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	<title>Comments on: Vaccine Suit to be Heard by Supreme Court</title>
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	<description>Your Daily Fix of Neuroscience, Skepticism, and Critical Thinking</description>
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		<title>By: Todd W.</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26396</link>
		<dc:creator>Todd W.</dc:creator>
		<pubDate>Mon, 18 Oct 2010 15:44:57 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26396</guid>
		<description>@daedalus2u

&lt;blockquote&gt;They have to prove all of those things to a “preponderance of the evidence”, not to the laxer standard of “more likely than not” that was applicable in vaccine court.&lt;/blockquote&gt;

More importantly, the Daubert standard would apply, unlike in the Vaccine Court.</description>
		<content:encoded><![CDATA[<p>@daedalus2u</p>
<blockquote><p>They have to prove all of those things to a “preponderance of the evidence”, not to the laxer standard of “more likely than not” that was applicable in vaccine court.</p></blockquote>
<p>More importantly, the Daubert standard would apply, unlike in the Vaccine Court.</p>
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		<title>By: daedalus2u</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26376</link>
		<dc:creator>daedalus2u</dc:creator>
		<pubDate>Sat, 16 Oct 2010 02:03:14 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26376</guid>
		<description>The legal theory under which they are bringing this is really bad (in my non-legal opinion).  

The wording “that were unavoidable” shouldn&#039;t be there because it makes the law ambiguous.  If the vaccine was properly prepared, how can any side effects it causes be avoidable?  Was the approval process so flawed that it let a vaccine that had avoidable side effects be approved?  

If so, isn&#039;t that a flaw of the approval process?  If it is a flaw in the approval process, shouldn&#039;t the government that operates the approval process be liable?  

If they win this case, all it does is give them the right to sue and try and prove there was a defect, the defect was avoidable, and the avoidable defect is what caused the child&#039;s seizure disorder.  

They have to prove all of those things to a “preponderance of the evidence”, not to the laxer standard of “more likely than not” that was applicable in vaccine court.</description>
		<content:encoded><![CDATA[<p>The legal theory under which they are bringing this is really bad (in my non-legal opinion).  </p>
<p>The wording “that were unavoidable” shouldn&#8217;t be there because it makes the law ambiguous.  If the vaccine was properly prepared, how can any side effects it causes be avoidable?  Was the approval process so flawed that it let a vaccine that had avoidable side effects be approved?  </p>
<p>If so, isn&#8217;t that a flaw of the approval process?  If it is a flaw in the approval process, shouldn&#8217;t the government that operates the approval process be liable?  </p>
<p>If they win this case, all it does is give them the right to sue and try and prove there was a defect, the defect was avoidable, and the avoidable defect is what caused the child&#8217;s seizure disorder.  </p>
<p>They have to prove all of those things to a “preponderance of the evidence”, not to the laxer standard of “more likely than not” that was applicable in vaccine court.</p>
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		<title>By: Todd W.</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26366</link>
		<dc:creator>Todd W.</dc:creator>
		<pubDate>Fri, 15 Oct 2010 16:29:21 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26366</guid>
		<description>@ChrisH

Thanks for the link.  Particularly of importance, I think, was this line:

&lt;blockquote&gt;The harm, moreover, may not have been unavoidable, as the parents believe, because the alternative vaccine was not approved by the Food and Drug Administration for use on children as young as 6 months until years later.&lt;/blockquote&gt;</description>
		<content:encoded><![CDATA[<p>@ChrisH</p>
<p>Thanks for the link.  Particularly of importance, I think, was this line:</p>
<blockquote><p>The harm, moreover, may not have been unavoidable, as the parents believe, because the alternative vaccine was not approved by the Food and Drug Administration for use on children as young as 6 months until years later.</p></blockquote>
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		<title>By: ChrisH</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26363</link>
		<dc:creator>ChrisH</dc:creator>
		<pubDate>Fri, 15 Oct 2010 15:05:47 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26363</guid>
		<description>The Washington Post has an editorial on it today (free registration required to read): &lt;a href=&quot;http://www.washingtonpost.com/wp-dyn/content/article/2010/10/14/AR2010101405988.html&quot; rel=&quot;nofollow&quot;&gt;Family&#039;s vaccine claim is not sustainable
&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>The Washington Post has an editorial on it today (free registration required to read): <a href="http://www.washingtonpost.com/wp-dyn/content/article/2010/10/14/AR2010101405988.html" rel="nofollow">Family&#8217;s vaccine claim is not sustainable<br />
</a></p>
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		<title>By: marc82281</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26354</link>
		<dc:creator>marc82281</dc:creator>
		<pubDate>Fri, 15 Oct 2010 03:20:27 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26354</guid>
		<description>If the legal question before the court is &quot;whether or not parents can bypass the vaccine court and sue companies directly for alleged manufacturing defect.&quot; then the science behind the facts will not matter at all.  

The case WILL hinge on the courts interpretation of the Vaccine Injury Act, and a part of the analysis they use to come to that interpretation will be congressional intent for some justices.  Others (i.e. the &quot;conservatives&quot;) will focus mostly on their interpretation of what the statutory language means and, I would argue, only appeal to legislative intent when it suits their interpretation of the language.  

I&#039;d be surprised if the majority gives much consideration to the policy implications on a question like this unless it&#039;s just to illustrate congressional intent.  Like you said Steve, the issue isn&#039;t what the law should be, but what the law &quot;is&quot;, and the court seems to enjoy reminding congress that it&#039;s congress&#039; job to write good policy, not the courts</description>
		<content:encoded><![CDATA[<p>If the legal question before the court is &#8220;whether or not parents can bypass the vaccine court and sue companies directly for alleged manufacturing defect.&#8221; then the science behind the facts will not matter at all.  </p>
<p>The case WILL hinge on the courts interpretation of the Vaccine Injury Act, and a part of the analysis they use to come to that interpretation will be congressional intent for some justices.  Others (i.e. the &#8220;conservatives&#8221;) will focus mostly on their interpretation of what the statutory language means and, I would argue, only appeal to legislative intent when it suits their interpretation of the language.  </p>
<p>I&#8217;d be surprised if the majority gives much consideration to the policy implications on a question like this unless it&#8217;s just to illustrate congressional intent.  Like you said Steve, the issue isn&#8217;t what the law should be, but what the law &#8220;is&#8221;, and the court seems to enjoy reminding congress that it&#8217;s congress&#8217; job to write good policy, not the courts</p>
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		<title>By: Skeptiverse</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26352</link>
		<dc:creator>Skeptiverse</dc:creator>
		<pubDate>Thu, 14 Oct 2010 21:33:58 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26352</guid>
		<description>A bit off topic but interseting non the less. 

The Australian Vacination  network (AVN) Australia&#039;s version of AoA has had a very bad couple of months sued for copyright infringement, smacked down by the health care complaints comission for publishing false and misleading information and has culminated in the loss of their charitable organisation status only yesterday.

A win that many australian Skeptics and others parties have been waiting for.</description>
		<content:encoded><![CDATA[<p>A bit off topic but interseting non the less. </p>
<p>The Australian Vacination  network (AVN) Australia&#8217;s version of AoA has had a very bad couple of months sued for copyright infringement, smacked down by the health care complaints comission for publishing false and misleading information and has culminated in the loss of their charitable organisation status only yesterday.</p>
<p>A win that many australian Skeptics and others parties have been waiting for.</p>
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		<title>By: Todd W.</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26350</link>
		<dc:creator>Todd W.</dc:creator>
		<pubDate>Thu, 14 Oct 2010 19:18:16 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26350</guid>
		<description>A question I raised elsewhere, would a win for the family in this case set a precedent for other industries?  For example, if a safer car is developed, does that mean that other automakers need to immediately switch their production over to the new type from their competitors?

Also (and I have not yet had time to look into this), at the time the vaccine was administered to their child, was the DTaP still under patent?  If so, then Wyeth would not have been able to provide the safer alternative in any event.</description>
		<content:encoded><![CDATA[<p>A question I raised elsewhere, would a win for the family in this case set a precedent for other industries?  For example, if a safer car is developed, does that mean that other automakers need to immediately switch their production over to the new type from their competitors?</p>
<p>Also (and I have not yet had time to look into this), at the time the vaccine was administered to their child, was the DTaP still under patent?  If so, then Wyeth would not have been able to provide the safer alternative in any event.</p>
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		<title>By: Steven Novella</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26345</link>
		<dc:creator>Steven Novella</dc:creator>
		<pubDate>Thu, 14 Oct 2010 14:57:18 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26345</guid>
		<description>From reading the research, including all the article cited (thanks for the references) it seems that it is pretty clear that whole cell pertussis did have a higher complication rate of febrile seizures. However - not of subsequent epilepsy or neurological damage, and that is the relevant question in this case. 

There is always doubt in this kind of research. You cannot prove this kind of negative, you can only make judgments about how far existing evidence goes to minimizing the possible remaining effect size. That is why reviews will almost always make statements that seem ambiguous.

But the  bottom line remains - we cannot conclude from the evidence that there is an increased risk of neurological damage from the DTwP. This is, BTW, the same that can be said for silicone implants and autoimmune disease. The level of confidence is not precisely the same, but the situations are analogous.</description>
		<content:encoded><![CDATA[<p>From reading the research, including all the article cited (thanks for the references) it seems that it is pretty clear that whole cell pertussis did have a higher complication rate of febrile seizures. However &#8211; not of subsequent epilepsy or neurological damage, and that is the relevant question in this case. </p>
<p>There is always doubt in this kind of research. You cannot prove this kind of negative, you can only make judgments about how far existing evidence goes to minimizing the possible remaining effect size. That is why reviews will almost always make statements that seem ambiguous.</p>
<p>But the  bottom line remains &#8211; we cannot conclude from the evidence that there is an increased risk of neurological damage from the DTwP. This is, BTW, the same that can be said for silicone implants and autoimmune disease. The level of confidence is not precisely the same, but the situations are analogous.</p>
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		<title>By: ccbowers</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26341</link>
		<dc:creator>ccbowers</dc:creator>
		<pubDate>Thu, 14 Oct 2010 06:44:32 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26341</guid>
		<description>&quot;Is everything a conspiracy? No. Have their been conspiracies? Yes.&quot;

This line of thinking can ultimately lead to the wrong conclusions, because it does not convey how extremely rare genuine conspiracies are in relation to proposed conspiracies.  In your statements you are acknowledging that one extreme isn&#039;t true, but then leave the whole rest of the spectrum as all possible.  

I would continue with &#039;Are most things conspiracies?  No.  Are there a lot of conspiracies?  No.  Are genuine conspiracies pretty rare and generally isolated to a small group of people?  Yes&#039;  

The conspiracy line of thinking is an overemphasis of distrust, and is a problem because it prevents people from keeping their eyes on the ball.  People worry about the wrong things... spend little time concerned about things with the highest risk, and spend too much time worrying about the rare but sensational risks.</description>
		<content:encoded><![CDATA[<p>&#8220;Is everything a conspiracy? No. Have their been conspiracies? Yes.&#8221;</p>
<p>This line of thinking can ultimately lead to the wrong conclusions, because it does not convey how extremely rare genuine conspiracies are in relation to proposed conspiracies.  In your statements you are acknowledging that one extreme isn&#8217;t true, but then leave the whole rest of the spectrum as all possible.  </p>
<p>I would continue with &#8216;Are most things conspiracies?  No.  Are there a lot of conspiracies?  No.  Are genuine conspiracies pretty rare and generally isolated to a small group of people?  Yes&#8217;  </p>
<p>The conspiracy line of thinking is an overemphasis of distrust, and is a problem because it prevents people from keeping their eyes on the ball.  People worry about the wrong things&#8230; spend little time concerned about things with the highest risk, and spend too much time worrying about the rare but sensational risks.</p>
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		<title>By: ChrisH</title>
		<link>http://theness.com/neurologicablog/index.php/vaccine-suit-to-be-heard-by-supreme-court/comment-page-1/#comment-26340</link>
		<dc:creator>ChrisH</dc:creator>
		<pubDate>Thu, 14 Oct 2010 05:19:59 +0000</pubDate>
		<guid isPermaLink="false">http://theness.com/neurologicablog/?p=2387#comment-26340</guid>
		<description>Also, look a little more closely at the abstract of the 1993 study.

Plus, also read the court decision I posted.  Perhaps it takes someone who is more acquainted with seizure disorders (like me, a parent of a child who experienced something similar, only not anytime near a vaccine) to fully appreciate it.</description>
		<content:encoded><![CDATA[<p>Also, look a little more closely at the abstract of the 1993 study.</p>
<p>Plus, also read the court decision I posted.  Perhaps it takes someone who is more acquainted with seizure disorders (like me, a parent of a child who experienced something similar, only not anytime near a vaccine) to fully appreciate it.</p>
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