{"id":600,"date":"2021-06-03T12:17:38","date_gmt":"2021-06-03T16:17:38","guid":{"rendered":"https:\/\/www.apslaw.com\/its-your-business\/?p=600"},"modified":"2023-04-26T14:34:15","modified_gmt":"2023-04-26T18:34:15","slug":"massachusetts-adoption-of-the-but-for-factual-causation-standard-in-multiple-defendant-tort-actions-and-its-impact-on-toxic-tort-litigation","status":"publish","type":"post","link":"https:\/\/www.apslaw.com\/its-your-business\/2021\/06\/03\/massachusetts-adoption-of-the-but-for-factual-causation-standard-in-multiple-defendant-tort-actions-and-its-impact-on-toxic-tort-litigation\/","title":{"rendered":"Massachusetts Adoption of the \u201cBut-For\u201d Factual Causation Standard in Multiple Defendant Tort Actions and Its Impact on Toxic Tort Litigation"},"content":{"rendered":"<p>On February 26, 2021, the Massachusetts Supreme Judicial Court (SJC) clarified the standard to be used for factual causation in multiple defendant tort actions. The SJC\u2019s opinion in <em>Doull v. Foster<\/em>, 487 Mass. 1 (2021), changed the standard for factual causation from the confusing \u201csubstantial contributing factor\u201d test to the more straightforward \u201cbut for\u201d causation standard.<\/p>\n<p>The SJC differentiated cases with multiple sufficient causes, such as asbestos and other toxic tort matters, due to the difficulty in establishing \u201cwhich particular exposures were necessary to bring about the harm.\u201d [<em>Doull<\/em>\u00a0at p. 14]. The Court did, however, leave open the possibility that it may also replace the \u201csubstantial factor\u201d test in those cases as well.\u00a0 This potential for a new causation standard has created tremendous uncertainty as to which standard will be used for toxic tort cases in Massachusetts going forward.<\/p>\n<h2><u>Causation Standards in Massachusetts:<\/u><\/h2>\n<p>In Massachusetts, the two causation tests in tort cases are: the substantial factor test and the but-for causation test. The substantial factor test concludes that a defendant is liable if the defendant\u2019s actions were a \u201csubstantial contributing cause\u201d of the injury; importantly, there can be multiple substantial contributing causes. <em>O\u2019Connor v. Raymark Industries, Inc.<\/em>, 401 Mass 585 (1988). This test has been traditionally applied in two situations: (1) cases involving multiple sufficient causes of a harm; or (2) cases involving toxic tort\/asbestos cases. [Doull at p. 7]. The but-for test concludes that a defendant is the factual cause of a harm if that harm would not have occurred \u201cbut-for\u201d the defendant\u2019s negligence. [<em>Doull<\/em> at p. 7]. The but-for standard has a clear focus on the principle that a defendant cannot be held liable unless the defendant\u2019s conduct is casually related to plaintiff\u2019s injuries. [<em>Doull<\/em> at p. 5, citing <em>Glidden v. Maglio<\/em>, 430 Mass. 694 (2000)].<\/p>\n<p>One of the reasons why the substantial factor test is problematic and causes for confusion is because juries may focus more on the \u201csubstantial\u201d portion of the negligence instruction, rather than the actual causal link between a defendant\u2019s action and plaintiff\u2019s injury. [<em>Doull<\/em> at p. 15]. A defendant\u2019s actions may be substantial, yet not the cause of plaintiff\u2019s harm. The SJC in <em>Doull <\/em>held that the but-for test was much clearer and more straightforward in its application, even in situations involving multiple potential causes of harm.<\/p>\n<h2><u>The <em>Doull<\/em> Decision:<\/u><\/h2>\n<p>In the<em> Doull<\/em> case, Laura Doull was treated with hormone-replacement drugs to treat perimenopause-related symptoms. She ultimately developed pulmonary issues and in 2015 died at the age of 43 from a rare condition known as chronic thromboembolic pulmonary hypertension, which resulted from a blood clot in her lungs. Prior to her death, Doull and her family members filed suit against two of her providers, alleging negligence, as well as other claims, with respect to her care.<\/p>\n<p>During trial, the judge instructed the jury using the but-for-causation test to evaluate the defendants\u2019 negligence. The jury found for the defendants and the plaintiff appealed arguing the substantial factor test should have been the causation standard instruction to the jury. On appeal, the SJC found no error in the court\u2019s instruction and further ruled that due to its confusing and unclear nature, the substantial factor test is to be discontinued in nearly all tort cases, including those with multiple sufficient causes of harm, bur specifically excluded toxic tort cases, such as asbestos cases.<\/p>\n<h2><u>Impact of the<em> Doull<\/em> Decision in Multiple Defendant Negligence Actions:<\/u><\/h2>\n<p>The <em>Doull<\/em> decision clarifies the instruction to be given to the jury in cases where there are multiple defendants, or multiple claims arising out of a tort.\u00a0 In the past, plaintiffs would often argue that the \u201csubstantial factor\u201d test should be used, while defendants argued a \u201cbut for\u201d standard.\u00a0 The trial judge would then make a decision.\u00a0 The <em>Doull <\/em>decision now provides clarification and certainty as to the correct instruction to be given.\u00a0 No longer will juries have to figure out what a \u201csubstantial factor\u201d means, but rather will simply use the straightforward but-for test.<\/p>\n<h2><u>Impact of the<em> Doull<\/em> Decision in Toxic Tort Cases:<\/u><\/h2>\n<p>In <em>Doull<\/em>, the Court did not have an opportunity to analyze the causation standard in connection with toxic tort cases, such as asbestos cases, to determine if the but-for standard should be applied to those cases as well. While the Court clarified the appropriate standard for causation to be applied in most negligence cases, it was reluctant to do so in the context of toxic tort cases. As the Court noted in a footnote, the issue of causation in toxic tort asbestos cases is not before it in <em>Doull,<\/em> therefore, \u201cwe do not disturb our decision in <em>O&#8217;Connor <\/em>or the use of the substantial contributing factor instruction in those cases.\u201d [<em>Doull<\/em>\u00a0at p. 29]<\/p>\n<p>As a result, the<em> Doull<\/em> case explicitly left the door open as to whether there will be a shift in toxic tort cases from the substantial factor test to the but-for standard. As the Court points out, toxic tort litigation matters present unique features including \u201cfactual and scientific limitations\u201d that complicate establishing causation. The Court noted, that \u201cin an appropriate case, however, we may consider whether to replace the substantial contributing factor test in these cases as well. There appears<\/p>\n<p>to be a variety of approaches taken in these cases, and a decision on whether to replace the substantial contributing factor test would benefit from full briefing and argument.\u201d <em>Id<\/em>. \u00a0By the language, the SJC certainly signaled that it is open to replacing the substantial factor as the causation test for toxic tort cases, whether that be with the but-for causation or whether it may find some middle ground between but-for and substantial cause.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>On February 26, 2021, the Massachusetts Supreme Judicial Court (SJC) clarified the standard to be used for factual causation in multiple defendant tort actions. The SJC\u2019s opinion in Doull v. Foster, 487 Mass. 1 (2021), changed the standard for factual causation from&#8230;<\/p>\n","protected":false},"author":7,"featured_media":24,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[184,183],"tags":[185],"class_list":["post-600","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-but-for-factual-causation","category-toxic-tort","tag-toxic-tort-litigation"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/posts\/600","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/comments?post=600"}],"version-history":[{"count":0,"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/posts\/600\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/media\/24"}],"wp:attachment":[{"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/media?parent=600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/categories?post=600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.apslaw.com\/its-your-business\/wp-json\/wp\/v2\/tags?post=600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}