Public Health Law 1 Flashcards

1
Q

Tell me about South Dakota v Dole.

A

The issue is coercion (the spending clause): How much can the federal government coerce the states?

Look at the percent of funds that the government will withhold if you do not listen. ACA was different though because it was such a large chunk of money.

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2
Q

Tell me about Wickard v Fillburn

A

Recognized power of federal gov to regulate economic activity under the Commerce Clause.

Farmer growing wheat on his farm past the limits that was permitted in 1942. Said he would interfere with interstate commerce because he wouldn’t buy wheat on the market because he grew his own.

After this case, the US gov kept winning cases based on this view of the commerce clause

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3
Q

Tell me about U.S. v. Lopez (1995)

A

First SCOTUS case since New Deal to set limits on Congress’s power under the Commerce Clause. Said Gun-Free School Zones Act of 1990 was unconstitutional as it is beyond the power of Congress to legislate control over our public schools. SCOTUS held (5-4) that while congress had broad lawmaking authority under the Commerce Clause, the power was limited, and did not extend so far from commerce as to authorize the regulation of teh carrying of handguns (did this really affect the economy?)

Gave three categories of activity of interstate commerce:

  1. channels of interstate commerce
  2. instrumentalities of interstate commerce
  3. substantially affect or relate to interstate commerce
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4
Q

Tell me about U.S. v. Morrison.

A

Woman raped on campus. Wanted to apply the Violence Against Women Act of 1994 whcih gave victims the right to sude in federal court. SCOTUS held that some parts of the act were unconstitutional because they exceeded congressional power under the Commerce Clause and 14th amendment. Court stress enumerated powers that limit federal power - has to directly affects economics.

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5
Q

Tell me about DeShaney v. Winnebago County Department

A

Issue: Does the state failure to take the necessary steps to provide protective services violate substantive due process

SCOTUS - not a violation of substantive due process. Due Process Clause is phrased as a limitation on the State’s power to act, not as a guarantee of certain minimal levels of safety and security.

in this case, the gov was not the actor. if the gov had been the actor, you might have talked about something different. the dad was the actor doing the bad thing.

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6
Q

Tell me about Castlerock v. Gonzales

A

This has to do with procedural due process. Police did not help the mother find her daughters even though she had a restraining order.

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7
Q

Tell me about National Federation of Independent Businesses et al. v. Sebelius

A

This is the ACA opinion.
Two issues:
1. Medicaid expansion - commerce clause
2. Individual mandate - tax and spending

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8
Q

Tell me about Goldberg v. kelly

A

Due process clause of 14th amendment requires an evidentiary hearing before a recipient of certain gov benefits can be deprived of such benefits. Welfare benefits are statutory entitlement => must have procedural due process.

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9
Q

Tell me about Gibbons v. ogden

A

SCOTUS held that power to regulate interstate commerce was granted to Congress by commerce clause. (steamboat navigation case)

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10
Q

Tell me about swift v US

A

SCOTUS ruled that commerce clause allowed gov to regulate monopolies if it has a direct effect on commerce.
“stream of commerce”
Destroying the beef trust - halted price fixing by Swift and company.

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11
Q

Tell me about NLRD v Jones and laughlin steep corp

A

Declared that National Labor Relations Act of 1935 was constitutional. Expanded commerce clause power of Congress (1937)

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12
Q

Tell me about Jacobsen v. massachusetts

A

SCOTUS upheld authority of states to enforce compulsory vaccination laws. Freedom of individual must sometimes be subordinated to the common welfare and is subject to police power of the state.

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13
Q

Tell me about the Korematsu v United States

A

SCOTUS sided with the gov, ruling that order to put japanese americans in internment camps was constitutional. Said the need to protect against espionage outweighed individual rights. Since then, Department of Justice said that this was in error. Applied the strict scrutiny standard.

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14
Q

Tell me about US v. Windsor

A

SCOTUS held that restricting US federal interpretation of marriage and spouse to apply only to heterosexuals is unconstitutional (DOMA is unconstitutional). Violates due process clause of 5th amendment - deprivation of liberty. Gov argued strict scrutiny as they were going to enforce it. BLAG was arguing it was constitutional so they wanted rational basis. fundmental right = marriage.
immutable characteristic = sexual orientation.
there is a hx of discrimination.

Court answered this - Fed gov has no business weighing in on state issues. said “heightened level of scrutiny”

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15
Q

Tell me about Lawrence v. Texas

A

SCOTUS struck down sodomy law in texas. Overturned Bowers v. Hardwick. Violated due process guarantees. O’Connor stated that it violated equal protection clause. Respect for private lives. court did not find homosexual sodomy as fundamental right but they saw it as a exercise in liberty.

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16
Q

Tell me about US v. Virginia

A

SCOTUS struck down virginia military institute long standing male only admission policy. Violated 14th amendment’s equal protection clause. Used the intermediate review standrad because this is sex.

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17
Q

Tell me about Skinner v. Oklahoma

A

SCOTUS ruling which held that compulsory sterilization could not imposed as a punishment for a crime because it did not apply equally to everyone (did not apply to white collar crime). Also, said that compulsory sterilization laws should be held to strict scrutiny. This was a violation of the equal protection clause of 14th amendment.

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18
Q

Tell me about Planned Parenthood v. casey

A

SCOTUS case in which constitutionality of several PA state regulations regarding abortion were challenged. Court had plurality opinion.
O’Connor, Kennedy, Souter - up hold Roe v. Wade, rejection of spousal notification law. Upheld parental consent, informed consent, waiting period laws.

this was the rehnquist court with O’connor as the swing vote.

oconnor comes up with undue burden because she is not okay with trimester breakdown from roe v. wade.

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19
Q

Tell me about Griswold v. Connecticut

A

SCOTUS rules that constitution protected right to privacy. Connecticut law prohibited use of contraceptives (woman was handing them out). SCOTUS invalidated law on grounds that it violated right to marital privacy. Privacy protected by due process clause of 14th amendment. Made a lot of later ruling on the basis of Justice Harlan’s substantive due process rationale.

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20
Q

Tellme about loving v. Virginia

A

SCOTUS invalidated laws prohibiting interracial marriage. Violated both due process clause and equal protection clause of 14th amendment. marriage is a fundamental right.

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21
Q

Tell me about roe v. wade

A

SCOTUS said right to privacy under the due process clause of 14th amdnemtn extended to a woman’s decision to have an abortion. Let states decide about trimester of abortion.

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22
Q

Tell me about Whitman v. American Trucking Associations

A

under nondelegation doctrine, congress can’t delegate legislative authority. Here, though, it was decided that under the intelligible principle, legislative authority could be delegated to agencies, like the EPA. This is about administrative law (rulemaking)

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23
Q

Tell me about FDA v. Brown and williamson tobacco corp

A

FDA attempted to regulate tobacco products. FDA did not have power to regulate as the scope of authority held by an agency is determined by that agency’s organic statute.

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24
Q

Tell me about Chevron v. national resources defense council.

A

SCOTUS set form legal test to determine whether to grant efernce to gov agency’s interpretation of statute.

  1. If congress is clear, defer to the statute
  2. If not clear, defer to the agency.
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25
Q

Tell me about Vermont Yankee Nuclear Power Corp v. NRDC

A

SCOTUS held that court cannot impose rulemaking procedures on federal gov agency. This is with the administrative procedure act of 1946.

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26
Q

Tell me about Webster v. Reproductive health services

A

SCOTUS upheld a missouri law that imposed restriction on use of states resources for abortion.

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27
Q

Tell me about the slaughter house cases.

A

First cases in which SCOTUS interpreted the 14th amendment.

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28
Q

Tell me about mccollough v. maryland

A

From this case comes two important principles in constitutional law:

  1. Constitution grants to Congress implied powers for implementing the Constitution’s express powers
  2. State action may not impede valid constitutional exercises of power by the federal gov.

this is the case in which maryland tried to make a law which hurt the second bank of the united states. the law was struck down.

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29
Q

Tell me about gonzales v. raich

A

SCOTUS ruling that under the commerce clause of the constitioant, us congress may criminalize production and use of marijuana even where states approve its use for medicinal purposes. Controlled substances act does not recognize medical use of marijuana.

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30
Q

Tell me about marbury v. madison

A

United States federal courts have authority to judicially review the statutes enacted by congress and declare a statute invalid if it violates the constitution.

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31
Q

Tell me about Lochner v. NewYork

A

held that liberty to contract was implicit in the due process clause of 14th amendment. this was the baker limit on hours working. Said that bakers could work as much as they want to.

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32
Q

Tell me about Gonzales v. oregon

A

SCOTUS ruled that us attorney general could not enforce controlled substances act against physicians who prescribed drugs in compliance with oregon state law for the assisted suicide of the terminally ill. Found it was inappropriate to apply chevron deference toward attorney general’s interpretive rule that controlled substances couldn ot be medically be used for the purpose of physician assisted suicides.

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33
Q

Tell me about bowers v. hardwick

A

Upheld constitutionality of a georgia sodomy law. They looked to historical and tradition to come up with that. overturned by lawrence v. texas.

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34
Q

Who are the liberal justices?

A

Ginsberg, Kagan, Sotomayor, Breyer

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35
Q

Who are the conservative justices?

A

Scalia, Thomas, Alito, Kennedy, roberts (chief justice)

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36
Q

Who is chief justice?

A

john roberts - he is conservative but voted with liberals on the ACA opinion.

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37
Q

Is the suit barred by the anti-injunction act because the parties have yet to accrue or collect any penalty or 1subsequently either pay or not pay it?

A

a

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38
Q

Is the Individual Mandate within congressional powers to regulate commerce?

A

a

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39
Q

Is the individual mandate within congressional powers of the necessary and proper clause?

A

a

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40
Q

Is the individual mandate within congressional powers to levy taxes?

A

a

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41
Q

Is the medicaid expansion within congressional powers of allocating funding and federalism?

A

a

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42
Q

If medicaid requirement is unconstitutional, is that part of the act severable for the act to remain intact/

A

a

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43
Q

What are the 3 functions of the Constitution?

A
  1. federalism
  2. separation of powers
  3. protection of liberties
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44
Q

What is public health law?

A

a

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45
Q

What are the 7 elements/tenets of public health law?

A
  1. government
  2. state’s police power and limits
  3. partners (anybody except the gov involved)
  4. populations (larger groups)
  5. communities (small interest groups)
  6. prevention
  7. social justice (think of Maslow’s triangle)
46
Q

What are methods in which the government regulates?

A
  1. licenses
  2. inspection
  3. permits
47
Q

What is the idea of pluralism?

A

people are satisfied in different ways, and we need to respect those differences.

48
Q

What are the four things that are considered in the risk analysis?

A
  1. nature of risk
  2. duration of risk
  3. probability of harm
  4. severity of harm.
49
Q

Why would you want a rulemaking process over a legislative process?

A

Statutes are broad and rules are specific. Statutes are hard to change, while rules are easy to change (if you give procedural due process). Changing rules is much less formal.

50
Q

What are the two major themes of public health law?

A
  1. trade offs between public goods and private rights

2. complexity of whether to use coercion or voluntary health measures

51
Q

What is the make up of the Supreme Court currently and who is the swing vote?

A

It is fairly conservative with Anthony Kenney as the swing vote. He likes attention, especially with international cases.

52
Q

What are powers of the gov?

A
  1. tax
  2. inspect
  3. regulate
  4. coerce
53
Q

What are duties of gov?

A
  1. safety
  2. fair and equitable treatment
  3. due process
54
Q

Tell me about the precautionary principle?

A

this is risk management. Often we have conditions of uncertainty but we still need to protect populations against reasonably foreseeable threats.

  1. apply preventive action in face of uncertainty
  2. shift burden of proof to the proponent of activity
  3. explore wide range of alternatives to possibly harmful actions
  4. increase public participation in decision making.
55
Q

What are some of the roles of gov in the public health arena?

A
  1. health educator
  2. requires business to label products and include appropriate warning
  3. regulate advertising
56
Q

Tell me about overinclusivity and underinclusivity.

A

This will be a midterm question scenario. This is the ordinance that you can’t be in the park at nighttime. Think about the 7 tenets of public health law. Who does it overinclude? Is there anyone that should be included but isn’t?

57
Q

What are the two parts of fiduciary duty?

A
  1. best interests
  2. substituted judgment

This is a legal duty to act on behalf of the beneficiary.

58
Q

What are some concerns with fiduciary duty?

A
  1. paternalism
  2. abuse of power
  3. entrustment
59
Q

Know about red vs. blue states and what they think about public health and communal good.

A

a

60
Q

Tell me about the Tragedy of the Commons.

A

This is when individuals act in their own self-interest in order to benefit while compromising the commons (resources owned by all).

61
Q

How do you overcome the tragedy of the commons?

A

mutual coercive agreement. By using soe type of coercive method it may incentivize individuals to not use the commons for their own benefit but to protect the commons.

62
Q

How does the tragedy of the commons relate to public health law?

A

iti is about individual right vs. collective good.

63
Q

What is a wicked problem?

A

This is a problem that cannot be solved with traditional linear waterfall approach. Have 6 distinguishing characteristics:

  1. “you don’t under the problem until you hvae developed a solution”
  2. No stopping rule - process ends when you run out of resources rather than when you have a solution
  3. no right or wrong solutions
  4. Unique and novel problems
  5. one shot operation (catch 22) - solution may create more wicked problems
  6. no given alternative solutions.`
64
Q

How do wicked problems relate to public health law?

A

public health has unique problems that are fragmenting forces. Must look at all stakeholders’ viewpoints to even come close to the best solution.

65
Q

How does the ACA address prevention?

A

many public health initiatives - prevention and public health trust fund. even insurance is providing more preventive medicine. Public health law is concerned with immunizations and medical records - both can help prevent disease.

66
Q

Tell me about maaslow’s hierarchy of needs and social justice.

A

according to hierarchy of needs, one cannot achieve self-actualization or the best they can be without having first safety, food, water, and shelter (the necessities of physical life).

67
Q

What is the issue of multiple layers of law?

A

you have different levels of law - federal, state, loca. They may conflict or overlap. Which one do you follow? Is there preemption? These are all concerns.

68
Q

What is logrolling and how does it relate to publci health law?

A

autonomy v. pluralism. This is when you have trading of favors. Happens with thel aw. this is kind of like exchanging indiviual right and communal good. giving up something for something else. everyone is in it for himself though. This relates to red state/blue state. blue states are more for communal good, while red states are more for individual rights.

69
Q

What are sunshine laws?

A

regulations requiring openness in gov.

70
Q

What is case law?

A

body of law based on case law/common law. this is where the principle of stari decisis or precendent comes in. Previous cases are important.

71
Q

what is judicial activism

A

Idea that judges are creating law versus interpreting law. See this at the supreme court level. The problem is that there is no recourse.

72
Q

Tell me about preemption and how it applies to public health law.

A

This is when federal trumps state. If the floor, federal laws set the floor of the laws and states can pass strong or stricter laws. If there is a ceiling, federal law sets the ceiling and states can pass weaker laws. For example, there may be something where congress says can’t go past this amount but state says you can’t go past this amount. This is often for environmental issues.

73
Q

What is the necessary and proper clause?

A

Congress can do the things necessary and proper to carry out the express powers. Question of whether or not the individual mandate was within the scope of the necessary and proper clause -

74
Q

What are the reserved powers?

A

These are those powers reserved for the states. Not given to the federal gov in the Constitution. Includes police power and parens patriae

75
Q

What are the police powers?

A

protecting health, safety, and morals of community. This is the power of the state.

76
Q

What is parns patriae?

A

protecting minors and incompettent individuals. You may have a fiduciary duty - substituted judgment or acting the best interest of the individual.

77
Q

What is substantive due process?

A

gov has to prove that they had a good reason to invade your personal freedoms such as liberty and property.

78
Q

What is the case that has to do with substantive due process?

A

DeShaney v. Winnebago - no substantive right to government interaction such as removing child from home. You have to ask yourself who is the actor? If the gov is the actor, you have a substantive due process claim. If it is someone else, then you have no subsatntive due process claim. Also, ask yourself about action and inaction. Did the gov do something wrong by its inaction?

79
Q

What are the two execptions to no duty to protect?

A
  1. duty to protect a person in custody who cannot take care of himself
  2. duty to protect a person when the state increased the threat of harm to that person (witness protection)
80
Q

Tell me about procedural due process.

A

Gov must look tothe procedure before they take your property. They must giv you a chance. The case here is Castle Rock v. Gonzales. In this case, she said she didn’t get procedural due process in that her property was taken and the gov didn’t help. There was no individual right of enforcement of the restraining order. If a right doesn’t exist, the gov can’t violate procedural due process.

81
Q

What is the standard in administrative hearings?

A

arbitrary and capricious - decision was rendered without detailed thought and reason and might be concern of abuse of power.

82
Q

What is deliberate indifference?

A

standard for civil rights cases of those in custody. more than negligence. they know of and disregard and excess risk to health and safety.

83
Q

What is the spectrum of standards to prove in law?

A

beyond a reasonable doubt, clear and convincing evidence, preponderance of evidence, substantial evidence, some credible evidence,

84
Q

What are the three broad categories of regulation under the commerce clause?

A
  1. use of channels (setting terms and conditions)
  2. instrumentalities (railroads, airlines, trucking)
  3. economic activity that ha a substantial relationship with interstate commerce (necessary and proper)
85
Q

What is the case law that has to do with commerce clause?

A

Gibbons v. ogden - defined commerce clause
swift v. US - stream of commerce
NLRD v. jones - close and substantial relationship
wickrd v. filburn - broad interpretation starting
us v. lopez - court not relying on congressional finding - narrowing the scope now
us v. morrison - chain of causality too tenuous (this is the rape case)
NFIB v. sebelisu - individual mandate is not under the commerce clause. it is under the tax and spend. gov cannot make someone participate in commerce.

86
Q

What are the guidelines for the power to tax and spend?

A
  1. can attach restriction but can’t be overly burdensome
  2. states need to be able to retain sovereignty
  3. states need foreseeability and real decision
87
Q

What are the three levels of classification of review of the laws?

A
  1. rational basis
  2. intermediate review
  3. strict scrutiny

there is also undue burden - abortion
also heightened level of scrutiny - gay marriage - US v. windsor.

88
Q

What are the main types of constitutionally based claims?

A

either a due process violation or an equal protections violation.

89
Q

what were the three main issues in the ACA opinion?

A
  1. anti-injunction act (preliminary issue)
  2. mandate (substantive issue)
  3. expansion of medicaid (substantive issue)
90
Q

What are the categories that we look at with equal protection violations?

A
  1. facial challenge
  2. as-applied challenge.

This is looking at social justice issues and discrimination.

91
Q

What things fall under rational basis?

A

most things. They assume they are constitutional. Must be legitimate and rationally related.

92
Q

What things fall under intermediate scrutiny?

A

illegitimate children, sex. Must be important and substantially related.

93
Q

What things fall under strict scrutiny?

A

fundamental rights and suspect characterizations. must be compelling state interest and necessary to achieve the purpose. Really want to know if it is overinclusive or underinclusive.

94
Q

Where does the undue burden come from?

A

this applies to abortion, made up for o’connor who got it from a lower court’s opinion written by alido.

95
Q

Which court was known for expanding suspect classification & fundamental rights thereby increasing the cases under strict scrutiny?

A

Warren court - 1953-1968 - this was the civil rights era.

96
Q

What are the components of informal rulemaking?

A
  1. prior notice
  2. written comments by intereted parties
  3. statement of basis and purpose for the rule
97
Q

Tell me about articles of incorporation and what they mean for liability?

A

reduce liability to protect yourself personally.

98
Q

Tell me about the history of regulation and some of the concepts.

A

federal programs and agencies really started during the New Deal era with FDR. He expanded the number of justices so they could do what he wanted and he expanded the number of agencies. Creation of agencies is the executive power while making budgets is congress - so they can make agencies fail or succeed. We had New Deal => war time -> postwar =>agencies => HIPAA.

99
Q

How do agencies do all three of the functions of the branches of gov?

A
  1. rulemaking - legislative
  2. investigation - executive
  3. adjudications - judicial (these can formal or informal)
100
Q

How do we minimize the external stick?

A

logrolling, negotiating, self-regulation, public disclosure.

101
Q

When you talk about saying the rules are bad, how do you have to approach it?

A

look at chevron deference - see what congress said about it and defer to the agency. You have to prove arbitrary or caprecious if you want to do anything otherwise.

102
Q

How much do we trust self-regulation?

A

think about this in light of some of the NPRO stories and the words from our guest speakers.

103
Q

What are the two things that stifle public health efforts in tort litigation?

A
  1. assumption of the risk

2. comparative or contributory negligence

104
Q

What is the main purpose of tort?

A

allocation of risk and loss. put the risk and loss on the person who is putting others at harm.

105
Q

What makes product liability different than other forms of tort?

A

can be put under strict liability or breach of contract (warranty). Breach of contract typically means that the harm can be undone. Strict liability the harm cannot be undone.

106
Q

What are the three types of torts?

A
  1. negligenc3
  2. intentional tort
  3. strict liability
107
Q

What is strict liability and how is it different than negligence?

A

imposes liability without necessarily finding a fault.

108
Q

Name four components of negligence:

A

duty, breach, causation, harm

109
Q

What are the 2 types of causation which must be brought forward in mass tort litigation?

A
  1. general

2. specific

110
Q

What are the three cases that establish what we do with expert testimony?

A
  1. daubert - judge as gatekeeper
  2. joiner - can also look at conclusions
  3. kumho tires - all experts apply.
111
Q

What is a private nuisance

A

you do something that messes up somebody else’s property. intentionally.