On the morning of December 28, 1993, Mark Hiepler spent nearly two hours in the courtroom describing the devastating last year of his sister’s life. The balconies and benches overflowed with Fox’s friends and supporters and with patients, many of them weeping with anger and empathy. The jury took less than two hours to deliberate. That evening, it returned a verdict awarding Fox’s family $89 million in damages—the second-highest amount in the history of litigation in California and one of the highest ever awarded in a medical case in America.