The Indiana Law Journal & The Indiana Law Journal Supplement - http://www.indianalawjournal.org
Medical Product Information Incentives and the Transparency Paradox
http://www.indianalawjournal.org/articles/25/1/Medical-Product-Information-Incentives-and-the-Transparency-Paradox/Page1.html
Daniel R. Cahoy
Assistant Professor of Business Law, the Pennsylvania State University.  
By Daniel R. Cahoy
Published on 10/5/2007
 
Recent allegations that essential safety and efficacy information is often suppressed by medical product manufacturers or poorly evaluated by regulators have led to calls for greater information transparency. The public is justifiably concerned that its ability to conduct an informed risk-benefit assessment of drugs and medical devices is compromised. Several changes have already been made to federal regulatory law and medical research policy to mandate greater disclosure and more changes are being considered. However, it is possible that these measures may backfire by enhancing significant tort-based economic disincentives for generating new information. In other words, greater disclosure requirements could, paradoxically, lead to less information production. The resulting shortfall could be extremely dangerous and have a detrimental effect on health care for years to come. This Article addresses the crisis on the horizon and proposes a unique solution that connects tort law disincentives to information production incentives. It explains why an economically rational company would be expected to respond to transparency with less information and proposes a tort liability limitation as a solution that will encourage a cost-internalizing company to increase information production. This Article also considers the impact of the FDA's recent position on preemption along with other regulatory enhancements and concludes that these are effective, but second-best solutions.