The U.S. Department of Labor announced Friday that it plans to issue a new rule to address recent disclosures that lawyers representing coal companies have withheld medical evidence from miners in black lung benefits cases.
The announcement comes after a recent investigation by the Center for Public Integrity detailed a prominent law firm’s decades-long record of keeping key evidence from sick miners, sometimes causing them to lose benefits cases.
The Labor Department offered little detail about the rule but said its purpose was to “ensure that coal miners have full access to information about their health and to enhance the accuracy of entitlement determinations.” The department said it aims to release a proposal by January 2015.
John Cline, one of the few lawyers who regularly represent miners in federal black lung benefits cases, called the department’s announcement “a big step and an important step.”
“In our experience, it’s an extensive problem,” he said of the withholding of evidence by lawyers representing coal companies. “This is something that has been going on a long time and affecting a lot of claims.”
Representatives for the coal industry’s primary trade organization and the law firm featured in the Center’s story did not immediately respond to requests for comment.
The story was the first installment in a series, Breathless and Burdened, based on a yearlong investigation of the role of lawyers and doctors, working on behalf of the coal industry, in helping to defeat miners’ claims. It found that lawyers at the industry’s go-to law firm for black lung benefits cases, Jackson Kelly PLLC, for decades have withheld evidence indicating that miners whose cases they were contesting had the disease.
In court filings, the firm’s attorneys have argued that they have no obligation to disclose reports by doctors they consulted whose opinions didn’t support their case. Miners’ lawyers have argued that the firm’s approach amounts to misleading judges and the firm’s other consulting doctors.
Judges have called the firm’s actions “shocking” and “unconscionable” and its defenses “ludicrous” and “flimsy at best.”
Perhaps the signal case is that of Gary Fox, who spent more than 25 years working in the underground mines of central Appalachia. Fox filed for federal benefits in 1999. The previous year, doctors had removed a suspicious mass from his lungs. The purpose had been to rule out cancer, which they did, and a pathologist provided the vague diagnosis of “inflammatory pseudotumor.” There is no evidence this hospital pathologist knew Fox was a coal miner.
Unknown to Fox — who, like many miners, was unable to find an attorney to take his case — lawyers at Jackson Kelly obtained samples of his lung tissue taken during this procedure and sent them to two experts on whom it frequently relied in benefits cases. These doctors, however, wrote reports finding that the samples were consistent with advanced black lung.
The lawyers withheld the reports by the two doctors, who had extensive experience looking for signs of black lung, and instead relied on the hospital pathologist’s earlier report. Fox lost his claim and had little choice but to return to work.
His breathing continued to deteriorate, and he retired and filed a new claim in 2006. This time, attorney Cline agreed to represent him, and, based on his experience in previous cases, Cline suspected Jackson Kelly had other pathology reports it hadn’t revealed.
The firm fought disclosure for months, but a judge eventually forced the release of the reports. In a scathing opinion, the judge found that the lawyers at Jackson Kelly had committed “fraud on the court” — a rare finding reserved for the most severe cases of fraud that undermine the functioning of the legal system.
An appeals board, however, found that the lawyers’ conduct had not reached the extraordinarily high level of “fraud on the court,” and, earlier this year, the U.S. Court of Appeals for the Fourth Circuit agreed, while also noting that it was in no way signaling that it approved of the firm’s actions.
As the legal battle was raging, Fox died in 2009 while waiting on a lung transplant. An autopsy confirmed that he had the most severe form of black lung.
Now Fox’s widow and the families of two other miners whose cases also involved key evidence withheld by Jackson Kelly lawyers are suing the firm in a West Virginia court, alleging fraud.
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The U.S. Department of Labor warned its officials to view with skepticism any X-ray readings by Dr. Paul Wheeler of Johns Hopkins