[HN Gopher] Johnson and Johnson to pay $6.5B to resolve talc ova...
       ___________________________________________________________________
        
       Johnson and Johnson to pay $6.5B to resolve talc ovarian cancer
       lawsuits in U.S.
        
       Author : thelastgallon
       Score  : 107 points
       Date   : 2024-05-01 13:14 UTC (1 days ago)
        
 (HTM) web link (www.cnbc.com)
 (TXT) w3m dump (www.cnbc.com)
        
       | user90131313 wrote:
       | people are dead but executives get away with just sharing some of
       | their profit, not even all profit :) such an equal and wonderful
       | world we make. lets blame some other thing
        
       | hn_throwaway_99 wrote:
       | I'm not sure what the answer is, but despite how much everyone
       | loves bashing "big corporate executives", I don't think it's a
       | plus in our system that someone can be found liable for something
       | completely contrary to scientific evidence.
       | 
       | The evidence that talc causes cancer is "limited at best" (I'll
       | let people do their own searches and come to their own
       | conclusions). But to me this seems similar to silicone breast
       | implants, where billions were paid out and companies bankrupted
       | despite the fact that there is essentially no scientific evidence
       | that silicone breast implants cause cancer.
        
         | BitwiseFool wrote:
         | Talc deposits are often found around asbestos ore. From what I
         | can tell the issue is cross contamination rather than talcum
         | powder itself being carcinogenic.
         | 
         | https://en.wikipedia.org/wiki/Talc#Association_with_asbestos
        
           | happytoexplain wrote:
           | I'm not motivated to do _real_ research (reading entire
           | source papers /testimony), but every time I look into this,
           | the info is really frustrating and unclear. There seems to be
           | a lot of noise (on one side, corporate self-preservation; and
           | on the other, overly un-objective anti-corporate sentiment).
           | 
           | As far as I can tell, talc can be contaminated with asbestos,
           | but you can test for this and use processes that avoid/remedy
           | the contamination, which J&J ostensibly did - meanwhile, the
           | cases against them seem statistically meaningless _as
           | described_ in all the articles. And then every time a
           | scientific link to cancer is mentioned, it 's never made
           | clear if the link is significant, and whether the link is
           | from _mined talc that might be contaminated_ , _pure talc_ ,
           | or _the J &J product on the shelves which might be
           | contaminated_, only the latter two being meaningful. And
           | regardless, J&J claims this link is junk science, and are
           | confident enough to be suing to prove that, so I guess I look
           | forward to seeing the result of that.
           | 
           | The only case that seemed significant was that J&J was found
           | to have covered up contamination, but they seem to continue
           | to contest this and I can't find _any_ details on what the
           | evidence was. E.g. is J &J claiming it wasn't contaminated,
           | or are they claiming it was, but not to dangerous levels
           | _even over decades of use_?
           | 
           | Very annoying.
        
             | whaleofatw2022 wrote:
             | > The only case that seemed significant was that J&J was
             | found to have covered up contamination, but they seem to
             | continue to contest this and I can't find any details on
             | what the evidence was. E.g. is J&J claiming it wasn't
             | contaminated, or are they claiming it was, but not to
             | dangerous levels even over decades of use?
             | 
             | This article doesn't go into the details too deeply but
             | however bad it was, sounds like it went on for a while...
             | 
             | https://www.nbcnews.com/health/health-news/johnson-
             | johnson-k...
        
             | autoexec wrote:
             | > As far as I can tell, talc can be contaminated with
             | asbestos, but you can test for this and use processes that
             | avoid/remedy the contamination, which J&J ostensibly did
             | 
             | They tested, found asbestos, then lied to the FDA saying
             | that there wasn't any when there had been, tried to get the
             | FDA to allow certain amounts of asbestos in their products,
             | and when faced with lawsuits repeatedly obstructed efforts
             | to get their internal documentation/communication on the
             | subject.
             | 
             | > meanwhile, the cases against them seem statistically
             | meaningless as described in all the articles.
             | 
             | That's a bizarre metric. How many people who got cancer
             | would have detected it, realized that it was from baby
             | powder, had the time, strength, and money (while fighting
             | cancer) to get lawyers and go to court over it?
        
           | hn_throwaway_99 wrote:
           | I don't believe this is accurate. There are concerns that
           | talc can be contaminated with asbestos, but (a) asbestos was
           | largely removed from talc for sale in the US in the mid 70s
           | as your Wikipedia link points out (and additional info in the
           | link below), (b) the concern with asbestos contamination is
           | largely related to inhalation and lung cancer - I haven't
           | even seen much in the form of hypotheses that it is a factor
           | in ovarian cancer, and (c) given a and b the concern is
           | largely with talc _mining_ and the miners involved, not
           | people who use talc-based baby powder.
           | 
           | https://www.cancer.org/cancer/risk-
           | prevention/chemicals/talc...
        
             | autoexec wrote:
             | > he concern with asbestos contamination is largely related
             | to inhalation and lung cancer - I haven't even seen much in
             | the form of hypotheses that it is a factor in ovarian
             | cancer
             | 
             | Someone above linked to this: Asbestos Exposure and Ovarian
             | Cancer: A Meta-analysis (https://www.sciencedirect.com/scie
             | nce/article/pii/S209379112...) which concludes: "This meta-
             | analysis provides evidence of a significant association
             | between asbestos exposure and ovarian cancer mortality."
             | 
             | You might not be aware of any hypotheses that asbestos is a
             | factor in ovarian cancer, but it seems others have for a
             | very long time. In 2017 Germany considered ovarian cancer
             | caused by asbestos to be an occupational disease. A link
             | between talc and ovarian cancer was suggested back in the
             | 1960s.
             | 
             | Talc, as something that causes cancer, has been being
             | researched for a very very long time.
        
         | GJim wrote:
         | > The evidence that talc causes cancer is "limited at best"
         | 
         | Yet appears to have become an article of faith for many on
         | here; a least judging by the downvoting and ridicule heaped on
         | those who dared question the narrative (and questionable
         | evidence) in earlier posts.
         | 
         | Frankly, this appears to be a US thing, as nobody has heard of
         | this supposed link in Blighty.
        
       | InfiniteRand wrote:
       | The bigger impact than the fine is I don't see people using baby
       | powder any more. I lean toward the probably not side of the talc-
       | cancer link, but I didn't use baby powder for my kids because
       | it's purely a nice-to-have convenience product.
       | 
       | Nice-to-have convenience products are very easy to drop at the
       | slightest potential health risk, and that's what I've seen with
       | baby powder (I'm not seeing much uptake on the alternatives
       | because the talc-cancer link gives a vague maybe-need-to-be-
       | cautious taint to the product category as a whole).
       | 
       | I would be interested to hear if someone thinks that usage of
       | baby powder is still popular and my anecdote-based sense of
       | things is wrong.
        
       | ImHereToVote wrote:
       | More context: https://www.asbestos.com/companies/johnson-johnson/
       | 
       | The kicker: "Court documents have revealed that Johnson & Johnson
       | knew its talc contained asbestos as early as the 1950s"
        
         | ImHereToVote wrote:
         | Asbestos.com is simply punishing success out of jealousy. They
         | just wish they found that market edge first.
         | 
         | Edit: /S
        
           | 23B1 wrote:
           | What an odd comment. How are you defining 'success' and
           | 'market edge' in this scenario?
           | 
           | EDIT: just saw the sarcasm tag, sorry
        
             | blackeyeblitzar wrote:
             | I think they're satirizing the kind of attacks used to
             | dismiss those who document and complain about these safety
             | issues. But I'm not sure.
        
               | 23B1 wrote:
               | me big dumb
        
         | legitster wrote:
         | I don't know why knowing the geological fact that talc contains
         | trace amounts of asbestos is supposed to sound so guilty.
         | 
         | My children's school district contains _way more_ than a trace
         | amount of asbestos. The administrators there know it. They aren
         | 't in federal court for failing to slap a warning label on the
         | schools.
        
           | calfuris wrote:
           | I'm not going to weigh in on the J&J issue, but that's a bad
           | comparison. Asbestos can't do any harm if it doesn't get
           | inside your body. Powdered asbestos (as would be found in
           | talcum powder) can very easily do that, but asbestos bound up
           | in building materials can't do that if left undisturbed. Most
           | things that could disturb asbestos are planned in advance,
           | and as long as the presence of asbestos is known it can be
           | worked around, so asbestos in building materials is not
           | particularly hazardous.
        
           | autoexec wrote:
           | > My children's school district contains way more than a
           | trace amount of asbestos.
           | 
           | They should probably be warning people of the danger and if
           | they are in violation of the laws concerning asbestos the
           | school district should be taken to court.
           | 
           | One thing is clear, don't grind up your children's school
           | district and then rub it all over a baby's genitals.
        
       | tombert wrote:
       | I don't know anything about biology, so could someone explain the
       | mechanism by which this powder could have caused ovarian cancer?
       | 
       | (Genuine question, not rhetorical, not intending to make any
       | point with it)
        
         | ImHereToVote wrote:
         | Asbestos fibers have been known for causing these cell changes
         | for decades now.
        
           | blackeyeblitzar wrote:
           | It's not just the asbestos angle. From
           | https://en.wikipedia.org/wiki/Talc
           | 
           | > One of these, published in 1993, was a US National
           | Toxicology Program report, which found that cosmetic grade
           | talc containing no asbestos-like fibres was correlated with
           | tumor formation in rats
        
             | SigmundA wrote:
             | "rats forced to inhale talc for 6 hours a day, five days a
             | week over at least 113 weeks."
             | 
             | Thats a lot different than applying it to your body. If I
             | inhale sand for 6 hours a day for 113 weeks I would not be
             | surprised to get tumors as well, I still go to the beach.
             | 
             | Most things around us we touch could cause tumors if we
             | inhaled them constantly over time.
        
         | Workaccount2 wrote:
         | Talc powder is what is used in baby powder.
         | 
         | In nature, the majority of talc deposits also contain asbestos.
         | Even worse, the form of asbestos in those deposits is the most
         | cancerous form of it.
         | 
         | So basically what was happening was that women were using baby
         | powder as a absorbent to keep their lady parts feeling fresh,
         | but were introducing a whole bunch of asbestos in the process.
         | This is on top of the dubious idea of putting talc on your hoo-
         | haa to begin with.
        
           | catlikesshrimp wrote:
           | "This is on top of the dubious idea of putting talc on your
           | hoo-haa to begin with"
           | 
           | Not so uncommon where I live. BTW, baby girls ALSO have
           | ovaries, and they use talc for prolonged periods of time.
           | 
           | I also use talc in my groin. Not often, but still. Prostate
           | cancer is not a concern for older males (we all develop it
           | some time), but testicular cancer is a thing (mostly in
           | children)
        
             | Shank wrote:
             | > Prostate cancer is not a concern for older males (we all
             | develop it some time)
             | 
             | I'm sorry? What?
             | 
             | Prostate cancer is definitely a concern in males, and in
             | no-way is it expected or an inevitability.
        
               | joncrocks wrote:
               | While it is a concern, I think all males 'get it' if they
               | advance enough in years.
               | 
               | I remember reading somewhere that if you biopsied those
               | that died of 'old-age' then it would be present in some
               | form. So it's not a question of if, but when, and when,
               | whether it'll be the thing that gets you before something
               | else gives out.
        
               | tombert wrote:
               | I think a lot of men get it but it progresses so slowly
               | that you'll likely be dead from something else (likely
               | another cancer) before the prostate cancer gets you.
        
               | inglor_cz wrote:
               | Prostate cancer becomes more commonplace as men grow
               | older, but also less virulent.
               | 
               | An urologist whom I helped with typesetting of his PhD
               | thesis (in LaTeX, funny guy) told me once that in
               | patients over 70, basically everyone has some cancerous
               | cells in his biopsy samples, but that these usually
               | aren't actually dangerous to the patients.
        
               | catlikesshrimp wrote:
               | I am more concerned about the surgery to unblock the
               | urethra, which is often needed, becauseof the urinary
               | incontinence that might result from it.
               | 
               | Prostate cancer, as others have mentioned, is guaranteed,
               | like death. But it is not something that affects most
               | men's life beyond the worry of getting it.
               | 
               | Going offtopic: Colorectal cancer is a more pressing
               | matter for older adults. Correct Screening saves lives.
        
         | mikeyouse wrote:
         | The talc they were sourcing was riddled with asbestos, which
         | they covered up for years. Asbestos's carcinogenic nature is
         | unique in that the physical shape of the fibers is what causes
         | the cancers. So many of the cancers implicated here were due to
         | the typical path of women breathing the powder in while
         | applying to their babies, etc, but the ovarian ones were likely
         | caused by women applying talc to their perineum following birth
         | or surgery - the asbestos fibers would be introduced into the
         | vagina and 'burrow' into the cells where they cause similar
         | cancers to mesothelioma or actually interfere with mitosis due
         | to being similarly sized to chromosomes.
         | 
         | It's not too far fetched since the uterus and lungs are both
         | lined with similar types of epithelial and mucosal cells.
        
           | ch4s3 wrote:
           | > were sourcing was riddled with asbestos
           | 
           | It was allegedly contaminated beyond a couple of confirmed
           | samples that contained very low levels. It was never
           | demonstrated that the issue was widespread or that any
           | plaintiff had ever purchased a contaminated product.
           | 
           | That isn't to say that there isn't/wasn't a problem, but
           | "sourcing was riddled with asbestos" is a gross
           | overstatement.
        
           | legitster wrote:
           | But the literature on this is incredibly light. The idea that
           | asbestos messes with chromosomes is wild! And not at all
           | similar to what happens in the lungs.
           | 
           | And the correlation here is really weak - all women who
           | developed ovarian cancer and also happened to use talc at
           | some point in their lives.
        
         | contravariant wrote:
         | The most obvious would be asbestos contamination. There was for
         | example a Reuters investigation in 2018 that claims J&J were
         | aware of test showing asbestos in some of their talc.
         | 
         | Looks like there are also suspicions towards talc itself, but
         | it might be hard to prove that J&J was negligent in that
         | regard. Unless there's been some cover-up that I/we don't know
         | about.
        
         | SigmundA wrote:
         | Exactly I can't find any explanation how abestos could migrate
         | from external application up to the ovaries, this seems like an
         | obvious issue.
         | 
         | Abestos is not harmful just by touching it, you get cancer from
         | it by breathing it in significant quantities over time (or
         | ingesting it).
        
       | blackeyeblitzar wrote:
       | How can they get a fine this small for a dangerous product they
       | pushed onto markets _globally_ for _several decades_? There
       | really should be retroactive punishment and fines for past
       | executives and clawing back of money from them and past
       | shareholders.
       | 
       | Also am I reading this right? J&J formed a subsidiary that'll
       | absorb these liabilities? How is that legal? What happens if that
       | subsidiary disappears? Couldn't any company conceivably let go of
       | their liabilities by putting it in some other company?
        
         | alt227 wrote:
         | The courts seem to have some power here, see this quote from
         | the article:
         | 
         | >The company tried filing LTL in bankruptcy twice before -- and
         | both times the case was rejected as courts ruled the parent
         | company was financially capable of paying the claims without
         | bankruptcy protection.
        
         | surfingdino wrote:
         | The subsidiary will pay out the settlement and go bankrupt
         | without affecting the parent company's stock price.
        
           | lotsofpulp wrote:
           | Where does the subsidiary get $6.5B from?
        
             | surfingdino wrote:
             | The parent company.
        
               | lotsofpulp wrote:
               | Surely investors value parent company less if the company
               | has $6.5B less than they would if the same company had
               | $6.5B more.
        
               | carbotaniuman wrote:
               | Yes, but compared to the alternative where the parent
               | company is responsible for an unknown amount of
               | liabilities, capping ones liabilities at 6.5 billion
               | might be better for shareholders.
        
         | davisr wrote:
         | This was their plan. I encourage you, and everyone who is a US
         | citizen, to write/call your representatives. Tell them you want
         | corporate heads to have personal liability for these issues.
         | Tell them to dispose of Citizens United.
        
         | hiatus wrote:
         | > Also am I reading this right? J&J formed a subsidiary that'll
         | absorb these liabilities? How is that legal? What happens if
         | that subsidiary disappears? Couldn't any company conceivably
         | let go of their liabilities by putting it in some other
         | company?
         | 
         | Also know as the Texas two-step.
         | https://en.wikipedia.org/wiki/Texas_two-step_bankruptcy
        
         | JumpCrisscross wrote:
         | > _What happens if that subsidiary disappears? Couldn't any
         | company conceivably let go of their liabilities by putting it
         | in some other company?_
         | 
         | No, that's fraud. This is a way to use bankruptcy to pay out
         | claims versus reduce them--the parent company guarantees the
         | subsidiary's liabilities.
        
       | legitster wrote:
       | I'm still of the belief that the judgement was wrong. The link
       | between asbestos and ovarian cancer is incredibly weak, let alone
       | enough to indicate causality.
       | 
       | The amount of asbestos actually found in the powder was
       | ridiculously low.
       | 
       | The only smoking gun was some internal emails where executives
       | had some higher than baseline _internal_ tests and they argued
       | about the accuracy /reliability of them.
       | 
       | Based on everything I have read, I would not be concerned in the
       | slightest about using Talc powder.
       | 
       | Asbestos was bad, but people have been conditioned to overrate
       | it's danger to casual exposure because of the lifelong exposure
       | to mesothelioma litigation where lawyers had a field day.
        
         | eganist wrote:
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3230399/
         | 
         | Have you seen anything newer that resoundingly disputes this
         | and the studies cited herein?
         | 
         | More recent, and accounting for more recent studies:
         | https://www.sciencedirect.com/science/article/pii/S209379112...
        
           | legitster wrote:
           | First of all this was a study of women who _worked with
           | asbestos in an industrial setting_. Not casual trace
           | exposure.
           | 
           | Secondly, this only establishes a correlation (and a
           | relatively weak one at that). But there are lots of other
           | plausible links between choosing to work in a low income
           | asbestos industry and ovarian cancer.
        
             | text0404 wrote:
             | and the people suing used J&J baby powder their entire
             | lives and put it on their infants. J&J also hid its
             | findings from federal regulators, which doesn't make them
             | seem as innocent as you're making them out to be.
        
               | happytoexplain wrote:
               | I could be wrong, but the report seems to be that some
               | mines contained asbestos, but that it was manageable, so
               | the only _relevant_ finding was that their end product
               | "sometimes tested positive" for "small amounts" of
               | asbestos during a 30-something-year period. Did the
               | amount/frequency represent a legal responsibility to
               | report it? Did it represent a moral responsibility, based
               | on known science? I haven't seen much about that, and I'd
               | love to hear from some source that at least appears to be
               | attempting objectivity.
        
               | legitster wrote:
               | That's the thing - billions of people use talc products
               | regularly. Millions develop ovarian cancer naturally. A
               | small group of talc users suing
               | 
               | I'm not saying J&J did nothing wrong, but if you read the
               | documents their testing scheme actually far exceeded the
               | federal requirements and they regularly changed suppliers
               | if they felt there was a risk of asbestos. Them throwing
               | out outlier test data is only suspicious with the post-
               | hoc assumption they were guilty of hiding something.
        
         | cm2012 wrote:
         | Yep. J&J seems like they didn't do anything wrong.
        
         | throwitaway222 wrote:
         | Corn starch is a better baby powder.
         | 
         | Talc is a rock. Rocks co-mingle with many minerals. As a
         | rockhound, this is super evident. Tiger's eye is basically
         | sealed in Asbestos. If you cut it with a tile saw you'll get
         | very unhealthy tiny knives in your cells.
         | 
         | Rock powders are generally very harmful for people.
         | Tile/countertop cutters get sick after working about 5-10
         | years, and that's with PPE.
        
         | criddell wrote:
         | Which judgement are you talking about?
        
         | NovemberWhiskey wrote:
         | I've been following this litigation for a long time, and
         | everything in this post is right. The scientific evidence of a
         | causal link between talc usage and ovarian cancer simply
         | doesn't exist.
         | 
         | What does exist: extremely sympathetic cancer patients that
         | used talc, a faceless multinational corporation as defendant, a
         | few documents in what was a huge amount of discovery that
         | suggest disagreement over quality controls approaches and
         | confidence in results, a bunch of plaintiff's attorneys on
         | contingency-fees.
         | 
         | Add in a significant dose of innuendo and hand-waving and
         | you're eventually going to find a jury that'll give you a
         | billion dollar verdict, and so it happened.
        
       | languagehacker wrote:
       | I really enjoyed this podcast about the issue:
       | https://www.stitcherstudios.com/shows/verified-dust-up.
       | 
       | They've known about this issue for a long, long time and decided
       | to just change who they sell it to from wealthy, "discerning"
       | people to groups of lower socioeconomic status. This will be a
       | tarnish on J&J's reputation for a very long time.
        
       | jrsdav wrote:
       | As a hobby ceramicist, I must acknowledge a certain amount of
       | grumpiness borne from what the talc allegations have done to our
       | niche community.
       | 
       | Talc is used extensively in low-mid fire clay bodies as well as
       | an additive to increase plasticity (makes clay easier to work
       | with), and is an excellent source of MgO for fluxing glazes. In
       | short, it's a great material to have in our cabinet [1]. But now
       | there are essentially no more talc sources in the US and the
       | ripple effect seen in our suppliers and manufactures has been a
       | big shock (we are ever at the mercy of big industry!).
       | 
       | But I honestly just don't get the link to ovarian cancer. Chronic
       | exposure to asbestos causing lung cancer, sure, if it were
       | present in talc in high amounts (which is somewhat dubious in the
       | case of talcum powder). Ultimately I have to conclude that J&J,
       | with all of its billions of dollars and army of lawyers, couldn't
       | find a way out of this. So either the research is dated and needs
       | to be reviewed because there is something going on with talc that
       | we don't understand (unlikely, imho), or I'm left speculating
       | that there is something else motivating them to avoid closer
       | scrutiny of their products.
       | 
       | - [1]: https://digitalfire.com/material/talc
        
         | ryandrake wrote:
         | Tire talc is still used on light aircraft tire tubes. I stocked
         | up on a bunch, but it still seems to be widely available. Maybe
         | it's fundamentally a different product than the J&J baby
         | stuff...?
        
           | Workaccount2 wrote:
           | It likely has a bunch of asbestos in it, as industrial talc
           | tends to have to most asbestos in it. I would wear a mask
           | when using it.
        
         | gen3 wrote:
         | If it helps, talc and asbestos deposits occur naturally in
         | close proximity. Enough so that regular testing for asbestos is
         | required.
        
         | TremendousJudge wrote:
         | You could buy it in Mexico I guess?
        
         | bsder wrote:
         | > Ultimately I have to conclude, that J&J with all of its
         | billions of dollars and army of lawyers, couldn't find a way
         | out of this.
         | 
         | As I understand it, J&J executives moved to bury data rather
         | than investigating. In addition, J&J _specifically_ targeted
         | minorities proclaiming dubious  "benefits" at the same time
         | they were burying anything to the contrary.
         | 
         | Consequently, it doesn't really matter whether there is or
         | isn't a link. The optics are so terrible that J&J is going to
         | lose badly if brought to trial.
         | 
         | This is the whole "silicone breast implants" thing all over. In
         | the end, the silicone implants were not at fault, but the
         | behavior of the responsible company was sufficiently
         | reprehensible that they were going to lose no matter what.
        
         | wolverine876 wrote:
         | > But I honestly just don't get the link to ovarian cancer.
         | 
         | What does that mean and what does it signify? Do you know
         | enough about cancer, microbiology, the female reproductive
         | system, etc. that you would 'get' it and that you trust your
         | intuition?
         | 
         | I don't 'get' much of advanced mathematics, but that doesn't at
         | all invalidate it in my mind, or represent evidence to others.
         | 
         | Is your post more than, 'I kinda wish I didn't know the facts
         | here' - a human reaction to bad news.
        
           | legitster wrote:
           | Mesothelioma is not a "real" cancer in the traditional sense.
           | 
           | Your body has no way to expel fine asbestos fibers, and so
           | they collect in your lungs and shred up the insides. When
           | your body tries to respond by healing, it instead forms
           | growths that constantly re-cut and heal themselves. So it's a
           | type of cancer, but it's unique in that it's not based on
           | malformed DNA.
           | 
           | So the idea that just being in the _presence_ of asbestos is
           | enough to form self-propagating cancers like it 's some sort
           | of radioactive isotope... doesn't make any sense. Asbestos on
           | it's own is completely inert.
           | 
           | It's an improbably claim that requires extraordinary
           | evidence.
        
             | inglor_cz wrote:
             | My old friend with no history of asbestos exposure, a
             | sysadmin no less, died of mesothelioma last year. I only
             | learnt that yesterday. (We grew apart...)
             | 
             | I spent an hour reading about that cancer. It seems that
             | mesotheliomas without previous known asbestos exposure do
             | occur.
        
               | MichaelZuo wrote:
               | Maybe he worked with fiberglass? I've heard a lot of
               | things are similar to asbestos, they just need a higher
               | exposure to do the same damage.
        
             | wolverine876 wrote:
             | > the idea that just being in the presence of asbestos is
             | enough to form self-propagating cancers like it's some sort
             | of radioactive isotope... doesn't make any sense.
             | 
             | It doesn't make sense to you and therefore is worth
             | exploring. At the same time, unless one is an expert then
             | the fact that they don't understand isn't much evidence
             | that it's untrue.
             | 
             | Most people don't understand much about my field of
             | expertise; their lack of knowledge doesn't invalidate most
             | of my field.
        
             | riahi wrote:
             | Talc is used medically as a treatment for recurrent pleural
             | effusions. It is introduced into the pleural space and
             | triggers an intensely inflammatory reaction which more or
             | less fuses the pleura together to prevent the accumulation
             | of fluid (pleurodesis).
             | 
             | When a patient who has had a pleurodesis gets an FDG PETCT,
             | they will have intense accumulation of radiotracer for
             | _years_. It is very inflammatory. Even more so than
             | asbestos.
             | 
             | I wouldn't want talc anywhere inside my reproductive tract
             | or anywhere inside my body if I could avoid it.
             | 
             | If you buy the chronic inflammation leads to cancer
             | hypothesis, talc leading to cancer is not so far fetched.
        
         | coryrc wrote:
         | Also a common filler for epoxy. When I sanded boat fillets I'd
         | get the smell of baby powder.
        
         | NovemberWhiskey wrote:
         | J&J is winning virtually all of the suits that go to trial;
         | it's just the ones they are losing end up with multi-billion
         | dollar jury awards. A jury trial is not a quest for scientific
         | truth, and a jury doesn't need to explain itself - the
         | plaintiff lawyers (search your junk mail folder for the word
         | "talc" to see what a great bunch they are) are going to keep
         | rolling the dice in search of a sympathetic jury.
        
       | happytoexplain wrote:
       | This is such a weird topic. People should be skeptical as hell of
       | corporations when it comes to safety and honesty, but everything
       | about this one seems so tenuous. Not to say there is _no_ fault,
       | but the rulings just don 't seem right as reported. Even the
       | normally level-headed HN crowd are using verbiage like typical
       | un-objective headline writers:
       | 
       | "riddled with asbestos"
       | 
       | "introducing a whole bunch of asbestos [while using baby powder]"
       | 
       | "[asbestos is] known for causing [cancer] for decades" (this is
       | implicitly referring to inhalation - the link to ovarian cancer
       | via genital contact is way, way less solid, isn't it?)
        
         | ryandrake wrote:
         | You have an entity (the corporation) that:
         | 
         | - is amoral
         | 
         | - is required and heavily incentivized by shareholders to
         | maximize business value/output/growth at all costs
         | 
         | - is lead by people who cannot be held responsible for bad
         | behavior (prison time)
         | 
         | You have to expect the worst. You have to assume they are going
         | to do the absolute worst behavior they can get away with, that
         | they will operate up to a millimeter away from the law, and
         | sometimes go over the line if they think they can. The entire
         | system is set up such that they would be foolish not to. IMO we
         | should presume guilt instead of innocence when it comes to
         | corporations--there is no reason to think they would
         | voluntarily uphold some ethical or moral code if it meant lower
         | profits.
        
           | mvkel wrote:
           | 1. What makes them amoral? That they're seeking profit?
           | 
           | 2. They're a publicly traded company. Shareholders are we.
           | 
           | 3. This sounds like the "if you're not religious, what's
           | stopping you from killing people all the time?" logic
        
           | Spivak wrote:
           | I don't think your points lead to your conclusion. They're a
           | lawful neutral amalgam made up of mostly lawful good people,
           | they're not lawful evil.
        
             | masfuerte wrote:
             | Except that people in groups mostly aren't good. They just
             | go along with what everybody else is doing and don't give
             | any thought to the legal or ethical consequences. Of course
             | there are exceptions, whistle-blowers for example, and they
             | are often reviled by the "good" people.
        
           | hammock wrote:
           | Isn't all that true of the Covid vaccines, and they're makers
           | (including J&J)? I took them and was fine. So something is
           | wrong in your logic
        
             | calculatte wrote:
             | You're alive is the most you can say. Would you say the
             | same if you develop cancer in 5 years? There is and was no
             | long term testing, so enjoy being the experiment. You can't
             | pretend those makers are all perfect. Who was it that was
             | hit with the largest criminal fine in US history? And for
             | what? "marketing the drug with the intent to deceive and
             | mislead the public" weird.
        
             | kmeisthax wrote:
             | As someone who got all three shots, and has no regrets:
             | There's nothing wrong with their logic, it's just that my
             | risk tolerances change based on the context. If I'm
             | escaping from, say, a war; I'm not going to complain if the
             | last flight out of the country is a Boeing 737 MAX - at
             | least not until I'm in a safe country and can switch
             | planes. Likewise, the risk tolerances for vaccines are
             | extremely low normally[1], but I'm willing to accept a
             | slightly riskier one if it means not getting infected with
             | an extremely risky novel coronavirus with very well
             | documented negative effects.
             | 
             | Furthermore, the extremely politicized nature of the
             | vaccine development process[0] constrains corporate
             | misbehavior. In other words, the CEOs knew they had eyes on
             | themselves and had to restrain themselves. Corporate
             | misbehavior is far more likely when the public stops caring
             | and corporations can start capturing regulatory agencies.
             | In other words, their evil is very _boring_.  "Company
             | invents new vaccine that kills people" is an unusually sexy
             | kind of evil, which means it gets unusually scrutinized.
             | "Company neglects higher-than-average asbestos in talcum
             | powder" is so boring nobody cares even after they get nasty
             | cancer.
             | 
             | [0] Which, oddly enough, resulted in Trump getting booed
             | for taking credit for the vaccine he funded.
             | 
             | [1] As far as I'm aware, these risks have not borne out
             | into increased harm from the vaccines. I feel like there
             | would have been a conservative media shitstorm if it had.
        
               | hammock wrote:
               | If a company invented a drug that kills people, I don't
               | think "extreme politicization" would be necessary for
               | that company to have eyes and scrutiny on it. That would
               | happen naturally.
               | 
               | But in this case weren't the makers actually indemnified?
               | Here's a CNBC article from 2020 called "You can't sue
               | Pfizer or Moderna if you have severe Covid vaccine side
               | effects. The government likely won't compensate you for
               | damages." https://www.cnbc.com/2020/12/16/covid-vaccine-
               | side-effects-c...
               | 
               | Side note you mentioned you took "all" the vaccines but
               | if you haven't gotten a dose since at least mid-Sept
               | 2023, you are recommended to get another one:
               | https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-
               | up-t...
        
             | jonhohle wrote:
             | Which were marketed as safe and effective and are now shown
             | to be much less safe than disclosed and the manufacturers
             | knew it (myocarditis and now a possible link to specific
             | cancers[0]), and may or may not be effective depending on
             | which study, cohort, and other factors.
             | 
             | Many people took them and were fine, but that doesn't mean
             | all people who took them were fine.[1]
             | 
             | 0 - https://www.cureus.com/articles/196275-increased-age-
             | adjuste...
             | 
             | 1 - https://abcnews.go.com/amp/GMA/Food/panera-bread-
             | issues-new-...
        
           | prewett wrote:
           | Johnson and Johnson is very explicit NOT amoral. They have
           | guiding principles that basically put the needs of their
           | customers first, then employees, communities, and finally
           | shareholders. [1]
           | 
           | These old companies were founded in a society that had clear
           | values, and many of those companies reflect those values.
           | Even modern companies frequently have moral values, for
           | instance, Zappos. As a society, though, we have jettisoned
           | those old, constraining Christian/Protestant values, and the
           | prevailing value, to the extent I can identify it, is a
           | Marxist, everything is just the use power to oppress. If we
           | take that as our value system, then that is what we'll
           | become. So if you don't like companies living out that value,
           | then it behooves you to promote the kind of values that
           | benefit society and bring people together.
           | 
           | [1] https://www.jnj.com/our-credo
        
         | abracadaniel wrote:
         | Well for the last point, the method of action with asbestos is
         | that it physically damages tissue and isn't broken down by the
         | body right? So any internal exposure would be cumulative. The
         | question then is can small fibers migrate up to the ovaries.
         | The prevalence of microplastics in the placenta suggests it's
         | at least plausible that small particles can migrate in
         | unexpected ways. It seems to me, that daily use of something
         | with a small amount of asbestos near any orifice would be
         | dangerous.
        
           | legitster wrote:
           | Well, in these cases it would be pretty easy to test for the
           | presence of asbestos in these cancers. If it works like
           | mesothelioma, it would still be present in the tissue.
           | 
           | However, it doesn't sound like anyone has actually done any
           | testing like this.
        
           | NovemberWhiskey wrote:
           | But there's really not any evidence that talc for personal
           | use actually contained any asbestos, other than some
           | extremely vague indirect discussion of quality control
           | parameters and testing quality confidence.
           | 
           | Even assuming that there was indeed a microscopic amount of
           | asbestos in talc, you should be aware that you're breathing
           | in probably ~5,000 asbestos fibers every day - that's about
           | the ambient level from naturally occurring asbestos in air.
           | If you do yard work, or you drive off-road, then you're
           | probably getting more than that.
        
       | langsoul-com wrote:
       | Pretty sus how they could shift all liabilities onto a
       | subsidiary, call bankruptcy and then call if a day.
       | 
       | Isn't this just abusing the system?
        
         | kayodelycaon wrote:
         | Yes. But it doesn't always work.
         | https://en.wikipedia.org/wiki/Piercing_the_corporate_veil
        
         | dannyw wrote:
         | Yes, one that was rejected by court twice.
        
         | triceratops wrote:
         | Matt Levine steelmanned this approach in a column.
         | 
         | What J&J tried to do was fund the subsidiary with however much
         | they thought they'd be liable for and treat claimants as
         | creditors to the bankrupt subsidiary. Bankruptcy law is
         | designed to deal fairly with all creditors. The alternative is
         | that a couple of gigantic judgments against J&J right at the
         | beginning would leave no money for people who sued later.
         | 
         | The courts rejected this approach, not because of unfairness
         | specifically, but because J&J had provided funding to the
         | subsidiary. If the subsidiary has money, it can't be bankrupt
         | yet.
         | 
         | If the subsidiary ultimately pays all claims to everyone who is
         | entitled (a big if), it isn't necessarily wrong. [1] The one
         | downside is claimants can't go after all of J&J's assets in the
         | event of a huge victory.
         | 
         | I'm recounting all this from columns I read while back, so
         | someone please correct me if I got details wrong.
         | 
         | 1. https://www.investopedia.com/texas-two-step-bankruptcy-
         | defin...
        
           | legitster wrote:
           | Levine's write up about the situation was great: https://www.
           | bloomberg.com/opinion/articles/2023-01-31/matt-l...
           | 
           | >"So you might want to file for bankruptcy to pay off all
           | your victims fairly and, perhaps, cheaply, even if their
           | claims will not really "bankrupt" you in the traditional
           | sense. But in fact that is kind of a drastic step, expensive
           | and disruptive and risky and probably bad for shareholders.
           | No chief executive officer of a big company wants to file for
           | bankruptcy if it is not strictly necessary.
           | 
           | > There is a neater approach:
           | 
           | > -You put the liabilities in a box. You create a new
           | subsidiary, you put the product-that-kills-people business in
           | that subsidiary, and you transfer the liabilities related to
           | that product to the subsidiary. This is, in general, hard to
           | do, but in fact Texas has a weird merger law that allows it:
           | You can "merge" your company into two companies, one with the
           | liabilities and one with the rest of the business.
           | 
           | > -You have the box -- the new subsidiary with all the
           | product liabilities -- file for bankruptcy. You get fair and
           | consistent adjudication of the product claims, inside the
           | box, and the rest of the company just goes along relatively
           | normally.
           | 
           | > This is called the "Texas two-step." In its extreme form it
           | sounds like very bad cheating: You can't really put all the
           | liabilities and none of the money in the box; that is just a
           | way to defraud victims, and surely they'd find a way to do
           | something about it. But a milder form of the Texas Two-Step
           | is that you put the liabilities in the box, put the box in
           | bankruptcy, but have the parent company guarantee its product
           | liabilities. (Perhaps up to some reasonable number, perhaps
           | not.) Then you can say "no, we are not doing this to get out
           | of paying our liabilities; we are doing it to pay them in a
           | fairer and more consistent way."
        
       | mvkel wrote:
       | Regardless of the defenses used, a company trying every possible
       | defense they can is simply good corporate counsel.
       | 
       | Like when you're paying taxes, an accountant using every possible
       | tactic they can to reduce your tax burden is simply good
       | accounting.
        
       | wolverine876 wrote:
       | What is required for punishments to significantly deter and
       | otherwise affect corporate behavior? Is there research on that
       | question?
       | 
       | I assume part of the answer is some ratio of corporate assets or
       | revenue, as well as how the fines are implemented.
        
       | evereverever wrote:
       | But this is only for ovarian cancer. I have a friend that is
       | dying of mesothelioma and her case is still pending. She'll
       | probably die before any judgement is made.
        
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