Frank Galvin, once a highly promising attorney, has fallen into a pattern of excessive drinking and unfulfilled work, earning a reputation as an ambulance chaser. His former partner, Mickey Morrissey, unexpectedly assigns him a medical malpractice case that mostly seems destined for a quick settlement. The case involves Deborah Ann Kaye, who was left in a coma after choking on her own vomit during childbirth at a Catholic hospital, under circumstances that suggest negligence. The plaintiffs, Kaye's sister and brother-in-law, plan to use the settlement money to cover her ongoing medical care.
A representative from the Catholic diocese offers Galvin $210,000 in settlement, which, adjusted for inflation, is about $561,000 today. However, upon seeing Kaye lying unconscious, Galvin is deeply moved and rejects the settlement, vowing instead to take the case to trial. His decision surprises everyone involved, including the defendants and the judge, and it sets the tone for a courtroom battle driven by moral resolve rather than just financial gain. During the trial preparations, Galvin meets Laura Fischer, a divorced woman, in a bar, and they begin a romantic relationship, adding a personal dimension to his life amidst the legal chaos.
The trial process proves to be more arduous than Galvin anticipated. His key medical expert suddenly vanishes, and the substitute brought in at the last minute struggles to establish credibility. Additionally, witnesses who were present at the childbirth are unwilling to testify to any negligence, making the case even more challenging. The hospital's legal team, led by the sharp and formidable Ed Concannon, actively works to discredit Galvin, along with managing the press to sway public opinion.
Galvin faces intense courtroom conflicts. In one notable confrontation, Judge Hoyle, known for his aggressive temper, threatens Galvin with disbarment after a heated exchange. Galvin, frustrated with what he perceives as judicial favoritism—labeling the judge as a "Bag Man" for local politics—dismisses him as an illegitimate authority. Despite these tensions, Galvin continues to fight for his client, refusing to give up.
An important breakthrough occurs when Galvin notices inconsistencies in Kaye's admitting nurse Kaitlin Costello’s testimony. She had filled out a form indicating Kaye ate a large meal just an hour before arriving at the hospital. Galvin traces her to New York City and attempts to secure her testimony. Meanwhile, unknowing to Galvin, Morrissey discovers that Costello's loyalty is compromised when he finds evidence that she was secretly working for Concannon, who had paid her to spy on the case. Morrissey, concerned about her betrayal, informs Galvin, leading to a heated confrontation with Laura in a bar, which results in Galvin striking her out of frustration and emotional turmoil.
As the trial continues, Costello testifies that she originally documented that Kaye had eaten a full meal an hour before admitted. She reveals that her superiors pressured her to falsify this information by altering a photocopy of the form from "1" to "9." Her honesty during cross-examination exposes a critical breach of trust. The hospital's attorney, Concannon, challenges her credibility by insisting that only the original documents hold legal weight, prompting Judge Hoyle to reserve judgment. Costello further explains that the anesthesiologist, having learned of her falsification, later admitted to failing to check her notes and warned her not to reveal the truth, though he later confessed to negligent oversight.
Despite these developments, the courtroom tension escalates when the judge rules that Costello's testimony must be struck from the record because the original document takes precedence. The courtroom audience and observers sense the implications of this legal technicality as the justice system balances on a knife's edge. Meanwhile, a lawyer from the diocese discreetly questions whether they believed her testimony, leaving the bishop and legal team uncomfortable with the doubt sown.
With his case seemingly faltering, Galvin delivers a passionate closing argument, appealing to the jury's sense of justice and compassion. His words resonate, and the jury ultimately rules in favor of the plaintiffs, awarding damages that surpass what was initially sought, with the jury free to decide compensation beyond the original amount. The verdict marks a significant victory for Galvin and his clients, symbolizing a moral victory against institutional wrongdoing.
As Galvin exits the courtroom, he notices Laura watching him from across the atrium. Later that night, Laura, overwhelmed by her emotions, dials his office phone while drunk, signaling her feelings and perhaps more. Galvin, sitting quietly with a cup of coffee, contemplates whether to answer her call but ultimately decides to let it ring, leaving their future uncertain.
This story underscores themes of redemption, justice, and moral courage amidst a corrupt system, highlighting how one man's resolve can challenge powerful institutions.