In
his 1999 State of the Union Address, President Bill Clinton
announced that he had directed the U.S. Department of Justice (DOJ)
to pursue a federal lawsuit against the tobacco industry to recover
the costs that smoking supposedly imposed on Medicare and related
programs. But this decision to use litigation to achieve what the
Administration could not secure last year through legislation is
fraught with serious problems. Regardless of what anyone thinks
about the legislative options, this litigation approach is wrong
and would undermine the rule of law.
The
President's instruction to the DOJ to sue the tobacco industry
amounted to a seemingly abrupt reversal of the legal position taken
by career and political officials in the Department. When the
states sued to "recover" similar Medicaid costs, both Attorney
General Janet Reno and the DOJ spokesman stated that the federal
government had no independent cause of action against the tobacco
companies for losses under Medicaid, Medicare, or any other
program. They said that the cause of action, if it existed,
belonged to the states alone. For two years, senior DOJ officials
refused every effort by the states and others to get the Department
to reverse its position--at least until the President directed the
DOJ to do so.
But
the DOJ's original determination was correct. The United States
Supreme Court has categorically rejected the federal government's
attempt to bring suit to recover other medical costs when such a
suit was not expressly allowed by statute. The Supreme Court
refused to create or expand the scope of federal tort law beyond
that set forth in federal statutes, explaining that--unlike state
courts--federal courts cannot create new tort law. The Supreme
Court also has noted that a medical reimbursement claim is not
really about tort law at all; it is about federal fiscal policy,
for which Congress alone is responsible.
Although Congress has created a few
limited grounds for recovery of medical costs, there is no statute
that allows the federal government to bring the type of suit
contemplated against the tobacco industry. The two statutes most
likely to be invoked are the Medical Care Recovery Act and the
Medicare Secondary Payer Act, but neither provides a valid basis
for the broad Medicare recovery suit being discussed. Other
statutes mentioned as possible grounds for suit are even more
baseless.
In
addition, almost every government and independent expert who has
studied the costs of smoking has concluded that it does not cause a
net economic loss to government. This is because smoking affects
the timing of health care costs more than the total costs for the
typical individual. The costs paid by government for many
tobacco-related diseases are offset by savings to government
retirement and health programs that otherwise would provide longer
coverage and different end-of-life care. As the authors of a widely
cited article in The New England Journal of Medicine noted,
"If people stopped smoking, there would be a savings in health care
costs, but only in the short term. Eventually, smoking cessation
would lead to increased health care costs." This means that state
and federal tobacco taxes are a windfall to government at both
levels and that tobacco use enriches public treasuries. And this is
even before the $246 billion in "payments" from the 1998
state tobacco settlement are added to state coffers.
Nevertheless, the DOJ has assembled a new
team of lawyers who are willing to pursue the President's dubious
directive. The DOJ has even requested an additional $20 million
appropriation to pursue this baseless lawsuit. Tellingly, the DOJ
has not said what its theories of liability or damages are. It is
presumptuous for the Administration to push a funding request
without answering the most basic questions about its intentions and
legal theories, particularly when the likely theories of liability
and damages (and the history of the state litigation) make such a
suit highly questionable at best. Unfortunately, the appropriations
battle could be only the first of many skirmishes over the
litigation--unless Congress or the federal courts end the lawsuit
promptly.
The
planned federal suit against the tobacco industry is not really
about recovering Medicare costs or vindicating legal rights; it is
best explained as an attempt to use the majesty and might of the
federal government to force an unjust settlement with no basis in
law. Regardless of the merits of the legislative options available
to Congress, everyone should oppose a naked attempt to misuse the
courts in order to impose industry-wide regulation by litigation.
Accordingly:
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Congress should refuse to appropriate any
money for a baseless suit. It should tell the Administration that
no special appropriation will be considered again until the
Attorney General submits a detailed legal opinion that includes a
legitimate theory of liability and damages as well as satisfactory
responses to numerous unanswered questions about the suit.
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Congress should enact an express
prohibition against the use of any federal funds to file such a
lawsuit unless and until it is satisfied with the DOJ's answers to
these questions.
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Congress should seriously consider
permanent legislation that would prevent the worst abuses of
government reimbursement lawsuits and provide fair treatment to all
defendants.
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The lower federal courts should follow the
Supreme Court's instruction and summarily dismiss any claim for
reimbursement that is not expressly authorized by statute, and the
courts should not hesitate to award attorneys' fees to the
defendants for frivolous or bad-faith litigation.
Todd F.
Gaziano is a Senior Fellow in Legal Studies at The Heritage
Foundation.