`FOR THE MIDDLE DISTRICT OF NORTH CAROLINA
`
`
`
`
`
`LLOYD BELL, individually and )
`as Executor of the Estate of )
`Betty Whitley Bell, Deceased, )
`
`)
`
`)
`
`)
`
`)
`
`)
`AMERICAN INTERNATIONAL
` )
`INDUSTRIES, et al.,
` )
`
`)
`
`)
`
`
`
`
`
`Plaintiff,
`
`v.
`
`
`
`
`Defendants.
`
`1:17CV111
`
`FILED UNDER SEAL
`
`MEMORANDUM OPINION AND ORDER
`
`OSTEEN, JR., District Judge
`
`
`
`Before this court is Northwell Health, Inc.’s (“Northwell”)
`
`Motion for Reconsideration of its Motion to Intervene and Extend
`
`Protective Order. (Doc. 388.) Also before this court is a Motion
`
`to Vacate the Preliminary Protective Order of September 25, 2020,
`
`(Doc. 368), filed by Defendant American International Industries
`
`(“AII”) and joined by Defendant Whittaker, Clark & Daniels, Inc.
`
`(“WCD”), (Doc. 373). Lastly before this court are motions to
`
`seal the motion to vacate and related briefing. (Docs. 370, 375,
`
`378, 381.) The motion for reconsideration and motion to vacate
`
`will be granted; the motions to seal will be denied.
`
`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 1 of 40
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`
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`I.
`
`BACKGROUND
`
`Betty Whitley Bell (“Mrs. Bell”) worked most of her career
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`as a hairdresser and used Clubman brand talc powder for over
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`thirty years, beginning in the 1970s, (Doc. 294 -9 at 6–8),1 and
`
`continuing through 2009, (id. at 7-8). AII purchased the Clubman
`
`brand in the late 1980s. (Doc. 294-3 ¶ 8.) Mrs. Bell was
`
`diagnosed with mesothelioma in July 2015. (Doc. 322-2 at 2;
`
`Doc. 205-11 at 5–6.)
`
`In September 2015, Mrs. Bell filed workers’ compensation
`
`claims with the North Carolina Industrial Commission, asserting
`
`that she was exposed to asbestos during prior employment with
`
`two textile employers—Hoechst Celanese Corporation and Pillowtex
`
`Corporation. (Doc. 322-2.) Mrs. Bell’s claims were eventually
`
`dismissed without prejudice. (Doc. 333 -3.)
`
`Mrs. Bell filed this case in February 2017, arguing that
`
`exposure to asbestos in Clubman talc powder caused her
`
`mesothelioma. (Doc. 1.) Mrs. Bell passed away in June 2017.
`
`(Doc. 39-2 at 2.) The executor of her estate, Lloyd Bell, was
`
`substituted as Plaintiff in this action after Mrs. Bell passed.
`
`(Doc. 40.)
`
`
`1 All citations in this Memorandum Opinion and Order to
`documents filed with the court refer to the page numbers located
`at the bottom right-hand corner of the documents as they appear
`on CM/ECF.
`
`- 2 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 2 of 40
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`In April 2019, Plaintiff filed a new workers’ compensation
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`claim against Mrs. Bell’s two former textile employers seeking
`
`death benefits.2 (Doc. 322-5.) The claims were again dismissed
`
`without prejudice. (Doc. 333-11.)
`
`In January 2020, the peer-reviewed Journal of Occupational
`
`and Environmental Medicine published an article titled
`
`“Mesothelioma Associated With the Use of Cosmetic Talc.”
`
`(Doc. 274-1 at 2.) Dr. Jacqueline Moline was the article’s lead
`
`author. (Id.) The article analyzed medical records and
`
`deposition transcripts for thirty-three anonymous individuals
`
`diagnosed with mesothelioma for whom Dr. Moline had conducted a
`
`“medico-legal evaluation as part of tort litigation .” (Id.) The
`
`article stated that each of the thirty -three individuals had no
`
`known asbestos exposure other than talcum powder. (Id.) The
`
`article claimed to be “the first large case series to identify
`
`cosmetic talcum powder contaminated with asbestos as the cause
`
`of malignant mesothelioma in cosmetic talc users .” (Id. at 5.)
`
`Prior to drafting the article, Dr. Moline received Institutional
`
`Review Board (“IRB”) approval from her employer, Northwell.
`
`(Doc. 2652-1 at 2; Doc. 392-1 at 2–4.) That approval referenced
`
`federal regulations governing human subject research and waived
`
`
`2 Both this and the prior workers’ compensation filings were
`subject to a state statute that criminalizes the making of false
`statements to obtain benefits. N.C. Gen. Stat . § 97-88.2(a).
`
`- 3 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 3 of 40
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`
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`the requirement that Dr. Moline obtain informed consent from the
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`individuals whose cases she planned to study. (Doc. 392 -1 at 2–
`
`3.)
`
`Dr. Moline’s work has been influential. For example, after
`
`her article had been published online, she testified to Congress
`
`about her findings. (Doc. 331-11.) In her congressional
`
`testimony she used a pseudonym—“Ms. D”—to discuss one of the
`
`thirty-three individuals analyzed for her article. (Id. at 5–6.)
`
`Dr. Moline had been retained as an expert in this case.
`
`(See, e.g., Doc. 188-8.) Because the facts of Mrs. Bell’s case
`
`paralleled the description of Ms. D in Dr. Moline’s
`
`congressional testimony, AII suspected that Mrs. Bell was one of
`
`the thirty-three anonymous individuals that the article had
`
`studied. (Doc. 188 at 6-7.) If so, AII believed that would
`
`undermine the article’s express premise and the related expert
`
`testimony that none of the individuals had any known exposure to
`
`asbestos other than talcum powder because Mrs. Bell and her
`
`estate filed workers’ compensation claims alleging occupational
`
`exposure to asbestos from textile workplaces. (Id. at 3.) In a
`
`deposition for a different mesothelioma case, AII asked
`
`Dr. Moline for specifics about the thirty-three individuals.
`
`(See Doc. 188-1 at 6.) Dr. Moline declined to answer due to
`
`confidentiality concerns. (Id.) The plaintiff’s counsel, who
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`- 4 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 4 of 40
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`
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`also represents Plaintiff in this case, advised AII that if it
`
`sought information regarding the thirty-three individuals, then
`
`it would have to subpoena Northwell. (Id. at 6–7.) AII did so,
`
`(Doc. 168-1), and Plaintiff moved to quash the subpoena,
`
`(Doc. 168).
`
`After AII provided Northwell with a HIPAA authorization
`
`form signed by Plaintiff, (Doc. 179-6), Northwell produced a
`
`single five-page document (the “Northwell Document”), (Doc. 182-
`
`5). The document is a spreadsheet containing information on all
`
`thirty-three individuals the article studied, but importantly
`
`the entire document is redacted except for the row headings and
`
`the column listing Mrs. Bell’s information . (Id. at 4–8.) Upon
`
`learning that this document had been disclosed, Plaintiff filed
`
`an emergency motion for a protective order pursuant to Federal
`
`Rule of Civil Procedure 26(c) to preclude discovery and inquiry
`
`into the identities of the thirty-three individuals. (Doc. 182
`
`at 5–9, 12.) The motion also sought for all copies of the
`
`Northwell Document to be destroyed and not disseminated in th is
`
`case or any other forum. (Id. at 12.) The motion was set for
`
`hearing. (Text Entry 09/18/2020.)
`
`On September 25, 2020, the Magistrate Judge held that the
`
`Northwell Document could be used in this case but that it, and
`
`the information therein confirming Mrs. Bell was one of the
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`- 5 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 5 of 40
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`
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`thirty-three individuals the article studied, was “confidential
`
`and limited solely to this case.” (Doc. 206 at 94, 96.) The
`
`Magistrate Judge explicitly stated that this limited protective
`
`order could potentially be reconsidered as the case progressed.
`
`(Id. at 96.) In December 2020, Northwell filed a Motion to
`
`Intervene and Extend Protective Order, seeking to prevent
`
`defense counsel from questioning Dr. Moline about any link
`
`between Mrs. Bell and the article. (Doc. 258.)
`
`Before Northwell’s motion was adjudicated, Plaintiff
`
`effectively withdrew Dr. Moline as an expert by not presenting
`
`her for deposition by the court-ordered January 7, 2021
`
`deadline. (Order (“MJ’s Order”) (Doc. 309) at 3.) Accordingly,
`
`in February 2021, the Magistrate Judge denied Northwell’s
`
`intervention motion as procedurally moot and untimely, as well
`
`as substantively meritless. (Id. at 3–8.) Northwell filed an
`
`objection, (Doc. 316), but this court affirmed the Magistrate
`
`Judge’s decision, (Doc. 350 at 8).
`
`In July 2021, this court granted AII’s motion for summary
`
`judgment, and judgment was entered the following month.
`
`(Doc. 361 at 12–13; See Doc. 366.) The case was closed.
`
`On September 29, 2021, AII filed the instant motion
`
`requesting this court vacate the order protecting the
`
`identification of Mrs. Bell as one of the individuals in the
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`- 6 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 6 of 40
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`
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`article from disclosure outside this case. (Doc. 368.) AII filed
`
`a brief in support of its motion. ( Def. AII’s Br. in Supp. of
`
`Mot. to Vacate Prelim. Protective Order of Sept. 25, 2020
`
`(“AII’s Br.”) (Doc. 369).) Codefendant WCD filed a notice that
`
`it joins in AII’s motion. (Doc. 373.) Plaintiff responded in
`
`opposition to the motion, (Pl.’s Resp. in Opp’n to AII’s Mot. to
`
`Vacate Prelim. Protective Order of Sept. 25, 2020 & WCD’s Notice
`
`of Joinder (“Pl.’s Resp.”) (Doc. 377)), and AII replied, (Def.
`
`AII’s Reply in Supp. of Mot. to Vacate Prelim. Protective Order
`
`of Sept. 25, 2020 (“AII’s Reply”) ( Doc. 380)). In June 2022,
`
`Northwell filed a motion for reconsideration of its intervention
`
`motion, (Doc. 388), accompanied by a brief, ( Northwell’s Suppl.
`
`Mem. of Law in Supp. of Mot. for Recons. of Mot. to Intervene
`
`and Extend Protective Order (“Northwell’s Recons. Br.”)
`
`(Doc. 391)). That motion is unopposed. Northwell also filed a
`
`response in opposition to AII’s motion to vacate the protective
`
`order, (Northwell’s Resp. in Opp’n to AII’s Mot. to Vacate
`
`Prelim. Protective Order of Sept. 25, 2020 & WCD’s Notice of
`
`Joinder (“Northwell’s Resp.”) (Doc. 392)), to which AII replied,
`
`(Doc. 394).
`
`The motion to vacate and related briefing, as well as
`
`Northwell’s brief supporting its reconsideration motion, have
`
`all been filed under temporary seal and are accompanied by
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`- 7 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 7 of 40
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`
`
`corresponding motions to seal. (Docs. 370, 375, 378, 381 , 390,
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`395.) AII and WCD state in their motions to seal that they do
`
`not believe the filings need to be sealed and have only filed
`
`motions to seal because Plaintiff and Northwell claim
`
`confidentiality. (Doc. 370 at 1–2; Doc. 375 at 1; Doc. 381
`
`at 1–2; Doc. 395 at 1–2.)
`
`II. ANALYSIS
`
`
`
`The motion for reconsideration, motion to vacate the
`
`protective order, and the motions to seal are all ripe for
`
`review. This court will address the motion s in that order.
`
`A.
`
`Motion for Reconsideration
`
`
`
`Northwell seeks reconsideration of its interven tion motion
`
`so it can become an intervening party, allowing it to
`
`“adequately defend its continuing interests in this case.”
`
`(Northwell’s Recons. Br. (Doc. 391) at 6.) The reconsideration
`
`motion is unopposed.
`
`
`
`After carefully reviewing Northwell’s reconsideration
`
`motion and supporting brief, (Doc. 388; Northwell’s Recons. Br.
`
`(Doc. 391)), this court will grant the motion to the extent
`
`necessary to admit Northwell as a formal intervening party in
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`- 8 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 8 of 40
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`
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`this case.3 Accordingly, this court has fully considered and
`
`herein addressed the relevant arguments contained in Northwell’s
`
`response to AII’s motion to vacate the protective order ,
`
`(Northwell’s Resp. (Doc. 392)).
`
`B.
`
`Motion to Vacate Protective Order
`
`As a threshold matter, the parties disagree what standard
`
`this court should apply in adjudicating the motion to vacate the
`
`protective order. AII4 insists that the Northwell Document is a
`
`judicial record. (AII’s Br. (Doc. 369) at 12.) AII maintains
`
`that because the Northwell Document is a judicial record there
`
`is a presumption of public access that “can be rebutted only if
`
`‘countervailing interests heavily outweigh the public interests
`
`
`3 Northwell’s reconsideration motion was made pursuant to
`Federal Rule of Civil Procedure 54(b). (Doc. 388 at 1; see also
`Northwell’s Recons. Br. (Doc. 391) at 4.) That is not the
`appropriate vehicle because Rule 54(b) reconsideration motions
`must be made “before the entry of a judgment adjudicating all
`the claims and all the parties’ rights and liabilities.” Here,
`such a judgment adjudicating all the parties’ claims and
`liabilities has been entered. (Doc. 366.)
`The appropriate vehicle for Northwell’s reconsideration
`motion is Rule 60(b)(6), which allows this court to relieve a
`party from an order for any “reason that justifies relief.” This
`court has carefully reviewed Northwell’s motion and supporting
`brief pursuant to that Rule and finds that they provide
`sufficient grounds to justify relief from this court’s prior
`order denying Northwell’s intervention motion.
`
` 4
`
` Although WCD has filed a notice that it joins AII’s motion
`to vacate, (Doc. 373), for ease of reference this court will
`refer to AII as the party making the arguments in favor of
`vacating the protective order.
`
`
`- 9 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 9 of 40
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`
`
`in access.’” (Id. at 13 (quoting BASF Agro B.V. v. Makhteshim
`
`Agan of N. Am., Inc., 1:10cv276, 2013 WL 12178583, at *1
`
`(M.D.N.C. Sept. 30, 2013)).) Plaintiff and Northwell disagree
`
`that the Northwell Document qualifies as a judicial record and
`
`contend that the motion to vacate must be justified by “good
`
`cause” pursuant to Federal Rule of Civil Procedure 26(c). (Pl.’s
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`Resp. (Doc. 377) at 12; Northwell’s Resp. (Doc. 392) at 7–8.)
`
`“The type of documents or information which will be
`
`revealed by the modification to the protective order directly
`
`bears on the decision to modify. . . . [If] the documents are
`
`so-called ‘judicial documents,’ any presumption in favor of
`
`maintaining confidentiality must now contend with a presumption
`
`in favor of public access.” SmithKline Beecham Corp. v. Synthon
`
`Pharms., Ltd., 210 F.R.D. 163, 167 (M.D.N.C. 2002). That right
`
`of public access “derives from two independent sources: the
`
`common law and the First Amendment.” Va. Dep’t of State Police v.
`
`Wash. Post, 386 F.3d 567, 575 (4th Cir. 2004). But “the mere
`
`filing of a document with a court does not render the document
`
`judicial.” Hatch v. Demayo, No. 1:16cv925, 2020 WL 6161533, at *5
`
`(M.D.N.C. Oct. 21, 2020) (internal quotation marks omitted)
`
`(quoting In re Policy Mgmt. Sys. Corp., 67 F.3d 296 (table), Nos.
`
`94–2254 & 94-2341, 1995 WL 541623, *4 (4th Cir. 1995) ).
`
`- 10 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 10 of 40
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`
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`Rather, “documents filed with the court are ‘judicial
`
`records’ if they play a role in the adjudicative process, or
`
`adjudicate substantive rights.” In re. U.S. for an Order Pursuant
`
`to 18 U.S.C. Section 2703(d), 707 F.3d 283, 290 (4th Cir. 2013).
`
`Applying that definition, court filings may be judicial records
`
`if “they were filed with the objective of obtaining judicial
`
`action or relief.” Id. at 291. Crucially, however, “courts in
`
`this circuit have found that documents filed to facilitate
`
`protective orders and other discovery motions do not qualify as
`
`judicial records.” United States ex rel. Thomas v. Duke Univ.,
`
`No. 1:17cv276, 2018 WL 4211375, at *4 (M.D.N.C. Sept. 4, 2018)
`
`(collecting cases). Fourth Circuit courts have ruled similarly
`
`regarding documents filed to facilitate motions to seal. E.g.,
`
`id. (concluding that “motions to seal concern procedural issues
`
`similar to those requesting protective orders [and thus] . . . do
`
`not qualify as ‘judicial documents’”) .
`
`Here, AII argues that the Northwell Document is a judicial
`
`record because it was attached to AII’s Opposition to Northwell
`
`Health’s Objections and Appeal and “has also been the subject of
`
`numerous motions.” (AII’s Br. (Doc. 369) at 12.) But that
`
`Opposition to Northwell’s Objections and Appeal and each of
`
`those motions were filed in relation to the protective order,
`
`discovery, or sealing requests. (See e.g., Docs. 168, 179, 331.)
`
`- 11 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 11 of 40
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`
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`Therefore, the Northwell Document does not qualify as a judicial
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`record, and no presumptive right of public access attaches. See
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`United States ex rel. Thomas, 2018 WL 4211375, at *4.
`
`Because no public right of access has presumptively
`
`attached, AII’s motion is not governed by the First Amendment or
`
`common law but rather the “good cause” standard from Federal
`
`Rule of Civil Procedure 26(c), the rule providing for protective
`
`orders. While the rule itself does not address modification of
`
`protective orders, “[a] district court has discretionary
`
`authority to modify a protective order it has previously entered
`
`‘for what it deems good cause shown.’” Schaefer v. Fam. Med.
`
`Ctrs. of S.C., LLC, C/A No. 3:18-cv-02775-MBS, 2019 WL 2135675,
`
`at *12 (D.S.C. May 16, 2019) (quoting United States v. (Under
`
`Seal), 794 F.2d 920, 928 n.6 (4th Cir. 1986)); accord In re
`
`Kolon Indus. Inc., 479 F. App’x 483, 485–86 (4th Cir. 2012). As
`
`in this case, “[a] final judgment . . . does not diminish the
`
`district court judge’s right to lift or to modify [protective]
`
`orders.” Factory Mut. Ins. v. Insteel Indus., Inc. , 212 F.R.D.
`
`301, 303 (M.D.N.C. 2002). Because the parties did not stipulate
`
`to a protective order, and instead Plaintiff moved for a
`
`protective order during discovery and that motion was granted—
`
`the finding of that good cause for the protective order was
`
`necessarily established, see Longman v. Food Lion, Inc., 186
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`- 12 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 12 of 40
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`
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`F.R.D. 331, 333 (M.D.N.C. 1999)—“[t]he party seeking to modify a
`
`protective order bears the burden of showing good cause for the
`
`modification.” SmithKline Beecham, 210 F.R.D. at 166.
`
`In determining whether that party has shown good cause,
`
`courts consider four factors: “[1] the reason and purpose for a
`
`modification, [2] whether a party has alternative means
`
`available to acquire the information, [3] the type of protective
`
`order which is at issue, and [4] the type of materials or
`
`documents which are sought.” Id.; accord Am. Heartland Port,
`
`Inc. v. Am. Port Holdings, Inc., 53 F. Supp. 3d 871, 880–81
`
`(N.D.W. Va. 2014); Schaefer, 2019 WL 2135675, at *12. As will be
`
`discussed, the first factor weighs in AII’s favor, the second in
`
`Plaintiff’s favor, the third is neutral, and the fourth in AII’s
`
`favor. This court finds that because more factors weigh in favor
`
`of vacating the order than preserving it , AII has met its burden
`
`to show good cause, and the protective order will be vacated.
`
`Each factor will now be addressed in turn.
`
`1.
`
`Reason for Modification
`
`AII seeks to vacate the protective order to allow for
`
`“public access to data that undermines claims that plaintiffs’
`
`experts and counsel continue to present to courts and fact-
`
`finders.” (AII’s Br. (Doc. 369) at 13.) AII explains that the
`
`purpose of its motion is “to prevent Moline and others from
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`- 13 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 13 of 40
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`
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`misrepresenting to courts, juries, and the public the truth
`
`about a study supposedly showing that cosmetic talc causes
`
`mesothelioma.” (Id. at 14.) AII argues that if the order
`
`protecting the Northwell Document is lifted , then it will be
`
`able to debunk “the false narrative that the only plausible
`
`asbestos exposures in the 33 cases were from contaminated
`
`cosmetic talc” because it will be able to show that at least one
`
`of the individuals the article studied , Mrs. Bell, “had
`
`alternative exposures to asbestos at her job sites.” (Id. at 14,
`
`16.) AII explains that it “and other defendants continue to be
`
`confronted with Moline’s [a]rticle in litigation, and other
`
`plaintiffs’ experts rely on it as support for their opinions.”
`
`(Id. at 17.) AII asserts that plaintiffs in these other cases
`
`are using the protective order from this case “as a shield
`
`against cross-examination” to prevent the discrediting of the
`
`article. (Id. at 16.)
`
`Plaintiff disagrees that the Northwell Document undermines
`
`the article’s claims. (See Pl.’s Resp. (Doc. 377) at 15–16.)
`
`Plaintiff insists that the workers’ compensation claims do not
`
`establish that Mrs. Bell in fact had alternative exposure to
`
`asbestos at the textile workplaces; rather, those claims are
`
`merely unsupported allegations. (Id.) Moreover, Plaintiff and
`
`Northwell argue that “Defendants may effectively cross-examine
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`- 14 -
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`Case 1:17-cv-00111-WO-JEP Document 398 Filed 09/13/22 Page 14 of 40
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`
`
`Dr. Moline on the exact issue they have with the Moline Study
`
`without disclosing . . . Mrs. Bell’s identity.” (Id. at 16; see
`
`also Northwell’s Resp. (Doc. 392) at 11.) Plaintiff points to
`
`trial testimony in a California state court case as an example.
`
`(Id.)
`
`In essence, AII seeks to vacate the protective order so the
`
`Northwell Document can be used in other litigation. This is “the
`
`most forceful” grounds for modifying a protective order and
`
`“builds on a long line of cases recognizing the propriety of
`
`access to the fruits of one litigation to facilitate the
`
`preparation of other cases.” 8A Charles A. Wright & Arthur R.
`
`Miller, Federal Practice and Procedure § 2044.1 (3d ed. Apr.
`
`2022 update) But nevertheless “[a] court should be hesitant to
`
`modify protective orders for matters unrelated to the litigation
`
`in front of it because . . . modifying protective orders for
`
`other litigation involves re-litigation over issues that that
`
`have nothing to do with the lawsuit in front of the court . . .
`
`[and can] burden[] both the court and the parties.” SmithKline
`
`Beecham, 210 F.R.D. at 166 (internal citation omitted).
`
`Moreover, “[s]uch modifications [risk] involv[ing] the court in
`
`a controversy with which it is not familiar and over which it
`
`lacks control.” Id.
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`AII’s reason for seeking to vacate the protective order
`
`seems to outweigh those concerns. While this court is hesitant
`
`to justify a modification of its own protective order solely in
`
`light of collateral cases, it also recognizes that the issues
`
`and controversies in those collateral cases intimately intersect
`
`with those litigated in this case. Further, although this court
`
`agrees with Plaintiff that the mere existence of the
`
`unsuccessful workers’ compensation claims does not definitively
`
`establish that Mrs. Bell was in fact exposed to asbestos at the
`
`textile workplaces, Mrs. Bell nonetheless made statements to the
`
`Industrial Commission, while represented by counsel, that she
`
`had sustained an occupational disease ca used by exposure to
`
`asbestos during employment with Hoechst Celanese Corporation and
`
`Pillowtex Corporation. (Doc. 322-2 at 2.) The alleged
`
`occupational disease was mesothelioma. (Doc. 322 -3 at 2.) As
`
`Mrs. Bell’s counsel explained, “[s]he made a [workers’
`
`compensation] claim because she thought she might have been
`
`exposed.” (Doc. 322-7 at 6.) Mrs. Bell’s employment history, as
`
`well as her belief that she may have been exposed to asbestos
`
`during her textile employment, undermines the weight of Dr.
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`Moline’s finding that each of the “33 cases . . . had no known
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`exposure to asbestos other than prolonged use of talcum powder.”
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`(Doc. 274-1 at 5.) The fact is that at least one study
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`participant reported to a state agency that she did have another
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`known asbestos exposure, at least one known to the study
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`participant. Given the groundbreaking nature of the article and
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`its express premise that all individuals studied had no known
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`alternative asbestos exposures, the fact that one of the
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`individuals claimed otherwise has direct bearing on the study’s
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`credibility. This court expressed concern about this seeming
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`contradiction before, (Doc. 350 at 7 n.2), and does so again.
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`This court’s concern is magnified considering the influence
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`the article has had on cosmetic talc litiga tion nationwide. For
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`example, Dr. Moline gave testimony discussing her article in a
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`California state court cosmetic talc trial . (See Doc. 369-1.)
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`The plaintiff’s counsel relied on Dr. Moline’s article in his
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`closing argument to connect cosmetic talc exposure to asbestos:
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`“Gosh, does cosmetic talc really cause mesothelioma? Well,
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`Dr. Moline, she published a paper on this.” (Doc. 369-2 at 6–7.)
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`Dr. Moline has given testimony in many other cosmetic talc
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`cases. (See Doc. 197-1 at 19.) Moreover, other expert witnesses
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`have begun relying on the article for the basis of their
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`opinions. (see, e.g., Doc. 331-13 at 4; Doc. 331-14 at 3; Doc.
`
`331-15 at 3.) [O]ne [expert] describe[ed] it as “the only peer-
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`reviewed paper that [he] know[s]” to support the conclusion that
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`cosmetic talc use by hairdressers releases material amounts of
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`asbestos into the air. (Doc. 188-14 at 6–7.)5 When entering
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`bankruptcy because of cosmetic talc liabilities, one prominent
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`cosmetic talc seller specifically discussed the article’s
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`integral role in supporting the plaintiffs’ claims. (Doc. 380-1
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`at 98–99.)
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`This court finds that with the protective order in place
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`defense counsel in cosmetic talc cases across the country are
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`stymied from effectively cross-examining plaintiff expert
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`witnesses on the article’s foundation. The following exchange
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`from Dr. Moline’s cross-examination in the California state
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`trial is illustrative:
`
`Q . . . Other than cosmetic talc, you eliminate d
`anybody from your study who might have had other
`asbestos exposures; is that correct?
`
` To the best of my knowledge, yes.
`
` A
`
` Q
`
` Okay. And after you published the paper and
`testified in Congress about the paper, did you come to
`learn that some of the information regarding one or
`more of the people in your study was incorrect as
`published?
`
` A
`
` There was a question about one particular individual
`that I was presented with information about, but I --
`based on the information that I had, there was -- it
`wasn’t determined that they had the -- any additional
`exposure. I’m not sure of any others.
`
` . . .
`
` .
`
`
`5 Evidently, at least one similar peer-review paper was
`published in the months after the Moline article was released.
`(See Doc. 282-5.)
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`Q Did you publish an errata with regard to your paper
`after you found out that this one plaintiff that was
`provided to you had other alleged exposures?
`
` A
`
` As I said just a minute ago, there was an allegation
`or there was a -- a comment, but it was shown to be
`without evidence, so I did not publish an errata based
`on that one individual.
`
`(Doc. 377-1 at 6.)
`
`
`
`Dr. Moline offered no basis for her statement that an
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`errata was unnecessary because the allegation of alternative
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`exposure “was shown to be without evidence. ” (Id.) Indeed, she
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`did not have to because the protective order effectively
`
`shielded the assertion from cross-examination. (See id.) If the
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`order was not in place, then defense counsel in that case—and
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`defense counsel in similar cosmetic talc cases—would be able to
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`establish that Mrs. Bell was one of the individuals the article
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`studied and then challenge Dr. Moline with Mrs. Bell and
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`Plaintiff’s workers’ compensation claims asserting, under
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`criminal penalty for false statements, that Mrs. Bell was
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`exposed to asbestos at textile job sites. Defense counsel could
`
`show that those workers’ compensation claims were not
`
`adjudicated on the merits, rather the y were dismissed without
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`prejudice, (Docs. 333-3, 333-11), weakening the credibility of
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`Dr. Moline’s statement that the allegation of alternative
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`exposure “was shown to be without evidence.”
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`Perhaps more significant than this example of a hamstrung
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`cross-examination is the Daubert v. Merrell Dow Pharms., Inc. ,
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`509 U.S. 579 (1993) issue created by concealment of Mrs. Bell’s
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`possible exposure. Dr. Moline testified that “based on the
`
`information . . . it wasn’t determined that [the research
`
`subjects] had . . . any additional exposure.” (Doc. 377-1 at 6.)
`
`Federal Rule of Evidence 702 requires that expert testimony be
`
`“based on sufficient facts or data” and be “the product of
`
`reliable principles and methods.” Relatedly, Daubert imposes a
`
`list of factors a court should consider in assessing the
`
`reliability of expert testimony, including “the known or
`
`potential rate of error and the existence and maintenance of
`
`standards controlling the technique ’s operation.” 509 U.S. at
`
`594 (internal citations omitted). Mrs. Bell’s assertion that she
`
`may have been exposed to asbestos through the textile industry
`
`and Dr. Moline’s possible rejection of that potential fact are
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`important pieces of information to aid in the assessment of the
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`potential rate of error of the study’s assertion that the
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`thirty-three participants had no asbestos exposure other than
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`talcum powder. Similarly, Dr. Moline’s possible rejection of
`
`evidence of additional exposure goes directly to the issue of
`
`standards controlling her study’s ope ration.
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`Plaintiff quotes Mrs. Bell’s diagnosing pathologist who
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`asserted “these requests go far beyond . . . appropriate
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`investigation into scientific merit or arguments that are made
`
`in the scientific literature.” (Pl.’s Resp. (Doc. 377) at 14
`
`(quoting Doc. 179-8 at 11).) But Plaintiff fails to recite what
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`this doctor considers “appropriate investigation into scientific
`
`merit.” (Id.)
`
`
`
`From this court’s perspective, inquiry into the accuracy of
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`facts and assumptions underlying scientific merit is not only an
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`appropriate inquiry, but also necessary and required. “The
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`inquiry envisioned by [Federal] Rule [of Evidence] 702 is
`
`. . . a flexible one. Its overarching subject is the scientific
`
`validity and thus the evidentiary relevance and reliability—of
`
`the principles that underlie a proposed submission.” Daubert,
`
`509 U.S. at 594–95. Even if reliability is examined by a court
`
`and deemed sufficient to support admissibility, relevant cross-
`
`examination of an expert includes “factual underpinnings [which]
`
`. . . affect the weight and credibility of the witness’
`
`assessment.” Bresler v. Wilmington Tr. Co., 855 F.3d 178, 195
`
`(4th Cir. 2017) (internal quotation mark omitted) (quoting
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`Structural Polymer Grp. v. Zoltek Corp., 543 F.3d 987, 997 (8th
`
`Cir. 2008)).
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`In this case, a principal factual underpinning of the
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`article is that in all thirty-three cases studied “no identified
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`source apart from the talcum powder” was identified. (Doc. 274-1
`
`at 2.) The absence of any specific information on the identities
`
`of the individuals studied precludes inquiry into the basis of
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`the factual underpinning of no known exposure to asbestos other
`
`than talcum powder.
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`This is the reason why AII seeks to vacate the protective
`
`order: to be able to challenge the article’s fundamental premise
`
`that none of the thirty-three individuals had any known
`
`alternative asbestos exposures. This is a valid purpose,
`
`especially given the groundbreaking nature and widespread
`
`influence of the article. Mrs. Bell’s workers’ compensation
`
`claims, and her employment at the textile facilities, is clearly
`
`relevant to the article’s findings. If presented with
`
`Mrs. Bell’s workers’ compensation claims, Dr. Moline and other
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`expert witnesses for cosmetic talc plaintiffs may be able to
`
`persuasively explain that they do not constitute known
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`alternative exposures because the claims never amounted to more
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`than unproven allegations. But at a minimum, defendants in
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`cosmetic talc cases deserve a fair opportunity to explore the
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`weight to be assigned to Dr. Moline’s facts and conclusions—an
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`opportunity not previously available due to the absence of
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`Case 1:17-cv-00111-W