Professor Bernstein considers a theme of Judge Weinstein's judicial an
d academic writings-that tort law works imperfectly to effect justice
in mass disaster cases-through the vehicle of thalidomide, the paradig
matic toxic substance. Thirty-five years ago, thalidomide poisoned tho
usands of children, inflicting limb-reduction birth defects. Professor
Bernstein argues that the drug has also had a malforming effect on ma
ss tort law. Courts and scholars have used the precedent of thalidomid
e to build stringent legal standards of proof and causation, without e
nough attention to the functions and consistency of these standards. T
halidomide has also prompted commentators to celebrate American drug r
egulation and the American liability system; Professor Bernstein argue
s that these paeans are exaggerated. She concludes that the United Sta
tes must confront its thalidomide history, as other nations in thp wor
ld have done, and build social institutions-strong regulation and soci
al insurance-to guard against toxic disasters of the future.