© 2006 American Public Health Association DOI: 10.2105/AJPH.2005.063917
At the time of the preparation of the article, both authors were with Northeastern University School of Law, Boston, Mass. Correspondence: Requests for reprints should be sent to Daniel Givelber, JD, Northeastern University School of Law, 400 Huntington Ave, Boston, MA 02115 (e-mail:d.givelber{at}neu.edu).
For more than 40 years, the tobacco industry prevailed in lawsuits brought by injured smokers, despite overwhelming epidemiological evidence that smoking caused lung cancer. Tobacco lawyers were able to create doubt about causation. They sought to persuade jurors that "everybody knew" smoking was harmful but "nobody knows" what causes cancer by recreating in court the scientific debate resolved by the 1964 Surgeon Generals Report. The particularistic structure of jury trials combined with the laws mechanistic view of causation enables a defendant to contest virtually any claim concerning disease causation. Despite judicial efforts to eliminate "junk science" from lawsuits, a well-financed defendant may succeed in persuading jurors of the epidemiological equivalent of the proposition that the earth is flat. This article has been cited by other articles:
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