Amicus Curiae Brief — Cipollone v. Liggett Group, Inc.

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Supreme Court, us. |

FILED

4)

MAY 23 1991

oie |

OFFICE Of THE CLERK

IN THE SUPREME COURT OF THE U

OCTOBER TERM, 1990

THOMAS CIPOLLONE, individually and as Executor

of the Estate of Rose D. Cipollone, Petitioner

Vv.

LIGGETT GROUP, INC., a Delaware Corporation;

PHILIP MORRIS INCORPORATED, a Virginia

Corporation; and LOEW’S THEATRES, INC.,

a New York Corporation, Respondents

ON WRIT OF CERTIORARI

TO THE UNITED STATES COURT OF APPEALS

FOR THE THIRD CIRCUIT

BRIEF AMICUS CURIAE OF THE

SIX FORMER SURGEONS GENERAL OF THE

UNITED STATES, THE AMERICAN COUNCIL FOR

SCIENCE AND HEALTH, AND THE

TOBACCO PRODUCTS LIABILITY PROJECT

Richard A. Daynard S. Stephen Rosenfeld

Northeastern University Stern, Shapiro, Rosenfeld

School of Law & Weissberg

400 Huntington Avenue 80 Boylston Street

Boston, MA 02115 Suite 910

(617) 437-2026 Boston, MA 02116

Counsel of Record (617) 542-0663

Counsel for Amici

| TABLE OF CONTENTS

| INTEREST OF THE AMICI ................ 2

STATEMENT OF THECASE............... 4

SUMMARY OF ARGUMENT ............... 5

te 7

THE COMMON LAW DUTY TO PROVIDE AN

ADEQUATE WARNING REQUIRES ONLY

THAT CIGARETTE MANUFACTURERS FIND

WAYS TO COMMUNICATE THE TRUTH

ABOUT THEIR PRODUCT, AND WAYS ARE

AVAILABLE FOR COMMUNICATING THE

TRUTH THAT DO NOT CONFLICT WITH

PRE EE a Wi we See hee ee tires. 7

A. This Is Not A Case About Conflicting

Label Requirements, Because The Common

Law Of Products Liability Imposes On

Manufacturers A Duty To Warn, Not A

Duty To Label, And That Duty To Warn

Can Be Met In Various Ways Without

Undermining The Federal Labeling

DE cdiuvt oe O68 66 4 ae ep ese ec 7

B. By Mischaracterizing Their Duty Under

The Common Law, The Cigarette

Manufacturers Seek To Shield Themselves

From The Dynamic And Continuing

Obligation Borne By Every Other

Manufacturer In America In Products

(et eee 2 ee on ee ee Oe we ee a ee! ee ee ee eee eee Pe ee eee ee i

Liability Cases, To Keep Abreast Of

Evolving Knowledge About Their Products

And Share New Knowledge About Risks

Le ee 16

C. It Is True That The Duty Under State

Law To Provide Accurate Information To

Consumers Would Jeopardize The Efforts

Of Cigarette Manufacturers To Negate The

Message Of The Mandated Warning

Labels, But Nothing In The Federal Act Or

The Doctrine Of Preemption Supports The

Attempts Of The Cigarette Manufacturers

To Escape Accountability For Such Conduct

In Product Liability Cases. ............ 18

D. If The Cigarette Manufacturers Are

Held To The Same Legal Standards As The

Manufacturers Of Other Dangerous

Products, Potentially Life-saving Information

Will Flow To Addicted Adults, As Well As

To Teenagers And Children Who Are

Contemplating Smoking, About The Specific

Ilinesses Associated With Cigarettes And

The Probability Of Illness And Death. ..... 24

CONCLUSION ..ncccccccscsesteeueuees 30

TABLE OF AUTHORITIES

Cases:

Antley v. Yamaha Motor Corp., 539 So.2d 696 (La. Ct.

TSE et ec ttc ere eeecees 17

Banzhaf v. Federal v. Communications Comm’n, 405 F.2d

re tte cee ecees 23

Barry v. Don Hall Laboratories, 56 Or. App. 518, 642

DES e ce cece eecseccess 17

Barson v. E.R. Squibb & Sons, Inc., 682 P.2d 832 (Utah

Te tcc cee cces 17

Borel v. Fibreboard Paper Products Corp., 493 F.2d 1076

EE 11

Broussard v. Continental Oil Co., 433 So. 2d 354 (La. Ct.

DPCM EGS ssoeceeececoeccececcs 12

Carolina Home Builders, Inc. v. Armstrong Furnace Co.,

aoe O.0. 346, 191 $.E.26 774 (1972)... 2. woe. 17

Cipollone v. Liggett Group, Inc. 683 F. Supp. 1487

TTL. coc ceecce coco cees 19

Cipollone v. Liggett Group, Inc., 789 F.2d 181 (3d Cir.

1986) cert. denied 479 U.S. 1043 (1987) ......... 9

Cobb v. Syntex Laboratories, 444 So.2d 203, 205 (La. Ct.

Te tk cect ce ee ee cee. 13

Crocker v. Winthrop Laboratories, 514 S.W.2d 429 (Tex.

Pe eee er en) a ee 25

D’Arienzo v. Clairol, Inc., 125 N.J. Super. 224, 310 A.2d

PR 0s 4 os 6a 640 eneeebeese cnet ll

East Penn Mfg. Co. v. Pineda, 578 A.2d 1113 (D.C. Ct.

Ree, TEED oo ce cece dee eres dn besedcece's 12

Erickson v. American Honda Motor Co., 455 N.W.2d 74

(Minn. Ct. App. 1990) (rev. den 1990) .......... 12

Feldman v. Lederle Laboratories, 97 N.J. 429, 479 A.2d

See whe 4 de 0 ka Vea bb Seee Eee teas 17

Feldman v. Lederle Laboratories, 234 N.J. Super. 559.

OP Se ee ee 15

Felix v. Hoffman-LaRoche, Inc., 540 So.2d 102 (Fla.

Sl dé 6 bo oie © o's 6 td 06 6 oO eemeeeee eeeane 1]

Ferebee v. Chevron Chemical Co., 736 F.2d 1529 (D.C.

a Ss 5-6 downs) o 9 00 eh eee Gans 17

Firestone Tire & Rubber Co. v. Battle, 745 S.W.2d 909

ff FS PePrrrererey errr r rere T 12

George v. Celotex, 914 F.2d 26 (2d Cir. 1990) ..... 18

Gingold v. AUDI-NSU Auto Union, 389 Pa. Super. 328,

Fae Pi DEE ED oc ccc eetovevecereeens 16

Humes v. Clinton, 286 Kan. 590, 792 P.2d 1032 (1990) 12

iV

Incollingo v. Ewing, 444 Pa. 263, 282 A.2d 206 (1971) 18

Johnson v. Southern Pacific Co., 196 U.S. 1 (1904) . . 24

LaPlant v. E.I. DuPont De Newours and Co., 346 §.W.2d

ae ees es Gs ki dks a E440 cae bRS 17

MacDonald v. Ortho Pharmaceutical Corp., 394 Mass. 131

cert. denied 474 U.S. 920 (1985) ............. 25

Manietta v. International Harvester Co., 496 A.2d 286

OT See ee ee 17

Monsanto Co. v. Miller, 455 N.E.2d 392 (Ind. Ct. App.

ad 6 404 ove 60 0 bn beet eb a Kean 17

Rivers v. Am. Tel. & Tel. Technologies, et al, 147

Misc.2d 366, 554 N.Y.S. 2d 401 (Sup. Ct. 1990) ... 13

Silver v. New York Stock Exchange, 373 U.S. 341 (196397

Strain v. Mitchell Manufacturing Co., 534 So.2d 1385

(La. Ct. App. 1988, writ den. 1989) ........... 17

Texas & Pacific R. Co. v. Abilene Cotton Oil Co., 204

FE Ee ae eee 24

Westinghouse Elec. Corp. v. Nutt, 407 A.2d 606 (D.C.

aris cba 6'éé ae wee cae ene oes 17

Whitacre v. Halo Optical Products, Inc., 501 So.2d 994

i Ge Ss Ge bb 6b ed obese oe eens bee 17

Wooderson v. Ortho Pharmaceutical Corp., 235 Kan.

_ , _- SEPP TELE TELLAE CLT 10, 17

Wyeth Laboratories, Inc. v. Fortenberry, 530 So.2d 688

Ce oe. 1. ee ee oc bet bh ees 12

Constitution, statutes, and rules:

15 U.S.C. sec. 1331 et seq. .........4.. 4, 15, 22

Miscellaneous:

Australian Federation of Consumer Organizations Inc. v.

Tobacco Institute of Australia (New South Wales, No. G

Ch 466s 6 oG6 64 oS CO Nee ee ees's 21

Broadcasting, April 18, 1983 ................ 13

In the Matter of R.J. Reynolds Tobacco Co., Dkt. 9206, 5

CCH Trade Regulation Reporter para. 22,522 (1988)14, 21

Keeton, “Products Liability--Problems Pertaining to Proof

of Negligence,” 19 Sw. L.J. 26 (1965) .......... 10

New York Times, January 12, 1979 ............ 14

Senate Report (Commerce Committee (No. 91-566, Dec.

5, 1969 [To accompany H.R. 6543], 1970 U.S. Code

Cong. & Adm. News 2655 - 2657 ............. 22

U.S. Dep’t of Health and Human Serv., Reducing the

Health Consequences of Smoking: 25 Years of Progress.

A Report of the Surgeon General (1989) ...... 23, 26

Wrubel, “Liability for Failure to Warn or Instruct,”

vi

Pract. Law Inst. Litigation and Administrative

Practice Course Handbook Series: Litigation

(1989)

a a a aan on ae ee ne Ss aS ea ae Ss as Ss we eS eS ee

Vil

IN THE SUPREME COURT OF THE UNITED STATES

OCTOBER TERM, 1990

NO. 90-1038

THOMAS CIPOLLONE, individually and as

Executor of the Estate of Rose D.

Cipollone, Petitioner

Vv.

LIGGETT GROUP, INC., a Delaware

Corporation; PHILIP MORRIS

INCORPORATED, a Virginia

Corporation; and LOEW’S THEATRES,

INC., a New York Corporation,

Respondents

ON WRIT OF CERTIORARI

TO THE UNITED STATES COURT OF APPEALS

FOR THE THIRD CIRCUIT

BRIEF AMICUS CURIAE OF THE

SIX FORMER SURGEONS GENERAL OF

THE UNITED STATES,

THE AMERICAN COUNCIL FOR SCIENCE

AND HEALTH, AND THE TOBACCO PRODUCTS

LIABILITY PROJECT

———

INTEREST OF THE AMICI

| Letters from the parties granting consent for this

brief have been filed with the Clerk of this Court.

All six living former Surgeons General of the

United States join as amici in this brief. Leonard A.

Scheele, M.D., served from 1948 to 1956. Leroy E.

Burney, M.D., served from 1956 to 1961, and in 1957

became the first Surgeon General to call public attention to

the likelihood that cigarette smoking caused lung cancer.

William H. Stewart, M.D., served as Surgeon General

from 1965-1969. Jesse L. Steinfeld, M.D., served as

Surgeon General from 1969 to 1973 and participated in the

amendment process in 1969 and 1970 that strengthened the

Federal Cigarette Labeling and Advertising Act (the

Labeling Act). Julius B. Richmond, M.D., served as

Surgeon General and Assistant Secretary of Health from

1977 to 1981, and led executive branch efforts to inform

the public of the dangers of smoking, including the

publication of the comprehensive Fifteenth Anniversary

Surgeon General’s Report in 1969. C. Everett Koop,

M.D., served as Surgeon General from 1981 to 1989, and

was responsible for the Surgeon General’s Reports on the

relationships between smoking and various cancers,

cardiovascular disease, chronic obstructive lung disease,

workplace illnesses, and nicotine addiction, as well as the

comprehensive 1989 report, titled Reducing the Health

Consequences of Smoking; 25 Years of Progress.

| Each of these former Surgeons General has

dedicated his professional life to improving the public

health in the United States. Each has recognized the

enormous damage that cigarette smoking has done to the

health of millions of citizens, as the leading preventable

cause of death and disease in the United States. In the

opinion of the amici, reversal of the Court of Appeals

decision preempting the cigarette manufacturers’ common

law obligations to tell the truth about their products will

make a significant contribution to the public health.

The amicus American Council on Science and

Health (ACSH) is a public health education advocacy

group dedicated to providing Americans with sound,

scientific data to enable them to separate real from

hypothetical risks. ACSH is directed and advised by 200

American and Canadian scientists and physicians. ACSH

has, since its founding in 1978, given first priority to

clarifying the role of cigarette smoking as the leading

preventable cause of death and disease in the United

States. ACSH joins this brief because it believes that the

legal immunity conferred by the lower court has permitted

cigarette manufacturers to continue to confuse the

American public about the risks of cigarette smoking,

undermining informed choice.

The amicus Tobacco Products Liability Project was

established in 1984 by a group of doctors, attorneys, and

academics, to engage in advocacy seeking to subject the

tobacco industry to the same obligations to consumers and

the public as other American industries. The Project,

which is part of the nonprofit organization Clean Indoor

Air Educational Foundation, has submitted amicus briefs

in the First, Third, Sixth and Eleventh Circuit Courts of

Appeal on the preemption question presented here.

3

STATEMENT OF THE CASE

This is a state common law tort action brought in

federal district court pursuant to its diversity jurisdiction.

The plaintiff's claims are for personal injury and wrongful

death caused by decades of smoking cigarette products

manufactured by the respondents. Early in the litigation

the respondents raised as a defense the argument that the

plaintiff's claims were preempted by the Labeling Act, 15

U.S.C. sec. 1331 et seq. Essentially, the cigarette

manufacturers argued that claims based on their failure to

warn smokers and the public of the serious dangers of

smoking, and claims that they engaged in false and

misleading practices, could not be heard on the merits

because Congress, in passing an act to mandate warning

labels on cigarette packages, had precluded such claims.

The district court ruled against the respondents but was

reversed after the issue was certified for interlocutory

appeal to the Third Circuit Court of Appeals. A petition

for certiorari from that interlocutory decision was denied,

and the case proceeded through discovery and trial on

claims arising prior to passage of the Labeling Act.

The jury reached a verdict granting recovery on

certain claims, denying recovery on others. On appeal the

Third Circuit affirmed the sweeping reading of its

preemption decision by the district court, which had held

that it covered intentional tort claims as well as claims of

negligence.

SUMMARY OF ARGUMENT

This brief will not repeat the arguments presented

by the petitioners and the other amici regarding the

doctrine of preemption as expounded by the Supreme

Court, or the meaning of the Labeling Act as revealed by

its language, structure, and legislative history. Rather,

since it is the state common law of products liability that

will either survive or fall under the disposition of this case,

the amici believe it is essential for the Court to fix its

attention on the nature of that state law, to determine

whether in practical fact it poses a threat to either the

purpose or the operation of federal law. The respondents

have attacked the common law duty to warn, but they have

not taken care to explain it. Since the overriding goal of

the amici, as stated in the Interests section, supra, has been

to open up the channels of communication so that

consumers and would-be consumers across this country can

come to understand fully the serious dangers associated

with cigarette smoking, the amici believe it is vital that the

duty to warn be preserved in the area of cigarette products.

In the view of the amici, the cigarette manufacturers’

acceptance of their responsibility under the common law is

our best hope for ensuring that the dangers of cigarette use

are finally brought home to the American public.

The duty to warn is neither in actual conflict with

the Labeling Act, nor does it threaten to undermine its

regulatory design. The decisions of state courts make

clear that cigarette manufacturers have means available to

provide an adequate warning about the serious and often

life-threatening risks of smoking that are not in conflict

5

ewe ee -

with the Labeling Act. In fact, the respondents and other

Cigarette manufacturers have over the years utilized all the

methods recognized by the common law for

communicating information about products, but rather than

deliver warnings, they have used these methods to

challenge the significance of scientific data documenting

the risks of smoking. The same techniques would also be

available for satisfying the cigarette manufacturers’ duty to

warn.

In truth, the respondents have been counting on

preemption to shield them from the continuing and

dynamic obligation borne by every other manufacturer in

America in products liability cases, to keep abreast of

evolving knowledge about their products and share new

knowledge about risks with consumers. That shield does

not serve the goals of the Labeling Act, it mocks them.

In like manner the respondents seek to turn the

Labeling Act on its head, arguing that its reference to

cigarette “advertising or promotion" goes so far as to

protect them from accountability under the common law

duty to warn even when they use advertising and

promotion to undermine the impact of the cigarette

warning label. They argue, in essence, that the Congress

engaged in sabotage of its own legislative goal of

advancing public health by immunizing even their

intentional efforts to mislead the public about the risks of

Cigarette smoking from state suits for compensation. This

Court has given such arguments short shrift in the past; it

should do so here.

ARGUMENT

THE COMMON LAW DUTY TO

PROVIDE AN ADEQUATE WARNING

REQUIRES ONLY THAT CIGARETTE

MANUFACTURERS FIND WAYS TO

COMMUNICATE THE TRUTH ABOUT

THEIR PRODUCT, AND WAYS ARE

AVAILABLE FOR COMMUNICATING

THE TRUTH THAT DO NOT CONFLICT

WITH FEDERAL LAW.

A. This Is Not A Case About Conflicting Label

Requirements, Because The Common Law Of Products

Liability Imposes On Manufacturers A Duty To Warn, Not

A Duty To Label, And That Duty To Warn Can Be Met In

Various Ways Without Undermining The Federal Labeling

Requirements.

A fundamental principle of preemption holds that

state law which does not conflict directly and

irreconcilably with federal law should be permitted to

stand. Accordingly, preemption analysis demands that the

Court scrutinize not only the Act of Congress for which

supremacy is claimed, but the state law that is targeted for

execution.’

’'The purpose of dual interpretation of state and federal

law is to find a way, if one is legitimately available, to

avoid unnecessary state-federal friction, by permitting a

local law which does not conflict directly and

7

Moreover, the respect that our system of federalism

pays to state and local law counsels that the Court demand

more than the Third Circuit’s superficial portrayal.”

irreconcilably with federal law to stand. See, e.g.,, Silver

vy, New York Stock Exchange, 373 U.S. 341, 357 (1963)

(in determining whether federal securities regulation

preempts local regulation, “the proper approach is to

reconcile the operation of both statutory schemes with one

another rather than holding one completely ousted").

It should not escape the Court’s notice that the Third

Circuit’s holding on preemption contained no analysis of

the operation of state law whatsoever. Its entire

examination of the issue was as follows:

Having identified the purposes of the

[Labeling and Advertising] Act, we now

must evaluate the effect of the operation of

State common law claims on these purposes.

In so doing, we accept the appellants’

assertion that the duties imposed through

State common law damage actions have the

effect of requirements that are capable of

creating "an obstacle to the accomplishment

and execution of the full purposes and

objectives of Congress." As the appellants

point out, several Supreme Court opinions

reflect recognition of the regulatory effect of

State law damage claims and their potential

for frustrating congressional objectives.

8

Common law, in particular, is the bedrock of local law,

and although it is subject to preemption, the respondents

must shoulder the heavy burden of showing that the nature

and operation of the common law of products liability is

such that a head-on collision between the Labeling Act and

the common law will inevitably occur if the two systems

are permitted to coexist. The respondents have made no

such showing, nor can they, because the law of New

Jersey -- in harmony with the common law of products

liability generally -- is sufficiently broad-gauged and

flexible to permit it to fulfill its role without interfering

with the purpose or operation of the federal law in any

way.

The role of products liability law at one level is to

Applying this principle, we conclude that

claims relating to smoking and health

that result in liability for noncompliance

with warning, advertising, and promotion

obligations other than those prescribed in the

Act have the effect of tipping the Act’s

balance of purposes and therefore actually

conflict with the Act. Cipollone v. Liggett

, 789 F.2d 181, 187 (1986) cert.

denied 479 U.S. 1043 (1987) (citations and

footnote omitted).

The bold act of displacing the state’s common law a

deserved far more by way of analysis than this ipse dixit

approach.

compensate. When the salutary, interdependent relation

between manufacturer and consumer has broken down, and

injury that was avoidable has occurred because the

manufacturer has failed in its responsibility for

communicating about the dangers of its product and how

to avoid them, the common law requires compensation.

At a more fundamental level, however, it is clear that the

root of the duty to warn is not the compensation itself, but

the manufacturer’s unfairness in not sharing information,

and thereby imposing risks on the consumer of which the

consumer is unaware. The premise of this branch of the

common law is that, in the case of a prudent consumer,

adequate warnings prevent injuries, and in the case of

consumers who do not take adequate warnings to heart,

their own lack of prudence precludes a right to recover.”

Because the principle of effective information-

sharing behind the duty to warn is result-oriented, the

common law relies not on rigid formulae or abstract

doctrines; there is no preordained type of communication

that automatically passes or fails the liability test. It is not

"See, ¢.8., j

235 Kan. 387, 681 P.2d 1038 (1984) ("There is a

presumption that an adequate warning would be heeded.

This operates to the benefit of the drug manufacturer [of

oral contraceptives] where adequate warnings are in fact

given, but where warnings are inadequate, the presumption

is in essence a presumption of causation"). See also

Keeion, “Products Liability--Problems Pertaining to Proof

of Negligence,” 19 Sw. L.J. 26, 34 (1965).

10

a common law of labels, or of public service

announcements, or of warning brochures, or package

inserts, or instruction manuals. All these methodologies

have a potential role, and the manufacturer has wide

latitude in determining how to warn and thereby to avoid

liability. If the warning is accurate, clear and

unambiguous,” if it is sufficiently intense in language to

communicate the gravity of the risks involved in the use of

the product,” if it is complete and unclouded by

"W]e recognize that the function of language is not

only to express ideas accurately, but to communicate them

effectively. The touchstone must be the impression created

by the directions or warnings on the average reasonable

consumer." D’Arienzo v, Clairol, Inc,, 125 N.J. Super.

224, 310 A.2d 106 (1973); Felix v, Hoffman-LaRoche,

Inc., 540 So.2d 102 (Fla. 1989) (adequacy of warnings

regarding side effects of prescription drugs can become a

question of law and taken from the jury if the warning is

“accurate, clear, and unambiguous"). For a thorough and

up to date treatment of the duty to warn and its

ramifications, see Wrubel, “Liability for Failure to Warn

or Instruct,” Pract. Law Inst. Litigation and Administrative

Practice Course Handbook Series: Litigation (1989).

See, ¢.g., Borel v. Fibreboard Paper Products Corp.,

493 F.2d 1076, 1104 (Sth Cir. 1973) (Texas law)

(warnings failed to intimate the dangers of fatal illness

caused by asbestosis and mesothelioma. The words “may

be harmful” held to convey “no idea of the extent of the

danger”).

11

contradictory messages,® and as long as the methods

chosen are likely to find their way to those who need the

warning,” the duty to warn is satisfied.¥

“See part C, infra.

“See, ¢.g., Broussard v. Continental Oil Co,, 433 So.

2d 354 (La. Ct. App. 1983) (single warning label referring

consumer to Owner's manual was adequate given the

number and complexities of specific warnings); Wrubel,

ODP. cit. n. 4, at 27.

"See, £..,

530 So.2d 688 (Miss. 1988) (en banc) (package insert

warning physicians of possible adverse reactions to non-

swine flu vaccine found adequate as matter of law); Humes

y. Clinton, 286 Kan. 590, 792 P.2d 1032 (1990) (warning

brochure satisfies manufacturer’s warning obligation in

case of injury caused by IUD); Erickson v. American

Honda Motor Co., 455 N.W.2d 74 (Minn. Ct. App. 1

(rev. den 1990) (video and brochure to warn ha

buyers of all terrain vehicles of the dangers; verdict for

plaintiff on other grounds); East Penn Mfg. Co. v. Pineda

578 A.2d 1113 (D.C. Ct. App. 1990) (pamphlet and

manual provide adequate warning of risks in recharging

battery); Firestone Tire & Rubber Co. v. Battle, 745

S.W.2d 909 (Tex. Ct. App. 1988) (In upholding verdict

for plaintiff, court cites manufacturer’s failure to warn in

the face of recommendation from safety expert that

pamphlet be widely disseminated in order to reduce or

eliminate “spin-break’ accidents from hidden defect in

12

The cigarette manufacturers are, in fact, well-

versed in finding diverse ways to deliver their own

peculiar health message to consumers. For example, they

provide a toll-free telephone number for journalists to call

to obtain comments from “the other side” when news

stories break about the hazards of smoking.” They offer

trained spokespersons to appear on national and local radio

and television programs to defend against reports on

smoking risks.“ They give press conferences to

coincide with the release of the Surgeon General’s Reports,

in order to rebut the health assertions contained in these

tires); Cobb v. Syntex Laboratories, 444 So.2d 203, 205

(La. Ct. App. 1983) (manufacturer not liable because

patient received manufacturer's pamphlet from physician

specifically warning of risk of stroke from birth control

pills).

The use of more than one method for warning

consumers of the risks associated with the product can

provide strong evidence of an adequate effort to warn. See,

e.g., Rivers v. Am. Tel, & Tel. Technologies, et al, 147

Misc.2d 366, 554 N.Y.S. 2d 401 (Sup. Ct. 1990)

(manufacturer's effort to warn every link in the chain of

distribution of chemical, with label on barrels, package

inserts for physicians, and instruction manuals preclude

liability on a failure to warn theory).

See, e.g., Broadcasting, April 18, 1983, at 9.

Lg.

13

reports.” They have even run full-page newspaper and

magazine advertisements dedicated entirely to disputing

public health findings.” Significantly, they apparently

have not considered these advertisements to come within

the ambit of the Labeling Act, since they have not put the

Surgeon General’s warnings on them. These same

methods would be as effective in warning about the

dangers of smoking as they have been in disputing

them.”

Thus, under these prevailing principles of the

common law, the federally mandated label may be left

completely intact. If to avoid liability the respondents

have a responsibility to communicate the knowledge they

possess of the dangers of smoking, they also have a variety

of means available to them, and the operation of tort law

in trials in state court will not interfere with the purpose or

‘See, ¢.g., New York Times, January 12, 1979, at 1,

11.

“These advertisements appear as exhibits in the

Federal Trade Commission opinion in In the Matter of

RJ. Reynolds Tobacco Co., Dkt. 9206, 5 CCH Trade

Regulation Reporter para. 22,522 at 22,197-22,215 (1988).

“Another common method for warning of health risks,

package inserts, has been employed by one cigarette

manufacturer. See package insert, appended to this brief,

which R.J. Reynolds Tobacco Co. included inside every

pack of Premier cigarettes.

14

operation of the federal act.’ The federal labeling

requirements will not be tampered with; rather, an

examination will be made whether the state of knowledge

about smoking risks obligated the respondents and other

cigarette manufacturers to use one or more of the other

available means of communication to warn the plaintiff of

dangers not covered by the label. Far from undermining

the purpose of the federal law, Congress’ primary goal of

“adequately inform{ing the public) about any adverse

health effects of cigarette smoking"! is best served by

permitting the state law to function in precisely the fashion

that it has evolved in the products liability area, making

information-sharing between manufacturer and consumer

the essential price by which freedom from this type of tort

liability is purchased.

1/Even if a direct conflict between state and federal

law were somehow to arise in the course of a trial, then

“preemption...is limited to a holding that the specific issue

decided by the jury imposing liability on [the

manufacturer] was preempted as a result of direct conflict

between our state’s decisional law and the [federal law].”

Feldman v, Lederle Laboratories, 234 N.J. Super. 559,

561 A.2d 288, 296 (1989) (in case where duty to warn

imposed obligation in conflict with explicit FDA

regulations, the duty to warn remains operative, but the

particular claim is precluded by the Supremacy Clause).

8’ 15 U.S.C. sec. 1331.

15

B. By Mischaracterizing Their Duty Under The

Common Law, The Cigarette Manufacturers Seek To

Shield Themselves From The Dynamic And Continuing

Obligation Borne By Every Other Manufacturer In

America In Products Liability Cases, To Keep Abreast Of

Evolving Knowledge About Their Products And Share

New Knowledge About Risks With Consumers.

The manufacturer’s duty to warn consumers under

State law contains a corollary, continuing duty to search

for knowledge about its products that would tend to reveal

hidden risks. In contrast, the duty to warn as the

respondents would frame it, limited to the four corners of

the federal act and its narrow labeling requirement, is

frozen in time. Regardless of how Significantly knowledge

about the dangers of cigarette smoking has advanced, the

respondents may turn a blind eye, at least until the periodic

Congressional tug of war produces a different requirement,

at which point a new frozen-in-time warning requirement

replaces the old.

If the respondents’ version of preemption succeeds,

the important incentive for manufacturer vigilance fostered

by the duty to warn will not apply. If, however, the shield

of preemption is unavailable to them, the cigarette

manufacturers will for the first time be encouraged to

recognize that they bear the same continuing responsibility

to inform the public fully about the risks of their products

as is borne by every other manufacturer in America. See,

e.g., Gi Vv - ion, 389 Pa. Super.

328, 567 A.2d 312, 329 ( 1989) (child auto restraints: "The

specter of damage actions may provide manufacturers with

16

added dynamic incentives to continue to keep abreast of all

possible injuries stemming from the use of their cocoon

as to forestall such actions through product EY :.

quoting from Wage .

41-42 (D.C. Cir. :

prawn $6 Or. App. 518, 642 P.2d 685, 689 (1982)

(vitamins: “The duty is to keep abreast of research -

knowledge...in its field and to warn of ‘all reasonable

dangers which the manufacturer knows or should _—

concerning the product in its use by the purchaser’).

1’The products that have undergone ae the

inui » " of research an

continuing duty to "keep abreast 0

knowledge are amazingly diverse. See, €.8., ef .

2d 774 (1972) (air conditioners); LaPlant v.

1 ities Sadimemanl Oe 346 S.W.2d 231 (Mo.

i -killer); Westinghouse Elec.

Ct. App. 1961) (chemical weed-ki

Corp. v. Nutt, 407 A.2d 606 (D.C. 1979)(elevators);

Sent te Ota beta tan 501 So.2d 994

. Ct. App. 1987)(safety goggles); Monsanto Co, v.

month 455, NE2¢ 392 ‘Ind. Ct. App. 1983)(silo —

material); a. . a — Co.,

.2d 286 (Me. | ump trucks); Feldman v, Lederle

apres 97 N.J. 429, 479 A.2d 374 (1984)

(tetracycline); W .

. 387, 681 P.2d 1038 (1984) (oral contraceptive),

pots vi Motor Corp., 539 So.2d 696 (La. Ct.

App. 1989) (all-terrain vehicles); Barson v, E.R. Squibb &

Sons, Inc., 682 P.2d 832 (Utah 1984) (hormone drug);

ss ~n facturi 534 So.2d 1385

17

C. It Is True That The Duty Under State Law To

Provide Accurate Information To Consumers Would

Jeopardize The Efforts Of Cigarette Manufacturers To

Negate The Message Of The Mandated Warning Labels,

But Nothing In The Federal Act Or The Doctrine Of

Preemption Supports The Attempts Of The Cigarette

Manufacturers To Escape Accountability For Such Conduct

In Product Liability Cases.

Cigarette manufacturers have used misleading

words and visual imagery in a frequently successful effort

to confuse children and teenagers who are contemplating

smoking about the reality, nature, and extent of the

dangers, as well as to provide addicted smokers with

rationalizations for not quitting. In this way the

manufacturers negate the warning label and other

information about the risks of smoking. The evidence

presented by the plaintiff on this subject was summarized

The common law obligation of the manufacturer of by the trial court below as follows:

a dangerous product is not limited to telling its customers

and potential customers the truth about the nature and

extent of the hazards of its product: it must also tell the

whole truth and nothing but the truth. RESTATEMENT

2D TORTS, §527 and §529 (the whole truth), §402B and

§557A (nothing but the truth). The obligation is violated

where the manufacturer uses studied ambiguities,

half-truths, and false impressions in an effort to maintain

sales while pretending to tell the truth. Thus,

“overpromotion" of a product may vitiate an otherwise

valid warning.’

(La. Ct. App. 1988, writ den. 1989) (collapsible school

lunch tables); and George v. Celotex, 914 F.2d 26 (2d

Cir. 1990) (asbestos).

” Action designed to stimulate the use of a potentially

dangerous product must be considered in testing the

adequacy of a warning as to when and how the product

should not be used." Incollingo v. Ewing, 444 Pa. 263,

282 A.2d 206, 220 (1971).

18

Evidence presented by the plaintiff,

particularly that contained in documents of

the defendants themselves, indicates the

development of a public relations strategy

aimed at combating the mounting adverse

scientific reports regarding the dangers of

smoking. The evidence indicates further

that the industry of which these defendants

were and are a part entered into a

sophisticated conspiracy. The conspiracy

was organized to refute, undermine, and

neutralize information coming from the

scientific and medical community and, at the

same time, to confuse and mislead the

consuming public in an effort to encourage

existing smokers to continue and new

persons to commence smoking. Cipollone

v. Liggett Group, Inc., 683 F. Supp. 1487,

19

1490 (D.N.J. 1988); see generally id, at

1490 - 1493.

concerned the respondents’ pre-1966 conduct, there is

ample evidence, both in the trial record below and in the

public record, that their efforts to undermine the

government’s public health education campaign have

continued unabated. Thus, the Tobacco Institute, the

industry’s designated public relations and lobbying

representative, continued to run advertisements such as the

one, which ran in newspapers on December 1, 1970,

headlined “After millions of dollars and over 20 years of

research: The question about smoking and health is still a

question.” (P-2920, J.A. 42). The pretextual nature of this

continuing "research" is documented in a 1974 Lorillard

memorandum: "Historically, the joint industry funded

smoking and health research programs have not been

selected against specific scientific goals, but rather for

various purposes such as public relations, political

relations, position for litigation, etc." (P-939, J.A. 60).

The techniques used by the industry to undermine public

understanding of the dangers of their products included

"creating doubt about the health charge without actually

denying it" (P-1105, J.A. 51), and “attacking researchers

themselves, where vulnerable” (P-2745, J.A. 70).

Although most of the evidence at trial perforce |

A dramatic application of the industry’s strategy is

the series of full-page advertisements which the R.J.

Reynolds Tobacco Company ran in newspapers and

20

magazines in 1984 and 1985. The first of the series

asked for “an open debate about smoking,” asserting that

"[s]tudies which conclude that smoking causes disease have

regularly ignored significant evidence to the contrary."

(P-2935; J.A. 72). Another one, entitled “Of

cigarettes and science,” asserted that the belief that

smoking causes heart disease "is an opinion. A judgment.

But not scientific fact.” Several other advertisements

contain the assertion that “there is little evidence -- and

certainly nothing which proves scientifically -- that

cigarette smoke causes disease in non-smokers. "’

See n. 12, supra.

195g,

20 This advertisement was the subject of a 1986 FTC

complaint, which resulted in a May 22, 1989 consent

judgment in which the respondent agreed, inter alia, to

refrain from "[mJisrepresenting in any manner, directly or

by implication, in any discussion of cigarette smoking and

chronic or acute health effects, the results, design, purpose

or content of any scientific test or study explicitly referred

to concerning any claimed association between cigarette

smoking and chronic or acute health..." In the Matter of

R.J. Reynolds Tobacco Co., Dkt. 9206.

Exhibits 2-D, 2-F, and 2-G, 5 CCH Trade

Regulation Reporter para. 22,522, at 22,201, 22,203, and

22,204. The Federal Court of Australia found, in an

exhaustive 210-page opinion issued on February 7, 1991,

21

The Federal Trade Commission concluded in its

1967 report to Congress pursuant to sec. 1337 of the

Labeling Act that “[t)here is virtually no evidence that the

warning statement on cigarette packages has had any

effect," and that part of the reason may be that "[cJigarette

advertising continues to promote the idea that ci

smoking is both pleasurable and harmless.” The FTC’s

1969 report concluded that “current cigarette advertising

leaves the impression that cigarette smoking is a healthy

activity and one whose risk, to the extent that it exists, can

be reduced through the presence of a filter.” See Senate

Report (Commerce Committee) No. 91-566, Dec. 5, 1969

[To accompany H.R. 6543], 1970 U.S. Code Cong. &

Adm. News 2655 - 2657 (quoting both FTC reports).

Twenty years later, nothing fundamental had

changed:

in Australian Federation of Consumer Organizations Inc,

y. Tobacco Institute of Australia (New South Wales, No.

G 253 of 1987) that the identical statement made in

Australian newspaper advertisements in 1986 was

incorrect, and that if the industry was permitted to repeat

this assertion, "Active smokers are likely to be misled or

deceived by the statement into believing that their smoking

does not prejudice the health of non-smokers.

Non-smokers are likely to be deceived or misled by the

statement that cigarette smoke does not affect their own

health or the health of their children. These are serious

matters." Id. at 209.

22

Despite the fact that cigarette warning labels

have been required since 1966, there are few

data about their effectiveness in meeting any

objective... [T]here is empirical evidence

that the public did not pay much attention to

the pre-1985 labels in advertisements...

These findings are consistent with analyses

of the visual imagery of tobacco advertising,

which note that the structures of the ads

draw consumers’ attention away from the

warnings contained in the ads. It has also

been argued that the sheer volume of

cigarette advertising, all applying the basic

themes of product satisfaction, positive

image associations, and risk minimization,

overwhelm the in-advertisement warnings.

U.S. Dep’t of Health and Human Serv.,

Reducing the Health Consequences of

of the Surgeon General, at 478 - 477

(1989)(references omitted).

Such conduct, if proved, violates the respondents’

duty to warn. It is not, as the respondents’ have argued,

protected by the Labeling Act. The principal purpose of

the Federal Cigarette Labeling and Advertising Act is to

increase the information available to consumers about the

true relationship between smoking and health. Banzhaf v.

Federal v, Communications Comm'n, 405 F.2d 1082

(D.C. Cir. 1968). The use by cigarette companies of

studied ambiguities, half-truths, or false impressions to

describe this relationship subverts this purpose. Even if it

23

were possible to read the words of 15 U.S.C. §1334() so

expansively as to protect the manufacturers against

common law claims for misrepresentation, fraud, and

conspiracy based on deceptive health claims, such an

extreme reading would serve only to undermine Congress’

principal purpose of advancing public health. This Court

has rejected much more solidly based statutory readings,

where the effect would be to provide “a ready means by

which...the wrongs which the statute was intended to

remedy could be successfully inflicted.” Texas & Pacific

R. Co. v, Abilene Cotton Oil Co., 204 U.S. 426 (1907);

see Johnson v. Southern Pacific Co., 196 U.S. 1, 14, 18

(1904).

It is hard to see how the methods of communication

that have been employed to undermine the impact of the

warning label mandated by the Labeling Act should be

protected, while the state’s common law that contemplates

the use of these methods to reinforce the warning label and

ensure that Congress’ message gets through should be

preempted. This is the essence of the respondents’

perverse argument, and it deserves rejection.

D. If The Cigarette Manufacturers Are Held To

The Same Legal Standards As The Manufacturers Of Other

Dangerous Products, Potentially Life-saving Information

Will Flow To Addicted Adults, As Well As To Teenagers

And Children Who Are Contemplating Smoking, About

The Specific Illnesses Associated With Cigarettes And The

Probability Of Illness And Death.

If cigarette manufacturers are not held to enjoy a

24

special federal immunity from state law torts standards,

they will have to find means to communicate, effectively

and unambiguously, to their customers and potential .

customers, the nature and extent of the hazards of using

their products. Although there may be limits to the

potential effectiveness of public education in reducing

cigarette usage, these limits are not being reached, largely

because the cigarette companies have not met their

responsibility to support and enhance this effort, but

instead have worked to undermine it.

Among the types of information to which

consumers are entitled are the specific fatal, disabling, or

addictive diseases and conditions which the products can

cause,22’ and the likelihood that a person using the

product will contract one of these afflictions. In the

case of cigarettes, the manufacturers are responsible for

2/See, e.g., MacDonald v, Ortho Pharmaceutical

Corp., 394 Mass. 131, 475 N.E.2d 65, cert. denied 474

U.S. 920 (1985)(disabling stroke), Crocker v, Winthrop

Laboratories, 514 S.W.2d 429 (Tex. 1974) (addiction to

prescription drug).

2/See MacDonald v. Ortho Pharmaceutical Corp., n.

22, supra, 475 N.E.2d at 70: “Thus, the manufacturer's

duty is to provide to the consumer written warnings

conveying reasonable notice of the nature, gravity, and

likelihood of known or knowable side effects."

25

informing consumers that smoking causes many forms of

cancer, as well as heart attacks, strokes, arterial diseases,

emphysema and chronic bronchitis, that it is highly

addictive, and that it causes severe harm to fetuses, young

children, and others inadvertently exposed to the toxins

and carcinogens in cigarette smoke.“ While most

Americans today know about most of these dangers:

{SJubstantial numbers of smokers are still

unaware of or do not accept important health

risks of smoking. For example, the

proportions of smokers in 1986 who did not

believe that smoking increases the risk of

developing lung cancer, heart disease,

chronic bronchitis, and emphysema were 15

percent, 29 percent, 27 percent, and 15

percent, respectively. These percentages

correspond to between 8 and 15 million

adult smokers in the United States.2

| Equally important, cigarette companies are obliged

to inform consumers not only about the nature of the

dangers posed by their products, but about the extent of

See, ¢.g., U.S. Dep’t of Health and Human Serv,,

of Progress. A Report of the Surgeon General (1989

98 - 99. —_—

2Id. at 244.

26

these dangers as well. For consumers to be able to make a

reasoned choice whether to smoke, they must understand

both the absolute risks to themselves of smoking,” and

how these risks compare to other risks they encounter in

daily life.

[MJost adults underestimate the impact of

smoking on longevity, according to a 1980

Roper survey. In this survey, 30 percent of

the population and 41 percent of smokers

did not know that a typical 30-year-old

smoker shortened his life expectancy at all

by smoking. Among those who did know

that smoking reduces one’s life expectancy,

many underestimated the

degree to which this is true.”

As consumers obtain more complete and accurate

information about the dangers of smoking, cigarette

26" Absolute risks can be described by the proportion of

those exposed to a given factor who will actually die or

develop the particular condition, or by the reduction of life

expectancy caused by exposure. As many as one-third of

heavy smokers aged 35 years will die before age 85 of

diseases caused by their smoking, and 30-year-old smokers

will shorten their lives an average of 6 to 8 years if they

smoke a pack a day.” Id. at 206 (references omitted).

21d. at 206

27

consumption -- along with its associated morbidity and

mortality -- declines. Thus, the 1989 Surgeon General's

Report estimated that, “By 1987, adult per capita cigarette

consumption would have exceeded its actual level by an

estimated 79 to 89 percent had the antismoking campaign

never occurred. "2

These public health gains have all been achieved in

the face of the cigarette companies’ best efforts to muddy

the waters. Youngsters experimenting with cigarettes, and

smokers thinking about quitting, are encouraged to avoid

confronting the unpleasant truths about the health effects of

smoking. Smoking has not been proven to cause lung

cancer or other diseases, insists the cigarette industry, and

the Surgeon General and other public health authorities are

simply mistaken in thinking that it has. See section C,

supra.

Thus, while it is not possible to quantify in advance

the public health benefits -- in terms of reduced

Id. at 661 - 662. Asa result of the decreased

consumption caused by the antismoking campaign, “an

estimated 789,000 deaths were postponed during the period

1964 through 1985", where "[t]he average life expectancy

gained per postponed death was 21 years", and

"[cJampaign-induced quitting and noninitiation through

1985 will result in the postponement or avoidance of an

estimated 2.1 million smoking-related deaths between 1986

and the year 2000." Id.

28

consumption, morbidity

cigarette companies to t

as other manufacturers,

and mortality -- from holding

he same common law consequences

they plainly will be substantial.

29

CONCLUSION

The judgment of the court of appeals upholding the

respondents’ claim of preemption should be reversed, and

the case remanded for further proceedings.

Respectfully submitted,

S. Stephen Rosenfeld

Stern, Shapiro, Rosenfeld

& Weissberg

80 Boylston Street

Suite 910

Boston MA 02116

(617) 542-0663

Richard A. Daynard APPENDIX

Northeastern University

School of Law

400 Huntington Avenue

Boston MA 02115

(617) 437-2026

Attorneys for the Amici

Six Former United States

Surgeons General, the

American Council on

Science and Health, and

the Tobacco Products

Liability Project

— - o.

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