Analysis of over 8 million Tylenol capsules tested found that 75 contained cyanide.
[Laughter.]
MR. FRAZZA: Well, David echoes the standard dictum of many including Robert Reich. That is that the litigation system superimposes on a very weak regulatory climate or nonexistent regulatory climate and provides checks and balances to regulate properly economic conduct, as David has espoused.
I come from a background of the pharmaceutical industry and health care industry - a very rigorously regulated industry - and I think virtually everyone will agree that our regulations on pharmaceuticals and medical devices are the most stringent in the world by far.
So we start off with a situation where we are in a regulated industry. You could argue whether the automotive industry is sufficiently regulated, but that is a political issue and society has to deal with that in both the legislature and the administrative agencies. But take for a minute the pharmaceutical industry, which as you know is one of the biggest actors in this product liability system. There are hundreds of thousands of product liability cases brought against pharmaceutical manufacturers -- oral contraceptives, NSAIDS, the non-steroidal stuff and so forth.
Okay, David, we'll grant that -- there should be an alternative system that keeps an eye on all of these people. But what kind of system do we have and what kind should we have?
One, it should have predictability, a certain modicum of predictability, and I submit that the system is the most unpredictable in the world because you could have 15 oral contraceptive cases, win 14, and then in the 15th there's $300 million of punitive damages award. Rare, agreed. But if you are in Hurricane on the shore nobody tells you, well, these hurricanes are rare.
Is that thrown into the calculus when you decide what drugs to manufacture? It absolutely is. Oral contraceptives weathered it because it was a large drug and a very profitable drug, so you tuck away some money for the aberrations. A typical aberration was that the FDA told us to put on the warning label, "Oral contraceptives may cause blood clots which could be fatal." Awoman had a disabling stroke. She said that warning was inapplicable to her because they didn't say that you could have a disabling stroke which may not be fatal. The court held there are fates worse than death -- you should have told her about this and we paid through the nose.
Now did that regulate the conduct? Yeah. We went back and tinkered with the package insert, which is now as long as "War and Peace", and which nobody reads, incidentally. They put in something about disabling strokes and we went on about our business. Did that have any impact on anything?
The second thing is the quality of this system that rides herd out there, this vigilante system which keeps an eye on these weak regulatory agencies. The regulation is often by way of anecdote. It is often retrospective rather than prospective. There is often a disconnect between real science and junk science, and as I said, normally the actors in this drama are very sensible, intelligent people who are often not equipped scientifically to handle the very arcane issues that are put before them. I am not saying that drug companies do right in every case. I am not saying that they don't cut corners. But who is the judge here?
The third area is the emotion. These are emotional situations. All of economic activity is risk and benefit. We make this decision when we get in a car. We know that if you ride in the front seat it's the "death seat," right? You look at the statistics. You know that. Everybody should ride in the back except the driver. But we don't; we choose to take that risk.
There are risks and benefits in everything. These NSAIDS, they are helping people with arthritis now. We know they will kill about 16,000 people a year. The FDA knows it. The pharmaceutical companies know it. The doctors know it -- whatever. When those people are killed, the people go into court and you have an exercise. And in that exercise the drug company may win, it may lose, it may pay punitive damages, or it may pay nothing. My question is, does it significantly impact on the conduct of that manufacturer? Is it really what it says it is, a superimposed regulatory system to keep these people honest? I submit that it does not, and that it fails miserably in that.
I will switch from the pharmaceutical industry to the automotive industry because we are supposed to talk about the G.M. case, which I am not terribly familiar with. But I do know that right after the G.M. case you had the Ford Bronco case, which was a turnover, and Ford paid I think $390 million and I think it was reversed by the trial judge. But because it was a turnover and the roof, which complied with all of the standards that people think are not strong enough, wasn't crushproof enough, they paid that money.
Now Ford has tried about eight of those cases. They have won four; they have lost four. You go to the Ford engineer and you say to them, "How do I design this car?" He said, "Well, you have got to properly balance risk-benefit." "Well, I do. What do you mean by that? What standards do I have?" "Well, you got to make the roof a little stronger." "But if I make the roof a little stronger, that is more weight. That means it is going to turn over a little faster." "Well, I don't know. Two, you got to meet consumer expectations." "Well, what are consumer expectations?"
The point is that Ford, scratching its head here, says, "how am I going to design this car?" And what Ford does, really, in the real world, is sit down, try to design the car to the best of their ability and hope that the amount of verdicts such as the GM verdict and such are that they can weather. And if they can't weather them, the price of the car will go up.
Now, maybe I am not familiar with the automotive industry, and I don't know whether the regulations are as pervasive as they are in the pharmaceutical industry, but I do know that persistently that year-in and year-out, juries second-guess experienced, detached, objective and dedicated regulators. And the only rule you can go by when you put a pharmaceutical out is what the FDA tells you.
So I submit to you that Litigation has very little positive economic effect on the actions of pharmaceutical companies. It encourages timidity. It encourages people to take drugs that aren't very profitable off the market, because the game, frankly, isn't worth the candle. We never had an IUD case at all until the Dalkon Shield came along. We didn't make Dalkon Shield. And then after Dalkon Shield came, we had a whole corps of plaintiffs lawyers who understood the business, and started to file the cases. We pulled the device off the market, period. It wasn't worth it.
You go to your board and you say, hey, how much is this? Well, we sold 13 million last year. Well, we won most of these cases, yeah. If you lose one, what do you think you lose? Well, we will probably lose 4 or 5 million bucks. Fourteen million bucks, pull it. And that is the real world.
And, so, therefore, I take very sharp issue with the idea that the jury system, really is an effective governor of corporate conduct. Thank you.
[Applause.]