Dr. David Egilman, a doctor and skilled 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 house in Foxborough, Mass. He was 71.
The trigger was cardiac arrest, his son Alex stated.
Many medical consultants make a aspect enterprise in courtroom, 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 way in which Dr. Egilman did. He taught at Brown College and ran a personal observe however spent most of his time consulting and testifying in as many as 15 circumstances a yr.
He did extra than simply opine from the stand. A dogged researcher, he dug up incriminating emails and memos displaying that, in lots of circumstances, drug firms knew the dangers concerned with placing a brand new medicine in the marketplace however went forward anyway.
He supplied essential 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. After years of litigation, the corporate settled for $8.9 billion in 2023.
Dr. Egilman’s work as an skilled witness rubbed some individuals the flawed manner, particularly protection legal professionals and pharmaceutical firm executives, who argued that he was too dogmatic to supply goal evaluation. However Dr. Egilman noticed issues otherwise.
“As a health care provider, I can deal with one most cancers affected person at a time,” he stated throughout a 2018 trial. “However by being right here, I’ve the potential to save lots of thousands and thousands.”
His work prolonged past the courtroom: He helped authorized groups strategize their circumstances, and he coached them on find out how to current difficult medical knowledge to juries.
“David was a sport changer on so many ranges,” stated Mark Lanier, a lawyer who labored with Dr. Egilman for 25 years. “David helped me in circumstances 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 and marketing intruding on the realm of scientific analysis. Writing in peer-reviewed medical journals, he confirmed how drug firms used ways like ghostwriting — drawing up their very own research, then paying a health care provider so as to add their identify — and “seeding,” through which firms run their very own questionable research to construct assist for his or her medication.
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 however carried out.
“If that is to be accomplished in people, I really feel that these involved within the Atomic Power Fee could be topic to appreciable criticism, as admittedly, this could have a little bit 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 docs carried out horrific medical experiments on prisoners.
The U.S. authorities apologized for the radiation assessments in 1996.
At occasions, 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 quick lived: In 2009, it pleaded responsible to the allegations and agreed to pay $1.4 billion — together with a $515 million prison high quality, 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 advised 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 stated, his ability as a shoemaker was prized by German officers. His spouse and two youngsters 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 automotive accident when David was 10. His father withdrew emotionally within the face of the mounting trauma, leaving David largely to care for 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. A lot of his sufferers have been industrial and mining employees who had developed medical situations 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 personal observe and commenced instructing at Brown.
To deal with his rising listing of authorized purchasers, he arrange a separate firm, By no means Once more Consulting, a nod each to his father’s expertise through the Holocaust in addition to the significance of not permitting the horrors of Nazi medical experimentation to be replicated.
