> False claims act litigation, for example, is responsible for the second largest settlement listed on this site (phen fen is #1), a notorious and utterly incomprehensible regime where all of the big money settlements relate to aggressive fringe theories asserted by DOJ.

Well. I looked the case up.

Here is how i am understanding it: Pfizer wanted a drug to be approved for a specific use. The FDA rejected it as too risky, approved it for other uses. Pfizer nevertheless was pushing the drug for this unaproved, off-label use. The drug later proved to be dangerous in this off-label use and were whitdrawn from the market.

Am I reading this wrong? What part of this is controversial?

If you ask for permission for something, then been told no you do it anyway and in that process people suffer harm what should happen then?