with pulmonary fibrosis.

These stipulated facts are rarely acknowledged in the discussion of the Ferebee case. The legal implications of these facts are far reaching. General causation in a sense was not contested. Paraquat causes pulmonary fibrosis. The issue was whether diluted paraquat through dermal exposure over three years causes pulmonary fibrosis, and whether this exposure caused Ferebee’s pulmonary fibrosis. Chevron stridently asserted that the “scientific method” required controlled experimental or observational (epidemiologic) studies. The problem with Chevron’s position was that general causation had already been established, and not by analytical epidemiologic studies. General causation between paraquat exposure of any kind and pulmonary fibrosis had been established by case reports, based upon close temporal proximity between exposure and pulmonary toxicity and fibrosis. Animal toxicology and mechanistic studies confirmed the toxicity observed in clinical studies.[22]

Because idiopathic pulmonary fibrosis is rare, the appearance of this disease in a series of exposed workers soon after they were exposed to a specific toxic chemical really did not require the rigors of analytical epidemiology. The causal analysis between paraquat and lung fibrosis was more akin to the analysis that is used to attribute liver failure to herbal exposure than the epidemiologic approach to the relationship between smoking and lung cancer. At the time of Ferebee’s exposure and his litigation, there was no serious dispute that paraquat caused pulmonary fibrosis when inhaled or swallowed, or that paraquat was absorbed dermally, or that the lung was a target organ of paraquat exposure of any sort.

  1. The expert witnesses.

Ferebee was initially treated by Dr. Muhammed Yusuf, a pulmonary specialist, who diagnosed pulmonary fibrosis. Dr. Yusef referred Ferebee to the National Institutes of Health (NIH), where he came under the care of Dr. Ronald G. Crystal of the Heart, Lung, and Blood Institute. (Dr. Crystal is now Chairman of Genetic Medicine at Weill-Cornell Medical College, where he continues to practice pulmonary medicine.)

In the litigation, Chevron called Dr. Carrington, who diagnosed Ferebee with idiopathic pulmonary fibrosis. Dr. Carrington challenged the plaintiffs’ expert witnesses’ opinions for lacking reliance upon controlled observational or experimental studies.[23] Dr. Carrington, however, acknowledged that dermal cases are too rare for observational epidemiologic analysis, but emphasized that no animal studies of sufficient size had been done to support plaintiffs’ hypothesis. Chevron also called a Dr. Fisher, who presented a toxicokinetic (TK) analysis of Ferebee’s dermal absorption. Based upon his TK analysis, Dr. Fisher concluded that the maximal amount of paraquat absorbed by Ferebee was too small, based upon known cases and animal studies, to have caused paraquat toxicity with lung fibrosis.[24]

  1. Chevron’s challenge to plaintiffs’ expert witnesses’ causation opinion.

None of the defendant’s expert witnesses examined Ferebee. The courts thought this was relevant, but the judicial opinions never articulated what would have been observed on physical examination that was important to resolving the differential diagnosis of paraquat toxicity versus IPF. There was no dispute that Ferebee had rapidly progressing pulmonary fibrosis. The expert witnesses on both sides evaluated Ferebee’s clinical data, presentation, clinical course, and arrived at different diagnoses, either paraquat-induced lung fibrosis or IPF. The plaintiffs’ expert witnesses’ diagnosis involved a causal attribution to paraquat exposure; the defendant’s expert witness’s diagnosis of IPF ruled out any causal toxic exposure.

The Ferebee case was litigated under Maryland law because federal statutory law requires state law to control in a wrongful death action arising out of the neglect or wrongful act of another on a federal enclave.[25] The choice of law had implications both for procedural and substantive law. Chevron appears to have relied upon Maryland’s articulation of the Frye general acceptance doctrine, and the courts analyzed Chevron’s arguments as a Frye challenge.[26] Under the Erie doctrine, a federal court should have applied its own procedural law to the case at hand, including Rule 702 of the Federal Rules of Evidence.[27] The use of Maryland law to determine an evidentiary issue in federal court was error.

Chevron pressed its challenge in terms of Maryland’s version of Frye, and not under Federal Rule of Evidence 702. The oft-repeated infamous language used by both the district and the circuit courts was, therefore, not an interpretation of federal law. Rule 702 was never cited or discussed in either the trial or the appellate court’s opinion. This oddity has profound implications for how we evaluate the Ferebee decision, and how it can be cited. Before the Supreme Court decided the Daubert case, the epistemic implications of Rule 702 were largely ignored. Defendants sometimes attempted to press the Frye twilight-zone general acceptance test into a rule of decision that would reject an expert witness’s opinion testimony.[28] The Frye case was decided by a federal appellate court, but superseded by the enactment of Rule 702, in 1975. Ferebee was, of course, decided before the Supreme Court breathed life into Rule 702, but Rule 702 was nonetheless the law when the Ferebee case was litigated.

  1. The judicial resolution of  Chevron’s Frye challenge

The district court insightfully recognized that Chevron was demanding a level of evidence, which had never been required to establish paraquat’s generally accepted ability to cause pulmonary fibrosis. This recognition led to the district court’s rhetorical language:

“It is true that medical expert testimony must be grounded in proper scientific methodology, but the extremely stringent standard that defendant suggests is beyond reason. Product liability law, especially as it relates to relatively new products or those with a relatively rare yet significant danger, would be rendered next to meaningless if a plaintiff could prove he was injured by a product only after a ‘statistically significant’ number of other people were also injured. A civilized legal system does not require that much human sacrifice before it can intervene. The fact that this is the first case of this exact type – or at least the first of its exact type in which the involvement of paraquat was discovered by alert doctors – cannot be enough by itself to shield defendant from liability. Defendant’s experts were not able to fault Dr. Crystal for his basic diagnostic methodology; in fact, they used the same kinds of test results, consultations, and other tools that he did. What they disagreed with chiefly were his conclusions.”[29]

The important observation is that general causation had been established case series and reports of human exposure. There never was statistical evidence that had been evaluated for “significance,” to establish general causation for undiluted paraquat, and the trial court refused, under Maryland law, to require such evidence for general causation for diluted paraquat. In this context, we can see that the trial court’s suggestion that statistical significance was not required has little bearing upon cases in which general causation could only be established using epidemiologic evidence, with its attendant statistical inferences.

Of course, the matter only became worse when Chevron persisted in its argument and presented it to a panel of the D.C. Circuit. The litigants pulled a panel of what can be described as activist judges not known for their scientific acumen. Judge Mikva wrote the opinion for a panel that included Judge Wald, and Senior Judge Bazelon. The panel’s decision ratcheted up the district court’s rhetoric:

“Thus, a cause-effect relationship need not be clearly established by animal or epidemiological studies before a doctor can testify that, in his opinion, such a relationship exists. As long as the basic methodology employed to reach such a conclusion is sound, such as use of tissue samples, standard tests, and patient examination, product liability does not preclude recovery until a ‘statistically significant’ number of people have been injured or until science has had the time and resources to complete sophisticated laboratory studies of the chemical. In a courtroom, the test for allowing a plaintiff to recover is not scientific certainty, but legal sufficiency; if reasonable jurors could conclude from the expert testimony that paraquat more likely than not caused Ferebee’s injury, the fact that another jury might reach the opposite conclusion or that science would require more evidence before conclusively considering the causation question resolved is irrelevant. That Ferebee’s case may have been the first of its exact type, or that his doctors may have been the first alert enough to recognize such a case, does not mean that the testimony of those doctors, who are concededly well qualified in their fields, should not have been admitted.”[30]

Judge Mikva’s dichotomy between levels of certainty needed in science and in the law was false. On behalf of the plaintiff, Dr. Crystal had done much more than give a clinical diagnosis. His assessment of causality was informed by case series of exposure and lung fibrosis, along with physiological evidence of oral, inhalational, and dermal absorption and distribution to the lungs, with toxic effect soon after exposure.

The appellate court’s dismissive attitude towards statistically significant evidence is severely limited to the factual context of a causal analysis that had been made by scientists, to everyone’s satisfaction, for undiluted paraquat, without the need for epidemiologic, statistical evidence. Statistical significance was never really at issue. In this way, Ferebee resembles the untoward dictum on statistical significance from Matrixx Initiatives Inc. v. Siracusano,[31] where the Court held that causation was not at issue.

In Ferebee, causation was very much at issue, but it had been well established – and the subject of warnings – based upon clinical case reports of paraquat exposure and rapid development of lung fibrosis. Dermal absorption and systemic distribution with toxic effects in the lungs were well established, and not the stuff of epidemiologic proofs.

In both Ferebee and Matrixx Initiatives, statistical significance was never really at issue. In Ferebee, there was no statistical evidence needed or used to reach causal conclusions about paraquat’s ability to induce pulmonary fibrosis. In Matrixx Initiatives, allegations of statistical significance and causation were not necessary because the plaintiffs needed only to allege materiality of the facts suppressed by the company in order to plead a securities fraud case. The FDA could impose warnings or require a product recall on evidence that fell well short of establishing causality. Materiality thus could be established without causation, and neither causation nor statistical significance needed to be alleged.

As for Chevron’s Frye challenge, the district court rejected the implied call for a vote on the general acceptance of Dr. Crystal’s reasoning. Frye may require “vote counting” of some sort, but the process becomes irrelevant when virtually no one has registered to vote. Otherwise, both the defense and plaintiffs’ expert witnesses were indeed using the same technique of arguing by analogy to accepted cases of paraquat poisoning or IPF. Dr. Crystal opined that Ferebee’s case was “similar” to three other cases he had identified. Dr. Carrington argued that Ferebee’s case was more like IPF cases, although IPF cases themselves have some clinical heterogeneity as well. Most reported paraquat cases described onset of toxicity to death as a very rapid process. Ferebee did not present with significant symptoms for three years after his first exposure, and then he survived for another two plus years. Ferebee did not report skin lesions, which had been reported in previous cases of dermal exposure leading up to pulmonary fibrosis. On the other hand, there was no precise exposure assessment for Ferebee’s absorption of paraquat. The case presented, on the diagnostic level, with the implied causality, a difficult call, but it is easy to understand the courts’ impatience with the defendant’s insistence upon more stringent criteria and evidence than was used to establish the causal connection with undiluted paraquat. The ability of paraquat to cause pulmonary fibrosis had been well established based upon case reports, including case reports of dermal exposure to open sores, with documented systemic distribution with specific toxicity to the lung, regardless of the route of administration.

  1. Expert witness qualifications.

Chevron never challenged Dr. Yusuf’s or Dr. Crystal’s qualifications, both of whom were highly accomplished and respected clinicians and scientists. Neither was a “hired gun.” The oft-quoted comments about expert witness qualifications were made in the context of describing the appellate court’s standard of review, and the court’s role in not assessing credibility or weighing the evidence:

“These admonitions apply with special force in the context of the present action, in which an admittedly dangerous chemical is alleged through long-term exposure to have caused disease. Judges, both trial and appellate, have no special competence to resolve the complex and refractory causal issues raised by the attempt to link low-level exposure to toxic chemicals with human disease. On questions such as these, which stand at the frontier of current medical and epidemiological inquiry, if experts are willing to testify that such a link exists, it is for the jury to decide whether to credit such testimony.”[32]

Remarkably, this language has been mistakenly invoked as a standard for trial courts to use in determining the admissibility of expert witness opinion testimony. It is no such thing. Some other observations are in order. Although Ferebee worked with diluted paraquat, his exposures were hardly low level. He described himself as drenched in the herbicide, without protective gear, and without his governmental supervisors ever directing him to shower and change clothing.

  1. Preemption and Warnings Causation.

Ultimately, Chevron’s preemption defense was rejected by both the district and the circuit court. The defense’s claim of FIFRA preemption might have gone very differently today, after the Supreme Court’s decisive application of preemption to FIFRA labeling of glyphosate.[33]

Even more important in evaluating liability is the emphasis that both the district and the appellate courts gave to the important role of the employer in the case. The evidence showed that there was indeed a warning label that Ferebee had never read. The plaintiff’s case was thus in jeopardy of failing to show proximate causation between an allegedly inadequate warning and harm. The courts, however, emphasized the role that the employer, through its supervisors and responsible co-workers, play in the complex organizational situation of a modern workplace:

“Mr. Ferebee’s situation was quite different, however. He did not purchase paraquat for his personal use; rather, it was provided to him by his employer for use on the job. The evidence showed that his principal source of information about paraquat was the oral instructions of his supervisors and co-workers, not the written label. He learned from them how to mix the product and how to spray it. It was also from this source that he learned of the danger of getting the product in his mouth: one of his co-workers warned him that if he accidently swallowed paraquat, it would ‘get in his blood’ and poison him. This is a common pattern of instruction and use of occupational materials in the workplace. Learning by doing and learning by oral instruction are tried and true methods of educating manual workers in their jobs. Therefore, although it is crucial to plaintiff’s case that someone would have read the label, it was not necessary for Mr. Ferebee to have done so. And it is obvious that one or more employees at BARC did read the label, since information did reach Mr. Ferebee about the proportions for diluting the product and about the dangers about which the label did warn. It was appropriate for the jury to infer that a warning about the danger of fatal lung disease from dermal exposure would also have been communicated to Mr. Ferebee. See Restatement (Second) of Torts § 388 comment n (seller normally entitled to assume that adequate warning will be passed on by purchaser to ultimate user); cf. Chambers v. G.D. Searle & Co., 441 F.Supp. at 381 (in product liability case involving prescription drug, relevant warning is the one given to doctor, not patient).”[34]

There is significant irony in that the Ferebee case has been the subject of serious criticism from defense counsel, and yet it embraced Section 388, comment n, as well as applied the learned or sophisticated intermediary principles to a case not involving prescription drugs. The appellate court waxed enthusiastic about the principles of Section 388, and went so far as to cite the late Victor Schwartz in support:

“We live in an organizational society in which traditional common-law limitations on an actor’s duty must give way to the realities of society. *** In this case, Mr. Ferebee did not purchase the paraquat for his personal use, and there was substantial evidence that workplace communication about the dangers associated with various chemicals usually took the form of oral instructions from supervisors to workers, the latter of whom then retransmitted the information to co-workers. This, rather than individual reading of product warnings, is a typical method by which information is disseminated in the modern workplace. See Schwartz & Driver, “Warnings in the Workplace: The Need for a Synthesis of Law and Communication Theory,” 52 U. Cinn. L. Rev. 38, 66-83 (1983). The requirement that an improper warning proximately ‘cause’ the injury should be elaborated against this background. We believe Maryland would construe its tort law in this case to require only that someone in the workplace have read the label, not that Mr. Ferebee personally have read it. Because there is no dispute that one or more employees at BARC did read the label, we hold that the jury could properly have inferred that, had a warning about the danger of disease from dermal exposure been included on the label, that warning would have been communicated to Mr. Ferebee and that he would as a result have acted differently. Alternatively, the jury could have inferred that an adequate warning would have led Ferebee’s employers to undertake steps that would have protected him from paraquat poisoning-for example, provision of showers for use after spraying.”[35]

Judge Mikva’s prediction, of course, was accurate; Maryland tort law did, soon thereafter, embrace the sophisticated intermediary defense to exculpate the defendant in such remote supplier situations.[36] The principle invoked to excuse plaintiff from reading the warning label also works to exculpate the defendant when that warning label is otherwise adequate, or when the intermediary knows of the hazard in any event. Given that the employer was the federal government, including the scientists at EPA, OSHA, the National Institutes of Health, and the Public Health Service, as well as the plaintiff’s principal expert witness (Dr. Crystal), the employer had complete and superior knowledge to the seller about the known or knowable effects of diluted paraquat.[37]


[1]  Nathan Schachtman, Wells v. Ortho Pharmaceutical Corporation -A Dred Scott Case in Science Jurisprudence, ResearchGate (June 2026); DOI: 10.13140/RG.2.2.30242.18880

[2] Ferebee v. Chevron Chem. Co., 552 F. Supp. 1297 (D.D.C. 1982), aff’d, 736 F.2d 529 (D.C. Cir.), cert. denied, 469 U.S. 1062 (1984).

[3] Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993).

[4] Willis Electric Co., Ltd. v. Polygroup Ltd., 166 F. 4th 1363, 1379, 1380-81 (Fed. Cir. 2026) (citing Ferebee, and declaring that the validity of assumptions underlying an expert witness’s methodology were fact questions for the jury, and not a a proper basis for excluding the challenged expert witness testimony). See also Barry v. DePuy Synthes Cos., 164 F.4th 896, 912 (Fed. Cir. 2026) (characterizing expert witness challenges to “purported flaws” in methodology as objections that “go to the weight the jury might accord to that evidence and not to its admissibility.”)

[5] Ferebee, 736 F.2d at 1531-32.

[6] Id. at 1532.

[7] 552 F. Supp. at 1295 & n. 3.

[8] Ferebee, 552 F. Supp. at 1294-95

[9] Ferebee, 736 F.2d at 1532.

[10] Id.

[11] 7 U.S.C. § 136, et seq.

[12] 7 U.S.C. § 136a(c)(5)(C).

[13] 7 U.S.C. § 136(bb).

[14] 7 U.S.C. § 136(q)(1)(E). See Ferebee 736 F.2d at 1539-40.

[15] 552. F. Supp. at 1304 n.40.

[16] Ferebee, 736 F.2d at 1536.

[17] Id.

[18] 552. F. Supp. at 1295 & n. 3.

[19] Ferebee, 552. F. Supp. at 1300 & n.28.

[20] Ferebee, 736 F.2d at 1538.

[21] Ferebee, 552. F. Supp. at 1295.

[22] See generally Leah Utyasheva, Prabath Amarasinghe & Michael Eddleston, Paraquat at 63 – the story of a controversial herbicide and its regulations: It is time  to put people and public health first when regulating paraquat, 25 BMC PUB. HEALTH 3089 (2025).

[23]  Ferebee, 552. F. Supp. at 1301.

[24] Id.

[25] 16 U.S.C. § 457; Ferebee, 736 F.2d at 1533.

[26] Ferebee, 552 F. Supp. at 1301; 736 F.2d at 1535.

[27] Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 589 & n.6 (1993). See also Cavallo v. Star Enterprise, 100 F.3d 1150, 1157-58 (4th Cir. 1996); Amorgianos v. National Railroad Passenger Corp., 303 F.3d 256 (2d Cir. 2002); Legg v. Chopra, 286 F.3d 286, 289-92 (6th Cir. 2002). See Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938); Hanna v. Plumer, 380 U.S. 460, 470 (1965) (Erie does not displace the application of federal procedural rules in federal courts).

[28] Frye v. United States, 293 F. 1013, 1014 (D.C.Cir.1923).

[29] Ferebee, 552 F. Supp. at 1301.

[30] Ferebee, 736 F.2d at 1535-36 (emphasis in original).

[31] 563 U.S. 27 (2011). See Nathan Schachtman & David Venderbush, Matrixx Unbounded:  High Court’s Ruling Needlessly Complicates Scientific Evidence Principles, 26(4) WASH. LEG. FDTN. LEG. BACKGROUNDER (2011).

[32] Ferebee, 736 F.2d at 1534.

[33] Monsanto v. Durnell, ___ U.S. ___, Slip op. (June 25, 2026), available at https://www.supremecourt.gov/opinions/25pdf/24-1068_n7ip.pdf

[34] Ferebee, 552 F. Supp. at 1303-04 (internal citations omitted).

[35] Ferebee, 736 F.2d at 1539 (emphasis in original; internal citation omitted).

[36] See, e.g., Kennedy v. Mobay Corp., 84 Md. App. 397 (1990) (applying sophisticated user defense to bar claims against manufacturers of toluene diisocyanate), aff’d, 325 Md. 385 (1992); Higgins v. E.I. DuPont de Nemours, Inc., 671 F. Supp. 1055 (D. Md. 1987) (Maryland law; holding that manufacturer of paint was in better position than bulk supplier to communicate warnings to customers’ employees), aff’d, 863 F.2d 1162 (4th Cir. 1988).

[37] See Miller v. Diamond Shamrock Co., 275 F.3d 414, 422-23 (5th Cir. 2001) (“There can be no reasonable dispute that knowledge possessed by the United States Public Health Service, … [and] the Navy’s Bureau of Medicine and Surgery is the knowledge of the military.”).

BIAS EVERYWHERE

June 27th, 2026

For those of us who litigate health effects claims, either as pursuers or defenders, the pathology of science is often as important and interesting as pristine methodology. Identifying the pathological epistemology (patho-epistemology) of our adversaries’ claims, in the facts and data relied upon, and the inferences drawn at every step in reasoning to a conclusion, are critical to getting to the truth, as well as prevailing in litigation.

To its credit, the Reference Manual on Scientific Evidence has addressed, since its first edition, some varieties of bias that threaten the validity of epidemiologic studies. The most recent edition has the most extensive discussion yet. The authors of the chapter on epidemiology provide a basic taxonomy of systematic biases into three categories: selection, information, and confounding bias, all of which can affect the internal validity of an epidemiologic study.[1] Importantly, the chapter authors advise that the inevitable limitations in studies “must be considered to interpret their results properly.”[2] The chapter authors seem, however, keen to give examples in which courts dismiss challenges to studies with actual biases and severe limitations, rather than exclude witnesses who rely upon seriously biased studies.

The chapter thus cites a district court’s pronouncement that “[w]here a positive association is observed, its validity is assessed by evaluating the role of possible alternative explanations, such as chance, bias, or confounding.”[3] The authors avoid acknowledging, however, that the quoted court found that the pursuers’ expert witnesses had failed to evaluate bias adequately. In a similar vein, the chapter authors downplay potent biases when the biases undermine the validity of studies relied upon by claimants. The chapter cites a notorious decision in the phenylpropanolamine litigation, and quotes from the MDL court’s decision that dismissed the defendant’s “ex post facto dissection” of a study, because all “scientific studies almost invariably contain flaws.”[4] The quoted language reveals that particular MDL court’s refusal to engage with the evidence of the seriousness of the specific flaws identified. All humans have flaws, but still we acknowledge some as saints and some as criminals. A lot more is required than shrugging off challenges because no study is perfect.

Another example of the epidemiology chapter’s apparent approval of toothless judicial review of biases in studies can be seen in citation to the RoundUp MDL. The presiding judge, Judge Chhabria, declared that “concerns about recall bias in these studies do not demand that a reliable expert opinion meaningfully discount the body of case-control studies when assessing causation.”[5] The basis for this curious judgment was the plaintiffs’ expert witnesses’ claim that concerns over recall bias were diminished when studies looked only at one particular outcome (Non-Hodgkins’ lymphoma (NHL)) as opposed to many different kinds of cancer. These claims were free of empirical support, and puzzling in that case-control studies typically involve only one outcome of interest.

In that same RoundUp litigation, an expert testified that because recall bias would be expected to affect reported exposures for people with any type of cancer, concerns about recall bias were diminished where “epidemiology studies on the whole observed associations only between” exposure to an herbicide and a particular type of cancer, rather than with “the other cancers about which participants were asked.” No empirical support was cited for this curious, counter-intuitive opinion. If the cancer for which the odds ratio was elevated was the subject of litigation and a good deal of sensational, misleading publicity involving RoundUp, then we might well expect cases – with NHL – to remember or even exaggerate exposure to RoundUp more than the controls who did not have NHL.

Other instances in the Reference Manual’s treatment of bias are equally skewed. The chapter authors point to the Selikoff asbestos insulator study of cancer mortality as an example of information bias that diminished identification of mesothelioma risk because of misdiagnosis of mesotheliomas as lung cancers.[6] Although this is indeed an example of information bias that arose because of the uncertainty in distinguishing mesothelioma from lung cancer at a time when the diagnostic criteria for mesothelioma were not well developed, the authors ignore how this bias inflated lung cancer mortality, and how it inflated colorectal cancer mortality as a result of misdiagnosed peritoneal mesotheliomas. If the chapter authors had looked at the structure of the Selikoff study, they would have seen that smoking was a covariate reported by post card survey of a population (insulators), who were very much aware of the litigation issues, who funded the study, and who were keen to reduce the role attributable to smoking in the study. The Manual authors missed an important opportunity to discuss bias created by conducting studies in a group of workers who were keen to support their union’s and their own litigation efforts.

The chapter acknowledges that identifying biases can be challenging for expert witnesses, and can require expertise in epidemiologic methodology and the outcomes under study.[7] Unfortunately, the chapter does not address the very low bar for qualifying expert witnesses, which results in courtroom presentation of testimony about epidemiologic evidence from witnesses with weak to non-existent expertise in epidemiology or the specific disease outcome at issue. Both plaintiffs’ and defense counsel have been known to recruit treating physicians as expert witnesses on general and specific causation, despite their lack of epidemiologic expertise, on the belief that juries will accord them greater credibility because of their “hands-on” experience with patients. Despite the Manual’s acknowledgment of the need for subject-matter expertise, the chapter on epidemiology has nothing to say about the ineffective standards for ensuring actual expertise.

The Reference Manual’s discussion of study bias has its strengths, and more than its fair share of weaknesses, but any exposition of ten or so pages would be inadequate to the task of preparing judges and lawyers to complete their task in specific cases.  The Manual could have been improved by including some discussion of the many resources available on the subject of systematic and other biases in epidemiology.

There are innumerable (figuratively speaking) journal articles on the many types of systematic biases.[8] There are also important book-length discussions of the full range of systematic and other biases that can afflict and invalidate epidemiologic studies. Michael B. Bracken, now professor emeritus at Yale University, has just published an important book, Bias! How Systemic Error Threatens Biomedical Research.[9] Bracken provides a helpful synopsis of his work:

“Scientists are alert to the play of chance in their research findings, but systemic error, which defines bias, is a much more insidious player. There are few formal methods for assessing bias, and researchers are often unaware of how bias is influencing their study results. Bias produces the worst kind of study outcome: The result appears precise and free of random error but, because of systemic error, it is wrong. Bias operates at every stage of research:

  • which hypotheses will be tested;
  • how study participants are selected;
  • the choice of comparison groups;statistical analysis, research synthesis, and meta-analysis;and the interpretation and dissemination of study results.

Bias is a root cause of inefficiencies and waste in biomedical research, and for well-documented failures in result reproducibility. This book describes cognitive biases that influence scientists and science teams, as well as bias inherent in how research is conducted. Selected types of research are examined: genetic, pharmacologic, pandemic, clinical trial, and animal studies. Historical and modem examples are provided throughout the book and suggestions offered for how scientists might immunize themselves against the systemic error that threatens their work.”

Bracken’s book is a crucial resource for lawyers who need to understand the varied biases that must be considered in the evaluation of any epidemiologic study. The book’s discussions of the origins, types, and effects of biases go far beyond the meager (and at times biased) discussion of bias in the Reference Manual’s chapter on epidemiology. Lawyers who litigate health effect cases who fail to consult Bracken’s work on bias are likely deviating from their own professional standard of care.

Bracken’s work on bias is not the first book-length treatment of the subject.  Professor Timothy Lash, along with co-authors, have published an important work, now in its second edition, on the quantification of biases.[10] In 2024, the International Agency for Research on Cancer has published a book on bias assessment in observational cancer epidemiologic studies.[11] The book, which grew out of a workshop funded in part by the National Cancer Institute, is available for download as a free PDF file from IARC’s website. Although not as comprehensive as it might be, the IARC’s textbook on bias does describe some techniques to avoid, control, and measure the role of bias in the results of epidemiologic studies. Unfortunately, IARC does not prescribe the same level of analysis for its working groups involved in classifying agents as cancer hazards.[12]

Another important book that belongs within easy reach of health-effect litigation lawyers is the award-winning book by statistician Herbert Weisberg, Bias and Causation: Models and Judgment for Valid Comparisons.[13] Weisberg drills down on bias as one the key problems in the assessment of causality. Judea Pearl called Weisberg’s work “a thoughtful and well written book, covering important issues of causal inference in every field of applied data analysis.”[14] Pearl fussed that while “the book shines in the motivational and conceptual levels,” he was not satisfied with it because of its lack of attention to mathematical models.  Lawyers, especially those who lack training in advanced mathematics, will find this lack a blessing.

Of course, all the major textbooks on epidemiology will treat systematic bias with greater care and intensity than the Reference Manual. Mark Elwood’s insightful text on evaluating epidemiological studies probably provides more practical assistance to the litigation bar than the general epidemiology textbooks.[15] The Manual’s treatment of systematic bias creates an impression that the authors would prefer judges not to look too carefully at the indicia of invalidity in the studies relied upon by expert witnesses.


[1] Steve C. Gold, Michael D. Green, Jonathan Chevrier, & Brenda Eskenazi, Reference Guide on Epidemiology 897, 928, in National Academies of Sciences, Engineering, and Medicine & Federal Judicial Center, REFERENCE MANUAL ON SCIENTIFIC EVIDENCE (4th ed. 2025) [RMSE4th]

[2] Id. at 903, 929 n. 94.

[3] 929 n. 94, citing and quoting from Daniels-Feasel v. Forest Pharms., Inc., No. 17 CV 4188-LTS-JLC, 2021 WL 4037820, at *2 (S.D.N.Y. Sept. 3, 2021). The chapter ignores that the district court found, in a Rule 702 evaluation, that the plaintiffs’ expert witnesses had failed to consider these alternatives adequately. The chapter also failed to note that the Second Circuit had affirmed the district court’s exclusion of the plaintiffs’ expert witnesses. Daniels-Feasel v. Forest Pharms., Inc., 2023 U.S. App. LEXIS 19448, 2023 WL 4837521 (2d Cir. July 28, 2023) (per curiam).

[4] RMSE4th at 903 n. 12, citing In re Phenylpropanolamine (PPA) Prods. Liab. Litig., 289 F. Supp. 2d 1230, 1240 (W.D. Wash. 2003).

[5] RMSE4th at 948 & n. 145 citing and quoting In re Roundup Prods. Liab. Litig., 390 F. Supp. 3d 1102, 1121 (N.D. Cal. 2018).

[6] d. at 946 n.140 citing Irving John Selikoff, et al., Mortality Experience of Insulation Workers in the United States and Canada, 220 ANN. N.Y. ACAD. SCI. 91, 110–11 (1979);  David E. Lilienfeld & Paul D. Gunderson, The “Missing Cases” of Pleural Malignant Mesothelioma in Minnesota, 1979–81: Preliminary Report, 101 PUB. HEALTH REP. 395, 397–98 (1986).

[7] RMSE4th at 943.

[8] See, e.g., David L. Sackett, Bias in Analytic Research, 32 J. CHRON. DIS. 51 (1979).

[9] Michael B. Bracken, BIAS! HOW SYSTEMIC ERROR THREATENS BIOMEDICAL RESEARCH (2026)

[10] Matthew P. Fox, Richard F. MacLehose & Timothy L. Lash, APPLYING QUANTIATIVE BIAS ANALYSIS TO EPIDEMIOLOGIC DATA (2d ed. 2021).

[11] Amy Berrington de González, David B. Richardson & Mary K. Schubauer-Berigan, eds., STATISTICAL METHODS IN CANCER RESEARCH, vol. V: BIAS ASSESSMENT IN CASE-CONTROL AND COHORT STUDIES FOR HAZARD IDENTIFICATION, IARC Scientific Publication No. 171 (2024).

[12] See generally Schachtman, IARC’s Precautionary Science: How the WHO Cancer Research Agency Misinforms Regulation and Litigation, WLF Monograph (2016), https://www.wlf.org/wp-content/uploads/2026/04/WLF-Precautionary-Science-monograph.pdf

[13] Herbert I. Weisberg, BIAS AND CAUSATION: MODELS AND JUDGMENT FOR VALID COMPARISONS (2010).

[14] Judea Pearl, Review: Models and Judgment for Valid Comparisons, 68 BIOMETRICS 659, 660 (2012).

[15] Mark Elwood, APPRAISAL OF EPIDEMIOLOGICAL STUDIES AND CLINICAL TRIALS (2017). See also Raj S. Bhopal, ERROR, BIAS, AND CONFOUNDING IN EPIDEMIOLOGY (2016); Oxford Centre for Evidence-Based Medicine (CEBM), Catalogue of Bias, https://catalogofbias.org/biases/.

The American Public Health Association – Lawsuit Industry Affiliate

June 14th, 2026

Over a decade ago, I wrote a post about the American Public Health Association (APHA) and its position papers opposing the Daubert regime of gatekeeping the validity of expert witness opinion testimony. I am updating the post, with some modifications, because the links to the APHA documents are broken. It appears that the APHA now keeps its meeting minutes and policy position statements as secrets for the cognoscenti, and so I have uploaded documents that once were publicly available to document the APHA’s tepid relationship with science.

The APHA was once a significant organization committed to the improvement of public health. The Association has many thousands of members, and it engages in the pretense that it represents the entire public health community. Among its many activities, the APHA publishes a journal, the American Journal of Public Health

Here is how the APHA described itself and its activities, in 2014, to advance public health:

“The American Public Health Association champions the health of all people and all communities. We strengthen the profession of public health, share the latest research and information, promote best practices and advocate for public health issues and policies grounded in research. We are the only organization that combines a 140-plus year perspective, a broad-based member community and the ability to influence federal policy to improve the public’s health.”

How could anyone be against the APHA? Let’s see.

The mission statement currently on the APHA’s website has added the ultimate social justice adjective, “equitable,” and emphasized the association’s advocacy roles:

“We champion optimal, equitable health and well-being for all. We speak out for public health issues and policies backed by science. We are the only organization that combines a 150-year perspective, a broad-based member community and the ability to influence federal policy to improve the public’s health.”

Somewhere along the way, the association was commandeered by revolutionaries who remade it in the “Spirit of 1848.[1]” The APHA evolved into a tool of the lawsuit industry and its putative scientist allies. In 2004, after several years of lobbying, agents of the lawsuit industry managed to push a policy statement past the Association’s leadership, to condemn the requirement of evidence-based reasoning in federal courts in the United States. The APHA has since proven itself an enemy of good science on many fronts.

The success of the lawsuit industry’s influence was dutifully memorialized in the “Final Minutes of Meetings of the APHA Governing Council,” held in November 2004. The lawsuit industry’s attack on evidence-based science and data transparency, known as “Policy Number: 2004-11 Threats to Public Health Science,” was adopted as an official APHA policy statement.

APHA 2004-11” was published in an American Journal of Public Health newsletter, but is now available only to members on the APHA website, as Policy Number: 2004-11:  Threats to Public Health Science. I have excerpted contentions and recommendations from the APHA policy, in the left column of the chart, below. The policy statement is typical of what comes out of precautionary principle NGOs and groups such as the Collegium Ramazzini, and passed off for scientific commentary. The APHA policy is parsed in the left-hand column; my comments to quoted language are in the right-hand column.

APHA Policy Comment
“Acknowledging that within science, absolute proof and perfect information are rare;” Note the false dichotomy between absolute proof and perfect information and the entire remaining spectrum of scientific information.  This dichotomization has been part of the litigation strategy of passing off hypotheses, preliminary conclusions, unreplicated findings, etc., as though they were acceptable bases for causal conclusions.
“Recognizing that special interests have exploited the nature of science, specifically scientific uncertainty, to delay protective legal and/or regulatory action;”  

Note the asymmetry of the accusations; the APHA apparently has no concern for the “special interests” that exploit science by passing off hypotheses as conclusions, and seeking to accelerate protective legal and regulatory action by manufacturing faux scientific consensuses and conclusions.

“Acknowledging that some public health decisions must be made in the absence of perfect scientific information;”  

Le mieux est l’ennemi du bien.” But isn’t the good also the enemy of the shabby, dodgy, and fraudulent? Note again the false dichotomy between “perfect” information and everything else, as though our failing to achieve the perfect opens the door to the worst. True, of course, that sometimes action is needed on incomplete records, but such action is rarely needed for compensation claims.

“Recognizing that special interests, under the guise of a call for “sound science” have sponsored and promoted changes in public policy that have weakened and continue to threaten public health protections;”  

If the call for sound science cannot be sustained, then this rhetorical gambit will blow back hard on those “special interests.”  Why are these putative scientists, at APHA, so afraid of sound science?

“Recognizing that special interests have challenged highly regarded public health research and researchers, and inappropriately characterized established scientific methods as ‘junk science’;”  

Mon Dieu! Highly regarded by whom? How cheeky of those special interests.  See the discussion of Dr. Barry S. Levy, below. Of course, special interests from the folks at Green Peace, and EWG, etc., are welcome. The claim that the challenges are inappropriate is a mere conclusion without evidence.

“Recognizing that the Daubert decision has propagated misinterpretations and misapplications of scientific principles relied upon throughout the public health sciences, such as insisting that any epidemiologic study that is relied on to support causation demonstrate a twofold increase in risk as well as a reliance on significance testing to determine which scientific findings are to be allowed as evidence;”  

This contention seriously misrepresents the basic nature of evidence law. Studies, whether they have statistically significant results, or not, are rarely admissible in evidence.  What is admissible, or not, are the opinions of duly qualified expert witnesses, who explain and show the epistemic warrant for their opinions.  With respect to general causation opinions, expert witnesses will often have to show, among other things, that they have relied upon studies that have ruled out chance, bias, and confounding to arrive at a causal conclusions.  Significance testing can be abused, in both directions, but the APHA ignores the need for having some quantitative assessment of  random variability and error. As for relative risks greater than two, the APHA is correct that general causation may often be found with small relative risks, but the attribution of causation in an individual claimant often can be made only on probabilistic inferences that will require relative risks greater than two, or even larger.

“Recognizing that special interests are engaged in a campaign to extend Daubert’s reach to those states that have not embraced prescriptive definitions of scientific reliability.”  

The APHA makes common cause with the rent-seeking and special pleading of “special interests” that would abolish all limits on the admissibility of expert witness opinions, and all normative assessments of scientific research. This position ignores the prescriptive aspect of methodology, and the nature of epistemic warrant in a methodology.

What follows from these contentions? 

“Therefore, APHA:”

“Opposes legislation or administrative policies that attempt to define the characteristics of valid public health science, or dictate prescriptive scientific methodologies; and”  

Admittedly, defining good science is very difficult, but the law often works like science as defining health as the absence of disease.  There are obviously some well-known pathologies of scientific method, and it hardly seems extravagant to urge courts to avoid flaws, fallacies, and fraud.  

“Supports the efforts of other scientific organizations to promote the government’s ability to utilize the best available science to protect the public’s health; and”  

Of course, sometimes the “best” available science is rather shabby. The science will only protect public health if it is valid and supports valid causal inferences.

“Urges friend of the court briefs that address the problem inherent in the adoption of Daubert and Daubert-like court rulings, the application of Daubert in regulatory proceedings, and when judges misinterpret scientific evidence in their implementation of the Daubert ruling.”  

There are no instances of the APHA’s deploring jury verdicts that offend scientific sensibilities; and so the APHA’s urging here is one-sided and partisan.  The fact, however, that judges’ misinterpretations of scientific evidence can be criticized publicly is one of the key differences that separates judicial gatekeeping from the black box of jury determinations.

In 2005, the APHA published, in its journal, APJH, a special supplement, “Scientific Evidence and Public Policy,” with

“academic analysis of the conflicts arising in the use of science in regulatory, civil and criminal proceedings. This special issue examines how recent developments in the legal and regulatory arenas have emboldened corporations involved in civil litigation and regulatory proceedings to accuse adversaries of practicing ‘junk science’.”

Apparently, the APHA was not, and is not, concerned with the emboldening the lawsuit industry and its efforts to subvert the truth-finding function of civil litigation. 

David Michaels served as the guest editor for the APJH special supplement.  Michaels repeated many of the contentions of the 2004 Policy Statement, above, and in an introductory essay,[2] he added some new dubious assertions:

  • Judges are no better than juries in assessing scientific evidence.
  • Scientists evaluate all the evidence by applying a “weight-of-the-evidence” approach.
  • Uncertainty in science is normal and does not mean the underlying science flawed.

These are all serious half truths.  Many judges are quite astute when evaluating scientific evidence, but even the lowest aptitude judges must give articulated reasons for their decisions, which opens up a public process of comment, correction, and criticism.  Juries vote in secret, without having to explain or justify their verdicts. Judges can review the actual studies relied upon; juries never read the entire studies that are cited by expert witnesses. The collective judgment of juries can, on occasion, be more insightful than that of a single judge. Juries can also be more emotive and less analytical than judges, and they can be seduced by the hyperbolic rhetoric, and evidence-free claims. It seems obvious what aspects of the jury system are being endorsed by the APHA.

Scientists, metaphorically speaking, weigh evidence, as do non-scientists, but this opaque metaphor hardly explicates the process of how scientists arrive at conclusions about causal relationships.  And uncertainty is a condition of many scientific fields, but the error lies in trying to pass off tentative, uncertain, preliminary observations and findings as knowledge.

Michaels sees the development of judicial gatekeeping as favoring “the powerful,” and hurting “the weak and vulnerable.”[3]  Michaels showed no compunction with having his editorial recommendations favoring the lawsuit industry and undermining the truth.  Michaels was the head of the Occupational Health & Safety Administration, where he squandered his tenure with a shambolic rulemaking on silica, which did little actually to protect workers.

As for self-righteousness, Michaels’ special issue of the American Journal of Public Health was itself funded by corrupt interests. Michaels and the APHA described the funding for the special AJPH supplement:

“Support for the supplement was provided through unrestricted funding to the Project on Scientific Knowledge and Public Policy (SKAPP) from the Common Benefit Litigation Trust, a fund established by court order in the Silicone Gel Breast Implant Products Liability Litigation. SKAPP is an initiative of scholars that examines the application of scientific evidence in the legal and regulatory arenas. SKAPP is based at the George Washington University School of Public Health and Health Services; more information is available at  www.DefendingScience.org.”[4]

This pseudo-disclosure provides a window of discovery into the fraudulent aspect of the entire APHA enterprise.  The Common Benefit Trust was a fund that was held back from settlement monies paid by defendants in the silicone gel breast implant litigation.  The Trust was nothing more than the Plaintiffs’ Steering Committee’s war chest, and “walking-around-money,” from which it could advance litigation goals within MDL 926 (silicone breast implant cases).  Ironically, the appointment of neutral, court-appointed expert witnesses led to the success of “sound science,” and the collapse of the plaintiffs’ counsel house of cards.  Rather than returning their litigation expense fund to the claimants, the plaintiffs’ counsel diverted the funds to an illegitimate recipient, SKAPP, to advance their litigation goals, not for MDL 926, but for the next MDL, and the next, and the next….[5]  

                                     * * * * * * *

The same year that the APHA published the SKAPP-inspired and funded challenges to Federal Rules of Evidence 702, the APHA awarded its most prestigious award, the Sedgwick Medal, to Barry S. Levy, a physician whose opinions had routinely been found to be unreliable and irrelevant in various litigation industry efforts.[6]

Perhaps the APHA had Levy in mind when it complained that “special interests have challenged highly regarded public health … researchers….”  Dr. Levy seems to have less favorable accolades from trial and appellate judges.[7]  For instance, one federal judge found Levy engaged in a dubious enterprise to manufacture silicosis claims in Mississippi.[8] Interestingly, Judge Jack’s opinion was not mentioned in the APHA press release for Dr. Levy’s award ceremony.

                                     * * * * * * *

The APHA is still at it. The July 2026 issue of the American Journal of Public Health features articles on ultra-processed foods and public health. The association, in its website, describes the issue as “[a] curated collection of peer-reviewed research on the health impacts of ultraprocessed food consumption, food marketing, regulatory policy, and community-level interventions.”[9] The casual observer will no doubt detect that this issue is a one-sided presentation of advocacy positions, including a sop to the lawsuit industry about how litigation is necessary to challenge the food industry’s “toxic practices.”[10] The APHA has become an unserious politicized organization, which contributes to the erosion of trust in science and scientists.


[1] See APHA, Spirit of 1848 Caucus, available at https://www.apha.org/apha-communities/caucuses/spirit-of-1848-caucus.

[2] David Michaels, Editorial: Scientific Evidence and Public Policy, 95 (Supp. 1) AM. J. PUB. HEALTH S5 (2005).

[3] Id.

[4] This press release had been available at the APHA website <http://www.apha.org/about/news/pressreleases/2005/05arenas.htm>, last visited on February 10, 2014, but alas is no longer available. The press release, Is Public Health Science Being Derailed in the Legal and Regulatory Arenas (July 20, 2005), is available here.

[5] See Schachtman, SKAPP A LOT, TORTINI (April 30, 2010), available at https://schachtmanlaw.com/2010/04/30/skapp-a-lot/; and Conflicted Public Interest Groups, TORTINI (Nov. 3, 2013), available at https://schachtmanlaw.com/2013/11/03/conflicted-public-interest-groups/.

[6]Barry Levy Wins APHA’s Oldest and Most Prestigious Award, the Sedgwick Medal.” APHA News (Dec 11, 2005). This newsletter is no longer online, but the Wikipedia entry for the Sedgwick medal shows Levy as the 2005 recipient. Sedgwick Medal, in WIKIPEDIA, available at https://en.wikipedia.org/wiki/Sedgwick_Memorial_Medal.

[7] See Schachtman, Silica Litigation: Screening, Scheming & Suing; Washington Legal Foundation Critical Legal Issues Working Paper Series No. 135 (Dec. 2005) (exploring the ethical and legal implications of the entrepreneurial litigation in which Levy and others were involved). See also Lofgren v. Motorola, Inc., 1998 WL 299925, No. CV 93-05521 (Ariz. Super. Ct., Maricopa Cty. June 1, 1998); Harman v. Lipari, N.J. L. Div. GLO-L-1375-95, Order of Nov. 3, 2000 (Tomasello, J.) (barring the opinions of B.S. Levy in a class action for medical monitoring damages); Castellow v. Chevron USA, 97 F. Supp. 2d 780, 793-95 (S.D. Tex. 2000); Knight v. Kirby Inland Marine Inc., 482 F.3d 347 (5th Cir. 2007); Watts v. Radiator Specialty Co., 990 So. 2d 143 (Miss. 2008); Aurand v. Norfolk So. Ry., 802 F. Supp.2d 950 (2011); Mallozzi v. Ecosmart Technologies, Inc., 2013 WL 2415677, No. 11-CV-2884 (SJF) (ARL) (E.D.N.Y. May 31, 2013).

[8] .  In re Silica Products Liability Litigation, 398 F. Supp. 2d 563, 611-16, 622 & n.100 (S.D. Texas 2005) (expressing particular disappointment with Dr. Barry Levy, who although not the worst offender of a bad lot of physicians, betrayed his “sterling credentials” in a questionable enterprise to manufacture diagnoses of silicosis for litigation).

[9] See Ultraprocessed Food Section, AM. J. PUB. HEALTH online, available at https://ajph.aphapublications.org/ultraprocessedfoodssection.

[10] See Jennifer L. Pomeranz & Kelly D. Brownell, Litigation as a Necessary Tool to Challenge Food Industry’s Toxic Practices, AM. J. PUB. HEALTH, published online on June 3, 2026, at https://ajph.aphapublications.org/doi/10.2105/AJPH.2026.308539.