The First Epidemic
 

A Lawsuit on Behalf of Lyme Disease Patients


Sept. 29, 2021 UPDATE: I am saddened to report that the lawsuit on behalf Lyme disease patients has been dismissed in federal court in Texas. The court dismissed the second of two claims — that IDSA had violated the Sherman Anti-Trust Act; the court had earlier dismissed the claim under the Racketeer Influenced and Corrupt Organizations Act. In the ultimate ruling, which was just unsealed, the judge wrote these fateful words: "...Plaintiffs have not pled claims for relief that are plausible on their face..." In other words, a case had not been made that the Infectious Diseases Society of America had unjustly acted to deny care to Lyme disease patients. On a positive note, I am told that an appeal will be filed to overturn the dismissal. This is an indication that the attorneys, who are working without pay, believe the case has merit and promise. After all, eight insurance companies named as defendants settled the lawsuit. The appeal will take at least a year to be heard, perhaps two. I know many people had great faith in this lawsuit. I am sorry to dash hopes for legal redress. But there are other developments -- in the research, advocacy and governmental arena -- that should give some solace. You can find these new and other documents on Torrey v. IDSA here.

June 1, 2021 CASE UPDATE: Pending approval by the court, TORREY v. IDSA is now an anti-trust lawsuit against a single defendant: The Infectious Diseases Society of America. Both sides have agreed to an order that dismisses claims against the IDSA under the Racketeer Influenced and Corrupt Organizations Act (RICO) but not under the Sherman Act. Moreover, the order would dismiss all claims — RICO and anti-trust — against six physician-panelists who greatly influenced Lyme disease care: Raymond J. Dattwyler, John J. Halperin, Eugene D. Shapiro, Leonard H. Sigal, Allen C. Steere and Gary P. Wormser.

Should the lawsuit survive a pending defense motion to dismiss it, it would proceed on the plaintiffs’ assertions that the IDSA attempted to or did monopolize the Lyme treatment market, in violation of the Sherman Act. The Torrey plaintiffs have asserted: “The IDSA guidelines are treated as mandatory requirements by the IDSA…by: (1) denying the existence of chronic Lyme disease, (2) condemning the use of long-term antibiotics, (3) allowing doctors who treat chronic Lyme patients to be sanctioned by medical boards, and (4) using the guidelines as a basis to deny insurance coverage of chronic Lyme treatments. The power of the IDSA…restrains trade, therefore, the IDSA guidelines have significantly reduced the Lyme treatment market …[and its conducts is] sufficiently commercial for Sherman Act purposes.” Eight insurance companies charged in the lawsuit settled previously. The proposed order, filed April 22, 2021, awaits a signature by U.S. District Court Judge Robert W. Schrader III. — Note: This filing came before my last update but only just came to my attention. Apologies. MBP

April 28, 2021 CASE UPDATE: TORREY v. IDSA et al. UPDATE: A hearing was held in federal court April 23 on a motion by the IDSA side for summary judgment -- namely for dismissal of the case. The defendants say that the Torrey side has no evidence to back its claims that the defendants conspired with insurance companies to deny care to Lyme disease patients. I have posted five new documents on my website, including the motion to dismiss, the response, and documents from the hearing. Here is an excerpt from the IDSA argument to dismiss: “…Plaintiffs admitted that they have no evidence of the large consulting fees that they alleged the Insurance Defendants paid to the Doctors and that formed the foundation of their RICO and antitrust claims. …While Plaintiffs attempt to cling to their antitrust claims, those claims rest on the same alleged payments that Plaintiffs finally acknowledge were not made. They should be dismissed with prejudice.” The Torrey side has responded with a detailed rebuttal that claims, among other things, "IDSA and IDSA Panelists destroyed or failed to produce relevant documents that were in their possession establishing the large consulting fees paid to the IDSA Panelists from health insurance companies." It concludes, "The evidence in this case establishes that the IDSA continues to commit overt acts that continue the antitrust violations." See the motion, response and hearing documents on my Read the Court Filings page. — MBP

CASE UPDATE: On Jan. 7, 2021, the plaintiffs in Torrey v. IDSA filed an amended complaint. The defendants now include the IDSA and Drs. Wormser, Dattwyler, Shapiro, Halperin, Sigel and Steere. The eight insurance company defendants settled previously. The remaining defendants filed a motion on Jan. 21, 2021, to dismiss the amended complaint “or, in the alternative, to strike plaintiffs’ new misrepresentation claims”. The new documents and others can be accessed on my Read the Court Filings page. — MBP

CASE UPDATE: As of November 2020, all eight insurance companies have settled in Torrey v. IDSA et al. No details are known on the settlements, which have not been made available in public documents. However, a guardian has been named to represent four minors who are plaintiffs. The guardian's job is to review the adequacy of the settlement and how it is distributed. Remaining defendants include six physician-researchers (the seventh, Robert Nadelman, has passed away) and the IDSA. A trial in the case is tentatively set for September 2021. Important court documents can be accessed on my Read the Court Filings page. — MBP

This page will report on developments in Torrey et al v. Infectious Diseases Society of America et al, a lawsuit filed in 2017 on behalf of Lyme disease patients who say they have been denied care and harmed under existing insurance and medical protocols. The litigation is proceeding in U.S. District Court in Texarkana, Texas. Read Mary Beth's Huffington Post article on the lawsuit, which has been filed against the IDSA, six physician researchers and eight insurance companies.

A copy of the lawsuit can be accessed here.

 
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Articles on Torrey et al:

 

 
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A group of sick and disabled Lyme disease patients is hoping to boost its claim, in an amended lawsuit filed in Texas federal court, that a cadre of doctors conspired for two decades to deny them care.

The revised complaint was almost immediately met with a motion to throw it out. The lawsuit fails, the motion said, to show a concerted and concealed conspiracy, and, moreover, “deletes key allegations that undergirded” its initial fraud claim.

Indeed, the revised lawsuit no longer asserts that “large sums” of money passed from insurance companies to physicians in the scheme to limit Lyme treatment to 28 days of antibiotics....

CONTINUE THE ARTICLE HERE 

 

MARCH 21, 2019: LYMEDISEASE.ORG 

IDSA lawsuit: Patients may have to undergo independent medical exams

By Mary Beth Pfeiffer

Patients who are suing over alleged denial of care for long-standing Lyme disease may have to submit to medical examination to prove their conditions, a federal judge ruled in a hearing in Texarkana, Texas, federal court. The ruling hits on a pivotal issue in the potentially groundbreaking case in which 25 living patients and the families of three who have died claim the Infectious Diseases Society of America and six physician-researchers conspired with eight insurance companies to limit Lyme disease treatment. 

CONTINUE THE ARTICLE HERE

 

Feb. 25, 2019: LYMEDISEASE.ORG

Patient lawsuit against IDSA and insurers moves forward in Texas

By Mary Beth Pfeiffer

A federal lawsuit that may just validate the pain of thousands of Lyme disease patients – and the flaws in prevailing tests and treatments — is moving ahead in a Texas courthouse, despite attempts to kill it.

The lawsuit’s progress is a big development in the decades-old struggle of patients whose post-treatment conditions – involving myriad neurological, cognitive, musculoskeletal, and cardiac symptoms — have long been misdiagnosed and minimized. Patients have hence had to seek out-of-pocket treatment from physicians who risk their licenses providing it.

The suit, Torrey v. Infectious Diseases Society of America et al, aims to change that, and, make no mistake, is a serious challenge to the Lyme status quo (see my article from 2017). ...


continue the article here

 

Dec. 7, 2017: HUFFINGTON POST

10 points about suing the architects of Lyme policy-as a task force meets to review it

BY Mary Beth Pfeiffer

For nearly a generation, a small group of physician-researchers has directed how Lyme disease is diagnosed and treated in the United States, Europe and, as the disease spreads, Canada and Australia too. As a result, US insurance companies routinely refuse to pay for antibiotic treatments longer than 28 days. Doctors have been punished for prescribing them. Patients have been told their lingering problems are psychological or they have other sickness.

Now, a lawsuit asserts that the design and implementation of Lyme disease care–as outlined in the treatment guidelines of the Infectious Diseases Society of America—is rooted in corruption. It asserts that key architects of Lyme policy, naming seven physician-researchers, took money from and worked with insurers to develop guidelines that allowed claims to be denied. The conspiracy involved efforts to belittle the legitimate complaints of patients, the suit asserts, and to stifle competition from doctors who did not follow the IDSA guidelines, which the suit terms “a predatory device.” ...

Continue the article here

If you don’t see a list of the court filings CLICK HERE.

 
 

Read the Court Filings

Sept. 27, 2021: Order of Dismissal Unsealed

Sept. 27, 2021: Court Orders No Sanctions Against Plaintiffs

Sept. 1, 2021: Summary Judgment Dismissal Anti-Trust Claim

May 5, 2021: Joint Report of the Parties after April 23 hearing

April 27, 2021: IDSA Notice on Motion to Dismiss (with slides)

April 23, 2021: Hearing Transcript (abbreviated)

April 23, 2021: IDSA et al. Request for Stay until Motion to Dismiss is Decided

April 22, 2021: Joint Agreement to Dismiss RICO claim against IDSA and Physician Panelists. (Sherman Act Claim Unchanged)

March 2, 2021: Torrey Response to Motion for Summary Judgment

Feb. 3, 2021: IDSA Motion for Summary Judgment-Dismissal

Jan. 15, 2021: Defendants’ Motion to Dismiss Amended Complaint

Jan. 7, 2021: Amended Complaint filed by Lisa Torrey and 24 others against the IDSA and Drs. Wormser, Dattwyler, Shapiro, Halperin, Sigel and Steere.

Oct. 30, 2020: Settling Defendants including all eight insurer-defendants: United Healthcare Services, Inc., United Healthcare Group, Incorporated, Kaiser Permanente, Inc., Cigna Corporation, Blue Cross and Blue Shield of Texas, Anthem, Inc., Blue Cross Blue Shield Association and Aetna, Inc. Guardian named to oversee settlements on behalf of four minors who are plaintiffs.

Oct. 14, 2020: Blue Cross Blue Shield Association settlement reached

Mar. 3, 2020: Notice of dismissal against Anthem

Mar. 3, 2020: Order granted for extension to finalize Kaiser settlement

Feb. 26, 2020: IDSA et al response to bifurcation schedule

Feb. 26, 2020: IDSA et al opposition to designation of expert witnesses

Feb. 25, 2020: Order to Stay deadlines with Anthem pending settlement

Feb. 25, 2020:  IDSA opposition to Aucott or Forester for patient exams

Feb. 24, 2020: United Healthcare Group/Services Answer to Amended Complaint

Feb. 19, 2020: Torrey response on non-expert witness deposition

Feb. 18, 2020: Torrey opposes IDSA MD for exams; suggests Aucott, Forester

Feb. 17, 2020: IDSA motion to bar 'expert' depositions of 3 witnesses

Feb. 10, 2020: Court upholds claims under RICO, against doctor defendants

Feb. 7, 2020: Defendants motion for MD for medical exams

Feb. 7, 2020: CV of proposed doctor to do IMEs

Feb. 7, 2020: Emails between parties, Torrey et al objects to IME MD

Feb. 5, 2020: Short transcript of scheduling hearing

Feb. 4, 2020: Notice of proposed settlement of Cigna Health and Life Insurance Company

Jan. 31, 2020: Joint proposed schedule for proceedings

Jan. 30, 2020: Notice of settlement of BCBS of Texas

Nov. 26, 2019: Mediation suspended with IDSA, 6 doctors and 7 insurers

Nov. 26, 2019: Settlement reached with Kaiser Permenente

Aug. 22, 2019: Emergency hearing to compel discovery; short summary

July 17, 2019: Hearing summary, court drafting order for plaintiffs’ medical exams

June 25, 2019: Hearing on motion to dismiss set for July 10, 2019

June 6, 2019: Joint motion on issue of discovery

May 30, 2019: New trial date set for Feb. 24, 2020

May 22, 2019: Plaintiffs response on defendants choice of independent physician for examinations

May 22, 2019: Plaintiffs proposal by Dr Elizabeth Maloney proposal on medical exams (Exhibit A)

May 22, 2019: Transcript of March 11, 2019 hearing, status of motions (Exhibit B)

May 17, 2019: IDSA response on IMEs

May 17, 2019: Exhibit A: Declaration of Dina N. Torten, M.D.

May 17, 2019: Exhibit B: Plaintiff’s Expert Designation

May 17, 2019: Exhibit C: Email on IME Filed

May 10, 2019: Judge’s orders

May 01, 2019: IDSA reply

April 26, 2019: Amended lawsuit

April 26, 2019: Exhibit A in support of amended lawsuit

April 26, 2019: Exhibit B in support of amended lawsuit

April 23, 2019: Torrey response

April 10, 2019: Defendants motion to dismiss amended lawsuit

March 11, 2019: Summary of hearing

March 11, 2019: Defendants answer to RICO extension

March 11, 2019: Defendants request for patient depositions

March 11, 2019: Doctor Defendants Motion to Dismiss

March 5, 2019: Withdrawal of motion for e-mails from plaintiffs

March 4, 2019: Pre-hearing report by parties

Feb. 28,  2019: Defendants additional support for second motion to dismiss

Feb. 28, 2019: Response by Torrey plaintiffs to defendants' motion for medical examinations

Feb. 21, 2019: Response by Torrey plaintiffs to second motion to dismiss

Feb. 14, 2019: Motion by IDSA et al defendants seeking medical examinations of Lyme patients

Sep. 27, 2018: Decision on IDSA et al Motion to Dismiss (upholding most of the Torrey assertions)

Nov. 10, 2017: The Lawsuit: Torrey v. IDSA et al