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.
Page 338 U. S. 270
(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.
170 F.2d 786, affirmed.
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.
MR. JUSTICE BLACK delivered the opinion of the Court.
Federal statutes have long authorized the Postmaster General to
forbid delivery of mail and payment of money orders to "any person
or company" found, "upon evidence satisfactory" to him, to be
"conducting any . . . scheme or device for obtaining money . . .
through the mails by means of false or fraudulent pretenses,
representations, or promises. . . . [
Footnote 1]"
Following a hearing, the Postmaster
Page 338 U. S. 271
General issued such an order restricting respondent's use of the
mails. [
Footnote 2]
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.
Respondent's advertisements made expansive claims for its plan.
They represented that persons suffering from obesity could "eat
plenty" and yet reduce 3 to 5 pounds in a week surely and easily,
"without tortuous diet" and without feeling hungry. Unhappy people
eager to reduce, but also eager to eat plenty, were repeatedly
reassured with alluring but subtly qualified representations such
as these:
"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."
The alleged safety of the remedy and extraordinary efficacy of
kelp were emphasized in advertisements stating that it
"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."
Two doctors with wide general knowledge in the field of
dietetics and treatment for obesity were called by the Government
in the fraud hearing. They testified
Page 338 U. S. 272
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.
The District Court granted an injunction against enforcement of
the fraud order on the ground that the order was unsupported by
factual evidence. [
Footnote 3]
Asserting that there was "no exact standard of absolute truth"
against which respondent's advertisements could be measured, the
court held that the testimony of the two doctors on which the
Government's case rested was reduced by the conflicting testimony
of respondent's witness to the status of mere opinion. As such, the
evidence was held insufficient
Page 338 U. S. 273
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.
First. It is contended here, as both courts below held,
that the findings of the Postmaster General must be set aside under
the rule of the
McAnnulty case. There, the Postmaster
General had forbidden use of the mails upon finding as a fact that
petitioner was guilty of falsehood and fraud in obtaining money by
representations based on claims that the
"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.
Respondent appears to argue that the
McAnnulty case
bars a finding of fraud whenever there is the least conflict
Page 338 U. S. 274
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.
In this case, there is conflict, though slight, as to whether
kelp or iodine is valueless as a weight reducer. But even if we
assume that medical opinion is yet in a state of flux on this
question, we think that there was sufficient evidence to support
the findings that the efficacy of the "Reducing Plan" as a whole
was misrepresented in respondent's advertising. And we think those
misrepresentations went beyond permissible "puffing" of a seller's
wares; they were material representations on which credulous
persons, eager to reduce, were entitled to rely. Despite subtle
qualifying phrases, it is difficult to read these advertisements as
a whole without receiving the impression that, contrary to facts
justifiably found by the Postmaster General, kelp is a sure and
drastic weight
Page 338 U. S. 275
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.
It is also contended that the error in restricting
cross-examination was harmless here because the memorandum
Page 338 U. S. 276
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.
The power to refuse enforcement of orders for error in regard to
evidence should be sparingly exercised. A large amount of
discretion in the conduct of a hearing is necessarily reposed in an
administrative agency. And what we have said is not to be taken as
removing this discretion or as a compulsory opening of the gates
for floods of medical volumes, even where shown to be
authoritative. But, in this kind of case, as in others, 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. And, in this case, any holding of harmless
error is precluded by the fact that the assistant solicitor
presiding at the hearings adopted the prosecutor's view that
respondent was to be barred from using the mails
"regardless
Page 338 U. S. 277
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.
It is so ordered.
MR. JUSTICE DOUGLAS took no part in the consideration or
decision of this case.
[
Footnote 1]
R.S. 3929, as amended, 39 U.S.C. § 259; R.S. 4041, as amended,
39 U.S.C. § 732.
[
Footnote 2]
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. . . ."
[
Footnote 3]
71 F. Supp.
993, 994.
See also Pinkus v. Walker, 61 F. Supp.
610.
[
Footnote 4]
170 F.2d 786.