Dr. David Egilman, a doctor and knowledgeable witness who, over a 35-year span, gave testimony in some 600 trials involving company malfeasance, leading to billions of {dollars} in awards for victims and their survivors, died on April 2 at his dwelling in Foxborough, Mass. He was 71.
The trigger was cardiac arrest, his son Alex mentioned.
Many medical specialists make a aspect enterprise in court docket, providing their knowledgeable opinions on the witness stand and serving to to validate or undermine plaintiffs’ claims. However few make it a career-long ardour in the best way Dr. Egilman did. He taught at Brown College and ran a non-public apply however spent most of his time consulting and testifying in as many as 15 instances a yr.
He did extra than simply opine from the stand. A dogged researcher, he dug up incriminating emails and memos exhibiting that, in lots of instances, drug corporations knew the dangers concerned with placing a brand new remedy in the marketplace however went forward anyway.
He supplied crucial testimony in a class-action lawsuit towards Johnson & Johnson, claiming that it had didn’t reveal the well being dangers concerned introduced by Johnson’s child powder and different merchandise containing talc. “Though a number of settlements have been proposed within the go well with, together with one for $8.9 billion in 2023, the litigation is continuous.
Dr. Egilman’s work as an knowledgeable witness rubbed some folks the incorrect manner, particularly protection legal professionals and pharmaceutical firm executives, who argued that he was too dogmatic to offer goal evaluation. However Dr. Egilman noticed issues in another way.
“As a physician, I can deal with one most cancers affected person at a time,” he mentioned throughout a 2018 trial. “However by being right here, I’ve the potential to save lots of hundreds of thousands.”
His work prolonged past the courtroom: He helped authorized groups strategize their instances, and he coached them on current sophisticated medical information to juries.
“David was a recreation changer on so many ranges,” mentioned Mark Lanier, a lawyer who labored with Dr. Egilman for 25 years. “David helped me in instances the place he was testifying, but additionally the place he was merely giving recommendation and perception.”
He additionally pushed again towards what he noticed as pharmaceutical advertising intruding on the realm of scientific analysis. Writing in peer-reviewed medical journals, he confirmed how drug corporations used techniques like ghostwriting — drawing up their very own research, then paying a physician so as to add their identify — and “seeding,” wherein corporations run their very own questionable research to construct help for his or her medicine.
Dr. Egilman was instrumental in publicizing a declassified memo from 1950 that warned of the dangers concerned in authorities radiation assessments on people. The assessments have been nonetheless carried out.
“If that is to be completed in people, I really feel that these involved within the Atomic Vitality Fee can be topic to appreciable criticism, as admittedly, this could have slightly of the Buchenwald contact,” Dr. Joseph G. Hamilton, a professor on the College of California at Berkeley, wrote within the memo, referring to the Buchenwald focus camp the place Nazi medical doctors carried out horrific medical experiments on prisoners.
The U.S. authorities apologized for the radiation assessments in 1996.
At instances, Dr. Egilman’s zeal bought the higher of him. In 2007, he agreed to pay the drug maker Eli Lilly $100,000 after leaking confidential paperwork to a lawyer, who then gave them to The New York Instances. He was concerned in a case towards the corporate over allegations that it had pushed its antipsychotic drug Zyprexa for unapproved makes use of.
Eli Lilly donated the cash from the settlement to charity. However the firm’s victory was brief lived: In 2009, it pleaded responsible to the allegations and agreed to pay $1.4 billion — together with a $515 million prison effective, the most important ever in a well being care case.
Dr. Egilman was unbowed by the ups and downs of the case.
“A doctor’s oath,” he instructed Science journal in 2019, “by no means says to maintain your mouth shut.”
David Steven Egilman was born on Sept. 9, 1952, in Boston. His father, Felix, was a Polish Jew who had survived the Holocaust, together with a interval spent in Buchenwald, as a result of, he mentioned, his ability as a shoemaker was prized by German officers. His spouse and two kids have been killed in one other focus camp.
After the warfare, Felix Egilman immigrated to the US, the place he married Veta Albert, David’s mom, who died in a automobile accident when David was 10. His father withdrew emotionally within the face of the mounting trauma, leaving David largely to handle himself.
He gained a scholarship to Brown College, the place he acquired a bachelor’s diploma in molecular biology in 1974 and a medical diploma in 1978. He earned a grasp’s diploma in public well being from Harvard in 1982.
Dr. Egilman married Helene Blomquist in 1988. Together with their son Alex, she survives him, as does one other son, Samson.
After medical college and coaching on the Nationwide Institutes of Well being, he moved to Cincinnati, the place he arrange a clinic as a part of the U.S. Public Well being Service. Lots of his sufferers have been industrial and mining employees who had developed medical circumstances after years of working in unsafe environments.
The expertise steeled Dr. Egilman’s willpower to face up towards medical injustice. He returned to Massachusetts in 1985, the place he opened a non-public apply and started educating at Brown.
To deal with his rising checklist of authorized shoppers, he arrange a separate firm, By no means Once more Consulting, a nod each to his father’s expertise throughout the Holocaust in addition to the significance of not permitting the horrors of Nazi medical experimentation to be replicated.
