Writing in MedPage Today, pediatrician Lisa Patel argues that the Supreme Court case Suncor Energy v. County Commissioners of Boulder County is a pivotal moment for climate-related health costs. The case stems from a 2018 lawsuit by Boulder County against ExxonMobil and Suncor, seeking payment for recovery and adaptation after disasters like the December 2021 Marshall Fire. That fire burned more than a thousand buildings, killed two people, and forced 37,000 to evacuate, with recovery costs estimated at $2 billion.

Patel, who describes herself as a pediatrician, highlights the health toll that extended beyond the flames. Studies cited in the piece found that more than half of residents in surviving homes reported headaches, sore throats, or unusual tastes six months later, and about a third still had symptoms long after. She notes that children bear a disproportionate share of psychological harm from such disasters, and that extreme heat, floods, and shifting disease vectors are adding pressure on health systems nationwide.

The piece draws a direct parallel to tobacco litigation, noting that the 1998 Master Settlement Agreement forced industry accountability without destroying the companies. Patel argues that fossil fuel firms knew about climate risks for decades and misled the public, and that letting them off the hook would lock in a system where taxpayers, patients, and hospitals pay for climate damage. She warns that a ruling for Suncor could shut down dozens of similar state and city cases before they reach trial.