Schafer v. American Cyanamid ( 1994 )


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  • USCA1 Opinion









    April 6, 1994

    UNITED STATES COURT OF APPEALS
    FOR THE FIRST CIRCUIT
    ____________________


    No. 93-1422

    MARK SCHAFER AND MELISSA SCHAFER,
    A MINOR BY AND THROUGH
    MARK SCHAFER, NATURAL PARENT AND GUARDIAN OF MELISSA
    SCHAFER,

    Plaintiffs, Appellees,

    v.

    AMERICAN CYANAMID CO., PARENT OF
    LEDERLE LABORATORIES, A DIVISION OF AMERICAN CYANAMID CO.,

    Defendant, Appellant.


    ____________________


    ERRATA SHEET


    The concurring opinion of Judge Stahl should be
    attached to the opinion in case number 93-1422 which was
    issued March 24, 1994 and should be numbered page 20.





































    STAHL, Circuit Judge (concurring). While I concur in both
    _____________

    the result and the reasoning of the majority opinion, I

    write separately to express my concern about the potential

    threat to the vaccine compensation program.

    By virtue of the circumscribed scope of our authority and

    our inherent institutional limitations, we in the judicial

    branch must abide by the presumptions prescribed by

    traditional principles of statutory construction. At the

    same time, I cannot ignore the fact that, although

    compelled by law, the panel's decision heightens the

    tension between the two competing purposes of the vaccine

    compensation program: holding down vaccine prices by

    cutting litigation costs while ensuring that the injured

    are adequately compensated. The defendant suggests that

    the cost-benefit calculus counsels a different resolution

    of the conflict in the circumstances of cases such as the

    present one. Specifically, the defendant argues that the

    increase in litigation costs associated with compensating a

    relatively small group of victims' family members through

    state tort systems will place at risk a much larger group

    of unvaccinated individuals due to price sensitivity in the

    vaccine market. I consider this to be an issue of great

    importance, apparently overlooked at the time Congress

    drafted the statute. I respectfully suggest that this is

    an issue which Congress may wish to revisit.



















    UNITED STATES COURT OF APPEALS

    FOR THE FIRST CIRCUIT

    ____________________


    No. 93-1422

    MARK SCHAFER AND MELISSA SCHAFER,
    A MINOR BY AND THROUGH
    MARK SCHAFER, NATURAL PARENT AND GUARDIAN OF MELISSA SCHAFER,

    Plaintiffs, Appellees,

    v.

    AMERICAN CYANAMID CO., PARENT OF
    LEDERLE LABORATORIES, A DIVISION OF AMERICAN CYANAMID CO.,

    Defendant, Appellant.


    ____________________

    APPEAL FROM THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF MASSACHUSETTS

    [Hon. Edward F. Harrington, U.S. District Judge]
    ___________________

    ____________________

    Before

    Breyer, Chief Judge,
    ___________
    Selya and Stahl, Circuit Judges.
    ______________

    ____________________

    J. Peter Coll, Jr. with whom Charles W. Gerdts, III, Nicole M.
    ____________________ _______________________ _________
    van Ackere, Lawrence H. Cooke, II, Donovan Leisure Newton & Irvine,
    ___________ ______________________ ________________________________
    Thomas A. Mullen, and Fordham & Starrett were on brief for appellant.
    ________________ __________________
    Walter S. Kyle for appellees.
    ______________


    ____________________

    March 24, 1994
    ____________________



















    BREYER, Chief Judge. The National Childhood
    ____________

    Vaccine Injury Act, 42 U.S.C. 300aa-1 to 300aa-34,

    provides a special procedure to compensate those who are

    injured by certain vaccines. The Act bars those who accept

    an award under that procedure from later bringing a tort

    suit to obtain additional compensation. Id. 300aa-21(a).
    ___

    The question before us in this appeal (under 28 U.S.C.

    1292(b)) is whether the Act also bars the family of such a

    person from bringing a tort suit to obtain compensation for

    their own, related, injuries, in particular, for loss of

    companionship or consortium. Assuming that state law

    permits such suits, we find nothing in the Act that

    explicitly or implicitly bars them. And, we affirm the

    similar determination of the district court.

    I

    Background
    __________

    A

    The Statute
    ___________

    The National Childhood Vaccine Injury Act

    represents an effort to provide compensation to those harmed

    by childhood vaccines outside the framework of traditional

    tort law. Congress passed the law after hearing testimony

    1) describing the critical need for vaccines to protect


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    children from disease, 2) pointing out that vaccines

    inevitably harm a very small number of the many millions of

    people who are vaccinated, and 3) expressing dissatisfaction

    with traditional tort law as a way of compensating those few

    victims. Injured persons (potential tort plaintiffs)

    complained about the tort law system's uncertain recoveries,

    the high cost of litigation, and delays in obtaining

    compensation. They argued that government had, for all

    practical purposes, made vaccination obligatory, and thus it

    had a responsibility to ensure that those injured by

    vaccines were compensated. Vaccine manufacturers (potential

    tort defendants) complained about litigation expenses and

    occasional large recoveries, which caused insurance premiums

    and vaccine prices to rise, and which ultimately threatened

    the stability of the vaccine supply.

    See generally National Childhood Vaccine Injury
    ______________ __________________________________

    Compensation Act of 1985: Hearing on S.827 Before the Senate
    ____________________________________________________________

    Comm. on Labor and Human Resources, 99th Cong., 1st Sess.
    ____________________________________

    pt. 2 (1985) [hereinafter "Hearings on S.827"]; Vaccine
    _______

    Injury Compensation: Hearings on H.R.5810 Before the
    ____________________________________________________________

    Subcomm. on Health and the Environment of the House Comm. on
    ____________________________________________________________

    Energy and Commerce, 98th Cong., 2d Sess. (1984)
    _______________________

    [hereinafter "Hearings on H.R.5810"]; National Childhood
    ___________________


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    Vaccine-Injury Compensation Act: Hearings on S.2117 Before
    ____________________________________________________________

    the Senate Comm. on Labor and Human Resources, 98th Cong.,
    ______________________________________________

    2d Sess. (1984) [hereinafter "Hearings on S.2117"]; H.R.

    Rep. No. 908, 99th Cong., 2d Sess. (1986) [hereinafter

    "Vaccine Act Report"], reprinted in 1986 U.S.C.C.A.N. 6344;
    ____________

    Staff of the Subcomm. on Health and the Environment of the

    House Comm. on Energy and Commerce, 99th Cong., 2d Sess.,

    Childhood Immunizations (Comm. Print 1986) [hereinafter
    ________________________

    "Childhood Immunizations"]; Office of Technology Assessment,
    _______________________

    Compensation for Vaccine-Related Injuries (1980)
    __________________________________________________

    [hereinafter "OTA Report"]; Dennis J. Hauptly & Mary Mason,

    The National Childhood Vaccine Injury Act, 37 Fed. B. News &
    _________________________________________

    J. 452 (1990).

    The Vaccine Act responds to these complaints by

    creating a remedial system that tries more quickly to

    deliver compensation to victims, while also reducing

    insurance and litigation costs for manufacturers. The Act

    establishes a special claims procedure involving the Court

    of Federal Claims and special masters (a system that we

    shall call the "Vaccine Court"). 42 U.S.C. 300aa-12. A

    person injured by a vaccine may file a petition with the

    Vaccine Court to obtain compensation (from a fund financed

    by a tax on vaccines). Id. 300aa-11. He need not prove
    ___


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    fault. Nor, to prove causation, need he show more than that

    he received the vaccine and then suffered certain symptoms

    within a defined period of time. Id. 300aa-13, 300aa-14.
    ___

    The Act specifies amounts of compensation for certain kinds

    of harm (e.g., $250,000 for death, up to $250,000 for pain

    and suffering). Id. 300aa-15(a)(2), (4). And, it
    ___

    specifies other types of harm for which compensation may be

    awarded (e.g., medical expenses, loss of earnings). Id.
    ___

    300aa-15(a).

    At the same time, the Act modifies, but does not

    eliminate, the traditional tort system, which Congress

    understood to provide important incentives for the safe

    manufacture and distribution of vaccines. The Act requires

    that a person injured directly by a vaccine first bring a
    _____

    Vaccine Court proceeding. Id. 300aa-11(a)(2)(A). Then,
    ___

    it gives that person the choice either to accept the Court's

    award and abandon his tort rights (which the Act transfers

    to the federal government, id. 300aa-17), or to reject
    ___

    the judgment and retain his tort rights. Id. 300aa-
    ___

    21(a), 300aa-11(a)(2)(A)(i). (He can also keep his tort

    rights by withdrawing his Vaccine Court petition if the

    Court moves too slowly. Id. 300aa-21(b), 300aa-
    ___

    11(a)(2)(A)(ii).)


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    The Act additionally helps manufacturers by

    providing certain federal modifications of state tort law.

    For example, it forbids the award of compensation for

    injuries that flow from "unavoidable side effects," id.
    ___

    300aa-22(b)(1); it frees the manufacturer from liability for

    not providing direct warnings to an injured person (or his

    representative), id. 300aa-22(c); it imposes a presumption
    ___

    that compliance with Food and Drug Administration

    requirements means the manufacturer provided proper

    directions and warnings, id. 300aa-22(b)(2); it limits
    ___

    punitive damage awards, id. 300aa-23(d); and it requires
    ___

    that the trial of any tort suit take place in three phases

    (liability; general damages; punitive damages), id. 300aa-
    ___

    23(a).

    The upshot is a new remedial system that interacts

    in a complicated way with traditional tort lawsuits.

    B

    This Case
    _________

    For present purposes, the relevant facts are

    simple. Lenita Schafer's small child, Melissa Schafer,

    received an oral polio vaccine distributed by American

    Cyanamid in October 1988. Lenita subsequently contracted

    polio (she and her family think) from Melissa's vaccine.


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    About one year later, in December 1989, all three members of

    the Schafer family (Lenita, Melissa, and Lenita's husband,

    Mark) petitioned the Vaccine Court for compensation. In

    April 1990, Mark and Melissa withdrew their petitions (with

    permission of the Vaccine Court) and began this lawsuit

    against American Cyanamid, seeking damages under

    Massachusetts tort law for loss of Lenita's companionship

    and consortium. See 28 U.S.C. 1332 (diversity
    ___

    jurisdiction); Fletch v. General Rental Co., 421 N.E.2d 67,
    ______ ___________________

    70-72 (Mass. 1981). Lenita, who did not withdraw her

    petition, eventually accepted a $750,000 award from the

    Vaccine Court for her own injuries, thereby giving up her

    right to bring a tort action. At that point, American

    Cyanamid asked the district court to dismiss Mark's and

    Melissa's suit on the ground that Lenita's acceptance of the

    Vaccine Court award barred not only a later tort action for

    her own injuries, but also a later tort action by family

    members for related injuries. The district court denied the

    motion. We review that denial under the authority of 28

    U.S.C. 1292(b) (permitting appeal of interlocutory orders

    raising certain controlling questions of law).

    II

    The Basic Argument
    __________________


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    Cyanamid concedes that this case focuses upon

    Mark's and Melissa's damages, not Lenita's; that Lenita

    received Vaccine Court compensation for her own damages, not

    Mark's or Melissa's; and that the Act's language explicitly

    bars Lenita, but not Mark or Melissa, from bringing a tort

    action to recover their own damages (which, we specify, will

    not duplicate Lenita's). Nonetheless, it argues that to

    permit Mark or Melissa to bring their own tort action (for

    related damages) would so seriously interfere with the Act's

    basic purposes that we must read the Act as implicitly
    __________

    barring those actions, just as it explicitly bars Lenita's.

    Although Cyanamid's counsel wants to call its argument one

    of "interpreting the Act in light of its basic policy," we

    believe that "pre-emption" is a better, alternative, label.

    The argument seems to amount to a claim that the state law

    that permits Mark or Melissa to bring this kind of suit so

    significantly interferes with the federal Act's ability to

    achieve its important federal purpose that the

    Constitution's Supremacy Clause requires the state law to

    yield to the federal law's implicit demand. See Michigan
    ________ ___ ________

    Canners & Freezers Assoc. v. Agricultural Mktg. & Bargaining
    _________________________ _______________________________

    Bd., 467 U.S. 461, 469 (1984); Hines v. Davidowitz, 312 U.S.
    ___ _____ __________

    52, 67 (1941). But, however one characterizes the argument,


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    it has two essential elements -- an important federal

    purpose and a significant state interference. And, we shall

    try to set forth these two elements of Cyanamid's argument

    in light of the Act's legislative history, and as

    persuasively as possible.

    First, an important federal purpose of the Act is

    to free manufacturers from the specter of large, uncertain

    tort liability, and thereby keep vaccine prices fairly low

    and keep manufactures in the market. Vaccine manufacturers

    presented Congress with evidence that their tort insurance

    and litigation costs had begun to dwarf their vaccine

    production revenues. See Hearings on S.827, supra, at 240
    ___ _____

    (discussing difficulty of obtaining insurance) (statement of

    Robert Johnson); Hearings on H.R.5810, supra, at 229
    _____

    (expected liability costs hundreds of times annual vaccine

    sales revenue) (statement of Robert Johnson); Childhood
    _________

    Immunizations, supra, at 88 (expected insurance premium
    _____________ _____

    increase of 50 to 300 percent). They argued that, as a

    result, some manufacturers had discontinued vaccine

    production (leaving only a handful of producers), while

    others had raised their vaccine prices significantly. See
    ___

    Childhood Immunizations, supra, at 63 (showing increases in
    ________________________ _____

    DPT vaccine from 10 cents to three dollars per dose, and


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    polio vaccine from 35 cents to a dollar and a half per

    dose).

    Evidence in the hearing record indicated that

    compensation-related price increases or manufacturer

    withdrawal would cause serious harm. Vaccines benefit those

    who are vaccinated, and they have public benefits as well --

    when parents vaccinate their own children, they also help

    stop the spread of a disease that can injure others. And,

    even though vaccines themselves cause a small number of

    serious injuries or deaths, their widespread use

    dramatically reduces fatalities. For example, the DPT

    vaccine itself may cause 150 or so incidents of serious

    neurological damage and the polio vaccine may itself cause

    about five annual incidents of paralysis. See OTA Report,
    ___

    supra, at 51. But, before widespread vaccination, whooping
    _____

    cough, for example, killed about 7,500 (mostly) children in

    a single year, diphtheria killed about 15,000, and polio

    injured, paralyzed, or killed about 57,000. See Childhood
    ___ _________

    Immunizations, supra, at 1, 6, 14. Thus, despite the price
    _____________ _____

    to be paid in vaccine-caused injuries, widespread

    vaccination -- (about 13.5 million annual diphtheria and

    whooping cough (DPT) vaccine doses, about 18 million polio




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    doses) -- has virtually wiped out these devastating

    diseases.

    The upshot is that, because vaccines benefit so

    many (and harm so few), even small vaccine price increases,

    if followed by even a small decline in vaccinations, can

    cause more public harm through added disease than the sum-

    total of all the harm vaccines themselves cause through

    side-effects. See, e.g., Hauptly & Mason, supra, at 452
    ___ ____ _____

    (recounting how, in Japan, two deaths from DPT side effects

    led to withdrawal of the vaccine, which was followed by a

    whooping cough epidemic that killed forty-one children).

    For this kind of reason, the argument goes, Congress was

    importantly motivated not only by the desire effectively to

    compensate side-effect victims, but also by the desire to

    keep vaccine prices fairly low by reducing compensation

    costs. See, e.g., Hearings on S.827, supra, at 5 (remarks
    ___ ____ _____

    of Sen. Hawkins); Hearings on S.2117, supra, at 5 (statement
    _____

    of Sen. Grassley); Vaccine Act Report, supra, at 4-7,
    _____

    reprinted in 1986 U.S.C.C.A.N. at 6345-48.
    ____________

    Second, the availability of a state tort remedy

    for relatives of a victim interferes with the Act's efforts

    to lower manufacturers' costs. The Act seeks to achieve its

    cost-reducing purpose, not by denying compensation to


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    victims (indeed, it imposes a tax upon vaccines in order to

    fund compensation), but by reducing the litigation and

    insurance costs related to lengthy, complex tort procedures

    and random large tort awards. The Act therefore imposes

    substantive and procedural limitations upon tort actions.

    And, more importantly, it discourages victims from bringing

    those traditional tort cases by providing fairly generous,

    more easily obtainable, Vaccine Court awards. A victim who

    obtains such an award may hesitate to give up that bird in

    the hand in return for a larger, but more speculative, tort

    law award. And, a petitioner to whom the Vaccine Court

    gives nothing may see no point in trying to overcome tort

    law's yet more serious obstacles to recovery.

    But, Cyanamid points out, almost every victim has

    a family. And, almost every vaccine-related injury to a

    child will adversely affect the life of that family. In

    Cyanamid's view, if family members can bring a tort suit for

    loss of say, a child's companionship, even after the child

    accepts a Vaccine Court award, they will do so.

    Cyanamid then says (and this is the most difficult

    part of Cyanamid's argument) that to permit a victim's

    family to bring a tort law case -- even where the victim

    obtains a Vaccine Court award -- threatens seriously to


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    undermine the Act's "cost-related" advantages. The result

    will be a system in which manufacturers must pay both the
    ____

    Vaccine Court's easily-obtained compensation awards (through

    a tax) and also face large tort claims from family members.
    ____

    The latter means the very kind of large occasional tort

    awards and the kind of litigation costs that Congress hoped

    to diminish. Cyanamid concludes that the Act implicitly
    __________

    must hold family members to the election of the physically-

    injured victim. If that victim receives an award and can no

    longer pursue a court claim, then neither can the victim's

    family.

    III

    Our Response
    ____________

    Cyanamid's argument is not without force, but

    ultimately it does not persuade us, either as a matter of

    statutory interpretation or in terms of pre-emption law.

    First, one cannot easily interpret the statute as Cyanamid

    wishes, for the Act has no language at all that one might

    read as creating a bar to the type of suit before us. To

    the contrary, the Act subsection that creates the tort

    action bar says that it does not apply to this kind of

    lawsuit. The language that creates the bar, 300aa-11(a),

    says: "[n]o person may bring a civil action for damages"


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    (except in accordance with the Act's Vaccine-Court-related

    rules) until a Vaccine Court petition "has been filed." It

    then states specifically that "this subsection" (i.e. the

    subsection with the tort action bar):

    applies only to a person who has
    ______________________________
    sustained a vaccine-related injury or
    death and who is qualified to file a
    _____________________________
    petition for compensation under the
    ________________________________________
    Program.
    _______

    42 U.S.C. 300aa-11(a)(9) (emphasis added). A person "is

    qualified to file a petition" only if that person suffered a

    relevant injury or death after he or she "received a vaccine

    . . . or contracted polio from another person who received

    an oral polio vaccine." Id. 300aa-11(c)(1)(A). That is
    ___

    to say, unless a person "received a vaccine" or, like Lenita

    Schafer, caught polio from someone who did (or is the legal

    representative of such a person), he cannot file a petition.

    See, e.g., Head v. Secretary of Health and Human Servs., 26
    ___ ____ ____ ____________________________________

    Cl. Ct. 546, 547 n.1 (1992) (parent of injured child cannot

    petition except in representative capacity), aff'd, 996 F.2d
    _____

    318 (Fed. Cir. 1993). And, if he cannot file a petition

    with the Vaccine Court, the Act says that its tort suit ban

    does not apply to him.

    Moreover, this same language suggests that the Act

    sees the tort suit procedural bar and Vaccine Court


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    compensation as opposite sides of the same coin. Yet the

    Act does not permit compensation for injuries to a family

    member (of the direct victim who takes the vaccine or

    catches polio from a vaccine taker). Indeed, it prohibits:

    compensation for other than the health,
    education, or welfare of the person who
    suffered the vaccine-related injury with
    respect to which the compensation is
    paid.

    Id. 300aa-15(d)(2). And, the Vaccine Court itself has
    ___

    interpreted this section as forbidding payment for

    psychological counseling for a victim's family unless it

    directly benefits the victim herself. See, e.g., Huber v.
    ___ ____ _____

    Secretary of Health and Human Servs., 22 Cl. Ct. 255, 257
    ______________________________________

    (1991); Richardson v. Secretary of Health and Human Servs.,
    __________ _____________________________________

    No. 90-324V, 1991 U.S. Cl. Ct. LEXIS 151, at *18 (U.S.

    Claims Ct., Apr. 16, 1991), aff'd, 23 Cl. Ct. 674 (1991);
    _____

    Neese v. Secretary of Health and Human Servs., No. 89-85V,
    _____ _____________________________________

    1990 U.S. Cl. Ct. LEXIS 333, at *23 (U.S. Claims Ct., Apr.

    16, 1991); see also Vire v. Secretary of Health and Human
    ________ ____ ______________________________

    Servs., No. 90-84V, 1990 U.S. Cl. Ct. LEXIS 513, at *1 n.2
    ______

    (U.S. Claims Ct., Dec. 28, 1990) (Act does not provide for

    compensation of parents of injured child), aff'd, 954 F.2d
    _____

    733 (Fed. Cir.), cert. denied, 112 S. Ct. 3030 (1992); Pease
    ____________ _____

    v. Secretary of Health and Human Servs., No. 89-98V, 1990
    ______________________________________


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    U.S. Cl. Ct. LEXIS 64, at *5 (U.S. Claims Ct., Feb. 1, 1990)

    (same); cf. 42 U.S.C. 300aa-14 (list of compensable
    ___

    injuries containing no reference to the kind of harm here at

    issue).

    Second, the Act's legislative history does not

    point directly toward the "policy" conclusion that Cyanamid

    wishes us to draw. The legislative history says nothing at

    all about family members' tort suits. Its discussion of

    general purposes, as we have pointed out above, see pp. 2-4,
    ___

    supra, indicates two major purposes, namely, providing
    _____ ___

    compensation for victims and maintaining low vaccine costs.

    How does Cyanamid's argument take account of the "victim

    compensation" objective? Because the Vaccine Court does not

    provide a remedy for family members, to accept Cyanamid's

    argument would require us to conclude that Congress, without

    anyone saying a word about it, intended to deprive family

    members of all compensatory remedies. At the same time, the

    second leg of Cyanamid's argument -- the claim that

    permitting this kind of suit would significantly interfere

    with Congress's cost control objective -- has no specific

    empirical support in the legislative record; and, the claim

    does not prove itself. Given the difficulties of prevailing

    in a traditional tort suit, it is, at least, unclear that


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    plaintiff families -- particularly families of victims who

    have already received Vaccine Act compensation -- will

    prevail so often, and obtain verdicts so large, that the

    jury awards, or the threat of those awards, would

    significantly raise vaccine prices or retard their

    distribution.

    The legislative record's silence may reflect the

    vaccine manufacturers' view that family suits do not pose a

    particular practical problem, or the failure of any

    interested person to think about the matter, or a calculated

    decision by everyone to ignore the issue in the

    congressional hearings for fear of upsetting a carefully

    crafted compromise. But, regardless of the reason for the

    silence, our very uncertainty about how Congress would have

    answered the question means that Cyanamid has failed to show

    that this kind of action significantly undermines the Act's

    given objectives.

    Third, to accept Cyanamid's argument -- that the

    Schafer family cannot collect both a Vaccine Court award and

    loss of consortium tort damages -- would create judicial

    inconsistency. The Vaccine Court has held that a parent can
    ___

    both obtain a loss of consortium "award" from a state court

    (or the settlement of a state law claim) and also obtain


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    compensation for her vaccinated (and injured) child from the

    Vaccine Court. Abbott v. Secretary of Health and Human
    ______ _______________________________

    Servs., No. 90-1673V 1992 Cl. Ct. LEXIS 473, rev'd on other
    ______ ______________

    grounds, 27 Fed. Cl. 792 (1993); cf. Massing v. Secretary of
    _______ ___ _______ ____________

    Health and Human Servs., 926 F.2d 1133, 1135-36 (Fed. Cir.
    ________________________

    1991); Head v. Secretary of Health and Human Servs., 26 Cl.
    ____ ____________________________________

    Ct. 546, 549 (1992), aff'd, 996 F.2d 318 (Fed. Cir. 1993).
    _____

    The Vaccine Court cases all involve families that brought

    the tort suit first, before the child accepted Vaccine Court
    _____

    compensation. But, it is difficult to find any policy that

    would justify permitting a family to bring a suit before the

    Vaccine Court awards compensation to a direct victim, but

    not after.

    Fourth, even were the first three reasons far less

    persuasive, a host of legal interpretive doctrines would

    prevent us from finding in Cyanamid's favor in respect to

    any form of pre-emption. Pre-emption law, for example,

    cautions us against finding that a congressional act pre-

    empts a state law through silence. Maryland v. Louisiana,
    ________ _________

    451 U.S. 725, 746 (1981). The negative presumption is even

    stronger when the state law at issue creates a remedy

    unavailable under federal law. Silkwood v. Kerr-McGee
    ________ __________

    Corp., 464 U.S. 238, 251 (1984); United Construction Workers
    _____ ___________________________


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    v. Laburnum Construction Corp., 347 U.S. 656, 663-64 (1954);
    ___________________________

    Rice v. Santa Fe Elevator Corp., 331 U.S. 218, 230 (1947).
    ____ ________________________

    And, it is virtually conclusive when Congress, in the very

    statute at issue, explicitly pre-empts other state law
    __________ _____

    remedies but not the remedy at issue. See Cipollone v.
    ___ _________

    Liggett Group, Inc., 112 S. Ct. 2608, 2618 (1992); 42 U.S.C.
    ___________________

    300aa-22, 300aa-23 (precluding certain kinds of damages

    awards in state law suits; creating three-stage procedure

    for trying state law tort actions; specifying the

    availability of certain defenses; explicitly "preempt[ing]"

    any state law that would prohibit a person from bringing a

    tort action not barred by the Act); see also Greenwood Trust
    ________ _______________

    Co. v. Commonwealth of Mass., 971 F.2d 818, 823 (1st Cir.
    ___ _____________________

    1992) ("In recent days, the High Court has made it

    pellucidly clear that, whenever Congress includes an express

    preemption clause in a statute, judges ought to limit

    themselves to the preemptive reach of that provision without

    essaying any further analysis under the various theories of

    implied preemption."), cert. denied, 113 S. Ct. 974 (1993).
    ____________

    We need not rely upon these presumptions, however.

    Nor need we rely upon the fact that numerous, rather

    analogous, state workers' compensation statutes explicitly

    say that they pre-empt consortium actions when it is their


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    intent to do so. See, e.g., Ala. Code 25-5-53; Conn. Gen.
    ___ ____

    Stat. 52-555d; Mass. Gen. L. ch. 152. It is sufficient

    that the Act's purposes do not point strongly towards pre-

    emption, and the Act's language suggests that pre-emption is

    not intended. Consequently, Cyanamid's arguments are better

    made to Congress than to this court. We agree with the

    district court that the Act, as currently written, does not

    bar the suit before us (described on pp. 7-8, supra). And,
    _____

    its order refusing to dismiss the case, therefore, is

    Affirmed.
    ________




























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    STAHL, Circuit Judge (concurring). While I
    _____________

    concur in both the result and the reasoning of the majority

    opinion, I write separately to express my concern about the

    potential threat to the vaccine compensation program.

    By virtue of the circumscribed scope of our

    authority and our inherent institutional limitations, we in

    the judicial branch must abide by the presumptions

    prescribed by traditional principles of statutory

    construction. At the same time, I cannot ignore the fact

    that, although compelled by law, the panel's decision

    heightens the tension between the two competing purposes of

    the vaccine compensation program: holding down vaccine

    prices by cutting litigation costs while ensuring that the

    injured are adequately compensated. The defendant suggests

    that the cost-benefit calculus counsels a different

    resolution of the conflict in the circumstances of cases

    such as the present one. Specifically, the defendant

    argues that the increase in litigation costs associated

    with compensating a relatively small group of victims'

    family members through state tort systems will place at

    risk a much larger group of unvaccinated individuals due to

    price sensitivity in the vaccine market. I consider this

    to be an issue of great importance, apparently overlooked

    at the time Congress drafted the statute. I respectfully

    suggest that this is an issue which Congress may wish to

    revisit.

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