Associação Brasileira De Medicina De Grupo v. Stryker Corp.

891 F.3d 615
CourtCourt of Appeals for the Sixth Circuit
DecidedMay 31, 2018
DocketNo. 17-1828
StatusPublished
Cited by35 cases

This text of 891 F.3d 615 (Associação Brasileira De Medicina De Grupo v. Stryker Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Associação Brasileira De Medicina De Grupo v. Stryker Corp., 891 F.3d 615 (6th Cir. 2018).

Opinion

JANE B. STRANCH, Circuit Judge.

An association of Brazilian health insurance providers sued Stryker, a Michigan corporation that manufactures and distributes medical devices, alleging that Stryker's fraudulent and improper payments to Brazilian doctors increased the cost of providing healthcare. The district court dismissed the case under the doctrine of for um non conveniens *618, essentially finding that the case should have been brought in Brazil instead of Michigan. Because Stryker did not carry its burden of proving that Brazil is an available and adequate alternative forum in which the case may be heard, we REVERSE and REMAND .

I. BACKGROUND

Associação Brasileira de Medicina de Grupo (Abramge) is a Brazilian nonprofit professional association. Its members are private health insurance providers, many of whom were impacted by a bribery and kickback scandal in the medical device market that broke in the Brazilian media in 2015.

According to Abramge's complaint, Defendant Stryker, a Michigan corporation, masterminded an "illicit scheme, which was planned and run from Michigan, designed to increase its market share by making improper payments and paying bribes and kickbacks to Brazilian doctors to induce the use of Stryker products." On its own and through a wholly owned Brazilian subsidy and other local agents, Stryker allegedly "made improper payments and paid kickbacks to Brazilian doctors with the intent of influencing those doctors to use Stryker devices and products in patients even if those devices were not called for or did not best meet the patients' medical needs." The improper influence Stryker allegedly brought to bear increased the cost of devices as well as the number of devices implanted and surgeries performed; health insurance providers, including members of Abramge, paid for those increases. Abramge claims that Stryker's fraudulent and improper actions injured not only its insurer members, but also the Brazilian public health system as a whole and patients throughout the country.

Abramge filed this suit against Stryker in the Western District of Michigan, claiming fraud, civil conspiracy, tortious interference with contractual relationships, and unjust enrichment. The district court dismissed the suit pursuant to the doctrine of forum non conveniens . Associacao Brasileira de Medicina de Grupo v. Stryker Corp. , No. 1:16-CV-1366, 2017 WL 4535712, at *3 (W.D. Mich. June 28, 2017).

II. ANALYSIS

We review a district court's dismissal for forum non conveniens for abuse of discretion. See Piper Aircraft Co. v. Reyno , 454 U.S. 235, 257, 102 S.Ct. 252, 70 L.Ed.2d 419 (1981) ; Hefferan v. Ethicon Endo-Surgery Inc ., 828 F.3d 488, 493 (6th Cir. 2016).

Under the common law doctrine of forum non conveniens , "a federal trial court may decline to exercise its jurisdiction, even though the court has jurisdiction and venue, when it appears that the convenience of the parties and the court and the interests of justice indicate that the action should be tried in another forum." Baumgart v. Fairchild Aircraft Corp. , 981 F.2d 824, 828 (5th Cir. 1993) ; see also Hefferan , 828 F.3d at 492. Given the "virtually unflagging obligation of the federal courts to exercise the jurisdiction given them," Colo. River Water Conservation Dist. v. United States , 424 U.S. 800, 817, 96 S.Ct. 1236, 47 L.Ed.2d 483 (1976), forum non conveniens should be invoked only in "rather rare cases," Gulf Oil Corp. v. Gilbert , 330 U.S. 501, 509, 67 S.Ct. 839, 91 L.Ed. 1055 (1947). This court applies a three-step test to determine whether dismissal is appropriate: "After [1] the court determines the degree of deference owed the plaintiff's forum choice, the defendant carries the burden of [2] establishing an adequate alternative forum and [3] showing that the plaintiff's chosen forum is *619unnecessarily burdensome based on public and private interests." Hefferan , 828 F.3d at 492. We analyze each step in turn.

A. Deference to the Plaintiff's Choice of Forum

When a defendant moves to dismiss on the basis of forum non conveniens , the court must first determine the amount of deference owed to the plaintiff's forum choice based on a "sliding convenience scale." Id. at 494. As the amount of deference owed increases, the strength of the showing necessary to overcome that deference necessarily increases as well.

A U.S. forum is generally presumed to be convenient if a plaintiff is closely connected to the United States; that presumption applies with diminishing force as the plaintiff's connections to the United States weaken or as evidence of forum shopping mounts. See id. at 493-94 ; see also Piper Aircraft , 454 U.S.

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891 F.3d 615, Counsel Stack Legal Research, https://law.counselstack.com/opinion/associacao-brasileira-de-medicina-de-grupo-v-stryker-corp-ca6-2018.