Judge Alvin K. Hellerstein’s rejection of a settlement between New York City and some 10,000 plaintiffs who claimed to have suffered respiratory ailments during the World Trade Center response and cleanup has left the lawyers for the plaintiffs, the city and its contractors who had spent almost two years negotiating the settlement wondering what to do next.

The judge, addressing a courtroom packed with attorneys and plaintiffs last Friday, called the $575 million to $657 million settlement inadequate and potentially confusing to plaintiffs.

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