Source: https://supreme.justia.com/cases/federal/us/338/269/
Timestamp: 2019-04-22 08:08:58+00:00

Document:
1. In a fraud order proceeding under 39 U.S.C. §§ 259, 732, it was shown that respondent had made expansive claims in advertisements regarding the efficacy and safety of his fat-reducing plan, which consisted of a diet and the taking of small quantities of granulated kelp containing iodine. Testimony of expert witnesses, based upon their general medical knowledge, was slightly conflicting as to the value of iodine for this purpose, but they agreed that the recommended diet might prove harmful to some persons.
Held: the evidence was sufficient to support a finding by the Postmaster General that the efficacy of respondent's reducing plan was misrepresented in his advertising. Pp. 338 U. S. 270-275.
(a) American School of Healing v. McAnnulty, 187 U. S. 94, does not bar a finding of fraud whenever there is the least conflict of opinion as to curative effects of a remedy. Pp. 338 U. S. 273-274.
(b) If made with intent to deceive, misrepresentations such as were made here fall squarely within the type which, in Leach v. Carlile, 258 U. S. 138, were held to justify findings of fraud. Pp. 338 U. S. 274-275.
2. Government witnesses based their expert testimony in part on certain medical books, and respondent was not permitted to cross-examine them about statements contained in other medical books. The presiding officer adopted the prosecutor's view that good faith was not a defense. The Postmaster General found that the efficacy of respondent's reducing plan was misrepresented in his advertising, and issued a fraud order.
Held: the present fraud order should not be enforced; but the proceedings may be reopened to permit additional hearings should the Postmaster General choose to do so. Pp. 338 U. S. 275-277.
(a) It was prejudicial error not to permit respondent to cross-examine the Government's witnesses as to statements contained in other medical books, even though some of them were merely medical dictionaries. P. 338 U. S. 275.
(b) This error was not cured by having the factfinder examine the excluded material subsequently. Pp. 338 U. S. 275-276.
(c) In post office fraud cases, proof of fraudulent purpose is essential: it is not sufficient to prove merely that an incorrect statement was made. P. 338 U. S. 276.
(d) One against whom serious charges of fraud are made must be given a reasonable opportunity to cross-examine witnesses on the vital issue of his purpose to deceive. P. 338 U. S. 276.
(e) The strikingly different consequences of cease and desist orders issued by the Federal Trade Commission and fraud orders issued by the Postmaster General emphasize the importance of limiting the latter to instances where actual fraud is clearly proved. P. 338 U. S. 277.
A District Court enjoined enforcement of a fraud order issued by the Postmaster General. 61 F.Supp. 610; 71 F.Supp. 993. The Court of Appeals affirmed. 170 F.2d 786. This Court granted certiorari. 337 U.S. 906. Affirmed, p. 338 U. S. 277.
"conducting any . . . scheme or device for obtaining money . . . through the mails by means of false or fraudulent pretenses, representations, or promises. . . . [Footnote 1]"
The representations on which the order is based relate to respondent's anti-fat treatment, nationally advertised under the name of "Dr. Phillips' Kelp-I-Dine Reducing Plan." "Kelp-I-Dine" is a name used by respondent for granulated kelp, a natural seaweed product containing iodine. The Reducing Plan is two-fold: it requires users to take one-half teaspoonful of "Kelp-I-Dine" per day, and suggests following a recommended daily diet which accompanies the vials of kelp.
"Remember, with the Kelpidine Plan, you don't cut out ice cream, cake, candy, or any other things you like to eat. You just cut down on them."
"makes no difference if you are 16 or 60, or if you have diabetes, rheumatism or any other ailment. Kelpidine is always safe, and doctors approve the Kelpidine plan. You simply take a half teaspoon of Kelpidine once each day and eat three regular sensible meals. Kelpidine decreases your appetite."
that iodine, to which respondent chiefly attributed the fat-reducing powers of kelp, is valueless as an anti-fat; that kelp would not reduce hunger; that the suggested diet was too drastic to be safe for use without medical supervision, particularly where users suffered from chronic diseases such as diabetes and heart trouble. The one physician called by respondent testified that iodine was used by physicians as a weight reducer, and expressed his judgment that it did have value for such use. Even he, however, conceded that the daily dosage of iodine to reduce weight would be fifty to sixty times more than the iodine in respondent's daily dosage of kelp. The respondent's witness also admitted that the recommended diet was "rigid," and might prove harmful to persons suffering from tuberculosis, anemia, or heart disease.
The findings of the Postmaster General were that kelp is valueless as a weight reducer, and that whatever efficacy there was in the remedy lay in the diet recommendations. He also found that the diet was neither uniformly safe nor harmless, and might be particularly dangerous for persons afflicted with heart and kidney troubles; that the diet could not, as represented, be pursued in ease and comfort, without hunger, while eating the things respondent had led people to believe they could. On these findings, the fraud order was entered.
under the rule laid down by this Court in American School of Magnetic Healing v. McAnnulty, 187 U. S. 94. The Court of Appeals affirmed on substantially the same ground. [Footnote 4] Both courts distinguished Leach v. Carlile, 258 U. S. 138, where we held that a difference of opinion as to whether a product had any value at all did not bar a fraud order based on claims of far greater curative powers than the product could actually have. Important questions concerning the scope of the McAnnulty case and the sufficiency of evidence to support post office fraud orders prompted us to grant certiorari.
"mind of the human race is largely responsible for its ills, . . . and that the human race does possess the innate power, through proper exercise of the faculty of the brain and mind, to largely control and remedy the ills that humanity is heir to. . . ."
This Court set aside the fraud order, pointing out that there were two widely held schools of opinion as to whether the mind could affect bodily diseases, and that scientific knowledge had not advanced to the point where an actual intent to deceive could be attributed to one who asserted either opinion. Thus, there was "no exact standard of absolute truth by which to prove the assertions false and a fraud." At best, testimony either way was held to be no more than "opinion" in a field where imperfect knowledge made proof "as of an ordinary fact" impossible.
of opinion as to curative effects of a remedy. The contention seems to be that even the testimony of the most experienced medical experts can never rise above a mere "opinion" unless the expert has made actual tests of the drug to determine its effects in relation to the particular representations alleged to be false. The McAnnulty holding did not go so far. We do not understand or accept it as prescribing an inexorable rule that automatically bars reliance of the factfinding tribunal upon informed medical judgment every time medical witnesses can be produced who blindly adhere to a curative technique thoroughly discredited by reliable scientific experiences. But we do accept the McAnnulty decision as a wholesome limitation upon findings of fraud under the mail statutes when the charges concern medical practices in fields where knowledge has not yet been crystalized in the crucible of experience. For, in the science of medicine, as in other sciences, experimentation is the spur of progress. It would amount to condemnation of new ideas without a trial to give the Postmaster General power to condemn new ideas as fraudulent solely because some cling to traditional opinions with unquestioning tenacity.
reducer; that a user can reduce without uncomfortably restricting his usual ample diet of fattening foods; that the treatment is absolutely safe and harmless to people of all ages, to the ill and the well. See Donaldson v. Read Magazine, 333 U. S. 178, 333 U. S. 188-189. These representations, if made with intent to deceive, fall squarely within the type which, in Leach v. Carlile, 258 U. S. 138, were held to justify findings of fraud.
Second. Nevertheless, we are constrained to hold that the present fraud order should not be enforced. It has been pointed out that the doctors' expert evidence rested on their general professional knowledge. To some extent, this knowledge was acquired from medical textbooks and publications, on which these experts placed reliance. In cross-examination, respondent sought to question these witnesses concerning statements in other medical books, some of which at least were shown to be respectable authorities. The questions were not permitted. We think this was an undue restriction on the right to cross-examine. It certainly is illogical, if not actually unfair, to permit witnesses to give expert opinions based on book knowledge, and then deprive the party challenging such evidence of all opportunity to interrogate them about divergent opinions expressed in other reputable books.
Petitioner seeks to justify exclusion of cross-examination based on some of these books by pointing out that they were merely medical dictionaries. Government experts testified they would not consult the dictionaries to ascertain the efficacy of a remedy, although they kept and used them for other purposes. But the books did assert the use of kelp as a fat reducer, and, to some extent, this tended to refute testimony by government experts that no reputable physicians would accept kelp or iodine as a weight reducer.
of the factfinding official indicated that he had read the excluded materials and would have made the same adverse findings had the materials been held admissible. But the object of using the books on cross-examination was to test the expert's testimony by having him refer to and comment upon their contents. Respondent was deprived of this opportunity. The error of this deprivation could not be cured by having the factfinder subsequently examine the material.
Moreover, the issues in post office fraud cases make such cross-examination peculiarly appropriate. Proof of fraudulent purposes is essential -- an "actual intent to deceive." See Seven Cases v. United States, 239 U. S. 510, 239 U. S. 517. Consequently, fraud under the mail statutes is not established merely by proving that an incorrect statement was made. An intent to deceive might be inferred from the universality of scientific belief that advertising representations are wholly unsupportable; conversely, the likelihood of such an inference might be lessened should cross-examination cause a witness to admit that the scientific belief was less universal than he had first testified.
of good faith, even if the respondent believed in all of his representations . . . if they were false as a matter of fact."
It is not amiss to point out that the Federal Trade Commission does have authority to issue cease and desist orders in cases like this without findings of fraud. 15 U.S.C. 45(a), (b); FTC v. Algoma Lumber Co., 291 U. S. 67, 291 U. S. 81. But that remedy does not approach the severity of a mail fraud order. In FTC v. Raladam Co., 316 U. S. 149, for instance, a business advertising its anti-fat product with extravagant statements similar in many respects to those of respondents here was ordered to cease and desist from making such statements. Except for this, the business was left free to sell its product as before. Unlike the Postmaster General, the FTC cannot bar an offender from using the mails, an order which could wholly destroy a business. See Brandeis, J., dissenting in Milwaukee Pub. Co. v. Burleson, 255 U. S. 407, 255 U. S. 417 et seq. The strikingly different consequences of the orders issued by the two agencies on the basis of analogous misrepresentations emphasize the importance of limiting Post Office Department orders to instances where actual fraud is clearly proved.
The judgment of the Court of Appeals is affirmed, without prejudice to a reopening of the proceedings against respondent to permit additional hearings should the Postmaster General choose to do so.
R.S. 3929, as amended, 39 U.S.C. § 259; R.S. 4041, as amended, 39 U.S.C. § 732.
The order did not forbid delivery of mail to respondent Pinkus individually. It did forbid delivery to tradenames used by respondent Pinkus, "American Health Aids Company and Energy Food Center, and their officers and agents as such. . . ."
71 F.Supp. 993, 994. See also Pinkus v. Walker, 61 F.Supp. 610.

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 § 259
 § 732
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