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Insurers Knew of Asbestos

Thousands of former workers are sick, angry—and suing 

GREG GORDON / Sacramento Bee 9nov03

WASHINGTON—Some of the nation's largest insurance companies knew for decades that asbestos could kill but didn't warn workers who handled it or take other measures that might have averted the nation's worst workplace health disaster, industry documents show.

Mindfully.org note:
Besides the corporate insurance executives who knew, most likely many physicians who mislabeled the cause of death as pneumonia in thousands of innocent victims also knew.

For years, dating to the 1930s, Metropolitan Life Insurance Co. did not make public or downplayed research indicating that asbestos could cause lung cancer and other diseases. Travelers Insurance and other carriers measured asbestos levels in factory air samples for years and pooled data on the mounting numbers of claims on behalf of workers who had died or got sick from asbestos.

The insurers did urge asbestos companies to reduce dust levels. But attorneys now suing the insurers contend that the insurers should have required asbestos companies to protect their workers or to put warnings on asbestos products long before the companies began to do so in the mid-1960s.

In thousands of suits in Ohio and Texas, dozens of insurers are being accused of concealing or negligently failing to disclose the asbestos hazard. Separately, two class-action suits accuse a dozen insurers of fighting victims' claims with deceptive defenses that asbestos companies didn't fully know the perils of breathing the fibers.

Health experts project that asbestos could kill 500,000 U.S. workers and result in 3 million injury claims from an estimated 27 million people exposed to it.

In California, more than a million workers were exposed to asbestos in Navy shipyards, power plants, oil refineries and in building high-rise buildings in Sacramento, San Francisco, Los Angeles and other cities. The toll of asbestos-related deaths in the state could easily be in the tens of thousands.

The suits could test whether insurers can be held accountable if they conceal or fail to disclose knowledge that a policyholder's product is a health hazard. If the suits were to result in major awards for victims, consumer costs for other insurance products could soar.

Insurers, along with asbestos companies, are lobbying Congress for legislation to create a trust fund that would settle all asbestos litigation and limit their liability.

Craig Berrington, general counsel of the American Insurance Association, contended that the group's more than 400 casualty insurers had no special knowledge about asbestos diseases—illnesses that typically take 10 to 40 years to produce symptoms. Rather, he said insurers had access to the same medical studies as everybody else—and no duty to alert workers.

The insurers' "critical but limited role in society is to cover the costs of accidents and injuries," he said.

Arthur Caplan, director of the University of Pennsylvania's Center for Bioethics, said the insurers' only legal duty is to their shareholders and that he would not expect them to alert lawyers to "sue us or make claims against us and drive us into bankruptcy."

However, Caplan said, "You can't just say that the companies' interest is always paramount. At some point, when the bodies, the cancers and the failing lungs begin to pile up, you've got to take that information and move it out to public health authorities, government officials or doctors. ... You should be letting people know that there is a massive public health problem, if you have any ethics at all."

Dr. Henry Anderson, chief medical officer for the Wisconsin Department of Public Health, who worked on pioneering asbestos research during the 1970s. He said the insurers "had a moral obligation (to warn), both from the standpoint of protecting the workers as well as the companies employing them."

Researchers and plaintiffs' attorneys have asserted for years that some of the biggest asbestos manufacturers engaged in a 40-year cover-up of the fibers' hazards. Now, thousands of documents coming to light detail what the insurance industry knew and what it did about the threat.

A Bee Washington Bureau review of hundreds of those documents found that:

"What you've got here is basically a gigantic, systematic cover-up," said ethicist Caplan, contending that it could "rank along with the greatest scandals of industry public health cover-up ever. The only thing I can think of like that is tobacco."

Asbestos became a manufacturing staple in the early 1900s. The auto industry put the heat-resistant, fire-retardant mineral in brake linings and gaskets. Construction companies found it ideal for use in insulation and roofing materials. The mineral soon became a component in 3,000 products. In many cases, no substitute materials were available.

Year after year, miners, plant workers and tradesmen—insulators, pipe fitters, plumbers and electricians—gulped breaths of asbestos without knowing it could shorten their lives. By the 1950s and early 1960s, droves of them suffered from asbestosis, lung cancer or mesothelioma, a rare and deadly cancer of the lung lining or abdominal cavity.

Public health officials project that the annual number of deaths and illnesses from asbestos will not peak until about 2009, before starting to taper.

Bob Bertrand, 64, a St. Paul, Minn., father of four, is the only surviving brother of a family ravaged by asbestos. And he is fighting for his life against mesothelioma. He said asbestos contributed to the deaths of two of his brothers, and he and his family suspect it was a factor in the death of his father and his third brother.

They all worked in the insulation trade in the 1950s, kicking up dust all day as they labored to wrap huge boilers and miles of pipelines with blocks of asbestos and a mudlike asbestos coat. Sawing and mixing left them coated with white film.

"It's unreal ... just unreal," Bertrand, who spent 45 years as an insulator, said of asbestos' toll on his family. "I can't even put it into words."

Bertrand said it wouldn't surprise him if insurers knew of asbestos' threats, noting that manufacturers "kept on pushing" the products after learning of the dangers.

When he learned he had mesothelioma on Oct. 4, 2001, he said, a doctor told him: "You've got four to six months and you're dead."

Despite his fast-moving cancer, he went back to work, huffing and puffing through the year's end, before retiring. With his condition inoperable because the cancer had spread to both lungs, Bertrand recently went to see Dr. Arkadiusz Dudek, a University of Minnesota oncologist experimenting with a chemotherapy approach for late-term mesothelioma patients.

The treatments sapped Bertrand's strength but shrank the tumors by 25 percent—enough to ease his pain and keep him alive.

Bertrand said he has moved beyond anger to acceptance of his plight.

"I got the extra time to work out everything with my family," he said.

Among Sacramento victims was Jay Gookstetter, who died of mesothelioma in May at age 81. Gookstetter, a mechanical engineer at the Oregon Shipbuilding Corp. in 1941-42, was almost sure to have been exposed to asbestos while working as a steamfitter at various shipyards during four years in the Navy, said his widow, Marian Gookstetter.

Her husband was "a young 81" and loved to golf before he was diagnosed with fast-moving cancer of the lining of the lungs in October 2001, she said.

Marian Gookstetter said that if insurers knew of asbestos' dangers, "they should have let people know. ... If not in the '30s, then at least in the '40s. They shouldn't have insured these companies. It's not right that somebody's beloved should die and their families be devastated, and all because of their negligence."

Richard Reese, 72, also of Sacramento, has asbestosis and lung cancer. Reese underwent surgery for removal of most of his right lung in September 2001.

Reese said he may have been exposed while in junior high school, when he worked a summer at the Redwood City plant of asbestos maker Johns-Manville Corp. He also worked in the Merchant Marine from 1949-51 and "slept on the top bunk" next to asbestos-insulated pipes, or might have been exposed while doing brake and clutch work, he said.

Told of the insurers' role, he asked: "Why didn't they do something? ... It doesn't sound like they really care. ... Big business is big business."

Dr. Wilhelm Hueper, who was a senior scientist at the National Cancer Institute, offered an explanation for the industry's sluggish response to the cancer threat from asbestos and other toxins in a 1943 medical journal article. He said commercially interested parties were "not particularly anxious" to disclose illnesses that might tarnish their images, force expensive equipment upgrades or bring worker suits "with extravagant financial claims."

Thus, he said, it is not unusual for "financially interested" parties to exert pressure "to keep information on the occurrence of industrial cancer well under cover."

The industry's actions also occurred in a different era, long before workplace safety rules were commonplace. The insurance association's Berrington said it is an inherent part of the American legal system that a defendant cannot be found to have been negligent if "based upon what a reasonable person knew at the time, you did a reasonable thing."

Class-action suits in West Virginia and Massachusetts accuse Travelers, Aetna, Liberty Mutual, CIGNA, ACE, One Beacon and other insurers of fraudulently depriving victims of rightful compensation by denying their clients knew of asbestos' dangers. The insurers have argued that asbestos companies couldn't have fully known the dangers until after 1964, when researcher Irving Selikoff of New York's Mt. Sinai Hospital released a study of asbestosis and lung cancer among tradesmen.

Berrington said he could not speak to conduct of individual insurers, but dismissed the class-action suits as "outrageous."

He said evidence of asbestos risks "was in the medical literature" and in federal hands for years, and that it was the government's job, not the insurers', to bring it to public attention.

In the Ohio and Texas suits, individual victims accuse asbestos manufacturers and dozens of insurers of concealing for decades that asbestos is hazardous.

Like spokesmen for Liberty Mutual, Met Life and One Beacon, a Travelers official declined to comment on the suits' allegations.

But Travelers' Keith Anderson alleged in a letter to The Bee's Washington Bureau that disclosure of insurers' internal papers is driven by "trial lawyers who hope to personally pocket millions of dollars from ongoing litigation and who hope to derail efforts to correct an out-of-control asbestos litigation system."

Pointing to the need for a national settlement of all asbestos injury suits, he noted that Travelers has already paid billions of dollars in claims and put $3 billion more in reserve.

The suits and all other insurance industry legal liability for asbestos injuries would largely disappear if Congress passes the proposed $100 billion-plus comprehensive settlement of asbestos injury claims. The concept of a trust fund to pay all claims has bipartisan support because the current system has created inequities among victims and has driven 67 asbestos-related companies into bankruptcy.

But talks are stalled. Insurers balked at a bill calling on them to pay as much as $74.5 billion over 27 years. The insurers say they will pay no more than $46 billion.

Members of a loose network of attorneys who are bringing the suits contend the insurers bear a big onus for the asbestos tragedy.

"The worst workplace disaster in American history was 100 percent preventable," said Cincinnati lawyer Bruce Carter, a member of the American Bar Association's asbestos task force.

He said insurers could have taken myriad steps, including threatening to cancel policies unless asbestos companies took precautions and warned workers and customers. They also could have ensured that government and private medical studies on asbestos were accurate "by providing the information that they had about the true nature of the harm" it could cause, Carter said.

More recently, it was an insurance company that alerted federal regulators to a problem with Firestone tires that resulted in dozens of fatalities.

Berrington responded: "I think it would be a grossly inaccurate thing to say that collection of information about claims was in any way related to the insurance industry having more medical information about asbestos than was in the general literature."

source: http://www.sacbee.com/content/news/courts_legal/v-print/story/7755749p-8694795c.html 10nov03

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