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Indiana
Law c.
Review
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Volume 33 No. 1 1999
A SYMPOSIUM ON LAW AND TECHNOLOGY
IN THE NEW MILLENNIUM: CLOSING THE GAP
Introduction: The Ability of the Current Legal Framework to
Address Advances in Technology
Lawrence P. Wilkins
Is Bioethics Broke?: On the Idea of Ethics and Law
"Catching Up" with Technology
Michael H. Shapiro
The Misperception That Bioethics and the Law Lag
Behind Advances in Biotechnology:
A Response to Michael H. Shapiro
David Orentlicher
The Changing Face of Privacy Protection in the
European Union and the United States
Fred H. Cate
Identity, Privacy, and the New Information Scalpers: Recalibrating the
Rules of the Road in the Age of the Infobahn:
A Response to Fred H. Cate
Ronald J. Krotoszynski, Jr.
The Internet Is Changing the Face of American Law Schools
Henry H. Perritt, Jr.
Closing One Gap but Opening Another?: A Response to Dean Perritt
and Comments on the Internet, Law Schools, and Legal Education
Michael Heise
NOTES
In re Lindsey: A Needless Void in the Government Attorney-Client Privilege
Amanda J. Dickmann
Rockin' Down the Highway: Forging a Path for the Lawful Use of
MP3 Digital Music Files
Mary Jane Frisby
Closing the Doors on Unsupported Speculation: Joiner's, Effect
on the Admissibility of Expert Testimony
Theresa M. Moore
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1999-2000 ADMINISTRATIVE OFFICERS AND FACULTY
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Indiana Law Review
Volume 33 1999 Number 1
Copyright © 2000 by the Trustees of Indiana University
TABLE OF CONTENTS
A SYMPOSIUM ON LAW AND TECHNOLOGY
IN THE NEW MILLENNIUM: CLOSING THE GAP
Introduction: The Ability of the Current Legal
Framework to Address Advances
in Technology Lawrence P. Wilkins 1
Is Bioethics Broke?: On the Idea of Ethics and Law
"Catching Up" with Technology Michael H. Shapiro 17
The Misperception That Bioethics and the Law Lag
Behind Advances in Biotechnology:
A Response to Michael H. Shapiro David Orentlicher 163
The Changing Face of Privacy Protection in the
European Union and the United States FredH. Cate 173
identity, Privacy, and the New Information Scalpers:
Recalibrating the Rules of the Road
in the Age of the Infobahn:
A Response to Fred C. Cate Ronald J. Krotoszynski, Jr. 233
The Internet Is Changing the Face of American
Law Schools Henry H. Perritt, Jr. ,253
Closing One Gap but Opening Another?: A Response
to Dean Perritt and Comments on the Internet,
Law Schools, and Legal Education Michael Heise 275
NOTES
In re Lindsey: A Needless Void in the Government
Attorney-Client Privilege Amanda J. Dickmann 291
Rockin' Down the Highway: Forging a Path
for the Lawful Use of MP3 Digital
Music Files Mary Jane Frisby 317
Closing the Doors on Unsupported Speculation:
Joiner's Effect on the Admissibility
of Expert Testimony Theresa M. Moore 349
Volume 33 Number 1
Indiana Law Review
Volume 33 1999 Number 1
SYMPOSIUM
Introduction: The Ability of the Current Legal
Framework to Address Advances in Technology
Lawrence P. Wilkins*
Introduction
An inquiry into the ability of the current legal framework to address advances
in technology quickly encounters two different contexts in which the question
arises: The first, on a general plane, is the adoption and use of technology in
non-legal endeavors which enable new human capabilities which in turn give rise
to legal problems. The second, on a more specific plane, is the adoption and use
of technology by lawyers, judges, and others working in and with the law, which
allow new capabilities for users and which may or may not lead to problems.
In the former context, the concern is whether and to what extent the legal
system, including legal education, can deal with issues that are presented by
advances in such fields as genetic engineering and medical technology, or
electronic transmission of private and commercial information over global
networks. The papers to be presented in this symposium will deal with these
issues at length. In the latter context, the concerns are about how legal work can
be done using state-of-the art technology and whether adjustments must be made
in the legal system to accommodate the changes that technology enables. The
main focus of these introductory remarks will be upon the ability of the current
legal framework to address advances in technology in this latter context. In Part
II, the remarks will briefly examine the history of development of technology
pertinent to information systems. Part III will consider the rate of change and
make some observations of the extent of adoption of information technology by
those who do legal work. Part IV examines some factors pertaining to why the
adoption of technology is a matter of some hesitancy in some quarters. Part IV
* Professor of Law and Director, Program for Management of Legal Information Systems,
Indiana University School of Law— Indianapolis. Director of the Symposium. The author
dedicates this Article to Minde Glenn Browning, Assistant Director, Program for Management of
Legal Information Systems and Assistant Director of Readers Services, Indiana Universit>' School
of Law— Indianapolis Law Library, who was an inspiring, creative colleague and dear friend whose
passing created a void in the realm of law and technology that will never be filled. The author
thanks Kristyn Kimery, Symposium Editor of the Indiana Law Review for proposing the idea for
the Symposium and all of her many hours of dedicated effort in making it become a reality. The
author also thanks Bruce Kleinschmidt and Chris Long of the Indiana University School of
Law— Indianapolis Law Library for assistance in researching this Article.
INDIANA LAW REVIEW [Vol. 33:1
presents some introductory thoughts along the general plane of the inquiry,
hoping to set the stage for the presentations and responses comprising this
Symposium. Finally, Part VI offers some conclusions about the general ability
of the legal system to address technological change.
I. Information Technology in Historical Context
References in this section to technology adopted in the legal community
pertain to information systems: combinations of hardware and software that
enable people doing legal work to generate, analyze, augment, manipulate, store,
retrieve, transmit and receive information in the performance of their various
tasks. Such technology involves the use of devices and processes that allow the
extension and transformation of human thinking into any form that can be shared
with anyone who has access to the same technology. The term is used here in
contrast to such other systems as those for transportation, security and
entertainment, even though it may have some elements in common with these
other systems.
This assessment of the ability of the current legal framework to address
advances in technology will examine what has been done up to now, bring into
high relief some of the changes that have occurred and then try to project those
changes into the future. To do that will require some reference to technological
advances outside the realm of legal endeavors.
To borrow an idea from Richard Susskind, who has written an excellent
examination of the impact of information technology on legal work, we can
obtain a sense of the influence technology has had by simply reflecting upon
relatively recent developments and projecting our present circumstance
backward.' Incidentally, we can also obtain a sense of the difficulty of assessing
the ability of the legal system to deal with future developments. If we had
conducted this Symposium in 1979, we would be prognosticating the use of
personal computers in law offices. Those devices did not arrive on the market
until 1981. Could we have foreseen then how widespread and important their use
would become in the profession?
If we were to have conducted the Symposium in 1989, we could have
predicted that the World Wide Web might have some possible application in the
legal field; but, it was not developed until 1 990, and who could have foreseen the
dimensions that it was so quick to assume?
Today, employing powerful personal computers, network servers, and
Internet technology, lawyers and law firms around the world maintain websites
and home pages on the Web. Local, state, and federal governments and their
agencies have official websites. Vast libraries of information are forming on the
Web, and electronic commerce using Web technology continues to grow at a
rapid pace. Taking advantage of the strengths of the Web in its capabilities for
easily storing, searching, and transmitting data to users. Web-based providers of
1. See Richard E. Susskind, The Future of Law: Facing the Challenges of
Information Technology ( 1 996).
1 999] ADVANCES IN TECHNOLOGY
data have created vast and expanding sets of resources for legal researchers'
accession through Web browsers. These developments have occurred just in this
current decade, and most of it during the past five years.
Deepening our perspective along the time dimension and considering the
pace of technological development in a much earlier age increases our
appreciation of the pace of change that confronts us today. One hundred and
twenty-five years ago, E. Remington & Sons, the gun manufacturer, looking to
open new markets after its boom years manufacturing weaponry for the war
effort, introduced the first typewriter. The device had actually been patented one
hundred and sixty years earlier, but had been considered only experimental
technology until Remington put it into commercial use.^
Samuel Clemens purchased a typewriter that first year and became the first
author to submit a typed manuscript to a publisher.^ He soon developed a love-
hate relationship with the machine that resembles the relationship that some of
us have developed with modern technology. Part of his first message stated: "I
am trying to get the hang of this new-fangled writing machine, but am not making
a shining success of it. However, this is the first attempt I ever have made, & yet
I perceive that I shall soon and easily acquire a fine facility in its use.'"* Twain
later said the thing was ruining his morals because it made him want to swear.^
During the 1 893 World's Fair in Chicago, Elisha Gray introduced a machine
that he called the "teleautograph." The function of this invention was to
automatically print out on a typing machine at one end of a wire the matter that
had been written on another typing machine at the other end of the wire. The
device was later developed commercially by a number of people as the
teletypewriter, or teletype.^
2. The device was first patented in 1714 in England by an engineer named Mills, but the
first practical design was not obtained until 1 867 when Christopher Latham Sholes, Carlos Glidden
and S.W. Soule did so in Milwaukee, Wisconsin. Remington's machine was based on this design.
See Donald Hoke, Ingenious Yankees: The Rise of the American System of Manufacture
IN the Private Sector 141-150 (1990); see also 12 The New Encyclopaedia Britannica 86
(15th ed. 1997).
3. The manuscript was likely for Mississippi Story. See Albert Bigelow Paine, Mark
Twain: A Biography 535-38 (1912) (containing a digital representation of a photograph of the
first letter Twain typed on a typewriter) cited in Jim Zwick, A Typewriter, and a Joke on Aldrich
(visited Mar. 24, 1999) <http://marktwain.miningco.com/library/biography/bl_paine_bio_ch099.
htm>.
4. Id. The quotation is from a letter that Twain wrote to his brother, Orion Clemens. See
id.
5. See id.
6. See Lewis Coe, The Telegraph: A History of Morse's Invention and its
Predecessors in the United States 20 (1993). Elisha Gray was the inventor who lost out to
Alexander Graham Bell by a few hours in receiving a patent on the telephone. For his efforts with
the telegraph, he may well be considered the great-grandfather of the Internet. See also Irwin
Lebow, Information Highways and Byways: From the Telegraph to the 2 1 st Century 36,
41,196(1995).
INDIANA LAW REVIEW [Vol. 33 : 1
In 1890, William Seward Burroughs put his business adding machine into
production, but it was not to become successful until 1898. Mr. Burroughs
founded the Borroughs Corporation, and his machines became standard
equipment in most American offices until they were replaced by modem
electronic calculators.^
In 1895, Guglielmmo Marconi demonstrated the first wireless transmission
of electromagnetic signals.^ The telegraph, however, was the dominant means
of long-distance communication, and Marconi's technology was not to be
exploited for several more years. Marconi's main interest was in ship-to-shore
wireless transmissions for the maritime industry.^ Radios continued to be viewed
as experimental devices or expensive toys for several more years. '^ The first
commercial broadcasting station did not go on the air until 1920." The famous
case of The T.J. Hooper, ^~ in which Judge Learned Hand effectively made radio
receivers standard equipment in sea-going tugboats was decided in 1932.
We can see then, that the last decade of the 19th century was a period of
great inventiveness. However, with some notable exceptions, the general pattern
of development and usage indicate that these useful devices were developed at
a fairly leisurely pace and many were developed as curiosities or entertainment
devices. Technology did not occupy such an important place in our working
culture, and new inventions were not rushed to market and quickly replaced with
the latest and greatest upgrade. However, once devices were developed to the
point that they made work more efficient, they generally caught on . . . and stayed
on. It seems that they underwent a period of casual acceptance in that part of
peoples' lives in which they posed no real threat to the status quo. Once they
were shown to have some value, then they were readily adopted as important and
long-lasting tools for working with information.
Little evidence exists over this historical period to suggest that lawyers and
judges either lagged behind or outpaced the rest of the community in employing
new information systems. One item, however, was reported almost exactly one
hundred years ago that stands out. A New York Times article describes a "New
Use for the Telephone" in which a lawyer in Tennessee, who could not make it
to trial because of a snowstorm, examined witnesses and gave his final argument
over the phone. '^ He won the case, and the article concludes by stating: "There
7. See Bryan Morgan, Total to Date: The Evolution of the Adding Machine: The
Story of Burroughs 30, 47 (1953); see also National Inventors Hall of Fame Website, William
Seward Burroughs (visited Mar. 24, 1999) <http://www.invent.org/booic/book-text/17.html>.
8. See Orrin E. Dunlap, Marconi: The Man and His Wireless 17 (1971); ^^e also
Orrin E. Dunlap, Communications in Space: From Marconi to Man on the Moon 7 ( 1 970).
9. See Steven Lubar, Infoculture: The Smithsonian Book of Information Age
Inventions 102-107 (1993).
10. See id. dXlU.
11. Seeid.dXZA.
12. The T.J. Hooper v. Northern Barge Corp., 60 F.2d 737 (2d Cir.), cert, denied, 287 U.S.
662(1932).
13. New Use of the Telephone, N.Y. TIMES, Mar. 12, 1899, at 1.
1 999] ADVANCES IN TECHNOLOGY
is much interest among lawyers as to whether it will serve as precedent."'''
Others did not approach technology with such optimism. In 1 899, at the end
of this decade of extraordinary inventiveness, Mr. Charles H. Duell, who was
Commissioner of the United States Office of Patents, uttered one of the most
curious statements of the time. Possibly bowled over by the burst of activity that
had occurred in the 90s, he declared that the Patent Office should be abolished
because "everything that can be invented has been invented."'^
II. ADOPTION OF Legal Information Technology in
THE Modern Legal System
This historical thumbnail sketch contains no surprises: we have come a long
way. But, after all, an entire century has passed since that bygone age of
inventiveness, and the devices of that time are bound to seem primitive and
quaint. However, the rate of change can be better appreciated when these
developments are placed on a time line. For one hundred years, the typewriter
was the machine of choice for word processing. Advances? Yes, but its basic
function remained the same throughout that period. It remains in use in some
quarters, but the personal computer has rendered it obsolete in virtually every
business and law office. During that same period of time, separate machines
were used for creation, storage, and manipulation of documents and the
information that they contained. All of the machines used in those various
functions did so in only in print form. In mid-twentieth century, few could have
presaged how common central processing units, integrated function software,
searchable databases, electronic communications networking, and laser
technology would have become in law offices and courthouses. If personal
computers with Internet connections and e-mail software, fax machines, and
photocopiers were to suddenly disappear from law offices, those offices would
simply not be able to continue to deliver legal services in the ways that clients
have learned to expect.
Today in some courtrooms across the country, lav^ers, judges, and court
administrative personnel are using personal computers equipped with software
and peripheral devices enabling them to more efficiently present and manage
evidence. With the use of scanners, documents and images of non-documentary
evidence can be converted into digital form for storage and retrieval. The
medium for storage is CD-ROM, enabling storage of massive amounts of
material in a lightweight and portable form from which the stored material can
be quickly retrieved. "Light pens" connected to these computers can be passed
over bar-coded labels in a trial notebook to instruct the computer to find, retrieve,
and display on the screens of the participants the digital representation of the
evidence so labeled in a matter of seconds.
14. Id.
15. Kurt L. Glitzenstein, A Normative and Positive Analysis of the Scope of the Doctrine
of Equivalents, 7 Harv. J. LAW 8l Tech. 281, 315 n. 148 (1994) (citing Jack Smith, Criticizing
Inventions as Not an Incandescent Idea, L.A. TIMES, Oct. 3, 1991, at El)).
INDIANA LAW REVIEW [Vol. 33:1
As testimony is given, computer-aided systems employed by court reporters
can instantaneously translate the court reporters' stenographic symbols into
digital form allowing the judges and attorneys to read the transcript on screen in
"real time." With the use of document cameras, video cassette recorders and
players, digital projectors, and presentation software, lawyers are supplementing
their oral presentations of evidence and arguments to aid the triers of fact in their
consideration of the evidence. Video conferencing enables participants to
visually and orally communicate with each other without meeting in the same
room and enduring the travel and inconvenience that face-to-face meetings
require. Some courts have employed "electronic noticing" in which the courts'
orders are sent by e-mail to the lawyers of interested parties. ^^
How are information systems likely to change the way legal work is done in
the new millennium? Upon reflection, the past twenty five and past one hundred
years should demonstrate the futility of attempts to prognosticate with any degree
of precision. Some ideas of what might transpire can be gained, however, by
taking some clues from developments that have already occurred. Just within the
last decade the size, weight, and cost of personal computing equipment have
decreased dramatically. At the same time, the power, speed, and capacity of
these machines have increased. Continued development along these lines will
enable larger proportions of the general population to use these tools more
conveniently and in a wider range of applications. The personal digital assistants
or PDAs of today will give way to or evolve into powerful hand held computers
that will do what the best of our desk top computers can do and even more. The
integration of personal computing and Internet technology with television
technology that we are witnessing in its beginning stages will enable the
expansion and improvement of information systems in general; legal information
systems will enjoy parallel gains. Improvements in speed, bandwidth and storage
capacity of the infrastructure servicing the "information superhighway" will give
legal workers instant access to vast arrays of information. Improvements in
indexing and search and retrieval technologies will allow users of legal
information systems to conduct research with greater speed, accuracy and
efficiency.'^
Continued development of security measures will enable greater and greater
amounts of information to be shared securely across the Internet.'^ Information
providers, who have been utilizing Internet-based services only a few years or
months, will reach mature status and with the development of more sophisticated
16. See Monica Perin, Seeing Is Believing in New Frontier of Electronic Trials, 26 HOUS.
Bar J. 29, May 9, 1997.
1 7. See generally RICHARD SUSSKIND, THE FUTURE OF LAW: FACING THE CHALLENGES OF
Information Technology, at x-xxi (1998) (providing more detailed and specific predictions).
See also Stephen T. Maher, Lawfutures, or, Will You Still Need Me, Will You Still Feed Me, when
I'm Sixty Four?, 1 RICH. J. L. & TECH. 6 (1995) <http://www.urich.edu/~jolt/vl il/maher.html>.
18. See Karim Benyekhlef, Dematerialized Transactions on Electronic Pathways: A
Panorama of Legal Issues, in THE ELECTRONIC SUPERHIGHWAY 93 (Ejan McKaay & Pierre Trudel
eds., 1995).
1 999] ADVANCES IN TECHNOLOGY
and powerful equipment will be able to provide legal researchers with extremely
current resources having high degrees of reliability and accuracy.
Continued development of voice recognition systems will enable oral
testimony to be instantaneously digitized and transcribed into text capable of
being read on a computer screen. Expansion of data storage capacity and
improvement of retrieval capabilities will mean that entire records of cases will
be easily accessible to legal researchers. The combination of these developments
will make those records available to researchers almost as soon as they are
created.
Greater quantities of increasingly sophisticated data will be usable across a
wider spectrum of software applications. For example, lawyers may come to rely
routinely upon legal "expert systems,"'^ designed to enhance the analysis of legal
problems to aid them in providing advice and services to clients. More
information currently available only in print form will be converted to digital
form and placed on-line for electronic search and retrieval. Measurement of
library holdings in bytes will become as important as the current conventional
measurement in volumes.
III. Hesitancy TO Adopt Technology
Despite the widespread adoption of legal information systems and the ready
embrace of other technology in many parts of the legal system, significant
hesitancy or outright resistance remains in many quarters. This section presents
a set of factors that are likely to affect the willingness to adopt technology
generally with some consideration of their effects in the realm of legal work.
Observing technology indirectly as it interacts with humankind can
sometimes evoke expressions of interest, perhaps even awe or contempt.^^
Observing the use of technology by others is something quite apart from using
it to perform one's daily work functions. Many people remain hesitant to interact
1 9. An expert system is software written with judgment rules drawn from experts in a given
field written into the code so that when given a set of data and queried, the software returns
information drawn according to logic based upon the judgment rules to enable the user to better
evaluate the problem at hand. The technology is currently being used, for example in the medical
field in the HELP system, in which, upon being queried about a patient's symptoms the software
refers to a database of diseases, symptoms, blood chemistry and drug therapies to aid diagnosis.
Early efforts in legal expert systems in law were demonstrated by Reed C. Lawlor and Fred Kort
at the Second National Law and Electronics Conference in 1962. The systems presented by Lawlor
and Kort were designed to predict the outcomes of judicial proceedings, using data drawn from
United States Supreme Court cases involving right -to-counsel issues. See Reed Dickerson, Some
Jurisprudential Implications of Electronic Data Processing, 28 LAW & CONTEMP. Probs. 53, 54
(1963).
20. The 1996 chess match between Gary Kasparov and "Deep Blue," an IBM computer
captured and maintained the attention of public media for some time. See Kasparov Downs Big
Blue to Win Series (last modified May 6, 1997) <http://www.usatoday.com/sports/other/chess30.
htm>.
INDIANA LAW REVIEW [Vol. 33:1
with technology. A brief consideration of factors pertaining to that hesitancy and
why it persists follows, including some suggestions for what should be done to
address those factors.
A. Reliability — or the Lack Thereof
Technology is wonderful — ^when it works. Too often with today's hardware
and software applications, it seems that the more complex the technology the
higher the probability that it will fail when needed. Persons who are most
comfortable with the employment of technology are often those with above-
average familiarity with the basic processes underlying the systems as well as the
troubleshooting techniques needed to solve operational problems. Lawyers and
judges in the performance of their obligations do not want to risk the loss of
credibility and authority that can accompany a technological failure. Electronic
technology for legal information systems has improved significantly over a very
short period of time, but systems engineers and developers must continue efforts
to push failure rates closer to zero before full and widespread adoption can be
expected. Reliability rates are much higher today than in the early days of the
personal computer, but "stability" (i.e., reliability) remains as a major
consideration in evaluating operating systems. When that aspect of new systems
disappears as an issue, technology will gain new adherents.
B. Authenticity
A map is not the territory it represents, and digital representations of
evidence are, of course, not the facts being represented. People have a natural
and healthy skepticism about digitally-created representations. Computer-
generated images portraying fantastic but realistically-appearing occurrences
have become commonplace in television commercials and motion pictures.
Some people see these manipulations of "virtual reality" and inductively
conclude that it is easy to manipulate digital representations of documents and
images. The technical features and visual appeal of digital presentations of
evidence can be so impressive that underlying substantive weaknesses might be
concealed.^' For significant segments of the population, the concepts and
parlance of computerized information systems are arcane and mysterious.
Lawyers and judges, together with technicians and developers, should address the
protocols for authenticating digital documents, signatures, and other electronic
evidence which will allow triers of fact to evaluate such evidence without bias
for or against the electronic form in which it comes to them.
C. Convenience— or Lack Thereof
This factor is related to the reliability factor in the sense that equipment that
does not work properly is inconvenient. Here, the emphasis is upon expenditure
21 . Informal parlance in the field of information technology refers to this phenomenon as
'The Gee Whiz Factor."
1999] ADVANCES IN TECHNOLOGY 9
of time and effort to develop the skills necessary to use the technology even
when it works as intended. For example, no one wants to spend hours producing
an electronically-enhanced presentation of a piece of evidence unless the
resulting presentation is more effective than a simple direct proffer of the actual
physical evidence. Attorneys will not spend valuable time producing a digital
presentation, lug several pounds of equipment into the courtroom, and spend
even more time setting up the equipment unless the use of that system adds
materially to the strength of the case.^^ The skills needed to manipulate
sophisticated information technology are substantial, and the time needed to
acquire those skills is not trivial. People doing legal (and other) work would
rather be spending their time and effort doing that work rather than learning
methods and operation of a new version of software. It may well be
unreasonable to expect sophisticated systems to do their work simply by pressing
the "on" button, but it is also unreasonable to expect widespread adoption of
technology that is difficult to learn and complicated to use.^^
Improvement of systems with the convenience factor in mind should be a
byproduct of a multi-disciplinary collaborative effort between legal and non-legal
workers. Systems engineers should apply increasing amounts of their resources
to develop platforms and applications that are easier, rather than more difficult,
to use than their predecessor systems. Legal information systems software
developers should redouble efforts to consult directly with members of the legal
system ' s workforce to learn where efforts aimed at improvements can be focused.
Legal workers should actively communicate their needs and desires to
developers. In litigation, the adoption of technology to aid the presentation of a
case at trial will be out of the question if the actual use of that technology in the
courtroom cannot be realistically anticipated. It is unreasonable to expect courts
to provide connectivity for and facilitate employment of every conceivable
system that lawyers might wish to use in courtrooms and in communications with
the court. However, court administrative officers should develop within their
staffs a continuing awareness of innovations in the field of legal information
systems and be able to recognize standards that emerge which will enable those
who adopt standardized systems to interact with the technology in the courts at
22. This aspect of the problem is not new:
One of the most persuasive arguments against a specific use of technology in the law is
that for the purposes of the particular problem, its language and methods are
overelaborate. But whether an adequate mathematical model can be created and
whether — if created — it is worth the effort and expense to program it for a computer, has
not particular relevance here beyond the general point that a lawyer is always well
advised not to use a method or device that is more complicated than his particular
problem warrants.
Dickerson, supra note 19, at 65.
23. The Indiana University School of Law— Indianapolis, through its Program for
Management of Legal Information Systems, with which the author has been involved since 1997,
has begun to address some of these concerns with efforts to educate not only law students, faculty
and staff, but also lawyers and judges in the use of electronic tools.
10 INDIANA LAW REVIEW [Vol. 33:1
an optimal level.^"* Lawyers contemplating the use of technology in litigation
should not assume that the court is completely "wired" and should seek
permission to use technology that they plan to bring into the courtroom.
D. Expense
Prices for equipment and software that make up some legal information
systems have rapidly declined in the past year, but technology in general remains
fairly expensive. The basic investment is sizeable and upgrades become
necessary as the technology continues to develop. Those who become interested
in adopting technology soon confront the decisional paradox presented by the
advice that one should not purchase technology until it is proven but one should
not purchase technology that will soon be made obsolete by new advances. Few
people outside the special realm of "beta testers" want to be a guinea pig for
version 1.0 of new software, and fewer people want to purchase version 2.0 of
that software if version 3.0 will be released in a few months without some price
protection. Equipment leasing may be an attractive alternative to purchasing for
some applications. Software vendors have become more sensitive to the
problem, and many now offer incentives to purchase a piece of software late in
its development cycle with subscription plans or free or reduced-price upgrades
within specified periods. Decision makers for legal workers should explore with
vendors all available cost-saving alternatives before committing significant
financial resources to information systems technology. Most of those decision
makers would not make comparable expenditures for medical intervention
without seeking a second opinion. The same should be true in the purchase of
information systems.
E. Threat
Two aspects to this factor are important: (1) technology that promises
efficiency carries with it a potential for eliminating jobs;^^ (2) on a smaller scale,
24. The Institute for Forensic Imaging, located on the campus of Indiana
University — Purdue University Indianapolis, with which the author has been involved, has, since
1995, been working to improve the quality of visual evidence and develop a set of standard
operating procedures or protocols for the authentication of digital images that will enhance the
admissibility those images into evidence. More information about the Institute and its activities is
available at its website <http://www.advancetek.org/ifi/index.html>.
25. See NICHOLAS A. ASHFORD & CHARLES C. CALDART, TECHNOLOGY, LAW, AND THE
Working Environment ( 1 99 1 ).
For industrial workers, these changes [wrought by mass production through assembly
lines, specialized machines, standardized goods] meant a reduction in responsibility,
security, and control of their work. As craft skills were replaced and supervision
tightened, workers were treated more and more like an appendage to the machine,
interchangeable with others, needing little in the way of education and training.
Id. at 4.
[These] [n]ew information technologies have facilitated the globalization of production
1 999] ADVANCES IN TECHNOLOGY 1 1
the thought of interacting with a powerful machine connected to a global network
to manipulate huge volumes of information stored in mysterious and intangible
"information warehouses" can be intimidating to some people. With respect to
the former, those who think their jobs may be modified or eliminated by
technology are not likely to warmly embrace it and may actively resist its
adoption out of a sense of self-preservation. From the perspective of individuals
affected by the adoption of new information systems, this may well be an
intractable problem. ^^ In many situations, however, the adoption of new
technology presents new and additional opportunities for those who anticipate
the change and prepare themselves by developing some expertise in the
technology before the change. Regarding the second aspect, increasing the
sophistication of technology necessarily takes it beyond the ken of persons not
educated in the field and places it within the realm of mystery . Adoption may lag
simply because the decision maker has not reached a comfortable level of
understanding of what the system does and the risks it poses for those interacting
with it. In addition, the more intrusive the technology becomes in managing the
daily affairs of people, the greater the occasion for distrust borne of lack of
understanding. So long as the development and control of technology remains
in the hands of a small cadre of persons with specialized knowledge, the real
potential for abuse and, just as importantly, the perceived potential for abuse
remain. Information systems managers, developers and vendors should consider
these sensitivities in pressing their objectives upon legal workers and continually
renew their efforts to allay the concerns and address the problems that arise.
IV. Addressing Technology-Related Issues in the Legal System
The focus so far has been upon gadgetry, and though it is easy to
compartmentalize thinking of technology as fully-embodied in gadgetry, this
Symposium is about technology in a much wider sense. The concern here is
about applications of knowledge and invention through the sciences and
engineering to address the needs and problems of humankind whether or not they
involve hardware and digitally-coded software.
In this broader sense, the advances we have made as a society over the past
century are no less remarkable than the marvelous inventions we have come to
by reducing the cost and increasing the speed of international coordination of economic
activity. They have led to dramatic changes in the organization of production, making
it possible to reorganize manufacturing away from dominant, standardized long-run
mass production systems toward more flexible, shorter-run niche strategies. They have
had widespread impact on the structure of industry and occupations and on the nature
of work in the American economy. They have also created their own set of occupational
health hazards.
Id. at 12 (citing The Microelectronics Industry, in 1 OCCUPATIONAL MEDICINE: STATE OF THE ART
REVIEWS 1-197 (1985)).
26. For example, a librarian whose job will be eliminated when a county court closes a text-
based library to convert to a CD-ROM based information system may face few, if any, options.
12 INDIANA LAW REVIEW [Vol. 33:1
enjoy. When America was last poised upon the verge of a new century, the
health, safety and well-being of its citizenry were matters of great concern in the
public eye. From the perspective derived from one hundred years of
breakthroughs and advances, life in the late nineteenth century appears to us as
dangerous and unhealthy. A program of vaccination for diphtheria had begun in
1895, but by 1899, physicians still hotly debated the methods of combating the
disease, with proponents of time-honored chlorine treatment on one side and
advocates of antitoxins on the other.^^ Smallpox vaccinations had been in use for
more than one hundred years, but sizeable outbreaks of the disease were still
frequently reported throughout the country.^* Congress, through a special court
of inquiry, was conducting a sweeping investigation of meat-packing practices.
In March of 1899, Theodore Roosevelt, then Governor of New York, testified
about the extent of illness that canned beef had wreaked upon his troops when
he commanded the "Rough Riders" in Cuba.^^
On the more general plane of consideration of the relationship between law
and technology, the problem becomes one of assaying the ability of the legal
system to deal with new issues posed in the realm of human interaction by the
development of technology. The development of new technologies sometimes
brings with it a clash of interests, a modified status, or a new form of interaction
for human beings that have not been anticipated.^*^ The law has sometimes been
seen as laggardly in its response to such issues:^'
Today science does not remain isolated in laboratories; it becomes
involved with human life almost instantaneously. The protective time
barrier between creating knowledge through science and applying
knowledge through technology has disappeared. . . As the gap between
scientific creation and technological development disappears and as the
rate of technological innovation increases, the law loses its time for
reflection. The profusion of new legal problems removes the period of
contemplation that lay behind the law's taking a decisive, calculated
direction.^^
With respect to some problems the resolution, if one is at hand, may simply
27. See Chlorine for Diphtheria, N. Y. TIMES, Mar. 8, 1 899 at 7.
28. See Smallpox in a Hospital, N. Y. TIMES, Mar. 1 , 1 899, at 3 ; Students Leave Princeton:
Smallpox Scare Drives Them Away, Mar. 2, 1 899, at 3; Smallpox in a Hospital, N. Y. TIMES, Mar.
6, 1 899, at 2; Smallpox in the South, N. Y. TIMES, Mar. 1 6, 1 899, at 2; More Smallpox Cases at Fall
River, ]unQ 11, 1899 at 3.
29. See Roosevelt on Army Beef: Testifies that the Caned Roast Stuff Sickened His Men,
N.Y. TIMES, Mar. 26, 1899, at 2.
30. See ASHFORD &, Caldart, supra note 25, at 3.
31. See Wendy R. Leibowitz, High-Tech Need, No-Tech Courts: Judges Move Slowly to
the fFeZ>,THENATiONAL Law Journal, (Dec. 1, 1997) <http://www.ljx.com/tech/wendy/wendy63.
html>.
32. Oliver Schroeder, Jr., The Dynamics Of Technology: From Medicine and Law
TO Health and Justice 5 8 ( 1 972).
1999] ADVANCES IN TECHNOLOGY 13
be a matter of applying existing principles of law to the issue posed by the new
technology. The issue of whether a user of technology accepts the offer of an
Internet-based vendor when she clicks on the "submit" button at the vendor's
website ought to find resolution in existing commercial contract principles, for
example." Principles of the law of privacy should be applicable in disputes
about whether the manufacturers of a new computer chip that automatically
identifies the computer owner and supplies information about the owner to others
connected to the same network has enabled others to invade the privacy interests
of the computer owner. Principles undergirding public policy against commerce
in babies should be able to guide decisions about whether persons who have
offered to purchase the eggs of a woman of specified physical and intellectual
attributes are engaged in socially-acceptable conduct.
On the other hand, the problem may be a matter of whether existing
principles of law do or should address the matter at all. For example, astounding
technological breakthroughs in the human reproductive process have given rise
to issues such as: (a) what should be done with frozen embryos when the male
and female, who supplied the sperm and egg for the embryos, die; (b) whether
cloning a human being ought to fall within the category of prohibited conduct;
(c) whether it is appropriate for reproductive scientists to perform impregnation
procedures upon persons whose medical circumstances present relatively high
probabilities of multiple births when their other life circumstances raise doubts
about their ability to care for several children; (d) whether parents of embryos
exhibiting evidence of non-fatal genetic disease should be permitted to discard
the embryo in favor of one without the undesired genetic markers?
Professor Steven Goldberg, in his thoughtful analysis of the relationship of
law and science in America, makes the point that some lack of synchronicity
between the development of technology and the law's ability to address it is
inevitable because of science's emphasis upon progress and law's emphasis upon
process:
Thus the fundamental difference in values between science and law is
subtle, but important. Science is not a compendium of timelessly true
statements. It is, in a sense, a process for formulating and testing
hypotheses that are not always open to revision. But in science this
process is a means to an end, and that end is progress in our knowledge
of the world. In law, process is not simply or primarily a means to an
end. In an important sense, process is the end. A fair, publicly accepted
mechanism for peacefully resolving disputes is often the most one can
reasonably ask for in human society. As Justice Felix Frankfurter wrote
in an opinion for the U.S. Supreme Court, ". . . the history of liberty has
largely been the history of observance of procedural safeguards. "^^
33. See Chris Swindells & Kay Henderson, Legal Regulation of Electronic Commerce, 3
J. Inf. L. &TECH. (Oct. 30, 1998) <http://www.law.warwick.ac.uk/jilt/98-3/swindells.html>.
34. Steven Goldberg, Culture Clash: Law and Science in America 19(1 994).
14 INDIANA LAW REVIEW [Vol. 33:1
Conclusion
A brief examination of the history of the development of technology related
to information systems and its adoption in the legal system shows that, generally,
the legal system is able to positively address advances in technology, and that,
in many respects, recent advances have transformed the way in which legal work
is done. Some lag may occur, and a full embrace of modern technological
gadgets by the legal system may remain in the realm of speculation. Reasons for
the lag are susceptible to analysis; however, a consideration of the factors of
technological reliability, authenticity, convenience, expense and threat by those
responsible for the development and adoption of electronic tools in the legal
system should aid in the reduction of that lag.
Gaps may arise, and fortunes may hang in the balance as the courts and
legislatures of the land struggle with the more profound problems posed by
advancements in technology and issues never before contemplated confront us.
Participants in the legal system on all fronts should avoid abdicating the
responsibility to engage in the struggle to decide, even though completely
satisfactory decisions may elude early efforts. An examination of our society's
historic relationship with technology reveals its Janus-like capabilities: It is
capable of wondrous life-preserving or life-destroying application, and persons
alive today have witnessed its awesome powers of destruction as well as its
powers of creation. Ironically, the antidote to the ills of technology may well
have been best articulated by an operative of a hateful regime who well-
appreciated the destructive power: "Today the danger of being terrorized by
technocracy threatens every country in the world. In modem dictatorships this
appears to be inevitable. Therefore, the more technical the world becomes, the
more necessary is the promotion of individual freedom and the individual's
awareness of himself as a counterbalance."^^
So long as the courts remain open to the assertions of individual awareness
and freedom and remain willing to fashion remedies that do justice to those
whose interests have been injured, so long as legislatures remain committed to
keeping open avenues of expression of individual awareness and freedom in their
resolution of competing claims to public goods, the dangers of technology can
be ameliorated while the benefits can be enjoyed on a wide scale.
My role in this Symposium remains an introductory one, and so I shall not
engage in these questions in depth. Other presenters will take up specific
questions within this larger field of inquiry. Professor Michael H. Shapiro,
Dorothy W. Nelson Professor of Law at University of Southern California, and
author of Bioethics and Law, takes on the sweeping question of whether the
advances in medical technology surpassed the ability of the current legal
framework (herein "bioethics"). He addresses that question with an equally-
sweeping analysis with perhaps some surprising suggestions and conclusions.
35. Albert Speer, Transcript of International Military Tribunal, Nuremberg, Germany, 3 1
August 1946, at 405, quoted in OLIVER SCHROEDER, Jr., The DYNAMICS OF TECHNOLOGY: From
Medicine and Law to Health And Justice 31(1 972).
1 999] ADVANCES IN TECHNOLOGY 1 5
David Orentlicher, Samuel R. Rosen Professor of Law and Co-Director of our
own Center for Law and Health, will respond. Professor Fred H. Cate, Professor
of Law and Director of the Information Law and Commerce Institute at Indiana
University School of Law — Bloom ington and the author of Privacy in the
Information Age, among other works, considers in depth the debate prompted by
the development of information systems that have been built upon the collection
and dissemination of private information. Professor Ronald Krotoszynski, one
of our own faculty members and an expert on communications law, will respond.
Henry Perritt, Dean of the Chicago-Kent College of Law, author of Law and the
Information Superhighway, among many other works related to technology and
law, reflects upon the connection between law and information technology and
the ramifications that connection poses for legal education. Michael Heise from
our faculty, Professor of Law and Director of the Program on Law and Education
will respond.
Is BiOETHics Broke?: On the Idea of Ethics and Law
"Catching Up'' with Technology
Michael H. Shapiro*
Table OF Contents
Introduction: The Topic — What Does It Mean? 20
A. In General 20
1 . Some Constituent Issues 21
2. The Planned Analysis 21
B. Dissing Bioethics: A First Look at Why It Don 7 Get No
Respect (or at Least Not a Lot) 24
C Some Clarifications Concerning Catching-up, Kinds of Critiques
and Ethical Theory 27
1 . Critiques of Discourse vs. Critiques of Technological Uses
and Their Underlying Knowledge, Theoretical
and Technical 27
2. "Standard Ethics" vs. "New Ethics" 27
3. The Demand for Answers and an End to OTOHs (E-Mail
Jargon for "On the One Hand" and "On the
Other Hand") 30
a. If others can answer the questions facing their disciplines,
why can't you? 30
b. The moral "oracle": Expertise and democracy 31
4. Technology and Psychic Overload from "Too Many Options" . 34
5. The Quality of Debate "Within" Bioethics 35
6. The Inside/Outside Perspectives 38
7. Does the "Technological Imperative" Make Catching Up
Impossible 38
I. The Ascent of Technology and the Decline of Humanity: On the
Distinctiveness of Bioethics 39
A. The Descent 39
B. Is Bioethics Distinctive and on What Notion of "Distinctiveness "?;
A Definitional Inquiry 40
II. Is Bioethics "Broke?": Elaborating on Its Dissing 43
A. Preface 43
B. Kinds of Critiques: Outcomes and Bottom-line Disagreements;
Philosophical/Value Disagreements; Ideological Differences;
and Mistakes 44
1 . Outcome and Process 44
* Dorothy W. Nelson Professor of Law, University of Southern California. Thanks to
Professor Roy G. Spece, Jr., and to my research assistants, Mark Lemke, Daniel Houser, and
Christopher Perkins.
1 8 INDIANA LAW REVIEW [Vol. 33:17
2. Warring Philosophical Movements or Dispositions 47
3. Disagreements over the Status of Particular Values, Such as
Autonomy, Fairness, Justice, Equality, Privacy,
and Utility 47
4. Disagreements About Matters of Fact — or Are They? 47
5. Semantic Confusion 48
C. Excessive Focus Within Bioethics on the Application of Rules,
Principles, and Standards; Formalism 49
1 . Abstractions and Formalism 49
a. Generalism in general 49
b. Who has missed what?; examples 50
c. Formalism: More on abstractions and concretions 55
(i) Formalism in legislative or administrative
rule-making 57
(ii) Formalism in common law rule-making 58
(iii) Formalist interpretive theories applied by
adjudicators 59
(iv) Formalism and being stuck at lower-level
abstractions 60
(v) Formalism and bioethics 60
2. Principlism 64
3. Casuistry and Pragmatism: Preferred Modalities? 65
a. Maxims and postulates 65
b. Pragmatism 66
4. Insufficient Empirical Research, Beyond Characterization
of Particular Situations 68
D. Insufficient Focus on the Most General Abstractions 70
E. Excessive Focus on Autonomy 71
1. Ignoring the Preconditions for the Exercise of Autonomy 74
2. Inattention to Ideas of Community and Responsibility 76
3. Inattention to Matters of Culture, Ethnicity, Race,
and Gender 77
4. Inattention to Risks of Reifying Autonomy, on the One Hand,
and Compounding Professional Hegemony, on the Other . . 78
F. Excessive Attention to Rights 83
G. Overlegalization 87
1. What Is It? 87
a. Having legal rules (whether legislative, administrative, or
common law) dealing with personal matters that should
be left to private ordering 89
b. Vindicating certain interests through the mechanism of
formal legal rights, powers, etc 91
c. Subjecting matters of choice that should be resolved
intuitively and according to the situation at hand,
instead of by rules and rule-governed resolution
mechanisms 91
1999] IS BIOETHICS BROKE? 19
d. Varying from traditional patterns of human interaction —
including the formation of personal relationships
based on kinship, friendship, and mating — and
making them matters of formal agreement by
contract or other legal/commercial devices 92
e. Finally, the idea that, within the legal field, the wrong
legal neighborhood has been chosen, e.g., opting
for criminal sanctions when civil or administrative
sanctions would do as well or better; and opting for
formal adjudication rather than informal dispute
resolution 92
2. Further Applications to Bioethics: Law and Courts 93
a. Private ordering 93
b. Overlegalization and "catching up" 95
c. Rule of law via rule of courts: When legal "progress" may
consist of public ordering by formal adjudication rather
than either private ordering, on the one hand, legislation
or administrative rule-making, on the other 96
H. Bioethics as We Know It Ratifies Establishment Practices and
Values and Fails to Question Foundation to a Sufficient
Degree 103
/. Bioethics Bears the Smell of the Lamp and Offers No Practical
Guides 107
J. There Is No Unified Theory Underlying Bioethical Analysis and
Problem Solving 107
K. So Is Bioethics Broke or Not? 108
1 . Disagreement with Outcomes 1 09
2. Inappropriate Methods/Concepts of Analysis and Valuation .109
L. A More Suitably Limited Critique of Bioethics Which, if
Implemented, Would Clearly Count as Some Progress 110
1. Loose Talk .110
2. Refocusing on Interpersonal Bonds in an Age of "Investing"
in Genetic and Nongenetic Human Engineering Plans:
The Risks of Reduction 119
III. The Idea of Progress in Ethics and Law, and Science and Technology:
If Bioethics Were Broke, How Would We Fix It? 120
A. Preface: The Domains and Senses of Progress 120
1. Advancement, Stasis, Regress, and Falls 120
2. Categorizing Progress 120
B. The Search for Final Answers and the Impossibility of Progress
(in That Sense) 125
1. Setting Up a Search 125
2. A Search 125
C. Progress in What?: Behavior, Theory, Insight, and
Deliberation 127
1. Progress in Moral Behavior and Law-abidingness 128
20 INDIANA LAW REVIEW [Vol. 33:17
2. Progress in the Quality of Moral and Legal Theory and
Deliberation; Normative Insights and New Conceptual
Tools as Progress; Micro and Macro Progress; the
Limits of Progress in the Face of Indeterminancy 129
a. Does moral progress rest on discerning objective truths
about moral reality? 130
b. Examples 131
c. "Micro" vs. "macro" progress: Personal moral "closure"
and objective moral progress 135
3. Progress in Bioethics 137
a. Conceptual constraints on the idea of progress 137
(i) Again, the example of principlism 137
(ii) The example of distributing scarce lifesaving
resources, especially organs: When paradox
blocks "progress"; lotteries and rationality 142
b. Catching up on "catching up": Is it progress to knov^ that
progress is impossible?; remarks on markets and
decentralized choice 149
4. Terminating Technology; Technological Imperatives Again . 1 52
IV. A Reversal: When Science and Technology Catch Up with Human
Thought — Implementing the Idea of Progress 153
A. In General 1 53
B. Neuroscience, Genetics, Ethics, and Law 154
Conclusion: Bioethics Defended Against the Charge That It Is Presently
Inadequate to the Task of Appraising Biological Technology .... 157
Introduction: The Topic — What Does It Mean?
A. In General
In its grandest form, the topic of this Symposium is "Law and Technology
in the New Millennium," and the subtopic I was asked to address is "Do law and
ethics have to catch up with science and technology?"^ Whatever one
1 . To be precise
The theme of the symposium is whether technological developments have outstripped
the ability of legal ideas, processes, institutions, and the profession to address some of
the issues presented by those developments. . . . The question [is] whether the
advances in medical technology, such as those in the areas of genetics or transplantation,
have surpassed the ability of the current legal framework to address them.
E-mail from Kristyn E. Kimery, Symposium Editor, Indiana Law Review, Volume 32 (Jan. 21,
1999) (on file with author). The idea has been expressed many times. See, e.g., Courtney S.
Campbell, In Search of a Reason to Clone, 12 Med. Human. Rev. 80 (1998) ("A commonplace
lament of contemporary bioethics is that ethics and law are continually racing to catch up with
scientific research.").
1999] IS BIOETHICS BROKE? 21
understands by the latter formulation, it is a sprawling subject. I will try to
impose some order on it by addressing the following questions and issues:
1. Some Constituent Issues. — The question "Do law and ethics have to catch
up with science and technology?" is not entirely bereft of meaning, though it is
hard to say what it is. This is not meant as a complaint about the symposium
framers' formulation; it is frequently heard in all quarters — from persons on the
bus, scientists, and professional commentators. Its very awkwardness is
instructive. It seems reasonable to assume that something coherent and important
underlies the question, though when stated more rigorously it might be less
catchy. Trying to unearth this something leads to several groups of questions
concerning: (a) what constitutes progress in moral behavior; (b) what constitutes
progress in moral theory or philosophy; (c) certain aspects of law and legal
theory and what constitutes progress in these spheres; (d) the idea of scientific
and technological change or progress and how it differs from that of moral and
legal change or progress; (e) how these distinct inquiries are linked; (f) whether
these different domains of progress are sufficiently commensurate to allow us to
compare rates of progress; and, finally, (g) what a coherent reconstruction of
"law and morality lagging behind technology" might mean, if anything.
Of course, being led to these issues is one thing; resolving them is another,
and in some cases it is impossible.
2. The Planned Analysis. — I will focus upon biological technologies and
some of the legal, moral, and general philosophical discourses applied to them.
We often call these discourses "bioethics" or, for our purposes, "bioethics and
law." This is a field that must be evaluated when asking whether law-and-ethics
have lagged behind science-and-(bio)technology . Perhaps such probing can help
explain what is outpacing what and on what sort of roadway.^
Although in various contexts the terms "moral" and "ethical" have different meanings (the
latter is often applied to canons of professional behavior, for example) I use them interchangeably
here.
2. "Technology assessment" is a related field of inquiry that has been pursued, from time
to time, by the federal government. The Congressional Office of Technology Assessment ceased
to exist on Oct. 1, 1995. See Newt's Science Breakfast Club?, 270 SCIENCE 223 (1995). The
Office of Science and Technology Policy (in the Executive Office of the President), 42 U.S.C. §
661 1 (1994), formed the National Bioethics Advisory Commission within the Executive Branch.
The Commission was to be "charged to consider issues of bioethics arising from research on human
biology and behavior, and the applications of that research." National Bioethics Advisory
Commission Proposed Charter, 59 Fed. Reg. 41,584 (1994). The Commission has since produced
various reports and studies. See, e.g. , CLONING HUMAN BEINGS: REPORT AND RECOMMENDATIONS
OF THE National Bioethics Advisory Commission ( 1 997).
Some readers may view bioethics as a subcategory of "technology assessment." If the latter
phrase is interpreted broadly, this might be so. Others may think the reverse — ^that technology
assessment is a part of bioethics. Some assessments are oriented toward listing and quantifying
certain kinds of agreed-upon sets of risks and benefits rather than probing into normative and legal
foundations and applications. However, the former Office of Technology Assessment regularly
addressed distinctively bioethical issues in the course of its assessments. See, e.g.. Office of
22 INDIANA LAW REVIEW [Vol. 33:17
The "disciplines"^ of bioethics and of bioethics and law are hard to
characterize because of the multiplicity and diversity of their spheres of activity
and of their practitioners' pursuits. There is no unitary "bioethics."
Nevertheless, the assembled fields have a near-defining characteristic: because
of the technological rearrangement of basic life processes, the resulting issues are
hard to track within our existing normative and legal architecture. Still, the
assemblage is not ineffable, and I will try to show why many of the problems
generated by biological technologies are structurally different from those driven
by other technologies.
As is often so, what is distinctive or novel depends in part on the level of
abstraction involved and on the features of existing baselines. There is nothing
new about human reproduction, but acquiring precise knowledge of certain traits
of developing offspring through prenatal screening is novel. Investigating why
bioethical problems seem particularly intractable at any of these levels may
explain why some think we are being outrun by our technologies.
After mentioning the singular characteristics of some bioethical problems,
I will then outline how bioethics has dealt with them, but I will do this by
addressing and critiquing the critiques of bioethics. I will also try to elaborate
Technology Assessment, Infertility: Medical and Social Choices 35-37 (1988).
3. It may seem fussy to comment on this term, but doing so illustrates some analytical
problems that have to be faced here. It is too simple to say the discipline is whatever we say it is
because we have to decide what we ought to say it is. To compare and contrast the disciplines of
chemistry and physics is not that hard, even conceding their obvious links and the perennial efforts
of some physicists to reduce everything to physics. But the discipline of bioethics? In our context,
it refers at least to systematic study of several fields with a view toward understanding the material
issues and making recommendations for appropriate action or inaction. Specifying these fields is
dealt with briefly in the text. Bioethics of course implicates a formidable array of other,
independent disciplines: the study of law and legal process; philosophy generally and moral and
political theory in particular; the social and behavioral sciences; and the physical and biological
sciences. Because we are in an academic legal setting, it is especially appropriate to ask whether
legal analysis of the body of legislation, common law, administrative processes, and the nature of
other legal systems is part of bioethics. I think it is and it seems to be so regarded by many, but I
would not want to be responsible for defending this to the editorial board of the Oxford English
Dictionary. For their take on "discipline," see IV Oxford English Dictionary 734-36 (2d ed.
1989). As indicated in the text, the term will refer to the systematic study of the legal, medical,
scientific, philosophical, social, political and economic problems I describe; the literature reflecting
and communicating this study; the body of common law, legislation, administrative regulation, and
custom in dealing with these problems; and the various institutions constructed to aid in assessment
and decision making, such as ethics committees. Institutional Review Boards, Government-
sponsored Commissions, etc. In this sense, the U.S. Supreme Court was "doing bioethics" when
it decided Vacco v. Quill, 521 U.S. 793 (1997) (holding that under the circumstances there was no
equal protection violation in banning assisted suicide); Washington v. Glucksberg, 521 U.S. 702
(1 997) (holding that under the circumstances there was no liberty interest in securing assistance in
suicide); and Cruzan v. Director, Missouri Department of Health, 497 U.S. 261 (1990) (dealing
with the nature of the liberty interest in refusing medical treatment).
1 999] IS BIOETHICS BROKE? 23
upon possible meanings of the we-must-catch-up-with-technology exhortation
and indicate some major confusions of expression or thought that it reflects.
If I achieve anything in this paper, it will be a "meta-showing" about our
ethical and legal theories and behaviors and about how we can and should do the
catching up we are urged to do. The "showing" is this, (a) Saying that
{morality /moral philosophy/law} must catch up to {science/technology} reflects
our discomfort with certain aspects of our technological societies. Nevertheless,
(b) it seriously misconceives the nature of, and connection between, these
differing domains to talk this way, at least without substantial qualification, (c)
The only forms "progress" can take here, improvements in moral behavior aside,
involve (i) incremental improvements in our thinking about critical moral and
legal concepts that (ii) may allow individuals to better discern morally and
legally relevant considerations and (iii) heighten the prospects for consensus, but
do not and cannot provide determinate answers for all serious moral and legal
issues. Such progress may facilitate individual reflective decision, although the
decisionmakers may recognize both that others may decide otherwise and that
individual views may not reflect an objective moral reality.
The main progress in such circumstances, then, is not that greater efforts
dazzlingly reveal moral truths that all must acknowledge, but that individual
moral agents acting in good faith will believe that their positions are adequately
defended."*
These efforts to characterize and reconstruct the catch-up admonition bump
into a fundamental problem in jurisprudence and in legal philosophy generally:
analyzing the link between moral evaluation and legal process, especially formal
adjudication.^ Laws and judicial decisions, after all, are often criticized for
failing to follow the right moral path or of being insensitive to morally relevant
perspectives. The former complaint, standing alone, is generally no basis for
concluding that law has to catch up with technology; the right moral path is often
precisely what is contested. The latter protest suggests a basis for reforming law
but presupposes some agreement on what the morally relevant perspectives are.
I will not review the history of bioethics,^ although I will consider past
examples of putative catching-up, as well as possible future ones. Of course,
recording certain developments as progress presupposes some resolution of what
"progress" means. There may be some consensus, however, that the workings
4. This is not "moral relativity." Cf. William A. Galston, Value Pluralism and Political
Liberalism, 16 PHIL. «& PUBLIC POL'Y. 7, 8 (1996) ("Value pluralism is not an argument for radical
skepticism, or for relativism. The moral philosophy of pluralism stands between relativism and
absolutism."); Dan W. Brock, Public Moral Discourse, in SOCIETY'S CHOICES: SOCIAL and
Ethical Decision Making in Biomedicine 215, 236-37 (Ruth Ellen Bulger et al. eds., 1995)
(discussing moral relativism); see also infra note 268 (discussing "justificatory relativism").
5. For a recent lucid commentary on this problem, see Kent Greenawalt, Too Rich, Too
Thin, in THE AUTONOMY OF LAW: EsSAYS ON LEGAL POSITIVISM 1 (Robert P. George ed., 1996).
6. For historical reviews and analyses, see generally David J. Rothman, Strangers at
THE Bedside: A History of How Law and Bioethics Transformed Medical Decision Making
(1991) and Albert R. Jonsen, The Birth of Bioethics (1998).
24 INDIANA LAW REVIEW [Vol. 33:17
of the discipline have altered thought and conduct for the better in some areas.
As Jonsen and Toulmin observe, "[t]he medical profession [prior to the 1960s]
had slowly achieved a moral preeminence that almost ruled out debate about
medical ethics."^ That very debate transformed notions about physician authority
and informed consent, a change that should count as progress by those who
consider autonomy an important value. Furthermore, those renovated notions,
whether viewed as new normative insights or old insights made more salient,
seem linked to advances in legal and medical behavior, although it is hard to fix
the direction of causality. Our conceptual understanding, the quality of our moral
deliberations, and our behavior seem to have improved, a point that can
tentatively be accepted even without a coherent theory of progress — which may
never be available. Cases such as Cobbs v. Grant ^ replacing disclosure customs
of physicians as the informed consent standard with a needs-of-the-reasonable-
patient standard; the crystallization of rights to and against treatment; the
development of Institutional Review Boards; the specific articulation of slighted
perspectives and voices; the very recognition of certain ethical and legal
problems in health care; and the development and use of biological
technologies — all are advances of sorts.^ However, thinking this is all progress
does not make it so; we cannot stop here.
B. Dissing Bioethics: A First Look at Why It Don 't Get No Respect
(or at Least Not a Lot)
Some specific and oft-made criticisms of bioethics and of bioethics and law'°
will be laid out briefly as I move along. Here I note one of my conclusions in
advance. To ask "What is wrong with bioethics?," a question that seems to
presuppose that ethical and legal progress lags behind science and technology,
is hugely ambiguous. A claim that bioethics as a discipline is seriously infirm
may mask a series of different beliefs and viewpoints. For example, such a claim
could result from a substantive, bottom- line disapproval of proposed conduct, or
of a state of affairs, rather than from a consideration of which bioethical
7. Albert R. Jonsen & Stephen Toulmin, The Abuse of Casuistry: A History of
Moral Reasoning 304-05 (1988).
8. 502 P.2d 1 (Cal. 1 972) (adopting the "reasonable patient standard" for informed consent,
in place of exclusive reliance on physician practice),
9. For example, the development of the informed consent doctrine has its dark side.
Candidates for imperfections include burdens of disclosure that may be too onerous resulting in
misallocation of medical resources and increases in health care costs; excessive reliance on the
"informed consent," i.e., the disclosure papers to be signed, as the entire process of securing fair
assent; adoption of informed consent standards that simply ratify current practices, good or bad; and
so on.
10. Recall that "bioethics" here includes whatever other disciplines and forms of social
ordering that inform and partly constitute its deliberations. There is a minor problem about whether
critiques of bioethics are themselves part of bioethics — a kind of self-referential puzzle — but it is
well worth ignoring.
1999] IS BIOETHICS BROKE? 25
processes of reasoning and argumentation are deficient. As for the latter, one
may think that bioethical processes are logically flawed; empirically unrealistic;
perspectivally incomplete, i.e., akin to "false consciousness";'' laced with
conflicts of interest, dishonesty, or corruption; oriented toward upholding the
establishment and its values; oriented toward up-ending existing values to further
radical goals; mired in theory and thus insufficiently attentive to situational
particulars and the need for bottom-line conclusions; mired in situational details,
inadequate heuristic guides, and ad hoc battle plans, and thus insufficiently
attentive to theory, and so on. (If indeed bioethics is, or is doing, all these things,
it cannot be all bad.)
I will conclude that, for the most part, no such core deficiencies in bioethics
exists — nothing to match, say, a healing theory that disavows the germ theory of
disease, or a school of cosmology that ignores gravitational effects. There is, for
example, nothing in bioethics akin to moral, legal or public policy analysis
premised upon the notion that certain minorities have only the merest touch of
the elevated mental and emotional capacities of the majority, and are thus far less
entitled to the respectful consideration of others.'^
If bioethics is not so bereft, in what sense is something "wrong" with it?
True, if results seem consistently wrong to any given observer, then the substance
and procedure residing within the discipline should be scrutinized. However, if
the complaints are largely result-oriented, then the disagreement'^ is really about
11. I use this term several times here. It is frequently used to describe a group's general
thought patterns and ideologies when they are formed without adequate knowledge of or attention
to important moral/political perspectives. The elite in any society, for example, may have no
adequate idea of the needs, aspirations, abilities, suffering, or indeed the human worth of persons
in other classes. This sort of perspectival insufficiency also applies to persons, say, those brought
up to think that the only proper role for women is childbearing and homemaking. See generally
Raymond Geuss, The Idea of a Critical Theory: Habermas and the Frankfurt School §2,
at 12 (1981). For an example of applying the term to individuals, see Gerald Dworkin, Autonomy
and Behavior Control, HASTINGS CENTER REP., Feb. 1976, at 23, 25 ("[AJuthentic behavior leaves
no room for 'false consciousness.'"). Cf. THOMAS Nagel, The View from Nowhere 5 (1986)
("[Ojbjectivity allows us to transcend our particular viewpoint and develop an expanded
consciousness that takes in the world more fully."). However, note Nagel's later remark that "the
detachment that objectivity requires is bound to leave something behind." Id. at 87. Nagel also
discusses these issues in Thomas Nagel, Moral Epistemology, in Society's Choices: Social and
Ethical Decision Making in Biomedicine 201 (Ruth Ellen Bulger et al. eds. 1995).
12. Recall Plessy v. Ferguson, 163 U.S. 537 (1896), and its claim that the sense of insult,
injury, and stigma felt by black persons because of racial segregation in public transportation was
simply their own construction of the situation and had no standing as a constitutional harm.
We consider the underlying fallacy of the plaintiffs argument to consist in the
assumption that the enforced separation of the two races stamps the colored race with
a badge of inferiority. If this be so, it is not by reason of anything found in the act, but
solely because the colored race chooses to put that construction upon it.
Id at 551.
13. Pinpointing the disagreements present in moral disputes can be pretty difficult. Cf.
26 INDIANA LAW REVIEW [Vol. 33:17
these results, and not primarily about deficiencies in the discipline. Opponents
of the result will likely think ill of the quality of any discussion that defends it or
any procedure that produces it, even if the discussion is relatively well-rounded
and thoughtful. They may single out a stage of assessment at which they would
have taken a different path, but this hardly establishes the infirmity of the
process. If, for example, they complain that there is "too much emphasis on
autonomy as opposed to community," this is simply a moral-theoretic
disagreement, however well- or ill-thought out, about autonomy and community.
If the disciplines' typical member overvalues autonomy, why is the discipline
necessarily at fault? From the perspective of bioethics, one might symmetrically
ask, "What is wrong with anti-bioethics? Why do you under-value autonomy?"
As suggested, for some observers, any process that reaches a moral
conclusion they think wrong necessarily entails that the process is defective at
some point. Of course, something may indeed be wrong. If the players on a little
league team persistently run the bases clockwise, their training is probably
askew. Defenders of mass murder or genocide are mistaken at the core. But, for
those who rank-order certain claims (say, of autonomy) higher or lower than
other kinds of claims (say of community) to ask, "What is wrong with the
contents of your thoughts and the processes of your mind?" is lamentably
arrogant, and, far worse, conceptually and normatively confused. For those who
think that many bioethicists are systematically using the wrong tools, or assigning
the wrong ranking to values under a governing standard that these bioethicists are
too purblind to apprehend, the answer is simple: recruit more persons who think
like you to get into the arena. Although I am not identifying a field of thought
with its membership, a field may generate a differently-oriented literature with
a change in personnel, while still remaining the same field.
Admittedly, there is not always a clear distinction between disagreeing with
an outcome and attacking the processes and disciplines that yielded it. It may be
hard to distinguish between the local football team improperly executing its tasks
even with the best training, on the one hand, and the inadequacy of the overall
football plans hatched by the coaches on the other. However, we manage with
hazy distinctions in every field, a matter I return to later in discussing what could
constitute progress in a given field.
The core point is that many critics of bioethics who disagree with particular
outcomes believe they result from an incorrect moral ordering. If gender and
cultural differences are improperly de-emphasized in the hands of various
Nagel, supra note 11, at 206 (describing conflicts between natural rights theory and rule-
utilitarianism).
The disputants may agree roughly on their substantive moral judgments of central cases,
but they disagree over what is fundamental and what is derivative: They disagree, in
other words, about the correct moral explanation of those substantive intuitions in
which they agree. And this may in turn be connected with disagreements about less
obvious substantive questions, which will be decided differently by the extension of
different justificatory principles.
Id
1999] IS BIOETHICS BROKE? 27
participants, the proper response is not "there is something wrong with the field's
methods as such," but "let us recruit personnel with different views." I suppose,
however, one could plausibly say that a field is flawed because it is heavily
populated with the wrong people, but one must distinguish between rival
conceptual and normative systems and a field's current membership. Neither can
be reduced to the other. The U.S. Congress is not fundamentally flawed because
at any given time it has more Democrats than Republicans or the reverse.
Neither the Senate nor the House of Representatives is fundamentally flawed
simply because the former acquitted President Clinton on much the same
evidence that the latter used to impeach him. Perhaps it is acceptable to say
loosely that "there was something wrong with Congress during the reign of the
Republicrats," or "there is something wrong with bioethics as long as the male
chauvinists in the field outnumber the female chauvinists," but such claims are
misleading because much could be changed through the substitution of personnel
without even remotely reinventing anything. True, one might say that if the
wrong crowd is attracted in the first place, then there is something inherently
wrong with the field, but this requires supporting evidence and analysis.
C. Some Clarifications Concerning Catching-up, Kinds of Critiques,
and Ethical Theory
1. Critiques of Discourse vs. Critiques of Technological Uses and Their
Underlying Knowledge, Theoretical and Technical. — Debates about technology
and how we manage it often seem to shift without notice between critiques of
ethical and legal evaluation, on the one hand, and critiques of the technological
uses that draw our attention and dismay, on the other. Those who object to
acquiring or using certain kinds of knowledge may criticize those who secured
or applied it. They may also criticize writers who discuss these enterprises but
fail to denounce them; or legislatures and courts that do not properly react; and
possibly the false consciousness of a somewhat demented public.
If the critical reactions derive from a failure within bioethics to deal with
material problems, or from infirm perception or reasoning, then the criticisms are
at least partly well taken. However, if the disagreement stems from deep
differences in values, it is misleading and question-begging to say that the
discipline, or some segment of it, is at fault for anything other than taking a
different position from that of its critics. Of course, those in deep moral
disagreement are very likely to find their opponents guilty of material omissions
and failures of insight. Although it is sometimes hard to separate critiques of
applied technology from critiques of technology assessment, complaints about
a technological use and complaints about how we morally and legally assess it
are not the same.
2. ''Standard Ethics " vs. "New Ethics. " — Some may ask whether bioethics
is just standard ethics applied to certain problems in biological science and
medicine or is some distinct and peculiar addition to ethical theory. One might
ask a parallel question about legal theory. What are the differences between a
novel application, a revision, or a replacement of a conceptual structure in moral
or legal analysis? In some cases, there may be no difference, and if there is, it
28 INDIANA LAW REVIEW [Vol. 33:17
may make no difference under the circumstances. Does the idea that separating
and restructuring basic life processes "fragment" our preexisting concepts
suggest that we need something new in ethics and law to guide us?''* When half
of a child's genes come from one woman but gestation occurs in another, who is
the "natural mother," given the separation of begetting and bearing? If a man
carries a fetus to term, as we are told may one day be possible, is he the natural
mother? If we resort to the original intentions of the parties to the reproductive
process, is this "new," or an application of existing moral and legal notions of
procreational autonomy? When one's human identity as a functioning person is
permanently lost but her body endures, who or what, if anything, is dead and who
or what is not? Would recognizing this condition as death reflect new ethical
theory, or a creative application of extant notions of what the death of one party
means to others — ^the irrevocable absence of her conscious, interacting presence?
Is what is "new" the intensity of our focus on some problem set? Think, for
example, of a renewed interest in determinism and responsibility stimulated by
findings of the inverse correlation between low levels of the neurotransmitter
serotonin and poor impulse control; or of special attention to the possible moral
claims of future generations, occasioned by the threat of irreversible changes that
we pose to the human gene pool or the environment. Here, our moral-analytic
tools and concepts have not changed at their core: our interests have changed,
and we have creatively elaborated familiar ways of thought.
On the other hand, pursuing questions about the novelty of what we are doing
is an enterprise with rapidly diminishing returns. The principal benefit of asking,
"What's new?" is that it secures our attention on matters relatively less
investigated. In most circumstances, however, the appellations "new" and "old"
convey only marginal information. For whatever benefit they provide, one must
locate precisely at which point in an ethical or legal argument structure some idea
or maneuver might plausibly be called new.
Thus, new biological knowledge, techniques, and entities that escape our
evaluative frameworks change the domain of ethics and law, and this may shift
our attention and inspire conceptual reconstruction. This does not mean,
however, that ethics has been radically transformed. Metaethics and normative
ethical theory do make progress of sorts (see Part IV), but they have not morphed
into some ineffable new kind of moral analysis. If the complaint about ethics and
law being laggards is that they have not renovated themselves into different kinds
of structures, it is hard to understand it.
It is only at the lower levels of abstraction, then, that the question concerning
new" versus "old" ethics might be fruitful. Bioethical problems are novel, even
i(
14. See infra Part II.B; see also Ronald M. Green, Method in Bioethics: A Troubled
Assessment, 1 5 J. Med. 8l Phil. 1 79, 1 84 ( 1 990) (stating that "[t]he third objection to characterizing
bioethics as having moral philosophy as its core discipline stems from the challenge to received
theory posed by the unusual and often novel questions raised in this field" and concurring with
Clouser's view that new technology "presses ethics 'not to find new principles or foundations, but
to squeeze out all the relevant implications from the ones it already has.'") (quoting K. Danner
Clouser, Bioethics, in 1 ENCYCLOPEDIA OF BIOETHICS 115, 125 (Warren T. Reich ed., 1978)).
1999] IS BIOETHICS BROKE? 29
radical in some respects, but not so in others, and not at every level of
generality.*^ We all will thus continue to refer to the most general abstractions,
e.g., good, bad, right and wrong; to rely on certain fundamental concepts of moral
analysis, e.g., justice, fairness, autonomy, liberty, equality, and utility; to
formulate moral theories embedding these notions; and to appraise these theories
from a metaethical framework and apply them to real world problems.'^ That is,
at the threshold, moral and legal analysis of technology will bring all the modern
tools of philosophical and jurisprudential analysis to the problems at hand. Still,
one notices differences of emphasis and order of difficulty in various bioethical
problems. Such difficulties may inspire rethinking of conceptual structures and
hierarchies in novel ways. Because of this, in some hard-to- specify sense, the
ways in which we think may indeed change.'^ Changes in emphasis, placing
previously sub-visible matters in italics, noticing things previously only dimly
perceived — all are properly called changes in thinking, possibly sea changes.
Such changes have long been under way as part of the development of bioethics
and of moral and legal analysis of technology generally. The content of moral
and legal analysis and the issues under discussion evolve through an ongoing
cycle of revision and reconstruction. Whether we will view the results as truly
new normative insights is unforeseeable.
Sometimes these new insights are inspired by changes in factual
understandings that radically shift our attention. At some point, for example, a
critical mass of persons in any political unit may come to realize that racial or
minority groups are not just slightly more elevated than primates found in the
wild, but actual persons who think, feel, and can be hurt emotionally and
physically. In a later section, I discuss what might count as moral progress, and
whether such partially fact-driven insights should be so considered.
To the extent that one separates secular ethics from theological analysis,
much the same holds: there may be different emphases and applications, but
there is no "new theology," however stretched the present framework might be.'^
15. Daniel Callahan suggests that bioethics "represents a radical transformation of the older,
more traditional domain of medical ethics," while at the same time raising questions that "are
among the oldest that human beings have asked themselves." Daniel Callahan, Bioethics, in 1
Encyclopedia of Bioethics 247-48 (Warren T. Reich ed., 1995). Cf. Robert L. Holmes, The
Limited Relevance of Analytical Ethics to the Problems of Bioethics, 15 J. MED. & PHIL. 143, 145
(1990) (discussing bioethics as a "branch of applied ethics" in the sense he specifies, and also as
belonging to "substantive morality" — the process of making moral judgments).
16. See generally Green, supra note 1 4, at 1 80, drawing on Clouser, supra note 1 4, at 1 1 6.
17. See Michael H. Shapiro, Law, Culpability and the Neural Sciences, in THE
Neurotransmitter Revolution: Serotonin, Social Behavior, and the Law (Roger D.
Masters & Michael T. McGuire eds., 1994).
18. Cf Green, supra note 14, at 182-84 (theologians in bioethics use the methods of
philosophical analysis).
30 INDIANA LAW REVIEW [Vol. 33:17
3. The Demand for Answers and an End to OTOHs (E-Mail Jargon for "On
the One Hand'' and "On the Other Hand''). —
a. If others can answer the questions facing their disciplines, why can 't
you? — The complaint that current ethical analysis is a turtle chasing a hare often
rests on a simple matter: such analysis may not provide answers, at least
definitive this-is-the-way-it-is-and-must-be answers, to difficult moral issues. If
a medical laboratory can determine cell counts within a narrow range of
uncertainty, or that the fibula is fragmented, or that your zorch is inflamed, why
is ethics unable to yield definitive answers? If it cannot, what good is it?
Here is a brief illustration of the sorts of expectations some have when
appealing to the discipline of bioethics for answers.
Scientists trying to map genes think they are on the verge of figuring out
how to build an artificial life form.
J. Craig Venter hopes to salvage DNA from dead bacteria to construct
an artificial organism. His interest centers on a tiny bacterium called
Mycoplasma genitalium. It lives in the human genital tract and lungs,
causing no known disease, but has the distinction of having fewer genes
than any other organism mapped so far, making it a good model for
figuring out precisely which genes are essential for life.
"We are attempting to understand what the definition of life is," said Dr.
Venter of Celera Genomics Corp. in Rockville, Md. . . . "We are trying
to understand what the minimum set of genes is."
Before he goes any further. Dr. Venter said he wants advice from experts
on ethics and religion. "We are asking whether it is ethical to
synthetically make life," he said.'^
Well, he's asking you a question. What's the answer? O.K., you can do
OTOH and OTOH for a while. Scientists and auto mechanics do this, but they
come up with real answers a fair proportion of the time: it was the transmission;
there really are tiny life forms that can infect us and make us sick. Why are you
unable to answer Dr. Venter's question? You really have fallen behind; you have
to get up to speed, or we will have to replace you with smarter or differently
educated people. Yes, that's it. Remember how the physicists and chemists took
over the life sciences and turned them into molecular biology and explained life,
in a manner of speaking, and started raking in Nobel Prizes? After Watson and
Crick came Baltimore and Temin and Gilbert and so on. We will find people
better than you are. We will recruit the scientists themselves, who obviously
know about progress and answers. All you know is how to endlessly incant
"OTOH, OTOH." You are either not a respectable discipline or not a respectable
discipline. A respectable discipline takes questions and answers them, or at least
tells you what an answer would look like. You people cannot even agree on what
1 9. Geneticists Plan Attempt to Create Artificial Life, WALL ST. J., Jan. 25, 1 999, at B2.
1 999] IS BIOETHICS BROKE? 3 1
you are looking for, never mind what might constitute evidence of it.
These remarks reflect some serious misunderstandings, but it is no simple
task to define them because there is no clear answer to why there are no clear
answers. Indeed, entire fields of study try to explain why certain matters cannot
be fully explained. Even though the call for definitive answers is naive, it is not
stupid. Any account of this indeterminacy implicates huge domains of thought
about how we ought to — and do — make moral and legal decisions, and about
what might constitute advances in these processes. Progress in the quality of
moral reflection, if there is any, is incremental and hard to identify. Indeed,
given the very premise that answers are hard to fmd, how could we ever agree on
what counted as progress without begging our questions? Whatever progress
occurs may also be largely disvalued because it may not yield unique answers
either. Moreover, the very idea of progress in moral reflection may be viewed
as backward by some intuitionists and pragmatists. Not all serious moral
decisions are made from the top-down, leading us to some final moral insight and
judgment. Decisions are often bottom-up or at least bi-directional processes in
which there is an initial notion of what is right or wrong or good or bad.
Justification or rationalization is then sought, if sought at all, at the levels of
normative ethics and some forms of metaethics.
Just as legal theories at various levels can be manipulated to yield different
outcomes, conceptualizations at those levels can often be applied to justify
inconsistent judgments. Moreover, if one's intuition yields a clear and
apparently certain judgment, there may be little incentive to bother with
inspecting possible justifications.^^ So, even if one thinks she has the right
answer, the moral cacophony may remain. We either have answers without
justification, or justifications without answers.
b. The moral ''oracle'*: Expertise and democracy . — When the touted expert
fails to deliver The Answers, our disappointment and anger are compounded
because of our expectations.^' We rely on forestry experts to tell us what rates
of timber harvesting and reforestation are required to keep the forest in a more
or less steady state. But whom do we ask to tell us if saving the forest is more
important than saving jobs in the local economy? Economists? Philosophers?
Lawyers?
Although some may think that ethics experts have special knowledge about
rightness and goodness, that view is doubted by many, including most ethical
theorists and "ethicists." Indeed, some modern democratic movements seem to
reject the very possibility of special moral insight or expertise.^^ Perhaps it
20. See Holmes, supra note 1 5, at 1 49-50; see also Baruch A. Brody, Quality ofScholarship
in Bioethics, 15 J. MED. & PHIL. 161, 170 (1990) (discussing upwards-down and downwards-up
models of moral analysis).
21. Perhaps this is linked to the view that happiness does not necessarily increase with
technological development. See Charles Frankel, The Idea of Progress, in 6 ENCYCLOPEDIA OF
Philosophy 483, 486 (Paul Edwards ed., 1967).
22. See Nagel, supra note 1 1, at 212 (contrasting scientific and moral expertise). Nagel
states that
32 INDIANA LAW REVIEW [Vol. 33:17
would be too strong to call it a mass delusion, but many within democratic
systems think that one person's views on most matters are as good as another's.
In particular, bottom-line moral conclusions are thought to be as fit for one
citizen as for another if one assumes that the relevant situational facts are
available to all. It may well be true, for example, as Professor Robert Holmes
urges, that neither meta-, normative, nor applied ethicists can "make better moral
judgments in particular situations than anyone else.""^
Nevertheless, the romantic view persists in some quarters that courts, and
perhaps some other officials, have special access to moral truths, either by virtue
of training or special aptitude or both (see Part III.G.2.b). The basic rationales
for free speech in a republic are not founded on a belief that personal views are
equal across the board. They do include a belief that the "marketplace of ideas"
is an effective way to avoid tyranny despite the presence of much junk
commentary.^'^ Our very penchant for recognizing rights suggests that we all
need protection against implementation of the alarming views of others. Still,
outside of religious contexts, there is only limited scope for strong deference to
moral or even policy expertise, at least as far as the more populist citizenry is
concerned. ^^
there is much less room for expertise with regard to the moral and evaluative aspects of
policy. Moral judgments are everyone's job, and while some people are better at them
than others, the reasons behind them ought to be made available, for the purposes of
public choice .... We do not live in a theocracy, where some people are thought to
have a privileged and direct line to the moral truth.
Id. See also Scot D. Yoder, Experts in Ethics? The Nature of Ethical Expertise, HASTINGS CENTER
Rep., Nov.-Dec. 1998, at 1 1, 12 (providing a useful review of the idea of moral experts).
23. Holmes, supra note 1 5, at 1 47. See also Yoder, supra note 22, at 1 2. Yoder challenges
what he sees as three assumptions regarding ethics expertise:
The first is that in order for there to be expertise in ethics there must be objective moral
knowledge .... The second is that ethics expertise is ethics expertise — ^that there is a
single type of knowledge or set of skills by virtue of which the academic scholar, the
ethicist involved in public policy formulation, and the medical ethics consultant can all
claim to be experts. The third is that professional expertise is equivalent to or at least
requires specialization.
Id. Yoder states that "[t]he key is to see that expertise in ethics is connected with justification — ^a
claim to ethics expertise is not based on the truth of one's judgment but on one's ability to provide
a coherent justification for them." Id. at 13.
24. J.S. Mill's endorsement of plural voting, i.e., greater voting power for superior persons,
reflects a different view of democracy. See John Stuart Mill, Representative Government, in
Utilitarianism, Liberty, and Representative Government 3 76, 381-90 (Dutton & Co. 1 950).
Mill seems to have had some later reservations about the recommendation; see also Dennis F.
Thompson, John Stuart Mill and Representative Government 100 (1976).
25. See generally Yoder, supra note 22; Jan Crosthwaite, Moral Expertise: A Problem in
the Professional Ethics of Professional Ethicists, 9 BlOETHlCS 361 (1995); Richard Delgado &
Peter McAllen, The Moralist as Expert Witness, 62 B.U. L. REV. 869 (1982); Colloquy, Bioethics,
Expertise, and the Courts, 22 J. Med. & PHIL. 291 (1997). For a discussion of the distinction
1999] IS BIOETHICS BROKE? 33
Moral expertise, however, may unearth a variety of paths to our bottom lines,
and knowledge of these options is precisely where the expertise lies. Yoder
quotes Ruth Shalit, a critic of the offerings of ethicists, who says that "[t]he
philosopher's recommendation depends on a set of criteria that is not agreed
upon, but varies from culture to culture and, more and more, from individual to
individual."^^ However, this observation does not defeat the notions of expertise
or progress in ethics and ethical theory. On the contrary, it helps reveal the very
stuff of moral analysis, the competing criteria in question.^^
Thus, the suggestion that "[t]he expertise of the moral philosopher leads to
informed moral judgments, not necessarily to the right answer,"^* seems sound,
provided that one understands that the phrase "informed moral judgments" may
itself be contested. "Informed by what?", a skeptic may ask, and perhaps claim
that a purported moral judgment is not properly informed because the criteria
used to determine morality are improper, or because they have not been ordered
properly so that conflicts can be dealt with adequately. Knowledge of this layer
of uncertainty is itself part of a body of ethical understanding, and thus of moral
progress, however paradoxical this may seem. Much the same applies to
defending ethical expertise and progress as "facilitating" the "coherent
justification"^^ of moral problems. What amounts to a coherent justification may
be in dispute.
In thinking about moral expertise, focus again on the final moral judgment
about particular conduct or a specific state of affairs. Robert Holmes may be
right about "moral equality at the decision point," but with this critical
qualification. Unless one is a thoroughgoing intuitionist who believes in direct
observation of moral reality — of the truth value of moral claims in particular
situations'^ — one's final moral judgment ought to be consciously informed by the
recognition of morally relevant factors. Once revealed, they may seem obvious,
but there are many obvious matters hidden from sight. How many of us always
consider the moral relevance of conflicts of interest? Critics of Health
Maintenance Organizations (HMOs), for example, emphasize the internal
incentive systems that create conflicts of interest for physicians. Do they also
realize that fee-for-service has its own obvious built-in conflicts of interest, such
as physician incentives to overtreat and overcharge? Moral analysis can bring
between "doing ethics" and "doing policy," see Brock, supra note 4, at 218-19.
26. Yoder, supra note 22, at 13.
27. "Criterion" is a somewhat obscure term itself, but here it refers to matters of moral
relevance as defined and expressed in rules, principles, standards, and even in maxims and moral
heuristics generally. Although it is not a primitive term, I take it as such for now.
28. Yoder, supra note 22, at 14.
29. Id. at 14, 16.
30. See WILLIAM K. Frankena, Ethics 14-15 (2d ed. 1973); see also Loretta M. Kopelman,
What Is Applied About "Applied" Philosophy, 15 J.MED. & PHIL. 199, 203-08 (1990); c/ JEFFREY
Stout, Ethics After Babel 157 (1988) ("The intuitionist and the theorist of moral sense leave
us at the mercy of our feelings and hunches. The answer is not, however, to ignore feelings and
hunches altogether. Without them, ethical theory loses contact with the data of moral experience.").
34 INDIANA LAW REVIEW [Vol. 33: 17
the obvious to mind and render the nonobvious obvious. It cannot, however,
always resolve indeterminacies at the point of decision, and here, expertise may
well run out.
Thus, even if experts and non-experts are equal at the penultimate decision
point, the skills of nonexperts may nevertheless be aided by the experts' moral
analyses. The ideas of knowledge, expertise, and progress in moral inquiry do
not and cannot rest on a belief in an objective moral reality that always provides
firm and certain answers. There may be a moral reality, but it is a reality
different from other realities, despite the parallels among them, and its reality
cannot be reduced to some other form of reality.^'
4. Technology and Psychic Overload from "Too Many Options. " — ^There is
at least one sense in which the claim that "technology has outrun ethics and law"
is not that puzzling. People often complain of having too much information or
too much choice^^ and perhaps even too many ethical theories on the philosophy
supermarket shelves. The "too much" label is a somewhat tendentious
description; we may well be better off overall with more information and
opportunities.
Nevertheless, increased choice and knowledge bear certain costs, at least for
some decision makers — e.g., a sense of oppression from a felt responsibility to
assure the best outcome by canvassing all options and considering all
information. It's easier and quicker to buy cereal from a convenience store than
from a supermarket. The annoying but useful occurrence of regret also plays a
central role here. There are many stores and many toasters. Hidden somewhere
out there, alongside "the truth," is the "best toaster" — ^the perfect combination of
ftanction, quality, appearance, ease of operation, range of choice, and price. But,
games and contests aside, seriously trying to find it through a complete search of
every toaster on sale in the vicinity and beyond evidences derangement. Most of
us will "satisfice." We may vaguely wonder if we made the best buy, because
we certainly did not canvass all the choices, but this is unlikely to ruin our day."
The problem with biomedical technology, however, is not simply that we
have more options and information of the same sort that we had before — more
toasters, more cereal, and more vehicles. We have new kinds of choices: choices
over the traits of offspring (prenatal and preconception testing; cloning); choices
concerning control of mind and behavior (antipsychotic drugs; intellect-
3 1 . See Yoder, supra note 22, at 13.
32. See, e.g. , Gerald Dworkin, Is More Choice Better Than Less?, 7 MIDWEST STUD. IN PHIL.
47 (1982); Michael H. Shapiro, Fragmenting and Reassembling the World: Of Flying Squirrels,
Augmented Persons, and Other Monsters, 51 OHIO ST. L.J. 331, 349-50 (1990) (suggesting that
"[n]ew choice may ... be too much choice.").
33. See generally David M. Grether et al.. The Irrelevance of Information Overload: An
Analysis of Search and Disclosure, 59 S. Cal. L. Rev. 277, 301 (1986) (arguing that "the
information overload idea — that too much information causes dysfunction — is a myth. Instead,
when choice sets become large or choice tasks complex relative to consumers' time or skill,
consumers satisfice rather than optimize."). "But they'll satisfice" does not answer the claim about
dysfunction; it only partly explains why dysfunction may occur.
1999] IS BIOETHICS BROKE? 35
enhancing drugs); choices about lifesaving efforts (organ transplantation); and
so on. Furthermore, we have new, possibly exaggerated visions of ourselves, our
powers, and our progression. We may see our thought and behavior as less
"free" and more "determined," and worry over the blurring of the boundaries
between ourselves and other forms of life, or even machines. We encounter new
difficulties of description and evaluation that may seem deeper and reflect far
greater dangers than do those arising from choice in other contexts. The fact that
we cannot get a precise fix on what these dangers might be makes matters worse
because of the very namelessness of the risks. The range and difficulty of choice
over matters we have never or only marginally dealt with before may seem to
exceed our capacities for rational choice. What is that wretched state in which
one permanently loses all faculties of thought and feeling, but one's bodily
functions continue? Should we choose to say it is death because the person we
knew seems irretrievably gone, despite his body's endurance? Who is the natural
parent of a cloned offspring, or is there even any such thing?
This expanded range of choice reflects moral/conceptual difficulties, not just
an increase things to choose from. However, this is not what prevents moral and
legal analysis from gaining on technology. Such analysis does not progress or
advance in the same way as technology. They are not even on the same race
track. Determining how Sarah Jr. shall be constructed when we have her germ
line in hand in an early embryo cannot be answered just by gathering more
information, or running brilliant experiments, or even by getting smarter.
5. The Quality of Debate " Within " Bioethics.— Saying that many bioethical
debates are weak is different from saying that bioethics is itself infirm because
of inattention to substantive material matters, conflicts of interest,^'* false
consciousness, the need to replace elderly paradigms, etc. The problems of
bioethics, as I argue, don't go that deep. But there is a problem, not with
bioethics' foundations, but with the quality of many debates within bioethics.
Quality here concerns systemic analytical weaknesses that affect reasoning in all
fields, as well as particular bad habits more associated with bioethics than with
other fields.
I am not offering a demonstration of this backed by an extensive sampling
of the now immense bioethics literature. A few examples of flawed arguments
that are often repeated will do for now. True, this lack of rigor impairs the
quality of my own argument, but quality is not an all-or-nothing matter.
Consider the debate about objectification, an important idea concerning a
central premise of bioethical analysis. We are rightly concerned with the risk of
transforming our view of ourselves as persons into a view of ourselves as
manipulable objects. It is said that bioethics undervalues risks of
objectification — our descent from persons to objects. Objectification, however,
is one of the most heavily discussed issues in bioethics. Indeed, in bioethics
34. See Peter D. Toon, After Bioethics and Towards Virtue?, 1 9 J. MED. ETHICS 1 7 ( 1 993).
See generally CONFLICTS OF INTEREST IN CLINICAL Practice and Research (Roy G. Spece, Jr. et
al. eds., 1996) [hereinafter Conflicts of Interest]; Miles Little, Research, Ethics and Conflicts
of Interest, 25 J. MED. ETHICS 259 (1999).
36 INDIANA LAW REVIEW [Vol. 33:17
more people credit the risk of objectification than discount it. If something is
wrong with bioethics here, it is that it overestimates that risk. In any case, search
the literature for articles that do more than throw the term around. You will find
some — but they do not characterize the field.
Instead, you will find material suggesting that simply using the term
"products" to refer to children bom of artificial technology indicates that we have
already plunged into the abyss and are treating, say, babies born of invitro
fertilization ("IVF") as things to be used as we wish.^^ There is zero evidence to
back this up; there is not even evidence to support the colorable view that
investing heavy monetary, physical, and psychic resources in creating the child
will result in intrusive parental control designed to assure a proper return on the
investment. Even the term "objectification," used to describe a legitimate
concern of bioethics, has itself been reduced to an analytically used slogan.^^
You will also find writing that likens the life support maintenance of a dead
pregnant woman until delivery of her child to using her as a flowerpot.^^ The
35. See BARBARA Katz Rothman, Recreating Motherhood: Ideology and
Technology in a Patriarchal Society 19 (1989) (claiming that "our society is also coming to
think of children as products" and offering an example — ^the use of the phrase ''the products of
conception^)', see also DOROTHY Nelkin & LAURENCE R. Tancredi, Dangerous Diagnostics
17(1989):
These metaphors of the body and mind ["systems," "chemical building blocks,"
"hardware," "software"] have, in effect, objectified the person, who becomes less an
individual than a set of mechanical parts or chemical processes that can be calibrated
or well defined. This objective image of the person has encouraged the use of biological
tests as means of classification and as instruments of control.
Id.
36. For an example of the inflated use of the idea, see the quotations from scientists in Sarah
Lyall, A Country Unveils Its Gene Pool and Debate Flares, N.Y. TIMES, Feb. 16, 1999, at Fl.
Iceland, with an unusually homogeneous genetic pool said to be derived from Viking settlers over
1 100 years ago without much additional genetic infusion, is now debating a new law "giving an
Icelandic biotechnology concern the right to develop a giant database combining the health records,
genealogical backgrounds, and DNA profiles of every person in Iceland." Id. One observer, a
scientist, said: "'It is not right to use a population as a commodity in this way. ... I fear that we
could be used as a well-defined guinea pig population in the future.'" Id. Another scientist said:
"'It's akin to treating people as objects rather than human beings I flatly reject the notion that
you have to make concessions on patients' rights in order to do human genetic research.'" Id.
Is the objection that this plan will benefit a private company? Would the critics withdraw their
objection if the government were doing this? None of us believes that people should be treated as
"guinea pigs," but what does this plan have to do with such treatment? A broad-based social
experiment in sharing medical information might not be a great idea and might violate people's
rights, but not every bad idea is bad because it objectifies, and not every invasion of rights
constitutes objectification. The critics' characterizations are all but useless. To the extent that such
indefensibly broad characterizations are offered in bioethics, then pro tanto, the discipline is infirm.
But of course, the discipline as a whole also includes commentaries such as mine.
37. "To what extent . . . should the common good of refusing to perpetuate images of women
1 999] IS BIOETHICS BROKE? 37
metaphor is clumsy and offensive. Children aren't flowers or any other sort of
object, living or nonliving. Is the risk of objectification here so clear that we are
to suffer two human deaths instead of one? Where the burdens on a woman's
living body are not at stake, there is no reason not to view a developing fetus as
a person-on-the-way — indeed, we must.^^
Still more writing urges us to discount serious reasoning and instead to
evaluate new reproductive technologies on the basis of how repugnant the
process and the product seem.^^
You will even find circular arguments suggesting that certain actions or
processes are simply wrong, apparently by definitional fiat or arbitrary
stipulation. For example, "Surrogacy 'necessarily' commodifies women. '"^^
None of this establishes that bioethics requires either reconstruction or
deconstruction. It just suggests that some discussants should do a better job.
as maternal backgrounds or flowerpots constrain a prospective father's preference for sustaining
a postmortem pregnancy for more than a few days?" Hilde Lindemann Nelson, Dethroning Choice:
Analogy, Personhood, and the New Reproductive Technologies, 23 J.L. Med. & ETHICS 129, 134
(1995). The reduction-to-flowerpots argument is also raised in Barbara Katz Rothman,
Reproductive Technologies and Surrogacy: A Feminist Perspective, 25 CreightonL. Rev. 1599,
1603 (1992) (associating the idea with Caroline Witpick: Women are "just the flowerpot in which
men plant it [i.e., "the little person"]."). The implication seems to be that only the men are
interested in the little flower persons — reproduction is their idea.
38. Martha Field writes that "[i]t may seem peculiar that the state has a greater interest in
preventing the fetus from being harmed than from being killed, but such is the case. . . . Nothing
in Roe v. Wade contradicts the existence of a strong and legitimate state interest in the health of
newborns The different and stronger state interest that exists when the mother intends to carry
to term also helps to explain why the trimester system that applies to abortion has no application
to controls on the mother-to-be." Martha A. Field, Controlling the Woman to Protect the Fetus,
1 7 Law Med. &, Health Care 1 1 4, 1 23-24 ( 1 989).
39. See generally Leon R. Kass, The Wisdom of Repugnance, THE NEW REPUBLIC, June 2,
1997, at 17.
40. Isabel Marcus et al.. Looking Toward the Future: Feminism and Reproductive
Technologies, 37 BUFF. L. REV. 203, 214 (1988) (quoting Barbara Katz Rothman) ("Surrogacy
entails the notion that one can rent a womb and can affix an arbitrary price tag on pregnancy, often
$10,000.") (emphasis added); see also 2 Royal Commission on New Reproductive
Technologies, Proceed With Care: Final Report of the Royal Commission on New
Reproductive Technologies 683-84 ( 1 993).
The premise of commercial preconception contracts is that a child is a product that can
be bought and sold on the market. . . . The commodification of children entailed by
preconception arrangements ignores these essential values [that children are not
commodities or instruments]. . . . Commercial preconception contracts by their
nature — the exchange of money for a child— contradict one of the fundamental tenets
of the Commission's ethical framework.
Id. (emphasis added). Perhaps the thought behind these remarks is less conclusory than their
textual presentation suggests, but it requires some non-conclusory explanation.
38 INDIANA LAW REVIEW [Vol. 33:17
which is probably true of most disciplines and most writers.'*' The questionable
quality of particular debates does not impeach the discipline, and perhaps not
even the author.
6. The Inside/ Outside Perspectives. — ^A distinction is sometimes drawn
between persons outside the bioethics discipline who comment on its qualities
and those inside it — the people doing bioethics."^^ There are some puzzles here:
does one become an insider by pursuing a critique of the inside? If one wants to
change a discipline, should one join it and seek change from within, or stay
outside and mount an attack? How could we tell the difference? Perhaps the
criterion is that one remains outside, regardless of the critique, as long as one
insists that she is not a bioethicist. If the critique of bioethics is within bioethics,
then how infirm can bioethics be if it contains within itself the appropriate
counter-considerations? Yet if the critique is itself badly flawed, then locating
it within bioethics compromises the disciplines' status by adding a misguided
sub-discipline. I have nothing further to say on this because, though amusing for
its self-referential paradox, it is not to the point here.
7. Does the ''Technological Imperative " Make Catching Up Impossible? —
The point here is simple. It is hard to catch up with a target moving away from
you at a greater velocity than yours. Worse, the target technology is not only
going to keep moving, it will inevitably accelerate.
Here the difficulty becomes apparent. Unless people see technology literally
as a sentient entity holding humanity in its tractor beam, they will instead believe
that technological developments are a result of people's actions and thus can be
controlled. However, "technological imperative" is not that nonsensical a
concept. It refers to matters of individual and social psychology. If enough
people share an ethic of "progress" (in certain senses), believe humanity can and
should strive to acquire knowledge and to control at least some aspects of nature,
want labor-saving tools, and are willing to make heavy financial and emotional
investments in science and technology, then resistance to all technological
development in a human population of more than five billion is futile.
The right question of course is not about halting all technology, as the
Unabomber seemed to prefer (even as he used technology to blow people up), but
halting or heavily regulating particular technologies. That too is difficult. It is
true that we have used atomic weapons in war only once, and that many are
trying to stamp out the development and use of pathogenic agents and poison gas,
but one cannot confidently say that these areas will continue to represent success
stories. "Catching up," by sharply attenuating the technological imperative thus
requires a striking and unlikely change in human behavior. Of course, this does
not bar the possibility that specific areas of technological development can be
controlled.
In any case, as I said earlier, catching up is not simply about our trying to
41 . To the extent that the mistaken criticisms of the foundations of bioethics are part of the
corpus of bioethics, one might well mount a case that bioethics is bruised, but not broke.
42. See K. Danner Clouser & Loretta M. Kopelman, Philosophical Critique of Bioethics:
Introduction to the Issue, 15 J. MED. &, PHIL. 121 (1990).
1999] IS BIOETHICS BROKE? 39
accelerate our thinking or regulating. If it means anything, it means working
harder at unearthing the most important issues governing an expanding set of
technological capabilities. In some cases, it may refer to the even more basic
accomplishment of recognizing that there is an issue and starting to think about
it. One might view any of this as catching up, but there will be no checkered flag
to mark success or failure.
I. The Ascent of Technology and the Decline of Humanity:
On the Distinctiveness of Bioethics
A. The Descent
One of the central critiques of applied life science technologies'*^ is easy to
state, but hard to interpret and confirm. The complaint is that technological
power over fundamental life processes results in a decline in the moral qualities
of human interaction. '*'* In particular, technological progress causes human
regress by reducing people to objects."*^
But what is this human decline about? It is not about a reversion to lower
primatehood and a return to our home in the trees. Perhaps it is more like our
becoming drones in the Borg hive."*^ The plunge toward objecthood can only
refer to changes in our attitudes about what personhood and human interaction
should entail and thus to changes in how we come to treat each other. Fears of
such retrograde slides are reflected in bioethics commentaries denouncing
technology-assisted objectification, especially in the fields of reproduction,
genetics, and performance enhancement, though transplantation and control of
dying are not far behind."*^ Here, biotechnology is not alone; assessments of other
43. I make no effort to define "technology" precisely. One definition that I have quoted
elsewhere is this: "Following the Dutch philosopher Piet de Bruin, I define technology as the
control of nature by way of combining its forces according to a design conceived of by human
understanding. The resulting combination is a new work of nature that can be used as a means to
realize a specific end." T. Maarten T. Coolen, Philosophical Anthropology and the Problem of
Responsibility in Technology, in TECHNOLOGY AND RESPONSIBILITY 43-44 (Paul T. Durbin ed.,
1987). The apparent oxymoron "new work of nature" calls attention to the difficulty of defining
"natural" and "artifactual" and distinguishing one from the other.
44. By "technological power" I mean both what can be done and the very idea that such
power is possible and is likely to be developed sooner or later if there are no preventive efforts.
45. I leave aside whether and to what extent this applies beyond life science technologies.
46. In Star Trek: The Next Generation (Twentieth Century Fox Television Broadcast), the
Borg is a huge collective unit made up of formerly separate individuals. They were "assimilated"
into the collective mind, although enough individuation remains, to allow Borg "drones" to be
restored to independent personhood. I refer, of course, to Seven of Nine, in the Voyager series.
47. See Martha C. Nussbaum, Objectification, 24 PHIL. & PUB. Aff. 249, 262 n.20 ( 1 995)
(a critical analysis of objectification arguments); see also Michael H. Shapiro, Illicit Reasons and
Means for Reproduction: On Excessive Choice and Categorical and Technological Imperatives,
47 Hastings L.J. 1081 (1996) (a critique of objectification arguments against the use of
40 INDIANA LAW REVIEW [Vol. 33:17
technologies often present this same view of human devolution/^
The indictment of applied biology is often accompanied by claims that
bioethics is infirm because it has failed to stop or even slow the onslaught of
personhood-impairing technological advances. It has failed because its
intellectual structure is impoverished or beholden to the wrong groups or values
and so hastens our decline."*^ This is so whether bioethics is viewed as a
scholarly discipline, a body of law and legal practices, a set of customs and
clinical practices, a set of attitudes and perspectives held by various groups, or
any or all of these.^° Whatever it is, it is said to lack relevant perspectives,
embrace the wrong values and value priorities, use the wrong paradigms and
models and other modes of thought, and to be patriarchal and too oriented toward
establishment culture.
The task here is to expose the vulnerabilities of these attacks.^' In this
"critique of the critique" of biological technology and bioethics, I will complain,
among other things, about how debates on the uses of life science technologies
are framed and pursued in confused, confusing, and often misleading terms.^^
B. Is Bioethics Distinctive and on What Notion of ''Distinctiveness "?;
A Definitional Inquiry
One way of entering this meta-critique may seem roundabout but is not. To
critique the critique of bioethics requires some account of what bioethics is. I
will try to show why bioethical problems are exceptionally troublesome, and this
requires identifying what causes the trouble.
The explanation lies largely in a showing of how practices which radically
rearrange life processes to suit specific wants generate conceptual and normative
monsters:^^ persons, entities, relationships, situations, and behaviors that escape
reproductive technologies).
48. See generally Bruce Mazlish, The Fourth Discontinuity, 8 TECH. & CULTURE 1 ( 1 967);
Bruce Mazlish, The Fourth Discontinuity: The Co-evolution of Humans and Machines
(1993).
49. See Susan M. Wolf, Shifting Paradigms in Bioethics and Health Law: The Rise of a
New Pragmatism, 20 AM. J.L. & MED. 395, 397 (1994). See generally Is Bioethics
'broke '?— Critiques of Bioethics, in MICHAEL H. SHAPIRO ET AL., BIOETHICS AND LAW: CASES,
Materials and Problems (2d ed. Part I forthcoming 2001).
50. On defining bioethics as a field, see also Callahan, supra note 15, at 250-51
(distinguishing sub-branches of bioethics: theoretical, clinical, regulatory and policy, and cultural).
51. For attacks on technology generally, see Jacques Ellul, The Technological Society
(1964); Victor Ferkiss, The Future of Technological Civilization (1 974).
52. These infirmities do not warrant an inference that foundations, paradigms, or
perspectives are fatally flawed. My complaints are thus not inconsistent with my defense of
bioethics. The disagreements here represent value differences or what I think are insufficiently
rigorous or otherwise faulty argument structures. This is not fatal to the discipline as a whole. It
is not even necessarily fatal to the specific work under attack.
53. See David Bloor, Polyhedra and the Abominations of Leviticus: Cognitive Styles in
1999] IS BIOETHICS BROKE? 41
the major abstractions we use to describe, explain, and evaluate human actions
and circumstances.^'* Of course, we encounter daily anomalies that do not fit
nicely into our conceptual bins, but the failures recited here are special not only
because they fit so poorly, but because they deal with foundational matters:
whether we will come into or continue our existence, in what form, and under
what constraints and circumstances.
Why the emphasis on an arid inquiry into classification? Classification is at
the core of human thinking, but this broad proposition is not of special concern
here. What does concern us is that there is a major difference between problems
that challenge our principal conceptual implements and those that do not. To be
sure, this also involves a classification problem; the issues we face are not neatly
distinguishable on the basis of the gravity of their challenge to our main
concepts. Some classification problems seem to remove the flooring, others
merely cause light tremors, still others are resolved without much notice on our
part, and some elude these classifications also.
The big ticket challenges, however, do seem different from the usual sort of
classification problems that we encounter, whether in legal disputes or ordinary
daily living. Our conceptual system is not assaulted because we cannot identify
a clear boundary between negligence and due care, or between due and undue
process. Nor is everyday language fatally flawed because there is no clear border
between being tall and not being tall. Few would claim that we should abandon
all concepts and distinctions because some of their applications are unclear,
indeterminate, or change with time. Even simple conceptual vagueness,
however, can lead to serious normative/conceptual problems as the world
changes. Six-footers used to be giants and still are among some groups, but
among other groups — ^think of the N.B.A. — six feet is pretty short. Do persons
projected to be no more than six feet tall need growth hormone? Do early
embryos from short people require genetic enhancement?
Similarly, as we saw, it is no garden-variety puzzle to be unable to identify
a single natural mother when a fertilized ovum from one woman is gestated by
another woman, who of course has no genetic connection to it. Here, the very
structure of elemental notions like "mother" is in question. The concept itself
has been fragmented as a result of our reconfiguration of the reproductive
process.^^
Mathematics, in ESSAYS IN THE SOCIOLOGY OF PERCEPTION 191,1 97-98 (Mary Douglas ed., 1 982)
(relying on Imre Lakatos, PROOFS AND Refutations: The Logic of Mathematical Discovery
(1976) (discussing mathematical "monsters")).
54. It should be clear from this that I do not use "bioethics" to refer to all moral and legal
problems within the realms of medical ethics, health care, and biology. Cf. Ezekiel J. Emanuel,
Where Civic Republicanism and Deliberative Democracy Meet, HASTINGS CENTER REP., Nov.-Dec.
1996, at 12 (suggesting the inclusion of matters of health care coverage within medical ethics, and
asking, "Is there a relationship between defects in our medical ethics and the reason the United
States has repeatedly failed to enact universal health coverage?").
55. Cf. JONSEN & TOULMIN, supra note 7, at 3 20-2 1 ,
After a sex change, the everyday presuppositions built into the term "marriage" (notably.
42 INDIANA LAW REVIEW [Vol. 33:17
This divide-conquer-and-conflise aspect of some biological technologies
leads us to other characteristics of bioethical problems. Among the more notable
are the reinforcement of the idea of the determinate, predictable, controllable,
algorithmic person; the introduction of new purposes for our old life processes,
as in producing fetuses to provide transplantable tissue rather than to reproduce;
providing opportunities to further existing purposes with greater precision, as in
controlling behavior with psychotropic drugs; and, more generally, substantially
increasing our control over life processes, enabling greater predictability of traits
and behavior. The very existence of such choice over matters not previously
under our control is itself something of a conceptual anomaly. Think, for
example, of being able to determine the entire genome of a person-to-be through
cloning, or of being able to heavily influence particular traits. If we can
"construct" a person through technological alteration of her physiological system
or her germ line, what sort of being should we construct?^^ What new or
strengthened purposes ought to be installed for life functions? What purposes for
reproduction should be added or extended? The possibility of bone marrow
transplantation suggests having babies — ^not just fetuses — ^to provide compatible
tissue for transplantation. The prospect of cloning may inspire reproductive acts
resting on the (mistaken) view that clones are locked into some common fate
shared by all who have their defining genome. A given act of cloning may thus
reflect the novel purpose, not simply of having children, but of perpetuating a
line of identical persons raised to pursue some sharply bounded set of tasks
requiring that their talents be matched to their assigned roles in life. Here, then,
biological technology restructures reproductive processes in a way that generates
anomalous lineage relationships, reinforces the images of persons as determinate
entities, and provides us with additional reasons, possibly mistaken or
objectionable, for using procreational mechanisms.
So, the arguably distinctive features of classic bioethical problems are that
they involve, at the most abstract level, the directed revision of life processes and
what this entails: the idea of the determinate person; the substitution of new
purposes in using human capacities; and the general expansion of choice in
constructing, controlling, and predicting life processes, in partial displacement
of the natural randomness of life.
These distinctive features of bioethics are not fully independent. The core
idea is still the reordering of life processes into unclassified forms, giving us
relationships (e.g., gestational mothers and "their" children and the children's
"genetic parents"); entities (such as cryopreserved embryos); and powers (over
our own fundamental structures, individually and collectively) that we often do
the assumption that the partners to a marriage contract have permanent and definite
genders) are so deeply undercut that this term, as it stands, no longer covers all the
relevant practical problems. We must now ask ourselves what its moral force is, in
future, to be.
Id
56. See generally JONATHAN GLOVER, WHAT SORT OF PEOPLE SHOULD THERE BE? ( 1 984)
(examining the moral dilemmas involved in controlling human traits).
1999] IS BIOETHICS BROKE? 43
not know how to deal with. Some believe that this transforms our vision of
persons as free into an anti-vision of persons as machine-like or lower-animal-
like— predictable, explainable, and controllable.
As we saw, all these features of bioethics create an ever-increasing range of
choices over matters we traditionally regarded as fixed or as changing only very
slowly over time. This expanded set of choices will not be universally viewed
as a benefit simply because it promotes autonomy-as-opportunity,^^ In matters
of creating and maintaining life, the very existence of choice over what formerly
was given offends many, conveying images of the reduction of persons to a set
of manufactured modules.
I do not argue that these considerations distinguish everything in or out of the
realm of bioethics, but they suffice here. They all do a number on our conceptual
system, making it especially difficult to know what to make of a given problem,^*
and there is only so much that moral, legal, and policy analysis can do. This is
the gist of the response to the complaint that bioethics, as it stands, is inadequate
to the task before it— perhaps inadequate even to define the task. But to say this
reflects confusion about what the task could be.
II. Is Bioethics "Broke?": Elaborating on Its Dissing
A. Preface
Critiques of bioethics have centered on several purported defects of the
discipline. Some complaints are about its intellectual structure — particularly the
dominance of a given set of perspectives to the exclusion or devaluation of
others. Both scholarly works and legal outcomes may exhibit this dominance,
enhanced by mutual interaction. Other complaints, not entirely independent, deal
with the internal processes of the discipline. I emphasize the scholarship and law
here, but do not entirely ignore the latter.
Here, then, are some of the specific complaints.^^ The first three are closely
57. See Shapiro, supra note 32, at 349-50.
58. As part of the defining aura of bioethics, one might also invoke the idea of "forbidden
knowledge" of the very springs of life and behavior. Whether we think that some form of
knowledge should be avoided is partially a function of the hostility we have toward the technology
that rests upon the knowledge. There may also be a general demoralization effect in knowing, say,
of the physical foundations of our thought and conduct or of our evolutionary antecedents. Still,
the idea that some sorts of knowledge should not be sought or possessed, while hardly limited to
life sciences, seems to have a particular application to them, and is, to some extent, independent of
the actual uses of the technologies involved. Some are disturbed, for example, by claims that
human emotion and thought are strongly linked to workings of neurotransmitters. For a more
general account of issues in limiting scientific research, see generally General Topic, Forbidden
Knowledge, 79 MONIST 183 (1996).
59. I do not claim to be exhaustive here, and concede that the account reflects my own
perspectives. There is no help for this: we can only see from where we stand, while trying to
imagine how it is to stand elsewhere — a point well made by Nagel. See Nagel, supra note 11, at
44 INDIANA LAW REVIEW [Vol. 33:17
linked: excessive focus on the use of formal rules, principles, and standards; an
obsession with autonomy and rights, to the exclusion of other frameworks of
thought; and overlegalization.^^ Other major changes include insufficient
attention to community, responsibility, and duty; and undervaluing or ignoring
circumstances that threaten the very possibility autonomy, individuality, and
appropriate recognition of rights.
In turn, these circumstances are said to include oppression based on
disfavored traits such as race, ethnicity, gender, religion, sexual preference,
disability, and stage of life; and oppression (including coercion, exploitation, and
undue influence) within professional relationships in which powerful elites
exercise authority. Here, the concern arises from the structure of crystallized
relationships — physician and patient; researcher and subject; lawyer and client;
agent and client (as in brokerage for surrogacy relationships); one contracting
party and another (surrogacy is again an example, and physician-patient
relationships have a contractual aspect); and, more grandly, institutions and their
personnel on the one hand (government, hospitals, HMOs, prisons, mental health
facilities, etc.), and persons, families or other groups, on the other. Conflicts of
interest are of special concern here. Autonomy, individuality, and rights are also
weakened by oppression stemming from one's status within important personal
relationships, such as husband and wife or other couplings; parent and child;
kinship and cultural groups; and the various communities to which one belongs.
Again, conflicts of interest require particular attention.
Such failures are presumably why we are told that bioethics needs some
"paradigm shifts." (As I note later, pragmatists might complain about
overemphasizing "paradigms" in the first place.)
B. Kinds of Critiques: Outcomes and Bottom-line Disagreements;
Philosophical/Value Disagreements; Ideological Differences; and Mistakes
1. Outcome and Process. — Before commenting on the charges just
mentioned, we must ask how to characterize the principal critiques of bioethics,
or even whether they are rightly called critiques of bioethics as opposed to
commentaries or complaints about something else.
One can plausibly criticize a discipline as conceptually and normatively
impoverished because it fails to consider all material matters; that it proceeds
illogically, incoherently, or otherwise carelessly or irrationally; that it is beset by
conflicts of interest and imbalances of power; that it is biased, rigidly constrained
by ideology, afflicted with false consciousness; and so on.
It is less plausible, however, to complain because one simply disagrees with
an outcome, without express regard to the approach used; or because
(unthinkingly) the critic and the criticized assign different meanings to the same
5 ("[0]bjectivity allows us to transcend our particular viewpoint and develop an expanded
consciousness that takes in the world more fully.").
60. A rights orientation is often viewed as law-inspired, perhaps even when dealing with
moral rights.
1999] IS BIOETHICS BROKE? 45
terms or concepts used in the decision making process. For example, rights-talk
by one party may be at a different level of generality from that used by another;
or a claim about prima facie rights might be taken as an absolute claim by
another; or a claim about non-interference rights might be conflated with a claim
about rights to affirmative assistance.
It is particularly important to see both the separations and the connections
between outcomes and the processes that led to them. Process and outcome are
not the same, but they are not completely distinct either. "Outcome" can be
described in ways that reflects aspects of its origins and "process" can be
formulated to embrace certain outcomes.^'
Now, at some point in seemingly identical processes, persons reaching
different outcomes must diverge on something, including identification or use of
criteria. This can happen at any point. One must thus determine at what stage
or level of abstraction or particularly a process is being attacked, whatever the
conclusion. Something may well have gone wrong, in the critic's eyes, whether
at the end or earlier in the process. But, the critic may mistakenly look only to
the outcome to determine that the field is radically infirm.
Consider this exchange: "No, I reject physician-assisted suicide because it
is too likely that life will be lost when it should not be." "Wrong, it is not that
likely." If this is a disagreement on the rough probability of erroneous suicide
is, neither side can, without more, rightly complain of the quality of the other
side's moral analysis, unless their moral frameworks have distorted their
empirical lenses. On the other hand, if the disagreement is about whether a
certain error rate is too great to bear, or about what even constitutes an error, it
is likely to be a moral disagreement. It would be inappropriate, however, for the
one side to say that the other side's position is radically infirm solely because,
using the same basic moral architecture, it arrives at a different moral conclusion.
Of course, the differences may start at the beginning. The disputants may
strongly disagree on what sorts of lives should or should not be lost, a
disagreement more likely to rest on value differences than on factual disputes.
Or they may agree on certain threshold matters (e.g., on which values are the
dominant ones) and then disagree on either factual issues (e.g., how do
physicians actually behave in end-of-life situations?) or particular value issues
(say, about whether limiting a patient's suffering morally edges out the risk that
she will die weeks or even months too soon). These outcome differences are
hardly trivial, but it vastly overstates the case to say that the one side or the other
is invoking the wrong paradigms or is indifferent to various legitimate interests.
So, outcome disagreement does not warrant mutual accusations that the
processes behind the conclusions must have broken down because of design
defects or flawed reasoning. There are kinds and degrees of breakdown and
ultimate failure. Additionally, there may be irremediable disagreement on what
even constitutes failure of any sort. Failure has a complex structure and
taxonomy. An analogy, for example, may yield different results for different
61. "Process," in this context, includes tiie substantive criteria used to describe and to
evaluate.
46 INDIANA LAW REVIEW [Vol. 33:17
analogizers. The analogy is not broken down or useless because of this.
Consider, for example, the idea of a commercial transaction as applied to
human reproduction. A surrogacy arrangement can be as much a commercial
exchange as the purchase of a clothes dryer. But saying this and abruptly ending
the analysis is an immense descriptive and normative/conceptual error. Some
indeed use the comparison to attack surrogacy as causing or constituting human
commodification (the commercial version of objectification) by stressing the
similarities between the two transactions — and then stopping without considering
their differences. It is hard to see how the analysis could possibly be complete
without doing both; there is no other rational way to deal with a purported
parallelism. Moreover, the analogy is mishandled if one does not see that what
even counts as "similarity" or "difference" may be contested. If a commentator
or a discipline characteristically fail to confront both similarities and differences
and the difficulties in recognizing them as such, then its decision making
processes are indeed infirm. Making comparisons with blinders on may reflect
bias and prejudgment, conflicts of interest, lack of time for reflection, or lack of
acuity. Disagreement about the results of the comparison, of course, does not
nullify its worth; one's final judgment, however, is far better informed.
Moreover, an analogy may be useful in some contexts and not in others. For
example, some nontrivial constitutional value probably applies to most forms of
assisted sexual reproduction — artificial insemination ("AI"), IVF, etc.: with
respect to sexual union in the general biological sense, they are identical. The
social relationships involved may vary, but few doubt the status of these
processes as human reproduction entitled to some constitutional protection.
Some commentators, however, think that human asexual reproduction is so
radically different that all constitutional bets are off: it is outside the Fourteenth
Amendment's procreational autonomy ballpark. Its distance from paradigmatic
sexual reproduction cannot be measured because the notion of "distance" does
not readily apply. What is contested here is the very status of sexual
recombination as a defining characteristic of human reproduction; the birth of a
child is, for some, not enough to trigger constitutional protections of procreation.
For such observers then, comparison to a paradigm may work pretty well for
AI, IVF, and even posthumous reproduction, but not for human cloning.^^ The
paradigm does not help establish anything one way or the other, or so one might
argue. The asexual nature of cloning drives some critics to say, in effect, that it
makes no sense to talk of the linear distance between sexual and asexual
reproduction: they are utterly distinct and rival processes that should not bear the
same designation — "procreation."
The upshot is that use of analogy or comparison to a paradigm need not be
universally serviceable; the processes are not completely worthless merely
because they sometimes fail. Much the same applies to entire disciplines: if the
discipline reaches a decision different from yours, it will take a lot more beyond
this bare fact to establish a failure of process and an impeachment of its
62. See Michael H. Shapiro, / Want a Girl (Boy) Just Like the Girl (Boy) That Married Dear
Old Dad (Mom), 9 S. Cal. Interdisc. L.J. (forthcoming 1999).
1 999] IS BIOETmCS BROKE? 47
practitioners.
2. Warring Philosophical Movements or Dispositions. — To explain outcome
disagreement as the result of differing processes (understood as modes of
reasoning and evaluation) may understate the gulf separating antagonists. One
movement may claim to be at war philosophically with how another proceeds, as
when a pragmatist complains of fixations on abstractions — not particular
abstractions but abstractions generally — as opposed to the particularized
circumstances and context of a case. Another standard example is the contrast
between consequentialism (utilitarianism is its best known theory) and
nonconsequentialism. Even if the distinction is somewhat overdrawn^^ (and for
some it is not exhaustive) the two arenas are quite different.
3. Disagreements over the Status of Particular Values, Such as Autonomy,
Fairness, Justice, Equality, Privacy, and Utility. — To invoke autonomy without
attending to countervailing considerations^"* is a moral error. As I have said
elsewhere, autonomy is not everything. But if one is faulted for relying on
autonomy at all by others who think that it is largely immaterial, this deep moral
disagreement is, again, not well characterized as resting on mistakes or errors on
either side. Much the same can be said of persons who differ on the placement
of autonomy in the hierarchy of values.
4. Disagreements About Matters of Fact — or Are They? — Disagreement on
material facts also accounts for discord on how to evaluate and respond to actions
and situations. However, apparent strife over facts often masks serious
moral/philosophical disagreement. Few scholars need to be reminded about the
role that cognitive perspectives, frameworks (normative and otherwise), schemas,
scripts, and the like play in our perceptions. A purported statement of fact may
represent a partial or overinclusive vision generated by one's attitudes and
values. In this sense, the factual claim is normatively ambiguous.^^
63. See Samuel Freeman, Utilitarianism, Deontology, and the Priority of Right, 23 PHIL. &
Pub. Aff. 313, 348 (1994) (observing that "the teleology/deontology distinction does not mark a
contrast between moral conceptions that take consequences into account and those that do not. No
significant position has ever held consequences do not matter in ascertaining what is right to do.").
64. The primary meaning of "countervailing considerations" concerns jeopardizing or
injuring interests that might be harmed by an exercise of autonomy (including at least some harms
to the actor, under most political/moral philosophies). These considerations can be taken to include
the presuppositions or preconditions of autonomy: competence; authenticity; voluntariness and
absence of coercion and undue influence; (possibly) deliberation; and (possibly) no false
consciousness. (These elements are not of equal import, either as a matter of theory or in specific
situations, but there is no reason to refine the specification here.) If any of these presuppositions
do not hold, a variety of interests are imperiled, including that of the actor. For clarity, referring
to the presuppositions as a particular subset of countervailing considerations seems better.
65. Simple-sounding statements such as "Doing x poses significant risks that have been
scientifically validated" are classic examples. What risks are "significanf rests in part on value
judgments; what is "scientifically validated" rests on value judgments about what risks of factual
error we are willing to tolerate. For example, a requirement that a randomized clinical trial display
a result that is no more than five percent likely to be a matter of chance as opposed to therapeutic
48 INDIANA LAW REVIEW [Vol. 33:17
5. Semantic Confusion. — In any dispute, there may be misunderstanding of
the meanings of basic terms. "X has a right to advocate action Z" can be taken
as the statement of a simple absolute, a defeasible prima facie statement, or a
bottom-line conclusion taken after considering all countervailing considerations
(e.g., the risk of a riot or other unlawful conduct). Perhaps some complaints
about excessive attention to rights take the claims of right in an absolute or
bottom-line sense when this is not intended. The moral premises underlying
these different kinds of rights claims can be quite different.
The claim that bioethics is badly in need of repair is thus no simple matter
to (dis)confirm. There is repair and there is repair. A leaky faucet that runs dirty
water because the household pipes are old is one thing; a poisoned reservoir is
something else. From my viewpoint, if bioethics is in some disarray (I have
strongly criticized the anti- technology viewpoint),^^ it is not because the
discipline as a whole has missed major points, needs paradigm replacements, or
is impermissibly indifferent to relevant moral, political, and factual
considerations. It is because some of its practitioners hold value-orderings
different from mine that lead them to downgrade considerations I find compelling
and in turn lead them to present what I see as loose and incomplete arguments.
At that level of abstraction, my own critique of bioethics is in some ways the
reverse of what now appears to be the standard critique, which complains of
immoderate attention to abstractions, especially autonomy, and to legal rights and
processes.^^ However, my critique does not suggest that the field is now
oblivious to abstractions and to law; I do not mean to make the same sort of all-
or-nothing error I am complaining that others make.
The critique of bioethics that I am opposing here in some ways parallels
better-known critiques of Western culture generally: complaints about excessive
attention to particular values (primarily autonomy), identifiable rules, principles
and standards, and so on. Fortunately, I cannot presently relate what I say here
efficacy is not based on some universal constant that defines scientific validity. See Brock, supra
note 4, at 221.
It is not that the common intuitive distinction between moral considerations, such as
promise-keeping, and nonmoral considerations, such as financial costs, is mistaken. The
mistake is in thinking that moral judgments can avoid weighing the two when they come
into conflict; when that occurs, the financial cost becomes a morally relevant
consideration in the moral judgment about whether the promise ought to be kept.
Id.
66. See, e.g., Shapiro, supra note 47; Michael H. Shapiro, How (Not) to Think About
Surrogacy and Other Reproductive Innovations, 28 U.S.F. L. REV. 647, 664-67 (1994).
67. Cf. Stephen Darwall et al., Toward Fin de siecle Ethics: Some Trends, in MORAL
Discourse and Practice: Some Philosophical Approaches 3, 32 (Stephen Darwall et al. eds.,
1997) (observing that "debate has now extended even to the metaphilosophical level, as
philosophers have asked with increasing force and urgency whether, or in what ways, theorizing
is appropriate to morality.").
1999] IS BIOETHICS BROKE? 49
68
to such global commentaries.
C. Excessive Focus Within Bioethics on the Application of Rules,
Principles, and Standards; Formalism
I. Abstractions and Formalism. —
a. Generalizations in general. — If the complaint is that bioethics or other
disciplines rely to any significant extent on "abstractions" — in particular, to
rules, principles, and standards — it is absurd, and I doubt anyone really thinks
otherwise, despite some loose talk. Distinctively human thought and decision
making are generally impossible without abstractions. This holds whether the
abstractions are formed and used nonconsciously, and whether we can even
articulately state them. Pragmatists, as I understand them, do not deny any of
this.
What, then, is the claim of over-attention to generalities all about? The push
is for lawyers, judges, legislators, agencies, scientists, physicians, and
commentators to pay more attention to particular individuating circumstances and
less attention to the logic of the relevant abstractions. Of course, one must
necessarily deal with both. Whether some level of abstract discourse is over or
under-done may rest on contested moral/conceptual issues that are familiar in
law, philosophy, and public policy. When one claims, for example, that "the rule
should be bent to do equity in particular situations," one is likely to think that the
rule itself should be clearly (re)formulated to cover the contested situation. To
say, then, that one is overdoing the abstractions and underdoing the facts is at
bottom to call for a review of what particular circumstances are material in light
of selected abstractions, perhaps in the form of rules, principles or standards.
There may, of course, be disputes on the interpretation of the abstractions and on
the very choice of abstractions, but the point remains that the abstract statement
that one is being too abstract itself rests on the abstractions selected and
interpreted. Its bare articulation may simply be a loose way to state a moral
preference. Depending on the circumstances, abstractions can even remain
unmentioned. Everyday characterizations of right, wrong, good and bad do not
generally require a display of theoretical underpinnings, but these abstractions
remain part of the hidden infrastructure of moral justification.
This account may not dispel reservations about "the rarified air of conceptual
analysis," the results of which may or may not bear on "provid[ing] solutions to
practical moral problems."^^ However, there is little to support a claim that
bioethics is lost in the clouds or the Platonic realm of Forms. Decisions are made
despite uncertainties at every level of abstraction, and it is entirely possible to
"compartmentalize" one's decision process at particular levels, insulating it from
68. Cf. Constance Holden, Reason Under Fire, 268 SCIENCE 1853(1 995) (quoting Sandra
Harding, "who thinks Newton's /'rmc/p/e^ of Mechanics reflects patriarchal, exploitative Western
thinking, and therefore might as well be called 'Newton's Rape Manual'").
69. Cf. Holmes, supra note 15, at 144.
50 INDIANA LAW REVIEW [Vol. 33:17
other levels7^ Sometimes it is the Forms that require attention — what they are,
what they mean. Sometimes they are rightly taken as given, and it is the
particular circumstances that require attention. For example, in Davis v. Davis^^
the court, after identifying the governing abstraction of procreational autonomy,
held that Mr. Davis should not be compelled to risk becoming a genetic father
because the burden on him would be greater than that imposed on his former
spouse. ^^ The court therefore disallowed the implantation of the cryopreserved
embryos he shared with his former wife, who wished to see them implanted in
other women.^^ Presumably, if the issue again arises, the abstraction can be taken
as given and everyone can concentrate on the particulars. This is, in fact, often
desirable: we cannot give our full attention to every level of discourse even for
a single pressing decision. However, for full validation, at some point every
level requires attention to every other level, or justification for particular
decisions will be incomplete.^"*
h. Who has missed what?; examples. — Here is a rule: "If you file your
complaint sounding in tort more than a year after the injury was inflicted, your
claim is time-barred." There is no provision for tolling. It is a flat rule that
admits no individuating circumstances — even the fraudulent conduct of the
physician or other tortfeasor.
In some cases, this rule seems unfair; potential plaintiffs may have many
plausible excuses — e.g., inability to find a lawyer, fraudulent concealment, and
so on. However, the limitations rule says, "too bad." The legislature has decided
that attention to individuating circumstances is inappropriate here because it is
inefficient and excessively burdens physicians as well as others. The argument
against this is not about whether we use abstractions, but about using the wrong
ones or using sound ones inappropriately. Some may urge that it is too hamfisted
to rely on "efficiency" and "excessive burdens" because it bars just claims
against wrongdoers.
So, the competing fairness and efficiency arguments from patients and
physicians reflect, in part, value disputes, and some of them rest on empirical
70. Cf. id. at 1 5 1 (describing the view that bioethical issues "can be analyzed in a way that
is largely neutral with regard to such commitments [to normative and metaethical theory]").
71. 842 S.W.2d 588 (Tenn. 1992), cert, denied, 507 U.S. 91 1 (1993).
72. See id at 598-604.
73. Mr. Davis had a special fear of being a father with incomplete access to his children
because as a child he suffered from parental absence. See id. at 603-04. The former Mrs. Davis had
remarried and did not want to implant the embryos in herself See id. at 590.
74. Cf. Holmes, supra note 1 5, at 1 45 ("Solutions to these [moral] problems may be thought
to require the findings of any or all of the other three areas of philosophical ethics [metaethics or
moral epistemology; normative ethics (i.e., concerning "the correct principles of rightness like
utilitarianism or Kantianism") and applied ethics]."). Holmes also characterizes the current views
on G.E. Moore's metaethical analyses ("[m]uch of twentieth-century ethics has departed from
Moore in this belief that the question of metaethics (particularly with regard to the meaning of
ethical concepts) must be answered before one can effectively tackle the questions of normative
ethics."). Id. at 146.
1999] IS BIOETHICS BROKE? 51
issues concerning physician and patient behavior under different rules. The
argument at this stage is not that a rule (an abstraction) was applied — it is that the
wrong rule was applied.
The complaint about using abstractions is thus a complaint that morally
relevant individuating circumstances are being shorted by particular rule. The
call for action, then, is not to quit the use of abstractions but to make them more
responsive to the varieties of different situations. Sometimes particulars should
be shorted, sometimes not; that is the dispute — what the very nature of the rule
and its elements should be. Despite some hyperbolic remarks by philosophical
and legal pragmatists, it is unconvincing to argue (using abstractions, of course!)
that moral and legal reasoning simply require close attention to particular facts,
circumstances, and situations. Oliver Wendell Holmes, Jr., did indeed say that
"[gjeneral propositions do not decide concrete cases."^^ But, neither do
"particular" propositions; one needs both.
Now, for which bioethical issues or subdomains have bioethicists paid too
much attention to abstractions? Or, better yet, when have they wrongly failed to
formulate the proper abstractions — those that make outcomes depend on morally
relevant particulars? For example, what issues in death and dying reveal this
moral error? The physician-assisted suicide ("PAS") debate? Who has missed
what issues? The Oregon law does not require screening of PAS applicants for
depression.^^ I believe this is an error because of the likelihood that depression
will distort a person's thinking generally, and her perception of her own settled
preferences in particular. "Mood" and "thought" do not exist in disconnected
universes.
No one has "missed an issue" here. Nearly everyone knows of the risks of
depression- induced distortions of mind — "distortions" in the sense that one's
announced decisions may differ from one's future settled preferences. Why not
require psychiatric evaluation and treatment? As far as I know, psychiatrists do
not have direct pipelines to The Truth, but they and their medicines have been
shown to be reasonably effective (though even this is contested) in treating
depression. Perhaps PAS supporters place too low a value on loss of life.
Perhaps / place too low a value on the avoidance of suffering. Perhaps I
overestimate the risks of abuse— or have an overly expansive view of what abuse
is. Perhaps the others underestimate the risks and have an unduly narrow view
of what constitutes abuse. Perhaps I am too fearful that institutionalized PAS
will engender increasing impatience with disability and infirmity. Perhaps the
others aren't fearful enough. We seem to have different dispositions concerning
what risks of error we should bear. Recall that the parties in Bouvia v. Superior
Courf^ and Thor v. Superior Courf^ changed their minds about wanting to die.
Ms. Bouvia is alive as of this writing, and Howard Andrews, the prisoner-patient
in Thor^ died of other causes.
75. Lochner v. New York, 198 U.S. 45, 76 (1905) (Holmes, J., dissenting).
76. See Death With Dignity Act, ORE. REV. STAT. §§ 127.800-127.897 (Supp. 1998).
77. 225 Cal. Rptr. 297 (Cal. Ct. App. 1986).
78. 5 Cal. 4th 725 (1993).
52 INDIANA LAW REVIEW [Vol. 33:17
Moral/factual disputes of this sort are not evidence of a field's "breakdown"
or its failure to take into account critical concepts, interests and perspectives. As
for missed issues: One could say, trivially, that if two persons disagree,
something is being "missed" — not seen, not felt, or insufficiently appreciated;
someone "does not get" something. Prolonged absence of consensus is not
evidence of a field's fatal flaws, however. If anything, it is some evidence that
consensus is unlikely to or cannot be achieved, given the major collisions of
value and the absence of overarching moral algorithms that can settle the
disputes.
Obviously, sometimes something is missed, or at least one can plausibly
think so. But in many cases, even claims that are incomplete or confused should
nevertheless be made for the illumination they bring. In the debate over PAS, for
example, some critics of the practice insist that patient screening for clinical
depression be mandatory. Their position is that the distortions of mood and
thought entailed by such depression is incompatible with any rationally plausible
autonomy ideal. Failure to require such screening undervalues autonomy and
overvalues the goal of avoiding suffering in its various forms. Perhaps so. But
one of the few discrete issues largely missed in the PAS debate is that severe,
long-standing, refractory depression is arguably more of an indication /or PAS
than for blockading it. This point has long needed to be made and the obvious
value tensions further analyzed. Yet that deficiency alone impeaches neither the
debate nor bioethics as a field; the initial point about screening for depression,
incomplete as it was, inevitably leads to the question of what to do about
unmanageable mental conditions, and beyond that to PAS for incompetent
patients.
This foreshadows a point already mentioned and to be expanded later. In
many cases of value conflict, it is impossible in principle to achieve theoretical
moral closure with whatever moral theory or theories we are armed, even if we
achieve (transient?) consensus. This instability or indeterminacy is built into the
conceptual and normative structures we use, from foundational levels on down.
The disputes will no more be settled than all the digits of TTwill one day be
identified.^^ This is not a nihilistic announcement: ^° such indeterminacy is very
79. Cf. 1 Friedrich a. Hayek, Was Socialism a Mistake?, in THE FATAL CONCEIT: THE
Errors of Socialism 6, 8 (W.W. Bartley III ed., 1988).
Although I attack XhQ presumption of reason on the part of socialists, my argument is in
no way directed against reason properly used. By "reason properly used" I mean reason
that recognises its own limitations and, itself taught by reason, faces the implications of
the astonishing fact, revealed by economics and biology, that order generated without
design can far outstrip plans men consciously contrive.
Id.
Cf. Holmes, supra note 15, at 144.
[M]uch of the analytically inspired work on bioethics has as little practical value for the
answering of the basic moral questions of bioethics as Aristotle thought Plato's account
of the good to have for conduct in general. This is not to disparage such ethics or to
deny its intrinsic theoretical interest; it is only to suggest that more should not be
1999] IS BIOETHICS BROKE? 53
far from making these structures meaningless; indeed, it is logically linked to
their very usefulness as abstractions.
Consider now an example in assisted reproduction. What have commentators
failed to track in their literature? What have judges and lawmakers failed to
grasp? What have bioethics practitioners generally overlooked? The legal
system may have remained silent on various matters, but this does not entail
unawareness, and may or may not be a sign of lack of courage. Who, anywhere
in the field, has simply assumed that "whatever is, is right" and acted blindly to
ratify the Patriarchal Establishment? The literature spills over with
commentaries about objectification, commodification, exploitation,
marginalization, dehumanization, and so on. Is contesting the claim that such
feared processes will occur or that they are always to be regretted a sign of
intellectual and moral collapse? Perhaps that side just doesn't get it. On the
other hand, some think that too much is made of bare opportunities for
reproductive choice (they read it as "license") and not enough of individual
coercive or exploitative situations that compromise true autonomy. Perhaps they
undervalue autonomy as opportunity for choice. Perhaps this side — or even both
sides— don't fiilly get it (whatever "it" might be).
Another example from a different arena is behavior control. In Washington
V. Harper^^ the U.S. Supreme Court, though purporting to recognize an
important "liberty interest" in refusing antipsychotic drugs, upheld the state's
power to treat prisoners with such medications over their objection, if medically
indicated — and without regard to whether the prisoner 's refusal was competent.
Before that, some cases in the lower courts held precisely the opposite:
competent objection was decisive.^^
Once again, who is missing what? Where is the fatal flaw? Did the Harper
Court overvalue the expertise and interests to be furthered by medical and
correctional officials and undervalue autonomy? Are those who object to the
Harper result overvaluing autonomy, and if so, what form of autonomy?
Now, I do not wish to over-defend Harper. It is very far from a paragon of
right reason. One of its principal flaws is its underestimation of the gravity of the
conflicts of interest involved in the situation: the psychiatrists at the
diagnosis/treatment level are reviewed by peers who are affiliated with the
institution; the review panel staff are members of the institution and have duties
to further both institutional purposes and the interests of patients-prisoners.
expected of it than it is capable of delivering.
Id.
I add here, as in the text, Holmes' qualification to his "limited relevance of analytical ethics"
argument: the careful workings of bioethical and related legal analyses may settle a given problem
for any given decisionmaker.
80. On nihilism, see Joseph William Singer, The Player and the Cards: Nihilism and Legal
Theory, 94 YALE L.J. 1, 3-5 (1984) (discussing several senses of "nihilism," including, nihilism as
"anything goes" and as a view that no consistent principles unify legal reasoning).
81. 494 U.S. 210(1990).
82. See, e.g., Keyhea v. Rushen, 223 Cal. Rptr. 746, 754-55 (1986).
54 INDIANA LAW REVIEW [Vol. 33:17
Although the Court did not cite the Hippocratic Oath in direct response to the
conflict of interest charge, it may have thought that the Oath all but solved the
problem, thus grossly overestimating the Oath's influence and even the extent to
which it is taken by physicians.^^ Nevertheless, the issues were ventilated, even
if judicially mishandled. In any case, the deficiencies of formal education are
hardly unique to bioethics.
In a moral dispute, as I said, one side or another is (not) seeing or (not)
feeling something — perhaps something big, perhaps just a sliver. At any stage
of argument, including the penultimate steps, whatever drives one side toward
result X and whatever drives the other side toward not-X, separate minds have
not fully "met." Perhaps individual minds barely met within themselves. This
is so with all moral disagreement and does not establish terminal intellectual
disarray among the warring parties. The "he doesn't get it" rhetoric may thus be
inappropriate in many cases.
Thus, if the objection concerns inattention to particular circumstances that
may affect application of the abstractions, that is one thing: such failures may
be irrational unless resource constraints require exclusion of further factual
inquiry. Sometimes the more fundamental objection is to the use of the wrong
abstractions — although in some cases, little is gained and something may be lost
by substituting one set of abstractions for another. But neither of these is an
objection to the use of abstractions.^^
What is mainly at stake is identifying which abstractions should apply and
which particulars are morally and legally material given these abstractions. The
two inquiries are strongly linked in complex cyclical ways that are hard to
83. The conflicts of interest were pointedly described in Justice Stevens' concurring and
dissenting opinion. See Harper, 494 U.S. at 251-57 (Stevens J., concurring in part and dissenting
in part). He noted that the panel members "were regular staff of the [Special Offender] Center, an
institution for mentally disordered convicts." Id at 253. The Court mentioned the Oath in
response to the argument that the treating physician might use psychotropic drugs for inappropriate
purposes (apparently pure behavior control, without reference to the presence or absence of
disorder). See id. at 223 n.8. Justice Stevens rightly derided the claim. See id. at 245 n.U. For
a strong criticism of the way in which the Harper majority dealt with the conflict of interest issues,
see Conflicts of Interest, supra note 34, at 66-68.
84. But see Stanley Fish, When Principles Get in the Way, N.Y. TIMES, Dec. 26, 1996, at
A27. Fish criticizes Herbert Wechsler for analyzing the segregation cases in light of principles of
association, and complains about asking whether affirmative action is fair or is reverse racism. The
right questions, he urges, are "whether the schools should be shut" and asks of affirmative action,
"[d]oes it work and are there better ways of doing what needs to be done?" Id. But how does one
think about whether the schools ought to be shut? What does it mean to ask whether affirmative
action "works"? What are the criteria for "working"? Isn't the "working" of affirmative action
precisely what some people complain of and others endorse? There is no escape from principles
and abstractions generally, and probably no escape from conceptions of fairness and freedom of
association in particular. The proposed replacement of questions is worse than useless; it muddles
things still more by removing one set of obscure abstractions (say, fairness) and installing an even
more obscure set ("Does it work?"). This isn't progress; quite the reverse.
1999] IS BIOETHICS BROKE? 55
specify. The hunt for material particulars entails reference to the moral or legal
abstractions by which materiality is determined. However, it also requires
closely inspecting the living circumstances, both to confirm what they are and to
search for new insights — perhaps facts that vividly call attention to what might
have been overlooked as material under the reigning abstractions. Attention to
particular circumstances thus provides feedback into the system of abstractions,
producing adjustments and even major revisions.*^
Here I make another forward reference, this time to the discussion of
"overlegalization" and the evils of adversary legal systems. Resorting to law and
legal disputations is a prime mechanism for searching out new perspectives and
frameworks of thought and to determine what lenses the protagonists are using
to see and judge the world. That is at the core of what lawyers and judges do,^^
although they often do not do it well. Law and its abstractions, rightly viewed
and practiced, do not strangle the intellect or distort our affect — ^they do precisely
the opposite. This may often be done at an excessive price, and other social
mechanisms for communication and decisionmaking may sometimes do it
better.^^ Moreover, some professional personnel are ill-suited for the task.
(Walk into a few courtrooms and listen to the lawyers and judges.) However,
given the immense variations in our personal circumstances, deliberation and
some degree of contention about abstractions and their applications are essential
in determining how to formulate our rules.
c. Formalism: More on abstractions and concretions .—ThQ appropriate
complaint concerning abstractions, as I just argued, is about the rational skills
used in selecting them and joining them with "concretions." Certain flaws in
pursuing this process are often faulted as "formalist."^^ I cannot interpret that
concept at length here, but something should be said about it because of
complaints — perhaps not framed in terms of "formalism" — ^that bioethics is
indeed burdened by its practice.
Three preliminaries: First, we need to discard the strange claim that we are
all formalists because we insist that human thought generally, including moral
and legal argumentation, must satisfy basic rules of logical inference. Everyone
is constrained in this way, even those who go on about logic being just another
belief system. If P implies Q and P is true, then Q is true; if Q is false, then P is
false. No one is a "formalist" in some pejorative sense for acknowledging these
claims. If that is all it takes to make one a formalist, everyone is a formalist.
Insisting that a conclusion follow from its premises is not the mark of benighted
bioethical (or other) analysis.
8 5 . See Dan S imon, .4 Psychological Model of Judicial Decision Making, 3 0 RUTGERS L.J.
1 (1998) (discussing cognition injudicial problem-solving).
86. See generally Michael H. Shapiro, Lawyers, Judges and Bioethics, 5 S. Cal. Interdisc.
L.J. 113(1997).
87. See generally STEPHEN P. GOLDBERG ET AL., DISPUTE RESOLUTION 1 49-53 ( 1 985).
88. See generally Frederick Schauer, Formalism, 97 YALE L.J. 509 ( 1 988) (arguing that the
term "formalistic" should not be used as a blanket condemnation of a decision-making process).
56 INDIANA LAW REVIEW [Vol. 33:17
Second, although there seems to be some precedent for it,^^ "formalism" is
not used here to refer to having a rule-based legal system at all as opposed to
something else such as lotteries or potentates' whims. Those who use the term
that way may in fact have in mind a rule-based legal system of a certain
sort — one in which the rules do not sufficiently address or allow for a variety of
material considerations, or at least are so interpreted. One might then assert that
the law-makers are "formalist" — although "rigid" or even "morally
impoverished" might be better descriptions.
Third, legal formalism has properties shared with any mode of applying
rules, including the most preferred modes. To have a rule-governed system at all,
which is a critical aspect of at least most versions of the rule of law, the rules
must bind or channel independently of irrelevant variables. Thus, principles of
equality, however difficult to apply, require rules providing that for given
purposes persons are to be treated alike despite certain variations among them.
Race, ethnicity, and gender are irrelevant under the rules conferring the right to
vote. The same equality principles also require that for given purposes persons
89. Cf. Aaron Kirschenbaum, Equity in Jewish Law: Halakhic Perspectives in
LAW — Formalism and Flexibility in Jewish Civil Law 3-4 ( 1 991 ). The author states that
[T]he glory of the law — its sublime generality — is its very undoing. For in its passion
for uniformity and stability, the law enlists the aid of formalism. Its indifference to
persons may produce heartlessness; its impartiality, injustice; its rigid consistency,
absurdity. How inadequate may the predictable rule appear! The primary meaning of
formalism refers to the theory of the practice of rigid adherence to prescribed external
forms.
Id. The author argues that
according to the Rabbis, legal formalism has been one of the plagues of mankind from
its inception. The dispute between Cain and Abel was engendered by each one's
inordinate insistence upon his legal rights. [The author then quotes the Bible]: "One
took the land and the other the movables. The former said, 'The land you stand on is
mine,' while the latter retorted, 'What you are wearing is mine.' One said 'Strip;' the
other retorted, 'Fly '"
Mat 2 1-22.
Both passages require reconstruction. The first is certainly on the mark in noting, in effect,
that the governance of rules bears risks of error in two directions: in failing to follow the generality
of the rule, one risks its very status as a rule, or as a rule of a particular sort; but in failing to take
account of material matters bearing on the evaluation of the outcome, one risks unfairness and
injustice. However, this does not mean having a rule at all should be dubbed "formalist." One can
have good rules and bad ones, and either sort can be interpreted in proper and improper ways. The
second passage is about insisting on the enforcement or implementation of one's rights. This may
be "rigid," "inflexible," and "mean-spirited," and perhaps, speaking very loosely, "formal istic," but
this usage does not reflect the usual jurisprudential meanings of "formalism." Both Cain and Abel
may have been jerks (who knows what really happened between them?), but not necessarily
formalists. To say that in certain situations one should not stand on her rights is more a
commentary on the status or application of the right or on the right-claimant's character than on the
merits of different interpretive theories.
1999] IS BIOETHICS BROKE? 57
are to be treated differently because of their variations. Incompetent persons
cannot execute valid wills. Persons who do not know French ordinarily should
not be hired to teach it. The supposed "inflexibility" or "rigidity" here is not an
objection — it is virtually the whole point. Stolid fixity is chosen to constrain
both government and individuals in the rule-specified ways. Assuming the
substantive soundness of the rules at stake, equality, fairness and justice require
that irrelevant particulars be ignored. Discretion to take these particulars into
account is precisely what is to be avoided. Some rule-systems are supposed to
be flat-footed or hamfisted. Indeed, in such cases the rule scheme and its
applications are unlikely even to be called "formalisf (or "inflexible" or "rigid")
because of the pejorative aura of these terms. If formalists are more oriented
toward abstractions than particulars, this is a predilection to be preferred in the
appropriate contexts and with appropriate limitations; it takes all kinds.
To call a form, style, or instance of legal reasoning "formalist" is thus more
than a description; it is at bottom a moral complaint, even if dressed as a matter
of pure legal theory. The main substance of the complaint, at least for our
purposes, is that formalist decision making rests on an impoverished set of
morally relevant factors. That is, the characterization and evaluation of conduct,
conditions, and processes within a given legal interpretive system regularly
exclude morally relevant matters. Formalism can be ascribed to interpretation
of law, to law making, and possibly to the particular law itself, although the
former seems the best fit. (The two do not necessarily run in parallel. For
example, a legislator constructing a rule sensitive to many particulars may
nevertheless be a formalist in interpretation.) Similar remarks apply to
characterizing moral reasoning as formalistic.
(i) Formalism in legislative or administrative rule-making. — Consider a
legislatively created set of sentencing guidelines (ignoring constitutional
limitations). The law provides for fixed sentences — not a range but a specific
penalty, no more and no less, for all persons convicted of specified offenses. No
facts are material except whether the elements of the offense have been satisfied
and no defenses have been shown. There is, of course, always wiggle room — ^the
prosecutor's decision to prosecute and for what; what evidence to introduce; and
the wide and largely unreviewable discretion lodged in juries and indeed in
judges, whether they are engaged in fact-finding, law-applying, or even law-
finding. However, in the main, the fixed penalties do not take account of, and
forbid consideration of, any factors not specified in the definition of the offense.
If killing your spouse is capital murder because you satisfied the elements of the
crime and no defenses have been made, the fact that you were continually and
severely battered by her cannot be used to avoid the death penalty. Of course,
from a judge's standpoint, her application of the sentencing guidelines is not
rightly called "formalistic;" she is simply following the rules laid down by a
legislature acting, from its moral perspective, to create a "formalist" system of
legal rules.
Consider a parallel example: a rigid administrative rule that no one over
sixty-five can receive a heart transplant. (Leave aside the question of whether
this example violates existing federal or state laws.) Assume that the average
five-year survival rate for those patients has been shown to be noticeably lower
58 INDIANA LAW REVIEW [Vol. 33: 17
than for recipients under sixty-five. Thus, there is greater organ "waste." On the
other hand, to individuate the conditions of heart patients over sixty- five will be
costly and may result in less or lower quality health care for others. Again, we
have a formalist system.
(ii) Formalism in common law rule-making. — Courts are the most common
targets of formalism charges. Their decisional law may fail to take account of
proper individuating circumstances — perhaps even when one might think the
legislature meant to be rigid, as in the above examples. Think of a judicially
crafted informed consent rule based on physician custom: whatever it is that
physicians characteristically disclose or withhold under specified circumstances
determines what any given physician must or need not disclose to a patient,
regardless of her particular needs or circumstances. How one describes the rule
may vary: the rule is "informed consent is required," but it is applied in
conformity with physician custom, not the needs of the reasonable patient. Or,
the mode of "application" can be built into the rule: "informed consent
requirements are satisfied only if the physician's disclosures conform to
physician custom under parallel circumstances."^^
So, if physicians customarily do not volunteer the five-year survival rate for
liver transplantation to their patients, it need not be disclosed, though, if it is
specifically requested, it may have to be. Calling the rule and its application
"formalisf is a clumsy way of expressing criticism of the prevailing rule on its
merits. Suppose, however, the rule is defended on the ground that the cost of
highly individuated predictions for each patient is too great, and that insisting on
it would raise prices for medical services generally and thus make the worst off
even worse off. Perhaps the formalism is justified — or is "justified formalism"
an oxymoron? Flat rules, one should recall, are often appropriate or even
required. Perhaps neither they nor the courts that apply them should be called
formalist. Anyone accused of a sufficiently serious crime has a right to a fair
trial, no matter how clear her guilt appears to be. Would you prefer a more
nuanced rule to save money when everyone knows the wretched person is guilty?
Formalism in adjudication or rule-making thus embodies a moral
purblindness and inflexibility that both reflects and leads to overconfidence in
one's understanding of abstractions. Formalism is, in at least in part, defined by
a simplistic view of the content of these abstractions. It embodies a heroic belief
that our categories can be easily and comfortably applied. There is a lack of
situational focus — a failure to take account of enough relevant variables. Such
inattention to morally material factors distorts the proper uses of abstractions and
leads to wrongheaded outcomes. There is an insufficient degree of receptivity
to new normative insights in the interpretation of major value concepts and an
willingness to consider revising or replacing existing rules, principles and
standards.^' Legal segregation of the races in public facilities and institutions is
90. The "reasonable patient standard" was adopted in Cobbs v. Grant, 8 Cal. 3d 229 ( 1 972).
91. It remains difficult, however, to state whether any given interpretive path is
"formalistic." One can mine the standard example of the battery-powered tricycle in a park
governed by a rule forbidding the operation of motor vehicles within it. Is it formalistic to rest
1999] IS BIOETHICS BROKE? 59
almost always wrong, but in a prison race riot it would be crazy not to separate
antagonists by race until things cool down.^^ Penalizing such separation would
represent a clumsy, dangerous, and formalist application of the general rule.
In general, then whether one thinks a process is "distorted" because it is
formalistic depends on one's moral framework, and not merely on matters of
description. Whether "the situation" is sufficiently individuated is ultimately a
moral issue concerning what criteria should be taken as material in judging it.
One is not being "formalistic" in any pejorative sense when one insists that the
only criteria for being a voter in general elections in a democracy are citizenship
and adult status (specific disqualifications and administrative requirements
aside). Differentiating certain particular situations is exactly what one is not
supposed to do when recognizing who has the perquisites of personhood and is
seeking to exercise them in various situations. Just when such differentiations
are called for may be contested — e.g., the distribution of seats in an educational
program. But it is often quite clear which is which.
(Hi) Formalist interpretive theories applied by adjudicators. — One can also
think of formalism as the selection or rejection of particular interpretive theories.
While this perspective is implicit in the preceding remarks, it deserves separate
mention. Indeed, the most common target of a charge of formalism is a court that
is interpreting either a canonical text (constitution, statute, regulation) or the
semi-canonical text of a prior rule of decision accepted as precedent.
Suppose, for example, one holds that the Eighth Amendment's ban on cruel
and unusual punishment, like other constitutional phrases, must be understood
first (and if possible, exclusively) by reference to the Framers' intent. In turn,
that intent is to be revealed by appropriate historical research, which shows that
the Framers' paradigms were P„ P2,... Pn — ^where "n" is a pretty small
number — and that is all. The only scope for "expansion" lies in a very narrow
criterion of "strong resemblance" to any Pj. A judge then says, "I am sorry. I
must rule this way. The practice of impressing prisoners into involuntary service
in testing new mind-altering drugs, even when the prisoner is not disordered, is
very risky and an offense to human dignity. It treats prisoners like lower animals
or even mere things. But that 'dehumanization' criterion is not written into the
Eighth Amendment; I am bound by the meaning of the constitutional text. I
cannot simply ask, 'What is this list of PjS about?' 'What is the authorizing
generalization that explains why the Framers hit on these?' If that generalization
is what they meant to implement, they should have said so. But the text's
meaning is defined primarily by reference to its authors' intentions, and all I can
find are specific instances that they mentioned. I am not free to ask, 'What is the
solely on the separate denotations of "motor" and "vehicle" — possibly leading to a ban on the
tricycle? Or to deal with "motor vehicle" as a combination term bearing a narrower sense — likely
resulting in allowing the tricycle to operate? Is it formalistic to downgrade legislative history as
evidence of legislative purpose? Or is it the other way around?
92. See Lee v. Washington, 390 U.S. 333, 334 (1968) (upholding a lower court order
invalidating Alabama laws requiring prison segregation; the Court rejected the state's claim that the
lower court's decision ignored matters of security).
60 INDIANA LAW REVIEW [Vol. 33:17
best most coherent theoretical/philosophical account of cruelty that would both
explain the Framers' examples and also properly serve us in light of present
views about human suffering and its causes and effects.'"
Is this judge a formalist for having picked too restrictive a theory of
interpretation, one that locks us into an earlier world of only partial relevance to
our own? That too is a moral decision of sorts, usually characterized as a matter
of legal/political philosophy. The formalist stance excluding new moral insights
also excludes from Eighth Amendment scrutiny new sanctions that were not only
unknown in the Framers' time, but also cause unforeseen kinds of impacts
viewed now as serious harms. For example, a technique of prolonged total
sensory deprivation may be far more damaging than standard solitary
confinement, but might not be cruel and unusual punishment because it isn't on
the Framers' list of forbidden punishments and might not even have been thought
of by them as a harm.
(iv) Formalism and being stuck at lower-level abstractions. — When
encountering principlism or casuistry (see Part III.C.2-3), the principles, maxims,
or other decision making guides will sooner or later run out. If the
decisionmakers fail to consider the deeper rationales behind the guides, one
might accuse them of formalism because they are failing to consider all matters
material to reaching a right or acceptable answer. Formalistic failures can arise
from not attending either to matters below or above the level of abstraction in
use, although, ultimately, the materiality of what is "below" will be affected or
determined by what is "above."
(v) Formalism and bioethics. — Much the same can be said about the
interpretation of other key concepts — e.g., equality, liberty, due
process— whether as embedded in the Constitution or as freestanding moral
concepts analyzed independently. Of course, depending on one's interpretive
theory, the latter may inform the former in various degrees. These basic values
are critical to bioethics, even if one uses a principlist heuristic. All the major
players in principlism (see Part IV.C.3.a.i) know full well that the very choice of
principles is ultimately justified, if at all, by more general theories.^^ They also
know that the best resolution of any number of cases will remain hard to specify
under principlism. However, a given analyst's narrow range of application of a
short list of critical values suggests a rigidity of view owing more to visions of
Platonic Forms than to the detailed realities of daily life. Some may still believe,
for example, that legal segregation of the races does not violate a principle of
equality where the facilities are "equal."^'^ This is "formalist" (read "narrow" or
93. But cf. Toon, supra note 34, at 1 7.
Disenchantment with the results of medical philosophy arises largely because too much
has been expected and claimed for bioethics. An example of the result of placing an
excessive burden on a concept unable to sustain it is what Clouser and Gert call
principlism; the notion that beneficence, autonomy, justice, and non-maieficence could
solve ethical problems rather than be a useful framework for clarifying them.
Id. (citation omitted).
94. Plessy v. Ferguson, 163 U.S. 537 (1896). Brown v. Board of Education, 347 U.S. 483
1999] IS BIOETHICS BROKE? 61
"morally purblind") because it fails to understand and properly value the harms
done to the nondom inant segregated group — the notion of harm is read too th in ly .
Even if the harms are rightly valued, their bearing on equality is
unappreciated — because the reigning notion of equality is not rich enough.
Consider next an example from the jurisprudence of death. In the Ninth
Circuit's opinion in Compassion in Dying v. State of Washington,^^ the court
characterized earlier refusal/withhold ing-of-care decisions as being governed by
the principle that one has the right to time one's death. From this, one infers a
right against interference with a physician's voluntary decision to help a patient
who wishes to die by supplying the means for a patient to self-destruct.
There is certainly a "creative," perhaps even a "romantic" aspect to this line
of analysis.^^ It was innovative lumping: we are told that refusal of care and
assisted suicide both go to timing of one's death. It was also ham fisted lumping:
we are also told that there is no difference between refusal of care and self-
administration (or even administration by another) of a death blow. This is the
intellectually elite, supposedly sounder philosophical view of the action/omission
distinction, but it is very far from being universally embraced by the public or by
precedent or tradition — and this is a critical factor in current forms of
constitutional adjudication. The Ninth Circuit's leap has a distinctly formalistic
aspect: it ignores varying situations — such as the differences between "letting
die" from pathological processes clearly "on the job" and affirmatively causing
death by administering a death blow.
In the well-known classroom example of someone jumping off the 100th
floor and getting shot dead while passing the fiftieth floor, there is little doubt
that death was caused by the affirmative act at the fiftieth floor (compare
ingesting the lethal prescription drug), rather than the process already in place
that was begun by the leap from the 100th floor (compare the pre-existing
medical condition). The Ninth Circuit court took the more general concept of the
time of one's death to relate these different kinds of cases, after peremptorily
dismissing the rationality of the distinction. I am not joining issue here with
those who think that the distinction collapses in matters of terminal illness. I am
commenting on constitutional interpretation which, by tradition, searches for
unmentioned liberty interests by relying heavily, but not exclusively, on matters
of "tradition" and "history," even where tradition and history are equivocal or
indeterminate.
(1954), held otherwise for public education without flatly overruling Plessy, which concerned
segregation on railroad trains.
95. 79 F.3d 790 (9th Cir. 1996), rev'd, Washington v. Glucksberg, 521 U.S. 702 (1997)
(holding that the right to assistance in committing suicide is not a fundamental liberty interest
protected by the Due Process Clause).
96. "Romanticism" injudicial style is atopic addressed by some legal historians. See, e.g.,
Mary Ann Glendon, A Nation Under Lawyers: How the Crisis in the Legal Profession Is
Transforming American Society 1 52-62 ( 1 994). Although Glendon does not suggest a formal
definition, she uses the term "romantic" after characterizing several Justices noted for "their daring,
imagination, sensitivity, and zeal for fairness . . . ." Id. at 152.
62 INDIANA LAW REVIEW [Vol. 33:17
As we saw, flat-footed rules may well be justified, whether or not one
translates flat-footedness into an ascription of formalism. Many states have an
explicit or implicit ban on assisted suicide.^^ No exceptions are made, even in
cases that cry for the relief of suffering and satisfy the most rigorous criteria of
informed consent without the faintest whiff of undue influence. Without
plunging deeply into the debate, it is enough to say that such a rule has at least
a colorable justification based on the risks of error in individual cases, the costs
of individuation, and the learning effects from the communicative impacts of a
visible, explicitly authorized death-by-request practice sanction.
Now consider an example from transplantation. At one time, most
physicians involved in transplantation would flatly refuse to allow donations
from strangers and would rarely proceed even if the source was a friend of the
patient.^^ What visions of reality and what moral standards account for this? Is
the idea that "only persons with deep psychological problems would undergo the
mutilation and loss of an organ for anyone other than a close relative — one's
child, spouse, siblings, and parents. Autonomy doesn't extend to crazy persons."
This is a very blunt rule, not calibrated to variations in circumstances. It fixes on
a generality and refuses to consider if the rule embodying it might be missing
something. If Mother Theresa had offered a kidney to a nun she did not
know — or even a total stranger — would she have been excluded under this
standard? Perhaps not, because she was perceived as relevantly different from
most persons. If she was crazy or driven, she was crazy or driven in a different
way — one sanctioned by religion and generally approved.
Consider next an example from assisted reproduction — gestational surrogacy
once again. Perhaps we should say there simply is no "natural mother" because
the classic criteria of motherhood — genetic connection plus gestation — point to
two women. A court might then resolve the case on the default standard of the
best interests of the child, leaving aside the (possibly) autonomy-promoting
"parenthood-by-intention" theory as a judicial excrescence unsupported by
legislation. The two women might then receive joint custody, or one might
receive primary custody with visitation by the other, and so on.^^ This position
may be wrong, but it is not necessarily formalist. Perhaps the opposing view that
the role of initial intentions as presumptively decisive is wrong, but again, why
97. See, e.g., Cal. Pen. CODE § 401 (West 1999).
98. See generally the discussion of donation by strangers in Carl H. Fellner, Organ
Donation: For Whose Sake?, 79 ANN. INTERNAL MED. 589 ( 1 973); Aaron Spital, When a Stranger
Offers a Kidney: Ethical Issues in Living Organ Donation, 32 Am. J. Kidney Dis. 676 ( 1 998). For
more recent developments, see George Hatch, Astounding Act: A Fisherman Saves the Life of His
New Friend by Donating a Kidney, L.A. TIMES, June 30, 1991, at B3 ("The astounding act of
generosity surprises both men even now."); Gina Kolata, Unrelated Kidney Donors Win Growing
Hospital Acceptance, N.Y. TIMES, June 30, 1993, at CI 4. On success rates for such donations, see
Paul I. Terasaki et al.. High Survival Rates of Kidney Transplants from Spousal and Living
Unrelated Donors, 333 NEW Eng. J. MED. 333 (1995).
99. This seems to be Justice Kennard's position in her dissent in Johnson v. Calvert, 851
P.2d 776, 778 (Cal. 1993).
1999] IS BIOETHICS BROKE? 63
is it formalist? It assumes that under the governing state law there must be
exactly one natural mother, and this is far from a purblind position. It seems
inappropriate to saddle either standpoint with the dreaded "formalist" label. '^°
The "formalist" epithet may better characterize some of the critics of
bioethics than those the critics criticize. Consider the lumpish opposition to new
reproductive techniques based on the theory that they "objectify" or
"commodity" persons. With some notable exceptions,'^' the complaints are
made with little or no accompanying argument about what these predicates mean,
or about the causal mechanisms for the processes. They ignore dissimilarities
and speak only of parallels between, say, buying an appliance and pursuing a
surrogacy.
So, formalism does not consider enough morally relevant variables, factors,
dimensions, and perspectives — from the framework of a moral theory that
renders them relevant. If formalism is said to be logically linked to
jurisprudential matters rather than to moral disagreements between formalists and
their opponents, then one must ask: which jurisprudential rules apply?
What — beyond basic rules of logic — justifies those rules? It may be a sort of
value impoverishment that allows formalists to think that clear lines separate
what is subsumed and what is not subsumed within a concept. Or perhaps they
are simply less willing to acknowledge systematic vagueness and open texture'^^
as inescapable features of major abstractions and of language generally. This
leads to what others may view as odd splittings (segregation is not a forbidden
inequality) and inappropriate lumpings (the right to refuse treatment entails the
right to suicide assistance because both involve the abstraction "the right to time
your death"). '°^ To a nonformalist, then, the range of application of a
formalistically interpreted abstraction may be too broad as well as too narrow.
Finally, there is a link between formalism and the next topic — principlism.
Formalists are faulted because their inappropriate use of abstractions rests on
100. On formalism, see, e.g., Morton J. Horwitz, The Transformation of American
Law: 1870-1960(1992):
It aspired to import into the processes of legal reasoning the qualities of certainty and
logical inexorability. Deduction from general principles and analogies among cases and
doctrines were often undertaken with a self-confidence that later generations, long since
out of touch with the inarticulate premises of the system, could only mistakenly regard
as willful and duplicitous.
Id. at 16, "[Jludges and lawyers of the nineteenth century clearly believed that there were
identifiable bright-line boundaries that judges could apply to a case without the exercise of will or
discretion . . . ." (He argues that this is too easily caricatured.) Id. at 18.
101. See, e.g. , Nussbaum, supra note 47, at 262; Margaret Jane Radin, Market-Inalienability,
100 Harv. L. Rev. 1849 (1987).
102. The phrase is linked to Dr. Friedrich Waismann. See Verifiability, in LOGIC and
Language [1st Series] 117, 119 (Antony Flew ed., 1968). See generally Michael Moore, The
Semantics of Judging, 54 S. Cal. L. Rev. 151 (1981).
103. See Compassion in Dying v. State of Washington, 79 F.3d 790 (9th Cir. 1996), rev 'd,
Washington v. Glucksberg, 521 U.S. 702 (1997).
64 INDIANA LAW REVIEW [Vol. 33:17
inadequate attention to particular variations from case to case. Principlism,
however, deals with mid-level abstractions, generally avoiding the more general
concepts that supposedly explain and justify them. If this avoidance is carried
out to a fault, then the middle principles may be incompletely understood and
inadequately applied. Formalists, then, can wrongly fail to move, whether
"down" or "up," or "sideways."
2. Principlism}^^— ThQXQ is a particular analytic technique within bioethics
(but applicable in various forms to many disciplines) called "principlism." It
concentrates on four intermediate principles — autonomy, beneficence,
nonmaleficence, and justice. At one end, it leaves deeper moral theory aside to
the extent possible; at the other, it eschews specific rules. '^^
There is nothing wrong with managing one's scarce psychic and physical
resources by taking "shortcuts" and using crystallized modes of thought to think
matters through. This can be efficient in the sense that it achieves a rational
balance between accuracy of judgment in a given case, and the costs imposed
when seeking perfection. These thinking tools are too loose to be algorithms, but
they can be quite serviceable in advancing the decision making process. Their
use is akin to "satisficing," as choice theorists might put it,'°^ and is perfectly
1 04. Despite principlism 's focus on a particular set of concepts, it does not seem "formalist'*
in the sense of embracing a hamfisted, rigid interpretive stance. Formalism does not mean "dealing
with concepts and abstractions" — a ludicrously expansive understanding that would apply to all
reasoning. Nor should it be identified with the idea of abiding by authoritative rules. Cf. Schauer,
supra note 88, at 510 ("Once we disentangle and exeimine the various strands of formalism and
recognize the way in which formalism, rules, and language are conceptually intertwined, it turns
out that there is something, indeed much, to be said for decision according to rule — and therefore
for formalism'') (emphasis added). Perhaps what is meant here is "and therefore for certain aspects
of formalism." Being rule-governed is simply a threshold — a necessary condition for being
formalist, but not a sufficient one — although one might say that some exercises of formalism are
so perverse that rule-governance itself is compromised. Later, Schauer concludes:
It may be that, in practice, to condemn an outlook as formalistic is to condemn neither
the rule-based orientation of a decisional structure nor even the inevitable over- and
under-inclusiveness of any rule-based system. It may be to condemn such a system only
when it is taken to be absolute rather than presumptive, when it contains no escape
routes no matter how extreme the circumstances. Such a usage of "formalism" is of
course much narrower than is commonly seen these days.
Id. at 548.
In any event, at least some accounts of principlism have avoided heavy-handed denunciation
of the use of higher abstractions in moral theory. See Raymond Devettere, The Principled
Approach: Principles, Rules and Actions, in Meta MEDICAL ETHICS: THE PHILOSOPHICAL
Foundations of Bioethics 27, 35-37 (Michael A. Grodin ed., 1995).
1 05. See ToM L. BEAUCHAMP& JAMES F. Childress, Principles of Biomedical Ethics 37-
38 (4th ed. 1 994). Principlism is not about the use of principles generally, but about using specific
intermediate principles in particular contexts for certain purposes.
106. For an explanation of satisficing and "bounded rationality," see Herbert Simon,
Administrative Behavior: A Study of Decision-making Processes in Administrative
1999] IS BIOETHICS BROKE? 65
rational. Indeed, it may be morally mandatory and empirically inevitable. One
major task of this approach is overconfidence that one has selected the right
principles, applied them correctly to the situation, and thus successfully avoided
turning to basic moral theory. However, in morally difficult cases — a prime
characteristic of distinctively bioethical problems — ^the conflicts within and
between the principles cannot be settled, if settleable at all, without moving up
to higher and perhaps ultimate levels of abstraction. If this is understood and
acted upon by looking "upward" in such cases, then there is, in principle, nothing
wrong with principlism. Using heuristics is a key aspect of many decision
making processes, and every field of thought probably has its principlist analogue
for various tasks. If the limitations of shortcuts are not understood and properly
managed, then they might well be called formalist, not because they fail to deal
with particulars, but because they do not move to the higher abstractions that
inform the middle principles.
Thus, to the extent that bioethics is attacked for harboring a principlist line
of thought, the criticism is misplaced. The problems lie in understanding the
limits of limiting oneself to principles without reference to theory at one end and
to specific rules on the other. Although the apparent simplicity of the principlist
agenda may mislead some, this is not fatal to the enterprise. Of course, one has
to pick the right principles. But if the very choice of principles is contested, the
protagonists are back in the more spacious (and time consuming) realms of moral
philosophy.
3. Casuistry and Pragmatism: Preferred Modalities? —
a. Maxims and postulates. — The bioethics version of principlism bears
comparison with an account of casuistry that addresses many issues in
bioethics. '^^ This approach uses abstractions of even lesser generality than
"principles." Instead, procedural postulates — "maxims" — requiring use of
"paradigms" and "analogies" are followed to allow comparisons between
particular cases, with close attention given to "circumstances," such as who,
what, where, etc. In this sense, casuistry's level of abstraction is notably lower
than that of principlism.
In theory, casuistry has a presence in several aspects of the critiques and
defenses of bioethics. Has casuistry always been a part of establishment
bioethics (if not known by that name) and thus part of what is being examined,
or is it a weapon revived by the critics against overly abstract and arid modes of
thought pursued by established institutions? In writings on clinical ethics and
behavior at the bedside, one often finds apothegms or "formulas," such as the
Kantian injunction against mere use of persons as means, and apothegms. While
Kant is viewed as being at the apex of high moral theory, the no-mere-use-of-
persons formula (i.e., the second formulation of his Categorical Imperative) '°^
Organizations, at xxviii-xxxi (3d ed. 1976).
1 07. See JONSEN & TOULMIN, supra note 7. For a comparison of principlism and casuistry,
see Beauchamp & Childress, supra note 105, at 92-100.
108. A common translation of the Formula is: "Act in such a way that you always treat
humanity, whether in your own person or in the person of any other, never simply as a means but
66 INDIANA LAW REVIEW [Vol. 33:17
often seems to be invoked without much analysis of the what the formula means.
It is thus used less as high theory or a principlist principle and more as a
casuistical maxim, although it may be a direct implication of principlism. Even
more frequently invoked is the so-called Hippocratic "do no harm" maxim/^^
which is far more specific than the no-mere-use formula.
Still, there can be no a priori rejection of casuistry. It too can be a rational
part of decision making. Although the issues at stake in bioethics are among the
most serious and difficult matters one can address in law and ethics, our
resources are finite and we must ration our time. The methodologies of
principlism and casuistry are inevitable, whether or not so recognized and named,
and, if their respective places and limitations are understood (a big "if),
unobjectionable.
b. Pragmatism. — Pragmatism has been enjoying a renaissance, at least
among legal scholars. ^'° It strongly criticizes concentrating on rules, principles,
standards, and their embedded concepts and higher theoretical underpinnings.
Perhaps many pragmatists are ant i foundational ists — analysts who are skeptical
about the existence of sound bases for our systems of thought and
evaluation — but this is not entailed by their positions, which require that we
ordinarily not get mired in matters of ultimate value.
It is true, as pragmatists emphasize, that much everyday decision making is
done without explicit attention to particular abstractions. Indeed, such
abstractions may be almost inaccessible to our conscious minds and may require
exceptional acuity to discern through introspection. Despite their relative
obscurity, however, abstractions influence patterns of thought and behavior that
nonconsciously reflect these rules. If so, it is no surprise that much of our
conduct can be rationalized in the sense that one can reconstruct thought and
action to reveal rational substructures, despite the disorder and "gaps" in our
conscious thinking.
At least when pressed, legal pragmatists do not deny the existence or effect
of abstractions, and it is hard to see how they could." ' It would be incoherent to
always at the same time as an end." Thomas E. Hill, Jr., Dignity and Practical Reason in
Kant's Moral Theory 38-39 (1992) (discussing "the second formulation of the Categorical
Imperative").
1 09. "Above all do no harm." See the discussion of this phrase in Beauchamp & Childress,
supra note 105, at 189 (describing the formulation as a maxim). According to Veatch, the
derivation of the form and priority of the phrase are not entirely clear. See Robert M. Veatch, A
Theory of Medical Ethics 22, 159-62. (1981) (discussing the Hippocratic tradition).
110. See, e.g., Catharine Pierce Wells, Improving One's Situation: Some Pragmatic
Reflections on the Art of Judging, 49 WASH. & LEE L. REV. 323 ( 1 992) (discussing pragmatism and
formalism in adjudication).
111. See, e.g., Catharine Wells, Situated Decisionmaking, in PRAGMATISM IN LAW AND
Society 275 (Michael Brint & William Weaver eds., 1991). Wells states:
[A] belief in situated decisionmaking does not entail the abandonment of structuring
methods such as reason, generalization, and abstraction. Instead, it recognizes that there
is more to legal decisionmaking than the mechanical application of these techniques
1999] IS BIOETHICS BROKE? 67
draw a sharp contrast between "rule-bound" thought and "situated" decision
making. Indeed, the very idea of situated decision making, understood as
involving only particulars and no abstractions, makes no sense. All rational
thought requires, at some stage, the conscious or unconscious selection,
interpretation, and use of abstractions. Even a quick, unreflective decision about
whether to cross the street involves application of learned generalities based on
our prior knowledge of direction, velocity, distance, and other variables bearing
on the relationship between oneself, the street, and vehicular traffic. The maxim
"look both ways before you cross" does not stand alone as a foundationless
adjuration.
So what is the force of the pragmatist critique — not just against bioethics, but
against much legal and moral reasoning and decisionmaking? Its point relates
back to the notion of what is material to moral and legal analysis. What is
material depends on the generalizations that govern the matter at hand. But
whether material matters are indeed implicated in a given matter requires close
attention to the details of human situations. Which "details" we see depends on
prior abstract understandings, our frameworks of perception, and other variables,
such as salience. A prime virtue of pragmatism is that it mandates the avoidance
of premature filtering and exclusion of particulars — in direct contrast to
formalism. Attention to particulars can result in important insights that lead to
the formulation of new abstractions and new domains of relevance and the
reformulation of rules, standards, principles, maxims, and heuristics. Given
scarce resources, we cannot always undertake such reconstruction, but it remains
something of an ideal: coming to see that the abstractions already in place are
incomplete or otherwise misconceived is central to progress in any scientific or
normative field. The pragmatic push toward a less- filtered scrutiny of what we
perceive spurs, as we saw, a continual cycling between the selection and the
application of abstractions. It also helps us identify and revise or partly
neutralize internalized cognitive frameworks that affect our very capacities for
perception and evaluation.
and, for this reason, it sees all legal reasoning as 'situated' in the sense that it operates
within a structure that is constructed by the decisionmaker's own unique mode of
participation in the ebb and flow of human events.
Id. at 289. If pragmatism is simply anti-formalism, then most reflective persons are pragmatists.
See also Brock, supra note 4, at 226-28, discussing "particularism," which holds that moral
reasoning in practical and policy contexts begins and remains with the specific concrete case under
consideration. See id. at 226. This seems similar to various accounts of pragmatism. Brock later
states that
[t]he central and fatal problem for particularism ... is that it is incompatible with the
very process of having and offering reasons for our moral judgments, which is the
principal feature distinguishing morality from mere expressions of simple taste or
preference. Some, at least partial or fragmentary, moral theorizing is an unavoidable
part of moral reasoning, of making and offering reasons for moral judgments in practical
and policy contexts.
Id at 228.
68 INDIANA LAW REVIEW [Vol. 33:17
Thus, as a matter of rational pursuit of real-life decision making and
adjudication, asking "What happened" often seems an appropriate starting place.
How else would one know where to look in the realm of categories and concepts?
Still, asking what happened does not divorce us from abstractions — description
itself presupposes general frameworks. ^ •^
4. Insufficient Empirical Research, Beyond Characterization of Particular
Situations. — Is it silly to complain that bioethics is insufficiently empirical, in the
rigorous methodological sense of investigation the nature of human practices and
interactions and states of affairs? After all, if one wishes to do behavioral or
anthropological research, why pursue bioethics? It is not a science (behavioral
or otherwise).
But it's not so silly. Think, for example, of problems of informed consent.
One might well start with asking, "Whose informed consent?" The patient's?
The nuclear family's? The extended family's? The matriarch's? The underlying
question at this stage is, "What is the unit of autonomy in this transaction?," not
"What ought to be the autonomous unit on objective, cross-cultural moral
grounds?" What features of decision making are altered if attitudes toward
individuality and community differ from culture to culture, assuming we can
even identify discrete "cultures" (which in any case may be evolving)? What has
happened when these cultural variations were ignored or even overridden by
"mainstream" medical decision making processes? Have there been attempts to
alter the viewpoints of "outlier" groups and individuals — ^the "culturally
displaced"? If so, what happened?
These questions would not have arisen unless troubling incidents had
occurred or been anticipated, but we cannot know the nature and extent of the
problems without empirical research. Wearing a bioethicist's hat is not
incompatible with doing such research, although the likeliest path would involve
collaboration with trained investigators. Furthermore, whatever studies have
already been done are likely to be sought out by or brought to the attention of
bioethicists, lawyers, lawmakers, and judges. But bioethics and affiliated
disciplines have a scarce resource problem of their own: how much time and
effort to devote to investigating cultural variables and the variable roles of
autonomy — or any other area of behavioral research. One cannot evaluate organ
and tissue transplantation without knowing of supply shortfalls and demand
variables, the status of medical/surgical technology, facts about queuing and
distributional practices, and so on. One cannot assess the issues of genetic
privacy without knowing what current and projected practices are, what genetic
testing and fact-gathering turn up, and the status of security /access technology.
112. Cf. Green, supra note 14, at 1 82. Green observes that bioethics is strongly attentive to
empirical/situational issues and is heavily interdisciplinary, but that
while ethics and moral philosophy may sometimes represent a relatively small part of
the actual work of bioethics, they form in a sense the confluence to which all the larger
and smaller tributaries lead, and, more than any other single approach, the methods of
ethics and philosophy remain indispensable to this domain of inquiry[.]
Id.
1 999] IS BIOETHICS BROKE? 69
How easy is it to hack into existing medical record files? What sorts of questions
do employers and insurance companies request? How often and in what ways are
they answered? And what is the business entity's response to these answers with
respect to the nature of employment or insurance offered or denied?
Roaming the field of bioethics reveals many other contexts where rational
analysis would be greatly aided by empirical information. Shouldn't we worry
about errors in following or declining to follow advance directives or requests for
PAS?^ '^ What do we really know about how accurately people gauge their future
mental states?""* (Of course, even if the forecasters are inaccurate, this does not
establish that anyone else could make better predictions for them.)
Are bioethicists remiss in not seeing the need for research and observation
beyond the situation at hand, and calling for or even pursuing such
investigations? I see no evidence of this. There has been a fair amount of
empirical research called for and/or pursued by persons who view themselves as
doing bioethics. '^^ Moreover, if a given scholar is interested in thinking about,
say, the dimensions of decision making incompetence, she can make a useful
contribution by searching out the structure of that notion without doing a lick of
empirical research. Sooner or later, she may come up with testable propositions,
perhaps concerning the nature of the decisions taken by people afflicted with
mania, depression, and the delusions associated with florid schizophrenia and
how they compare inter se. If she does not, so what? Division of labor, which
no doubt preceded fire and the wheel, remains appropriate in moral and legal
analysis, as it is elsewhere. If there are some who offer conclusory views or
arguments that require empirical support and none is available, they can rightly
be upbraided for it, but this does not taint the entire field. Nor is there anything
wrong with offering hypotheses for others to test. Still, to the extent that any
area is burdened by lack of information, it would be a clear case of "progress" if
more personnel recognized the need and spurred the search for the relevant data.
Are there any instances in which a writer, on-the-line actor, or an entire
movement has, with great assurance, made a claim that cannot be supported
without empirical inquiry and failed to recognize or call for such inquiry,
mistakenly believing that no factual investigation is required? Probably. One
possible current example is the belief that PAS is urgently needed because so
113. Cf. Vicki A. Michel, Suicide by Persons with Disabilities Disguised as the Refusal of
Life-Sustaining Treatment, 1 HEC FORUM 122 (1995).
1 14. See generally Philip J. Hilts, In Forecasting Their Emotions, Most People Flunk Out,
N.Y. Times, Feb. 16, 1999, at F2.
115. See, e.g.. Else Bjor et al., Can the Written Information to Research Subjects Be
Improved?— An Empirical Study, 25 J. Med. ETHICS 263 ( 1 999); Leslie J. Blackhall et al.. Ethnicity
and Attitudes Toward Patient Autonomy, 274 JAMA 820 (1 995) (some groups adhere to a family-
centered model of decision making); Rafael Dal-R6 et al.. Performance of Research Ethics
Committees in Spain: A Prospective Study of 100 Applications for Clinical Trial Protocols on
Medicines, 25 J. MED. ETHICS 268 (1999). See generally Tony Hope, Empirical Medical Ethics,
25 J. Med. Ethics 219 (1999).
70 INDIANA LAW REVIEW [Vol. 33:17
many patients suffer intractable pain J '^ The first several patients using the
Oregon PAS law apparently were far more concerned with loss of autonomy and
independence than with physical pain."^ Not everything that needs to be done
has been done, a mere generation or two into the discipline of bioethics.
Finally, a simple insight understood by any student of evidence: "relevance"
and "materiality" are functions of the governing issues and their location in the
conceptual map of rules, principles, standards, maxims, paradigms, and analogies
governing the case. Rational selection of empirical issues for investigation
presupposes conceptual analysis, which is part of the mission of bioethics. True,
a "naked interest" in finding out about some aspect of the world may produce
findings that spur new conceptual analysis. Even then, however, what one or
finds ultimately is deemed material (if at all) only within the abstractions inspired
by thefindings.^'^
D. Insufficient Focus on the Most General Abstractions
Perhaps there is some rule of Newtonian symmetry in critiquing
"disciplines": for most complaints there is an equal and opposite one. For every
soldier in the bioethics army gazing abstractly at the cosmos to no apparent
effect, there is another fixedly studying her toes, to equal effect. The complaint
that abstractions are /^sufficiently addressed is frequently found in the
reproaches against principlists and casuists."^ If a rigid focus on abstractions is
formalistic, perhaps so also is a rigid focus on apothegms, rules of thumb, and
details. The point of the complaint is that however useful it is at some stage to
confine one's attention to "intermediate" principles, or to rules or maxims or
particular situations, higher-level theory is needed for certain essential tasks:
justifying the selection of principles, rules, maxims, and facts; rank-ordering
them; interpreting them; and dealing with their internal incoherences and
conflicts with each other. This entails a continuous cycling between the higher
and lower conceptual and factual reaches. '^° The obvious but non-decisive
116. See Arthur E. Chin et al., Legalized Physician- Assisted Suicide in Oregon — the First
Year 's Experience, 340 NEW Eng. J. MED. 577 (1999).
117. See id at 5S2.
118. See generally Brody, supra note 20, at 1 62-65.
1 19. See infra Parts II.E.2-3, Ill.C.S.a.i.
120. See Green, supra note 14, at 189, 190, 195. The author states that:
How, . . . when principles are in conflict, is it possible to make progress in normative
discussion unless one has at hand some procedure for establishing priorities among
principles, and how is that procedure defended apart from a more basic understanding
of the moral reasoning process? .... [Mjoral analysis cannot be confined to a process
of identifying and applying moral principles, however sophisticated this process might
be, when the essential work of deriving the basis, meaning, and scope of these principles
is left undone .... Until that perhaps Utopian day when theorists develop an
indisputable correct method of moral reasoning, applied work must always remain in
conversation with moral theory as [a] whole. Bioethics will progress methodologically
1 999] IS BIOETHICS BROKE? 7 1
response by principlists and casuists is likely to be that the higher theoretical
abstractions may be of little or no assistance in doing any of these tasks and in
given cases, this may well be true.
E. Excessive Focus on Autonomy
This reproach to bioethics was mentioned earlier and I add only a few points.
It is an especially annoying criticism of "establishment" bioethics. Whether the
focus on autonomy is overdone depends on the meanings of "autonomy" and
their locations in a value hierarchy. To the extent that autonomy rests on
opportunities to pursue one's preferences,'^' deference to it in given areas may
depend on the intensity with which these preferences are generally held. There
may be domains of choice in which many persons are more or less indifferent to
various outcomes, although they might want to retain personal choice in these
matters. Moreover, if pursuit of certain preferences raises risks to others (and
perhaps the actor also), strong deference to autonomy might be unjustifiable. It
is not as if autonomy was all of a piece in every sphere, mindlessly invoked as
the preeminent or sole value whatever the circumstances.
I suspect that few persons in Western culture think autonomy is a weak or
immaterial consideration in moral, political, or legal analysis. The fact that
autonomy "loses" in a particular case against competing concerns does not
eliminate its materiality, even in that contest. '^^ The more common argument is
that too many parties view autonomy in a naive way, or rate it too highly in some
area even after reflection, or are simply obsessed with it.
The idea that love of autonomy may be extravagant is thus far too general,
and its strands of meaning should be separated. Libertarians and communitarians
if it retains this insight ....
Id. This necessary interaction between the various levels of "theory" and "application" is thus
somewhat different from that between theory and application in mathematics. In practical
mathematics, it is rarely necessary to test foundations, as observed in Loretta M. Kopelman, What
Is Applied About "Applied" Philosophy, 15 J.Med. &Philos. 199,200(1990). She also argues that
in many cases, higher theoretical concepts "applied" in philosophy are changed by the application,
and that therefore applied ethics is not "derivative." Id. at 200-02. This seems akin to arguing that
a rule of decision applied in adjudication is "changed" by all or some of its applications. This is
a tricky proposition, but it need not be dealt with here.
121. This is of course not the whole of autonomy. See generally Michael H. Shapiro, Is
Autonomy Broke?, 12 LAW & HUMAN Behav. 353 (1988) (reviewing CHARLES W. LiDZ ET AL.,
Informed Consent: A Study of Decisionmaking in Psychiatry ( 1 994)).
1 22. Cf. Bernard Williams, Moral Luck 73-74 ( 1 98 1 ) (stating the "[tjhe [obligation] that
outweighs has greater stringency, but the one that is outweighed also possesses some stringency .
. . ."); Bernard Williams, Ethical Consistency, in ESSAYS ON MORAL REALISM 41, 49 (Geoffrey
Sayre-MCord ed., 1 988) ("It seems to me a fundamental criticism of many ethical theories that their
accounts of moral conflict and its resolution do not do justice to the facts of regret and related
considerations: basically because they eliminate from the scene the 'ought' that is not acted
upon.").
72 INDIANA LAW REVIEW [Vol. 33:17
are far apart in their rankings of autonomy, but this is largely a matter of serious
moral disagreement, not necessarily some blunder of thought or deficit in moral
sensibility. A field is not "weak" just because many of its protagonists do not
share the critics' moral stances.
Of course, if the field were exclusively defined by one polarized view or the
other, then we could rightly complain about the narrow views of its personnel.
A field dominated by rigorous libertarians might seem to others to reflect an
indifference to human suffering and an unduly narrow range of perspectives. It
would be more like a special interest group or political party than a discipline,
and for that reason, its moral stature would be impaired. Much the same holds
for uncompromising communitarians. "Progress" here would consist of coming
to see that one's framework is too shallow to allow balanced insights. Perhaps
it even makes sense to say that re-staffing such fields constitutes or facilitates a
partial "catching up" of ethics and law with technological change. In any case,
neither form of rigidity dominates bioethics.'^^
An "obsession" with autonomy may involve assigning insufficient value to
certain countervailing considerations. '^"^ Talking without qualification about the
right to speak freely disregards the harms from, say, false defamatory statements
of public officials and figures, fraud in advertising, incitement to unlawful acts,
and disturbing the peace of a residential community.
Are too many of autonomy 's countervailing considerations ignored or ranked
too low in bioethical discourse? I don't think so. On the contrary, it is often the
critics of the supposed autonomy-obsessed who make the opposite error by
failing to deal with autonomy attentively. In Matter of Baby M,'^^ for example,
the court flatly asserted that the surrogate mother's consent to the transaction was
irrelevant. There was little argument, no recognition that asserting the
irrelevance of consent is in tension with a fundamental moral and constitutional
value — ^virtually nothing. Moreover, I see no evidence that surrogacy 's defenders
consistently ignore the risks of coercion, duress, undue influence, false
consciousness, the incentives supplied by low income, risks of regret, harm to the
123. See Amitai Etzioni, The New Golden Rule: Community and Morality in a
Democratic Society (1996) (offering his version of communitarianism); Milton Friedman,
Capitalism and Freedom 137-160 (1962) (expressing a libertarian vision); see also Ezekiel J.
Emanuel, The Ends of Human Life: Medical Ethics in a Liberal Polity 5-6 (1991)
(commenting on such perspectives). See generally Christopher Heath Wellman, Liberalism,
Communitarianism, and Group Rights, 18 LAW & PHIL. 13 (1999).
124. For our purposes, countervailing considerations include "preconditions" for sound
exercise of autonomy as well as opposing values. I am distinguishing here between competing
values arrayed against autonomy, and the presuppositions or preconditions for an exercise of
autonomy in its ideal forms (whatever they might be) — e.g., competence, authenticity,
voluntariness, and certain others. Perhaps these preconditions for autonomy can also be viewed as
arrayed against it in certain ways: they pit naked expression of preferences against the interests of
the actor (a paternalist perspective) and also against whatever risks to others are posed by
incompetent, coerced, impulsive, or unduly influenced choices. See also the next subsection.
125. 537 A.2d 1227, 1249 (N.J. 1988).
1 999] IS BIOETHICS BROKE? 73
child, racial type-casting, wide-ranging objectification, and so on.'^^ Nor is there
any evidence that students of organ transplantation, physician-assisted suicide
and euthanasia, and the withholding of life-prolonging care have been
consistently overlooking similar material matters. The literature and the case law
are available for anyone to inspect. Most of the cases involving termination of
lifesaving care, for example, expend major resources not only on investigating
what patients seem to want, but on determining how far these expressions can be
credited, given the tableaux of circumstances.'^^ Things of course are never seen
all at once and we will never be finished finding and assessing new things, but
bioethics is clearly on the job.
Let us turn now to another example of supposed excessive attention to
autonomy. I expect many or most critics of bioethics would view, say, Johnson
V. Calvert, ^^^ as reflecting undue emphasis on autonomy in accepting the
parenthood-by- intention theory. But what exactly is the error here — ^the wrong
theory or principle, or the theory or principle misapplied, or the false paradigm
or analogy, or the impoverished moral sense that must be enriched by the critics'
protests? What points were missed? What was it that the majority and its
supporters did not understand? How do the critics know that they themselves do
not understand? Surely autonomy in planning reproduction is not immaterial,
even if one finds some plans inappropriate. Was autonomy rated too highly in
Johnson? Or was it applied without due attention to risks of regret, undue
influence, coercion, false consciousness, race (Anna Johnson was black — and
Regina Crispin was Filipino), harm to children, to the particular parties involved,
to women generally, and to the overall social fabric, which is weakened because
of the reinforcement of the attitude that persons are things to be used? Some
decision makers value autonomy enough to accept risks of regret and other
harms, but this does not make them morally benighted or guilty of clear error.
1 26. See generally PAUL Lauritzen, PURSUING PARENTHOOD: ETHICAL Issues in Assisted
Reproduction, at ix-xxi, 3-67 (1993) (discussing "basic opposition to reproductive technology."
The author states that in considering in vitro fertilization, "[beyond] the simplest case . . . within
a marriage where care is taken to avoid destroying or risking embryos ... we discover that the
worries about the commoditlcation and mechanization of reproduction [discussed earlier by the
author] become increasingly grave." Id. at xix. Nevertheless, Lauritzen concludes that "the basic
opposition to reproductive technology is misplaced." Id. (discussing IVF and artificial insemination
using sperm from one's husband)).
127. See, e.g., Cruzan v. Missouri Dept. of Health, 497 U.S. 261 (1990); In Matter of
Quinlan, 355 A.2d. 647 (N.J.), cert, denied, 429 U.S. 922 (1976); see also Matter of Farrell, 529
A.2d 404 (N.J. 1987) (careful evaluation of the preferences and condition of woman with
amyotrophic lateral sclerosis who wished to withdraw care).
128. 851 P.2d 776, 851 (Cal. 1993). See generally "Note, Maternity Blues: What About the
Best Interests of the Child in Johnson v. Calvert, 24 Sw. U. L. Rev. 1277 (1995) (criticizing what
the author calls "the 'intended procreator'" test). The case involved a dispute between the genetic
parents of a child and the gestator. The court ruled that under California's Uniform Parentage Act,
the "natural mother" was the genetic mother in this case because of the original expressed intentions
of the parties initiating the procreational process.
74 INDIANA LAW REVIEW [Vol. 33:17
To be sure, the critics of surrogacy are not so beniglited unless, at the
threshold, they simply dismiss autonomy considerations under the prevailing
circumstances. Some seem to do so (once again, see the Baby M opinion),
although in some spheres of conduct there is no starting presumption of
autonomy, or only a weak one. Your decision to keep custody of your newborn
rather than abandon her is not simply one of your options. Perhaps the more
serious risk is not that of overstressing autonomy, but of letting it slide. Jay Katz,
for one, has suggested that "[t]oday the idea of patient autonomy is once again
in retreat.'"^^
I doubt, then, that discussions of autonomy have been morally or
intellectually flawed, one side or the other (or both) not getting the point of
discussion. A somewhat more plausible critique is that not enough persons
holding different value rankings are writing and doing bioethics. This may not
be correct, but in any event no discriminatory barriers to entry into this field
exist. One should thus remain skeptical of the view that paradigms must be
shifted or displaced, rather than progressively made more sophisticated (a hard
line to draw, but there is a difference).
On the other hand, I do not think that the field of bioethics is flawed from
within simply because it has its share of contributors who (in some eyes)
undervalue autonomy. What might impair the field, if anything, is that the
protagonists' understanding of autonomy and its countervailing values may be
too blunt to be properly illuminating. If this is true of some writers, judges or
legislators, however, it is not true of others.
7. Ignoring the Preconditions for the Exercise of Autonomy.— \ make only
two points here. First, it is hard to find evidence that either ethical or legal
analysis in bioethics is tainted by a near-total failure to consider what I referred
to earlier as autonomy's presuppositions: competence; voluntariness (entailing
absence of coercion and undue influence); authenticity; perhaps consistency of
preferences and richness of perspectives (no false consciousness); and, where
appropriate, deliberation. However, a more precise attack is worth mentioning:
the claim that these preconditions have been too narrowly interpreted. Thus,
authenticity — ^the idea that one's conduct reflects "one's own actions, character,
beliefs, and motivation"'^*^ — may be too easily assumed in a society where (say)
patriarchy can inflict inappropriate attitudes, beliefs, and perspectival limitations
on women. '^^ Perhaps the idea of coercion is, as some argue, too narrowly
1 29. Jay Katz, The Nuremberg Code and the Nuremberg Trial: A Reappraisal, 116 JAMA
1662, 1665 (1996). Katz, however, was discussing experimentation with human subjects.
1 30. Ruth R. Faden&TomL. Beauchamp, A History and Theory of Informed Consent
238 (1986) (emphasis added).
131. The extent to which patriarchy continues to prevail in the West is contested, although
few doubt its massive influence. Cf. Paula Span, Did Feminists Forget The Most Crucial Issues?:
Wanting a Man and Children Does Not Make You a Non-Feminist, Anne Roiphe Contends, L.A.
Times, Nov. 28, 1 996, at E8 (noting that in her book. Fruitful: A Real Mother in the Modern
World (1996), Anne Roiphe complains of feminist writings promoting "the view of the world as
a giant evil patriarchal system").
1999] IS BIOETHICS BROKE? 75
construed to ignore the effects of low income, class, gender, and race. This
accounts in part for the ascent of concepts such as "false consciousness."
Second, there may be a legitimate moral dispute about the proper
understanding of autonomy 's presuppositions. Authenticity, for example, can be
viewed as something of a paradoxical notion. We can understand, in a pre-
theoretical sense, that the preferences of someone who has been "programmed"
through rigorous behavioral conditioning are not entirely his own. We can also
understand that general socio-cultural conditions can systematically warp
someone's development — as when women are trained from birth to obey men
and confine themselves to childrearing and household chores. The result is a
false consciousness in which many women do not understand that they have, or
should have, a larger range of options.
Of course, arguments resting on the fact that some persons are burdened by
narrow perspectives about themselves, their choices, and the demands of
community are double-edged. Can we simply dismiss the wants and interests of
all persons raised in such non-ideal conditions? De-conditioning the
"brainwashed" is one thing (though not free of controversy); excluding several
generations of falsely conscious women from full participation in a society is
another. Few individuals or groups are uniformly non-autonomous. It is a wedge
into totalitarianism to say that the preferences of millions of persons are to be
ignored because they were improperly raised or educated, rendering many of
their inclinations "false" because they stemmed from a politically skewed culture
that systematically messed with their heads. All persons are heavily influenced
by their surroundings. It is all too easy to impair autonomy by claiming to further
it through such exclusions. '^^
As for coercion and undue influence, I suggest that it is inappropriate to
claim that one is necessarily coerced when one's circumstances are straitened.
"Your money or your life" is one thing. "Would you like to make some money
having a child for me?" is something else. Concerns about the social, economic
and environmental conditions that limit choice and move people to do things that
they would not do if they were better off do not justify disregarding their choices
within that prevailing adverse situation. Impoverished persons are not
necessarily made better off by restricting their options. One might argue that
permitting certain choices within adverse situations improperly ratifies those
conditions and thus encourages their continuance. But this is more an argument
about strategies to bring about social change than an argument about autonomy.
The notion that the output of bioethics maintains improper incentives to avoid
social improvement is a reason for repopulating it with opposing troops, not for
radical substitution of paradigms.
It may also be that claims of coercion and undue influence are proxies for
worries about exploitation. But this takes us far afield, and, in any event, is
closely related to issues of objectification, reduction, and mere use.'"
1 32. For a more extended discussion of the possibilities of damaging autonomy by addressing
some of its aspects and not others, see Shapiro, supra note 121, at 353-401.
133. These ideas are discussed more extensively in Shapiro, supra note 47.
76 INDIANA LA W REVIEW [Vol. 33:17
2. Inattention to Ideas of Community and Responsibility.— \t is rare that
analysis in any branch of bioethics fails utterly to attend to matters of community
and responsibility; the field is not dominated by minimal-state libertarians
constantly quoting Robert Nozick.'^"* Discussion of "biological" treatments for
mental disorder or for neutralizing dangerous persons inevitably pits matters of
autonomy against community protection (to identify just one of the conflicts
involved), and neither gets short shrift in either case law or the bioethics
literature.
Illustrations are not hard to find. In Washington v. Harper^^^ for example,
the interests of the prison community and the community-at- large overcame the
prisoner's interest in avoiding forced treatment that intruded on his immediate
and short-run autonomy. Of course, the distinction between
institutional/communitarian interests and personal interests is not a sharp one;
indeed, the Court thought that compelled therapy would promote the prisoner's
"medical interests," despite the arguable intrusion on autonomy. ^^^ The Court
here was again somewhat simplistic, but it at least saw the point.
Discussion of innovative methods of reproduction is another example. The
literature has, from the start, dealt heavily with threats to women and to feminist
values, risks to children, and impacts on community beliefs and values. Debates
about the non-use of lifesaving medical and nonmedical care and about assisted
suicide and euthanasia have also, from the start, addressed risks to normative
structures concerning community attitudes favoring strong protection of life; they
have not just confined themselves to autonomy and relief of suffering. The oft-
invoked "slippery-slope" analysis, when used correctly, must include the
"learning effects" of various practices and institutions, including legal regimes
and their implementation, on the community. '^^
Much the same can be said about the fields of genetic control, organ
transplants, and virtually anything else identified as "bioethical." Scrutiny of the
literature does not support the claim of inattention to matters beyond self-
regarding fixations on autonomy and rights. Genetic technology's threats to
employment opportunities, health care, social status, and so on bear on both
individualistic and community-oriented values. Despite the restrictions on
personal autonomy imposed by prohibiting commercial markets in organs for
1 34. See generally ROBERT NOZICK, ANARCHY, STATE, AND UTOPIA ( 1 974).
135. 494 U.S. 210(1990).
136. See id. at 222-23, 23 1 (referring to the prisoner's "medical interests" and non-medical
"interests").
137. See generally Michael H. Shapiro, Regulation as Language: Communicating Values
by Altering the Contingencies of Choice, 55 U. PiTT. L. REV. 681, 713-30 (1994). "Learning
effects" refers, loosely put, to changes in attitudes, values and beliefs arising from awareness and
observation of or participation in social institutions, and from observed behavior generally. "The
idea is that some regulation reflects, implements, reinforces or 'expresses' — and thus
teaches — certain values, attitudes and beliefs. It does so by repeatedly being perceived through
certain frameworks, in much the same way that any human conduct is perceived and, possibly,
learned from over time." Id. at 713 (footnote omitted).
1999] IS BIOETHICS BROKE? 77
transplantation, these markets are nevertheless prohibited because of concern for
the preconditions of autonomy (e.g., undue influence, "coercive" financial
circumstances, authenticity); and the risks of objectification, erosion of socially
preferred attitudes, and racial/ethnic caste-formation. ^^^
An analytical sidebar is called for here. The contrast between personal
autonomy and community constraints is easy to overstate. There is a clear
overlap between them. Simplistic denunciations of a literature or discipline as
favoring one to the exclusion of the other are hard to defend. Indeed, a purported
attack on autonomy by communitarians may in fact count as a partial defense of
it. For example, the community's worries over the objectification of low-income
groups within a legal market for organs clearly bear on the autonomy of each
potential seller. With a legal market for organ sales, the group's overall social
and economic status may decline further, thus decreasing their members'
autonomy by reducing their opportunities. In turn, each individual exercise of
autonomy in choosing to sell an organ contributes to the learning effects upon the
community and thus creates long-term autonomy risks to the individuals within
it. What these learning effects might be, however, depends on many variables.
Our practices and institutions have multiple learning effects that impair
autonomy in some senses and promote it in others. I do not say that this mixture
of conflict and confluence of values is always clearly discerned by participants
and auditors, but the mixture exists, and the discipline's words and actions reflect
this.
Debates about genetic control reflect the same implicit or explicit attention
to these conflict- and conflation- ridden values. A quick look at the growing
literature on human cloning reveals a strong focus on the supposed negative
impacts on both communitarian and individual concerns. '^^ Although I view the
quality of analysis as weak, it contains no systematic, delusional exclusion of
relevant categories of thought. My dim view of the merits of this sub- literature
does not lead me to denounce the discipline generally nor even to think that this
literature is demented.
3. Inattention to Matters of Culture, Ethnicity, Race, and Gender. — If this
claim of inattention is plausible, it is no more so here than in most other realms
of discourse and action. Dominant groups in any society — and the dominated
138. See id.
139. See. e.g., GregoryE. Pence, WHO'S Afraid OF Human Cloning? 138, 141-46(1998)
(discussing the possibility of adverse changes in social attitudes); id. at 100-101 (discussing
personal liberty); Dan W. Brock, An Assessment of the Ethical Issues Pro and Con, in CLONES AND
Clones: Facts and Fantasies About Human Cloning 141 (Martha C. Nussbaum & Cass R.
Sunstein eds,, 1998) (discussing possible individual and social benefits and harms). On cloning,
see generally Lori B. Andrews, Is There a Right to Clone? Constitutional Challenges to Bans on
Human Cloning, 1 1 Harv. J.L. & TECH. 643 (1998); CLONING HUMAN BEINGS: REPORT AND
Recommendations of the National Bioethics Advisory Commission (1997); Brock, supra.
For an earlier but still important work, see generally Francis C. Pizzulli, Asexual Reproduction and
Genetic Engineering: A Constitutional Assessment of the Technology of Cloning, 47 S. Cal. L.
Rev. 476(1974).
78 INDIANA LAW REVIEW [Vol. 33:17
themselves — often fail to attend to the importance of and differences among
various cultures, races, genders, and other groupings. Yet the very birth of
bioethics as a field was marked in part by uncovering the Tuskegee syphilis
research on uninformed and untreated black men, as well as identifying other,
non-racially restricted experimentation on human subjects. "*° It was also spurred
by recognition of the need to sort individuals as recipients of lifesaving dialysis
treatments or organ transplants.'"^' Bioethics was race, gender and culture-
sensitive from the start and has remained so. Moreover, for the past several
years, a great deal of scholarship has been devoted to the impact of race, sex, and
culture on the physician-patient relationship, the process of informed consent, the
delivery of health care, attention to the needs of future generations, and so on.'"*^
It remains unclear what, as a matter of moral and legal policy, we ought to do in
any given case: should we defer to ideas that the autonomous unit is an extended
family headed by a matriarch or patriarch, or should we focus largely on the
individual patient? Should we evangelize for personal autonomy and insist that
the patient herself make the critical choices? As I said, the issues have long been
vetted and are attended to in increasingly sophisticated ways. Compared to the
similar lack of success outside the field, the failure of bioethics to resolve fully
the issues attending multiculturalism is hardly a major flaw.
4. Inattention to the Risks of Reifying Autonomy, on the One Hand, and
Compounding Professional Hegemony, on the Other. — It may seem ironic that
some critics who complain of excessive attention to autonomy also complain of
health care providers and institutions exercising inappropriate control over one's
life. Of course, there is no necessary contradiction here. One can believe
autonomy is overvalued in some contexts and also believe that its proper value
is threatened in other contexts. In any event, the clear and open recognition of
1 40. See generally JAMES H. JONES, BAD Blood: The Tuskegee SYPHILIS EXPERIMENT 4-6
(expanded ed. 1993); Rothman, supra note 6, at 70-84, 183.
141 . See generallyDdi\/'\(\ Sanders & Jesse Dukeminier, Jr., Medical Advance and Legal Lag:
Hemodialysis and Kidney Transplantation, 15 UCLA. L. REV. 357 (1968).
1 42. See Transcultural Dimensions in Medical Ethics (Edmund Pellegrino et al. eds.,
1992); Margaret Olivia Little, Why a Feminist Approach to Bioethics?, 6 KENNEDY iNST. ETHICS
J. 1 (1996) (part of Special Issue: Feminist Perspectives on Bioethics); Edmund D. Pellegrino, Is
Truth Telling to the Patient a Cultural Artifact? , 268 JAMA 1734 (1992); Maura A. Ryan, The
Argument for Unlimited Procreative Liberty: A Feminist Critique, HASTINGS CENTER Rep.,
July/Aug. 1990, at 6, 8, 9; see also NORMAN DANIELS, JuST HEALTH CARE (1985); Leslie J.
Blackhall et al., Ethnicity and Attitudes Toward Patient Autonomy, 274 JAMA 820 (1995) (some
groups adhere to a family-centered decision making model); Darryl R.J. Macer et al., International
Perceptions and Approval of Gene TTzem/Ty, 6 HUMAN GENE Ther. 791 (1995); Mei-che Samantha
Pang, Protective Truthfulness: The Chinese Way of Safeguarding Patients in Informed Treatment
Decisions, 25 J. Med. ETHICS 247 (1999). Cf Peter T. Kilbom, Filling Special Needs of Minority
Patients, N.Y. TIMES, Feb. 14, 1999, at 16 (referring to the views of Dr. Louis Sullivan, former
Secretary of Health and Human Services during the Bush administration: "'A white physician can
be just as effective.' But Dr. Sullivan said familiarity with patients' race and heritage led to better
care.").
1 999] IS BIOETHICS BROKE? 79
autonomy can discourage the consolidation of excessive power in the hands of
health care professionals. A concurrent qualification is that if autonomy is not
handled with adequate sensitivity to its preconditions and countervailing
considerations, we may make things worse in many ways. Autonomy, rightly
understood, is not promoted when incompetent, coerced, or unduly influenced
persons are left to their unfettered choices.
Happily, there is a three-in-one example of a lament about autonomy and
bioethics, combining complaints about rational autonomy, promotion of the
medical establishment's hegemony, and the very ideal of rational thought.
In recent years there has been an increasing critique of that
philosophically based, predominantly abstract, rationalistic, mode of
reasoning in bioethics, known as principlism. Unfortunately, however,
the response to this debate through postmodern scholarship has, as Wolf
observes, "scarcely been found in bioethics to date." ... I will argue that
the process of reifying and applying autonomy as an abstract principle
avoids or suppresses an understanding of the evidence which points to
power and control being an important characteristic of bio-medical
discourse. The danger is that the naive rational application of the
principle of autonomy within the substantive rationality of the powerful
discourse of bio-medicine will only have a legitimizing effect which
would affirm rather than challenge the status quo. The risk is that
bioethical "talk" about autonomy may only create the illusion of
providing the self-determining protection supposedly afforded to the
individual by the application of this principle. By engaging in such
rhetoric, bioethicists are unwittingly undermining the very value they
profess to support. [There is then a quotation referring to "the
oppressive status quo".]'"*^
We are lucky to find so many questionable notions all in one place, and, as
an added fillip, in a text replicating a "postmodern" literary style. This critique
surely merits its own critique.
First, the opening account of principlism uses the phrase "reifying and
applying autonomy as an abstract principle." Principlism tries to avoid
"reification" of autonomy as an "abstract[ion]" by viewing it as a mid-level
principle that contends with other mid-level principles — beneficence,
nonmaleficence, and justice. Has principlism been conflated here with abstract
philosophical thought generally? ''*'*
We are also told in the quoted passage that "response to this debate [about
reifying autonomy] through postmodern scholarship has . . . 'scarcely been
found'" in bioethics.'"*^ It is not said just what is absent. It is very clear that there
143. Pam McGrath, Autonomy, Discourse, and Power: A Postmodern Reflection on
Principlism and Bioethics. 23 Med. & PHIL. 516-17 (1998) (citations omitted).
144. See Beauchamp & CHILDRESS, supra note 105, at 15 (describing levels of
generality — ethical theory, principles, rules, and particular judgments).
145. Mat 516.
80 INDIANA LAW REVIEW [Vol. 33:17
is no deficit of critical analysis of the limitations and risks of using the term
"autonomy" loosely, and, to turn matters around, it is "naive" to think otherwise.
Perhaps the author thinks that anyone who offers a critique of autonomy is not
in the field of bioethics, so the field stands infirm for lack of appropriate internal
critiques.
As for affirming the status quo, the postmodern ideological position is
apparently that the prevailing conditions embrace too much medicalization and
physician control and implement a biomedical technological imperative oblivious
to variant circumstances. But whether the status quo is truly "oppressive"
depends on a set of value judgments that require far more attention to context
than is provided. There is no automatic benefit from challenging the status quo.
If conditions are morally wanting — as when the status quo is patriarchal and a
given practice consolidates this situation without compensating benefits — ^they
should be challenged. If they aren't wanting in some respect, however, one
might rock the boat a bit to encourage review and rethinking, but trying to
dislodge the status quo would be an unsupportable maneuver.
Apparently it is not all applications of autonomy but only its "rational
application" that is risky. What is the idea here? Is "rational" a synonym for
"formalistic" (something of a swear word, as already mentioned)? What is the
foundation for the complaint about medical hegemony? That there is no such
thing as medical expertise to which anyone need defer? That too many
physicians are Republicans?
The author believes that autonomy talk can delude us into thinking we are
being protected by the rational principle of autonomy. This is true: such
delusions are possible. This is also old news. Dithering on about peace,
freedom, equality, and whatever, can inspire a false sense of confidence. But
why would one think that autonomy talk within bioethics is lulling anyone into
a comfortable but false belief that things are more or less OK?
Perhaps the problem lies partly with autonomy's internal tensions, which
have long been mined by opposing sides, all claiming to be vindicating
autonomy. Some see forced treatment of the competent but mentally disordered
as constitutive of oppression. Some even see such treatment of incompetent
patients as oppressive. The problem is that there are autonomy "vectors" pulling
different ways. Forced treatment of mental disorders may promote long-run
autonomy by enhancing a patient's opportunities. It is doubtful that this is
oppression where the patient is incompetent. Whether it is oppression where the
person is competent but diminished by ameliorable illness is far less clear. Can
this idea of long-run autonomy be abused? Think of casually invoking it to shut
patients up whether they are competent or not, and even when they are not that
ill? Absolutely. "Autonomy" and "incompetenf are dangerous terms, especially
when paired in an effort to treat objecting patients by invoking the vision of a
more autonomous and presumably more satisfying future. Perhaps the medical
establishment malevolently installed these concepts in their treatment protocols
to fortify their powers.
But critics of autonomy and of the medical establishment can also threaten
autonomy. Suppose a competent patient delegates some important medical
decisions to her provider (although we would say that a reasonably autonomous
1 999] IS BIOETHICS BROKE? 8 1
person would not do so because it compromises the self-directional aspect of
autonomy). We point this out to her, and she responds that as far as she is
concerned, the pursuing-my-preferences element of autonomy trumps the self-
direction aspect. She prefers to delegate. Insisting that she decide interferes with
her autonomy-as-freedom-to-implement-ones-own-wishes. Perhaps she argues
that she self-directedly decided to give up some self-direction. One can do this
in health care as well as in home construction, although the respective risks to
autonomy may be quite different. There are no important values that cannot be
turned against themselves. If the particular sense of the value is not specified, it
may be wrong to say that invoking the value misleads us into thinking it is being
promoted. Talking about equality without specifying whether it refers to some
form of equality of opportunity or some form of equality of outcome may make
all the difference in the world. If one is fixed on equality of outcome, then when
others extol the promotion of equality— for them, equality of opportunity — the
two sides are at cross-purposes. Talking blandly about how our society promotes
equality, freedom, or justice thus does not tell us what is going on or who is
being misled in what way by existing work in bioethics. Assuming we do not
abandon autonomy — after all, it is only its "rational application" that is
condemned — ^what are the alternative forms of action and rhetoric? (I return to
this point shortly, when inquiring into the author's preferred modes of operation.)
Consider next the author's complaint about "the modernist notion of revering
principle over context . . .."''*^ But "contexf cannot be identified, parsed,
understood, identified as relevant, and relied upon without reference to
"principle." We wouldn't know what to look for as "context." If we look for
sick, suffering patients, we do so partly because we are wired up that way, but
also because of principles embodying duties to relieve the suffering. Otherwise,
the asserted context is just a mass of incoherent sensations. Of course, principle
cannot lead us to a decision without premises about particulars. That there are
formalists who need to attend more to situational circumstances is already
known. Is that what this claim is about? To say that "autonomy must be
contextual ized"^"*^ states either the elementary idea that abstractions do not
provide conclusions without concretions (the context, circumstances, particulars
of the situation, etc.), or makes the factual claim that autonomy is regularly
applied flatfooted and abusively because providers fail to consider individualized
patient needs. This is not supported, except by unpersuasive anecdotes
concerning the burdens of wearing hospital gowns (a universal complaint) and
having blood drawn more than one wishes.*"*^ The fact that power is abused is an
unfortunate fact of life, but there is little evidence that the prevailing bioethics
rhetoric compounds rather than reduces the abuse, or that postmodern rhetoric
would reduce it better.
Of course, much — perhaps everything — rests on what constitutes abuse or
other improper treatment of patients. Drawing blood whenever it is needed,
1 46. McGrath, supra note 1 43 , at 5 1 8.
147. /^. at 522.
148. Seeid.2X51\'22.
82 INDIANA LAW REVIEW [Vol. 33:17
which McGrath laments,''*^ is not a persuasive example. If it is done without
permission or done impolitely, there is no serious issue: the medical staff is not
supposed to do that. However, formal informed consent rituals are not ordinarily
invoked here because most persons know that blood draws may be imperative for
diagnosis, monitoring, and successful treatment. And it is "rational autonomy,"
that insufferably dangerous notion, that is responsible for establishing the
requirement of permission, if not civility, in the first place. The very complaints
about blood draws and drafty hospital gowns rest rather heavily, if not
exclusively, on autonomy to pursue our preferences to be pain free and retain our
dignity by being clothed on all four of our sides.
Oddly, McGrath refers favorably to the crystallization of the right to refuse
treatment, a major right deriving partly from autonomy considerations and seems
assign some credit for this the workings of bioethics over an extended period. '^°
So what's the beef here? If the author favors a presumption against the use of
"reductionist," "medicocentric"'^' biomedical technology, there is next to nothing
offered to support this. It appears simply as an outgrowth of an ideological
indisposition toward medical technology, which not everyone shares and which
must be defended. It is simply not enough to point out, as nearly everyone now
knows, that medical technology as applied to the dying may or may not be
beneficial or desired. Nor can one rest on the well-known inclination of some
medical personnel to use medical means even when not called for. What, then,
is the preferred alternative to "reductionist" and "medicocentric" medicine? No
technology is risk-free — but not using technology is also not risk-free.
The closest approach by the author to a recommendation of what to do is
hard to follow. McGrath describes the operation of a particular hospice, stating:
In the discourse of [the hospice] the idea of autonomy is not a bioethical
principle to be applied to difficult situations, but a "way" of
continuously responding to the needs of the client and his family. . . .
"Basically what I see Karuna [the hospice] as doing is offering people
a choice." [quoting a "participant" (patient) in the hospice] This
commitment to a broader notion of choice does not mean that members
of this organization are not respectful of the more limited perspective of
information giving and nonjudgmental support . . . .'^^
But this alternative vision is not "alternative"! As far as I can understand the
quoted remarks of the hospice participant, they are exactly what our vilified
principle of autonomy calls for in that context. The passage is difficult to follow,
however. What is meant by saying autonomy is "not a bioethical principle" but
a "way"? What "broader notion of choice" is at work?
149. Id. at 521 (quoting a patient statement from THROUGH THE PATIENT'S EYES:
Understanding and Promoting Patient-Centered Care (Margaret Gertis et al. eds., 1993)).
150. See id. dX 523.
151. Mat 518.
152. Id. at 525-26. The author quotes remarks such as "[o]ffer them the best options, best
information, what the likely outcome of those options . . . they can make whatever choice." Id.
1999] IS BIOETHICS BROKE? 83
Puzzlingly, the author then complains about "just giving information and
asking for signatures on a consent form," and extols "choice by doing."'^^
Perhaps she has reduced autonomy solely to information-giving. It is more than
that. Moreover, one can autonomously decline to receive certain information.'^"*
Although there may be limits to our rights to refuse information, no serious
autonomy scholars say simply that autonomy requires that you receive relevant
information whether you like it or not.
And what is "choice by doing"? It seems to be twenty- four hour "holistic"
care with counseling and psycho-social support. '^^ Where is the choice by doing
here? Who is doing/choosing what? The patient isn't doing anything — everyone
else seems to be hovering around her all the time. Can she refuse this
omnipresent caring, or does entering the hospice — an establishment of its
own — require her to buy into what it does? If so, is this a vindication of
autonomy?
One concludes, not that the principle of rational autonomy is infirm, but that
people do not regularly practice what they preach: physicians abuse their power
and patients misuse the system. That is hardly the fault of bioethics — ^though it
must attend to how real-world health care systems (like all systems) may fail, and
to consider what fail-safe mechanisms to install. The hospice in question may
provide more "holistic" and "spiritual" care (this would seem to involve
beneficence at least as much as autonomy), but this is largely a matter of highly
variable personal preference or taste. In any event, the "richer notion of
autonomy"'^^ the author endorses is not only not unknown to bioethics, it is, from
what I understand of her account, the dominant notion. Its contrast with the
supposedly objectionable "'clear and distinct idea' . . . articulated [in a]
principle"'^^ is not made clear. Is she asserting that her idea is not "clear and
distinct" — or simply that it is not embedded in a principle — merely in a "way"?
F. Excessive Attention to Rights
While the critique of rights parallels the complaints about making too much
of autonomy, it goes beyond it. This is no surprise because the actual vindication
of autonomy and other values is often accomplished through recognition of legal
rights enforced by the coercive power of the state. Indeed, talk of rights in any
field using any moral characterization (e.g., "natural rights") is likely to devolve
(not "reduce") to matters of law. If rights analysis is taken seriously, legal
recognition and enforcement are inevitably considered, if not always
implemented.
Criticism of rights-based systems may rest on a mistaken notion of how the
term "rights" is being used. It may describe a bottom line conclusion that has
153. Mat 526.
1 54. See Shapiro, supra note 1 2 1 , at 3 82-83 .
155. See McGrath, supra note 143, at 526.
156. See id. 2X52%.
1 57. Id. (quoting Albert R. Jonsen, The New Medicine and the Old Ethics ( 1 990)).
84 INDIANA LAW REVIEW [Vol. 33:17
already taken account of claims of presumptive right and countervailing
considerations in a particular category of case; or it can refer to the starting
presumption before countervailing matters are dealt with; or it may be used to
describe a "trump" or absolute of sorts that rigorously excludes countervailing
considerations. Other rights may be absolutes. Think of the constitutional bans
on bills of attainder, '^^ or the Thirteenth Amendment's ban on slavery.'^^ (Of
course, the meanings of "bill of attainder" and "slavery" may be sufficiently
doubtful that one is not sure what is "absolutely" forbidden.) To the extent that
the rights recognized are viewed as absolutes rather than presumptions, the
countervailing considerations, such as they are, are built into the articulation of
the right. '^° In the United States, the "logic" of rights can take any of these
forms, although it may be hard to tell from the text. In matters of constitutional
law, the initial invocation of a right is, far more often than not, best understood
as a presumptive or prima facie claim.
One can of course claim rights for all sorts of things — e.g., non-interference
with and even affirmative access to physician-assisted suicide, abortion, food,
employment, health care, insurance, shelter, and so on. One can also focus on
such rights while failing to consider matters of duty or responsibility, injuries to
others, injuries to communities, and injury to the rights-claimants themselves.
As one might expect, sharp contrasts between rights-talk and responsibility/duty-
talk are dangerous. Sometimes duties and responsibilities are the correlatives of
rights held by others. And sometimes they may track "interests" of others that
do not rise to matters of right. In any case, depending on what philosophical or
158. U.S. CONST, art. I, § 9 cl. 3, 10 cl. 1.
159. /d amend. XIII.
1 60. The parallels to the categorization vs. balancing issue in constitutional law are obvious.
See generally Kathleen M. Sullivan, Post-Liberal Judging: The Roles of Categorization and
Balancing, 63 U. COLO. L. Rev. 293 (1992). But cf. John Ladd, Legalism and Medical Ethics, in
Contemporary Issues IN Biomedical Ethics 1 (John W.Davis etal.eds., 1978). Ladd discusses
rights-talk as against "responsibility" talk:
[A] responsible decision [in bioethics] may require consideration of such different
things as risks and benefits, other relationships, concerns, needs and abilities of persons
affected by and affecting the decision. In addition, ... it is usually necessary to "weigh"
a number of factors against each other; the final decision often requires what we
generally call "judgment". . . . Decisions based on rights, on the other hand, are quite
different. They do not permit taking into account most of the considerations mentioned,
and they do not involve the same kind of weighing, deliberation, judgment, etc., that is
called for in cases of responsibility.
Id. at 27-28. As an across-the-board matter within legal discourse, this is not the best way to
describe matters. Much depends on what is meant by "the same kind of weighing . . . ."
Adjudication of fundamental liberty interests may downgrade various state interests as
uncompelling or unimportant, at least in the case at hand, but at the threshold of argument, the
ultimately outweighed interests are material — and remain so for future cases. The nature of the
connection between the government's action and its asserted or supposed goals is also evaluated
within the standard of review being applied.
1999] IS BIOETHICS BROKE? 85
even religious system of thought we invoke, the two different forms of talk have
major links.
There are two complaints about rights-based implementation of interests that
are particularly relevant here. One is that the claim of right, whether against the
state or private parties, concerns something that the claimant — or possibly
anyone — should not receive or be able to avoid, simply upon making the claim.
The second complaint is that although a given interest ought to be promoted, it
is generally better pursued by means other than claiming legal or perhaps even
moral rights, whether viewed as presumptive, bottom-line, or absolute.
As to the first complaint, whether what is claimed as a right (to receive or
avoid) is a fit one for rights recognition depends upon the political theories and
philosophies dominating the scene. A fair example might contrast a right against
interference by the government publishing with one's writings, with a right to a
minimum income, adequate housing or abortion. The first is essential to a
democratic republic. The rest are contested. Such rights are written into some
constitutions, but, in the view of most, not our own.
As to the second complaint, it would be coherent to argue that we should be
able to receive affirmative assistance in dying, but that openly formalizing this
by recognizing and enforcing a constitutional right to such assistance is too
perilous (not to mention unjustified by a right reading of the constitution). It
would encourage a weakening of pro-life values, have an excessive error rate,
lead step by step to non-voluntary euthanasia, devalue not only persons who are
terminally ill but non-terminal disabled persons as well, and ultimately expand
to suicide-on-demand for everyone.'^' Whether this argument is sound is not the
point: I am merely giving an illustration of an argument against vindicating as
a matter of right what everyone concedes is an interest — ^the avoidance of
161. See generally Sam Howe Verhovek, Oregon Reporting 15 Deaths in 1998 Under
Suicide Law, N.Y. TIMES, Feb. 1 8, 1999, at Al . This article suggest that in these first 1 5 cases, that
most of the decisions to seek and use physician-assisted suicide were based on feared losses of
control and autonomy generally, not on severe physical pain or discomfort. See id; see also Chin
et a!., supra note 1 1 6, at 577 ("[T]he decision to request and use a prescription for lethal medication
was associated with concern about loss of autonomy or control of bodily functions, not with fear
of intractable pain or concern about financial loss."); Wesley J. Smith, Dependency or Death?
Oregonians Make A Chilling Choice, WALL ST. J., Feb. 25, 1999, at Al 8 (1999 WL-WSJ
5442052). Smith states that none of the first 1 5 persons who died as a result of Physician-Assisted
Suicide ("PAS") was pushed into this by intractable pain or suffering. The patients evidently had
strong beliefs in autonomy and suicide was chosen because of fears of future dependence. The
author states that this was not the expected result — ^that choosing PAS would be a last resort against
unrelenting and intolerable suffering. See id. He indicates that pain was not a factor in a single
case of PAS among this group. See id. He also suggests that "legalization in Oregon has actually
widened the category of conditions for which for which [PAS] is seen as legitimate." Id. In his
discussion of disabled and elderly persons, he concludes the "dehumanizing message is that society
regards such lives as undignified and not worth living." Id. The author notes that the information
about PAS came from physicians who did the prescribing, not from those who did not assist their
patients in dying. See id.
86 INDIANA LAW REVIEW [Vol. 33:17
suffering, particularly severe suffering at the end of life.
The critique of rights recognition — especially legal rights — might benefit
from addressing the idea that a legal right is linked to the possibilities of
enforcement (whether or not one thinks there are "rights without remedies").
This of course involves matters of legal process and legal coercion. Some
matters should not be embraced by such processes. No one has a right that
another person fall in love with her/him. How would it be enforced? On the
other hand, a child has a right, if not to the love of her parents, then to adequate
nurture and support which may indeed include presenting an appearance of
loving the child. This can be enforced, if clumsily.
There is thus something to the claim that vindicating certain interests should
not take the form of recognizing enforceable rights against specified parties. The
dispute is about what sorts of interests ought to be the subject of legal rights and
what sorts should not, whether they have a role as moral rights. Have claims of
right, as extolled in the bioethics literature and as vindicated in laws or
regulations or judicial decisions, been overdone and oversold? If so, which
rights, and in what ways overdone? It is not obvious that bioethics is guilty of
this, but it is inappropriate to single out bioethics as the sole or main culprit.
Legislatures, courts, and government agencies may be equally responsible, quite
independently of bioethics commentaries. The argument against rights covers a
far broader segment of law and commentary than that housed in bioethics. This,
of course, does not let bioethics off the hook. Perhaps it should have leapt off the
rights bandwagon. Yet it remains unclear what rights should not have been
recognized or what the fallout from such recognition has been.
There is another interpretation of the rights critique that deals less with legal
rights and more with bedside conversations and patient-physician and patient-
institution relations. Suppose a patient, before an examination, announces to the
physician that she has a legal right to be examined with due care as defined by
prevailing medical custom, to be given the information a reasonable patient
would want to know under the circumstances, and to be treated with dignity. All
true. But why say it? Is it to put the Fear into a physician of a patriarchal bent?
But this view of the rights critique does not show it in a better light. Few
question the point that as a matter of civilized human interaction, it is usually
unnecessary and often counterproductive to start out with what is in effect a
demand, although this may well happen.
It seems intuitively clear that there is a connection between protests about
rights claims and about "overlegalization."'^^ The latter occurs (in part) when
matters that should not be the subject of legal rights (or powers or privileges or
other legal relations) and procedures are nevertheless implanted in that domain.
So, a few remarks on overlegalization are in order.
162. See Alexander Morgan Capron & Vicki Michel, Law and Bioethics, 27 LOY. L.A. L.
Rev. 25, 35-36 (1993) (The authors briefly review multiple aspects of "bioethics" and its historical
origins; note the critique of "rights talk" but indicate that many legal commentators "resist over-
legalizing the field"; the authors also urge that a central concern of law and bioethics "is to discern
the limits of law as a mechanism to structure concepts and relationships in health care").
1999] IS BIOETHICS BROKE? 87
G. Overlegalization
L What Is It? — "Overlegalization" may refer to several processes and
outcomes: the use of formal procedures; the substantive nature and scope of
regulatory fields or of particular legal rules; the application of certain legal
relations — rights, powers, privileges, immunities — ^to certain situations; the
specific legal/analytic techniques involved in a dispute; the idea of invasion of
individual or familial privacy and autonomy through legally authorized or
immunized intervention by "outsiders" — a breach of the "public/private" border;
the asserted improper transformation of "moral" issues into legal issues; or the
announcement and implementation of any principles, standards and rules that cut
against firm community norms.
One can thus see some obvious and towering ambiguities in complaints of
overlegalization. "This isn't fit for legal regulation" is quite different from "You
set up the substantive and procedural rules improperly." The latter is not best
described as "overlegalization" and I will not so consider it here. The term
generally suggests that the state has gone beyond the proper limits of law-
governance, rather than simply making a mistake in constructing the law in a
particular way. The fact remains, however, that a claim of overlegalization may
inappropriately be applied to matters dealt with nonoptimally by formal legal
mechanisms that are otherwise rightly in place. '^^
But what does it means to suggest that some province of human action should
be beyond legal intervention, perhaps even of an "informal" or "alternative" sort?
It does not seem to be a call for anarchy. It does not even seem to be a claim that
there are areas utterly beyond "the rule of law." Although it may seem
paradoxical to say so, complaints about overlegalization are in a sense complaints
that the rule of law itself is impaired or has failed because it has subjected
autonomous persons to inappropriate regulation, in violation of some basic
principle.
It is also difficult to know what to make of private ordering "outside" law
1 63 . See Daniel Callahan, Escaping from Legalism: Is It Possible?, HASTINGS CENTER REP.
Nov.-Dec. 1996, at 34. "Legalism, may, then, be defined as the translation of moral problems into
legal problems; the inhibition of moral debate for fear that it will be so translated; and the elevation
of the moral judgments of courts as the moral standards of the land." Id Callahan attributes this,
at least in part, to an "enormous moral vacuum in this country, which for lack of better institutional
candidates has been left to the law to fill." Id at 34-35. This may roughly describe
"overlegalization," but I do not think that "legalism," whether excessive or not, encompasses all
"translation of moral problems into legal problems." For one thing, there are no true "translations"
of this sort. For another, "doing law" entails the entry, in one form or another, of moral norms,
either in enacting or interpreting and applying laws. The announcement of legal norms may also
reinforce the moral status of important values. See also George J. Annas, Facilitating Choice:
Judging the Physician's Role in Abortion and Suicide, 1 QUINNIPIAC HEALTH L. J. 93 (1996)
(complaining about too much law in bioethics, and characterizing bioethics as, at least in part,
dealing heavily with analysis of the physician-patient relationship).
88 INDIANA LAW REVIEW [Vol. 33:17
and courts, without the direct influence of particular rules, but nevertheless
"within" classic domains of law and probably operating under its influence
("within its shadow"). One thinks of Ellickson's description of "informal norms
of neighborliness" that may differ in content and impact from legal rules. '^"^
Some "informal" norms are nevertheless part of a "customary" legal system.
"Law," even as we use it in "developed" contemporary culture, is not confined
to courts or legislatures or law enforcement officers in action. But here we are
skirting the edges of the dreaded question-what is law? All I do here is mention,
not the well known jurisprudential literature, but the less well known work of
legal anthropologists. They do not settle the conceptual issue about the range of
"law," but their work illustrates the possible varieties of what might rightly be
called "law.""'^
The idea that overlegalization is best viewed as the wrongheaded assimilation
of moral issues into the law contains a kernel of sense but is nevertheless not apt.
A simple example of inappropriate moral-to-legal assimilation would be to
legally enforce all promises — not just the usual sort of contractual "promises,"
but even promises to pick up one's socks or meet someone for dinner.
Still, the stronger the moral right or duty, the more we must consider the
possibility of making these moral relations matters of law, in the sense that they
are part of formal community "ordering."'^^ Among the most important legal
principles and rules are those whose moral status is so elevated that they seem to
require legal ratification, in certain contexts whether by constitutional command,
legislative or regulatory action, or formal adjudication: procedural fairness
(notice, opportunity to be heard, and so on); freedom of speech and religion;
varieties of autonomy and privacy, equality, justice, fairness ....
The moral/legal barrier is also breached by the necessities of rightly
interpreting legal texts. We take interests we value highly (on whatever grounds)
and make them legal rights of various sorts. We may select a canonical
description embodying the moral right and implant it in a constitution or other
law; or a common law court may select any of several alternative formulations
1 64. Robert C. Ellickson, Order Without Law: How Neighbors Settle Disputes at
viii(1991).
1 65 . See Sally Falk Moore, Epilogue to Symbol and Politics in Communal Ideology 2 1 0
(Sally Falk Moore & Barbara Myerhoff eds., 1975). The authors state that rituals, laws, customs,
etc., are used "to fix social life, to keep it from slipping into the sea of indeterminacy." Id. at 221-
22. This passage of course contrasts "laws" with these "other" things, but at the same time suggests
their strong parallels. On distinguishing law from custom, see generally E. Adamson Hoebel, The
Law OF Primitive Man 18-28 (1954).
1 66. See COUNCIL ON THE ROLE OF COURTS, THE ROLE OF COURTS IN AMERICAN SOCIETY 85
(Jethro K. Lieberman ed., 1 984) (referring to "[djisputes that should not be settled privately because
society has an important stake in governing them by authoritatively imposing public standards . .
. ."); see also Owen M. Fiss, Against Settlement, 93 YALE L.J. 1073, 1085 (1984) (arguing that a
major function of formal adjudication is "to explicate and give force to the values embodied in
authoritative texts such as the Constitution and statutes: to interpret those values and to bring
reality into accord with them.").
1999] IS BIOETHICS BROKE? 89
to recognize and enforce it. In whatever verbal form the "phase-change" from
morals to law is accomplished, interpretation will be required and interpretation
is influenced (admittedly a "weasel word") by prevailing moral dispositions.
We should now run through several of these distinct but overlapping
meanings of "overlegalization." Some meanings have a complex empirical core.
For example, some overlegalization claims require us to ask whether certain
behavior been subjected to legal ordering in a way inconsistent with the culture's
own norms.
This is a good point at which to mention what might initially appear to be a
paradox. What is the "remedy" for overlegalization? Telling the legislature or
agency to undo what it has done is one maneuver. Another remedy is to state, as
a legal/constitutional matter, that some arena of behavior has been overlegalized.
If the state insists that no one may use contraceptive devices to prevent
pregnancy, it has violated a fundamental liberty interest. '^^ The state has
intruded where it doesn't belong, and this is a matter of constitutional dimension.
The inquiry into norms often takes place within the investigation of "tradition"
as a technique for discerning unmentioned fundamental liberty interests in
constitutional law.*^^
Is governmental action that is inconsistent with certain important traditions
really a case of overlegalization to be vindicated by resorting to the
legal/constitutional notion of a fundamental liberty interest? The term is
probably not precise enough to allow a definitive answer. Whatever the
description, there is some sense of overlegalization that refers, roughly, to the law
going where no law ought to go, at least in our culture. Obviously,
overlegalization in this sense, and probably all its senses, will bump into difficult
evaluative matters. It may be unverifiable whether legal ordering has exceeded
traditional limits to legal ordering. This is especially so when cultural values
and beliefs vary sharply within the social system. The issue is thus far from
purely empirical. The degree and gravity of the government intrusion cannot be
fixed by some objective measurement. Whether limits are exceeded — and indeed
what the limits are — ultimately rests on value analysis. To make matters still
more complex, any discussion of the meanings of "overlegalization" must take
account of law as both reflecting and shaping cultural practices. If
overlegalization has endured, community sentiments may have been altered. If
so, are the relevant matters no longer overlegalized?
Before reviewing some varieties of overlegalization, two points: First,
overlegalization charges are sometimes misleading proxies for what is really
meant: "the wrong legal decision was made for this class of cases." Second,
overlegalization may and sometimes should be recognized and vindicated legally.
a. Having legal rules (whether legislative, administrative, or common law)
dealing with personal matters that should he left to private ordering. — "Private"
167. See Carey v. Population Servs. Int'l, 431 U.S. 678, 687-88 (1977).
168. See Laurence H. Tribe & Michael C. Dorff, Levels of Generality in the Definition of
Rights, 57 U. Chi. L. Rev. 1057 (1990) (examining the idea of tradition and its vagueness and
ambiguity).
90 INDIANA LAW REVIEW [Vol. 33:17
may refer to individual persons, families, groups, even communities, and perhaps
to businesses and institutions of certain sorts. '^^ Whether legal ordering has
wrongly intruded into the private realm is obviously a partial function of
governing moral theories, customs, and traditions. In any liberal polity, for
example, the supposedly overlegalized fields can be defined very
broadly — reproduction, sex, medical care, death decisions, control of mind and
body, choice of life work, and so on.
There is an oddity about this: how can truly private matters lose their
characterization as such by societal practices pointing in other directions? If
overlegalization simply depends on practice — how one's neighbors think and
act — it doesn't establish much of a limit. If things aren't overlegalized, they're
"overcustomized," at least from the point of the view of the outlier who wants to
be left alone. But oddity isn't fatal. We are not in a state of nature; we live, as
individuals, in societies. What we leave for autonomous self-rule and what we
do not is ultimately decided not by a solitary self, but by the assemblage of selves
that becomes a community. Relying on natural law or moral reality does not alter
the situation, for their contents again will not be determined solely by the
individual claimant. Whether some form of regulation represents
"overlegalization" is thus in part a matter of law and custom.
There is yet another layer of difficulty in addressing overlegalization. Most
of our decisions, serious or otherwise, bear on both the public and private
domains. At first glance, how one disposes of personal and household waste
materials is a private concern. But final disposition is usually presumptively
lodged in local government. Of course, what is thought to bear on the "public
domain" varies sharply across societies. Some groups seem to regulate in certain
domains of choice to a noticeably greater degree than does the United States (e.g,
specifying permissible and impermissible names for children). '^^
More relevant to our concerns are two examples from bioethics. First,
transplantation of organs or tissue from one family member to another may be
viewed as intensely private and presumptively insulated from outside scrutiny.
Yet the risks of intrafamilial exploitation, undue influence, or conflicts of interest
are such that external scrutiny was exercised by courts from the start. The role
of judicial oversight may have declined here, as it has in control of death and
dying. This was to be expected. Initial rulings provided some degree of clarity
and predictability, especially concerning whether transplants from live donors
could even take place without risk of prosecution for mayhem or child abuse.
Here again our nonparadoxical paradox appears, this time concerning the decline
in judicial oversight: to preserve a domain from legal ordering may require an
exercise in legal ordering stating that further legal ordering would be out of
place.
169. For more extensive analysis, see Ruth Gavison, Feminism and the Public/Private
Distinction, 45 STAN. L. REV. 1, 5 (1992).
170. See. e.g., Tyler Marshall, Germans ' Wish Is a Command, L.A. TIMES, Dec. 28, 1992,
at Al (discussing Germany's establishment of "quiet times" between 1:00 p.m. and 3:00 p.m.;
regulation of children's names; restrictions on hours of business operation).
1 999] IS BIOETHICS BROKE? 9 1
Second, if someone learns she has a genetic predisposition for developing a
serious disorder, whose business is it beyond her own? In a liberal regime, this
is a matter of private self-knowledge; its contents presumptively need not be
disclosed to anyone. But that presumption may be overcome by the interests of
family members who may benefit from knowing of possible genetic risks to them
and their nuclear families; by prospective employers who are not anxious to
invest in the training of an employee doomed to an early death or extended
debilitation; or by insurers wanting to — and perhaps being legally obliged
to — reduce their costs by not issuing health or life polices to persons at far
greater than average risk for impairment or death. Overlegalization charges are
no slam dunk here either.
b. Vindicating certain interests through the mechanism of formal legal
rights, powers, etc. — The complaint here is about several matters: the heavy-
handedness of the mechanism for pursuing the interest; the adverse effect on
other interests arising from the (excessive?) focus on rights, privileges,
immunities, and powers; the decline in the role of private voluntary interaction
in addressing disputes; and the expression of a "message" that the interest
protected by the claim of right is more important than it really is — indeed, it may
be thought by some to be too lowly to merit legal protection at all.
Both of these aspects of legalization— having legal rules apply at all and
formally vindicating certain legal interests created by these rules — require public
or semipublic procedures.'^'
c. Subjecting matters of choice that should be resolved intuitively and
according to the situation at hand, instead of by rules and rule-governed
resolution mechanisms. — This third aspect of overlegalization was mentioned
earlier in referring to pragmatist critiques of bioethics. It is bad enough, it is
argued, to resort to rigorous deliberation using dominating abstractions. Using
legal rules on top of that makes things still worse.
The nature of this branch of overlegalization is suggested by Carl Schneider,
who writes that "the idioms of the law are often less apt than they might appear.
They have arisen in response to needs for social regulation, but the systemic
imperatives that shape the law are sometimes a poor pattern for bioethical
discourse."'^^
All true, as a single day in law school can convincingly show. But "less apt
than they might appear" and "poor pattern for bioethical discourse" compared to
what? If legal language is clumsy in some cases, normative discourse may be no
better equipped to deal with the detachment of parts of life processes and their
recombination into new forms — ^the basic stuff of bioethics. Having two natural
mothers (gestational surrogacy) or no natural parents at all (cloning?); justifying
the removal of an organ from a healthy child to give to her dying sibling, or
171. As a possible example of overlegalization in several senses, note the controversy
concerning formal discipline for supposed misconduct by small children. See, e.g. , Paul Dean, The
Death of Common Sense?, L.A. TIMES, Nov. 8, 1996, at El.
1 72. Carl E. Schneider, Bioethics in the Language of the Law, HASTINGS CENTER REP., July-
Aug. 1994, at 16, 18.
92 INDIANA LAW REVIEW [Vol. 33:17
determining whether we should permit or encourage assisted suicide and
voluntary euthanasia; expanding the notion of death to apply to human organisms
whose bodies function spontaneously but in total separation from their
permanently lost identities — ^these are as awkward for moral as for legal analysis.
To be sure, the very process of implanting an acute moral/conceptual
problem into a legal framework is problematic — is there a constitutional
fundamental liberty interest in assisted suicide? Does a disabled prisoner have
a right to refuse nutrition and hydration. '^^ These inquiries illuminate the moral
issues and enrich philosophical analysis. Heuristic illumination is not the final
point, however. The point, again, is that one may need formal legal ordering at
the threshold in order to attenuate its intrusive grip later on: The law may and
sometimes must formally vindicate the charge of overlegalization, and then
withdraw until needed once more.
d Varying from traditional patterns of human interaction — including the
formation of personal relationships based on kinship, friendship, and
mating — and making them matters of formal agreement by contract or other
legal/commercial devices. — The charge that new reproductive techniques
"commodity" women, children, mating, sex, and society generally is closely
linked to the use of legal and commercial mechanisms in certain interpersonal
transactions. Thus, legal enforcement of commercial surrogacy is compared to
prostitution as an agreement that "monetizes" sex; it is also compared to the sale
of children or other persons, whether as part of family formation or of slavery.
The connection between overlegalization and commodification, then, is that
the former may be a causal factor in producing the latter. The imposition of legal
ordering of the sort linked to mercantile deal-making does not, on this view,
vindicate personal autonomy and privacy in reproduction; it instead diminishes
persons and converts the exchange of services from a matter of friendship or
kinship to one of "greed"— for money or children. (The epithet "greed," of
course, reflects a prior determination that legal enforcement of a transaction
involving commercial exchange is inappropriate.)
e. Finally, the idea that, within the legal field, the wrong legal neighborhood
has been chosen, e.g., opting for criminal sanctions when civil or administrative
sanctions would do as well or better; and opting for formal adjudication rather
than informal dispute resolution. — Barber v. Superior Court^^^ might be offered
as an example. In Barber, two physicians were prosecuted for murder. They had
withdrawn medical treatment, including artificial nutrition and hydration, from
a permanently unconscious patient. '^^ More spectacular examples are
Prohibition'^^ and present-day drug bans, although the view that the wrong legal
1 73. One has such a right in California. See Thor v. Superior Court, 855 P.2d 375 (Cal. 1 993)
(recognizing a fundamental common law and possibly a state constitutional right to refuse
treatment, and explicitly embedding philosophical accounts of the status of autonomy into its legal
argument structure).
174. Barber v. Superior Court, 195 Cal. Rptr. 484 (Cal. Ct. App. 1983).
175. SeeiddX^U.
176. U.S. Const, amend. XVIII, repealed by U.S. CONST, amend. XXI.
1999] IS BIOETHICS BROKE? 93
neighborhood has been selected for recreational drugs remains controversial.
One thinks also of the close monitoring of physicians who prescribe certain
medicines thought likely to be abused — e.g., analgesics, and stimulants for
attention deficit disorder. Those who do not view these measures as
overlegalization are likely to regard failure to enact and rigorously enforce them
as underlegalization. For present purposes, it is immaterial which
characterization is the better one; the point is that whether something is over- or
underlegalized is a function, first, of moral evaluation of the conduct in question,
and second, of the parallel evaluation of promulgation and enforcement of rules.
2. Further Applications to Bioethics: Law and Courts. —
a. Private ordering. — The idea of overlegalization is a legitimate tool of
moral, policy and legal analysis. Mistakes have of course been made by all
groups, even from their own internal viewpoints, not just in selecting the contents
of legal rules, but in imposing legal rules on some fields of conduct at all. The
power of private ordering is sometimes underestimated, and it can work its ways
while dislodging (without contravening) legal rules. As Ellickson has suggested,
informal mechanisms are often used among landowners and merchants to adjust
their relationships, often in ways quite different from what would be an expected
result of litigation. ^^^ Nevertheless, even if "private ordering" in some form is
acceptable or even preferable in some area, it would be a mistake to assume that
all forms of legal ordering in the field are inappropriate. Although it may be
unfortunate in some cases that a heavy-handed legal regime displaces private
ordering to some degree, a legal backdrop in some form may be necessary or
useful to the (now semi-) private ordering.
How do these observations bear on bioethics and, more generally, on how we
are to deal with millennial technologies?
It is hard to credit the broad claim that bioethical analysis has been
systematically mistaken in opting for the use of legal regimes in displacement of
whatever would otherwise arise in private ordering. If it has indeed been
mistaken in that way, it is no more at fault than other Western disciplines in
looking so frequently to The Law. Subjecting identifiable areas of behavior and
conflict to law raises most of the fundamental moral/philosophical issues that
were raised during the preceding millennia. No sweeping complaint of
overlegalization is likely to be borne out: the only rational way to proceed is
with an area-by-area search.
The most prominent current examples of complaints about overlegalization
concern death and dying, ^^^ and possibly the use of socially and technologically
177. See ELLICKSON, supra, note 164, at viii (observing that "after only a few interviews I
could see that rural residents in Shasta County were frequently applying informal norms of
neighborliness to resolve disputes even when they knew that their norms were inconsistent with the
law."). The study focuses in part on the cattle industry. Of course, "inconsistent with the
law" — ^with the substantive outcome had formal law been invoked — does not here mean "against
the law."
1 78. See PRESIDENT' s Commission for the Study of Ethical Problems in Medicine and
Biomedical Behavioral Research, Deciding to Forego Life-Sustaining Treatment 247
94 INDIANA LAW REVIEW [Vol. 33:17
innovative reproductive methods. Similar charges were lodged early on against
certain emerging organ transplantation practices. Joseph Goldstein, for example,
complained strongly that the family in Hart v. Brown^^^ had been required to
submit its planned inter-sibling transplantation for judicial vetting. '^° He
believed that this invaded familial privacy.'^' Perhaps he was right. Or perhaps
he underestimated the risk of parental favoritism among siblings and the
possibility of parental lack of good faith. Then again, perhaps those risks are
outweighed by the cascading risks of outside intrusion. '^^ In any case, it seems
reasonable to ask why parents should have to seek state permission to preserve
the integrity of their family by arranging for one sibling to save the other
sibling's life, when the "donor" sibling is likely to undergo arguably only modest
risk and temporary, if serious, discomfort. The question, however, is hard to
answer: Hart v. Brown is not an univocal example of too much law.
Much the same protest was made against formalizing the decision process in
medical nontreatment cases, and is now implicitly made in proposals for
physician-assisted suicide, who is now permitted in Oregon. ^^^ Few proponents
of physician-assisted suicide favor requirements of judicial authorization or
mandatory psychological screening. But as already suggested, formal resolution
of disputes arising at the beginning of an innovative practice may serve to
establish patterns and to reinforce autonomy and privacy values so that recourse
to legal processes will occur less often and less intrusively.
An obvious illustration of the need to compare overlegalization with
underlegalization is assisted reproduction. Enforcement of surrogacy contracts
is viewed by critics of surrogacy as overlegalization, which exacerbates whatever
"commodifying" effects the transactions have. But this is strongly, though not
inevitably, correlated with calls for legislation prohibiting, restricting or
regulating the practice. Here, the critics of bioethics, most of whom oppose
(1983) [hereinafter President's Commission] (stating that "[a]s made clear throughout this
Report, the Commission believes that decisionmaking about life-sustaining care is rarely improved
by resort to courts."). Cf. Barber, 1 95 Cal. Rptr. at 486 (holding that there is no legal requirement
for judicial approval before life-sustaining treatment is withdrawn. "[In another case,] Justice
Fleming observed that 'prosecution of a lawsuit is a poor way to design a motor vehicle.' By
analogy it appears to us that a murder prosecution is a poor way to design an ethical and moral code
for doctors who are faced with decisions concerning the use of costly and extraordinary 'life
support' equipment."), (quoting Self v. General Motors Corp., 1 16 Cal. Rptr. 575, 579 (Cal Ct.
App. 1974)). As I argue in the text, however, some formal adjudications represent a plausible way
to announce and reinforce behavioral norms and ideals. See infra Part III.G.2.b.
179. 289 A.2d 386 (Conn. Super. Ct. 1972).
180. See Joseph Goldstein, Medical Care for the Child at Risk: On State Supervention of
Parental Autonomy, 86 YALE L.J. 645 (1977).
181. See id. 2X669.
182. See generally Gavison, supra note 169, at 1, 12, 37 (noting the objections to familial
privacy arguments when the context is intrafamilial abuse).
183. See Death With Dignity Act, OR. Rev. Stat. §§ 127.800-127.897 (1998) {amended by
1999 Or. Laws 423).
1999] IS BIOETHICS BROKE? 95
surrogacy, do not complain of overlegalization in the form of prohibition; they
complain of overlegalization as the enforcement of surrogacy contracts, and of
nonprohibition as ww<3fer legalization. Once again, the underlying complaint is
that the legal regime protected or banned the wrong thing, not that it acted in
some way at all.
b. Overlegalization and "catching up ". — We now need to relate matters of
over- and underlegalization to the symposium's animating idea that law and
ethics must "catch up" to science and technology. Some cases seem pretty easy.
Enterprises that cause negative externalities beyond a certain baseline have to
pay for harms they cause. If you run a research laboratory investigating
infectious agents, you have to implement serious containment and other safety
measures. When dangerous new enterprises are begun and they seem to escape
existing legal means of public protection, the law "catches up" with technology,
in a simple sense, by acting to reduce the danger. Whether this is better
accomplished by civil litigation, criminal prosecution, regulation, institutional
oversight, or some combination of these routes also raises over- and
underlegalization issues, but there is no reason to examine this here.
In other cases it is not so clear how law might catch up with technology. One
possibility is affirmatively ordering a field in a reasonably coherent way — or so
it may seem to supporters. Once again, Oregon's physician-assisted suicide law
is, to such supporters, a legal response that seizes the day and offers a clear
example of gaining ground on technology. On some views, much the same
would apply to bans on surrogacy, human cloning, animal gestation of human
embryos and fetuses, and the construction of transgenic sentient beings. In other
cases, law's gains on technology may be via removing itself or declining to enter
a given area: a community's choice to keep law and legal process as far away as
possible from a given field might well be considered a form of catching up.
Repealing laws banning surrogacy or cloning would so count in my book. What
is over- or under- legalization thus depends on the nature of the conduct in
question, its moral assessment, the content of the substantive legal rules in place,
and what procedural and remedial devices are used. For example, damages for
breaching a surrogacy contract's provision prohibiting abortion might well
violate Casey v. Planned Parenthood, ^^^ but either way it is a far cry from
specific performance, which would, by comparison, constitute immense
overlegalization.
In any region of bioethics, the over/underlegalization claim can be defended
only if the countervailing considerations are carefully inspected. In some cases,
legalization, including formal adjudication, may promote a sound adjustment to
novel problems that our biotechnological capacities bring us. Indeed, as
suggested, the very imposition of legal ordering in some rational form is often
rightly viewed as constituting moral and legal progress.
To our eyes, the "rule of law"^^^ is essential in both directing human behavior
184. 505 U.S. 833(1992).
1 85. For analysis of the idea of rule of law, see generally Gregory C. Keating, Fidelity to Pre-
Existing Law and the Legitimacy of Legal Decision, 69 NOTRE DAME L. REV. 1 (1993).
96 INDIANA LAW REVIEW [Vol. 33:17
and doing the exact opposite — ^to leave behavior alone. Complaining of
overlegalization is ordinarily not about rejecting the rule of law, but about the
operational consequences of particular ways of implementing the rule of law. If
certain forms of autonomy and privacy are constitutionally guaranteed, the rule
of law requires avoidance of heavy legal regulation of personal choice. On the
other hand, the rule of law also requires that, in the first instance, law
enforcement officers firmly protect exercises of free speech rights against
threatening protesters.^*^
We need law to allow people to be left alone. We now need to examine
cases in which it is not obvious that classic legal mechanisms — -judicial process,
legislation — are necessary for a minimally adequate society. It is not clear, for
example, whether "judicial supervention" is called for in certain matters of
intrafamilial decision making, such as organ transplantation and death and dying.
The issues merit some additional comments that bear both on these particular
contexts and on the very nature of the rule of law.
c. Rule of law via rule of courts: When legal *' progress'* may consist of
public ordering by formal adjudication rather than either private ordering, on
the one hand, legislation or administrative rule-making, on the
other}^^ — Government regulation in various forms — ^particularly formal
adjudication — may suggest without establishing the influence of rational
principle, whatever the subject matter. It may dispel or mask an aura of
arbitrariness or anarchy and, depending on the circumstances, this may be a
significant gain. This seems especially true of judicial decision making which
can reinforce rationality ideals by calling upon the domain of principle to attack
and manage various forms of contingency and indeterminacy. It may have other
effects too — ^for example, offering comfort and reassurance to certain parties,
relieving them of a sense of oppression and responsibility deriving from an
186. Compare Feiner v. New York, 340 U.S. 315 (1951) (upholding the disorderly conduct
conviction of a speaker who was threatened by a member of the audience), with Cox v. Louisiana,
379 U.S. 536 (1965) (reversing the breach of peace conviction of demonstrators who had drawn
a hostile audience).
1 87. But cf. Roger B. Dworkin, Limits: The Role of the Law in Bioethical Decision
Making (1996). Prof. Dworkin critiques the law's role in bioethics, stating that "our [legal
institutional] tools for dealing with social problems posed by rapid change in biology and medicine
are limited at best." Id. at 1 8. But he also argues that "[t]o suggest that the law has no role to play
in the area of biomedical advance would be both stupid and unrealistic." Id. at 2. What I say here
is not necessarily inconsistent with his views: He may be stressing what is absent from the glass,
while I am addressing what's in it.
See generally Schneider, supra note 1 72, at 1 8 ("The idioms of the law are often less apt than
they might appear. They have arisen in response to needs for social regulation, but the systemic
imperatives that shape the law are sometimes a poor pattern for bioethical discourse."). But the
division and rearrangement of life processes that I stressed earlier makes matters difficult not only
for law, but for ethical analysis. The least-worst course, in some cases, may be to remit the matter
to formal adjudication in order to achieve some degree of closure, even if imperfect and possibly
transient.
1999] IS BIOETHICS BROKE? 97
"excess" of options, and so on.
There are, of course, opposing considerations. Intrafamilial lifesaving
decisions pose serious value problems. But critics of formal adjudication address
a particular subclass of personal value problems — ones in which they believe the
issues are so serious and involve matters of such intensely personal concern that
resolving them is a matter belonging exclusively to autonomous persons (or, if
incompetent, their proxies) who should be able to act with their physicians
without judicial interference, guided only by existing penal laws and rules of
professional conduct. On this view, then, a life-and-death issue, whether in
transplantation or the use of life-prolonging medical care, is a major aspect of
deciding on personal medical care, which is presumptively an individual or
family decision.
As we saw, however, protecting these choices may require the community's
agreement that the decisional sphere is one for the individual and/or family and
not the community. Indeed, the community is obliged to keep the zone of choice
clear of legal interference. The private choices do not stand solitary, however.
Their cumulative effects may threaten the very regime of private choice if they
appear to reflect an unacceptable incidence of undue influence, coercion, or
fraud. A rational community would monitor the preconditions for choice,
accepting some risk of intrusions on autonomy and privacy: there are no costless
ways of proceeding here. The community would also try to assure that the
countervailing issues are not only not forgotten, but are acted upon in suitable
cases. Important private choices thus inevitably abut the legal system.
[SJociety has a significant interest in protecting and promoting the high
value of human life. Although continued life may be of little value to the
permanently unconscious patient, the provision of care is one way of
symbolizing and reinforcing the value of human life so long as any
chance of recovery remains. Moreover, the public may want
permanently unconscious patients to receive treatment lest reduced
levels of care have deleterious effects on the vigor with which other, less
seriously compromised patients are treated.'^*
Even for patients who do not favor such [life-prolonging] treatment for
themselves, encountering some degree of resistance to their wishes is a
reminder that their lives are important to others.'*^
1 88. President's Commission, supra note 1 78, at 1 84-85 (footnotes omitted).
189. Id. at 108; see also Rasmussen ex rel. Mitchell v. Fleming, 741 P.2d 674 (Ariz. 1987).
The question of whether to refuse or discontinue treatment is not simply a medical issue
to be left to the doctors; although the medical evidence is in many ways determinative,
the final decision incorporates a range of ethical, moral, and societal values which
should not be left solely to doctors, family members, or representatives of the court . .
. . Such decision making requires the final validation — not necessarily by adversarial
hearing — and the detached and neutral inspection of a judicial officer, accountable to
98 INDIANA LAW REVIEW [Vol. 33:17
Probing the nature of the value reinforcement (or attenuation) worked by
judicial intervention may help explain both why we resort to courts crwc/ complain
about doing so and will probably continue to do both.
We learn from what we see, and what we see embraces the operation of
institutions and practices. Empirically confirming this is difficult and often
impossible, but the claim is nonetheless plausible because it is founded on
elementary aspects of human learning. We are entitled to rely on these basics,
despite the mass of variables that hinder study. ^^°
This inquiry into learning effects concerns, at the start, legal ordering as legal
ordering, without particular reference to its substantive content. In particular, to
take a somewhat anthropological view, it is about the role of formal adjudication
as a visible mechanism for overtly principled decision making.
This is not meant to be an opaque, empty procedural orientation. I am not
suggesting that "just letting the courts figure it out, however they do if can
regularly provide a satisfactory justification of various forms of legalization.
Order for order's sake is not the point. But rule-governedness via formal
adjudication transcends matters of particular substantive content, and I proceed
on that understanding.
One might think, however, that the rule of law, via courts or otherwise, is ill
adapted for use in conceptual regions dominated by heavy indeterminacy.
Perhaps talk about courts invoking the realm of principle makes little sense
where matters are so chaotic and uncertain that no principles are, or could be,
available. To say otherwise would be dishonest, or so one might argue. The
life/death choices involved in transplantation and non-use of life-prolonging
medical care are well known for resisting clear resolution.
Yet however paradoxical it sounds, resort to a formal body bound to deal
with principle as best it can may be useful precisely because the principles at
stake, as applied to major value issues, appear to resist consistent, determinate
application, and perhaps even identification. Law as the reign of principle (not
just naked process) whose nature is intuited by special parties may be of central
importance where there is general normative confusion about basic values.'^' An
the law, and therefore to the public.
Id. at 692 (Feldman, V.C.J., concurring). The court upheld a trial court's conclusion that the
patient's best interests were promoted by do-not-resuscitate and do-not-hospitalize orders entered
on the medical chart. Compare In re Quinlan, 355 A.2d 647 (N.J.), cert, denied, 429 U.S. 922
(1976) (suggesting circum.stances where judicial review is unnecessary), with Superintendent of
Belchertown State Sch. v. Saikewicz, 370 N.E.2d 417 (Mass. 1977) (disagreeing with the Quinlan
court).
1 90. Cf. Cass R. Sunstein, Incommensurability and Valuation in Law, 92 MiCH. L. REV. 779,
820-21, 824 (1994) (stating that "[i]f the law wrongly treats something — say, reproductive
capacities — as a commodity, the social kind of valuation may be adversely affected. ... It is
appropriate to evaluate the law on this ground I do suggest that the expressive function [of law]
is part of political and legal debate.").
191. Despite indeterminacy, there may be no general perception of confusion. This may be
1999] IS BIOETHICS BROKE? 99
arena apparently resistant to law because of interminable, insoluble value
collisions and murky facts may be a prime candidate for the rule of law precisely
because of these conditions.
Conflict, indeterminacy, paradox, and contradiction involving major values
thus seem both to call for and resist the rule of law as implemented by courts.
The parties at the bedside, some of whom may be affected by fear of liability as
well as by moral puzzlement, may invite the judicial rule of law even though this
impinges on intensely personal matters. The resistance of the problem to their
reasoned analysis does not, for them, exclude courts; it calls for courts to
penetrate the mystery, not just to apply an (imaginary) algorithmic science of
law. Perhaps this view of courts is excessively romantic, but it is hard to deny
some degree of "charismatic authority" based on a belief in their mastery of
matters too deep for the untrained. This is not, however, an "oracular" view of
courts, at least on the primary meaning of the term. Courts are not primarily
viewed as transmitters of messages from another realm. '^^
Still, the vision of law as replacing chaos with principle fits uneasily with the
view that principled reasoning is often at least partly indeterminate, and the fit
is even worse when we address the more numbing forms of indeterminacy. The
apparent paradox here is that rational principle may fail us when we need it most.
Easy cases need the courts less than hard cases do, but if hard cases involve
intractable indeterminacies, rational principle alone may not yield an acceptable
result, thus leading some to conclude that the use of courts is irrational. On this
view, courts are especially inappropriate when their services are especially
important.
Yet, they are not inappropriate, because we (or some of us) see courts as
having special insight into principle — an insight demanded when the principles
defiantly resist the tasks laid on them, and when the issues seem to test major
values unwilling to provide answers. Exactly how is it that X is/isn't a Y for
purposes of Z? How is it that inaction is/is not killing, that affirmative action
violates/promotes "the" ideal of equality, that forced medication of the mentally
disordered does/does not promote their autonomy? Courts know, so it is said.
They have access to "the normative patterns or order revealed or ordained [by
them]," as Weber put it.'^^ But if they do know, they know something
due in part to institutions such as courts. For an account of why lawyers and judges might be useful
in contexts when important classificatory schemes are under assault, see Michael H. Shapiro,
Lawyers, Judges and Bioethics, 5 S. Cal. Interdisc. L.J. 1 13 (1997).
192. Perhaps the appropriate "location" of courts is somewhere between mastery of
automobile repair (most people can learn at least some of the rules with appropriate training) and
mastery of theoretical physics (most people cannot get beyond whatever serves as first base). If one
believes in objective moral reality, one may also believe that it takes special ability and training to
divine what it is, and that not everyone can learn to do it.
193. Max Weber, The Theory of Social and Economic Organization 328 (A.M.
Henderson & Talcott Parsons trans., 1964). The full description reads: "Charismatic
grounds — resting on devotion to the specific and exceptional sanctity, heroism or exemplary
character of an individual person, and of the normative patterns or order revealed or ordained by
100 INDIANA LAW REVIEW [Vol. 33:17
mysterious.'^'* After all, does anyone really have a nifty decision procedure that
always fills in the non sequitur between the statement of the general rules and the
conclusion by identifying the true and correct premises? Pursuing "reflective
equilibrium" or "coherence theory" or "dialogue"'^^ is fine for awhile, but these
processes do not take you all the way to closure and are easily tossed around as
academic buzzwords. If it were otherwise, we would often have the resolution
we sought in the first place, instead of being caught in a process-substance
cycling or some other limbo. '^^ There is a normative leap to be made. Trying to
find it as a deductive consequence of other propositions leads to infinite regress
or a search for stopping points. But those stopping points are themselves
mysterious, and not clearly identified through moral intuition or revelation (at
least in "hard" cases). Reason itself is laced with mystery. Some mechanism is
needed to find an end point.
High indeterminacy, then, does not necessarily make the matter unfit for
courts. '^^ It may indeed make courts the only possible decisionmaker, for they
enclose the mystery of the normative leap within the forms of reason, thus
transforming the contingent into the unquestionable.'^^ Law as formal
adjudication cannot be limited to some supposed domain of consistent principles;
him (charismatic authority)." Id. at 328. See also id. at 358-63 (discussing charismatic and other
authority); Max Weber, 2 Economy and Society: An Outline of Interpretive Sociology 760
(1978) (stating that "... innovation in the body of legal rules may also occur through their
deliberate imposition yro/w above."") (emphasis in original; footnote omitted).
1 94. There are objections to this use of "mysterious." It connects reason with magic, which
is precisely one of the things with which it is to be contrasted. But if we do not know how to fill
in all the premises, the appearance of someone else doing so seems to suggest "mystery."
195. John Rawls, A Theory OF Justice 48-51 (1971) (explaining reflective equilibrium);
Richard H. Fallon, Jr., A Constructivist Coherence Theory of Constitutional Interpretation, 100
Harv. L. Rev. 11 89, 1240-43 (1987) (coherence theory); Bruce A. Ackerman, Social Justice
IN THE Liberal State 43 (1980) (dialogue).
196. Here is what I mean by "process-substance cycling": An absence or failure of
substantive criteria for decision making suggests reliance on processes for identifying decision
makers in a procedurally appropriate manner. They can then decide how to deal with the problems
at hand. It is therefore tempting to finesse substantive problems by relying on procedure, but this
is itself an unreliable process. The ultimate decisionmakers must ask themselves how to decide, and
are likely to notice the lack of guiding standards and seek outside assistance from their creators and
others. If their creators are consulted, they will still have no criteria, and this is at least partly why
they delegated the decision making in the first place. The matter is thus sent back down. Thus the
phrase "process-substance cycling." Moreover, the very criteria for selecting the decisionmakers
are likely themselves to be contested, in part because of the difficulty of selecting and linking their
respective characteristics to the nature of the problems defying reasoned resolution. This can
torpedo the very effort to rely on "process."
1 97. One might think otherwise, given doctrines of nonjusticiability in federal constitutional
law and elsewhere, but the issue is not to the point here.
198. See Sally F. Moore & Barbara G. Myerhoff, Introduction: Secular Ritual: Forms and
Meanings, in SECULAR RITUAL 3, 22 (Sally F. Moore & Barbara G. Myerhoff eds., 1977).
1 999] IS BIOETHICS BROKE? 1 0 1
its function is also to deal with the "unprincipled," in a way that makes it seem
principled. Courts offer the contribution of open, principled adjudication to
value reinforcement. Judicial resolution may attack several sources of
contingency'^^ in lifesaving and help dispel any aura of conflict of interest — say,
parental favoritism among siblings that leads to imposing unjustifiable risks or
burdens of care on some to benefit others.
If life-affirming values are sufficiently important, then resolving the meaning
of "life-affirming" and testing pro-life values against other values in particular
cases requires reasoning, not arbitrary or random action. This is one reason for
going public with disputes that many prefer to keep private. To render lifesaving
noncontingent, the decision favoring it must be seen as the product of right
reason. Reducing the appearance of arbitrary contingency in lifesaving by the
use of reason thus can preserve favored values under siege: individual and
familial autonomy and privacy. Though other techniques dispose of disputes,
they may reduce contingency less if they appear ad hoc or arbitrary; they produce
no basis for future understanding, nor do they inspire confidence that, say,
lifesaving is preeminently valuable. Thus, to fail to apply reason is to say the
issue is unimportant.
This does not fully answer the charge that applying reason through judicial
oversight intrudes on what seems to be an intensely private matter. Moreover,
the outcome may seem all the worse to the losers because they lose on the merits.
It is a striking feature of death and transplantation decisions that they seem at
once to call for both private decision and public scrutiny. The very reason for the
personal importance of the decision is a prime source of the community 's interest
in it- — ^the continued existence of one of its members and, by implication, all of
its members, present and future.
Despite the strong claims for noninterference, the calls for judfcial
application of principle remain. Principle tells us where to find the edge we
teeter on when reason seems to run out. Not just any edge will do. When we
reach the edge, we have judges with us — masters of the normative leap, a leap
the untrained or uninsightful cannot make. In many cases, as we saw,
indeterminacy, autonomy, and privacy do not necessarily make a matter unfit for
courts. On the contrary, they make courts, or some other entity openly using
reason, the least worst decisionmaker because the indeterminacy must be
attacked in a principled way in order to maintain a value structure.
Of course, the whole project may backfire, making things seem even more
arbitrary and confused. Rulings widely perceived as unjust or lunatic damage the
integrity of the adjudicative institution and its mission. If this risk inspires us to
move private choice underground, we return to the specter of contingency— a
world in which life is so little valued that we trust it to a set of unconnected
private battles that may or may not form a coherent pattern of life or death
decisions. With invisible decision processes having visible outcomes (say, secret
meetings by shamans in smoke-filled rooms), we do not know if life and pro-life
199. For explanations of the meanings of "contingent," see Shapiro, supra note 137, at 738-
39.
102 INDIANA LAW REVIEW [Vol. 33:17
values have been compromised by improper wishes for private gain, by a darts
game, or by witchcraft, rather than by slogging through the claims of
beneficence, autonomy, and so on, in promoting life and family. How important
can life and life's sanctity be? Isn't life something important enough, and easily
enough eroded, to merit noncontingent support through the consistent effort to
apply principle?
And what, finally, of autonomy and privacy? Legal nonintervention
generally and judicial nonintervention in particular seem to affirm privacy and
autonomy. When regulators choose not to regulate, the ideal of personal choice
is reinforced. The indeterminacy created by nonregulation is just what is needed
to promote autonomy, or so one might argue. ^°°
But suppose judicial pronouncements favor autonomy and privacy, as many
now do in both the transplantation and the death and dying fields.^^' (There are
of course cases in which it is not clear how far autonomy is favored or
disfavored. Cruzan v. Director is one of these.)^^^ Do such formal statements
promote these values more than judicial nonintervention — no courts saying
anything? (Recall that nonintervention here refers not to a negative judicial
decision, but to no judicial participation at all.) A reasoned view that autonomy
somehow prevails in a conflict with other values may reinforce it to a greater
degree precisely because the decision is a product of special insight applied by
public, authoritative deciders, sensitive to their own limitations. Yet leaving the
matter to a court that might have decided against autonomy cuts the opposite
way.
Legalization can obviously not only promote ideals of reason, autonomy and
privacy, but communitarian interests as well.^°^ A court is after all, a community
product. This in turn may promote a rationality ideal because the image of a
200. If the sort of autonomy endorsed is "familial autonomy" or "parental autonomy," it is
hard to say just what values are being vindicated, particularly when there are intra-family clashes.
There is, in effect, a problem of specifying the "unit of autonomy." Cf. Parham v. J. R., 442 U.S.
584 (1979) (upholding parental decision to place child in mental health facility after psychiatric
review).
20 1 . See generally Curran v. Bosze, 566 N.E.2d 1 3 1 9 (111. 1 990) (denying a request for bone
marrow testing of children to determine if they were compatible with their half brother); ALAN
Meisel, The Right to Die 83-84, 262-63 (2d ed. 1995).
202. See Cruzan v. Director, Missouri Department of Health, 497 U.S. 261 (1990). Although
there is some confusion about this, the Supreme Court did recognize or concede (however
grudgingly) a liberty interest in competently refusing medical treatment. This was not assumed
arguendo. The problems for the Court arise when the patient is incompetent and where artificial
nutrition and hydration — which some believe are not "medical treatment" but forms of basic
sustenance — are involved. Missouri had required that the evidence be clear and convincing that
withdrawal of care would be consistent with Ms. Cruzan's wishes while she was competent. See
id. at 265. The Missouri Supreme Court thought the evidence inadequate, and the resulting
judgment was upheld by the U.S. Supreme Court. See id.
203. Again, no sharp divisions here; the community's interests include promoting the
autonomy and privacy of its members.
1 999] IS BIOETHICS BROKE? 1 03
central decider — ^the community — may suggest the idea of coherence,
consistency, and caring. This communitarian aspect of judicial intervention is
easily understood: "by assembling, and ultimately by sharing responsibility for
the decision, they [the community members] once again bind themselves to one
another."'^'
But here too, the messages are mixed. Consider medical nontreatment. It
may well be that resorting to courts affirms the community by assigning it
important decisions, and also affirms certain specific values by having the
community, via the courts, endorse them. But a decision favoring nontreatment
can be taken to exclude the patient from the community, and so seems to
impoverish it: the patient is "thrown away." And where messages are mixed,
many of them will get lost. Further, the perceived connection between courts and
community (or certain communities) may be weak. Courts may be viewed as
intruders, alien to one's prime community.
It is thus unsurprising that we resort to courts to make death-and-dying and
other decisions and regret the need to do so. There is no inconsistency here.
Using courts and grumbling about it reflects the underlying value conflicts, the
fear of indeterminacy and of exposing it rather than resolving it, and perhaps our
dim awareness of the varying communicative impacts of using or not using
courts. Doing X may affirm some values, and complaining about doing X may
affirm some conflicting "oughts." Perhaps sometimes we ought to do both, and
indeed we do.^°^
H. Bioethics as We Know It Ratifies Establishment Practices and Values
and Fails to Question Foundations to a Sufficient Degree
Seedhouse, writing about health care rationing, says that "bioethics accepts
uncritically the context which generates the problems it tries to deal with."^^^
This is not so. The bioethicists I know and/or whose works I read are largely a
self-selected group with an orientation toward "out-of-the-box" thinking.
Perhaps Dr. Seedhouse has encountered a sample with sharply different
characteristics. I do not plan to do any empirical research on this. I assume that
"accept[ing] uncritically the context ..." is a species of automatically supporting
establishment values. Now, if a discipline expresses near universal preference
for every significant aspect of the status quo, what is the problem? If the
discipline's approval was automatic, their decision making process was
unreasonable and possibly dishonest. If it was not automatic and its outcomes
remain widely disputed within the field, then the complaint about "secular
204. Sally Falk Moore, Selection for Failure in a Small Social Field: Ritual Concord and
Fraternal Strife Among the Chagga, Kilimanjaro, 1968-69, in SYMBOL AND POLITICS IN
Communal Ideology 109, 121 (Sally Falk Moore & Barbara G. Myerhoff eds., 1975).
205. See Michael H. Shapiro, Introduction: Judicial Selection and the Design of Clumsy
Institutions, 61 S. Cal. L. Rev. 1555 (1988).
206. David Seedhouse, Why Bioethicists Have Nothing Useful to Say About Health Care
Rationing, 21 J. MED. ETHICS 288, 291 (1995).
1 04 INDIANA LAW REVIEW [Vol. 33:17
establishmentarianism" is better understood as the critic's adverse judgment
about the existing value system, or about a particular outcome, or perhaps as a
complaint that the establishment is pathologically risk averse in its resistance to
change.
Still, the claim of uncritical acceptance of "context" is not utterly vacuous.
Some of the criticisms of technologically and socially assisted reproduction
("TSAR") suggest that it is an establishment plot to promote existing conditions,
such as patriarchy, the objectification of women and children, and the
technological imperative generally. Assuming arguendo that these are indeed
dominant establishment institutions, then anyone who endorses or fails to oppose
TSAR is ratifying the status quo.^^^
There are several facets to this criticism of support and ratification of
prevailing establishment sentiments. One is that bioethicists ought to view
themselves as part of the "loyal opposition" and should regularly question the
status quo — its bottom-line answers, its rules of justification, its processes, and
so on — and they do not do this enough. This is the least cutting objection. The
loyal opposition idea seems plausible, but I think a loyal opposition already
resides in the discipline. I see no evidence that the discipline regularly defers to
"What Is" via some conservative reflex. Moreover, in any deliberative literature,
many, if not most writers will assume a Devil's advocacy of sorts to test their
own claims, some of which may or may not concur with then-current legal and
ethical terrain.
Still, such questioning and advocacy may not go far enough for the critics
because the questioners and advocates may really accept the rules, principles or
outcomes in question. How far up the crooked, ^-dimensional ladder of
abstraction must one go in questioning the status quo in order to escape the
charge of knee-jerk establishmentarianism?
A stronger claim may be that establishment institutions, or some major parts
of them, are badly flawed^ — ^that too many bioethicists buy into them — and that
the right moral, conceptual and legal infrastruture should be imported into a new
establishment. How many is too many? This is just another way of "critiquing"
bioethics without expressly noting one's bottom-line disagreement with many of
its practitioners— whether it is a disagreement over procedures, standards, or
whatever. I have already dealt with this, saying that such a critique is wide of the
mark unless some infirmities can be shown to characterize the literature, the
judicial decisions, the legislation, and whatever else we include in the
"discipline." The establishment in fact is far from monolithic and is continually
under amendment.
207. See the description of similar and related views in Barry R. Furrow et al.. Health
Law 834 (1995) (describing the anti-surrogacy arguments made by others who claim that "such a
change in the nature of the reproductive processes dehumanizes the surrogate mother and harms the
relationship between the child and the mother. This leads to the commodification of babies, who
are treated as a mcirket commodity not substantially different from sofas, pork bellies, or anything
else that can be traded for money."). As I argue here and elsewhere, this extravagant idea has no
serious empirical or conceptual support.
1999] IS BIOETHICS BROKE? 105
Another element of the complaint about pro-establishmentarianism may be
that, whatever outcomes are sanctioned or TQCommendQd, foundational values are
not called into question in reaching these outcomes. But this position is quite
unclear. First, what are the foundational values? Unless there is some realm of
dark ethical theory that we have yet to discern, these values are captured by high-
order abstractions that are familiar to us all. I am not sure that any given list is
exhaustive, and I am also not sure that the membership listings all reflect the
same level of abstraction so that comparisons are coherent. But the usual
suspects are utility, justice, fairness, equality, autonomy or its cousins, liberty
and freedom, and possibly, duty, responsibility, and virtue.
What does testing foundations consist of in this context? Should we question
the ultimate normative importance of the values? By hypothesis, these values are
basic. They are the criteria for normative judgment, and there is nothing beyond
that which normatively validates them. Sooner or later, one stops where the
crooked ladder seems to end; there is no infinite ascent or regress. Some values
are viewed as so basic that all or most of the others are considered derivative.
There are utilitarians who, in a sense, reduce all other value candidates to
utilitarian foundations. Justice is promoted because it serves utility, not justice.
Vindicating justice claims is simply a method of promoting utility. Is this the
problem — ^that most bioethicists are utilitarians? It doesn't seem so. Even if
most bioethicists are utilitarians, bioethics would still not be infirm unless the
utilitarians never even addressed competing moral theories and dealt with all
issues in a purblind way. Where is this occurring as a consistent practice? In
academics, at any rate, while there are a fair number of utilitarians, there are not
a lot of dumb ones — driven maybe, dumb, no.
As for affirmatively ratifying establishment values such as autonomy, several
questions arise: Do too many persons defer too strongly to autonomy? What
forms of autonomy? In what areas of medical technology should autonomy be
less respected? In what spheres does it have more than equal time? There may
indeed be some who have over-emphasized patients' short-term autonomy to
resist treatment as opposed to their long-term autonomy in the form of eventual
greater functionality, and so resolved doubts against required treatment for
mental disorders. On the other hand, there is no doubt that resolving doubts the
other way poses serious risks of abuse and of expansion of involuntary treatment.
There are those who perhaps too easily take widespread patient concurrence in
treatment as undue influence and thus as impaired consent. But I see no
objectionable dominance of the one group over the other.
I suggest, then, that there is no overriding "autonomy is everything" principle
dominating the field. Even if there were, there might be wide variation over
specifics because of the competing internal strands of autonomy: opportunity to
pursue preferences; self-direction; and its underlying presuppositions, including
competence, authenticity, and voluntariness.
Take, for example, a complaint that because autonomy as a value is e
pluribus unum, it should not get more than its fair share of attention. Perhaps
there was an initial failure to adequately draw out countervailing considerations
and preconditions. If this indeed occurred, it was quite a while ago, and,
according to careful historical analysis, not everything can be done in a day. But
106 INDIANA LAW REVIEW [Vol. 33:17
whether or not any value gets more than its fair share of attention or is short
shrifted is certainly not a purely empirical question. The central question
concerns moral analysis of the status of autonomy (or of any other value under
review). The significant attention that it continues to draw might indeed be the
attention it deserves, all things considered.
So, does bioethics, in fact, inappropriately ratify the status quo because "it"
thinks autonomy outweighs equality or some other value in more circumstances
than critics do? Perhaps autonomy- lovers have misread the official metric (the
standard autonomy unit is in a sealed container in the Smithsonian). This reflects
a fundamental moral dispute, however, and it is not best described by saying that
any of the protagonists holds an inherently flawed position. Autonomy mavens
do not have a monopoly on bioethics, nor do egalitarians, partisans of justice and
fairness, utilitarians, Kantians, positivists, pragmatists, and so on, at any level of
generality.
Finally, this "establishment" argument may be couched in a call for a change
in paradigms. The critique may be founded only in part on disagreement with
outcomes. It may be an attack on reasoning paths thought to appeal to the wrong
exemplars and analogies. Different routes may lead to the same final destination,
but if routes are good for more than one trip, they must be sound independently
of any particular result.^®* This requires no separate discussion, however. It is
included in the earlier account of general discussion about the nature and content
of the dreaded secular establishmentarianism.
I mention only briefly the position that the phrase "buying into the
establishment" suggests conflict of interest or rigid partisan agendas. The point
bears mentioning from time to time, but it is of minor consequence here. Clinical
researchers must disclose whether they are on the payroll of a manufacturer of
the drug, biologic, or device being investigated. Bioethicists may sometimes
encounter conflict of interest problems, but the scale is quite different. They
must disclose who has retained them, if anyone, and the fact that they are being
paid, and possibly how much. If they are designated spokespersons for some
institution, this must also be disclosed. Being devoted to a theoretical or
ideological stance, however, is different. People who are loyal Kantians do not
presumptively have to disclose this, and in any case, their condition will soon
become apparent. Not that there is anything wrong with being devoted to Kant;
I used to set my watch by his daily walks.
208. See generally P. Lance Temasky, Salvaging Moral Progress, 49 PHIL. Educ. 1 26, 1 28
(1993) ("For those arguing for [moral] progress, it comes as no surprise that the dominant ethical
theories often disagree dramatically in principle but converge when making application to actual
cases.").
1 999] IS BIOETHICS BROKE? 1 07
/. Bioethics Bears the Smell of the Lamp and Offers No Practical Guides
The claim that bioethics offers no practical guides is extremely weak. For
one thing, the discipline — and any branch of thought — must deal with
abstractions. Here, they are in the form of rules, standards, principles, maxims,
bromides, and conceptual constructs such as hypotheses, theories, conjectures,
thought experiments, analogies, paradigms, and so on. A given professional
contribution may be too abstract to provide practical guidance down to the final
decision level, but a discipline without such contributions is likely to bear
foundational deficiencies beyond what one would normally expect. To the extent
that the critical claim is a complaint that bioethics engages in unnecessarily
extended reflection and deliberation, it should with due reflection and
deliberation be dismissed.
Second, the complaint about the lack of practical applicability is closely
related to the complaint that few or no answers are forthcoming, a matter to
which I earlier referred. In many cases, it is, in principle, impossible to arrive at
a unique right answer to which all contending parties are likely to assent; this is
the nature of the abstractions under siege.
Finally, the literature contains many contributions by persons who address
themselves to the clinical or technological setting and suggest particularized
factors and variables that the principles may or must consider.^^° This may even
offer bottom-line answers in various cases. Complaining that there remains a
dearth of clear and convincing answers, however, is likely to reflect a deep
misunderstanding of what ethical, legal, and policy analysis is.
J. There Is No Unified Theory Underlying Bioethical Analysis
and Problem Solving^^^
If a commentator offers a theoretical contribution that purports to be sound,
coherent, and useful, but whose theoretical underpinnings are substantially in
conflict inter se and no discussion of their possible reconciliation is offered, then
one may rightly complain of a certain intellectual disarray, if not of fatal errors.
This is one frequent criticism of principlism.^^^ However, the lack of a truly
209. Cf. id at 126 (describing a world of incommensurability that results in contradictory
ethnocentric systems and stating that "if this is the most we can expect, then the interminable
debates between divergent theoretical camps may be principally viewed as entertainment for
academics.").
210. See generally ALBERT R. JONSENET AL., CLINICAL ETHICS: A PRACTICAL APPROACH TO
Ethical Decisions in Clinical Medicine (4th ed. 1998).
211. See generally Clouser & Kopelman, supra note 42, at 124 (discussing the lack of a
unified view of bioethics).
212. Id. See also K. Danner Clouser & Bernard Gert, A Critique ofPrinciplism, 1 5 J. MED.
& Phil. 219 (1990). The authors state that no argument "exists to support the role of principles in
the hierarchy they [Beauchamp and Childress] propose," id. at 231, and that "with principlism,
disagreements are often not only unresolvable, but one often does not even know what the basis of
the disagreement is or what changes in facts would produce agreement." Id. at 234. Clouser and
108 INDIANA LAW REVIEW [Vol. 33:17
unified theory that provides clear answers in every area is not a fatal error in
bioethics any more than in other fields. The error, quite the contrary, would be
to think that such a theory is possible.
K. So Is Bioethics Broke or Not?
I do not see that bioethics needs, or is undergoing, paradigm shifts. This is
not a claim that everything in the field is to remain the same for eternity. Nor is
it a claim that there can be no "progress" or useful new paradigms or lines of
thought. But to say that we should attend more to responsibility and duty than
to rights, or to think of community needs and not just autonomy needs, or that
law is over- or under-present, is not necessarily an attack on foundations or
existing paradigms. It may be a shift in emphasis in recognition of considerations
that, in any field, may be underdeveloped for a time. Conceptual systems do not
spring complete from any individual's or discipline's heads. There is also the
usual reservation that whether prior analytics are overdone or underdone may rest
less on comparative time sheets than on moral and policy differences.
Let us draw out this idea of assigning differential "weights" to liberty claims
as against community claims. The very idea of assigning weights to competing
considerations and then "balancing" them itselfreflQcts a dominating paradigm,
not only in constitutional law, but in other fields of law and in moral reflection.
In many arenas, balancing is not simply a useful paradigm, // is a core of
rationality. It is an effort to judge the worth of a course of conduct by
considering its good and bad aspects and impacts — whether we speak of them as
intrinsic or instrumental, or refer to consequences, or to value or duty
impairments, which are also consequences of a sort.^'^
It is too loose a use of the word "paradigm" to say there is a paradigm shift
in withdrawing weight from, say, a liberty claim, or adding weight to a
community claim. Indeed, such "interior" shifts within a conceptual argument
structure are often contrasted with paradigm shifts, although, as ever, the
Gert add that "[w]e believe, in the sense given to 'principle' by [William Frankena] and by
Beauchamp and Childress, that for all practical and theoretical purposes there are no moral
principles." Id. at 235. They also urge, more generally, that "it is a moral theory that is needed to
unify all the 'considerations' raised by the 'principles' and thus to help us determine what is
appropriate." Id. at 228.
213. This general formulation belongs both to consequentialist and nonconsequentialist
theories. Rational moral reflection is not confined to balancing "utiles"; one "balances" in deciding
whether to break a promise to one person or satisfy a conflicting obligation, despite the perils of
incommensurability. Thus, comparing value gains with value losses is not characteristic solely of
consequentialism. Conflicting duties can be compared and balanced — so also with conflicting
rights and conflicts between duties and rights. Cf. NoziCK, supra note 134, at 28-29 (discussing
"the utilitarianism of rights").
On incommensurability, see generally Richard Warner, Topic in Jurisprudence:
Incommensurability as a Jurisprudential Puzzle, 68 Chi.-KentL. Rev. 147 (1 992); Sunstein, supra
note 190.
1999] IS BIOETHICS BROKE? 109
distinction is blurry edges. Nevertheless, the call for reassignment of weights
reflects moral disagreement at an important if non-cosmic level. Tricking a
clinically depressed but technically competent person into taking antidepressants
may, for one evaluator, vindicate "true" autonomy because it maximizes long run
opportunities for self-directed rational pursuit of one's settled, authentic
preferences. For another, it is an exercise in private or public paternalism and is
never justified. This is a substantial dispute,^'"* but if one switches from the one
view to the other, this is likelier to result from re-valuing the competing aspects
of autonomy, not from an earth-shattering change in moral perspective. A field
is not necessarily reinvented by switching sides — although one could speak of
"sub-paradigm" switches: from long run to short run, "future self to present
self, more paternalism to less paternalism. Whatever these switches are called,
however, establishing a need for them does not establish that the discipline is
broken. The same holds true even if it is shown that the field has too many hard-
nosed libertarians, or too many equally hard-nosed paternal ists.
Reassignment of weights generally reflects both factual and moral/conceptual
matters. Thus, if we are told by bioethics' critics that we have been assessing,
weighing, and balancing the wrong things^ then what are the things missed or to
be replaced? On the other hand, if we are told we have been testing the right
things after all but assigning the wrong weights^ or that we have been using an
inaccurate scale or balancing mechanism, how then are these errors to be
corrected?
So, rival views concerning the identification, ordering, weighing, and
balancing of values are one thing — significant, but not mind-numbing. On the
other hand, matters are far more serious if the deficiency is failing to identify the
material moral issues, or failing to analyze them and instead relying solely on
mental/intestinal sensations of "repugnance,"^ '^ rejecting weighing and balancing
and instead applying, absolute rules at a high level of generality. If these latter
failures were endemic to bioethics, I would concur with the critics' final
conclusions and calls for repair, though probably for different reasons and
contemplating different kinds of remedy.
What, then, drives the critique of bioethics?
7. Disagreement with Outcomes. — In significant part, it seems to be
disagreement with bottom-line conclusions, whether with a commentator's
conclusions, a court's rulings, a legislature's enactments, an ethics committee's
recommendations, and so on. But this is not an adequate basis for an ascription
of brokenness. Reflective critics are likely to inspect the inputs that yielded the
output, presuming that bad conclusions stem from bad thinking tools and
techniques.
2. Inappropriate Methods/Concepts of Analysis and Valuation. — One can
claim that any given outcome reflects a wide variety of mistakes. The outcome
may derive, for example, from a mistaken value-ordering within a moral
214. See generally Michael H. Shapiro, Legislating the Control of Behavior Control:
Autonomy and the Coercive Use of Organic Therapies, 47 S. Cal. L. Rev. 237 (1974).
215. Kass, supra note 39, at 1 7.
no INDIANA LAW REVIEW [Vol. 33:17
hierarchy, but this too does not automatically mean that the system of thought
embracing a particular ordering is seriously faulty, nor that the ordering itself is
incoherent. Far more seriously, it may also derive from completely excluding
important considerations, rejecting crucial paradigms, failing to credit major
perspectives, or from conflicts of interest. If so, something is indeed broken.
This is just what we would say, for example, if health care commentators took
no account of the role of patient preferences or of patients' exclusion from health
care services, or if they assigned zero value to community interests, or
completely discounted differences among racial, ethnic, gender, and other
groups.
The critique thus implicitly embodies either a bare objection to an outcome
or a moral or conceptual dispute. The latter sort of debate often includes claims
that one's opponents "don't get it": they have missed material moral issues, are
misled by the wrong paradigms and analogies, are mindlessly rooted in the
establishment, etc. I think this is generally not the case. Beyond its rhetorical
usefulness when vented by ideologues, insisting that "they don't get it" is often
just a misleading way to beg the question.
L. A More Suitably Limited Critique ofBioethics Which, if Implemented,
Would Clearly Count as Some Progress
1. Loose Talk. — This Article is not a whitewash of bioethics. There are
matters to complain about. I referred earlier, for example, to the questionable
quality of debates on various issues.^'^ One can also complain that there is a
tradition in some areas of bioethics to buy into 5w^-establishments — e.g., the
long-standing opposition to some or all TSARs.^'^
The sub-establishment themes are that TSARs promote male domination,
professional domination, objectification of particular women, of women
generally, of children, and perhaps everyone and everything within range. Value
theories are not identified clearly, or if they are, are largely undefended;
inferential leaps and conclusory arguments carry the day.^'^ Despite all these
deficiencies, however, the anti-TSAR articles, judicial decisions, or
commentaries may remain in other respects insightful, useful, and, most
importantly, sources of important perspectives that others may miss. 1 cannot
recommend that a part of bioethics be temporarily shut down for repairs just
because it is, more than not, mistaken in its judgments about assisted
reproduction.
216. See supra Part I.
217. This point exhibits the dangers of arguments about ratifying or buying into the
establishment. If you attack the establishment consistently over an extended period and gather a
substantial, nontransient following, you have created yet another establishment or sub-establishment
of sorts. This line of criticism of bioethics does not seem well thought out. The characterization
is largely a tendentious way of labeling opposing views.
2 1 8. For expansion of these views, see generally Shapiro, supra note 47; Shapiro, supra note
66.
1999] IS BIOETHICS BROKE? Ill
Consider, for example, Annas's view on certain modes of assisted
reproduction:
Both clinics and courts like contracts, because they seem to put private,
procreation-related decision making in the hands of the married couple
and permit the courts simply to interpret and enforce voluntary
agreements. [1] The problem, however, is that much more than contract
law is at stake in these cases. The courts are not simply affirming the
contents of a contract but are implicitly making profound and wide-
ranging decisions about the status of embryos, the interests of children,
and the identification and responsibility of their parents. [2] The
inadequacy of contract analysis in this area can be seen by the fact that
no court has ever forced any person to fulfill the terms of a surrogate-
mother contract, a custody contract, or a marriage contract by requiring
that the parties be bound by the contractual terms regardless of their
current wishes or the best interests of the children involved.^ ^^
There is much to learn from these remarks, and much to lament.
Concerning [1], the view that the courts, in enforcing contracts, are implicitly
(it seems pretty explicit) deciding serious value issues: embryo status, children's
interests, and parental identification. This is not generally an objection to
contract litigation (or any other sort of litigation); it is one of the rationales for
formal adjudication. The problem, for some, is that the issues were decided the
wrong way, not that they were decided at all, and/or that the underlying
transactions should never have occurred. York v. Jones^^^ for example, dealt
with cryopreserved embryos as property, more specifically as the subject of a
bailment contract. Perhaps some think the case should have gone the other way
by saying it was contrary to public policy to view embryos as "property" in the
sense that they are subject to someone's right to control. This too would have
been a decision about embryonic status, although a pretty lame one that gravely
impairs procreational autonomy.
Claim [1], then, is 1 80° off, at least in some cases. Every time a contract (or
severable contractual term) is upheld or invalidated because of or despite public
policy, a common law court is necessarily making value-laden judgments. These
considerations are not "more than contract law," but an integral part of it. It is
thus not apt to say "more than contract law is at stake," as if the law of contracts
were a discrete, autonomous region having little connection with the major policy
issues of the day. "Contract law" cannot be dismissed as some separate
irrelevancy: it is intrinsic to how we live. "A matter of contracf is sometimes
2 1 9. George J. Annas, The Shadowlands — Secrets, Lies, and Assisted Reproduction, 339 NEW
Eng. J.Med. 935, 936 (1998). The case references are to In re Marriage ofBuzzanca, 72 Cal. Rptr.
2d 280 (Cal. Ct. App. 1 998) (a gestational surrogacy case) and Kass v. Kass, 696 N.E.2d 1 74 (N. Y.
1998) (concerning custody and use of frozen embryos after divorce).
220. 7 1 7 F. Supp. 42 1 (E.D. Va. 1 989) (ruling that genetic parents of a cryopreserved embryo
had a contractual right to remove it from the storage facility so they could try implantation
elsewhere).
1 1 2 INDIANA LAW REVIEW [Vol. 33:17
used as an epithetic claim (as in "love is not matter of contract"), but there is no
reductio ad absurdum one can make here; there is no inherent contradiction or
incoherence in applying contracts to certain matters of intimate association or
personal choice. Which ones are appropriate for contractual arrangements and
which ones are not is contested, but the answers are not obvious. The error here
is to reduce the idea of contract to everyday mercantile matters such as
purchasing appliances. "Contract law" is thus used as an epithet or rhetorical
flourish. But contract law is about holding persons responsible for what they say
they will do in a variety of settings, and such responsibility is a critical
component in vindicating basic values such as autonomy, justice and fairness.
Now, as a jurisprudential matter, one can — one must, as a good
jurisprude — ask whether the courts in contracts or other cases are to make
"independent" moral judgments as the community's delegates, or whether they
are to make complex empirical judgments about how the community ranks
certain moral claims. Thor v. Superior Court ^^^ not a contracts case but a dispute
about constitutionally protected "fundamental rights," suggests the latter, though
the matter is open to doubt. (Such heavy issues are not confined to constitutional
cases: they can come up in litigation of any sort, including contracts.)
Finally, for completeness' sake, I note that courts, on a daily basis, adjudicate
matters concerning "the interests of children" by examining settlement
agreements — contracts — dealing with custody and child support. They are open
to judicially authorized revision, but they are far from being contractual nullities.
Concerning [2]: assuming arguendo that courts have never specifically
enforced a surrogacy contract or any of the others mentioned, it does not follow
that contract law is "inadequate" in this area. Indeed, Annas should be arguing
that contract law does exactly what he wants it to do — refuse to enforce
surrogacy contracts. In any case, there is no adequate explanation of
"inadequacy"; it is simply a conclusory observation.
Although it is technically true that courts have not enforced surrogacy
contracts as such, what is left out of this account suggests precisely the opposite
of what Annas claims about contract law's usefulness.^^^ In Johnson v.
221. 855 P.2d 375, 383 (Cal. 1993). As mentioned earlier, the court ruled that a prisoner's
choice to refuse lifesaving care was a fundamental common law right and perhaps a state
constitutional right. See id. at 381. The court investigated contemporary philosophical accounts
of autonomy and its moral ranking and incorporated these "findings" into its reasoning. The court
said that "[g]iven the . . . legal and philosophical underpinnings of the principle of self-
determination, as well as the broad consensus that it fully embraces all aspects of medical
decisionmaking by the competent adult, we conclude" that a physician has no duty to treat an
objecting patient, assuming the refusal is informed. Id. at 383. This might be interpreted as an
empirical determination of the community's values, supplying a key premise in the court's
argument. Such an investigation is critical in (dis)confirming "tradition" under the Fifth or
Fourteenth Amendments in order to decide whether a claim involves a fundamental liberty interest.
To be sure, it might also be viewed as an application of the court's own views on the moral status
of various ideals, such as autonomy. However, the distinction, in practice, seems very hard to draw.
222. At a later stage of the article, Professor Annas does point out that "[tjhese courts
1999] IS BIOETHICS BROKE? 1 1 3
Calvert,^^^ the California Supreme Court ruled that custody of a child belonged
to the genetic parents in a gestational surrogacy case because they were the
intended rearing parents. The court took the view that when genetics and
gestation are divided between two women, identifying exactly one "natural
mother" requires looking to the parties' intentions at the time of agreement.^^"^
The agreement here, even though not enforced as such, was all but conclusive on
the question of what that intention was.^^^ The contractual perspective was thus
hardly "inadequate" or peripheral. It was central to the court's conclusion.
Contracts do not have to be enforced qua contracts for them to have a powerful
effect and to adequately show what needs to be shown under a governing rule of
decision.
Now, examine the claim in the same article criticizing the role of courts in
assisted reproduction:
[3] The California court's most important insight was that courts have
an extremely difficult time making meaningful public policy in the realm
of assisted reproduction because they are limited to deciding individual
disputes afiter the fact, and that the legislature, which ideally can foresee
and prevent disputes, is therefore the preferred law-making body in this
area.^^^
The term "therefore" ought to be restricted to valid arguments, and none is
in evidence here. If courts find it hard to make public policy judgments "because
they are limited to deciding individual disputes after the fact,"^^^ one would think
this difficulty is not confined to assisted reproduction: all adjudication is
impeached when public policy seriously intrudes. But the claim is hard to
fathom. The theory of common law development and the U.S. Supreme Court's
hostility to "advisory opinions" rest partly on the notion that before general rules
of decision are announced, the court should be able to see how possible rules and
arguably did as well as they could, and reliance on prior contracts as a way to resolve controversies
in assisted reproduction has also been espoused by leading legal commentators." Annas, supra note
219, at 937 (footnote omitted).
223. 851 P.2d 776, 787 (Cal. 1993).
224. See id at 782.
225. See In re Marriage of Moschetta, 30 Cal. Rptr. 2d 893, 900 (Cal. Ct. App. 1994):
[T]he [California Supreme Court] did not actually hold that the gestational surrogacy
contract at issue in Johnson v. Calvert was enforceable as such. Rather, the court stated
that such a contract is a proper basis on which to ascertain the intent of the parties
because it does not offend public policy "on its face." In Johnson v. Calvert the
function of the surrogacy contract was to serve as a vessel in which the parties could
manifest or express their intention. The gestational surrogacy contract was never held
to be enforceable per se.
Id. (citations omitted).
226. Annas, supra note 219, at 936. Annas is referring to Buzzanca v. Buzzanca, 72 Cal.
Rptr.2d 280 (1998), a surrogacy case.
227. Annas, supra note 2 1 9, at 936.
114 INDIANA LAW REVIEW [Vol. 33:17
their variations play in the concrete matters before them, incrementally adjusting
the rules as new facts and perspectives come up in new cases. The entire body
of the common law originally developed this way — ^through deciding disputes
"after the fact," i.e., after a dispute arose that could be presented in specific form
to a court. Once again, talking about the supposed infirmities of adjudication
seems in reality an expression of hostility to the underlying transactions.
As for the non sequitur that legislatures are the "preferred law-making body
in this area" because they can "foresee and prevent"^^* disputes: First, absolutely
nothing is shown about why "this area"^^^ is more fit for legislatures than courts.
Second, that the legislature is able to foresee and prevent disputes does not
establish that it is the preferred law making body. While knowing in general
terms what the future might bring is pretty handy, the lack of concrete knowledge
which in some partial form may be before a court cuts the other way. True, a
court can be overly swayed by particulars; however, courts, as we know them,
decide on the basis of general rules, principles and standards, whether recognized
as explicitly or implicitly preexisting, or openly created in a case of "first
impression." In doing so, courts look to the future as well as the past, and in
articulating and applying their selected abstractions often assess the expected
impacts of their rulings. In many cases, courts can "foresee and prevent" as well
or better than legislatures.
Third, we can certainly find tasks and problems fit only, or primarily, for
legislatures. Tax codes are not created in toto by common law courts, although
they may obviously have a spectacular impact on the legislature's prior work.
We can also find matters that are fit only for courts. Adjudications of guilt and
imposition of punishments are generally prohibited by constitutional provisions
disallowing bills of attainder.^^^ But beyond such polar cases, there is no
satisfactory theory available that decisively establishes for all kinds of disputes,
past, present, or future, whether they can be dealt with more or less effectively
by legislatures as opposed to courts. The idea that legislatures are inherently
better at deciding how to handle TSARs has no foundation in jurisprudential
theory, legal philosophy, historical analysis, or anything else. One might have
made much the same claim about whether transplantation of organs from live
sources, adult or child, competent or incompetent, should be permitted. What
theory shows us that legislatures would have been better than courts in making
the initial foundational decisions?^^' Even authorization to rely on "brain death"
criteria, though now universally dealt with in the United States through adoption
of the Uniform Anatomical Gift Act,^^^ can in principle be established through
228. Id.
229. Id.
230. Conviction by the Senate following Presidential impeachment by the House is not an
exception.
231. See, e.g., Strunk v. Strunk,445 S.W.2d 145 (Ky. 1969) (authorizing transfer of a kidney
from a mentally impaired sibling to his brother).
232. Unif. Anatomical Gift Act, 8 A.U.L. A. 29-62 ( 1 987).
1999] IS BIOETHICS BROKE? 115
common law adjudication, as in Lovato v. District CourtP^
Perhaps in various cases legislation, while not indispensable, would further
goals of predictability and help avoid disputes. But a series of judicial decisions
may do the same. Nor is there any basis for the view that critical policy and
value-laden analyses, whether styled as moral decision making or reliance on
perceived community norms, are better made by legislatures than courts. It is
sometimes worth recalling that courts, as ideally viewed, are meant to exclusively
inhabit the universe of principled decision making; legislatures are not. While
we prefer legislation to be rational and, when not horse-trading or pork-barreling,
to rely on principle as do courts, our preferences are regularly frustrated by
reality. The claim of legislative superiority is thus not only not made out, but it
is in tension with reality.
Elsewhere, Annas points out: "The court's opinion [in Buzzanca], for
example, gives no guidance on what should happen if the gestational mother or
the egg donor changes her mind and wants to be designated the legal mother with
the rights and responsibilities to rear Jaycee."^^"* One could argue that under
Johnson v. Calvert the matter would be resolved by reference to original
intentions. The implication seems to be that if a legislature had considered the
problem, it would have anticipated this and, because it is not bound by judicial
rules against deciding cases not before it, would thus have saved us a lot of
problems. Is it true that legislation generally has fewer gaps and unanticipated
problems than a judicial rule of decision? Even if this were to some extent true,
would this overshadow the benefits of a court's focused attention on the singular
and vivid facts of the case before it?
Annas also asks: "[4] Must obstetricians and hospitals locate and interpret
contracts to determine who a child's legal mother is at the time of birth? Do
commerce, money, and contracts really have more to say about motherhood than
pregnancy and childbirth?"^^^
Sometimes, having skills in assembling words in rhetorically effective ways
is dysfunctional. (Think of Justice Holmes, the master rhetorician of U.S. law,
in Buck V. Bell.y^^ One is inspired to shout, with Annas that of course mere
matters of the market, of trade, of (gasp) contracts cannot tell us about (sigh)
motherhood, pregnancy, and childbirth!
Sounds good, but question-begging allusions often do — ^that is why we write
and read them so often. What is it that pregnancy and childbirth "say" about
motherhood? Cases such as Johnson v. Calvert are VitigaiQd precisely because
pregnancy and childbirth do not tell us what we need to know, unless one begs
the question by stipulating what is contested: that gestation trumps genetics
regardless of anyone's intentions about their respective roles, and therefore
233. 601 P.2d 1072 (Colo. 1979) (ruling after looking to proposals for legislative action,
including failed bills).
234. Annas, supra note 2 1 9 , at 937.
235. Id.
236. 274 U.S. 200 (1927) (upholding the constitutional validity of a statute authorizing
involuntary sterilization of a supposedly mentally impaired person).
1 1 6 INDIANA LAW REVIEW [Vol. 33:17
pregnancy and childbirth "say" "Mother."
What can we say about motherhood and its relation to pregnancy and
childbirth? We can say that pregnancy and childbirth just aren't what they used
to be when we are talking about gestational surrogacy. The entire problem rests
on the division of genetics and gestation. To assume that "contracts" and
"commerce" have little or nothing to say about true motherhood simply ignores
the central moral/conceptual difficulty concerning how to determine whether our
exactly one natural mother is to be the genetic source or the gestational source.
Asserting that "but for" the gestational mother the child would not exist is
bootless. But for the genetic mother, the child would not exist either.^^^
Now, there are some who simply assert that obviously it is the gestational
mother because the gestational mother nurtured the child.^^^ I do not doubt the
formation of emotional bonds by the gestator, but these gestation-beats-genetics
commentaries rarely even refer to the supposedly peripheral role of the genetic
mother. That flaw is fatal to the soundness of the argument, and if such glaring
omissions were consistently made across an entire field, then,/7ro tanto, the field
would be "broke." To fix one's gaze exclusively on the pregnancy and
childbirth; to systematically ignore the very genesis of the decision to procreate;
to fail to explore common understandings of the idea of "my own child"; to fail
to inquire into the state of mind, the expectations, the bond-from-afar, of the two
persons who exclusively formed the child's genetic template and who await the
child's birth so that he can be integrated into their family — ^this is utterly
incomplete analysis. Although I disagree strongly with the weight of scholarly
authority that automatically favors gestation, the overall field of bioethics,
including its legal processes and scholarship, has not systematically ignored the
interests of genetic mothers. Particular arguments may be "broke," but the field
is not.
Annas concludes:
[5] If we consider the best interests of children more important than the
best interests of commerce, children will be best protected by a universal
rule that the woman who gives birth to the child is the child's legal
mother — with, among other things, the right to make treatment
decisions on behalf of the child and the responsibility to care for the
child. [6] I believe this not because it is the traditional or natural rule but
237. But see George J. Annas, Assisted Reproduction: Who Is the Mother? (response to
letter), 340 New Eng. J. Med. 656 (1999) (responding to letter to the editor).
238. See, e.g., Rothman, supra note 37, at 1607.
We need to reject the very concept of surrogacy. We need to reject the notion that any
woman is the mother of a child that is not her own, regardless of the source of the egg
and[/]or of the sperm. Maybe a woman will place that child for adoption, but it is her
child to place. Her nurturing of that child with the blood and nutrients of her body
establishes her parenthood of that child. Trying to find a moral stance that recognizes
the viewpoint of women in these various patriarchal traditions is not an easy task.
Id.
1 999] IS BIOETHICS BROKE? 1 1 7
because the gestational mother is the only one of the three potential
mothers [as in Buzzanca] who must be present at the child's birth and
available to make decisions on behalf of the child. [7] She is also the
only one of the three potential mothers who has a personal relationship
with the child.'''
[5] : Annas's statement that the best interests of children are more important
than the best interests of commerce registers a false opposition. "The best
interests of commerce"? What does this refer to? Commerce is commerce in
something. Here, it concerns an arrangement designed to create a nuclear
familiar through a form of TSAR in which someone is paid for reproductive
services. It is unsound to focus on the exchange of wealth while systematically
ignoring the creation of a nuclear family. If the point is that some methods of
family formation are illegitimately placed "in commerce," that point must be
confirmed, and to this point it hasn't. Using "commerce" as a conclusory epithet,
but without additional analysis of the supposedly baleful effects of exchanging
money or other value, is all but useless. "Commerce vs. best interests" is thus a
comparison much too tendentious to be helpful.
Item [6] offers prudential reasons for saying that the birthmother is the legal
mother. You know who the birthmother is. But if the genetic sources get caught
in traffic — or even if they do not- — how do you know they are really the selfsame
genetic sources mentioned in surrogacy contract? You cannot see genetic
motherhood the way you can see childbirth.
There is some risk here, not overwhelming, but nonzero. Now, are we going
to overturn a novel way of forming a nuclear family, to which all the parties
agreed, because of the small chance that the gestational mother, or a stranger,
will claim that she is in fact the genetic mother, leaving us all hopelessly
confused without the vaunted bright-line rule that gestation proves all? And, if
this unlikely scenario does come up (as unlikely scenarios have a way of doing),
there are relatively quick and accurate scientific methods to determine who's
whom. This is annoying and costs money, but it will not happen in a large
fraction of cases and the asserted risks simply do not outweigh the benefits,
except for those who place small value on the interests of genetic parents who
want a family. Here again, we see that the central moral question has been
begged: What is the relative valuation of supplying ova in order to become a
genetic mother and being the gestator of a child? A low value assigned to the
former leads almost automatically to assigning custody to the gestator, and
explains why custody is decided on the basis of an unlikely and minor delay in
identification. If the value of reproductive planning by a genetic mother and
father is near zero, then even a minor risk of confusion vastly outweighs it.
So, the proposed pragmatic rule favoring gestation not only avoids the hard
moral choice — it presupposes that it has been settled, and thus adds little or
nothing to rational debate on the issue.
[7] Next, we have Annas's argument that the gestational mother is the only
239. Annas, supra note 2 1 9, at 937 (footnote omitted).
1 1 8 INDIANA LAW REVIEW [Vol. 33:17
one with a "personal relationship" to the child. Is it hard to see the circularity
here? What does "personal relationship" mean? It must mean, in this context,
that the pre-child developed inside the gestator's body. So, "I have a personal
relationship with this child" means "this child's body was locked into and
growing in mine." Genetic connection, however, is evidently no basis for a
personal relationship. After all, what about anonymous sperm donors or even
egg donors? No personal relationships there, right? Why aren't all problems this
easy?
But we are not dealing with anonymous suppliers of gametes. We are
dealing with someone who supplied half the child's genes on the understanding
that this procreational contribution would be realized through the custody and
companionship of the child. Genetic determinism may be false, but if "Genes-
'i?'«Y-Us" — if they aren't everything — ^they sure as hell aren't nothing.
Environmental determinism is at least as false as genetic determinism. Why this
intended connection via genetics and companionship is not a personal
relationship — different, to be sure, from the gestational connection — is not
apparent. It is obvious that, once again, a rhetorical display rests on begging the
central question: Is the gestational relationship the true personal relationship,
and the genetic relationship the imposter — or the reverse? Note that nothing
whatever is said about one of the prime elements of the personal relationships in
question here: the nature of the psychological bonds of the genetic and
gestational mothers with the child in any given case, and in general.
Perhaps the baleful influence of Oliver Wendell Holmes, Jr. really is at work
here. He has caused generations of imitators to struggle for their Black Belts in
Rhetoric. They have all failed. What's more. Holmes himself failed. (No time
to show this and the margins are too small, but I have a great proof.) Give it up.
Finally Annas states: "[8] [A] bad way to protect the children who have been
conceived and bom with the assistance of the new reproductive techniques is
simply to provide the adults involved with what they want."^"^^
Is it a bad way to protect children bom the more-or-less regular way to let
their parents keep themyw5^ because that is what the parents want? Why, the
very idea is ridiculous. It's time to institute Plato's Republic and stop all this
procreational autonomy foolishness and install the true protector of all, the
Republic. Let the parents get together, let the child be born, and then the
Philosopher Kings will take over and the child will be v2dSQd properly}^^ The
idea that children's interests might be ^vomoXQd precisely by providing the adults
240. Mat 938.
24 1 . See PLATO, THE REPUBLIC AND OTHER WORKS, Book V, 1 5 1 (B. Jowett trans., Dolphin
Books 1 960) ("The proper officers will take the offspring of the good parents to the pen or fold, and
there they will deposit them with certain nurses who dwell in a separate quarter; but the offspring
of the inferior, or of the better when they chance to be deformed, will be put away in some
mysterious, unknown place, as they should be."). Cf. Hecht v. Superior Court, 20 Cal. Rptr. 2d
275, 286 (Cal. Ct. App. 1993) {qwoXmg Adoption ofKelseyS., 823 P.2d 1216, 1234 (Cal. 1992)
("We simply do not in our society take children away from their mothers-married or
otherwise—because a 'better' adoptive parent can be found")).
1999] IS BIOETHICS BROKE? 119
who planned their existence with what they want is ridiculous, right?
Now, substitute TSAR for regular procreation. What are the exact reasons
for rejecting out of hand what the parents want? There are no exact reasons.
There are speculations about objectification, dehumanization, exploitation, and
a large number of other slogans indigenous to the TSAR literature. But what is
truly demoralizing about this last quoted statement, which is shared by many in
the business of commenting on TSARs, is the offensive dismissal of individual
and parental reproductive autonomy. Who cares about it anyway? They want a
child? Who do they think they are to claim that "simply" wanting a child carries
any weight in this Republic?
None of these complaints suggest that the pursuit of bioethics is gravely
impaired. They do indicate that certain aspects of its practice can stand some
serious repairs. Careful analysis will, I think, suggest that many of the asserted
risks of life science technologies are greatly exaggerated.
2. Refocusing on Interpersonal Bonds in an Age of "Investing " in Genetic
and Nongenetic Human Engineering Plans: The Risks of Reduction. — ^All
biological technologies used on ourselves and our possible and actual children
ought to be assessed for their risk of eroding noncontingent bonds. "Bonds" here
refers to the sense of duty and feelings of affection we have for our children,
whatever their traits, and for each other as persons.^'*^ It is not silly to wonder
whether, say, altering physical and mental traits in living persons, or altering the
germ line to produce or augment specific attributes, may lead to viewing
individual worth as contingent on whether the engineering plan "succeeded."
Different technological and social arrangements for reproductive engineering
pose different levels of such risks: It is one thing to pursue IVF or surrogacy
when used simply to relieve infertility within a standard family (there, the
investment is in money, time, some physical discomfort, and emotional distress).
It is another to plan human trait alteration. I do not propose flat bans on the
latter; I simply say they pose greater risks because planning a trait makes that
trait more salient, and possibly more valuable or fearful in our eyes. Ideally, we
are more oriented toward viewing most traits as simply one of many. We thus
can avoid one form of "reduction" in which whatever value one has as a person
is ascribed to the single trait or traits in question. But ideals are one thing, reality
another. Reduction is the core mechanism of "objectification," and, if we are
concerned about (de)valuing people in this reductionist way it requires close
attention.
Although focusing on the precise mechanisms of reduction may be helpful,
this too has its limitations. Yet another paradox is at work in reduction analysis:
We are at risk for reducing people to specific traits because these traits are useful
to us or, in any case, were planned or "ordered up." This is not good. But what
is the alternative? How do we value people in the preferred way? After all, we
do not bond to disembodied entities.^"^^ We choose friends and colleagues on the
242. See Shapiro, supra note 137, at 683-87.
243. See Hans Jonas, Against The Stream: Comments on the Definition and Redefinition of
Death, in PHILOSOPHICAL ESSAYS: FROM ANCIENT CREED TO TECHNOLOGICAL MAN 132, 139
120 INDIANA LAW REVIEW [Vol. 33: 17
basis of a variety of traits, although usually in a nonspecific way. How would we
ordinarily respond to the question: "Why do you like X"? Specificity here
might suggest a diminished view of the person. How would we respond when the
person's attributes derive from germ-line control?
It appears, then, that the very process to be feared — reduction of persons to
things— rests on attending to traits, but that attending to traits is central to
desirable valuation of persons. The (partial) resolution of this tension would be
to mark out the differences in how we address traits when we improperly reduce
persons as opposed to properly valuing them.^"^"*
III. The Idea of Progress in Ethics and Law, and Science and
Technology: If Bioethics Were Broke, How Would We Fix It?
A. Preface: The Domains and Senses of Progress
1. Advancement, Stasis, Regress, and Falls. — There is a sizeable literature
on the idea of progress and how that idea has progressed, or has at least changed.
But much of it is of limited use for my purposes — comparing the ideas of
progress in moral and legal theory and their applications to human behavior,
science, and the life sciences and technologies in particular.
Historians of both the concept and the fact of progress often note its contrast
with earlier, quite different visions of human life: stasis or even regress in
human affairs, perhaps in a fall from some golden age.^'^^ Whether we have
"fallen" or "regressed" or stood pat, however, is as much a matter of evaluation
as it is of fact. "Progress," like many of our major concepts, is normatively
ambiguous, and thus so is "catching up." Whether X ought to catch up with Y
depends on valuations of X and Y and the moral and nonmoral costs of catching
up. Whether X has indeed caught up, gained on, or even exceeded Y, is also a
matter of value and fact.
Some of the critiques of contemporary technology seem to reflect the view
that we have indeed fallen from better times, that we are now static or
backsliding, and that the misnamed "progress" of technology is a major
malefactor. We will not progress or rise from our fall unless we abandon at least
some of our major technological aberrations. The prospects, on this view, are
pretty gloomy. Who would be willing to give up polio vaccines and the complete
compact disk collection of Beethoven's works?
2. Categorizing Progress. — We can map categories of progress onto
(1974).
244. The issues of reduction and valuation are discussed more extensively in Shapiro, supra
note 66.
245. See DANIEL SAREWITZ, FRONTIERS OF ILLUSION: SCIENCE, TECHNOLOGY, AND THE
Politics of Progress ( 1 996); Daniel Callahan, Challenging the Mythology of Progress, 1 2 MED.
Humanities Rev. 92 (1998) (reviewing Sarewitz, supra). See generally ROBERT NiSBET,
History of the Idea of Progress (1980); Frankel, supra note 21, at 483; Morris Ginsberg,
Progress in the Modern Era, 3 DICTIONARY OF THE HISTORY OF IDEAS 633 (1973).
1 999] IS BIOETHICS BROKE? 1 2 1
whatever classification scheme we use to describe ourselves and our doings. We
can refer to our habits of thought and feeling; our behaviors; our social, political,
economic, and cultural circumstances; the physical environment generally; the
assorted branches of science and technology; and so on. As soon as one starts
this taxonomic exercise, it is obvious that particular notions of progress, though
linked, may be sharply different. "Intellectual progress" and "applied
technological progress" are not the same. One also notices that how fields of
endeavor are sorted may hugely influence the proper ascription of progress,
regress, or stasis. Focusing on precisely defined enterprises can yield easy
attributions of progress or failure, narrowly understood. The Human Genome
Project, for example, will be completed within a few years. We will have
progressed in accumulating knowledge — ^the location and sequencing of all our
genes. How quickly we will move in using this knowledge for improving
medical therapeutics is unclear, and whether such advances will always
constitute "progress" in a moral sense is also uncertain. The same reservations
apply, with even greater force, to enhancing human traits.
One can also distinguish progress as applied to different fields of thought and
behavior and to different kinds of progress within that field. Progress in physics
is different from progress in philosophy, and there are different sorts of progress
within each field. Subsuming Newton's gravitational theory within Einstein's
was progress, but of a different form than confirming the existence of elementary
particles. Many of Rawls' contributions marked progress in philosophy, but so
did the long-standing recognition that basic concepts such as justice and
autonomy come in sharply conflicting versions. The latter is a piece of
conceptual analysis that may or may not help decisionmakers in reaching a
conclusion, whatever illumination it bestows. The former is meant to guide
decisionmakers to at least certain general conclusions about the structure and
institutions of a liberal political system.
Here the primary comparisons among different kinds of progress are, as I
have said, between science and technology of any sort, on the one hand, and
moral and legal theory and application, on the other. A related inquiry would
inspect progress in human behavior, but here the difficulties are not in recounting
facts (people do keep killing and rescuing each other), but in morally
characterizing what they do. Some might recommend yet another inquiry:
whether we have uncovered a better way to accomplish a given goal. ''Progress
is . . . defined as 'the end point, temporary or permanent, of any social action that
leads from a less to a more satisfactory solution of the problems of man in
society. '"^'^^ This does not seem to be a separate project, however; at some point.
246. Leslie Sklair, The Sociology of Progress at xiv ( 1 970).
If we wish to control the sex of our children, then the biological solution is undeniably
more satisfactory than infanticide, whether it is considered innovational or non-
innovational progress. In terms of the sociological ethic, </we want to control sex then
given that the choice is between some form of infanticide or some efficient biological
solution the latter clearly satisfies human needs, individual and social, better than the
former.
122 INDIANA LAW REVIEW [Vol. 33:17
the goal itself has to be tested under a more general concept of progress.
A major source of both insight and confusion in thinking about progress is
the enlightenment-era view held by many that "the methods and spirit of science
should be applied to all fields. In consequence, the idea of progress came to
include a concept of social and moral progress. "^'^^ After all, sound moral
analysis reflects rational thought just as science does. If so, one would expect
important links between moral analysis and scientific reasoning — and the
parallels are indeed striking. But so are the differences.^"*^ One can press the
analogy too far, blinded by the vision of science and mathematics as the
paradigms of rational thought.
Although many of the issues remain disputed, our topic requires attention to
these domain differences. Empirical observation and testing undergird both
science and moral analysis, but in quite different, if overlapping, ways. One way
of seeing this is to think of the existing range of indeterminacy — of fact and
theory in science, and of theory and application in moral analysis. The extent of
scientific indeterminacy is regularly and clearly diminished by both grand
discoveries and small findings.
Although we may sense improvement of sorts in moral or legal thought and
understanding, and a corresponding marginal reduction of indeterminacy, these
are sharply different from advancement in science. Whether moral and legal
indeterminacy have been reduced is itself notoriously indeterminate. Moral and
Id. at 222
See id. at xiv, for a definition of the innovational/non-innovational distinction. The former
refers to "the production of new things, ideas and processes, with maximum impact on society."
The latter is "progress by means of the maintenance and diffusion of familiar things, ideas and
processes, with minimal impact on society. The term impact is used in a special sense to signify
the effect that the different types of progress have on social structures." Id.
241. Frankel, supra note 21, at 484. See generally Sklair, supra note 246.
248. See Nagel, supra note 11 , at 202-03 (comparing and contrasting the aims of moral and
factual knowledge, stating that "both require transcendence of a purely personal point of view to
one that is more shareable and objective. But the convergence sought by moral thought is practical
and motivational, whereas the convergence sought by factual and scientific thought is convergence
of belief — convergence on a true account of how things are, or a common picture of the world. The
pursuit of moral knowledge, therefore, must proceed by the development of our motives and
practices, not of our beliefs and descriptions."); Temasky, supra note 208, at 127 ("Note that
movement toward the truth [in science] is measured not by reference to the theory but by the
strength of the corresponding evidence."). This contrast may be too sharply drawn: what counts
as evidence may be theory-dependent. See also P. Lance Temasky, Moral Realism Revisited: On
Achievable Morality, 42 Educ. THEORY 201, 204-06 (1992) (discussing "the relation between
science and ethics" and "objectivity in ethics"); Jeffrie G. Murphy, The Possibility of Moral
Philosophy (unpublished manuscript described in Michael H. Shapiro & Roy G. Spece, Jr.,
BIOETHICS AND LAW: CASES, MATERIALS AND PROBLEMS 78-79 ( 1 98 1 )). See generally Richard
B. Brandt, Ethical Theory: The Problems of Normative Critical Ethics 242-44 (Arthur
E. Murphy ed. 1959). For additional discussion and citations, see Leslie Sklair, Moral Progress
Revisited, 31 PHIL. & Phenom. Res. 433 (1971).
1 999] IS BIOETHICS BROKE? 1 23
legal progress may rest on appreciation of new facts or a heightened appreciation
of old facts (assuming this is a meaningful distinction), but they do not consist
of finding or appreciating these facts. Sometimes simply being confronted with
a new problem, recognized as such, is a form of progress.
In many ways, then, the indeterminacies of fact and theory in science do not
cohere with those in law and morals. The indeterminacy of major concepts of
moral and legal analysis — justice, fairness, due process, equality, liberty — is built
into their structure and in principle can never be fully "resolved." Indeed, it is
difficult even to posit what could be meant by saying: "Now we've got it — the
answer to how to reconcile equality and fairness, liberty and justice, etc., in
general, and for all time." The areas of indeterminacy in science carry the
potential for becoming progressively and substantially smaller concerning
particular issues. (In some sense, of course, science opens up new areas of
indeterminacy by its very discoveries and confirmations.) True, we may remain
forever confused by "beginnings" (did a "singularity" "cause" the "infinitesimal"
point to go bang?) and "endings" (what could it mean to say the universe has
ended?). In part, these are scientific/conceptual problems, not just matters of not
knowing "the facts." But these "edge" problems and other embedded limitations
in scientific theory are different from our across-the-board, in-your-face, daily
confrontations with the intractable concepts of legal and moral theory. In any
case, one cannot simply "extend[] the standards and methods of the sciences to
all domains," as some enlightenment thinkers evidently believed.^"*^
One can also "think small" in trying to sort different forms of progress.
Thus, we can talk about progress in solving or gaining on discrete tasks. This
leaves us vulnerable to the charge that we cannot really know if we have made
progress without looking at the Big Picture. But we can answer, as we often do,
that we do what we can at the moment. In science and mathematics, one can
speak of settling a specifically characterized problem, though sometimes
conceding some wiggle room or margin of error. How fast does light go? We
seem to have a pretty good grip on this, but perhaps not to the «th decimal point.
We have less of a grip on the Hubble Constant and because of observational
limitations, there may be a limit to how accurate we can be. On the other hand,
the expression (x" + y" = z") really has no positive integer solutions where n > 2
(or so we are told).
But "solution" is here a weasel word, particularly when one is thinking small.
There was a "solution" in Johnson v. Calvert^^^: custody was awarded to the
genetic parents because that was the original deal (yes, "deal") and the particular
case was over. But whether it was a solution in any other sense is less clear.
Many commentators think the outcome was wrong. In particular, many think that
the criterion of "contractors' intent" is morally flawed — even if we call it
"procreators' intent." The larger problem, existing beyond the law of that case.
249. Frankel, supra note 2 1 , at 484. See also Holmes, supra note 1 5, at 1 57 (stating that "just
as science cannot by itself yield answers to moral problems, ethical analysis that looks to science
for its model cannot do so either.").
250. 851 P.2d776(Cal. 1993).
1 24 INDIANA LAW REVIEW [Vol. 33:17
remains undiminished. One can draw parallels to science here, where all results,
from the inflationary universe to the microbial origins of strep throat, remain
theoretically open. In moral analysis, however, there is no char program for
determining when previously accepted views have been disconfirmed. Even the
vaguer sciences — ^think of paleontology and the supposed saurian origins of
birds — can provide descriptions of what would count as (dis)confirmation, even
if closure is unlikely because of the incompleteness of the natural record.
What is the point for us? Was Johnson v. Calvert "progress" because it
legally resolved a dispute? Progress for whom or what? Was it legal, moral, or
intellectual progress? Was pinning the result on "procreational intent" progress,
regress, or neither? Perhaps it was progress in the simple sense that it provided
a vivid illustration of one way of working through the problem by identifying
material issues and then resolving them. Bioethics, in this sense, has been
developing a large treasury of insights, rules and precedents. It is not that results
do not matter— far from it. It is that the complex mixture of commentaries and
legal outcomes do not represent some gross deficiency in any of the branches of
bioethics. The field has been (imperfectly) progressing from its start, and
continues to do so.
It seems necessary, however, to distinguish progress along different fronts:
"overall" progress does not usually happen all at once. Moreover, truly massive,
transformative shifts do not often occur in law or ethics^^' and are not everyday
or even every-century events in science. Thinking small is probably the only
sensible way to start talking about progress in human behavior — although one
certainly cannot end there, for smaller events may cascade into larger events
bearing unintended consequences. The more effective are our public health and
health care systems, the greater the population pressure (other things remaining
equal, which they might not). The greater the range of choice over some matters,
the more burdened some decisionmakers become. True, some modern standards
of impermissible violence seem to be clear improvements — e.g., the general ban
25 1 . Note Rawls's comment stating:
[T]he extraordinary deepening of our understanding of the meaning and justification of
statements in logic and mathematics made possible by developments since Frege and
Cantor. A knowledge of the fundamental structures of logic and set theory and their
relation to mathematics has transformed the philosophy of these subjects in a way that
conceptual analysis and linguistic investigations never could .... The problem of
meaning and truth in logic and mathematics is profoundly altered by the discovery of
logical systems illustrating these concepts. Once the substantive content of moral
conceptions is better understood, a similar transformation may occur. It is possible that
convincing answers to questions of the meaning and justification of moral judgments
can be found in no other way.
Rawls, supra note 195, at 51-52. Aside from the phrase "a similar transformation may occur"
(how similar?), which seems somewhat overdone, this seems a plausible account of what "progress"
might be in moral analysis. But it remains quite distant from advances in logic, which belong to
mathematics as much as to philosophy. The comparison can easily be pushed too far if care is not
taken to distinguish between what would count as "convincing answers" in widely different fields.
1 999] IS BIOETHICS BROKE? 1 25
on dueling and various blood sports. To which one can respond with a few
simple words, such as "The Balkans" and "East Africa."
Clearly, then, characterizing progress has concurrent aspects involving
description, value judgments about changes already in place, and, most
importantly, an ideal of striving toward whatever is deemed advancement in a
field. Progress often embodies a perfectionist ethic that applies itself to
individuals, groups, tasks, disciplines, and to human thought and conduct
generally.
B. The Search for Final Answers and the Impossibility of Progress
(in That Sense)
1. Setting Up a Search. — Investigating moral, legal, and scientific progress
sucks people into infinite loops. As we saw, one must ask, "Progress in whatT\
and the opportunities for tendentious characterization are endless. Are we
addressing perfectibility of human conduct or of our normative and philosophical
systems of thought? How are the ideas of progress in science or technology
different from those of progress in philosophy, behavior, or anything else?
There is no way to think about progress in ethical theory, analysis, or
behavior unless one knows how to evaluate ethical theory or human behavior and
thus how to know what counts as improvement. It takes ethical theory to tell us
if progress in ethical theory has occurred. Although this is not entirely circular,
we may not get very far when we deal with seriously contested moral issues: the
very criteria for rightness or goodness, and therefore for moral progress are in
dispute. So, it is hard to be even adequately superficial here (not an oxymoron).
The idea of progress in ethical theory or analysis is not empty, however, and
there is some thin meaning and then truth to the claim that these disciplines have
to "catch up" to the speedier progression of science and technology. The non-
method method I use in examining the claim is to start with a set of problems — a
kind of ostensive explication of the question and of possible answers.
2. A Search.— Consider again Johnson v. Calvert^^^ which, as I suggested,
is a classic illustration of how technological rearrangements of important life
processes generate anomalies that seem to exceed the capacities of our existing
frameworks of thought, whether descriptive or normative.
We saw that although the California Supreme Court reached a decision and
disposed of the case, full normative "closure" has not occurred and is not likely
to. Those dissatisfied with the outcome of the case and/or its reasoning might
say that this is the perfect example of law and ethics having to catch up with
technology. We need progress in our ways of dealing with these "category
bastards" — ^these "unclassifieds" — born of our reconstruction of life.
Let us take the demand for a satisfying answer seriously. The question is:
Who is the natural mother and thus entitled to custody? (First problem: is this
the right question to start with? What other starting questions are there? Should
we have asked: Which groups and interests back which side? But let's push on.)
252. 851P.2d776(Cal. 1993).
126 INDIANA LAW REVIEW [Vol. 33:17
Why does there have to be exactly one natural mother anyway? We can be
exhaustive in specifying plausible answers. Here are all the outcomes that
reasonably could vie for being the single, true, right answer. (Perhaps carelessly,
I do not list additional candidates for natural motherhood — e.g., the natural
father, the Queen Mother, Betelgeuse, etc.) 1) The natural mother is the
gestational mother; 2) The natural mother is the genetic mother; 3) The genetic
and gestational mothers are both natural mothers, and custody must
presumptively be shared equally; 4) Neither one is a natural mother — that's just
the way some things turn out when the world changes; and 5) The natural mother
is the female who was intended by the parties, at the time the reproductive
arrangement was made, to have full, permanent custody, along with her spouse
or partner, if any.
What follows from these sharply different premises? The fourth
alternative — there is no natural mother — is the most problematic. Although it is
an obvious possibility, it seems far less plausible here than in the biologically
quite different situation in cloning, where reproduction is of course asexual. But
if there were no natural mother and no natural father available, what then?
Perhaps the state would take initial custody and try to arrange for the child's
adoption or her placement in a Kibbutz, or to award custody to either the genetic
or gestational mothers based on which one wins a coin toss or survives mortal
combat against the other.
The Johnson court, as we saw, chose the fifth possibility — ^the initial joint
decision of the parties that the child would be with the genetic parents. Of
course, we cdiVinot prove which is the right answer, in the way that ^Wts proved
Fermat's last theorem. Nor can we prove which is the right answer in the sense
that we can prove smoking causes cancer. We cannot even prove it, within the
boundaries of a specified set of norms, in the sense that we can prove that it is
presumptively wrong to kill a non-threatening innocent person knowing that she
is innocent. But there's no "proof of this in the sense that a theorem or a
scientific claim is proved. (And it is just a presumption, in any case.) The
absence of a calculable, or otherwise ascertainable answer satisfactory to all
rational persons is built into the conceptual structure of the problem. Ethical
theory and much of legal analysis are disciplines that developed (in part) to deal
with certain matters of choice that cannot be answered determinately — at least
not in every case. While one can certainly draw strong parallels between
scientific thought and ethical analysis, doing so hardly shows their identity. It
shows, if anything, simply that they are both rational enterprises sharing certain
features of logical consistency and coherence, though they involve different
domains of thought.
So, what is ultimately in dispute in proving what the right answer is in
Johnson v. Calvert concerns the very criteria for what counts as a "proof." If we
cannot settle this, is "progress" meaningless here? "Progress" itself cannot be
defined by necessary and sufficient conditions, and in many cases cannot even
be linked to a precise set of "factors" or "variables" that effectively narrow the
set of possible answers.
For example, think of the ethical/political/legal idea of equality. We of
course want to treat the genetic and gestational mothers equally by giving each
1 999] IS BIOETHICS BROKE? 1 27
an equal opportunity to argue her position; to satisfy standards of equality in
finding organ sources and selecting recipients; and to deal with people equally
as genetic and nongenetic forms of human enhancement arrive on the scene.
How do we do this? Whether we think of "equality" in purely philosophical
terms or as a constitutional concept to be interpreted, we cannot, in all cases,
clearly determine what even counts as (in)equality. If the ratio of personal
income to the energy expended in earning that income is equal for all persons, is
this equality? What if the equal energy expenditure is by a brain surgeon on the
one hand and a squeegee worker on the other? If everyone has equal
opportunities (whatever that means) but everyone comes up with unequally
valued holdings, is that inequality or equal ity?^^^ Must we provide enhancement
opportunities to the least gifted and impoverished in order to avoid making
existing inequalities worse? To whom should forbiddingly expensive
opportunities for extending life to age 120 be distributed?
To call for crisp demonstrations of what the right answers are when doing
ethical or legal analysis is, then, to badly misconstrue the nature of conceptual,
moral, and legal reality. As long as persons are different, we will have equality
problems, and many of them will never be "definitively" solved, although some
may become less important or even irrelevant over time.^^"* If progress entails the
perfected ability to find such answers, then only minimal progress, if any, is
possible in ethical theory — indeed, in all philosophical analysis — and in law.
There is no such thing as "catching up" in this sense. I think Johnson v. Calvert
was rightly decided and can offer colorable arguments in its defense, but I cannot
prove that it is right (in the sense that Wiles proved that Fermat was right), just
as you cannot prove that it is wrong. If there is any "progress" here, it is in
emphasizing the rational possibility of looking to original intentions as a means
of resolving disputes. Even critics of the case should reasonably concede that the
quality of deliberation about its outcome was superior to the deliberation that
would have taken place without the introduction of the parenthood-by-original-
intentions idea. That perspective required 2ind\y sis. This notion of progress in
deliberation may seem to be a pretty slender advance, but it is the only one
available, a point I will return to later.
C Progress in What?: Behavior, Theory, Insight, and Deliberation
Perhaps the call should not be for progress in moral and legal theory. It
should be for improvement in moral behavior in dealing with the stream of
innovations we continue to generate. If so, we need to separate progress in moral
and law-abiding behavior — human perfectibility — from progress in moral and
legal theory, and to distinguish all of these from progress in science and
253. For an extended analysis of the competing versions of (in)equality, see Douglas Rae,
Equalities (1981).
254. For example, it is at least conceivable that technology for creating specialized tissue or
even organs might be developed from a person's genome, and, over time, become relatively
inexpensive to obtain and transplant.
128 INDIANA LAW REVIEW [Vol. 33:17
technology. I leave aside all attempts to explain notions of social, political, and
economic progress.
1. Progress in Moral Behavior and Law-abidingnessP^ — First, I do not
mean to conflate the ideas of moral behavior and law-abidingness — ^they are very
different, though linked — but comparing them would be an unnecessary
distraction.
Second, it is hard to see how to "measure" such progress given the empirical
and conceptual difficulties already recounted. The conceptual problems are
obvious: to the extent that we do not know what moral behavior is, we cannot
measure changes in its incidence. For example, the number of abortions and the
abortion rate have increased greatly during the course of the Twentieth Century.
Is this evidence of moral progress because it reflects the ever- improving status
of women and their approach to equality with men? Or is this is moral regress
because it kills budding human entities (persons or not) and reflects moral
recklessness in risking the creation of human entities bound for destruction
before birth. Considering all the available techniques for contraception, how can
people be so stupid as to keep on causing undesired pregnancies? This is not
progress in human behavior. We are as incompetent as we were tens of
thousands of years ago; we simply have more technological options through
which to display our incompetence. That isn't progress either.
On the other hand — don't we have fewer wars, massacres and genocides?
All right, try something else. We have better public health measures — at least
in "developed" countries. (No Calcuttas in the United States.) This reflects a
more refined concern for the value of human life, and this is paradigmatic of
improved moral attitudes and behaviors. On the other hand, human survival is
good for business, other things being equal, so it is in our self-interest to keep
more people alive. Public health measures simply reflect rational collective
action to promote one's own welfare and do not really demonstrate any
"refinement" in moral sensibilities and actions; they reflect just a simple
understanding of the individual gains from collective action. After all, that is
what the evolution of cooperation is all about. Whether this account is sound or
not, it illustrates the difficulty of identifying moral progress in our behavior.
At least there are improvements in civility, tolerance, and the acceptance of
human differences — except, perhaps, on the roads and highways, and certainly
in the Balkans, Northern Ireland, the Middle East, Afghanistan, the Indian
Subcontinent, much of Africa, the Russian Republics, and the corner of Fifth and
Main Streets in downtown Los Angeles. Think of the improvement in
professional instruction in law schools. No more paper chase, no more "How did
you get into this law school?" Even better, few places on the planet currently
255. See generally Ternasky, supra note 208, at 1 29 (stating that "it is difficult to refute the
claim that the movement [in moral history] has been in the direction of greater moral sophistication
and clarity," and suggesting that this claim rests on "the dramatic evidence of change," referring to
"the emergence of rights, egalitarian sentiments, widespread call for social and distributive justice"
as examples, and concluding that all this "rivals the growth of science during the same period.").
The author goes on to cite the growth of anti-slavery sentiment. See id. at 1 30-3 1 .
1 999] IS BIOETHICS BROKE? 1 29
permit or encourage dueling. If only we had advanced this far much earlier,
Alexander Hamilton might still be with us. The ban on dueling has no doubt
saved countless persons, instead allowing them to participate or die in ethnic
cleansing operations and gang fights. Perhaps serial killers are more polite these
days, too.
What would constitute improved moral behavior in the face of new
technological powers? Think of human cloning. How does behavior or moral
analysis "catch up" here? By swiftly, permanently, and flatly banning human
cloning or attempts to accomplish it (taking care, of course, not to snuff
important research that could prolong or improve lives). If you don't see this as
catching up, consider lesser forms of regulation through legislation and/or
judicial application of existing laws combined with common law development.
But what is to be the substantive and procedural content of such regulation?
How is lineage to be determined? Is the state to monitor the custodial parent(s)'
quality of parenting? None of this is catching up? There seem to be few options
left: Doing absolutely nothing about it and letting private ordering determine the
rate and circumstances of human cloning; destroying all biological laboratories;
sending someone back in time to prevent the development of human cloning and
then bringing her back to the future in order to minimize temporal paradoxes;
and — ^what else?
We thus need to return to the analysis of progress in moral theory. Without
doing so, we cannot make progress in discussing progress in moral behavior.
2. Progress in the Quality of Moral and Legal Theory and Deliberation;
Normative Insights and New Conceptual Tools as Progress; Micro and Macro
Progress; The Limits of Progress in the Face of Indeterminacy }^^ —
256. I will not probe the meaning of "indeterminacy" as applied to legal, moral, and
philosophical claims generally, except to say that it suggests that there is in principle no unique
reasoned answer to certain questions about the nature and confirmability of these claims.
There is some parallel between the discussion in this section and that in Seedhouse. See
generally Seedhouse, supra note 206. The author sets up several examples of difficult problems
in health care rationing, and concludes that bioethical reasoning cannot provide predictable
answers. See id. at 288-90. I assume this is a form of indeterminacy. However, he does not discuss
whether the conceptual and normative clarifications represent any form of advancement, nor
whether it increases the probability of some consensus decision, whether ultimately defensible on
moral grounds or not. However, Seedhouse seems to be saying that bioethicists as they are (or
were when he wrote in 1 995) seem pretty useless, but that they can be doing other things. He says,
in reviewing his rationing scenarios, for example, that it is likely that bioethicists "will miss the
point: it will be detached from the reality of the family situation." Id. at 289. I do not know what
this reality is taken to be, nor how coming to grips with it will reveal the (or a) moral solution. I
suppose that coming to grips with reality is a form of rationality, but he complains of bioethicists
who "suggest ways of health care rationing solely through rational means." Id. He later says that
"because the world is the way it is [The conceptual world? The world of everyday life and its
existing health care systems?], by using standard bioethics methods one will never get to the bottom
of the matter, and it will be impossible to decide rationally between rival sets of criteria and
principles." Id. at 290. "Standard bioethics methods" refers to isolating the problem; getting basic
130 INDIANA LAW REVIEW [Vol. 33:17
a. Does moral progress rest on discerning objective truths about moral
reality? — The major risk of discussing this is that one will plunge, probably
sooner than later, into an extended discussion of "moral reality /truth," which
seems to be roughly coextensive with the entire field of ethical theory and moral
epistemology. The challenge offered against the idea of moral progress is that
if there is no objective moral reality, what could "moral progress" possibly
mean? If there is no moral reality, then there is no moral progress. There is
nothing we can specify that we are getting closer to or "progressing toward."
Even achieving greater consensus — a sort of practical progress — does not
unequivocally reflect moral progress. If a consensus avoids clear harms or
promotes clear benefits, it might constitute moral progress independently of the
content of the consensus — or it might not. It cannot automatically count as moral
progress unless the consensus is founded on an intersubjectively confirmable
moral truth.
The alternative to some strict form of "provable" moral reality is not moral
relativism, but it is difficult to state just what that alternative is. Perhaps we
think moral propositions are capable of being true or false, but that the
determination of these truth-values is so different from that of truth-value in
science that phrases such as "moral reality" or "truth" are misleading. Saying
information and "key theoretical considerations" down, including consideration of available
resources, of needs, and of outcomes; applying criteria of fairness to the situation in question and
to alternative situations; and suggesting an "ethical arrangement" to the family beset with the health
care distributional problem. Id. at 288-89. It may be that he thinks the central difficulty is applying
principles of rational thought to "non-rational" (random) or irrational systems. See id. at 290.
At this point, one would think the only option is to punt. But Seedhouse has recommendations
that bioethicists, in his words, need to "work through." Id. One would think that this was perfectly
"rational"; perhaps Seedhouse believes "rational" applies only to relatively hamfisted or formalistic
applications of various substantive principles, such as autonomy or utility. He complains of several
failings of bioethics: Bioethics does not call into question the "dominance" of medicine and "does
not challenge the deliberations and strategies of politicians, which partly contribute to the climate
of rationing" (this is doubtful); bioethics fails to compare "medical systems" with "other systems
in society" (also doubtful); it views inequality in health as mainly about access to means of cure or
amelioration of disease (this seems quite appropriate considering the subject matter, as long as one
keeps matters of prevention and humane behavior in mind); it does not question the role of
technology as the "major weapon against disease"; and it "does not engage in sustained
philosophical analysis of the meaning of key words such as health, welling, medicine and
disease — ^that is, bioethics does not properly examine central matters of health care purpose." Id.
at 290. I do not agree with these claims. After then calling bioethicists to task for "accept[ing]
uncritically the context which generates the problems it tries to deal with" (I doubt this also), he
identifies two paths — standing "outside" the system, and viewing health care systems "for what they
really are" — tribal systems. Id. at 291. He prefers the first path; it is a precondition to "talk[ing]
constructively about health care rationing." Id. As I suggested earlier, it is not clear what it is to
be inside or outside bioethics.
What is missing is an account or example of "talk[ing] constructively about health care
rationing." Id. I have no clear idea of what the preferred program is.
1999] IS BIOETHICS BROKE? 131
this does not presuppose an objectively confirmable moral reality. I do not think
that "progress" is rightly tied to such a rigorous, but unrealistic, showing about
moral reality. Beyond this, I am not about to solve the central problems of moral
philosophy, and say nothing about moral realit>'.^^^
b. Examples. — Again, I turn to examples to work out ideas of progress.
In Brown v. Board of Education, ^^^ the Supreme Court ruled that de jure
separation of students by race in public schools violated the equal protection
clause of the Fourteenth Amendment.^^^ Did this decision, and its long-term
educative effects, represent progress in moral and legal analysis, and in human
behavior thereafter?
Leave theories of constitutional interpretation aside for now, and deal with
pure normative/conceptual analysis of the idea of equality. (The two are not
utterly divorced. "Pure moral analysis" is for some a proper path of
constitutional interpretation in which one searches for the best theory of the
moral concepts in question.) Compare the prior dominant view — ^that equality
is satisfied when the groups that are separated are nevertheless treated equally in
a limited material sense — "separate but equal." One can easily formulate an
egalitarian description of this at a high level of abstraction: "Everyone is being
treated the same. Whatever your race, you have substantially identical
educational (or other) facilities."
How did we come to think otherwise — ^to move from these thin abstractions
tendered in defense of segregation to begin taking account of different
conceptions of equality and perhaps of certain real-world effects? Did we
discover previously unknown empirical truths? Perhaps we learned for the first
time that formal legal separation injures the members of the nondominant group
in some ways (insult, offense, diminished self-view, depression, stigmatization,
and so on), even without regard to "equality" of material facilities. Or did we
already "know" this in some flaccid sense but not notice or attend to it? Had we
previously thought that these effects were not injuries at all — or that if they were,
they were deserved, considering racial differences? (Such differences are of
course not pure matters of fact.) Did our views of the overall situation change
because we changed our view of the nondominant class and came to think that
they were persons we should respect in certain ways? Did this respect entail an
expanded view of what impermissible injury is, requiring removal of its sources?
If so, how did this happen? Was it stimulated by vivid events in the Civil Rights
movement that made us rethink our evaluations? If so, how did the movement
itself begin and why did it receive increasing support from the dominant group?
Did the dominant and nondominant groups change their respective views about
257. See generally Richard N. Boyd, How to Be a Moral Realist, in ESSAYS ON MORAL
Realism 181 (Geoffrey Sayre-McCord ed., 1988); Michael Moore, Moral Reality, 1982 Wis. L.
Rev. 1 06 1 ; Peter Railton, Moral Realism, 95 PHIL. REV. 1 63 ( 1 986). There is a rather intimidating
collection of moral terms that regularly accompany discussions of moral realism, such as "moral
facts," "moral relativism," and "moral skepticism," but for present purposes, I aim to avoid them.
258. 347 U.S. 483 (1954). See supra note 94 (comparing Brown with Plessy).
259. See Brown, 347 U.S. at 495.
132 INDIANA LAW REVIEW [Vol. 33:17
themselves? Was it all a matter of sheer chance in which a particular collection
of jurists sat on the Supreme Court when a clear opportunity allowed them to
implement their personal moral judgments and constitutional theories? And how
did these respected members of the establishment come to these radical
positions?
Perhaps others know the answers, but I do not. In any case, the idea that
there has been progress in re- interpreting the concept of equality is not totally off
the wall. The morally superior sentiments of those in both groups trying to undo
what we now recognize as evil were eventually put in operation through formal
constitutional interpretation and its applications. These constitutional processes
in turn seem to have produced important (if not universal) educative effects. In
this sense, there has been an improvement in moral behavior and in moral theory:
Many of us have refined our understanding of equality and acted on \i?^^
Perhaps, overall, we can say that whatever facts were or were not uncovered,
some influential opinion-molders, judges, and lawmakers had a new normative
insight concerning equality, fairness, and justice: "This is part of what 'equality'
means — no legal barriers, based on race, to human association. Such barriers
ratify the unacceptable judgments underlying the segregation laws, and their very
existence as well as their implementation work true harms." Simply being
addressed by the State (and "the People") in certain ways — "You cannot be in
each others' company here!" — was seen to constitute and cause moral and
constitutional injury. Our conduct thus reflected some elevation in moral
sensibilities, at least on the part of some influential groups, and the insight spread
to others. In this limited sense, we "caught up" with what should have been
viewed as a basic egalitarian ideal. We recognized and acted upon human needs
that had been seen only dimly, if at all.
The Brown case may give us something to start with, but it carries us only so
far. Where in bioethics can we expect new normative insights, whether inspired
by salient facts, conceptual analysis, or assorted firings of the brain? Would
expanded research on the effects of varying gestational circumstances, or on the
so-called nature/nurture tension, help resolve contests between genetic and
gestational mothers? What new facts or thoughts will tell us to whom to assign
the next liver when we already know the candidates' medical conditions? Or
whether it is permissible to take a kidney from a child in order to save his
brother? Or whether one is significantly harmed by having the same genome as
someone else who has already lived or is currently in full bloom?
These expressions of optimism may seem a bit labored. If we could say what
the mysterious new insights would be, we would already have them, although our
behavior might lag. If we do not already have them, they might be a long time
coming, if they come at all. For example, with segregation, the issue — do equal
facilities for separated races satisfy equality standards? — had been understood
260. Others argue that Brown constituted, if anything, moral regress, because the Court's
decision was lawless and unjustified on any proper theory of interpreting the constitutional text.
The Court, on this view, thus violated some aspect of the Rule of Law ideal. See generally Herbert
Wechsler, Toward Neutral Principles of Constitutional Law, 73 Harv. L. Rev. 1 (1959).
1999] IS BIOETHICS BROKE? 133
for quite a while before Brown was decided. By the time we have our insight, the
technological rabbit may be beyond sight.
But, by all means go ahead and get more facts about the impact of gestation
on fetal development and maternal-fetal bonding — but also about the feelings and
attitudes of genetic parents awaiting the birth of a child they expect to raise. Get
facts about the psychological and physical effects of losing a sibling to kidney
disease and discovering later in life that the sibling could have been saved if only
your parents, or a court, had allowed the transfer of your kidney to her. Get facts
about the effects of being born of a genetic plan — cloning, germ-line
enhancement engineering, whatever. Of course, we cannot do that too well
unless we actually have some cloning, and after we start, it may be hard to stop.
When we get these facts, we may indeed — at least on an individual basis — be
aided in reaching closure on some given matter of choice. In particular, the facts
may inspire reflection and new perceptions ("Why didn't I see that before?").
But such facts will not dictate a normative result.^^^ No set of facts will
determine which mode of distribution of lifesaving resources is the true and
correct one, except in the company of moral premises.
In 1 97 1 , John Rawls published A Theory of Justice. He drew on and sharply
revised and extended some important constructs within political and moral
theory — ideas such as the social contract, the ideal observer, detachment and
impartiality, the need to accommodate liberty with equality, and justice as fair
treatment of persons. It is hard to say precisely what is "new" in his work and
what is not. However, few philosophers, even those in sharp disagreement with
him, would deny the impact and worth of Rawls's refinement and synthesis of
these preexisting tools — perhaps to the extent of saying he fashioned powerful
new tools.
Is this a case of progress in philosophy? Is bioethics improved by the
installation of these ideas? Why not? If it is a smaller degree of incremental
progress than that worked by Aristotle, Plato, and Kant, it is still progress.
Matters that were fuzzy before are clearer now, and we have a more precise idea
of what is entailed by particular notions of justice, equality, and liberty. Some
may even say that calling his work an incremental advance is misleading because
he has moved significantly beyond his illustrious predecessors. In any case, the
sort of claim that Rawls or others have made progress is reasonably coherent and
far from implausible. Perhaps substituting Nozick for Rawls would make the
ascription of progress go down more easily for some auditors.
However, as many have noted, Rawlsian analysis does not give us a bunch
of right answers to hard questions at all levels of abstraction, and Rawls did not
261 . Cf. Ternasky, supra note 208, at 128 (arguing that given a "robust conception of human
flourishing" and moral theories that "stand relevantly, approximately, near the truth of that
motivation, then we may expect to move nearer the truth as our intuitions are informed by
additional social, scientific, and historical evidence."). I am not sure we are aided by the notion of
"moving nearer the truth," but the point about intuitions evolving with the presentation of new
evidence seems sound.
134 INDIANA LAW REVIEW [Vol. 33:17
claim it would, although he did deal with a number of specific issues.^^^ Try
applying his (or anyone's) tool matrix to the "who-is-the-natural-mother" issue
oi Johnson v. Calvert, or to the questions whether we should ban human cloning,
allow the use of various performance-enhancing techniques, or solve scarce-
resource distribution by this or that mechanism.^^^ The most that can be hoped
for, in many cases, is that we narrow the range of permissible options, or that we
more fully understand and can justify assorted preferences, attitudes, and
behaviors, or that we more adequately justify particular plans or prior actions.
In some cases, the Rawlsian analysis not only offers an overarching structure of
general application, but indeed yields strong answers to some problems, at least
within the framework of Western thought. However, it seems unreasonable to
expect any political or ethical theory, whatever its internal philosophical
constructs, to tell us, say, whether the entire nation, rather than regions or
localities, should be the constituency for organ distribution. Nor will it tell us,
after human enhancement techniques become effective, precisely to whom
increments in intelligence or other merit or wealth-attracting attributes should
If Brown v. Board of Education and Rawls's Theory of Justice constitute or
reflect progress, what is it progress inl How do we describe it, especially to
skeptics who think of progress as referring to new proofs in mathematics or logic,
or theory confirmation in science, or paradigm shifts that pan out empirically, or
setting new records in the 100-meter dash? Should we refer to it as "progress in
the quality and sophistication and relative completeness of analysis, such that it
is likelier to draw assent"? There is a sense, af^er Brown and Theory of Justice,
in which we know more than we did before about equality, about how to think
about constructing political/economic/social systems, and so on. As has been
said of metaethics: "Such philosophical progress as has been made in metaethics
has come not from simplifying the debate or reducing the number of viable
alternatives, but from bringing greater sophistication to the discussion of well-
known positions and from exploring heretofore disregarded possibilities and
interconnections."^^^
Rawls himself provides an account of what we might rightly call "progress":
"If the scheme as a whole seems on reflection to clarify and to order our
thoughts, and if it tends to reduce disagreements and to bring divergent
convictions more in line, then it has done all that one may reasonably ask."^^^
There is thus a bounded but plausible account of progress in moral and legal
262. See Rawls, supra note 195, at 53 (stating that if his scheme adds clarity and order in
our thinking and reduces disagreement, it has served its purpose). See also John Rawls, The Basic
Liberties and Their Priority, in POLITICAL LIBERALISM, 289, 340-68 (1993) (discussing political
free speech and commenting on several major cases and constitutional standards).
263. See Johnson v. Calvert, 851 P.2d 776 (Cal. 1993).
264. See generally Michael H. Shapiro, Who Merits Merit? Problems in Distributive Justice
and Utility Posed by the New Biology, 48 S. Cal. L. Rev. 318(1 974).
265. Darwall et al., supra note 67, at 32.
266. Rawls, supra note 195, at 53.
1999] IS BIOETHICS BROKE? 135
argumentation and analysis that rests on ideas of normative illumination and
increasingly refined analytical tools. That sort of progress may play some role
in behavioral progress, and behavioral progress may, in turn, aid insight. This
account probably does not meet the expectations of those w^ho call for law and
philosophy to catch up with science and technology, but nothing can.
c. "Micro" vs. "macro" progress: Personal moral "closure" and objective
moral progress. — Think back to your own difficulties in decision making,
whether it was to decide which concert or movie to attend, whether to vote to hire
or promote someone, or what advice to give your children on moral issues. Some
aspects of these problems, including your personal circumstances, may well have
been especially salient to you and more or less settled your mind. This is
perfectly consistent with continued reservations or even regret over what you did
or "had" to do, and with a realization that the issue was not settled for all time,
whether for you or for others generally .^^^
This is obviously not a general summary of human decision making. I am
suggesting only that reflection may, for a given person, help decide the matter for
j^gj. 268 j^ jg immaterial whether one describes the final resolution of doubts as
involving a particular consideration that tipped the scales, or as the result of a
rough weighing or balancing. Much the same may hold, with various
complexities, for group decision making by ethics committees, Institutional
Review Boards, juries, and so on. This notion of (provisional) settlement is a
267. Cf. Railton, supra note 257, at 1 88-90 (discussing a theory of individual rationality, and
following this with a discussion of moral norms going beyond individual viewpoints — rationality
from what might be called a social point of view). In a footnote, the author observes that "there can
be no guarantee that what would be instrumentally rational from any given individual's point of
view will coincide with what would be instrumentally rational from a social point of view." Id. at
190 n.30. See generally Simon, supra note 85 (discussing cognition injudicial problem-solving).
268. Once again, this is not an account of or argument for standard moral relativism, although
it is plausibly, if nonetheless confusingly, referred to as justificatory relativism. See Brock, supra
note 4, at 236-37. Brock states that his
account of moral reasoning and justification . . ., which employs a critical screening
process together with reflective equilibrium, does allow for the possibility of moral
disagreement that is in principle rationally irresolvable, and for the possibility that
different individuals may each be justified in holding incompatible moral judgments;
we can call this justificatory relativism. . . . Some moral disagreement does, 1 believe,
turn out to be irresolvable in principle, but not as often as many people today suppose.
Very often disagreement that initially appears to be moral turns out on closer analysis
to be empirical disagreement about matters of fact, [fl Justificatory relativism implies
that moral judgments are correctly understood to be in one sense subjective. . . . What
I have in mind here by the claim of subjectivity is this. At the end of the day, . . . after
the process of moral reasoning and justification has been completed, a particular
individual's moral judgments, principles, or theory will depend on what that person is
prepared on reflection to accept, to try to live by, and to judge him-or herself and others
by.
Id.
136 INDIANA LAW REVIEW [Vol. 33:17
critical aspect of making decisions. Thus, despite rational reservations such as
Robert Holmes's — "more should not be expected of it [analytical ethics within
bioethics] than it is capable of del ivering"^^^— such analytics may be strongly
decisive for an individual decision maker, even if the underlying moral issues are
not settled within any overall moral theory either from her viewpoint or that of
others.
Examples are not hard to imagine, though they are more difficult to confirm
empirically. Suppose there is a terminally ill patient who had been unusually
energetic but has suffered prolonged, intractable depression during prior
illnesses. She now wishes to terminate artificial nutrition and hydration. How
do we assess and respond to her preferences? We invoke rough ideas of
autonomy-as-opportunities-to-realize-one's preferences, and of relief of
suffering. This may occur within a nonconsequentialist or consequentialist moral
theory. What strikes you as especially compelling is the ongoing, impenetrable
depression of the patient, making every day an utter horror, that is unresponsive
to all medications and even to electroconvulsive therapy. So far from this
condition being a plausible blockade to aid-in-dying, because of its distorting
effect on the perception of one's own preferences, it is now an indication for it.
So you think it best to let her, or even help her, go.
This is a conclusion that one might not have reached, or might have reached
more reluctantly, if one had not been introduced to ideas of impaired decision
making capacity, of clinical depression as a disorder that entails pain
unimaginable to those never so afflicted, of the possible transformative effects
of biological treatment, and of the bitter fact that these transformative treatments
failed completely. Simply learning these ideas and facts may advance individual
progress to provisional closure. This view may endure even if the decisionmaker
knows of the risks of undue influence or abuse.
Think next of someone who applauds the latest successes in multiple
transplants, where several organs are distributed to a single person. Someone
else points out that multiple transplants given to just one person do not generally
maximize lifesaving. Even if one continues to support multiple transplants, one
recognizes the pull of other considerations when one had not done so before.
This too is progress.
Problems, of course, are not of equal difficulty or gravity. However,
reflection may significantly advance equilibrium for particular persons or groups,
even though most of the overarching moral tensions can never be resolved.
Perhaps this is a form of reflective equilibrium,^^^ and easing the way for it
promotes both personal and community progress.^^' For the persons directly on
269. Holmes, supra note 15, at 145.
270. See Rawls, supra note 1 95, at 48-5 1 (defining reflective equilibrium); see also Brody,
supra note 20, at 172-74, 177-78 (applying the concept to bioethical deliberation); Railton, supra
note 257, at 190-94 (discussing individual and social rationality in connection with the idea of
moral realism).
27 1 . See generally Nagel, supra note 1 1 , at 202.
[MJost theorists would recognize, as characteristic of morality, the aim of convergence
1999] IS BIOETHICS BROKE? 137
the job of decision making, reservations about ultimate moral reality may be of
some moment because of anticipated regret concerning the factors outweighed
but far from annihilated, and because of fears that future problems may resist all
closure.^^^ However, this is largely inevitable in many domains of thought.
3. Progress in Bioethics. —
a. Conceptual constraints on the idea of progress. —
(i) Again, the example of principl ism. —Recall the references above to
principl ism, understood as a plan for evaluating actions and situations in light of
mid-level moral imperatives. Its central thrust is to advance moral and legal
decision making by referring largely or exclusively to a small set of concepts.^^^
More specifically, it involves "what has sometimes been called the four-
principles approach to biomedical ethics, and also called, somewhat
disparagingly, principl ism. "^^'^ The four "clusters of principles" are respect for
autonomy, which entails respect for a competent person's decisions;
nonmaleficence or, a bit loosely, not causing harm; beneficence, or generating
benefits, balanced against risks and costs; and justice, understood as fair
distribution of benefits, risks and costs. These abstractions are used to illuminate
and resolve certain disputes. Beauchamp and Childress contrast "principles"
by individuals with diverse and conflicting points of view on standards of conduct and
choice which all can see as justified. Morality, if there is such a thing, requires us to
transcend in the practical domain our individual perspectives, and by means of this
collective transcendence to converge on a common standpoint of evaluation. It aims to
supply a framework of potential agreement or harmony within which the remaining
differences can operate without doing harm.
Id.
Later, Nagel refers to "formulating general hypotheses and testing them by the credibility of
their implications," finding reasons for different opinions and the principles they depend upon, and
concluding that "progress can often be made on this basis — at least to produce greater
understanding of the grounds of disagreement, if not to resolve it finally." Id at 21 1. See also
Brock, supra note 4, at 2 1 7 (discussing ethics commissions' efforts toward "sharpening the issues"
and "forging consensus").
Consider the moral evolution of Andrei Sakharov over a period of about two decades, as
recounted in Gennady Gorelik, The Metamorphosis of Andrei Sakharov, 280 Sci. AM. 98, 101
(1998): "'If I feel myself free,' [Sakharov] once mused, 'it is specifically because I am guided to
action by my concrete moral evaluation, and I don't think I am bound by anything else. ' He always
did exactly what he believed in, led by a clear, unwavering inner morality."
But it is clear from the earlier portions of the article that Sakharov didn't simply intuit moral
reality in a moment of time and act as an absolutist. His recognition of conflicting obligations,
patriotic and global, developed as he witnessed historical developments and saw the growing risks
of nuclear weapons. His development is thus arguably an example of personal moral progress.
272. See Williams, supra note 122, at 49.
273 . Principlism's origins are often associated generally with William K. Frankena, Ethics
(2d ed. 1973) and, in bioethics, with the first edition (now into the fourth) of TOM L. Beauchamp
& James F. Childress, Principles of Biomedical Ethics (4th ed. 1994).
274. Beauchamp & Childress, supra note 273, at 37 (footnote omitted) (emphasis omitted).
138 INDIANA LAW REVIEW [Vol. 33:17
with ethical theory (which is more abstract than principles), rules (less abstract),
and particular judgments.^^^
Are the principlists' offerings progress? Even opponents of principlism
should think so. Any crystallization of ideas that helps explain how we think
(e.g., with heuristics and other shortcuts),^^^ and gives people a conceptual map
addressing how we should think, may be an advance. Even if it is mistaken and
ultimately incoherent, it takes us down cognitive pathways we may have missed,
and we can choose which forks to follow on our own. One learns something
from principlism even when rejecting it.
The law provides a brief example. The identification of standards of review
in constitutional litigation helped define and implement various hierarchies of
constitutional rights, powers, duties, etc., and helped organize and clarify both
what we were doing and what we should have been doing.^^^ It is not a
principlist system of the sort dealt with here, but it generally deals with mid-level
abstractions in adjudicating constitutional claims. Thinking about the nature of
standards of review, why they are in place, and what they do and are supposed
to do is instructive, whether or not one thinks the way these standards are used
or expressed is mistaken. Instructive on what? On matters of constitutional or
moral relevance that we may have over- or underlooked.
There are obvious risks in this largely mid-level evaluation process. In
constitutional law, many have stressed the risks of clumsy, possibly question-
begging use of standards of review. Critics have also condemned the implicit
constitutional hierarchies that they reflect, but their own preferred orderings
would still have to be reflected in standards of review.^^* Critics of principlism
have tendered parallel objections. As long as we understand some basic
limitations of principlism, however, the principlists' schemas may accelerate our
personal decision making efforts as well as our agreement with others. This may
represent a kind of moral efficiency; one can be efficient or inefficient in moral
deliberation, and efficiency here may itself be a moral imperative, depending on
the circumstances.^^^ As for principlism's limitations, they are readily stated:
275. Mat 15, 37-38.
276. I am using these terms loosely — for some, perhaps too loosely. One might urge, for
example, that a decision procedure in a given case was not a "shortcut" because no material and
useful consideration was excluded; there was in fact no longer journey to greater accuracy — high
theory would not have advanced deliberation.
277. I do not want to press the comparison between standards of review and principlism too
far. It is not clear that they operate at the same level of abstraction. Moreover, standards of review
are not articulated by specific reference to principles of any sort, although the standards may
presuppose abstractions properly called "principles." The standards of review themselves, however,
do not seem to be akin to the structures contemplated by principlism. Perhaps they are more like
casuistical rules, maxims, or apothegms, or heuristics generally.
278. The point is that, given interpretive maneuvers that yield an ordering of constitutional
values, standards of review that reflect this ordering are a logical inevitability.
279. I note this for the sake of completeness. "Efficiency" is a general term concerning the
relationship between ends and means, and it is far from exclusively linked to matters of commerce.
1999] IS BIOETHICS BROKE? 139
one's heuristics are not the final word. In some cases, appeal must be made to
higher-order abstractions to interpret the moral premises and to help resolve
conflicts among them. One may even have to de-select principles or reinterpret
them. Moreover, the very articulation of principles may fool one into thinking
that things are simpler than they are.
So, principlism is not the chopped liver of moral philosophy; its problems are
serious.^^^ Are its specified criteria sufficiently, but not excessively,
comprehensive? One wonders whether equality is rightly assigned to the
discussion of justice or to some other combination of the itemized concepts.
Where does fairness go — inside justice,^^' or inside equality, wherever that may
be? Are the criteria overbroad, underbroad, or void for vagueness, i.e., too
sweeping, too narrow or incomplete, or too imprecise to be serviceable? When
do they produce reasonably determinate results or at least narrow the range of
competing arguments? What are "principles" anyway and where do they come
from and how do they relate to each other, to higher abstractions, to lower
abstractions, to standards, rules, maxims, apothegms, and bromides? If the
principles in principlism were not randomly assembled, then what overarching
theory produced them, or are they simply inferred from how people in fact make
decisions, with no additional search for foundations? Moreover, the principles
within "principlism" are imprecise, overlapping, often pull in different directions,
and have internal tensions that put their very coherence at risk. Don't we have
to invoke the underlying moral theory to deal with such difficulties, if they can
be dealt with at all? If there is no such thing as independent freestanding
principles, in short, how did we come by them? Is autonomy a product of a
consequentialist or nonconsequentialist theory? If autonomy derives from
different theories, does its applications vary, not just with the particular situation,
as some careless critics think. More generally, it embodies rules of rationality. If someone residing
in Los Angeles wishes to visit the Pacific Ocean forthwith, she should, other things remaining the
same, move westerly rather than circumnavigating the globe by traveling eastward. In moral
analysis, efficient moves are obligatory, where efficiency represents the use of methods that under
the circumstances are the best means of satisfying the requirements of the governing moral theory.
Of course, this account reduces efficiency to the content of the moral theory and its applications,
and there is usually no need to invoke the idea explicitly when doing moral analysis.
280. For a critique of principlism, see Ronald M. Green et al.. The Method of Public Morality
Versus the Method of Principlism, 18 J. Med. & PHIL. 477 (1993). For a response to various
criticisms of principlism, see Beauchamp & Childress, supra note 273, at 106-09.
28 1 . See BEAUCHAMP & CHILDRESS, supra note 273, at 326-34 (identifying "the principle of
formal justice" with the "principle of formal equality," and indicating that in deciding particular
questions, e.g., admissions to a hospital, "[a]ny answer to this question will presuppose an account
of justice that contains material principles in addition to the formal principles").
Note the extensively-discussed issue of the "emptiness" of equality in constitutional law.
Compare Peter Westen, The Empty Idea of Equality, 95 Harv. L. Rev. 537 (1982), with Kent
Greenawalt, How Empty Is the Idea of Equality?, 83 COLUM. L. REV. 1 1 67 ( 1 983). On the location
of fairness on the principlist conceptual map, see Beauchamp & Childress, supra note 273, at
327, 341-43 (discussing fair opportunity).
140 INDIANA LAW REVIEW [Vol. 33:17
but with the parent theories? If the applications vary with their foundations, why
should we bother with this intermediate stage of governance by principle at all?
Because higher theory does not have to be invoked in every case and we can do
some coasting? In which cases does it (not) belong? The principles, then,
require interpretation, internal reconciliation, and reconciliation with each other,
and the only way to do so is to test the authority and meaning of the principles
in light of higher-order concepts of ethical theory.
Think again of autonomy to illustrate this point. It is a concept with internal
tensions that often confront us, and its various aspects are not accorded the same
ranking by everyone. If a patient wants to delegate an important value-laden
decision to his physician, should we follow his preferences, vindicating one
aspect of autonomy? Or should we instead stress autonomy as rational self-
direction in order to discourage the delegation, and implement this goal by
adjuring physicians to reject such delegations and insist that the patient make his
own decision? If a prospective organ donor expresses assent to the donation of
her kidney to a relative but seems conflicted, should the donation be disallowed
because of the risk that assent was compromised by familial pressure, undue
influence or coercion? Autonomy is threatened either way. We already noted
the problem of overriding a competent patient's veto of therapy mental disorder
in order to promote her long-run autonomy. More precisely, this compromises
her external autonomy (freedom from the interferences) in order to promote her
internal autonomy (her capacities, impaired by disorder), which in turn will
enhance her external autonomy down the line.^^^
Despite such critiques of principlism, which are well known to the
principlists, it is fair to refer to it as reflecting progress. Again, what sort of
progress? The sort of progress involved in deciding if a scholar's publications
have "advanced the field" and are therefore tenure-worthy? Nonacademics might
be excused for questioning this as a standard of progress. Perhaps principlism
represents some methodological insights that reveal its principles as
crystallizations of concepts derived from one or more higher-level theories that
can be used as heuristics or very soft algorithms. Perhaps it is a sort of
acceptable moral satisficing, even an obligatory one, given scarce resources of
time and effort. If an admittedly soft shortcut helps reach rough consensus, isn't
this an advance? Scarce resources may indeed demand satisficing, and
principlism may be effective in some cases. Why reinvent the moral wheel at
every turn? Of course, if the problems seem simple, we are unlikely to feel a
need even to review the relevant principles, never mind the larger abstractions.
However, as critics have repeatedly charged, the principles cannot simply be
fitted onto a situation to yield a determinate result. Some say there is no such
thing as manageable principles in the sense the principlists require, or they
cannot really be applied, as a true algorithm can.^^^ (Principlists of course do not
282. See Shapiro, supra note 121 for further discussions of this issue.
283. This is more or less the objection made by Clouser & Gert, supra note 212, at 226-27
("[TJhis 'principle' [of beneficence] is simply a chapter heading under which many superficially
related topics are discussed; it is primarily a label for a general concern with consequences. But
1 999] IS BIOETHICS BROKE? 1 4 1
say they are constructing algorithms, which are quite different from principles.)
Such algorithms often provide determinate results in application, such as
computer programs for playing tic-tac-toe, or, more impressively, chess.
Principles rarely do.
To clarify, organize, and add perspectives and insights hitherto hidden are all
forms of progress, and they may indeed advance the time when some answer is
settled upon, and we can move on to other matters. Such advances are important,
but they should not be overstated. After a time, one grows weary of clarifications
that better acquaint us with our confusion but do not provide satisfying
answers.^^'* However, if clarification^^^ helps move us toward even partial or
by being called a principle, it avoids the kind of fundamental questioning that a theory should
undergo."). See also id. at 234-36.
[T]here is neither room nor need for principles between the [adequate, unified moral]
theory and the rules or ideals which are applied to particular cases. Rather, one applies
the relevant rules and ideals and then, after taking into account all of the morally
relevant features, one decides whether or not it is justified to violate a particular moral
rule We believe, in the sense given to 'principle' by Frankena and by Beauchamp
and Childress, that for all practical and theoretical purposes there are no moral
principles. ... By invoking several 'principles' they implicitly deny the unity of
morality.
Id.
284. Robert Holmes also questions a similar defense of "elucidation." See Holmes, supra
note 15, at 144-45. Note, however, the remarks in the text suggesting that individuals might find
personally satisfactory solutions when aided by morally relevant considerations they had not
thought of. See generally JONSEN & TOUI.MIN, supra note 7, at 305.
[Tjaken by themselves, disputations between 'consequentialists' and 'deontologists,'
or between Kantians and Rawlsians, were not of much help in settling vexed practical
issues, such as the question, 'How much responsibility should physicians allow gravely
ill patients [] in deciding what treatments they shall undergo?' Philosophical concepts
may be of help in clarifying the manner and terms in which these problems are stated.
But in the end the debate will always return to the particular situation of an individual
patient with a specific medical condition, and the discernment that is needed to reach
any wise decisions in such cases goes beyond the explanatory or clarifying insights of
even the best theories — whether scientific insights of molecular biologists or ethical
perceptions of moral philosophers.
Id. (footnote omitted).
285. Cf. Nagel, supra note 1 1 , at 209 (remarking that"[t]he present state of moral controversy
reveals a high level of uncertainty about both methods and conclusions, but at the same time there
is clearly a lot of value in the three primary standards I have described: common interest, overall
utility, and equal rights. On some questions, these standards will give the same answer."). Without
pressing the comparison, one can make parallel claims about principlism, though it seems to be at
a lower level of specificity.
But cf. Michael Bishop, The Possibility of Conceptual Clarity in Philosophy, 29 AM. Phil. Q.
267, 268 (1992) (arguing that "[cjlassical conceptual analysis" in the form of specifying necessary
and jointly sufficient conditions "is doomed because most concepts are not structured classically.").
1 42 INDIANA LAW REVIEW [Vol. 33:17
temporary settlements, the effort required may be worth it. In many cases,
nothing more than these provisional accommodations are logically possible for
philosophical analysis or legal decision making.^^^ We will forever be using
familiar tools, perhaps with innovative refinements and reconstructions. But no
set of tools will bring us to moral or legal closure that matches what can be
accomplished in mathematics, logic and science. The kind of provisionality that
applies to even the best-confirmed scientific claims does not suggest the contrary;
it is quite different, despite the parallels, from moral indeterminacy. No doubt,
these defining differences move some to view philosophy and law as fields
inferior to science and mathematics, a view not worth stopping on, except to say
that using the term "inferior" begs a lot of questions, and, in any case, we have
to live with what we have.
(ii) The example of distributing scarce lifesaving resources, especially
organs: When paradox blocks ''progress "; lotteries and rationality. — Scarcity
is a central driving force of life. Distributing scarce lifesaving resources to
human beings is not amenable to the relatively simple solutions to, say, dividing
a cake at a birthday. Lifesaving are rarely distributed in ways that
simultaneously satisfy everyone. The image of triage is a searing one, and
although that concept is not directly applicable to all distributional problems, it
is easily brought to mind when scarce lifesaving resources are at stake, whether
on the battlefield or the civilian hospital ward.^*^ Some of the most vivid
examples of this come from organ transplantation and use of artificial organs
such as dialysis machines and, one anticipates, implantable artificial hearts.
Indeed, the problem of selecting patients to receive the first operationally useful
dialysis machines was a defining moment in the early development of
bioethics.^^^
But few of our powerful moral, philosophical and legal abstractions can be part of classical
conceptual analysis in this sense. Most ethical and legal theory is thus nonclassical in the author's
sense. Non-classical proceedings, however, can yield incremental clarity for such non-classical
concepts.
286. Some authors draw clinical uncertainty into the analysis. See, e.g. , Toon, supra note 34,
at 17.
It is foolish to believe that a knowledge of moral philosophy or an ethical analysis
makes a difficult moral decision easy, any[]more than knowledge of physiology and
pathophysiological analysis makes a complex clinical case simple to diagnose or to
prognosticate. In both cases[,] ars longa vita brevis. What sound training in
philosophical analysis can do for moral problems is exactly parallel to what training in
clinical sciences can do for the diagnostic problem: i.e.[,] provide a framework in which
choices can be organised and evaluated logically, avoiding conclusions not justified by
the evidence and decisions made on irrelevant grounds.
Id.
287. The decisions are likely to be sharply different in military and civil contexts. See
generally GERALD R. WiNSLOW, TRIAGE AND JUSTICE (1982).
288. See Sanders & Dukeminier, supra note 1 4 1 , at 37 1 , 377-79; see also ROTHMAN, supra
note 6, at 1 55-57.
1999] IS BIOETHICS BROKE? 143
Here, as elsewhere, we have made a series of pragmatic accommodations
despite our moral uncertainty. Indeed, we are morally obliged to proceed in
some way even if moral considerations fail to identify the best options. ^^^
However, no set of criteria has ever commanded a consensus that identifies the
correct premises governing distribution of lifesaving resources. These premises
would specify all the required, permitted and forbidden distributions. But the
limitations of any known set of criteria for determining distribution have been
reviewed many times.^^° Whatever the meta-ethical views; whatever the general
ethical theories, whether consequential ist, nonconsequentialist, or tertium quid,
whatever the particular theory or its sub-branches; and whatever the particular
criteria — none can satisfy all moral theories or observers, ideal, reasonable, or
otherwise. Social worth, ability to pay, prior good works, degree of medical
need, and inherent or acquired merit are all failed criteria as decisive sources of
guidance, but remain morally relevant. One might call this impossibility a moral
theorem of sorts, but trying to formulate a proof would be bootless, and in any
case not to the point. Check any operational set of criteria, e.g., the federal
guidelines for heart transplantation, and this claim will quickly be illustrated.
These heart transplantation guidelines,^^* which apply to federally funded
transplants, specify the need for social support networks, thus making it hard for
those who live in relative solitude to receive a transplant; discourage transplants
to overage persons; and say nothing about maximizing utility and so on.
Decisions are taken and specific complaints are rare. But if complaints and
recommendations are made, say, to equalize patients' opportunities, what exactly
gets equalized and how? The ratio of medical need to chance of getting the next
transplant? On what measure of need? Imminence of death before transplant?
289. See generally David B. Wong, Coping with Moral Conflict and Ambiguity, 1 02 ETHICS
763 (1992) (arguing that "[a] complete ethic should address the question of how people are to act
toward one another when they are in serious moral disagreement [A]ccommodation is a moral
value rooted in the fact that serious conflict is a regular feature of our ethical lives.").
290. See, e.g., BARBARA GOODWIN, JUSTICE BY Lottery (1 992); James F. Childress, Who
Shall Live when Not All Can Live?, 53 SOUNDINGS 339 (Winter 1970); Albert R. Jonsen, Ethical
Issues in Organ Transplantation, in MEDICAL ETHICS 229, 231 (Robert M. Veatch ed. 1989); Teri
Randall, Criteria/or Evaluating Potential Transplant Recipients Vary Among Centers, Physicians,
269 JAMA 3091 (1993); Nicholas Rescher, The Allocation of Exotic Lifesaving Therapy, 79
ETHICS 173 (1969).
29 1 . See Health Care Financing Administration of the U.S. Department of Health and Human
Services, Heart Transplant Coverage, in 1 MEDICARE & MEDICAID GUIDE 1 CCH ^403 0.3 0(D)
(Aug. 11, 1994). The criteria for patient selection include critical medical need; maximum
likelihood of successful clinical outcome; very poor prognosis without transplant. Adverse factors
include advancing age; various concurrent diseases; and a history or behavior pattern or psychiatric
illness likely to interfere significantly with medical compliance. ^4030.30(D)(4) states: "We
recognize that some who may not be considered 'good candidates' may also benefit, but the
likelihood or extent of benefit is significantly less." The United Network for Organ Sharing
(UNOS) guidelines do not seem as rigorous. See UNOS Allocation Policy 3, June 26, 1998
<http://www.unos.org>.
144 INDIANA LAW REVIEW [Vol. 33:17
Life expectancy after the transplant? Expected quality of life with the transplant?
Or are we instead to equalize the ratio of social worth to chance of receiving the
next transplant? Are we to work with some ordered set of these variables, or are
we now simply replicating the list of failed criteria?
Consider now the very useful example suggested by Annas concerning
distribution of a fixed number of fully implantable artificial hearts.^^^ His
Minerva case concerns a lottery as the final selection mechanism, a form of being
"unprincipled on principle," to import Bickel's phrase into this context.^^^
Obviously, some of the same difficulties we just encountered are built into the
prior threshold decision to the number of hearts to be constructed and made
available. They are also at work at the stage where persons are included or
excluded from the lottery pool. Membership in the lottery constituency is thus
itself a scarce resource that must be distributed before the implants are assigned.
A lottery might seem to be the very antithesis of rational moral choice based
upon ideals of personhood. Moral rationality adjures us to find a reason to select
292. See George Annas, Allocation of Artificial Hearts in the Year 2002: Minerva v.
National Health Agency, 3 Am. J. Law & Med. 59 (1977).
293 . Alexander M. Bickel, The Supreme Court, 1 960 Term — Foreword: The Passive Virtues,
75 Harv. L. Rev. 40, 76 (1961). For both analytic and entertainment purposes, see Jorge Luis
Borges, The Lottery in Babylon, in LABYRINTHS: SELECTED STORIES AND OTHER WRITINGS, at 30
(Donald A. Yates & James E. Irby eds., story trans., John M. Fein, 1964).
I come from a dizzy land where the lottery is the basis of life. . . . Their [the older
lotteries in which people won silver coins] moral virtue was nil. They were not directed
at men's faculties, but only at hope. . . . If the lottery is an intensification of chance, a
periodical infusion of chaos in the cosmos, would it not be right for chance to intervene
in all stages of the drawing and not in one alone? is it not ridiculous for chance to
dictate someone's death and have the circumstances of that death — secrecy, publicity,
and the fixed time of an hour or a century — not subject to chance?
Id. at 30, 3 1, 34. See also the short story, Shirley Jackson, The Lottery (Popular Library ed.,
1949).
In real life, lotteries for scarce medical resources are used rarely, apparently mostly for new
drugs in short supply. Even then, they are viewed as short-lived phenomena. Supplies of therapies
proved useful can generally be expected to increase, thus moving distribution into its usual forms.
See Michael Waldholz, Unit of Roche Sets Up Lottery for AIDS Drug; Enough for 2,280 Patients
Will Be Given Out Free Under Pact with FDA, WALL ST. J., June 21, 1995. But see New AIDS
Drugs Spawn a Global Pill Chase, WALL ST. J., July 8, 1996 ("France, where 30,000 people have
died of AIDS, is a front-line battleground for getting the drugs approved and distributed. Earlier
this year, France's National AIDS Council suggested holding a lottery among patients to determine
who would get the scarce protease drugs. The idea triggered outrage and protests."). See also
Tamar Lewin, Experimental Drug Is Prize in a Highly Unusual Lottery, N. Y. TIMES, Jan. 7, 1 994,
at Al (quoting one patient's suggestion that "it might have been fairer if people who've had the
disease longer, and are in worse shape, got it first." A physician said that "patients were generally
very supportive of the idea. Some of the doctors were less so, because they thought they should be
able to choose which patients to put before which others."). See generally Ralph P. Forsberg,
Rationality and Allocating Scarce Medical Resources, 20 J. MED. & PHIL. 25 (1995).
1 999] IS BIOETHICS BROKE? 1 45
one person over another. However, every reason and set of reasons fail as
decisive criteria of selection for lifesaving. Even if some reasons succeed from
the decisionmakers' viewpoints and the selections are made, the distributional
scheme, whatever it is, will be unacceptable to various major segments of the
public. What does moral rationality tell us when moral rationality based on
finding relevant differences among persons needing lifesaving resources fails at
every turn? Quit the project and let them all die? ^^"^ The options seem
inconsistent with one of our moral heuristics — a strong presumption for
lifesaving.
One would think, given this apparent failure of our system of moral
rationality, that metaethical rationality would require us to revise our
understanding of moral rationality, which should forbid differentiating among
persons needing the resource. Instead, we should use an objective procedure that
suppresses differences, perhaps by some randomization device. Because first-
come, first-served seems too linked to one's social position and wealth, a lottery
seems appropriate, perhaps even morally mandatory, despite the serious moral
issues concerning entry into the lottery pool.
To most persons, lotteries of this sort seem morally outrageous. Lotteries are
deliberately inattentive to individual variations within the included group. We
thus have the maddening situation in which the chief moral deficit of a plan
coincides with its chief moral merit — ^the suppression of interpersonal
differences. The personhood of the lottery participants is suppressed, one might
say, and they are treated as fungible, though not as objects: we would not be
facing a grave distributional difficulty if they were mere objects. Respect for
personhood, a critical aspect of moral rationality, demands otherwise. Something
as valuable as human life cannot turn on the arbitrariness of pure random chance.
It suggests human life is no more valuable than winning at roulette. It appears
to make life contingent on essentially nothing at all — ^that is, the morally
irrelevant difference of whose number was drawn — and so devalues it. This
perception of illicit contingency is amplified when the lottery is run by the
government. Although the government is "ours" in a republic, it may appear still
as a voice from above stating that society is unwilling to divert sufficient
resources from other areas in order to save lives in the area at hand. This view
is irrational when the alternative uses of the resources are other forms of
lifesaving, but these other forms may be less salient, and thus barely noticed.
Thus, although suppressing differences in assigning voting rights in general
elections is required by personhood ideals, suppressing them when distributing
lifesaving resources is, on the anti-lottery view, inconsistent with those ideals.
We are thus back to individual differences. A qualified proposition seems
plausible: moral rationality requires attention to some interpersonal differences
294. See generally Fred Rosner, Managed Care: A Contradiction or Fulfillment of Jewish
Law <http://www.ijme.org/Content/Transcripts/Rosner/rmanagedcare.html>, at 8 (the view that this
may be a preferred outcome, and citing to the discussion of a "lifeboat ethics" problem in a
Talmudic source).
146 INDIANA LAW REVIEW [Vol. 33:17
in some contexts, and inattention to other differences in other contexts. Extreme
age and debility is a difference that most would accept as a reason for
withholding organ transplantation. Being a member of one racial, ethnic, or
gender group rather than another is not an acceptable reason, unless there is a
link to medical concerns, and if so, it is the idea of medical concerns and not that
of group membership that forms the criterion.
In a sense, we are being whipsawed from one "lottery" to another. If we
reject lotteries crafted by humans as well as objective schemes that favor those
with superior access to health care, we are left with the natural lottery — ^that
complex of genetics, gestation, and post-birth environment that wires in our
attributes and substantially affects our opportunities. But relying on attributes
derived from the natural lottery is what failed us in the first place. The two
regimes of chance represent different sorts of arbitrariness, but under either sort,
lifesaving rests on criteria that many believe are not morally relevant. In the
artifactual lottery, in particular, life appears to be contingent on morally
irrelevant differences among persons — differences having nothing to do with
their separate, individuated personhood. Consider, however, what happens when
we turn back to differences that define individual personhood — ^the variations
that mark our separate identities as persons and our relative merit and desert. We
find that we cannot bear to doom persons to death because of the very same
interpersonal trait differences that move us to respect individual personhood: this
person is smart, this one is sweet, this one is a wretch, and so on.
The cycle is now complete; we have been thrown from end to the other.
Respect for persons, in our lifesaving context, requires us to consider certain
interpersonal differences, and also prohibits us from doing so. The only
possibility for redemption lies in sorting these differences, identifying which of
them must/may/must not be suppressed/addressed. Distinguishing elections
(where we generally suppress traits) from choosing mates (where we search for
distinguishing traits) raises no contradictions in the ordinary run of cases.
Lifesaving, however, is harder to characterize. One might say that lifesaving is
so important that it cannot be left to chance; or that it is so important that it must
be left to chance. Moral rationality seems to require two inconsistent paths;
therefore, moral rationality is false. The virtue of the contrived lottery is its vice;
the vice of the natural lottery is its virtue; and partially objective schemes
combine the worst of both systems — although the latter have endured as the least
worst of our options. The very logic of personhood fails as a moral guide, or
some might think.^^^
What are we supposed to do about this? How do we make progress here?
It is no answer to say that these opposing vectors concerning selection for
295 . See PAUL A. Freund, Introduction to EXPERIMENTATION WITH HUMAN SUBJECTS at xvii
(Paul A. Freund ed., 1 970), quoted in GERALD R. WINSLOW, TRIAGE AND JUSTICE 1 03 ( 1 982). "The
more nearly total is the estimate to be made of an individual and the more nearly the consequence
determines life and death, the more unfit the judgment becomes for human reckoning . . . ."
Winslow adds: "On this view, truer testimony to the dignity and worth of each individual's life is
borne when human judgment about the relative value of it is kept to a minimum." Id. at 103.
1999] IS BIOETHICS BROKE? 147
lifesaving are in part culturally relative. For one thing, moral relativity does not
follow from cultural relativity. For another, however one designates this
audience's main culture, we are in it.
Seeing these moral difficulties might count as progress, although, again, this
is not very satisfying. We now have a clearer idea of the structure of our
difficulty. Knowing that we may be involved in systemic inconsistency is better
than not knowing it. Still, there is an abundant literature on the virtues of
obfuscation, delusion, and the maintenance of ambiguity .^'^ Perhaps it is better
for elderly persons, and for the community, to think that they are being excluded
from dialysis for medical reasons rather than because of age. Was it progress or
regress when the exclusion was exposed?^^^
Perhaps progress of a sort occurs when consensus forms, even if the content
of the consensus is no more or less rational than the competing views. In some
cases, the consensus may mark agreement on what passes for the foundations of
the social and political system in which they live. For whatever reason, whether
historical accident or some aspect of human cognition, we might come to agree
that lotteries for lifesaving are permissible or even required. Or we might
delegate the choice to seers thought to have special access to moral truth, or to
judges of a similar bent who can link moral truth to legal truth. It is common in
human decision making to remit confusing problems to a "black box" that emits
decisions after a hidden or internal process (think of juries or even markets), or
simply to leave things to those formally anointed as possessing expertise.
Some decisional problems may "disappear" if society is radically
transformed, say, by rejecting republicanism in favor of a single source of power
presumed to have privileged access to knowing what is best for us. This is yet
another black box procedure. At least one commentator suggests that some
bioethical problems stem from our commitment to liberalism. In any event,
Ezekiel's remarks are a partial characterization of the distinguishing attributes
296. See generally SECULAR RITUAL 3, 22 (Sally F. Moore & Barbara G. Myerhoff eds.
1 977). See also GuiDO Calabresi & PHILIP BOBBIT, Tragic Choices ( 1 978) (tracing, throughout
the book, instances of masking or suppressing moral contradictions and anomalies in distributing
scarce benefits and burdens).
297. See generally HENRY J. AARON & WILLIAM B. SCHWARTZ, The Painful Prescription:
Rationing Hospital Care 89- 11 2 ( 1 984).
[T]he British physician often appears to rationalize, or at least to redefine, medical
standards so that he can deal more comfortably with resource constraints. . . . Most
patients in Britain appear willing to accept their doctor's word if he says that no further
treatment of a particular disease is warranted. This passivity may stem from lack of
knowledge about possible treatments or simply from a patient's respect for the
physician's authority.
Id. at 100.
On the public exposure of this system, see Norman G. Levinsky, The Organization of Medical
Care: Lessons from the Medicare End Stage Renal Disease Program, 329 NEW Eng. J. MED. 1 395,
1398 (1993) (stating that patient-advocacy groups have exerted sufficient pressure on the British
health system "to reduce the barrier to dialysis for older patients").
148 INDIANA LAW REVIEW [Vol. 33:17
of bioethics:
[T]he most striking characteristic of discussions of medical ethical
questions is their persistent irresolution. It is not just that [questions
raised concerning treatment of AIDS patients — nontreatment, medical
costs, and so on] are hard and require tentative and subtle answers. . . .
The ethical framework in which these medical ethical discussions and
debates occur seems to ensure no agreement. To put it another way:
within the last two decades or so, medical ethical questions have become
irresolvable medical ethical dilemmas. [One physician is quoted as
asking,] 'What does one do, then?' .... Discordant positions,
irresolution, and an exhausted uncertainty seem the only conclusive
products of three decades of discussion on medical ethics."^^^
Emanuel later refers to "the claim that these problems remain irresolvable
because of certain elements of liberal political philosophy . . . ," and argues that
"[t]he acute and interminable irresolution surrounding medical ethical questions
in the United States arises not from advances in biomedical technology but from
the tenets of liberal political philosophy."^^^
It may well be that some ethical dilemmas are artifacts of particular politico-
philosophic positions, but we are pretty well committed to some form of
liberalism. Dilemmas do not necessarily disappear with the abandonment of
liberalism. (Would the abandonment of liberalism, in whole or in part, thus be
progress?) They may simply take different forms. For example, life also may be
viewed as intrinsically valuable in totalitarian regimes, and natural and artificial
organs are likely to be scarce there too. Particular conceptions of social worth,
desert, and so on may vary from culture to culture, but this variance does not
necessarily render them acceptable criteria for saving lives. Even a hierarchical,
non-democratic society may place a high intrinsic value on human life, and thus
also face a criterial selection problem in saving lives. Does the next artificial
heart, assuming its use is legitimate within the group, go to the best Talmudist or
to the poor tailor with ten children? To the security chief or the head of the
armed forces? To Mother Theresa or the Pope or a small child? Just because a
political culture is not liberal does not mean its selection criteria are limited to,
say, estimates of future service to the State to the exclusion of everything else.
There are of course limiting cases in which cultural differences diverge
immensely from our baseline. If our culture were assimilated into a Borg-like
collective, whose members are not considered individual persons, lifesaving
choices would seem to rest on whether one's mechanical functioning within the
collective is worth preserving given the resource costs. However, to say that a
dilemma is the result of accepting personhood as a dominant moral category
certainly does not diminish the dilemma's force. Of course, many of our
dilemmas would cease if we abandoned personhood, or decided human life was
worthless, or believed that it was wrong to interfere with Fate or The Force in
298. Emanuel, supra note 123, at 5-6.
299. Mat 33, 155.
1999] IS BIOETHICS BROKE? 149
trying to save lives. The problem is, we don't want to be assimilated with the
Borg precisely because it does away with individuated personhood; we don't
think life is worthless; and most don't think we sin by trying to forestall death
with medical technology. Of course, at a high level of abstraction, we too, like
the Borg, consider the advantages and disadvantages of any course of action,
including lifesaving. For us, however, advantage and disadvantage are not solely
matters of mechanical, financial, or resource-use efficiency. All cultures place
some value on human life, even if it does not look that way from the outside or
because the value is recognized only for members of the culture. Assuming we
retain a moral ideal of personhood, think human life is valuable, and have no
rigorous belief about the impropriety of human interference with Nature,
decisions about whom to save or even whether to save will have to be made, and
the learning impacts of these choices on community values will have to be
considered.
b. Catching up on "catching up'': Is it progress to know that progress is
impossible? ; remarks on markets and decentralized choice. — Despite its
awkwardness, the call for law and ethics to catch up to technology is not
meaningless. To the extent that the request is for unique right answers across the
board, it reflects a major misunderstanding of ethics and law because it calls for
the impossible. Yet the "ethics is falling behind" lament is made so often by so
many that one is reluctant to say it just reflects a mass false belief in a Realm of
Truth, or is just an expression of frustration over irresolvable dilemmas. Perhaps
the frustration is compounded by anger at those who profess expertise but offer
no solutions.
Can the catch-up call be reconstructed? How can one reconstruct, without
demolishing, a request that presupposes an impossibility? Substantive
difficulties of this sort often suggest use of decentralized, atomized procedures
such as markets or lotteries. Why worry about how to select genetically
influenced traits as a matter of centralized choice on the merits? Let people
pursue their preferences (within limits) and an invisible hand will lead to some
equilibrium.^^^ (This maneuver of course does not instruct the atomized
decisionmakers how to choose. If they ask that question from within the market,
they still will have no answer.) Evaluation of the equilibrium can be left to moral
and political philosophers, who need something to do to be kept from harm's
way. Progress, lies in coming to understand that decisions at some cosmic macro
level are not only unnecessary, they are ineffective. As far as substantive
regulation is concerned, progress, consists of backing off from seeking the
impossible. It is acquiring "meta-knowledge" — knowledge about whether it is
even possible to acquire knowledge needed for answers to troubling questions,
and if so how we acquire it. ProgresSj is getting the right answer.
There is much to be said for the recommendation to leave some matters to
decentralized, atomistic decision making. The reflexive disdain for the
marketplace often expressed by critics of using biological technology is not a
300. See NoziCK, supra note 134, at 315 (referring to the possibility of a genetic
'supermarket").
1 50 INDIANA LAW REVIEW [Vol. 33:17
point in their favor and projects an image of ideological cement.^^' Unless there
are important reasons pulling us the other way in certain areas, I take the liberal
stance that a decentralized system of personal choice on most commercial and
many non-commercial and in-between matters is the preferred default method for
"solving" many complex social problems, such as who gets what. Some of these
systems are markets or embrace market-like mechanisms.
Allergy to markets is understandable here because the most familiar and
visible markets concern trade in things, tangible or intangible. All-or-nothing
views about the taint of commerce are not well taken, however. In particular,
category straddling, as with certain forms of what we might call "commerce in
persons," is not automatically immoral. Think of a professional sports team
purchasing and trading athletes — more precisely, the exclusive rights to their
services. More to the point, of course, is the intersection of family formation and
commercial transactions, as in surrogacy, gamete sales, and even adoption.
True, things that are not clearly one thing or another make us nervous: it is hard
to describe, judge, and perhaps even use them. Many thus think that otherwise
admirable or at least tolerable practices such as reproduction and sex are polluted
by the intrusion of commerce. The response that this is not necessarily so, of
course, does not commit one to holding that all category mixing reflects progress.
But in some cases it may indeed be progress, or at least is not regress, and seeing
this is itself a form of progress j.^^^
Leaving things to market forces and decentralized choice generally is not a
political non-decision. As many have said, even if markets were viewed as
"natural" (they are in fact no more or less natural than many other systems of
exchange and distribution), we know that we can alter natural processes and
conditions, and not doing so represents a choice of sorts. Obviously, the
consequences of our selection of economic regime and of the choices made by
the individuals within them may escalate sharply as technology expands our
range of options. The expansion of opportunities may enhance autonomy and
general well being in many respects, but it also may be ruinous in others.
Recall that discussion of decentralized choice mechanisms came up because
of our encounter with supposedly failed substantive rationality, and our resulting
insight that clearly correct answers to hard problems are often impossible. How
valuable is it to realize this? If we have more meta-knowledge and a clearer idea
of our limitations, so what? This insight is about as fulfilling as "Do the right
thing" or "Keep on truckin'." As "progress," is it worth even a nickel?
Whatever its worth, it may be all we can aspire to when confronting values
and concepts that conflict both among and within themselves. No amount of
research or reflection on our deepest problems is likely to serve up a stunning
301 . See George Annas, Human Cloning: A Choice or an Echo, 23 DAYTON L. REV. 247,
250 (1998) (criticizing "choice for the sake of choice" and the noisome effects of markets).
302. See generally Henry Hansmann, The Economics and Ethics of Markets for Human
Organs, 14 HEALTH POL., Pol'y & L. 57, 76 (1989) (discussing the inflexibility of normative
categories, but noting that they may change over time; referring to changes in views about
assessments of artificial insemination; and commenting on the possibility of markets for organs).
1999] IS BIOETHICS BROKE? 151
illumination that inspires the cry, "How come we didn't see that before?" We
may, however, by reflection and careful application and refinement of our tools
of thought, reduce the time between seeing a problem and responding to it in
some way; we may increase our sense of having attained a comfortable, if
somewhat regret-filled equipoise, even though it does not reflect some timeless
right answer; and, in implementing our choice, we may behave in ways that wil!
reinforce valued attitudes and beliefs. This will not magically resolve tensions
between liberty and equality, or within contending versions of equality and
autonomy, but it can ease the way for the sorts of working compromises and
clumsy institutions^^^ that we make as we bungle along. I do not see this as an
empty call for dialogue or conversation. People can meet and dither, but they
still must grapple with what they ought to talk about, how to construct their
agendas, what substantive principles to apply to the problems at hand, and what
procedures to install to further the process and/or keep the peace.
Sometimes the result constitutes a sort of progressj. The volumes produced
by the President's Commission for the Study of Ethical Problems in Medicine
and Biomedical and Behavioral Research in (1982) are one example. On the
other hand, the 1997 Report and Recommendations of the National Bioethics
Advisory Commission on cloning seems to me to be a counterexample.
If we cannot in principle attain definitive answers whenever we like, and we
are simply told to discuss and deliberate, how do we proceed? When Professor
Roger Dworkin states that "our [legal-institutional] tools for dealing with social
problems posed by rapid change in biology and medicine are limited at best,"^^"*
he is correct. They cannot be improved to the extent that the right answers are
identified across the board. However, the substantive content of these legal-
institutional tools, along with connected tools of moral/political/policy analysis,
are all that we have to work with in finding answers or determining whether we
should rely on a decentralized choice mechanism or other form of "black box."
To the extent that we do find answers, however, the mechanisms of formal and
informal legal processes may be important features of decision making and of
reinforcement of preferred norms. Some issues and problems can be resolved
well enough by substantive principle.
As for gains in our moral behavior ("progressj"), there is no a priori reason
why it cannot improve with respect to forms of moral conduct that most
reasonable persons in most cultures can agree on. Such improvement, at any rate,
does not violate any laws of nature, and may significantly alter the bioethics
terrain. In another article,^°^ for example, I suggest that the chief sources of harm
from human cloning — ^to clones and to everyone else — arise from a self-fulfilling
prophecy: we will treat many of the cloned offspring in ways that will help
assure that they are harmed, not by their existence as such, but by the avoidable
conduct of their custodial parents and various external observers and busybodies
among the general public. If we learned not to ill-treat others having different
303. See Wong, supra note 289. See generally Shapiro, supra note 205. .
304. Dworkin, supra note 187, at 18.
305. See Shapiro, supra note 62.
1 52 INDIANA LAW REVIEW [Vol. 33:17
origins, then the prospect of human cloning would be less intimidating. That is
progressj: actual improvement in human behavior where we have concluded that
we know what proper behavior is.
As for definitely settling acute moral conflicts and anomalies, this is no more
possible than it is to identify the limits of infinity. That's the way the world is.
We can strive to get straight the core of our confusion — ^this is clarification as
progress — but here we need to be reminded of yet another paradox. The very
project of clarification can be called in question, for at least two major reasons.
One is the occasional need to keep some things hidden from ourselves; the other
is the widespread hostility to reflection noted earlier. The critique of
clarification reflects a confused belief that the truth is out there and all we need
is common sense to see it.
4. Terminating Technology; Technological Imperatives Again. — One might
recommend terminating technological progress along several fronts where the
expected harms are thought to exceed the expected benefits. The cessation of
technological progress in such circumstances would thus constitute true progress
overall. It is hard to see how this can be done, however, without terminating or
neutralizing all persons with intact cortexes. We could instead try to delay the
onset or implementation of various technologies. (Recall the moratoria on
human cloning.)
Such delays are not impossible, despite what some call the "technological
imperative." One of the underlying assumptions of the catch-up call is that this
imperative is in continuous operation. The idea is that technologies are
irresistible to us: we are driven to acquire the knowledge to develop them, and
once they are here or within sight, we are impelled to use or develop them.
These irresistible urges are strongly reinforced by the escalating need to recover
our prior financial and emotional investments in the technologies, by our
anticipation of the sheer fun and general utility in using them, and by the general
influence of the ideal of progress. No doubt there are other complex emotional
factors that account for technology's perceived status as a Great Attractor,
inexorably pulling us to embrace it so it can embrace and, as some think,
consume us.
Such imperatives, then, are sets of incentives to develop and apply
technologies. The pressures installed by these incentives derive from
expectations and from preferences arising out of prior investments— pressures
that may raise the probability that a technology will in fact be used.^^^ This is the
only plausible interpretation of the claim that "'can' implies 'ought.'"
Unearthing the true nature of technological imperatives is only a weak form
of progressj because of the high level of generality involved. It is not useless,
however, because it argues against an automatic bar on scientific research.
306. See Shapiro, supra note 47, at 1 1 00-0 1 (describing the pressures upon childless couples
to use the new reproductive technologies in order to have children).
1999] IS BIOETHICS BROKE? 1 53
IV. A Reversal: When Science and Technology Catch Up with
Human Thought — Implementing the Idea of Progress
A. In General
This inversion of the symposium theme suggests some instructive points
about it. There is one obvious sense in which science and technology may catch
up with human thought: the arrival of new capabilities after we have first
imagined them. Indeed, one might say that most scientific and engineering
progress, pure serendipities aside, involve catching up to one's advance vision.
People formulate hypotheses and test them. Science and invention do not thrive
solely on the amorphous idea that things aren't so great. They require that we
grasp the notion that things can improve. That notion necessarily requires
imagination — a perception, however inchoate — of how we and the world might
change to our benefit by acquiring knowledge and acting on it.
Catching up with one's vision is thus an intrinsic aspect of an ethic of
progress in any domain. One must picture an ideal, however hazily, and think
that it is possible to approach or attain it. Sometimes it is perceived need that
drives vision, although such needs may themselves be generated by prior
scientific developments: one sense of technological imperative is suggested by
the reverse aphorism, "invention is the mother of necessity."^^^ Deliberate
progress presupposes an idea of something not yet accomplished that might and
should be.
What would be an example of science and technologically catching with our
advance vision? Think of a basic presupposition underlying scientific research
and application: the causal principle. I reduce this complex idea by saying that
it is a scientific/philosophical postulate that the universe is orderly because its
processes and happenings are causally related and these relations can be
discovered.
The causal principle, expressed in assorted forms, has long engaged
philosophers, scientists, and law-persons in trying to reconcile it with ideas of
human freedom and responsibility. It seems endlessly troublesome to be
coherent about freedom and responsibility if we believe in the locked-in
workings of reality. Until recently, however, we knew little or nothing about the
specific pathways of the causal principle in life processes. Despite some
cognitive dissonance (at least among scientists, legislators, judges, and of course
philosophers), we have all gone about our business, including the business of
assigning responsibility, relatively untroubled by these reconciliation problems.
We imagined a universe of causation, but had little idea of how it operated.
Things are different now.
307. Arthur Kornberg, The Golden Helix: Inside Biotech Ventures 8 ( 1 995) ("It was
generally agreed that the age-old saying 'necessity is the mother of invention' is usually wrong.
Generally, the reverse has proved to be true: invention is the mother of necessity. Inventions only
later become necessities.").
1 54 INDIANA LAW REVIEW [Vol. 33:17
B. Neuroscience, Genetics, Ethics, andLaw^^^
The philosophical project of accommodating free will and determinism is
maddening, although in this respect it differs only in degree from other
philosophical subjects. There are major disputes about how even to describe the
project. On some views, there is nothing to be accommodated because there
aren't two things at war: causality is not only compatible with freedom, it is
required by it. In any case, we all sense that our decisions are generally our
authentic decisions, arrived at freely, and that in most cases we could have
altered the course of our lives by deciding differently. Therefore, our wills are
perceived to be free.
This self-perceived freedom is the determinism debate's analogue to the
well-known naive refutation of philosophical idealism: one kicks the stone,
senses the pressure, feels the pain, and concludes that the world is real and
physical because an idea can't mash your toes. A latter-day Samuel Johnson
might, in parallel, exercise his will to snap his finger, see that it snaps, and
conclude that his will is free.
Notions of compatibilism or of viewing freedom solely as a subjective
perception have not resolved the issues, at least not for all who think about them.
Many remain skeptical about whether the idea that one could have done
otherwise can endure alongside the principle of causality. In reality, some think,
we are no freer than machines and mindless or unreflective forms of life. The
conscious sense of freedom is just an adaptive delusion.
Such views may have quite an impact on our notions of moral agency and
responsibility, desert, merit, character and virtue. The difficulties in making
sense of them in a causal world may seem overwhelming, when we bother to
think about them. Much of the time, of course, we don't think about it because
we don't have to. It is important only to the obsessive workings of some
academic minds. When pressed, some will say that we operate the criminal
justice system and much of everyday morality on a useful pretense. We proceed
as if-wQ were free. Others may insist, however, that we need not proceed as if we
are free, because we really are free. Being free simply means freedom from
certain external and possibly internal constraints, not from the orderly workings
of the universe. Unfreedom occurs only when there is a significant departure
from this normal causality baseline, and freedom and causality are thus
compatible. (Indeed, how could we be free if our actions were not full caused?)
We are, of course, reminded of the debate whenever criminal defendants
mount an insanity or other defense based on mental disorder. Still, it has been
relatively easy to avoid internal reservations about the causal principle and
continue to operate moral and penal systems founded on notions of personal
responsibility for actions taken freely.
308. See Michael H. Shapiro, Law, Culpability, and the Neural Sciences, in THE
Neurotransmitter Revolution: Serotonin, Social Behavior and the Law 179(R. Masters
& M. McGuire eds., 1994) (describing advances in neuroscience and arguing that they do require
abandoning ideas of freedom and responsibility).
1999] IS BIOETHICS BROKE? 155
Within the last few years, however, neuroscientific work has suggested not
simply that the causal principle holds for thought and behavior, which we already
believed but that we can begin to identify some of the specific
neurophysiological mechanisms underlying them. Several related discourses
now describe these causal networks in great, if very incomplete, detail, some
relying on the language of chemistry, others on genetic pathways, and still others
uniting both or offering still more discourses.
For example, studies that correlate impulsive misconduct or explosive anger
with the neurochemistry of serotonin suggest that the likelihood of misbehavior
goes up with the lesser availability of serotonin as a mediator of electrical
activity in the brain. Because neurotransmitter chemistry is significantly affected
by genetic factors, neuroscience research in combination with accelerating
knowledge of the human genome may greatly enhance our ability to assay,
predict and control the course of mental/behavioral pathologies. It is still too
early to definitively evaluate the serotonin studies, but they have revived talk of
neurophysiological screening and treatment of some sort for those with what
might come to be called "serotonin deficiency."^^^ Indeed, a conference on the
biological/genetic roots of violence was partly inspired by these findings,
although it was aborted because of the objections of those who thought the
project racist.^ '°
Of course, this account is still very general. We are nowhere near specifying
the Book of Life. However, the increasingly finer-textured accounts of the
causes of behavior have invigorated the determinism/free will debate. The causal
pathways, or the possibility of learning more and more about them, are now
striking. It is harder to ignore them.
From the viewpoint of ethical theory concerning freedom and determination,
however, nothing has changed except the details. We have moved from saying,
"All this has got to be caused by determinable factors subject to scientific
discovery, although we are presently clueless about the nature of these factors,"
to saying, "It is quite possible that the occurrence of certain kinds of behavior has
a lot to do with identifiable and controllable features of brain chemistry and
structure, specifically, with . . . ."
Such increased knowledge brings at least the theoretical possibility of
309. See generally J. Philippe Rushton, The Neurotransmitter Revolution: Serotonin, Social
Behavior and the Law, 14 POLS. & THE LIFE Sci. 1 1 7 (1995) (discussing genetic prescreening for
low serotonin); Gabrielle Strobel, Pugnacious Mice Lack Serotonin Receptor, 144 SCIENCE NEWS
367 (1993). Note, however, that the correlations between conduct and serotonin chemistry are not
simple. "As [certain researchers] have shown ... the combination of alcoholism, low serotonergic
function, and a third biochemical condition, low glucose uptake, are highly predictive of impulsive
violence or arson." Roger D. Masters, Environmental Pollution and Crime, 22 Vt. L. Rev. 359
(1997).
310. See Eliot Marshall, NIH Told to Reconsider Crime Meeting, 262 Sci. 23 (1993). A
conference on heredity and violence was eventually held, although it was disrupted. See Natalie
Angier, At Conference on Links of Violence to Heredity, a Calm After the Storm, N. Y. TIMES, Sept.
26, 1995, at C8.
1 56 INDIANA LAW REVIEW [Vol. 33:17
sharply increased control over thought and behavior. We can screen large
populations for anomalies in their serotonin chemistry, or in the size, shape or
structure of this or that part of their brains.^" We can place this information in
huge databases. We can in principle engineer drugs and surgical procedures to
avert, encourage and shape thought and conduct. And why shouldn't we? We
are merely replacing our insufficiently precise current forms of biological control
over behavior with more finely calibrated tools.
So, biological science has caught up with human thought in this sense. The
axiom-like causal principle of science and philosophy, when applied to complex
life processes, has historically been a broad working formula serving as a vague
foundation for science and technology. Now, however, we are filling in the huge
blanks, replacing the vagueness of the causal principle with the specificity of
neurotransmitter pumps and pathways, and devising medicines to regulate the
pumps or to block or open chemical pathways or pave new ones. The causal
principle now confronts us with an increasingly detailed blueprint, and it is hard
to ignore.
There is no new fundamental abstract insight here, however. That intuitive
flash occurred a long time ago. It is the newly discovered particulars that make
the fundamental insight vivid and compelling, reviving the freedom/determinism
debates. We are not conceptually or morally obliged to abandon any notions of
freedom or unfreedom we held before, but our attention has been caught and the
problem is before us. It is one thing to say everything is caused. It is quite
another to say that your assault on an aggressive entrepreneur demanding to clean
your windshield for free was in significant part caused by a relatively low
serotonin availability in your brain. The apparent incoherence of our clumsy
institutions of moral and legal responsibility are now, if not at the forefront of
our minds, far more visible.
In this sense, then, science and technology have gained on an enduring body
of moral and legal analysis resting on long-held philosophical and scientific
postulates, and are threatening to move past our moral and legal thinking,
returning us to our original catch-up problem.
For bioethicists and lawyers, then, serious problems are raised both by the
symposium's question whether science is outrunning law and ethics, and its
inverse question whether human thought in formulating scientific projections and
philosophical/moral problems is outrunning science. But when science makes
gains on human imagination and begins to outrun it, we are returned to the
symposium theme-in-chief. When technology's advances finally match or
exceed our scientific/technological imaginations, our moral and legal systems for
determining responsibility are again urged to make progress.
Now we are back to where we were. Assume that some practical
technological mastery is attained in predicting individual human conduct far
311. Cf. Richard Stone, HHS ' Violence Initiative ' Caught in a Crossfire, 258 Sci. 2 1 2 ( 1 992)
(describing one research proposal: "[T]he researchers will provide 'intervention' for the children
in the form of parent training, tutoring, and social skills training. The children will be followed
through high school.").
1999] IS BIOETHICS BROKE? 157
more precisely than ever, and in intervening into specific mental processes so as
to forestall misconduct, encourage sound conduct, enhance intellectual abilities,
and so on. At this point, the power of ethical and political theory to help us
seems to run out. We have never solved to everyone's satisfaction the paradoxes
of human freedom. We cannot be free if our conduct is caused, and we cannot
be free if it is not, or so the puzzle goes. Some will be strongly inclined to
conclude, though they are not conceptually bound to, that only the therapeutic
state makes sense. Despite its apparent support in various quarters, however, the
therapeutic state is hard to fit into our constitutional system. Apparently, we
cannot live as we prefer without a posit of responsibility and desert based on a
notion of free decision making. And we cannot live with it because it appears to
be false.
Once again, our systems of moral and legal thought cannot fully relieve our
misery in facing the possibilities of biological technology, and it makes no sense
to expect otherwise. The moral and conceptual reality is that there are conflicts,
paradoxes, and indeterminacies that we cannot settle decisively by resort to
principle, though we will act pragmatically, if clumsily, to work around our
difficulties through political and policy compromises.
Why should we continue our moral and legal deliberations if catching up to
technology is impossible? Because not everything is hopelessly indeterminate
and progress of a sort is possible. Learning the structure of what ails our present
deliberations may aid our future deliberations and assist us in constructing
institutions that try to accommodate conflicting attitudes, values and beliefs.
Conclusion: Bioethics Defended Against the Charge That It Is
Presently Inadequate to the Task of Appraising
Biological Technology
Bioethics is getting a lot of heat and in most respects does not deserve it, at
least insofar as its threshold recognition of moral and legal issues and its use of
normative/conceptual tools are concerned. If the discipline of bioethics
persistently yields results or recommendations at war with your own views, it
does not follow that the foundations of the discipline are infirm, whether as a
matter of substance or procedure. Bioethics could of course criticize its critics
on such bottom-line grounds, but this is no more appropriate for bioethics than
it is for anti-bioethics.
Alternatively, if bottom-line disagreement does not authorize an inference
that a discipline is operating without a cortex, what criteria would justify saying
that the discipline is infirm? We would so characterize it if its practitioners
systematically misstate facts, directly or by suppressing context; rely on invalid
or unsound arguments; select immaterial abstractions or overrate their
importance; ignore material abstractions or underrate their importance; misapply
the abstractions by ignoring or undergrading relevant criteria of interpretation or
selecting or overgrading them; or make pronouncements or offer arguments when
working under an undisclosed conflict of interest.
These criteria for intellectual infirmity, however, rest on certain critical
ideas, such as moral materiality. There is no shortage of disagreement on what
158 INDIANA LA W REVIEW [Vol. 33:17
indeed is morally material. Do courts or commentators ignore or understate the
interests of gestational mothers when they defer to the parties' original intentions
to lodge custody with the genetic parents. There is no easy answer to this,
despite some contrary claims.^ '^ Perhaps the right to custodial motherhood is too
important to be left to contract, and should instead rest on status. Which
status — ^that of being the ovum source or of being the gestator? I say that
Johnson v. Calveri^^^ was correct in ruling that where a prior custodial agreement
is in evidence, we can leave status aside and address the parties' original
expressed understandings.^'"* Critics wrongly think that the decision "ignored"
the interests of gestational mothers. To say that an interest lost in a given case
does not mean it was "ignored" or even downgraded by anyone. Nor does it
mean that the decisionmaker failed to recognize the significant effects of
gestation on the developing fetus and thus the child ultimately bom.^'^
312. See Rothman, supra note 37, at 1607 (rejecting "the notion that any woman is the
mother of a child that is not her own, regardless of the source of the egg and or the sperm").
313. 851P.2d776(Cal. 1993).
314. Seeid.2Xl^\.
315. There is no reason to suppose that the impact of gestation was unknown. See generally
R. Brian Oxman, Maternal-Fetal Relationships and Nongenetic Surrogates, 33 JURIMETRICS J. 387
(1993). The author recommends that the custody decision in gestational surrogacy rests on the
child's best interests, and states that
[a] child bom to a gestational mother who has not contributed genetic material to the
zygote has two mothers, a gestational mother and a genetic mother The gestational
mother's endocrine connection and role in the formation, development, and
physiological functioning of the fetus are unique in every instance and create a
biological mother-child relationship There is no organ system of the resulting fetus
that is not anatomically, physiologically, and genetically affected by the maternal
endocrine system to the extent that the resulting fetus is a unique product of the
gestational mother that gives rise to a lifelong maternal-child relationship. This
relationship must be taken into consideration in any legal proceeding where the physical
and legal custody of a surrogate-produced child is at issue. The surrogate mother is a
creator of the child sharing an equal role with the genetic mother, and the surrogate's
right to a relationship with the child she has created must receive legal recognition. [^
Because the gestational mother's contribution to the genetically unrelated child is so
significant, the appropriate disposition of custody disputes requires the best interests of
the child to be assessed . . . ."
Id. at 424 (footnote omitted).
The idea of an "equal role" is clearly normatively ambiguous. It is one thing to describe
physiological impacts, but quite another to evaluate them for purposes of determining comparative
effects. Before, being a biological mother was a matter of empirical fact — sex, pregnancy, and
birth — although impaired observation might create evidentiary difficulties. Artificial insemination
and IVF were not thought to compromise biological motherhood, and this was probably not even
perceived as a value issue. Gestational surrogacy, however, makes it impossible to rest on empirical
observation as decisive. If the gestational mother has X impacts on the child and the genetic
mother's genome has Y impacts, nothing follows, without further premises, about who the natural
1 999] IS BIOETHICS BROKE? 1 59
In Johnson, gestation's value was outweighed by another consideration — the
intentions of autonomous parties concerning their reproductive interests. Perhaps
Johnson 's critics have misapprehended the nature and value of genetics and of
the overarching value of reproductive autonomy — although this too would not
follow simply from the fact that they XYiink Johnson was wrongly decided. In any
event, if the root of the objection to a viewpoint, decision, or discipline is a raw
moral disagreement rather than a clear flaw on one or both sides, it may be
misleading and time-wasting to complain about the fatal deficiencies in the
opposition's thinking.
Sometimes an entire field or some substantial part of it may have taken the
wrong path, or at least failed to take the best one. It took a while for the germ
theory of disease to be accepted in medicine and science. Here, "path" must be
described at a fairly high level of abstraction. Simply reaching conclusions at
war with your own does not mean your opponents have taken the wrong fork at
some fundamental point. Of course, if there is disagreement, then at some stage
the partisans have taken different roads. This, hardly establishes that either of
their argument structures is deeply flawed.
In any event, it is no failing of ethical theory, law, or bioethics that they do
not always give us answers that a group of skilled commentators, courts,
legislatures, and an informed citizenry could agree on with near-unanimity as
definitive. Here, an admonition of Heidegger is to the point: sometimes we
notice things only when they fail.^'^ Perhaps bioethics fails when faced with the
moral and legal anomalies created by our division and recombination of
biologically integrated life processes. But every discipline and approach may fail
under such circumstances. In some arenas, answers are often provided, at
varying levels of generality and specificity. Many agree that we have identified
the primary criteria for withdrawal or withholding of medical care where the
likely consequence of doing so is the patient's death; that there is nothing
inherently wrong with organ transplantation; that the idea of brain death is
needed, despite the technical and philosophical disputes still swirling about it;
that informed consent by patients or their proxies, or possibly by families as an
autonomous unit, is a necessary (though not sufficient) condition for various
forms of medical intervention; and, answers or no, that we have identified many
of the critical variables necessary to evaluate the technological alteration of
living persons or of possible persons via the germ line.
In various situations, however, not only is there no clear consensus, it is
impossible to specify what such a consensus could rationally be based on even
mother is, or about whether there are really two of them. Of course, it is a vast factual
oversimplification to put the question this way, but the conceptual point is clear. How would we
rate a large effect on kidney development as against liver, heart, or brain development? If we were
assessing brain development impacts, would cognitive or emotional impacts count for more, or does
it make any sense to calibrate so finely? If it does not, what is the point of the physiological
comparison in the first place?
316. See generally MARTIN HEIDEGGER, BEING AND TIME 102-03 (John Macquarrie &
Edward Robinson trans., 1962).
160 INDIANA LAW REVIEW [Vol. 33:17
if we arrived at it. We cannot resolve the paradox of lotteries: on one view,
respect for persons requires individuation when distributing important but scarce
resources, especially lifesaving procedures; on the rival view, respect for persons
forbids such individuation and rationally calls for its opposite — ^total fungibility
within the class of potential recipients. Of course, we will either have lotteries
or we will not, but the decision will turn not on the solution to the lottery
paradox, but on many other factors, including our sense of the impact of
institutionalized lotteries on our preferred attitudes and values. Even if we
achieved consensus, we could not infer that we had found the true right answer.
(If we did, would the state or society be permitted or obliged to recognize and
enforce the right answer?^ '^)
What is possible is knowing more clearly the nature of the blockades to
moral closure in some areas, and seeing its possibility in others. Knowing that
something is impossible may not sound like much, but we sometimes do pay
experts to tell us whether we can or cannot do what we wish to. Furthermore,
this knowledge may have spillover effects in helping bring closure for issues
capable of it and help us design institutions, perhaps awkward, unwieldy edifices,
that effectively allow us to get on with things. In any event, learning the nature
of the difficulties preventing progress is itself progress. If we cannot get more
than that, then the question becomes whether we should or can delude ourselves
otherwise.
I have said that most criticisms of bioethics seem off the mark and too result-
oriented. Resting our critiques of moral and legal analysis largely on outcomes
does not provide adequate guidance in assessing either the cases at hand or future
disputes. This is fatal to a coherent ethics and a coherent legal system, at least
as we have come to understand these ideas. The critiques of bioethics are often
far more plausibly called "flawed" than bioethics itself because of their fixation
on conclusions. As a moral and methodological critique, this is too insubstantial
to be of service. Not only is there nothing wrong at the threshold in working with
paradigms, principles, and other abstractions, one cannot proceed or even start
without them, and the critique of particular paradigms in bioethics is
unpersuasive.
In general, the talk about law and ethics being behind science and technology
has to be reconstructed to make sense. Law and ethics are categorically different
from science and technology and from each other, despite isomorphisms in
argument structure and the "fuzziness" of the fact/value distinction. They
concern science and technology, they are about science and technology (and
everything else), but they are a different order of existence, and it is thus
impossible to apply the same sense of progress to both domains. Their canons
of verification differ strongly, despite the structural similarities. There is no race
between law and ethics on the one hand, and science and technology on the other.
317. See generally WILL KYMLICKA, CONTEMPORARY POLITICAL PHILOSOPHY: An
Introduction 206-07 ( 1 990); Stephen A. Gardbaum, Law, Politics, and the Claims of Community,
90 Mich. L. Rev. 685 (1992); Stephen A. Gardbaum, Why the Liberal State Can Promote Moral
Ideals After All, 1 04 Harv. L. REV. 1350, 1356(1991).
1999] IS BIOETHICS BROKE? 161
In many instances, indecision, paradox, and indeterminacy are not usefully
considered flaws in law or in ethics because they are inherent in them. One is not
deficient for failing to come up with a certainly correct answer when it is
impossible to find one.
Progress in the connected worlds of law and ethics can be assayed by
inspecting both the large and the fine structures of our thinking. For one thing,
thinking about how we think can help yield answers where answers are possible.
Many observers initially had major reservations about the very propriety of, say,
withholding artificial nutrition and hydration, or of transplanting organs, or of
allowing persons to refuse lifesaving or life-prolonging treatment. Some still do,
but the degree of consensus that these procedures may be pursued in many
situations is quite high. One encounters opposition within relatively discrete
groups defined by certain moral and/or religious views, but not global rejection.
One can expect progress in seeing and addressing some issues that are
strongly contested at particular levels of specificity. For example, people who
agree on the desirability of organ transplantation may part company on whether
queues for organs should be set up for local, regional, or national constituencies.
Seeing the issue of constituencies came early, but its perceived importance has
grown because of the interaction of technological change and debate. Thus,
extension of organ preservation times strengthens (but does not prove) the case
for a national constituency and, more generally, makes the constituency issue
more vivid. Immunosuppression technology favorably affects the case for
transplantation even where tissue matches are nonoptimal. It also alters supply
and demand forces, perhaps intensifying distributional issues generally. Such
subtechnologies stimulate recognition of new perspectives or the relative
importance of old perspectives, and new normative insights become likelier.^'^
The facilitator for such insights is continued rational debate, not simply
conversation without criteria. Perhaps we did not follow the precedent for
kidney disease — government funding for medically indicated treatment — in
managing other specific disease categories because we came to understand that
such allocations were themselves death decisions.
Even where no satisfactory answers are conceptually possible, we may still
develop a rough, perhaps temporary, consensus. Very few persons would opt for
318. See Nagel, supra note 11, at 21 1 (stating that "characteristic of the modem Kantian
tradition, moral thought involves the development of more complex, morally influenced motives,
as our sense of what is and is not a sufficient reason for action is altered by changing conceptions
of equity, fairness, responsibility, cruelty, desert, and so forth.").
Butcf. Holmes, supra note 15, at 157 (arguing that "philosophical ethics" has "[s]ome . . . but
not much" relevance to solving bioethical problems; noting that it promotes "conceptual clarity"
and "can provide the categories by which to discuss the problems theoretically," and in some cases
it can show that acceptance of a given moral position may allow inferences within "substantive
morality"). The author insists, however, that philosophical ethics is neither necessary nor sufficient
for resolving the problems at hand. See id. I assign more importance to moral and legal
clarification, where it assists in achieving personal moral closure, if not without regret, and in
allowing parties in disagreement to reach a decision.
162 INDIANA LAW REVIEW [Vol. 33:17
a lottery to distribute validated lifesaving resources such as a fully implantable
artificial heart, despite their unhappiness with any conceivable set of substantive
criteria for differentiating persons. They are unlikely to change their minds even
after exposure to the lottery paradox. Perhaps understanding the structure of the
paradox may help them see w^hy they are opposed to lotteries, and/or make them
more comfortable with their discomfort. Perhaps understanding the paradox will
lead them to inquire into empirical questions such as how we are likely to react
to shifting from the search for substantive criteria to their rejection in favor of
randomness. Perhaps the consensus will change if some moral and religious
views change.
Finally, and of considerable practical importance, moral reflection in some
cases may highlight aspects of a situation, leading particular decisionmakers to
their own informed resolution. Enabling these personal decisions may be a form
of moral progress even when it cannot yield definitive answers within normative
or metaethical theory. Moreover, even if a wrong decision is taken to engage
habitually in good faith moral reflection is a virtue apart from the outcome.^ '^
I am not even remotely suggesting that progress is simply a function of
process. The temptation to forego substance because of its uncertainties in favor
of choosing fair procedures is understandable, and in various situations resort to
procedural solutions may be the only available pragmatic strategy for securing
an acceptable a bottom-line decision. However, there can be no assurance that
the process will culminate in a morally convincing answer or a situation that all
would say is the best of the alternatives. Indeed, conscientious decisionmakers
who find themselves planted within some procedural scheme, say, a committee
to distribute scarce medical resources, will experience precisely the same
difficulties encountered by those who, not knowing how to generate a right
answer, established the procedure in the first place. What would be clearly
amiss, then, is to assert that because we cannot resolve a matter definitively,
something is wrong with moral and legal theory generally and bioethics in
particular. There are many who cannot abide such uncertainty and the shortage
of answers it entails. The only sensible response is: get used to it, because there
is no honest alternative.
319. Cf. Holmes, supra note 1 5, at 1 57 (stating that "[t]he cultivation of a morally sensitive,
caring, and compassionate character probably counts for more in the end than analytical skills.").
Emphasis on moral virtue and virtuous acts and on moral character generally is an important topic
in all branches of ethical theory, but I do not think it can displace to any significant degree the
received forms of normative, metaethical and applied ethical theory. The idea of virtue is not
independent of basic questions of rightness and goodness. See generally Beauchamp &
Childress, supra note 273, at 62-69.
The Misperception That Bioethics and the Law Lag
Behind Advances in Biotechnology:
A Response to Michael H. Shapiro
David Orentlicher*
Introduction
In his article in this symposium. Professor Michael Shapiro responds very
well to the critiques of bioethics.' As he observes, standard critiques of the field
are misguided or misinformed. Critics either are incorrect in their observations,
or they demand more of bioethics than is reasonable.^ According to some
writers, for example, it is nice that bioethicists can elucidate valid considerations
on both sides of a particular debate,^ but society also needs to know, in the end,
what kind of action to take. Professor Shapiro is right in saying that we cannot
condemn bioethics simply because it often does not generate clear answers. To
the extent that we can fault bioethics for its indeterminacy, we can also fault
other academic disciplines like economics, sociology and political science.
Moreover, as Professor Shapiro points out, there is an important kind of expertise
in improving the quality of our moral reasoning; bioethicists do very much
contribute when they indicate how one might legitimately analyze a bioethical
dilemma.
Because I generally agree with what Professor Shapiro has written, I will
respond to his article by adding to it, rather than detracting from it. But, I should
acknowledge that, as someone who characterizes himself as a bioethicist, it is in
my self-interest to agree that bioethics is not broken and that bioethical thought
is unfairly viewed as lagging behind developments in science and technology.
In making my comments, I want to accomplish two things. First, I will
reinforce Professor Shapiro's defense of bioethics by providing some evidence
that bioethical thought anticipates developments in science and technology more
than it lags behind them. Or, as Professor Shapiro suggests, it may be more
accurate to talk about science and technology catching up with bioethical
thought, rather than about bioethics catching up with science and technology."^
Second, I will offer some speculation about why the view persists that bioethics
lags behind developments in science and technology despite convincing
arguments to the contrary.
♦ Samuel R. Rosen Professor of Law and Co-Director, Center for Law and Health, Indiana
University School of Law— Indianapolis. Adjunct Associate Professor of Medicine, Indiana
University School of Medicine. A.B., 1977, Brandeis; M.D., 1981, Harvard Medical School; J.D.,
1986, Harvard Law School. I am grateful for the comments of Judy Failer and the research
assistance of Will Binder.
1 . See Michael H. Shapiro, Is Bioethics Broke? On the Idea of Ethics and Law "Catching
Up" with Technology, 33 IND. L. REV. 17 (1999).
2. See id. at 24-26.
3 . Or, as Professor Shapiro observes, bioethicists are quite good at talking the "on one hand
... on the other hand" talk. See id. at 30.
4. See id.
164 INDIANA LAW REVIEW [Vol. 33:163
As a preliminary matter, I begin with a definition of terms. Professor Shapiro
quite correctly observes, we can conceive of bioethics lagging behind science and
technology in different ways.^ I will discuss the lagging charge in terms of the
idea that we see science and technology come up with important new
developments with which our ethical thought is unprepared to deal. That is,
according to this version of the critique of bioethics, we learn to do new things
before we know whether it is a good idea to do them.
I will now to turn to the first part of my article — evidence that in fact
bioethical thought anticipates developments in science and technology more than
it lags behind those developments.
I. Evidence That Bioethics Anticipates Developments in
Science and Technology
In recent years, we have had no shortage of important developments in
medicine that raise ethical dilemmas. As these developments occur, it is all too
common to hear people say that bioethics is lagging behind, that we are not
morally prepared for the dilemmas. Yet, if one looks more closely, it turns out
that bioethical thought has, in fact, anticipated developments in science and
technology.
For example, consider what some might view as the most stunning
development in medical technology in recent years, the announcement in 1997
that Scottish scientists had cloned a sheep, "Dolly."^ The announcement
provoked a flurry of hand wringing and other expressions of concern, and
newspapers and magazines were filled with commentary.^ Had bioethicists not
adequately considered the ethical implications of cloning, as many suggested?
It turns out that a major academic debate on the morality of cloning was sparked
in 1966 by Joshua Lederberg, a Nobel Prize- winning geneticist.^ Lederberg
thought cloning would be a good idea,^ and the debate was quickly joined by two
5. See id.
6. See Ian Wilmut et al.. Viable Offspring Derived from Fetal and Adult Mammalian Cells,
385 Nature 810, 810 (1997).
7. See, e.g. , Sharon Begiey, Little Lamb, Who Made Thee?, NEWSWEEK, Mar. 1 0, 1 997 at
52; Gina Kolata, Scientist Reports First Cloning Ever of Adult Mammal, N.Y. TIMES, Feb. 23,
1997, at 1; Charles Krauthammer, A Special Report on Cloning, Time, Mar. 10, 1997, at 60;
Thomas H. Maugh II, Scientists Report Cloning Adult Mammal, L.A. TIMES, Feb. 23, 1 997, at Al ;
Scientists Succeed in Cloning a Sheep; Genes Transplanted, Then Hello, 'Dolly, ' ST. LOUIS POST-
DlSPATCH, Feb. 24, 1997, at Al; David Stipp, Gene Chip Breakthrough Microprocessors Have
Reshaped Our Economy, Spawned Vast Fortunes, and Changed the Way We Live; Gene Chips
Could Even Be Bigger, FORTUNE, Mar. 31, 1997, at 56, 56.
8. Lederberg shared the Nobel Prize in medicine-physiology in 1958. See The World
Almanac and Book of Facts 1999 at 667 (Robert Famighetti ed., 1998).
9. See Joshua Lederberg, Experimental Genetics and Human Evolution, 100 Am.
Naturalist 519 (1966) [hereinafter Lederberg, Am. Naturalist]; Joshua Lederberg,
Experimental Genetics and Human Evolution, 22(8) BULL. ATOMIC SCIENTISTS at 4 (1966)
1 999] BIOETHICS AND THE LAW 1 65
prominent ethicists of that generation, Paul Ramsey and Joseph Fletcher,'^ as
well as other moral philosophers and ethicists over the ensuing decade."
If one looks at the commentary about cloning between the late 1960s and late
1 970s, one sees the same "staking out" of sides that has occurred in the past
couple of years. Like many contemporary critics of cloning, Paul Ramsey
worried about ( 1 ) the unknown medical risks to children bom of cloning, ^^ (2) the
threat to personal identity of children bom with very specific expectations as to
how they should tum out,^^ and (3) the threat to parenting if people started
viewing children as products to be artificially designed rather than persons to be
naturally conceived.'"* Other commentators invoked (4) the interest or even the
right of people to not be deprived of their unique genetic identity'^ and (5)
concems about the psychological effects on children of cloning from not having
a biological father and mother in the way everyone else does. '^ As to the concem
that cloning could be abused by authoritarian regimes or mad scientists, one can
go back to 1976 and the Boys of Brazil by Ira Levin, '^ or at least as far back as
1932 and Aldous Huxley's Brave New World,^^ for such an argument.
Arguments in favor of cloning are also not new. Long before Dolly was
cloned, we also had already seen (1) emphasis on the importance of procreative
autonomy,'^ (2) observations that concems about psychological harm from
cloning are exaggerated and fail to take adequate account of non-genetic sources
of personality,^^ and (3) claims for important benefits that might be gained from
cloning. For example, writers have noted the ability of parents to avoid passing
a genetic disease to their offspring,^' or the ability of infertile couples to have
genetically related offspring rather than children from a mix of their own genes
[hereinafter Lederberg, Bull. Atomic Scientist].
1 0. See Allen D. Verhey, Cloning: Revisiting an Old Debate, 4 KENNEDY iNST. ETHICS J.
227,227(1994)
1 1 . See Craig M. Klugman & Thomas H. Murray, Cloning, Historical Ethics, and NBAC,
in Human Cloning 1 (James M. Humber & Robert F. Almeder eds., 1998).
12. See Paul Ramsey, Fabricated Man: The Ethics of Genetic Control 67-68, 76-79
(1970).
13. Seeid.atl\'72.
14. See id. at S6-90.
1 5 . See, e.g. , Leon R. Kass, Making Babies — The New Biology and the "Old" Morality, 26
Pub. Interest 1 8, 42-45 (Winter 1972); Albert Studdard, The Lone Clone, 3 Man & MED. 109,
1 10 (1978) (describing arguments by others about the interest or right to genetic distinctiveness).
1 6. See John D. Rainer, Commentary, 3 MAN & MED. 115,116(1 978).
1 7. Ira Levin, The Boys from Brazil ( 1 976).
1 8. Aldous Huxley, Brave New World ( 1 932).
19. See Verhey, supra note 1 0, at 228-29.
20. See Joseph Fletcher, Ethical Aspects of Genetic Controls: Designed Genetic Changes
in Man, 285 NEW Eng. J. Med. 776, 779 ( 1 97 1 ); Lewis Thomas, Notes of a Biology- Watcher: On
Cloning a Human Being, 291 NEW Eng. J. MED. 1296 (1974).
21. See Lederberg, Am. Naturalist, supra note 9, at 527.
166 INDIANA LAW REVIEW [Vol. 33:163
and the genes of outsiders to the marriage.^^
The decades-old discussion of cloning is paralleled by a decades-old
discussion of genetic engineering.^^ We can rest assured that by the time
scientists really can manipulate a person's genetic makeup, there will be more
analysis of the ethical considerations than most people will have time to read.
We see the same anticipation by bioethical thought of developments in
medicine with another leading issue in bioethics, physician-assisted suicide and
euthanasia. When Dr. Jack Kevorkian assisted the suicide of Janet Adkins in
1990,^"* his action was preceded by repeated controversy over the morality of
assisted suicide and euthanasia during the past century. For example, there was
a heated debate about euthanasia in this country at the end of the Nineteenth
Century and the beginning of the Twentieth Century.^^ Notably, the same
arguments that commentators make today in favor and against assisted suicide
were made a hundred years ago in the debate about legalizing euthanasia. Those
favoring euthanasia cited (1) patient self-determination, (2) the importance of
relieving patient suffering, and (3) the absence of any moral distinction between
euthanasia and other actions by physicians that might hasten a patient's death,
like the withdrawal of medical intervention or the administration of palliative
drugs.^^ Supporters of assisted suicide and euthanasia also argued that (4) we
have the ability to limit euthanasia to truly compelling cases without sliding
down the slippery slope of abuse.^^
In contrast, opponents of euthanasia argued (I) that there is an important
moral distinction between active and passive euthanasia, (2) that patient suffering
can be relieved without resorting to euthanasia, (3) that legalizing euthanasia
would undermine patient trust in physicians, and (4) that the right to die would
become a duty to die. Opponents also argued (5) that patients would choose
euthanasia in cases when the physician was mistaken about their prognosis^^ and
(6) that euthanasia would not be limited only to appropriate cases but rather that
the disabled would be victimized by legalization of euthanasia.^^ Contemporary
22. See Leon Eisenberg, The Outcome as Cause: Predestination and Human Cloning, 1 J.
Med.&Phil. 318, 326(1976).
23. For some earlier discussions of genetic engineering, see articles reprinted in Ethics in
Medicine: Historical Perspectives and Contemporary Concerns 356-393 (Stanley Joel
Reiser et al. eds., 1 977). For a more recent discussion, see Council on Ethical and Judicial Affairs,
American Medical Association, Ethical Issues Related to Prenatal Genetic Screening, 3 ARCH.
Fam. MED. 633(1994).
24. See Lisa Belkin, Doctor Tells of First Death Using His Suicide Device,^.^ . TlMES, June
6, 1990, at Al.
25. See Ezekiel J. Emanuel, The History of Euthanasia Debates in the United States and
Britain, 121 ANNALS INTERNAL Med. 793 (1994).
26. See id at 797-98.
27. See id. at 798.
28. See id.
29. See id. at 798-99. More than 40 years ago, Yale Kamisar wrote a widely cited law
review article on "mercy-killing," and he too made many of the same arguments that are made
1 999] BIOETHICS AND THE LAW 1 67
discussion of physician-assisted suicide adds to the debate in important ways,^°
but one would be seriously mistaken in believing that bioethical thought was
unprepared for Dr. Kevorkian.
If it is not in fact true that bioethical thought lags behind developments in
science and technology, why is there a persistent myth that the lag exists?
II. Reasons for the Myth That Bioethics Lags Behind
Science and Technology
A. Professional Self-Interest
In some ways, it is in the professional self-interest of bioethicists to maintain
the myth that the field of bioethics lags behind developments in science and
technology. If we in the field were to forthrightly state that bioethical thought
has anticipated scientific developments, then the need for current bioethicists
would be diminished. The public would often only need someone to point it to
the articles that have already been written. For example, in 1997 when the
cloning of Dolly the sheep was announced,^' President Clinton asked the
National Bioethics Advisory Commission to study the ethics of cloning and
report back to him in ninety days.^^ Instead of launching their analysis of
cloning, members of the Commission might have said, "We don't need ninety
days to prepare our report. In fact, we don't need really to study the issue at all.
Paul Ramsey, Joseph Fletcher and others have done an excellent job debating the
morality of cloning over the past thirty years. We can just tell you what they
said."
Consider another example of how bioethicists like to reinforce the idea that
bioethical thought is only catching up with developments in science and
technology. Bioethicists often speak about the youth of the field of bioethics and
how the field had its birth just forty years ago.^^ I suspect that Hippocrates, not
to mention Maimonides^"* and Percival,^^ would have been surprised to hear that
today. See Yale Kamisar, Some Non-Religious Views Against Proposed "Mercy-Killing"
Legislation, 42 MiNN. L. REV. 969 (1958).
30. See. e.g., PHYSICIAN ASSISTED SUICIDE: EXPANDING THE DEBATE (Margaret P. Battin
et al. eds, 1998); David Orentlicher, The Legalization ofPhysician Assisted Suicide: A Very Modest
Revolution, 38 B.C. L. REV. 443 (1997); David Orentlicher, The Supreme Court and Terminal
Sedation: Rejecting Assisted Suicide, Embracing Euthanasia, 24 HASTINGS CONST. L.Q. 947
(1997).
3 1 . See Wilmut et al., supra note 6.
32. See Letter from the President, reprinted in CLONING HUMAN BEINGS: REPORT AND
Recommendations of the National Bioethics Advisory Commission at preface (June 1 997).
33. Another leading bioethicist, Albert Jonsen, refers to the birth of bioethics as having
occurred in 1947, but he tempers his claim by observing that the field has its roots in earlier
thinking. See ALBERT R. JONSEN, THE BIRTH OF Bioethics at xii ( 1 998).
34. Moses Maimonides was a noted physician and philosopher, who lived in the Twelfth
Century, and is thought by many to have written a prayer that incorporated important principles of
1 68 INDIANA LAW REVIEW [Vol. 33 : 1 63
bioethical analysis began in the middle of the Twentieth Century. As Professor
Shapiro writes, there may be new issues for bioethicists to consider, but the
fundamental concepts of moral analysis are hardly novel.^^ We might want to say
that the field of bioethics entered adulthood forty or fifty years ago, but not that
it was bom at that time.^^ Yet, by characterizing bioethics as a very young field,
some bioethicists substantiate the view that bioethics has some catching up to do.
I think that research scientists also like to reinforce the myth that bioethical
thought lags behind developments in science and technology. By doing so, they
can avoid responsibility for the moral consequences of their work. They can say
something like, "we're just scientists working in a morally neutral way to
increase our understanding of human life. It is for others to decide whether this
is morally acceptable."^* If, however, scientists were to acknowledge that some
types of technology were considered to be ethically problematic, they would have
to explain why they were nevertheless pursuing their research into those
technologies.^^
B, Traditional Neglect of Historical Examples
The persistence of the myth that bioethics lags behind science also reflects
the tendency of people generally to overlook historical examples. We like to see
our era or our generation as unique. Thus, for example, it is often asserted that
physician-assisted suicide has become a major issue in recent years because of
advances in medical technology. According to common wisdom, the fact that
people today die of chronic, degenerative conditions, like cancer and heart
disease, rather than from acute, infectious diseases like pneumonia, and the fact
that we have modem machines, like dialysis and ventilators, to prolong life has
prompted the desire for ways to end life, to avoid a prolonged dying process. '^^
medical ethics. See 4 ENCYCLOPEDIA OF BIOETHICS 2638-39 (Warren Thomas Reich ed., rev. ed.
1995).
3 5 . Thomas Perci val was an English physician who authored MEDICAL Ethics in 1 803 . See
JONSEN, supra note 33, at 7.
36. See Shapiro, supra note 1, at 36-37.
37. Even if some scholars are technically correct in saying that bioethics became a distinct
academic field 40 or 50 years ago, they create the misleading impression among lay people that
bioethical thought began at that time.
38. See, e.g. , Robert Marquand, Cloning Bolts Ahead . . . Toward People?, CHRISTIAN Sci.
Monitor, Jan. 22, 1998, at 1 (quoting Marcel LaFollette, a science-policy expert at George
Washington University, "In the laboratory, . . . you are supposed to carry the research forward
without any regard for questions of what is right and wrong.").
39. With some technologies, it will be the case that they can be used ethically or unethically
and that the potential ethical uses would be sufficiently weighty to justify development of the
technologies. In such cases, scientists would be entitled to pursue their research and rely on others
to implement regulations to channel the technologies in the appropriate direction.
40. 5ee Marilyn Webb, The Good Death: The New American Search to Reshape the
1 999] BIOETHICS AND THE LAW 1 69
However, as Ezekiel Emanuel has written, assisted suicide has periodically
been advocated in western society, and debates much like we have today existed
well before the advent of cancer ventilators, cancer chemotherapy, and dialysis.
For example, Emanuel quotes a "typical case" from nearly 2000 years ago in
Rome:
[Titius Aristo] has been seriously ill for a long time .... He fights
against pain, resists thirst, and endures the unbelievable heat of his fever
without moving or throwing off his coverings. A few days ago, he sent
for me and some of his intimate friends, and told us to ask the doctors
what the outcome of his illness would be, so that if it was to be fatal, he
could deliberately put an end to his life.'*'
For just about every development in science and technology, abundant
bioethics analysis exists, but people have to make the effort to dig the analysis
out of the library."*^
C Lack of Societal Interest in Future Possibilities
A third reason for the perception that bioethics lags behind technology is the
natural societal indifference to efforts by bioethicists to anticipate developments
in medicine. When scholars write about future possibilities, people are not likely
to pay attention. Why worry about something that may never happen?
If I had written an article about cloning ten years ago and sent it off for
publication to a medical journal, here is what probably would have happened:
If the journal took my article seriously enough to send it out for peer review, a
biologist probably would have responded, "This is a well-written, thoughtful
analysis of an interesting problem" — ^what reviewers always say right before tliey
recommend rejection of an article — "but cloning is simply not biologically
possible. Once a cell differentiates, it cannot be made to dedifferentiate."'*^ The
journal would also have sent the article out to a bioethicist for review, and the
ethicist probably would have said, "This is a well written, thoughtful analysis of
an interesting problem, but there are more pressing issues in bioethics to worry
about than cloning. We have too many people not receiving basic health care to
worry about health care luxuries like cloning, especially when it's not even a
possibility at this time." If we are going to blame bioethics for not anticipating
ethical dilemmas, then we have to blame ourselves for not being willing to listen
when bioethicists try to warn us.
All of the reasons I have given so far are not peculiar to bioethics. One could
End of Life at xxiii ( 1 997).
41 . Emanuel, supra note 25, at 793.
42. That bioethical analysis precedes developments in science and technology is not
surprising. Major advances in research occur step by step rather than in one big leap. Accordingly,
there are almost always early indications of new developments before they are actually achieved.
43. 5ee Lee M. Silver, Remaking Eden: Cloning and Beyond in a Brave New World
96(1997).
170 INDIANA LAW REVIEW [Vol. 33:163
say the same things about other academic disciplines. Economists, political
scientists, and other scholars also have incentives to exaggerate the novelty of
their work; they also tend to overlook historical examples; and they also are not
likely to find interest by others if they write about speculative matters. I suspect,
for example, that scholars of ethnic tension between Kosovar Albanians and
Kosovar Serbs are finding much more interest in their work now than existed
several years ago. If bioethics gets less respect than other academic disciplines,
why is that the case?
D. Individual Confidence in the Morality of One 's Own
Behavior and Thought
Let me introduce what I think is the answer to this question by recounting
some of my experience in teaching ethics. I began teaching bioethics several
years ago, at schools of both law and medicine, and I preferred teaching bioethics
to the law students. They seemed much more interested in delving into the
issues.
To illustrate this apparent difference between law students and medical
students, I use an example from a medical school class in which we discussed
whether women in their fifties and sixties should be using artificial methods of
reproduction to have children.'*'* I asked one of the students what she thought
about the recent announcement of a fifty-nine-year-old woman giving birth, and
the student said something like, "I think it's wrong. It's not natural and the
woman could have had kids when she was younger." In response, I said
something like, "Doctors always do unnatural things, like transplanting artificial
heart valves, and maybe the woman did not find the love of her life, the man with
whom she wanted to have children, until she was post-menopausal." The student
then replied something like, "I don't care what you say, you're not going to
change my mind." My law students would not have responded that way, and this
episode reinforced my theory that law students are more inclined to grapple with
ethical dilemmas than medical students.
But, when I began to teach professional responsibility, or legal ethics, to law
students, I found that those students had about the same interest in discussing
issues about legal ethics as medical students in discussing matters of medical
ethics. Just as most of my medical students seemed to consider bioethics to be
a relatively unimportant course in their curriculum, so did most of my law
students seem to consider professional responsibility to be a relatively
unimportant course. Just as my medical students seemed to be more interested
in my teaching them rules of practice rather than how to analyze ethical
dilemmas, so did most of my law students seem more interested in the rules of
professional conduct than the underlying principles.
So, my new theory is that people are happy to talk about someone else's
44. The issue generated public controversy in 1993 when a clinic in Rome reported that a
59-year-old woman gave birth after using the clinic's services. See William E. Schmidt, Birth to
59-Year-Old Briton Raises Ethical Storm, N.Y. TIMES, Dec. 29, 1993, at A2.
1 999] BIOETHICS AND THE LAW 1 7 1
ethics, but not their own. My law students have been more engaged in my
bioethics course than in my professional responsibility course because the
students focus on the ethics of physicians in bioethics rather than on their own
ethics in professional responsibility/^ Likewise, I suspect that a course on legal
ethics at a medical school would be much more interesting to teach than a course
on legal ethics at a law school. Medical students would probably have plenty to
say about the ethics of lawyers, even if they do not have much interest in hearing
about their own ethical obligations.
Why are students more willing to study someone else's professional ethics?
I believe the reason why people do not like to critically analyze their own ethics
is that people do not like to think that they ever behave unethically. Rather, they
prefer to think of themselves as ethical as the next guy. Few people take affront
if they are told that they do not understand quantum physics, pathological
processes or the intricacies of the federal tax code. People do take affront,
however, if someone tells them that they do not understand how to think or act
in an ethical way."^^
Now, if that is how people feel, it follows that they do not need ethics
"experts" to tell them how to behave. If I were to conduct a poll and ask people
if they thought they were a non-expert in ethical thinking, I suspect I would get
very few people to say that they were. In terms of bioethics, I think people see
themselves as being in a kind of Lake Wobegon, "where all the people are above
average morally.'"^''
If we all think that we are experts in ethical thinking and behavior, there is
hardly a need for a field of bioethics or a profession of bioethics. In this view,
bioethicists are like the Wizard of Oz, acting with a good deal of self importance,
but not being able to provide a real service. I suspect that this may be the most
important reason why the myth persists that the field of bioethics is somehow
deficient.
To be sure, I reject this view. As Professor Shapiro argues so well, thinkers
in the field of bioethics have much to offer society. The problem really seems
to lie in the reluctance of many members of the public to recognize the
assistance that bioethicists can provide society in resolving its ethical dilemmas.
45. Undoubtedly, part of the differences in my teaching experiences can be explained by
the fact that some of my courses are elective and some are required. I have taught required
bioethics courses in medical schools and required professional responsibility courses in law
schools. Conversely, my bioethics courses at law schools are elective courses.
46. When I was Director of the American Medical Association's Division of Medical Ethics,
I noticed a related phenomenon. Physicians were more receptive to guidelines that addressed new
ethical issues than to guidelines that called into question existing practices. For example, it was
easier to establish guidelines on genetic testing than to restrict the freedom of physicians to treat
family members. When existing practices are questioned, it suggests that some people have been
acting unethically.
47. In Garrison Keillor's fictional Lake Wobegon, "all of the men are good-looking, all of
the women are strong, and all of the children are above average." A Prairie Home Companion
(NPR weekly radio broadcast).
1 72 INDIANA LAW REVIEW [Vol. 33 : 1 63
Conclusion
I agree with Professor Shapiro that bioethics is not broken and that it is only
a myth that bioethical thought lags behind developments in science and
technology. I have argued that this myth reflects a few considerations common
to academic fields of inquiry (e.g., the tendency to disregard historical examples)
but that it rests primarily in the fact that bioethicists preach their views in an area
that is very sensitive for people. It is very difficult to accept the idea that one is
not an ethical person, and the idea of an expertise in ethics seems to presuppose
the idea that some people are more ethical than others.
How can we respond to social hostility to the idea of bioethics expertise?
That is a complicated question that is beyond the scope of this commentary. I
will offer one suggestion, however. I suspect that much would be gained if
bioethicists were clearer as to the nature of their expertise. To some extent,
bioethicists may have contributed to societal skepticism about the value of
bioethical thought by misrepresenting their expertise. There is an important
difference between claiming expertise in what is right and claiming expertise in
the kinds of analysis that can help people determine what is right,'*^ and
bioethicists have often implied the first when the second is more accurate. That
is, when bioethicists suggest that they have a special understanding of what
conduct is morally correct, they are on much shakier ground than when they
identify their expertise as lying in the process of moral reasoning. By being
clearer about their expertise, bioethicists can avoid the tendency to reinforce
public skepticism of their field and instead can point the public to a better
understanding of their role.
48. Shapiro, supra note 1, at 44-47.
The Changing Face of Privacy Protection in the
European Union and the United States
Fred H. Gate*
* Professor of Law, Harry T. Ice Faculty Fellow, and Director of the Information Law and
Commerce Institute, Indiana University School of Law— Bloomington. Senior Counsel for
Information Law, Ice Miller Donadio & Ryan.
I am grateful for the thoughtful comments of Professor Ronald J. Krotoszynski, Jr. that appear
in this same issue. I agree entirely with his cautionary words about new technologies and the
potential dangers of embracing them mindlessly. I commend to the reader his close analysis of
cases, especially those involving the First Amendment, although it is clear that I disagree with some
of the conclusions he draws from those cases. For example, all of the cases he puts forward as
supporting government restraints on information involveya/5e expression; I therefore question their
predictive value for how the Supreme Court might evaluate a restriction on true speech. Similarly,
the expression in commercial contexts, which he treats as lower value speech and therefore less
worthy of protection under the First Amendment — as did the Court itself in the 1 970s and 1 980s — I
believe is more likely to receive full First Amendment protection today, in light of the fundamental
importance of such expression in most of our lives and the Court's repudiation of Posadas. See
Posadas de Puerto Rico Assoc, v. Tourism Co. of Puerto Rico, 478 U.S. 328 ( 1 986); 44 Liquormart,
Inc. V. Rhode Island, 517 U.S. 484, 509 (1996) (holding that the decision in Posadas incorrectly
performed First Amendment analysis by deferring to the legislature).
Even if, however. Professor Krotoszynski is correct that the Court might conclude that the First
Amendment is not an obstacle to a ban on the collection or use of true, lawfully obtained
information, my reading of the Constitution and the interests at stake leads me to conclude that the
Court should not.
I disagree with Professor Krotoszynski 's reading of the Takings Clause and recent Takings
jurisprudence. Although the Takings Clause — unlike the First Amendment — is not central to my
analysis of information privacy issues and why the government should proceed very cautiously
before regulating information to address those issues, it is by no means clear that, as Professor
Krotoszynski writes, "a state legislature could simply pass legislation declaring that no property
interest accrues from the collection of personal information." Ronald J. Krotoszynski, Jr., Identity,
Privacy, and the New Information Scalpers: Recalibrating the Rules of the Road in the Age of the
Infobahn, 33 IND. L. REV. 233, 246 (1999). On the contrary, the Court's solicitude in Ruckelshaus
V. Monsanto Co.A^l U.S. 986 (1984), for an entity's "reasonable investment-backed expectation
with respect to its control over the use and dissemination of the data" I believe suggests that states
would face significant constitutional hurdles if they were to attempt to prohibit outright the
collection or use of data. Id. at 1011.
The assertion of Professor Krotoszynski 's that I find most intriguing is his proposal that we
eliminate the historical dividing line between the government and everyone else for purposes of
regulating the collection and use of personal information. See Krotoszynski, supra, at 250-5 1 . The
special protection that applies to personal information in the hands of the government is justified
on significant constitutional and practical grounds. The current structure of data protection is a
trade-off: the government gets the power to compel disclosure of data; in exchange, it is subject
to special restraints on its use of those data. To abolish that distinction, either by giving private
parties government-like powers to compel citizens to disclose personal information or by weakening
the privacy protections applicable to the government by extending them to private entities, seems
to me profoundly unwise.
At heart. Professor Krotoszynski 's arguments and mine differ most in terms of the vision they
reflect. He writes of "abuses" and "confidential" data without defining what these are. If these
terms refer to collecting information illegally, or distributing false and harmful data about an
individual, or violating a promise concerning the use of personal information, then current law
already provides significant penalties and I agree with him that it should. If, however, as I suspect.
Professor Krotoszynski means something broader by these terms, then I do not share the vision that
1 74 INDIANA LAW REVIEW [Vol. 33 : 1 73
Introduction
"Privacy" is the new hot topic in Washington and other national and state
capitals as we head into the new millennium. The debate over privacy is
reaching a fevered pitch as policymakers, public interest advocates, and industry
leaders clash over how much is enough and over what role the government
should play in protecting it. The U.S. Congress, after decades of virtually
ignoring privacy issues, considered almost 1000 bills — one out of eight bills
introduced — addressing some aspect of privacy in its 104th session. The 105th
Congress debated an even broader array of privacy bills, ranging from identity
theft^ to collecting data from children,^ confidentiality of health care records^ to
employers' use of credit reports,"^ privacy in banking^ to privacy on the Internet.^
Congress also held a series of hearings on privacy issues.^ State legislatures were
something must be done. My vision is dominated instead by tiie benefits we all share of a society
dominated by open information flows, the wide range of valuable services that such flows make
available, the broad array of steps that the very technologies and markets that Professor
Krotoszynski laments make available to me to protect my privacy, and fear of burdensome and
costly government regulation to protect privacy, such as Europe now enjoys.
Our differences, however, and especially on such fundamental issues, highlight the issues
involved in, and the importance of, the growing debate over information privacy. I am grateful to
the editors of the Indiana Law Review for inviting me to participate in their symposium and to
appear alongside Professor Krotoszynski, and I am grateful to Professor Krotoszynski for his
insightful commentary. Finally, I want to thank my research assistant, Reid Cox, for his help with
this article.
1 . See Identity Theft and Assumption Deterrence Act, Pub. L. No. 1 05-3 1 8, 1 1 2 Stat. 3007
(1998).
2. See Children's Online Privacy Protection Act, Pub. L. No. 105-277, 112 Stat. 2681
(1998).
3. See S. 2609, 105th Cong. (1998); H.R. 3900, 105th Cong. (1998); H.R. 3605, 105th
Cong. (1998); S. 1712, 105th Cong. (1998); S. 1921, 105th Cong. (1998); H.R. 52, 105th Cong.
(1998); S. 1368, 105th Cong. (1998); H.R. 3756, 105th Cong. (1998); S. 1890 and S. 1891, 105th
Cong., 2d Sess.( 1998).
4. See Consumer Reporting Employment Clarification Act of 1 998, Pub. L. No. 1 05-347,
112 Stat. 3208(1998).
5. See H.R. 4388, 105th Cong. (1998); H.R. 4478, 105th Cong. (1998).
6. See H.R. 4667, 105th Cong. (1998); H.R. 98, 105th Cong. (1998); H.R. 2368, 105th
Cong (1998); H.R. 4470, 105th Cong. (1998); Children's Online Privacy Protection Act, Pub. L.
No. 105-277, 112 Stat. 2681 (1998).
7. See, e.g.. Protection of Children 's Privacy on the World Wide Web: Hearings on S.
2326 "Children's Online Privacy Protection Act of J 998" Before the Subcomm. on
Communications of the Senate Comm. on Commerce, Science & Transportation, 105th Cong.
( 1 998); National ID Card: Hearings Before the Subcomm. on National Economic Growth, Natural
Resources and Regulatory Affairs of the House Government Reform and Oversight, 105th Cong.
(1998); Financial Information Privacy Act: Hearings Before House Comm. on Banking &
Financial Services, 1 05th Cong. ( 1 998); Electronic Commerce: Privacy in Cyberspace: Hearings
1 999] PRIVACY PROTECTION 1 75
no less attentive to privacy issues. In 1998, 2367 privacy bills were introduced
or carried over in U.S. state legislatures; forty-two states enacted a total of 786
bills.'
The Federal Trade Commission has led a series of privacy-related initiatives,
including a recently completed audit of web site privacy policies.^ In addition,
in 1998 the Commission announced its first Internet privacy case, in which
GeoCities, operator of one of the most popular sites on the World Wide Web,
agreed to settle Commission charges that it had misrepresented the purposes for
which it was collecting personal identifying information from children and adults
through its online membership application form and registration forms for
children's activities on the GeoCities site.^° The Commission has announced the
conclusion of its second Internet privacy case, a settlement with Liberty Financial
Companies, Inc., operator of the Young Investor Web site. The Commission
alleged, among other things, that the site falsely represented the personal
information collected from children, including information about family finances,
would be maintained anonymously. '' The Department of Commerce convened
a major conference on privacy last summer, and the President, Vice President,
and Secretary of Commerce have all threatened regulatory action to protect
privacy if industry self-regulation does not improve. Privacy even made it into
the President's 1999 State of the Union address.^^
This debate is prompted largely by extraordinary technological innovations
Before the Subcomm. on Telecommunications, Trade, and Consumer Protection of the House
Comm. on Commerce, 105th Cong. (1998); Hearings on H.R. 2448 " Protection from Personal
Intrusion Act" and H.R. 3224 "The Privacy Protection Act of 1998 " Before the House Comm. on
the Judiciary, 1 05th Cong. ( 1 998); Privacy of Individual Genetic Information: Hearings Before
the Senate Comm. on Labor and Human Resources, 105th Cong. (1998); Privacy Protection:
Hearings on H.R. 2448 "Protection From Personal Intrusion Act" and H.R. 3224 "Privacy
Protection Act of 1998" Before the House Comm. on the Judiciary, 105th Cong. (1998); Medical
Privacy Protection: Hearings on H.R. 5 2 "The Fair Health Information Practices Act " Before the
Subcomm. on Government Management, Information and Technology of the House Comm. on
Government Reform and Oversight, 105th Cong. (1998); Privacy in Electronic Communications:
Hearings Before the Subcomm. on Courts and Intellectual Property of the House Comm. on the
Judiciary, 105th Cong. (1998).
8. See Privacy Legislation in the States, Priv. & AM. BUS., Nov./Dec. 1 998, at 1 , 3.
9. See Federal Trade Commission, Privacy Online: A Report to Congress ( 1 998) (visited
January 3, 2000) <http://www.ftc.gov/reports/privacy3/index.htm>.
10. ^ee GeoCities, Docket No. C-3849 (Feb. 12, 1999) (Final Decision and Order available
at <http://www.ftc.gOv/os/l 999/9902/98230 1 5d&o.htm>).
11. See Liberty Financial, Case No. 9823522 (proposed consent agreement available at
<http://www.ftc.gov/os/1999/9905/lbtyord.htm>).
1 2. "As more of our medical records are stored electronically, the threats to all our privacy
increase. Because Congress has given me the authority to act if it does not do so by August, one
way or another, we can all say to the American people, we will protect the privacy of medical
records and we will do it this year." President William Jefferson Clinton, State of the Union
Address (1999) <http://www.whitehouse.gov/WH/New/htmi/199901 19-2656.html>.
1 76 INDIANA LAW REVIEW [Vol. 33 : 1 73
that are dramatically expanding both the practical ability to collect and use
personal data and the economic incentive to do so. Computers and the networks
that connect them have become a dominant force in virtually all aspects of
society in the United States and throughout the industrialized world. Information
services and products today constitute the world's largest economic sector.'^
Institutions and individuals alike are flocking to the Internet — and particularly
to the World Wide Web — in record numbers, making it the fastest-growing
medium in human history.'"*
First made available to the public in 1992, the Web is used today by more
than 147 million people and continues expanding at approximately thirty percent
per year.'^ Much of the Web's explosive growth is due to the rapid increase in
businesses online. In 1995, World Wide Web hosts designated ".com" for
commercial uses slightly outnumbered those designated ".edu" for educational
institutions, which were the historical backbone of the Internet. By January
1998, ".com" sites outnumbered their ".edu" counterparts more than two-to-
one. '^
The growth and commercialization of the Web are only two examples of a
much larger trend. Computers, computer networks, and digital information
increasingly dominate business, government, education and entertainment.
Businesses are investing heavily in information technologies and increasingly
taking advantage of new information services. Consider these examples:
♦ During the 1980s, U.S. businesses alone invested $1 trillion in information
technology;'^ since 1990 they have spent more money on computers and
communications equipment than on all other capital equipment combined.'*
This trend is reflected throughout the economy. Beginning in 1996, for
example, U.S. consumers have purchased more computers each year than
televisions.'^
♦ A 1 999 University of Texas study calculates that the Internet generated $301
billion in revenue in the United States last year, including $102 billion in
13. See National Telecommunications and Information Administration Fact Sheets May 30,
1995, at 2.
14. Only five years after its creation, it reached more than 50 million homes in the United
States. By comparison, it took 38 years for radio to reach 50 million U.S. homes, 13 for television,
and 10 for cable.
15. See The Big Picture Geographies (visited Dec. 1, 1999) <http .//cyberatlas, internet.
com/big_picture/geographics/cia.html>.
16. See Host Distribution by Top-Level Domain Names (visited Dec. 1, 1999)
<http://www.nw.com/zone/WWW-9501/dist-byname.html>; Distribution by Top-Level Domain
Name by Name (visited Dec. 1, 1999) <http://www.nw.com/zone/WWW/dist-bynum.html>.
17. See Howard Gleckman, The Technology Payoff, BUS. WEEK, Jun. 14, 1993, at 57.
1 8. See Larry Irving, Equipping Our Children with the Tools to Compete Successfully in the
New Economy, remarks to the Conference on Technology and the Schools: Preparing the New
Workforce for the 21st Century, Randolph Center, VT, Oct. 28, 1996
<http://www. ntia.doc.gov. ntiahome/speeches/1 028961 i_vermont.html>.
1 9. See id. See generally FRED H. Cate, PRIVACY IN THE INFORMATION AGE 5-7 ( 1 997).
1999] PRIVACY PROTECTION 177
on-line sales. By comparison, the U.S. telecommunications industry
accounted for $270 billion in revenue during the same period.^^
♦♦♦ The Internet now carries twenty-five times more mail within the United
States each day than the U.S. Post Office. The Electronic Messaging
Association reports that about four trillion e-mails were received in the
United States in 1998, up from two trillion in 1997. By contrast, the U.S.
Postal Service handles about 160 billion letters and packages per year.^'
♦ A Booz-Allen Hamilton study found that a single banking transaction costs
$1.08 at a bank branch, sixty cents at an ATM machine, twenty-six cents
with PC banking, but only thirteen cents on the Intemet.^^
♦ Alamo Rent-a-Car trimmed an estimated $1 million from its administrative
budget by opening a Web site that lets tour operators tap directly into
reservation and billing systems. Airlines are offering incentives for
customers to book travel online, and many companies and government
offices now handle procurement and manage relations with vendors
exclusively online.^^
♦ During first quarter 1997, Dell Computer Corporation sold more than $1
million of computers every day via the Internet. By the third quarter, that
figure had risen to $3 million per day. Eighteen months later it is more than
$14 million per day.^"*
As we see, the dominance of the Internet and of digital information generally
is reflected clearly in the degree to which activities wholly unrelated to the
provision or transmission of information — such as banking, insurance, air
transportation, medicine, and even heavy industries like automobile
production — are being transformed by information technologies.
The extraordinary role of information products and services and their
transforming affect on virtually all aspects of human activity are certainly not
limited to the United States. Currently 205 countries are connected to the
Internet. Moreover, the U.S. share of Internet users is declining. According to
studies by Computer Industry Almanac, Inc., in 1981 eighty percent of Internet
users were in the United States; by 1994 that figure had fallen to sixty-five
percent; and by the end of 1997, fifty-five percent of Internet users were in the
United States.^^ One year later, the United States accounted for only fifty-two
20. See The Internet Economy Indicators (visited Dec. 1, 1999) <http://www.
InternetIndicators.com>.
21. See As E-Mail Grows Up, So Do the Uses for It, GLOBE AND MAIL (Toronto), Oct. 1 3,
1998, at C2; Notebook, TIME, Jan. 25, 1999, at 15.
22. See Sharon Reier, Battlelines Are Forming for Next "War of Wires, " INT'L HERALD
Trib., Sept. 30, 1996.
23. See Clinton Wilder, Big Businesses Head to Online Procurement, TECH WEB NEWS,
Nov. 23, 1998, at 1.
24. See Dell Tops $18 Billion in Annual Revenue; Internet Sales Rise to $14 Million per
Day; Company Announces 2-for-l Stock Split, BUS. WIRE, Feb. 16, 1999.
25. See Computer Industry Almanac Inc., Top 15 Countries with the Most Internet Users
(visited Dec. 1, 1999) <http://www.c-i-a.com/199801pr.htm>.
178 INDIANA LAW REVIEW [Vol. 33:173
percent of people worldwide who use the Internet at least once each week.^^
Finland, Norway, and Iceland all have higher per capita percentages of Internet
users than the United States. ^^
The result of this extraordinary proliferation of computers and networks is
that more data than ever before is made available in digital format, which is
significant because digital information is easier and less expensive than
nondigital data to access, manipulate, and store, especially from disparate,
geographically distant locations. Also more data is generated in the first place
because of the ease of doing so, the very low cost, and the high value of data in
an increasingly information-based society. Data often substitutes for what would
previously have required a physical transaction or commodity. In electronic
banking transactions, for example, no currency changes hands, only data. And
recorded data, such as a list of favorite web sites or an automatically generated
back-up copy of a document, also makes the use of computers easier, more
efficient, and more reliable. Finally, computer technologies and services often
record a wide array of data necessary to complete a transaction or make its use
more convenient, such as the web sites visited or the time and date an e-mail
message is sent.
The ramifications of such a readily accessible storehouse of electronic
information are astonishing: other people know more about you — even things
you may not know about yourself — ^than ever before. Data routinely collected
about you includes your health, credit, marital, educational, and employment
histories; the times and telephone numbers of every call you make and receive;
the magazines to which you subscribe and the books you borrow from the library;
your cash withdrawals; your purchases by credit card or check; your electronic
mail and telephone messages; and where you go on the World Wide Web.^^
According to a 1994 estimate, U.S. computers alone held more than five
billion records, trading information on every man, woman, and child an average
of five times every day. Just one industry — credit reporting — ^accounted for 400
million credit files, which are updated with more than two billion entries every
month.^^
As a result, a growing number of citizens and lawmakers in the United States
and around the world are concerned about protecting privacy. According to a
June- July 1998 Privacy & American Business/Louis Harris survey, eighty-seven
percent of the 1 008 respondents reported being "concerned" or "very concerned"
about personal privacy. Eighty-two percent said they had "lost all control over
how personal information is circulated and used by companies," and sixty-one
percent said that their privacy was not protected adequately by law or business
26. See Latest Headcount: 148 Million Online (visited Dec. 1, 1999) <http://cyberatlas.
internet.com/big_picture/geographics/cia.html>.
27. See Computer Industry Almanac Inc., 15 Leading Countries in Internet Users Per
Capita (visited Dec. I, 1999) <http://www.c-i-a.com/19980319.htm>.
28. See James Gleick, Big Brother Is Us, N.Y. TIMES, Sep. 29, 1996, at Fl .
29. See 142 CONG. Rec. SI 1,868 (Sep. 30, 1996) (statement of Sen. Bryan); Steven A.
Bibas, A Contractual Approach to Data Privacy, 17 Harv. J. L. & PUB. POL'Y 591, 593 (1994).
1 999] PRIVACY PROTECTION 1 79
practices. Seventy-eight percent of respondents said that they had refused to give
out personal information because of concern for their privacy.^^ A Business
Week/Hams poll, released in March 1998, suggests that concern about privacy
may be escalating. Seventy-eight percent of the 999 respondents said that they
would use the Web more if privacy were better protected, and fifty percent of
current Internet users responded that the government should pass laws now to
regulate how personal data is collected and used on the Internet.^' Surveys in
other nations yield similar results.
As Marc Rotenberg, Director of the Washington-based Electronic Privacy
Information Center, has observed: "Privacy will be to the information economy
of the next century what consumer protection and environmental concerns have
been to the industrial society of the 20th century. "^^
Among the wide variety of national and multinational legal regimes for
protecting privacy, two dominant models have emerged, reflecting two very
different approaches to the control of information. The European Union ("EU")
has enacted a sweeping data protection directive that imposes significant
restrictions on most data collection, processing, dissemination, and storage
activities, not only within Europe, but throughout the world if the data originates
in a member state. The United States has taken a very different approach that
extensively regulates government processing of data, while facilitating private,
market-based initiatives to address private-sector data processing.
The interaction between these two systems is of far more than merely
academic interest. The EU and the United States are each other's largest trading
partners, with total trade and investment exceeding $1 trillion annually. ^^
Moreover, information, especially digital information, is inherently global. Data
ignores national and provincial borders, and, unlike a truckload of steel or a
freight train of coal, data is difficult to pinpoint and almost impossible to block,
through either legal or technological means. As a result, the laws applicable to
information of one nation or group of nations inherently impact other nations;
when nations pursue different legal regimes applicable to information, conflict
between those laws is inevitable. In the case of the EU and the United States,
that conflict implicates core values.
Under the EU data protection directive, information privacy is a basic human
right; the failure of the U.S. legal system to treat it as such offends European
values and has led the EU to threaten to suspend information flows to the United
States. This threat is understandable in light of the directive's treatment of
privacy as a human right, and the threat is necessary if the privacy of European
nationals is to be protected effectively in a global information economy. In the
United States, however, the government is constitutionally prohibited under the
First Amendment from interfering with the flow of information, except in the
30. See P&AB Survey Overview: Consensual Marketing Is Coming, Priv. & Am. Bus.,
Jan./Feb. 1999, at 1, 4-5.
31. See Heather Green et al., A Little Privacy, Please, Bus. WEEK, Mar. 1 6, 1 998, at 98.
32. Id; see generally Cate, supra note 19, at 90.
3 3 . See David L. Aaron, Euro-age Bright for US Firms, J. COMMERCE, Jan. 1 4, 1 999, at 6A.
180 INDIANA LAW REVIEW [Vol. 33:173
most compelling circumstances. The EU data protection directive is plainly
contrary to that constitutional maxim, and the suggestion that the directive should
be extended to the United States exacerbates that conflict, as well as threatens
U.S. leadership in information technologies and services.
This Article examines the expanding conflict and emerging compromises
between the EU and the United States over data protection. Part II briefly
examines the requirements of the EU directive, particularly with regard to
transborder data flows; the interpretative statements of European regulators about
the directive's requirements; and implementation of the directive by member
states. Part III examines the framework for privacy protection in the United
States and the limits imposed on that framework by the Constitution. The Article
concludes by addressing the conflict between the fundamental principles
undergirding the European and U.S. systems of data protection, current political
efforts to minimize that conflict, and the inadequacies of both systems in the
context of the Internet.
I. European Union
A. Data Protection Directive
Europe was the site of the first national privacy legislation, beginning with
Sweden in 1973, and today virtually all European countries have broad privacy
or data protection statutes.^"* Those statutes have been paralleled and, in some
cases, anticipated by multinational action. In 1980 the Committee of Ministers
of the Organization for Economic Cooperation and Development (OECD)^^
issued Guidelines on the Protection of Privacy and Transborder Flows of
Personal Data ?^ The guidelines outline basic principles for both data protection
and the free flow of information among countries that have laws conforming with
the protection principles. The guidelines, however, have no binding force and
permit broad variation in national implementation.
One year after the OECD issued its guidelines, the Council of Europe
promulgated a convention For the Protection of Individuals with Regard to
34. In 1970 the German state of Hesse enacted the first data protection statute; Sweden
followed in 1973 with the first national statute. Today, Austria, Belgium, the Czech Republic,
Denmark, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Luxembourg, the
Netherlands, Norway, Portugal, Spain, Sweden, Switzerland, and the United Kingdom have broad
privacy or data protection statutes. See Cate, supra note 19, at 32-34.
35. The OECD was founded in 1 960 by 20 nations, including the United States, "to promote
economic and social welfare throughout the OECD area by assisting member governments in the
formulation and coordination of policies; to stimulate and harmonize members' aid efforts in favor
of developing nations; and to contribute to the expansion of world trade." Robert C. Boehmer &
Todd S. Palmer, The 1992 EC Data Protection Proposal: An Examination of Its Implications for
U.S. Business and U.S. Privacy Law, 31 AM. BUS. L.J. 265, 271 n.33 (1993).
36. O.E.C.D. Doc. (C 58 final) (Oct. 1, 1980).
1 999] PRIVACY PROTECTION 1 8 1
Automatic Processing of Personal Data?^ The Convention, which took effect
in 1985, is similar to the Guidelines, ahhough it focuses more on the importance
of data protection to protect personal privacy.
The resulting protection for personal privacy was far from uniform, for at
least four reasons. First, not all of the Council of Europe member states had
adopted implementing legislation. In fact, by 1992, only ten countries — Austria,
Denmark, France, Germany, Ireland, Luxembourg, Norway, Spain, Sweden, and
the United Kingdom — had ratified the Convention, while eight — Belgium,
Cyprus, Greece, Iceland, Italy, Netherlands, Portugal, and Turkey — had signed
without ratification.^^ Second, some of the national data protection legislation
existed prior to adoption of the Convention. Third, the Convention was not self-
executing and therefore both permitted each country to implement its national
laws conforming to the Convention's terms in very different ways and denied
rights to citizens in those countries which had failed to ratify the convention.
Finally, the Convention did not include definitions for important terms, such as
what constitutes an "adequate" level of data protection; as a result, member
countries were free to adopt inconsistent definitions in their national legislation.
As a result of the variation and uneven application among national laws
permitted by both the guidelines and the convention, in July 1990, the
Commission of the then-European Community published a draft Council
Directive on the Protection of Individuals with Regard to the Processing of
Personal Data and on the Free Movement of Such Data.^^ The draft directive
was part of the ambitious program by the countries of the EU'*^ to create not
merely the "common markef and "economic and monetar>' union" contemplated
by the Treaty of Rome,"*' but also the political union embodied in the Treaty on
European Union signed in 1992 in Maastricht."^^
The shift from economic to broad-based political union brought with it new
attention to the protection of information privacy. On March 11,1 992, the
European Parliament amended the commission's proposal to eliminate the
distinction in the 1990 draft between public- and private- sector data protection
and then overwhelmingly approved the draft directive. On October 15,1 992, the
Commission issued its amended proposal; on February 20, 1995, the Council of
37. Eur. T.S. No. 108 (Jan. 28, 1981).
38. See generally Joel R. Reidenberg, The Privacy Obstacle Course: Hurdling Barriers to
Transnational Financial Services, 60 FORD. L. REV. SI 37, SI 43-48 (1992).
39. Com(92)422 final-S YN 287 (Oct. 1 5, 1 992).
40. The 15 current members of the EU are Austria, Belgium, Denmark, Finland, France,
Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain, Sweden, and the
United Kingdom.
41 . Treaty Establishing the European Economic Community, Mar. 25, 1957, 28 U.N.T.S.
3, art. 2 (1958), as amended by the Single European Act, O.J. (L 169) 1 (1987), [1987] 2 C.M.L.R.
741, and the Treaty on European Union, Feb. 7, 1992, O.J. (C 224) 1 (1992), [1992] 1 C.M.L.R.
719, reprinted in 31 LL.M. 247 (1992).
42. Treaty on European Union, Feb. 7, 1992, O.J. (C224) 1 (1992), [1992] 1 C.M.L.R. 719,
reprinted in 31 I.L.M. 247 (1992).
182 INDIANA LAW REVIEW [Vol. 33:173
Ministers adopted a Common Position with a View to Adopting Directive
9 4/4 6/ EC of the European Parliament and of the Council on the Protection of
Individuals with Regard to the Processing of Personal Data and on the Free
Movement of Such Data^^ The directive was formally approved on October 24,
1995, and took effect three years later/'* On October 25, 1998, data protection
law became significantly stronger throughout Europe.
The directive requires each of the fifteen EU member states to enact laws
governing the "processing of personal data," which the directive defines as "any
operation or set of operations," whether or not automated, including but not
limited to "collection, recording, organization, storage, adaptation or alteration,
retrieval, consultation, use, disclosure by transmission, dissemination or
otherwise making available, alignment or combination, blocking, erasure or
destruction.""*^ "Personal data" is defined equally broadly as "any information
relating to an identified or identifiable natural person."'*^ This would include not
only textual information, but also photographs, audiovisual images, and sound
recordings of an identified or identifiable person, whether dead or alive.
As a practical matter, the directive does not apply in only two contexts:
activities outside of the scope of Community law, such as national security and
criminal law, and the processing of personal data that is performed by a "natural
person in the course of a purely private and personal activity."'*^
National laws enacted in compliance with the directive must guarantee that
"processing of personal data" is accurate, up-to-date, relevant, and not excessive.
Personal data may be used only for the legitimate purposes for which they were
collected and kept in a form that does not permit identification of individuals
longer than is necessary for that purpose. Personal data may be processed only
with the consent of the data subject, when legally required, or to protect "the
public interesf or the "legitimate interests" of a private party, except when those
interests are trumped by the "interests of the data subject."'*^ The processing of
personal data revealing "racial or ethnic origin, political opinions, religious or
philosophical beliefs, trade-union membership, and the processing of data
concerning health or sex life""*^ is severely restricted and in most cases forbidden
without the written permission of the data subject.^^
The directive requires member states to enact laws guaranteeing individuals
access to, and the opportunity to correct, processed information about them. At
a minimum, those laws must permit data subjects "to obtain, on request, at
43. 1995 O.J. (C 93)1.
44. See Directive 95/46/EC of the European Parliament and of the Council on the Protection
of Individuals with Regard to the Processing of Personal Data and on the Free Movement of Such
Data 1 995 O.J. 95 (L28 1 ) [hereinafter Directive 95/46/EC].
45. Id. art. 2(b).
46. Id art. 2(a).
47. Id art. 3(2).
48. Id art. 7.
49. Id art. 8.
50. See id
1 999] PRIVACY PROTECTION 1 83
reasonable intervals and without excessive delay or expense, confirmation of the
existence of personal data relating to them, communication to them of such data
in an intelligible form, an indication of their source, and general information on
their use."^'
National laws under the directive must also permit data subjects to correct,
erase or block the transfer of "inaccurate or incomplete data,"^^ and the
opportunity to object at any time "on legitimate grounds" to the processing of
personal data.^^ The directive requires that data subjects be offered the
opportunity to have personal data erased without cost before they are disclosed
to third parties, or used on their behalf, for direct mail marketing.
Data processors must inform persons from whom they intend to collect data,
or from whom they have already collected data without providing this disclosure,
of the purposes for the processing; the "obligatory or voluntary" nature of any
reply; the consequences of failing to reply; the recipients or "categories of
recipients" of the data; and the data subject's right of access to, and opportunity
to correct, data concerning her.^'^
The directive requires that data processors — called "controllers" in the
directive — notify the applicable national "supervisory authority" before
beginning any data processing.^^ "Controller" is such a menacing term; under the
directive, "controllers" include not only giant data processing companies, but
also individuals who record the names and addresses of business contacts in their
data organizers; students operating web sites which invite visitors to register; and
neighborhood children who record orders for Girl Scout cookies.
Under the directive, member states' national laws must require that the
notification include, at a minimum: the name and address of the controller; the
purpose for the processing; the categories of data subjects; a description of the
data or categories of data to be processed; the third parties or categories of third
parties to whom the data might be disclosed; any proposed transfers of data to
other countries; and a description of measures taken to assure the security of the
processing. Controllers must also notify the supervisory authority of changes in
any of the above information.
Each member state must establish an independent public authority to
supervise the protection of personal data. Each "supervisory authority" must
have, at minimum, the power to investigate data processing activities, including
a right of access to the underlying data, as well as the power to intervene to order
the erasure of data and the cessation of processing, and to block proposed
transfer of data to third parties. The supervisory authority must also be
empowered to hear complaints from data subjects and must issue a public report,
at least annually, concerning the state of data protection in the country. The
directive requires each supervisory authority to investigate data processing that
51. Mart. 13(1).
52. Id. art. 14(3).
53. Id. art. 15(1).
54. Mart. 11(1).
55. Id art. 18(1).
1 84 INDIANA LAW REVIEW [Vol. 33 : 1 73
"poses specific risks to the rights and freedoms of individuals."^^ Each
supervisory authority is required to keep and make available to the public a
"register of notified processing operations."^^
The directive requires that member states' laws provide for civil liability
against data controllers for unlawful processing activities, and provide
"dissuasive" penalties for noncompliance with the national laws adopted
pursuant to the directive.^^ In addition to requiring the supervisory authority to
enforce those laws and to hear complaints by data subjects, the directive
mandates creation of a "right of every person to a judicial remedy for any breach
of the rights guaranteed by this Directive."^^
Finally, and most central in ongoing U.S.-EU discussions about data
protection and trade, Article 25 of the directive requires member states to enact
laws prohibiting the transfer of personal data to non-member states that fail to
ensure an "adequate level of protection,"^^ although member states are forbidden
from restricting the flow of personal data among themselves because of data
protection or privacy concerns.^* The directive provides that the adequacy of the
protection offered by the transferee country "shall be assessed in the light of all
circumstances surrounding a data transfer," including the nature of the data, the
purpose and duration of the proposed processing, the "rules of law, both general
and sectoral," in the transferee country and the "professional rules and security
measures which are complied with" in that country .^^
The prohibition in Article 25 is subject to exemptions, provided in Article 26,
when ( 1 ) the data subject has consented "unambiguously" to the transfer; (2) the
transfer is necessary to the performance of a contract between the data subject
and the controller or of a contract in the interest of the data subject concluded
between the controller and a third party; (3) the transfer is legally required or
necessary to serve an "important public interest"; (4) the transfer is necessary to
protect "the vital interests of the data subject;" or (5) the transfer is from a
"register which according to laws or regulations is intended to provide
information to the public and which is open to consultation either by the public
in general or by any person who can demonstrate legitimate interest. . . ."^^
Because of the difficulty of separating data collected within Europe from
data collected elsewhere, the directive effectively requires multinational
businesses to conform all of their data processing activities to European law.
Even businesses that do not operate in Europe may violate the directive if they
collect, process, or disseminate personal data about European nationals or via
multinational networks.
56.
Id. art. 18(4).
57.
Mart. 21.
58.
Id. arts. 23, 25.
59.
Id art. 22.
60.
Mart. 25(1).
61.
See id. art. 25(2)
62.
Id
63.
Id art. 26(1).
1 999] PRIVACY PROTECTION 1 85
Effective October 1998, these became the minimum levels of protection;
individual states have the freedom to adopt more stringent protection. ^^
B. European Privacy Concepts and Principles
The EU data protection directive and national European data protection laws
reflect at least eight broad, overlapping principles.
1. Purpose Limitation Principle. — The first principle of European data
protection requires that information be collected only for specific and specified
purposes, used only in ways that are compatible with those purposes, and stored
no longer than is necessary for those purposes. An important corollary to the
purpose limitation principle is that information unnecessary to those purposes
should not be collected.^^
2. Data Quality Principle.— ThQ data quality principle requires that
information be accurate and up-to-date.
3. Data Security Principle. — The data security principle requires that
measures appropriate to the risks involved be taken to protect the security of data
processing and transmission. The focus of this principle is not only to protect the
physical data from "accidental or unlawful destruction or accidental loss," but
also to ensure compliance with European laws prohibiting "unauthorized
alteration or disclosure or any other unauthorized form of processing."^^
4. Special Protection for Sensitive Data Principle. — The principle that
special protection be provided for sensitive data requires that there be restrictions
on, and special government scrutiny of, data collection and processing activities
of information identifying "racial or ethnic origin, political opinions, religious
beliefs, philosophical or ethical persuasion . . . [or] concerning health or sexual
life."^^ Under the directive, such data collection or processing is generally
forbidden outright.
5. Transparency Principle. — Guaranteeing transparent processing of
personal data requires that processing activities "be structured in a manner that
will be open and understandable."^^ At minimum, this requires that individuals
about whom personal information is to be collected be informed of that fact, the
purposes for which the data will be used, and the identity of the person
64. Article 32 permits member states to delay compliance with the directive in two areas.
First, member states may allow existing processing to continue under current rules for up to three
years after the date on which the implementing national law or regulations come into effect. Second,
member states may exempt the processing of data "already held in manual filing systems" from the
application of most substantive provisions of the directive until as late as October 24, 2007.
However, during the long transition to full coverage, individuals are to be allowed access to manual
files concerning them, with the right to demand correction or deletion of inaccurate data. See id.
art. 32.
65. See PAUL M. SCHWARTZ & Joel R. Reidenberg, Data Privacy Law 13-14 (1996).
66. Directive 95/46/EC, supra note 44, art. 1 7( 1 ).
67. Id. art. 8.
68. Schwartz&Reidenberg, 5M/?ranote65, at 15.
1 86 INDIANA LAW REVIEW [Vol. 33 : 1 73
responsible for the data collection. In most cases, European law seems to
indicate that consent must be obtained before personal information is collected
or processed.
6. Data Transfers Principle. — The data transfer principle restricts authorized
users of personal information from transferring that information to third parties
without the permission of the data subject. In the case of transborder transfers,
the directive prohibits data transfers outright to countries lacking an "adequate
level of protection."^^
7. Independent Oversight Principle. — The last two principles are closely
related. The independent oversight principle requires that there be effective and
independent oversight of data processing activities. At minimum, this seems to
require that some authority have the power to audit data processing systems,
investigate complaints brought by individuals, and enforce sanctions against
noncomplying data processors. Under the directive, that oversight includes
registration of all data processors and collection and processing activities. As a
result, no person in Europe, other than an individual engaged in a "purely private
and personal activity,"^^ may collect information that identifies specific
individuals without the knowledge and permission of a national government.
8. Individual Redress Principle. — The individual redress principle requires
that individuals have a right to access their personal information, correct
inaccurate information, and pursue legally enforceable rights against data
collectors and processors who fail to adhere to the law. This principle seems to
require not only that individuals have enforceable rights against data users, but
also that individuals have recourse to courts or a government agency to
investigate and/or prosecute noncompliance by data processors. The directive
would require that individuals have the opportunity to have recourse to
independent government authorities empowered to investigate and prosecute
complaints.
With these eight principles, the data protection directive marks the high-
water mark of legal protection for information privacy. It is distinguished by its
breadth in the data, activities, and geographic area to which it applies. It is very
much a European product, reflecting the tenor of predecessor national data
protection laws and the economic demand for a larger, more unified EU.
C. Interpretation of the Directive by the Article 29 Working Party
Article 29 of the EU directive created a "Working Party on the Protection of
Individuals with regard to the Processing of Personal Data," charged with
interpreting key portions of the directive.^' The Working Party is composed of
representatives from member states' data protection authorities and from the EU
itself Under Article 30, the Working Party is given broad responsibilities,
including the power to "give the Commission an opinion on the level of
69. Directive 95/46/EC, supra note 44, art. 25( 1 ).
70. Id. art. 3(2).
71. See id art. 29.
1 999] PRIVACY PROTECTION 1 87
protection in . . . third countries;" "on its own initiative, make recommendations
on all matters relating to the protection of persons with regard to the processing
of personal data in the Community;" and "draw up an annual report on the
situation regarding the protection of natural persons with regard to the processing
of personal data in the Community and in third countries."^^
The Working Party met for the first time on January 1 7, 1996, and since that
time, under the chairmanship of Peter J. Hustinx, President of the Dutch data
protection authority, the Working Party has focused extensive attention on data
transfers to non-European countries under Articles 25 and 26. The Working
Party's conclusions to date are reflected in a series of working documents, which
were reissued in July 1 998 into a single document^^
1. Objectives. — The Working Party has identified three objectives that any
data protection system must satisfy to comply with the directive's "adequacy"
requirement:
1) deliver a good level of compliance with the rules. (No system can
guarantee 100% compliance, but some are better than others). A good
system is generally characterized by a high degree of awareness among
data controllers of their obligations, and among data subjects of their
rights and the means of exercising them. The existence of effective and
dissuasive sanctions can play an important role in ensuring respect for
rules, as of course can systems of direct verification by authorities,
auditors, or independent data protection officials.
2) provide support and help to individual data subjects in the exercise
of their rights. The individual must be able to enforce his/her rights
rapidly and effectively, and without prohibitive cost. To do so there
must be some sort of institutional mechanism allowing independent
investigation of complaints.
3) provide appropriate redress to the injured party where rules are not
complied with. This is a key element which must involve a system of
independent adjudication or arbitration which allows compensation to
be paid and sanctions imposed where appropriate.'''^
These three objectives focus on the availability of independent verification,
investigation, and enforcement, and of compensation and other sanctions for
failure to comply with substantive data protection obligations.
2. Substantive Rules. — The substantive rules identified by the Working Party
as a precondition to a finding of "adequacy" include:
1) the purpose limitation principle — data should be processed for a
72. Id. arts. 30(1 )(b), (3), (6).
73. Working Party on the Protection of Individuals with Regard to the
Processing of Personal Data, Working Document on Transfers of Personal Data to
Third Countries: Applying Articles 25 and 26 of the EU Data Protection Directive (July
24, 1998) [hereinafter Transfers of Personal Data to Third CountriesI.
74. See id.
1 88 INDIANA LAW REVIEW [Vol. 33: 1 73
specific purpose and subsequently used or further communicated only
insofar as this is not incompatible with the purpose of the transfer. . . .
2) the data quality and proportionality principle — data should be
accurate and, where necessary, kept up to date. The data should be
adequate, relevant and not excessive in relation to the purposes for
which they are transferred or further processed.
3) the transparency principle — individuals should be provided with
information as to the purpose of the processing and the identity of the
data controller in the third country, and other information insofar as this
is necessary to ensure fairness. . . .
4) the security principle — ^technical and organizational security
measures, should be taken by the data controller that are appropriate to
the risks presented by the processing. Any person acting under the
authority of the data controller, including a processor, must not process
data except on instructions from the controller.
5) the rights of access, rectification and opposition — ^the data subject
should have a right to obtain a copy of all data relating to him/her that
are processed, and a right to rectification of those data where they are
shown to be inaccurate. In certain situations he/she should also be able
to object to the processing of the data relating to him/her. . . .
6) restrictions on onward transfers — further transfers of the personal data
by the recipient of the original data transfer should be permitted only
where the second recipient (i.e., the recipient of the onward transfer) is
also subject to rules affording an adequate level of protection. ^^
According to the Working Party, certain types of data processing must be
subject to additional controls. Those situations include:
1) sensitive data — where "sensitive" categories of data are involved
[data concerning "racial or ethnic origin, political opinions, religious
beliefs, philosophical or ethical persuasion . . . [or] concerning health or
sexual life"^^] additional safeguards should be in place, such as a
requirement that the data subject gives his/her explicit consent for the
processing.
2) direct marketing — ^where data are transferred for the purposes of
direct marketing, the data subject should be able to "opt-out" from
having his/her data used for such purposes at any stage.
75. Id.
76. Directive 95/46/EC, supra note 44, art. 8.
1 999] PRIVACY PROTECTION 1 89
3) automated individual decision — where the purpose of the transfer is
the taking of an automated decision in the sense of Article 1 5 of the
directive, the individual should have the right to know the logic involved
in this decision, and other measures should be taken to safeguard the
individual's legitimate interest^^
3. Self-regulation. — Recognizing that few if any other countries provide the
level of statutory data protection that the EU data protection directive requires,
the Working Party has addressed the extent to which extra-legal
mechanisms — particularly industry self-regulation and private contracts — may
satisfy the requirements of Article 25.
The Working Party has defined self-regulation as "any set of data protection
rules applying to a plurality of data controllers from the same profession or
industry sector, the content of which has been determined primarily by members
of the industry or profession concerned."^^ The Working Party stressed that the
standard forjudging "adequacy" must continue to be the six substantive and three
procedural requirements identified for evaluating data protection laws. Again,
much of the Working Party's discussion of self-regulatory measures focused on
the importance of assuring independent verification, investigation, and
enforcement, and of providing compensation and other sanctions for failure to
comply with substantive data protection obligations. For example, the Working
Party has concluded that "remedial" sanctions are insufficient; "genuinely
dissuasive and punitive" sanctions must also be available to provide an incentive
for future compliance with self-regulatory standards. Similarly, the Working
Party would require an "independent" arbiter or adjudicator, either "from outside
the profession or sector concerned" or, if a body including industry
representatives, including at least an equal number of "consumer
representatives."^^
4. Contracts. — ^As with self-regulation, the Working Party has stressed that
for a contract to provide adequate data protection, it must comply with the nine
principles identified above. This, the Working Party concludes, is "a major
though not impossible challenge. "^^ Because of the difficulties inherent in
enforcing contractual terms for data protection on a party outside of the EU, the
Working Party discusses in detail mechanisms for maintaining European
oversight. "The preferred solution," according to the Working Party,
would be for the contract to provide that the recipient of the transfer has
no autonomous decision-making power in respect of the transferred data,
or the way in which they are subsequently processed. The recipient is
bound in this case to act solely under the instructions of the transferor,
and while the data may have been physically transferred outside of the
EU, decision-making control over the data remains with the entity who
77. Transfers of Personal Data to Third Countries, supra note 73 .
78. Id.
79. Id.
80. Id
1 90 INDIANA LAW REVIEW [Vol. 33 : 1 73
made the transfer based in the Community. The transferor thus remains
the data controller, while the recipient is simply a sub-contracted
processor. In these circumstances, because control over the data is
exercised by an entity established in an EU Member State, the law of the
Member State in question will continue to apply to the processing
carried out in the third country, and furthermore the data controller will
continue to be liable under that Member State law for any damage
caused as a result of an unlawful processing operation.^'
This describes few of the situations in which data are currently transferred
from one country to another. However, the Working Party goes on to consider
alternatives for maintaining European oversight over such transfers:
• the transferor, perhaps at the moment of obtaining the data initially
from the data subject, could enter into a separate contractual agreement
with the data subject stipulating that the transferor will remain liable for
any damage or distress caused by the failure of the recipient of a data
transfer to comply with the agreed set of basic data protection
principles.^^
• a member state could enact a national law specifying continuing
liability for data controllers transferring data outside the Community for
damages incurred as a result of the actions of the recipient of the
transfer.^^
• a member state could require a contractual term which grants the
supervisory authority of the member state in which transferor of the data
is established a right to inspect, either directly or through an agent, the
processing carried out by the processor in the third country.^'*
• a standards body or specialist auditing firm could be required to
provide external verification of the recipient's processing activities.^^
Despite the availability of these and other alternatives, the Working Party is
openly skeptical about the practicality of using contracts to provide for adequate
data protection. The Working Party has stressed that "there remain significant
doubts as to whether it is proper, practical, or indeed feasible from a resource
point of view, for a supervisory authority of an EU Member State to take
responsibility for investigation and inspection of data processing taking place in
a third country."^^ In addition, all contracts with private parties are subject to the
laws of the countries in which those parties are domiciled. A number of those
laws may impose disclosure obligations (relating, for example, to tax regulations,
securities and commodities rules, civil and criminal discovery orders) on private
81. /of. (footnotes omitted).
82. Id.
83. Id.
84. Id
85. Id
86. Id
1 999] PRIVACY PROTECTION 1 9 1
parties that clearly trump any contractual obligations. The problem of such an
overriding law "simply demonstrates the limitations of the contractual approach.
In some cases a contract is too frail an instrument to offer adequate data
protection safeguards, and transfers to certain countries should not be
authorized."^^
5. Exemptions. — Finally, the Working Party has stressed that the exemptions
from the adequacy requirement, set forth in Article 26, are to be construed
"restrictively." For example, the Working Party has concluded that for an
individual to consent to the transfer of data concerning him or her to a country
lacking adequate data protection, that consent must be unambiguous, freely
given, specific to each proposed transfer, and informed, not just to the nature of
the transfer but also as to the "particular risks" posed by each transfer.^^
The Working Party's broad reading of Article 25 's restriction on transborder
transfers of personal data and its narrow reading of the exemptions to that
restriction in Article 26 create a high standard for what constitutes "adequate"
data protection.
D. Implementation of the Directive
The data protection directive — like all EU directives — requires that member
states enact statutes transposing its terms into national law. Those national laws
may offer greater, but not less, protection than the directive, but they may not
impose any limits on the movement of data among member states. Those laws
are interpreted in the first instance by national courts. However, because the
laws are carrying out the requirements of a directive, the ultimate judicial
interpreter of the national laws is the European Court of Justice. Members states
which fail to comply by the effective date of the directive can be sanctioned by
the EU. Moreover, in certain circumstances, the terms of the directive may come
into force directly, so that citizens are not denied the protection guaranteed to
them by the directive.
To date, only five EU member states — Greece, Italy, Portugal, Sweden, and
the United Kingdom— have enacted national laws to comply with the directive,
although laws are pending in most other member states. ^^ Most of the other
87. Id.
88. See id.
89. The Second Annual Report of the EU Working Party on the Protection of
Individuals with Regard to the Processing of Personal Data, adopted on November 30,
1 998, summarized progress towards implementing the directive in national legislation in other
member states as follows:
In Belgium, the Bill to transpose the directive, revised following the opinion of the
Council of State, was submitted to Parliament in April 1998.
In Denmark, the Bill was submitted on 30 April 1998, and Parliament finished its
first reading in June.
In Spain, the preliminary Bill amending current legislation on data protection
(organic law 5/1992) was submitted to the Council of State for opinions and should be
192 INDIANA LAW REVIEW [Vol. 33:173
member states are expected to have enacted laws transposing the directive by
2000, and it must be remembered that each of the member states which has not
yet transposed the directive into national law nonetheless has an existing data
protection law still in force.
In the five countries that have implemented the law to date, the newly
adopted national data protection laws have included a number of provisions
affecting both the substantive level of data protection in each country and the
ease of complying with each country's laws, particularly with regard to
transborder data flow. A quick survey of three of these laws provides a number
of important examples.
Sweden's new Personal Data Protection Act, which was enacted on April 29,
discussed by Parliament during summer 1998; however, most of the provisions have
already been transposed by the "Ley Organica" 5/1992 of 29 October 1992 on the
automatic processing of personal data
In Germany, .... [t]he Ministry of Interior . . . submitted a bill on 1 December
1997, on which the Federal Data Protection Commissioner made comments on 30
January 1998. A new bill of 8 April 1998 has not been dealt with further because of the
national election on 27 September 1998. Due to the constitutional principle of
incontinuity of legislation, a new draft bill has to be submitted to the Parliament in the
new legislative period. . . .
In France, a report was sent to the Prime Minister in March 1998 and will be
followed by a new report on telematic networks. The French authority responsible for
data protection, the Commission Nationale de I'Informatique et des Libertes (CNIL) will
be consulted concerning the preliminary bill, which was not however available at the
time of the drafting of this report.
In Ireland, the Justice Minister is responsible for legislation on data protection.
The legislation necessary to apply the directive, which will include amendments to the
law of 1988 on data protection, is being drafted. . . .
In Luxembourg, transposition of the directive into national law falls to the Ministry
of Justice. A bill was drawn up in 1997, but was later withdrawn. A new bill will be
examined by Parliament in September 1998.
The Netherlands government had announced its intention to replace the current law
on data protection, in force since 1 July 1989, with an entirely new law on the same
subject, in accordance with the provisions of the directive. On 1 6 February 1 998, a bill
was submitted to Parliament to that end. The relevant parliamentary subcommittee gave
its opinion in June 1 998, and the debate in plenary session is expected to take place
before the end of this year.
The Austrian federal chancellery (Osterreichisches Bundeskanzleramt) prepared
a draft for transposition of the directive into national law, which was examined by the
Council responsible for data protection; a revised version should be submitted to
Parliament in autumn 1998. . . .
In Finland, an ad hoc committee responsible for the transposition of the directive
(Henkilotietotoimikunta) completed its work in 1997. The bill was submitted to
Parliament in July 1998
Id.
1 999] PRIVACY PROTECTION 1 93
1998, and took effect on October 24, 1998, effectively abandons mandatory
registration of data processing activities. After twenty-five years' experience
with such a system — the longest in Europe — Sweden concluded that such
registration was burdensome and unnecessary for effective protection of privacy
rights. Instead, the new Swedish law allows data processors to avoid registration
if they appoint a "personal data representative." The personal data
representative, usually a lawyer, "shall have the function of independently
ensuring that the controller of personal data processes personal data in a lawful
and correct manner and in accordance with good practice and also points out any
inadequacies to him or her."^^ The personal data representative must also help
aggrieved data subjects seek resolution of their complaints with the data
processor. Once the data processor has informed the supervisory authority of the
name and address of its personal data representative, further recourse to the
supervisory authority is necessary only if the personal data representative does
not believe that the data processor is in compliance with the national law or
cannot achieve successful resolution of a data subject's complaint. This
provision promises to streamline the process of complying with the national law
and effectively eliminate registration with the national authority as a condition
of processing personal data.
Similarly, Sweden has determined to allow "research ethics
committees" — Institutional Review Boards in the United States — ^at hospitals and
universities to handle all data protection functions related to data involved in the
studies and protocols those IRBs approve.^' The national supervisory authority
will effectively have no role with regard to such data, other than its judicial role
(i.e., hearing complaints), thereby avoiding having data protection issues
addressed by two separate regulatory authorities — ^the supervisory authority and
an IRB.
At the same time, while Sweden has reduced the burden of complying with
its national data protection law, it has also shown that it is serious about data
protection. For example, the Swedish data protection commissioner, Anitha
Bondestam, has required American Airlines to obtain the "explicit consent" of
Swedish passengers before recording information concerning their meal
preferences or requests for wheelchairs or other assistance in American's Sabre
reservation system. Commissioner Bondestam reasoned that the data were
especially sensitive because they could reveal health or religious information.
American has lost two judicial appeals; the matter is now before the Swedish
Supreme Court.^^
Sweden's new law also prohibits outright the processing of personal data
"concerning legal offences involving crime, judgments in criminal cases,
coercive penal procedural measures or administrative deprivation of liberty" by
90. Swedish Personal Data Act ( 1 998:204), art. 37.
91. See id. art. \9.
92. See American Airlines v. Sabre. Kammarratan i Stockholm (Administrative Court of
Appeals, Stockholm), Apr. 1997.
194 INDIANA LAW REVIEW [Vol. 33:173
anyone other than a public authority .^^ However, the law exempts from this
prohibition and most of its other substantive restrictions processing of personal
data "exclusively for journalistic purposes or artistic or literary expression" — an
exception that is far broader than that contained in the directive itself.^"^
Italy, by contrast, was a comparative latecomer to European- style data
protection. However, in January 1997 Italy enacted a sweeping law
implementing the directive — the Protection of Individuals and Legal Persons
Regarding the Processing of Personal Data Act. This law, which took effect on
May 8, 1 997, defines "personal data" as "any information relating to natural or
legal persons, bodies or associations that are or can be identified, even indirectly,
by reference to any other information including by a personal identification
number[.]"^^ This definition is broader than the directive's, which only applies
to natural persons, and clearly encompasses even encrypted or anonym ized data
that "can be identified, even indirectly, by reference to any other
information[.]"'^
The Italian law specifies that consent for the processing of sensitive data
must be in writing and that such processing must be specially authorized by the
national government's supervisory authority which is a much broader restriction
than that contained in the directive.^^ The law's disfavor for the processing of
such personal data is further reflected in the provision specifying that if the
supervisory authority fails to respond within thirty days to a request for
authorization to process sensitive data, the request "shall be considered to have
been dismissed. "^^
The Italian data protection law contains a stronger restriction on data export
than that required by the directive. The law requires that the exporter notify the
supervisory authority of any proposed transfer of data outside of EU member
states, whether "temporarily or not, in any form, and by any means whatsoever,"
not less than fifteen days before the proposed transfer. Where sensitive data are
involved, the notification is required for transfer even to other EU member states
and must take place at least twenty days before the proposed transfer.^^
As in the directive, transfers are prohibited to countries which do not provide
adequate data protection. However, for transfers involving sensitive data, the law
requires that the protection must be "equal to that ensured by Italian laws."'^° As
a result, to transfer data revealing "racial or ethnic origin, political opinions,
religious or philosophical beliefs, trade-union membership, . . . [or] concerning
health or sex life," the transferor would have to demonstrate that the destination
93. Swedish Personal Data Act, supra note 90, art. 21 .
94. Id ait. 1.
95. Protection of Individuals and Legal Persons Regarding the Processing of Personal Data
Act (1998), art. l(2)(c) (It.).
96. Id. art.
97. See id an. 2\.
98. Id art. 22(2).
99. See id arts. 2S(\)-i2).
100. /6/. art. 28(3).
1999] PRIVACY PROTECTION 195
country offers equivalent, not merely adequate, data protection. This was the
language originally considered, but later rejected as too stringent, for the EU
directive.
The United Kingdom's new Data Protection Act,'^' which received the Royal
Assent on July 16, 1998, but is not expected to be brought into effect by the
government until at least April 1999, is perhaps the most different of the five
national laws transposing the directive. While Sweden, Italy, Greece, and
Portugal enacted laws largely mirroring the broad style and structure of the
directive — often referred to as "framework" legislation, because of the need for
subsequent legislation or regulations to provide necessary detail — ^the United
Kingdom adopted a lengthy, extraordinarily detailed law that leaves few
questions unaddressed. Running to more than 100 pages and including seventy-
five articles and sixteen schedules (four times longer than any of the other
national laws), the U.K. law includes detailed provisions on all of the subjects
covered by the EU data protection directive, as well as jurisdictional issues, the
administration of the new law, and the interaction of various government offices.
The law even includes specific sections on direct marketing and credit reports,
and detailed exemptions from specific sections of the law for "national security,"
"crime and taxation," "health, education and social work," "regulatory activity,"
"journalism, literature and art," "research, history and statistics," "information
available to the public or under enactment, "disclosures required by law or made
in connection with legal proceedings etc.," "domestic purposes," and
"miscellaneous exemptions;" the law empowers the Secretary of State to
promulgate additional exemptions. '°^
The likely effect of this level of detail is not necessarily to change the level
of protection afforded privacy, but rather to provide a statute that is difficult to
understand without legal assistance, but that leaves fewer important matters to
the discretion of the national supervisory authority.
As the examples of Sweden, Italy, and the United Kingdom suggest, the
process of transposing the directive into national law introduces significant
differences in the legal standards applicable to the processing of personal data in
each member state. This is a far cry from the uniform data protection standards
anticipated by the directive's proponents. These variations in protection are of
comparatively minor concern to European data processors because the directive
forbids outright one member state from interfering with the flow of personal data
to another member state, no matter how much their national laws may differ. But
the variety of national data protection standards heightens the concerns of non-
European data processors, who anticipate having to comply separately with the
national law of each member state from which they wish to export, or about
whose citizens they process, personal data.
101. Data Protection Act, 1 998 ( 1 998 Chapter 29) (UK).
102. Id. arts. 28-38.
196 INDIANA LAW REVIEW [Vol. 33:173
II. United States
When compared with the omnibus, centralized data protection of the EU
directive and member states' national laws, U.S. privacy protection stands in
stark contrast and to some observers seems to pale altogether. The novelty and
urgency of the recent surge of attention to privacy in the United States may
appear to lend credence to this view. This section addresses the extent of privacy
protection in the United States by first surveying the major legal protections for
privacy, and then considering the principles that both undergird that protection
and impose limits on it.
A. Constitutional Framework
In the United States, there is no explicit constitutional guarantee of a right to
privacy. The Supreme Court, however, has interpreted many of the amendments
constituting the Bill of Rights to provide some protection to a variety of elements
of individual privacy against intrusive government activities. ^^^
None of these provisions refer to privacy explicitly, and the circumstances
in which privacy rights are implicated are as widely varied as the constitutional
sources of those rights. Moreover, it must be remembered that constitutional
rights protect only against state action and are generally "negative" in nature. '^"^
As a result, any constitutional concept of "privacy" applies only against the
government and at most requires that the government refrain from taking actions
which impermissibly invade privacy.
7. Expression, Association, and Religion. — The Court has identified a
number of privacy interests implicit in the First Amendment. '°^ In NAACP v.
Alabama,^^^ the U.S. Supreme Court struck down an Alabama ordinance
requiring the NAACP to disclose its membership lists, finding that such a
requirement constituted an unconstitutional infringement on NAACP members'
First Amendment right of association. '^^ In Breard v. City of Alexandria, ^^^ the
Court upheld an ordinance prohibiting solicitation of private residences without
1 03 . See Cate, supra note 1 9, at 49-66.
1 04. Only the Thirteenth Amendment, which prohibits slavery, applies to private parties. See
Clyatt V. United States, 197 U.S. 207, 216-220 (1905). Although state action is usually found when
the state acts toward a private person, the Supreme Court has also found state action when the state
affords a legal right to one private party which impinges on the constitutional rights of another, see
New York Times Co. v. Sullivan, 376 U.S. 264, 265 (1964), and in rare cases when a private party
undertakes a traditionally public function, see Marsh v. Alabama, 326 U.S. 501 (1946), or when
the activities of the state and a private entity are sufficiently intertwined to render the private
parties' activities public, see Evans v. Newtown, 382 U.S. 296 (1966).
105. "Congress shall make no law respecting an establishment of religion, or prohibiting the
free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people
peaceable to assemble . . . ." U.S. CONST, amend. I.
106. 357 U.S. 449(1958).
107. ^-ee /V/. at 464-65.
108. 341 U.S. 622(1951).
1 999] PRIVACY PROTECTION 1 97
prior permission. The Court found in the First Amendment's free speech
guarantee an implicit balance between "some householders' desire for privacy
and the publisher's right to distribute publications in the precise way that those
soliciting for him think brings the best results."'^^ The Court has invoked this
same implied balancing test is numerous other cases. In Kovacs v. Cooper, ^^^ the
Court upheld a Trenton, New Jersey, ordinance prohibiting the use of sound
trucks and loudspeakers:
The unwilling listener is not like the passer-by who may be offered a
pamphlet in the street but cannot be made to take it. In his home or on
the street he is practically helpless to escape this interference with his
privacy by loudspeakers except through the protection of the
municipality."'
In Rowan v. U.S. Post Ojfice^^^ the Court upheld a federal statute which
permitted homeowners to specify that the Post Office not deliver to their homes
"erotically arousing" and "sexually provocative" mail."^ In Federal
Communications Commission v. Pacifica Foundation,^ ^^ the Court allowed the
Federal Communications Commission to sanction a radio station for broadcasting
"indecent" programming, fmding that "the individual's right to be left alone
plainly outweighs the First Amendment rights of an intruder.""^ In Frisby v.
Schultz,^^^ the Court upheld a Brookfield, Wisconsin statute that banned all
residential picketing, writing that the home was "the one retreat to which men
and women can repair to escape from the tribulations of their daily pursuits"''^
and "the last citadel of the tired, the weary, and the sick.""* In Carey v.
Brown,^^^ the Court wrote that "the State's interest in protecting the well-being,
tranquility, and privacy of the home is certainly of the highest order in a free and
civilized society ."'^^
Although the Court rarely specifies the source of these privacy rights, it treats
them as values implicitly balanced with the First Amendment right to free
109. /^. at 644.
110. 336 U.S. 77(1949).
111. Mat 86-87.
112. 397 U.S. 728(1970).
113. Mat 729-30.
114. 438 U.S. 726(1978).
115. /c/. at 748.
116. 487 U.S. 474(1988).
117. Id. at 484 (quoting Carey v. Brown, 447 U.S. 455 (1980)).
118. Id. (quoting Gregory v. City of Chicago, 394 U.S. Ill, 125 (1969) (Black, J.,
concurring)).
1 19. 447 U.S. 455 (1980). The Court in Carey struck down the Illinois ordinance at issue
that prohibited residential picketing, on the grounds that the ordinance excluded labor picketing.
See id. at 470.
120. Mat 471.
198 INDIANA LAW REVIEW [Vol. 33:173
expression. In Stanley v. Georgia,^^^ however, the Court explicitly linked privacy
and free expression by identifying the mutual interests that they serve. The Court
overturned a conviction under Georgia law for possessing obscene material in the
home. While the "States retain broad power to regulate obscenity," Justice
Marshall wrote for the unanimous Court, "that power simply does not extend to
mere possession by the individual in the privacy of his own home."'^^ The Court
based its decision squarely on the First Amendment, which the Court found
included the "right to be free, except in very limited circumstances, from
unwanted governmental intrusion into one's privacy. "'^^ The Court concluded:
"If the First Amendment means anything, it means that a State has no business
telling a man, sitting alone in his own house, what books he may read or what
films he may watch. Our whole constitutional heritage rebels at the thought of
giving government the power to control men's minds."'^"*
2. Searches and Seizures. — Most of the Supreme Court's jurisprudence
concerning a constitutional right to privacy has centered on the Fourth
Amendment's prohibition on unreasonable searches and seizures. '^^ This
prohibition reflects two deeply rooted concerns: that citizens' property be
protected from seizure by the government and that citizens' homes and persons
be protected from warrantless or arbitrary searches. These concerns are reflected
in the Declaration of Independence and many of the colonial debates and
writings, as well as in the Constitution. In 1 886, the Supreme Court first applied
the term "priva[cy]" to the interests protected by the Fourth Amendment. '^^ Four
years later. Supreme Court Justice Louis Brandeis joined forces with Samuel
Warren to articulate "The Right to Privacy" in the Harvard Law Review. ^^^
Justice Brandeis boldly stated his views on privacy in his 1928 dissent in
Olmsteadv. United States. ^^^ Five of the nine justices had found that wiretapping
of telephone wires by federal officials did not constitute a search or seizure
because there had been no physical trespass and nothing tangible had been taken.
Justice Brandeis wrote:
121. 394 U.S. 557(1969).
122. Mat 568.
123. Mat 564.
124. Mat 565.
125. The Fourth Amendment provides:
The right of the people to be secure in their persons, houses, papers, and effects, against
unreasonable searches and seizures, shall not be violated, and no Warrants shall issue,
but upon probable cause, supported by Oath or affirmation, and particularly describing
the place to be searched, and the persons or things to be seized.
U.S. Const, amend. IV.
126. Boyd v. United States, 1 16 U.S. 616, 625-26 (1886).
127. Samuel D. Warren & Louis D. Brandeis, The Right to Privacy, 4 Harv. L. Rev. 193
(1890).
128. 277 U.S. 438(1928).
1 999] PRIVACY PROTECTION 1 99
The protection guaranteed by the [Fourth and Fifth '^^] Amendments is
much broader in scope. The makers of our Constitution undertook to
secure conditions favorable to the pursuit of happiness. They recognized
the significance of man's spiritual nature, of his feelings and of his
intellect. They knew that only a part of the pain, pleasure and
satisfactions of life are to be found in material things. They sought to
protect Americans in their beliefs, their thoughts, their emotions and
their sensations. They conferred, as against the Government, the right
to be let alone — the most comprehensive of rights and the right most
valued by civilized men. To protect that right, every unjustifiable
intrusion by the Government upon the privacy of the individual,
whatever the means employed, must be deemed a violation of the Fourth
Amendment. And the use, as evidence in a criminal proceeding, of facts
ascertained by such intrusion must be deemed a violation of the Fifth. '^^
Almost forty years later, the Court adopted Justice Brandeis' reasoning in
Katz V. United States }^^ The case addressed the constitutionality of federal
authorities' use of an electronic listening device attached to the outside of a
telephone booth used by Charles Katz, who the authorities suspected of violating
gambling laws. The Court found that this method of gathering evidence
infringed on Katz' Fourth Amendment rights, even though his property had not
been invaded. *^^ The Court found that the Constitution protects whatever one
"seeks to preserve as private, even in an area accessible to the public. . . ."'^^ In
his concurrence. Justice Harlan introduced what was later to become the Court's
test for what was "private" within the meaning of the Fourth Amendment. ^^"^
Justice Harlan wrote that the protected zone of Fourth Amendment privacy was
defined by the individual's "actual," subjective expectation of privacy, and the
extent to which that expectation was "one that society was prepared to recognize
as 'reasonable. '"^^^ The Court adopted that test in 1968 and continues to apply
it today, with somewhat uneven results. ^^^ The Court has found "reasonable"
expectations of privacy in homes, businesses, sealed luggage and packages, and
even drums of chemicals, but no "reasonable" expectations of privacy in bank
records, voice or writing samples, phone numbers, conversations recorded by
concealed microphones, and automobile passenger compartments, trunks, and
129. "No person shall ... be deprived of life, liberty, or property, without due process of
law . . ." U.S. Const, amend. V.
1 30. Olmstead, 277 U.S. at 478-79 (Brandeis, J., concurring).
131. 389 U.S. 347(1967).
132. See id 3X353.
133. Mat 351.
134. See id. at 360-61 (Harlan, J., concurring).
135. Id. at 361 (Harlan, J., concurring).
136. See, e.g., Terry v. Ohio, 392 U.S. 1, 9 (1968); Smith v. Maryland, 442 U.S. 735, 740
(1979).
200 INDIANA LAW REVIEW [Vol. 33 : 1 73
glove boxes. '^^
3. Fundamental Decision-making. — The U.S. Supreme Court's most
controversial constitutional right to privacy has developed within a series of
cases involving decisionmaking about contraception, abortion, and other
profoundly personal issues. In 1965, the Court decided in Griswold v.
Connecticut^^^ that an eighty-year-old Connecticut law forbidding the use of
contraceptives violated the constitutional right to "marital privacy."'^^ Justice
Douglas, writing for the Court, offered a variety of constitutional loci for this
right:
Various guarantees create zones of privacy. The right of association
contained in the penumbra of the First Amendment is one The Third
Amendment in its prohibition against the quartering of soldiers "in any
house" in time of peace without the consent of the owner is another facet
of that privacy. The Fourth Amendment explicitly affirms the "right of
the people to be secure in their persons, houses, papers, and effects,
against unreasonable searches and seizures." The Fifth Amendment in
its Self-incrimination Clause enables the citizen to create a zone of
privacy which government may not force him to surrender to his
detriment. The Ninth Amendment provides: "The enumeration in the
Constitution, of certain rights, shall not be construed to deny or
disparage others retained by the people."''^^
But the Court could not specifically identify a constitutional basis for the
right to marital privacy. Instead, Justice Douglas wrote that the "specific
guarantees in the Bill of Rights have penumbras, formed by emanations from
those guarantees that help give them life and substance."''*' It was in these
"penumbras, formed by emanations" that the Court grounded this new right. '"^^
Eight years later, the Court extended this privacy right in Roe v. Wade^^^ to
encompass "a woman's decision whether or not to terminate her pregnancy."''*'*
Rather than base that right, directly or indirectly, on one or more of the
specific guarantees of the Bill of Rights, the Court looked instead to "the
Fourteenth Amendment's concept of personal liberty and restrictions upon state
action "'"^^ Notwithstanding this broad foundation, however, the Court in Roe
137. See Ken Gormley, One Hundred Years of Privacy, 1992 Wis. L. REV. 1335, 1368-70
(1992).
138. 381 U.S. 479(1965).
139. /^. at 485-86.
140. Mat 484.
141. Id
142. Id
143. 410 U.S. 113(1973).
144. /c/. at 153.
145. Id. The Fourteenth Amendment provides, in relevant part: "No State shall make or
enforce any law which shall . . . deprive any person of life, liberty, or property, without due process
of law. . . ." U.S. Const, amend. XIV, § 1.
1 999] PRIVACY PROTECTION 20 1
found that the constitutional "guarantee of personal privacy" only includes
"personal rights that can be deemed 'fundamental' or 'implicit in the concept of
ordered liberty'. . . ."''*^ The Court specified that those fundamental rights
include activities concerning marriage, procreation, contraception, family
relationships, and child rearing and education. ^*^ Government regulation of those
activities "may be justified only by a 'compelling state interest,'" and they must
be "narrowly drawn to express only the legitimate state interests at stake. "'"^^
Although the Supreme Court indicated that government intrusion into
inherently private areas of personal life would be subject to strict scrutiny, the
Court has limited the scope of what it considers "private." In 1988, in Bowers
V. Hardwick,^^^ the Court declined to extend the right of privacy to the interests
of homosexuals to engage in sodomy within their homes. The following year, in
Webster v. Reproductive Health Services, ^^^ the Court upheld a Missouri statute
imposing significant limitations on performing abortions, including an outright
ban on the use of public funds, employees, or facilities to perform abortions not
necessary to save the mother's life or to counsel a woman to have such an
abortion. Chief Justice Rehnquist, writing for a five-justice plurality of the
Court, argued that the privacy interest at issue was merely "a liberty interest
protected by the Due Process Clause" and not a "fundamental" constitutional
right. ^^^ As Laurence Tribe has written, the reasoning in Webster suggests that
a woman's "right" to an abortion is "apparently no different from her 'right' to
drive a car, say, or open a store, or work as a dentist."'^^
4. Nondisclosure. — Although the Court has identified constitutional privacy
interests in a variety of settings, the area most likely to be applicable to the
interest of individuals in information privacy has arisen in a series of cases
involving nondisclosure of sensitive information. In 1977, the Supreme Court
decided Whalen v. Roe}^^ Whalen involved a challenge to a New York statute
requiring that copies of prescriptions for certain drugs be provided to the state.
The Court held that the requirement would infringe upon patients' privacy
rights.'^"* In his opinion for the unanimous Court, Justice Stevens wrote that the
constitutionally protected "zone of privacy" included two separate interests: "the
interest in independence in making certain kinds of important decisions" and "the
individual interest in avoiding disclosure of personal matters . . . ."'^^ The first
146. Roe, 410 U.S. at 152 (quoting Palko v. Connecticut, 302 U.S. 319, 325 (1937)).
147. ^e^/flf. at 152-53.
148. Mat 155.
149. 478 U.S. 186(1986).
150. 492 U.S. 490 (1989) (plurality opinion).
151. Mat 520.
1 52. Laurence H. Tribe, Abortion: The Clash of Absolutes 23 ( 1 990).
153. 429 U.S. 589(1977).
154. 5ee /^. at 603-04.
155. Mat 599-600.
202 INDIANA LAW REVIEW [Vol. 33 : 1 73
interest is clearly grounded in Roe v. Wade,^^^ Griswoldv. Connecticut, ^^^ and
similar cases, to which Justice Stevens cited. The second interest appears to be
a new creation of the Whalen Court, although based on the "Fourteenth
Amendment's concept of personal liberty" identified in Roe}^^ Nevertheless,
having found this new privacy interest in nondisclosure of personal information,
the Court did not apply strict scrutiny, apparently because the interest was not a
right involving a "fundamental" interest. Instead, the court applied a lower level
of scrutiny, and held that the statute did not infringe the individuals' interest in
nondisclosure. ^^^
Likewise, federal appellate courts in the Second, Third, Fifth, and Ninth
Circuits have reached similar results, finding a constitutional right of privacy in
individuals not being compelled by the government to disclose personal
information, particularly medical records. '^° However, by extending the right of
nondisclosure beyond fundamental rights, these courts have applied a lower
standard of scrutiny than that applicable in cases involving marriage, procreation,
contraception, family relationships, and child rearing and education. Instead of
strict scrutiny, these courts used intermediate scrutiny:
The government may seek and use information covered by the right to
privacy if it can show that its use of the information would advance a
legitimate state interest and that its actions are narrowly tailored to meet
the legitimate interest. The more sensitive the information, the stronger
the state's interest must be.'^'
Courts in the Fourth and Sixth Circuits, however, have severely limited the
scope of the Whalen nondisclosure privacy right. In 1993, the Court of Appeals
for the Fourth Circuit decided Walls v. City of Petersburg }^^ Walls involved a
city employee's claim that her dismissal for refusing to answer an official
questionnaire violated her constitutional right to nondisclosure. The employee
particularly objected to Question 40, which asked "Have you ever had sexual
relations with a person of the same sex?"'^^ The appellate court, while
acknowledging that the "relevance of this question to Walls' employment is
uncertain," nonetheless found that "Question 40 does not ask for information that
156. 410 U.S. 113, 153(1973).
157. 381 U.S. 479, 485-86 (1965).
158. Whalen, 429 U.S. at 598 n.23.
1 59. See id. at 603-04. The Court also explicitly rejected the application of the Fourth
Amendment right of privacy, writing that Fourth Amendment cases "involve affirmative,
unannounced, narrowly focused intrusions." Id. at 604 n.32.
160. See Doe v. Southeastern Pa. Transp. Auth., 72 F.3d 1133 (3d Cir. 1995); Doe v.
Attorney General, 941 F.2d 780 (9th Cir. 1991);Barry v.City ofNew York, 712F.2d 1554 (2d Cir.
1983); United States v. Westinghouse Elec. Corp., 638 F.2d 570, 577 (3d Cir. 1980); Schacter v.
Whalen, 581 F.2d 35, 37 (2d Cir. 1978); Plante v. Gonzalez, 575 F.2d 1 1 19 (5th Cir. 1978).
161. Doe, 94 1 F.2d at 796 (citations omitted).
162. 895 F.2d 188 (4th Cir. 1990).
163. Id at 190.
1999] PRIVACY PROTECTION 203
Walls has a right to keep private.'"^'* The court reasoned that because the
Supreme Court had found no fundamental right to engage in homosexual acts,
there could be no constitutional right not to disclose such practices. '^^ The Court
of Appeals for the Sixth Circuit has similarly restricted the right not to disclose
personal information to information concerning fundamental rights. '^^
5. The Limits of Constitutional Protections for Privacy. —
a. First Amendment. — While the Constitution affords substantial protection
for personal privacy from invasion by the government, it affords effectively no
protection for privacy from interference by private parties and it even restricts the
government's efforts to create statutory, regulatory, or common law tools for
protectmg privacy from non-governmental intrusion. In short, the Constitution
is the source not only of privacy rights, but also of other significant rights against
which all government efforts — ^treaty commitments, statutes, regulations,
administrative and executive orders, and daily functions — must be measured.
One of the most important of these rights, the one most often implicated by
government efforts to protect privacy, and one of the most distinct products of
U.S. history and culture, is the First Amendment restraint on government
abridgement of freedom of expression or of the press. '^^ Any effort by the
government to protect privacy, whether through direct regulation or the creation
or enforcement of legal causes of action among private parties, must be
consonant with the First Amendment if that protection is to survive constitutional
review.
This tension between the First Amendment as protecting privacy and as
prohibiting the government from restricting expression in order to protect privacy
runs throughout First Amendment jurisprudence. Ken Gormley has written that
over time, "the First Amendment came to be viewed as possessing two distinct
hemispheres."'^^ One was the traditional freedom to speak and associate without
governmental interference. The other was "the less familiar freedom of the
citizen to think and engage in private thoughts, free from the clutter and
bombardment of outside speech." '^^ Neither yields any significant protection for
privacy, beyond that already implicit in the First Amendment's guarantees to
speak, associate, and worship without governmental interference.
The association and expression cases clearly suggest the recognition of a
constitutional right of privacy, in the sense of solitude or seclusion from
intrusion, based on the First Amendment. That right is necessarily limited,
however, to restricting the conduct of government and the government's creation
of legal rights that private parties might use to interfere with the privacy of
others. Moreover, case law recognizing the right is relatively overshadowed by
164. Mat 193.
165. See id.
166. See J.P. v. DeSanti, 653 F.2d 1080 (6th Cir. 1981) (disseminating juveniles' social
histories prepared by state probation officers does not violate privacy rights).
167. See U.S. CONST, amend. I.
168. Gormley, supra note 137, at 1381.
169. Id.
204 INDIANA LAW REVIEW [Vol. 33: 1 73
cases indicating that the right carries little weight when balanced against other,
explicit constitutional rights, especially in situations involving activities outside
of the private home. For instance, the Court has accorded privacy rights little
protection when confronted with freedom of association claims of groups such
as the American Communist Party. '^^ The Court often has overturned ordinances
restricting door-to-door solicitation with little if any comment on the privacy
interests of the occupants.'^'
Similarly, the Court has often demonstrated little concern for the privacy
interests of unwilling viewers or listeners, rejecting claims against broadcasts of
radio programs in Washington, D.C. streetcars, ^^^ R-rated movies at a drive-in
theater in Jacksonville, Florida,'^^ and a jacket bearing an "unseemly expletive"
worn in the corridors of the Los Angeles County Courthouse. '^"^ Moreover,
plaintiffs rarely win suits brought against the press for disclosing private
information. When information is true and obtained lawfully, the Supreme Court
repeatedly has held that the state may not restrict its publication without a
showing that the government's interest in doing so is "compelling" and that the
restriction is no greater than is necessary to achieve that interest. '^^ This is "strict
scrutiny," the highest level of constitutional review available in the United States.
Protection of privacy rarely constitutes a sufficiently compelling interest to
survive strict scrutiny. Even if information published by the press is
subsequently proved to be false, the Supreme Court has demonstrated
extraordinary deference to the First Amendment expression rights of the press
and little concern for the privacy interests involved. '^^
In fact, when privacy rights conflict with free expression rights before the
Court, the latter prevail, virtually without exception. Under the Court's strict
scruting requirement, it has struck down laws restricting the publication of
confidential government reports, '^^ and of the names of judges under
investigation,'^^ juvenile suspects,'^^ and rape victims.'*^ The dominance of the
free expression interests over the privacy interests is so great that Peter Edelman
170. See Noto v. United States, 367 U.S. 290 (1961); Scales v. United States, 367 U.S. 203
(1961); Communist Party v. Subversive Activities Control Bd., 367 U.S. 1 (1961).
171. See, e.g., Staub v. City of Baxley, 355 U.S. 313 (1958); Schneider v. State, 308 U.S. 147
(1939); Lovell v. City of Griffin, 303 U.S. 444 (1938).
172. See Public Util. Comm'n v. Pollack, 343 U.S. 451 (1952).
173. See Erznoznik v. City of Jacksonville, 422 U.S. 205 (1975).
174. See Cohen v. California, 403 U.S. 15 (1971).
175. See, e.g., Florida Star v. B.J.F., 491 U.S. 524 (1989); Smith v. Daily Mail Publ'g Co.,
443 U.S. 97 (1979); Landmark Communications Inc. v. Virginia, 435 U.S. 829 (1978); Cox Broad.
Corp. V. Cohn, 420 U.S. 469 (1975).
176. See, e.g.. Hustler Magazine, Inc. v. Falwell, 485 U.S. 46 (1988); Time, Inc. v. Hill, 385
U.S. 374(1967).
177. See New York Times Co. v. United States, 403 U.S. 713 (1971).
178. See Landmark Communications, Inc., 435 U.S. at 829.
1 79. See Smith, 443 U.S. at 97.
1 80. See Florida Star, 491 U.S. at 524; Cox Broad Corp., 420 U.S. at 469.
1999] PRIVACY PROTECTION 205
has written:
[T]he Court [has] virtually extinguished privacy plaintiffs' chances of
recovery for injuries caused by truthful speech that violates their interest
in nondisclosure. . . . If the right to publish private information collides
with an individual's right not to have that information published, the
Court consistently subordinates the privacy interest to the free speech
concerns.'^'
This is true irrespective of whether the speaker is an individual or an
institution. Even wholly commercial expression is protected by the First
Amendment. The Court has found that such expression, if about lawful activity
and not misleading, is protected from government intrusion unless the
government can demonstrate a "substantial" public interest, and that the intrusion
"directly advances" that interest and is "narrowly tailored to achieve the desired
objective." '^^ The Court does not characterize expression as "commercial," and
therefore subject government regulations concerning it to this "intermediate
scrutiny," just because it occurs in a commercial context. The speech of
corporations is routinely accorded the highest First Amendment
protection — "strict scrutiny" review — unless the Court finds that the purpose of
the expression is to propose a commercial transaction'^^ or that the expression
occurs in the context of a regulated industry or market (such as the securities
exchanges) and concerns activities which are, in fact, being regulated (the sale
of securities).'^''
Any governmental effort to protect privacy from intrusion by non-
governmental entities, either directly or through the passage or enforcement of
laws permitting suits by private parties, faces significant First Amendment
obstacles. This is particularly true when the privacy protection would apply to
information concerning government activities and the qualifications and behavior
of government officials, or would restrict access on the basis of the content of the
material to be protected.
b. Fifth Amendment. — The Fifth Amendment to the U.S. Constitution
prohibits the government from taking private property for public use without both
due process of law and just compensation.'^^ Historically, the Supreme Court has
applied the "Takings Clause" to require compensation when the government
physically appropriated real property, even if only a tiny portion of the property
181. Peter B. Edelman, Free Press v. Privacy: Haunted by the Ghost of Justice Black, 68
TEX. L. REV. 1195,1198(1 990).
182. Board of Trustees v. Fox, 492 U.S. 469, 480 (1989); Central Hudson Gas & Elec. Corp.
V. Public Serv. Comm'n, 447 U.S. 557, 566 (1980).
1 83. See Central Hudson, 447 U.S. at 562.
184. See Lowe v. Securities & Exch. Comm'n, 472 U.S. 181 (1985).
185. "No person shall . . . be deprived of life, liberty, or property, without due process of law,
nor shall private property be taken for public use, without just compensation." U.S. CONST, amend.
V.
206 INDIANA LAW REVIEW [Vol. 33:173
at issue was occupied '^^ or if that occupation was only temporary. '^^ Beginning
in 1922, however, the Court has found a compensable taking even when the
government does not engage in physical occupation '^^ and when the property
involved is not land or even tangible, corporeal property, but rather a legal
entitlement,'^^ government benefit,'^^ or interest in continued employment.'^' In
1984, the Court decided Ruckelshaus v. Monsanto Co.^"^^ which extended the
Fifth Amendment's Takings Clause to protect stored data.
The Supreme Court's recognition of these "regulatory takings" — including
takings of stored data — suggests that privacy regulations that substantially
interfere with a private party's use of data that she has collected or processed,
may require compensation under the Fifth Amendment. In Ruckelshaus, the
Supreme Court found that the Environmental Protection Agency's use of
plaintiffs proprietary research data constituted a compensable taking. '^^ As in
all regulatory takings cases, the Court in Ruckelshaus faced two fundamental
questions: whether there was "property" and, if so, whether it was "taken" by the
government's action.'^"* The first question presented little difficulty because state
law recognizes a property right in "trade secrets" and other confidential business
information, and the possessors of such data have long been accorded property-
like rights to control access to, and the use of, business information.'^^ To
answer the second question, the Court focused on Monsanto' s "reasonable
investment-backed expectation with respect to its control over the use and
dissemination of the data,"'^^ finding that Monsanto had invested substantial
resources in creating the data and reasonably believed that they would not be
disclosed by the EPA.
To be certain, not all regulations of private property constitute takings.
Although the Court has put forward a number of tests for determining when a
186. See Loretto v. Teleprompter Manhattan CATV Corp., 458 U.S. 419 (1982) (involving
only 1.5 cubic feet of private property occupied).
1 87. See First English Evangelical Lutheran Church v. County of Los Angeles, 482 U.S. 304
(1987) (ordering just compensation where plaintiff was denied use of its property for six years).
1 88. See Pennsylvania Coal Co. v. Mahon, 260 U.S. 393 ( 1 922) (holding that state abrogated
right to remove coal from property).
189. See, e.g., Logan v. Zimmerman Brush Co., 455 U.S. 422 (1982) (holding that there was
property interest in statutorily created cause of action for discrimination against the disabled);
United States Trust Co. v. New Jersey, 431 U.S. 1 (1977) (finding a property interest in common
law contract rights).
1 90. See, e.g. , Mathews v. Eldridge, 424 U.S. 3 1 9 ( 1 976) (holding that there exists a property
interest in Social Security benefits).
191. See, e.g.. Perry v. Sindermann, 408 U.S. 593 (1 972) (finding a property interest exists
in continued employment).
192. 467 U.S. 986(1984).
193. Seeid.dX\OU.
194. 5ee/V/. atlOOO.
195. Seeid.2ii\mi>.
196. /^. at 1011.
1999] PRIVACY PROTECTION 207
regulatory taking occurs, the common element in them all is that a taking occurs
when the government's regulation "denies an owner economically viable use" of
his property. '^^ In the classic formulation of property rights as a bundle of sticks,
a taking may exist where the government eliminates any one of those sticks, but
a taking is certain to exist when the government effectively seizes the entire
bundle by eliminating all of the sticks.
Even when a government regulation deprives a property owner of all use of
his property, the Supreme Court has historically declined to find a taking, and
therefore not required compensation, when the regulation merely abated a
"noxious use" or "nuisance-like" conduct. Such a regulation does not constitute
a taking of private property, because one never has a property right to harm
others. '^^ In 1992, however, the Supreme Court backed away from this
"prevention of harmful use" exception, recognizing that the government could
virtually always claim that it was regulating to prevent a harmful use.'^^ Instead,
the Court now requires that when a government regulation deprives property "of
all economically beneficial use," the government must show that the power to
promulgate the regulation inhered in the "background principles of the State's
law of property and nuisance."^^ In other words, the Court seems to be asking
if the property owner's expectations were reasonable in light of the government's
recognized power and past practice.
Data protection regulation may legitimately prompt takings claims. If the
government prohibits the processing of personal data, it could deny the owner all
or most of the "economically viable use" use of that data. Moreover, if Congress
were to enact privacy protection along the lines of the EU directive, that
legislation might very well restrict all use of that data and thereby constitute a
complete taking.^^^ At first glance, this may seem an odd result, because the data
collected or processed, in order to be subject to privacy regulation in the first
place, must be about another person. How can one person have a constitutional
property right to hold and use data about another? However, this result is not that
surprising in light of current law in the United States, which rarely accords
individuals ownership interests in key information about themselves. As
Professor Branscomb has demonstrated in her study. Who Owns Information?,
in the United States, telephone numbers, addresses. Social Security numbers,
medical history, and similar personal identifying data are almost always owned
197. Lucas v. South Carolina Coastal Council, 505 U.S. 1003, 1016 (1992); see also Agins
V. City of Tiburon, 447 U.S. 255, 260 (1980); Andrus v. Allard, 444 U.S. 51, 64 (1979).
198. See Jan G. Laitos, The Takings Clause in America 's Industrial States After Lucas, 24
U. TOL. L. REV. 281, 288 (1993).
1 99. See Lucas, 505 U.S. at 1 026.
200. Id. at 1027, 1029.
201 . A legislature can effect a taking just as a regulatory agency can. See, e.g., Agins, 447
U.S. 255. Both are generally referred to as "regulatory takings," although the former is actually a
"legislative taking." See generally Parking Ass'n of Ga., Inc. v. City of Atlanta, 515 U.S. 1116
(1995) (Thomas, J., dissenting from denial of cert.).
208 INDIANA LAW REVIEW [Vol. 33: 173
by someone else — ^the Post Office, the government, or a physician or hospital. ^°^
Moreover, individuals exercise few rights in data about themselves which are
readily perceptible, such as gender, age, or skin color. A photographer who takes
a picture on a public street has the legal right to use that picture for a wide variety
of noncommercial and even commercial uses without the permission of the
individuals depicted. In fact, those individuals have no legal right to market or
even copy or publicly display the photograph which includes their images
without the photographer's permission.^^^
A data processor exercises property rights in his data because of his
investment in collecting and aggregating them with other useful data. It is this
often substantial investment that is necessary to make data accessible and useful,
as well as the data's content, that the law protects. In the current regulatory
environment in the United States, discussed below, it is reasonable for an
information processor to believe and to invest resources in the belief that she will
be able, within some limits, to use the data she collects and processes. In fact,
as Arthur Miller has argued, the "expand [ing] protection for commercial
information reflects a growing awareness that the legal system's recognition of
the property status of such infonnation promotes socially useful behavior''^^"* and
therefore encourages reliance by data processors. A legislative, regulatory, or
even judiciaP^^ determination that denies processors the right to use their data
could very likely constitute a taking and require compensation. Data processors
who acquire or process data after enactment of new privacy standards would be
on notice and therefore less likely to succeed in claiming takings. But for the
billions of data files currently possessed and used by U.S. individuals and
institutions, a dramatic alteration in user rights makes a compelling case for the
existence of a taking.
The determination of whether a government action constitutes a taking, of
course, turns on the details of the specific action and property involved. It is
sufficient here to note that the personal information held by others is likely the
subject of property and related rights. Those rights are in almost every case
possessed by the data processor, not the persons to whom the data pertain. And
because these data are accorded property- like protection, they are subject to
202. See ANNE WELLS Branscomb, Who Owns Information? From Privacy to Public
Access (1994).
203. See 17 U.S.C. §§ 101-106 (1994 «fe Supp. 1997).
204. Arthur R. Miller, Confidentiality, Protective Orders, and Public Access to the Courts,
105 Harv. L. Rev. 427, 469 (1991).
205. See Note, Trade Secrets in Discovery: From First Amendment Disclosure to Fifth
Amendment Protection, 1 04 Harv. L. Rev. 1 330 ( 1 99 1 ).
Courts are widely considered "state actors" for purposes of constitutional analysis, and
the Supreme Court has recognized that the takings clause applies to the courts. In a
1 967 concurrence, Justice Stewart asserted that the fourteenth amendment forbids a state
to take property without compensation "no less through its courts than through its
legislature."
Id. at 1336 (quoting Hughes v. Washington, 389 U.S. 290, 298 (1967) (Stewart, J., concurring)).
1999] PRIVACY PROTECTION 209
being taken by government regulation, thereby triggering an obligation to
compensate the data owner.
Government efforts to protect privacy would have to clear considerable
constitutional hurdles, including the First and Fifth Amendments.
6. State Constitutions. — At least eight states have adopted explicit
constitutional guarantees of personal privacy. As with federal constitutional
protections, these rights virtually always impose restrictions only on
governmental activities. Often these protections are vague and aspirational.
Moreover, when state constitutional rights and federal law conflict, federal law
prevails. Therefore, state constitutional privacy rights have thus far been of little
significance in the day-to-day protection of personal privacy. Nonetheless, these
provisions are significant to the extent that they restrict the activities of state
governments, serve as a potential source of future restraints on government
activities, and indicate a growing interest in privacy protection.
Some state constitutional privacy protections merely repeat federal
constitutional provisions. For example, Minnesota includes in its constitution the
text of the Fourth Amendment to the Federal Constitution. ^°^ The constitutions
of Hawaii and Louisiana both include Fourth Amendment-like provisions, but
they have been modified to explicitly prohibit "invasions of privacy. . . ."^^^
Some state constitutional protections for privacy incorporate exceptions as broad
as the protection they purport to afford privacy. Arizona's constitution provides
that "[n]o person shall be disturbed in his private affairs, or his home invaded,
without authority of law."^^^ Such a right presumably would exist even without
this constitutional provision. In 1980, Florida amended its constitution to
provide that: "Every natural person has the right to be let alone and free from
governmental intrusion into the person's private life except as otherwise provided
herein. This section shall not be construed to limit the public's right of access
to public records and meetings as provided by law."^^^
Other states' provisions are less qualified or more specific. Alaska amended
its constitution in 1972 to provide that "[t]he right of the people to privacy is
recognized and shall not be infringed."^'*^ In 1974, California added privacy to
the "inalienable rights" protected under its constitution: "All people . . . have
inalienable rights. Among these are . . . pursuing and obtaining . . . privacy."^"
This provision is particularly noteworthy, because in 1994 the California
Supreme Court found that it was applicable to private, as well as governmental,
actions.^^^ The Illinois constitution provides that "[t]he people shall have the
right to be secure . . . against . . . invasions of privacy."^'^ In 1978, Hawaii
206. See MiNN. CONST, art. I, § 10.
207. Haw. Const, art. I, § 7; La. Const, art. I, § 5.
208. Ariz. Const, art. II, § 8.
209. Fla. Const, art. I, § 23.
210. Alaska Const, art. I, § 22.
211. Cal. Const, art. I, § 1.
212. See Hill v. National Collegiate Athletic Ass'n, 865 P.2d 633 (Cal. 1994) (en banc).
213. ILL.CONST. art. 1, §6.
210 INDIANA LAW REVIEW [Vol. 33:173
amended its constitution to add: "The right of the people to privacy is
recognized and shall not be infringed without the showing of a compelling state
interest."^'"^ This is the most specific and protective of any of the state
constitutional provisions guarding privacy interests, in practice as well as on
paper. At least partially based on this provision, a Hawaiian court ruled in
December 1996 in favor of same-sex marriages.^'^
Even the most protective state constitutional provisions, however, have
yielded little protection for information privacy. For example, even in the 1994
case in which the California Supreme Court extended the state constitutional
right to privacy to private actions, the Court found that a mandatory drug-testing
program for college athletes did not violate that right.^'^ This same result was
reached by the U.S. Supreme Court the following year without the benefit of an
explicit constitutional guarantee to privacy.^'^ Moreover, in the context of global
information networks and national and multinational information users, state
protection is of limited significance.
B. Federal Statutes
The laws and regulations governing the use of personal information are many
and varied, but as a rule they each address a specific government agency,
industry, or economic sector and often only specific issues. Even when legal
protection is at its height, it is still often limited to certain activities, such as
disclosure of personal data, and qualified by exemptions.^'^
Privacy-based controls on the government' scoWtoXxon and use of data are far
more extensive than those applicable to non-governmental organizations. For
example, the federal Privacy Act obligates government agencies to (1 ) store only
relevant and necessary personal information; (2) collect information to the extent
possible for the data subject; (3) maintain records with accuracy and
completeness; and (4) establish administrative and technical safeguards to protect
the security of records.^ *^ The Privacy Act also limits disclosure of individuals'
records.^^° However, the Act explicitly restricts its provisions from prohibiting
the release of any material for which disclosure is required under the Freedom
of Information Act (FOIA).^^' The FOIA permits "any person" to obtain access
to all federal "agency records," subject to nine enumerated exemptions.^^^ In
214. Haw. Const, art. 1, § 6.
215. See Ly le Denniston, Judge OKs Same-Sex Marriages, BALTIMORE SUN, Dec. 4, 1 996,
available in 1996 WL 6649965.
2 1 6. See Hill, 865 P.2d at 669.
217. See Vernonia Sch. Dist. v. Acton, 515 U.S. 646 (1995).
218. See generally Cate, supra note 1 9, at 76-89.
219. See 5 U.S.C. §§ 552a(e)(lH5) (1994).
220. See id. § 552a(b).
221. See id ^ 552a{t)i2).
222. See 5 U.S.C. § 552 (1994). Two of the nine exemptions are designed to protect privacy:
Exemption 6 precludes disclosure of "personnel and medical files and similar files the disclosure
1 999] PRIVACY PROTECTION 2 1 1
other words, any information to which the FOIA applies and which is not within
one of the FOIA's nine enumerated exemptions, must be disclosed irrespective
of the Privacy Act. In addition, the Privacy Act provides twelve exemptions that
permit disclosure of information to other government agencies.^^^ For example,
the Act does not apply to Congress. It does not restrict disclosures to law
enforcement agencies, and, under the broadest exemption, the Act does not apply
to data requested by another government agency for "routine use."^^"^
There are many other statutes and regulations which protect the privacy of
citizen information from government disclosure of data. For example, federal
law prohibits the Department of Health and Human Services from disclosing
social security records, but permits all disclosures "otherwise provided by
Federal law" or regulation.^^^ Similarly, federal law prohibits the Internal
Revenue Service from disclosing information on income tax retums^^^ and the
Census Bureau from disclosing certain categories of census data.^^^ Finally,
many states have adopted laws and regulations that mirror their federal
counterparts.
Congress has also enacted a variety of laws addressing the protection of
personal information in private industry sectors, such as in the context of
financial transactions. The Fair Credit Reporting Act of 1 970^^^ (the "Act") "sets
forth rights for individuals and responsibilities for consumer credit reporting
agencies in connection with the preparation and dissemination of personal
information in a consumer report bearing on the individual's creditworthiness,
credit standing, credit capacity, character, general reputation, personal
characteristics or mode of living."^^^ The Act requires that credit reporting
agencies follow "reasonable procedures to assure maximum possible accuracy"^^°
of the information in their credit reports and implement a dispute resolution
process to investigate and correct errors.^^^ Agencies also must inform
consumers about whom adverse decisions on credit, employment, or insurance
are made based on a consumer report, of the use and source of the report. The
of which would constitute a clearly unwarranted invasion of personal privacy," and Exemption 7(C)
bans release of "records or information compiled for law enforcement purposes [which] . . . could
reasonably be expected to constitute an unwarranted invasion of personal privacy." Id. § 552(b)(6)-
(7)(C). Many states have government disclosure statutes with privacy-based exemptions similar
to those provided in the FOIA.
223. See id. § 552(a)(b)(l)-(12).
224. Id § 552(a)(b)(3).
225. 42U.S.C.§ 1305(1994).
226. See 26 U.S.C. §§ 6103, 7431 (1994 & Supp. 1997).
227. See 13 U.S.C. §§ 8-9 (1994 & Supp. 1997).
228. 15 U.S.C. §§ 1681-1681t (1994).
229. Joel R. Reidenberg, Privacy in the Information Economy: A Fortress or Frontier for
Individual Rights?, 44 FED. COMM. L.J. 1 95, 2 1 0 ( 1 992).
230. 15 U.S.C. § 1681e(b).
231. Seeid^\6W\.
212 INDIANA LAW REVIEW [Vol. 33:173
agencies must provide consumers with a copy of their reports upon request.^^^
Prior to being amended at the end of 1996, the Act's protections were
weakened by a series of broad loopholes. On September 30, 1996, Congress
passed the Consumer Credit Reporting Reform Act,^^^ which closed many of
these loopholes and significantly strengthened the protection for information
privacy provided by the Fair Credit Reporting Act. For example, the Reform Act
narrowed the broad "legitimate business need" purpose for which credit reports
could be disseminated without the consumer's authorization to permit the
distribution of credit reports only for a "legitimate business need ... in
connection with a business transaction that is initiated by the consumer" or "to
review an account to determine whether the consumer continues to meet the
terms of the account."^^"* Consumer credit reports may now be furnished for
employment purposes only if the employer certifies that the employee has
consented.^^^ Medical information may no longer be included in a credit report
furnished in connection with employment, credit, insurance, or direct marketing,
without the consent of the consumer.^^^ If a credit reporting agency furnishes
consumer credit information to be used for marketing credit or insurance
opportunities to consumers, the agency must establish and publish a toll-free
telephone number that consumers can call to have their names removed from lists
provided for such direct marketing purposes. ^^^ Persons who acquire such
information from credit reporting agencies for marketing credit and insurance
services must inform consumers that credit information was used, identify the
credit agency from which the data were obtained, and provide information about
consumers' legal rights.^^*
The Act prohibits the dissemination of certain types of obsolete information,
such as bankruptcy adjudications more than ten years prior to the report, suits
and judgments older than seven years, paid tax liens older than seven years, and
any other adverse information older than seven years. ^^^ Prior to the 1996
amendments, the Act permitted even obsolete information to be disseminated if
requested in connection with an employment application for a position with a
salary over $20,000, a credit transaction over $50,000, or the underwriting of life
insurance over $50,000.^"*^ Although these dollar thresholds were set in 1970,
they had not been increased in twenty-five years to keep pace with inflation. ^'^^
232. See id. ^\6S\m.
233. /t^. §§ 1681-1681t(Supp. 1997).
234. Id.
235. See id.; see also Consumer Reporting Employment Clarification Act of 1998, Pub. L.
No. 105-347, 112 Stat. 3208.
236. See 15 U.S.C. §§ 1681-1681t.
237. See id § 1681b(c)(5).
238. See id § 1681m(d).
239. See id. § 1 68 1 c(a); see also Consumer Reporting Employment Clarification Act of 1 998,
Pub. L. No. 105-347, 1 12 Stat. 3208.
240. See 15 U.S.C. § 1681c(b) (1994).
241 . See Reidenberg, supra note 229, at 2 1 3 n.92.
1 999] PRIVACY PROTECTION 2 1 3
The 1996 Reform Act continued to permit the dissemination of obsolete
information, but it raised the dollar thresholds to permit dissemination in
connection with an employment application for a position with a salary over
$75,000, a credit transaction over $ 1 50,000, or the underwriting of life insurance
over$150,000.''2
The revised act specifies a number of situations in which credit agencies and,
in some cases, the persons to whom they supply information, must provide
information to consumers, including a general requirement that agencies inform
consumers of their legal rights under the Fair Credit Reporting Act.^"*^ In a
dramatic extension of the law, the Reform Act provides that credit reporting
agencies must delete any disputed data that they cannot verify within thirty days,
as well as comply with a variety of new procedural requirements concerning
correcting data and notifying recipients of credit reports of disputed or inaccurate
data.^'^'^ No longer must the consumer prove information false to have it
excluded. In a second significant development, the Act now requires anyone who
furnishes data to a credit reporting agency to correct inaccurate data, to notify
any agency to which it has reported data if it determines that those data are
inaccurate, and to disclose to any agency to which it is reporting data if those
data's accuracy is disputed.^"*^ Finally, the Reform Act directed the Federal
Reserve Board to make recommendations to Congress within six months
concerning the data processing activities of organizations not covered by the Fair
Credit Reporting Act and the extent to which those activities "create undue
potential for fraud and risk of loss to insured depository institutions. . . ."^'^^
After passage of the Reform Act's amendments, the Fair Credit Reporting
Act significantly restricts the content, disclosure, and use of credit information,
while not addressing the collection and use of personal information general ly.^'^^
Other statutes provide protection for certain specific privacy-related interests.
For example, the Fair Credit Billing Act of 1 914,^^^ requires that creditors furnish
consumers with copies of their credit transaction records and provide consumers
with an opportunity to dispute errors, during which time creditors are restricted
from disclosing information about delinquent payments.""*^ The Fair Debt
Collection Practices Act of 1977^^^ limits debt collectors' disclosures to some
242. See Department of Defense Appropriations Act, § 2406(a)(2) (codified at 15 U.S.C. §
1681c(b)(Supp. 1997)).
243. See 15 U.S.C. § 1681g(a), (c) (Supp. 1997).
244. See id. ^ leSUiSL).
245. See id. § 16815-2.
246. Id. § 2422. See BOARD OF GOVERNORS OF THE Federal Reserve System, Report to
THE Congress Concerning the Availability of Consumer Identifying Information and
Financial Fraud (1997) [hereinafter Report to the Congress].
247. See 15 U.S.C. §§ 1681a(f), (d) (1994 & Supp. 1997).
248. M § 1666(1994).
249 See Reidenberg, supra note 229, at 2 1 3.
250. 15 U.S.C. § 1692c(b) (1994).
214 INDIANA LAW REVIEW [Vol. 33:173
third parties (but not credit reporting agencies) of a debtor's financial situation.^^^
The Electronic Communications Privacy Act of 1986^" prohibits the
interception or disclosure of the contents of any electronic communication, such
as telephone conversations or e-mail, or even of any conversation in which the
participants exhibit "an expectation that such communication is not subject to
interception under circumstances justifying such an expectation."^" There are
a number of exceptions to this apparently broad privacy right, the most
significant of which is that the prohibition does not apply if any one party to the
communication consents to disclosure.^^"* The prohibition also does not apply to
switchboard operators, employees of telecommunications service providers,
employees of the Federal Communications Commission, or anyone assisting the
holder of a warrant, provided they are acting within the scope of their duties.^^^
The prohibition also does not apply if the communication intercepted was "made
through an electronic communication system that is configured so that such
electronic communication is readily accessible to the general public," including
any marine or aeronautical system, amateur and citizens band radio, or "general
mobile radio services."^^^
Prior to 1996, there was no statutory protection for information about
telecommunications transactions, such as telephone numbers or time, place, and
duration of call.^^^ The Electronic Communications Privacy Act did not apply
to "transactional" information, so service providers faced no legal limits on
collecting, storing, or disclosing such data. In fact, the statute explicitly
authorizes the use of "a pen register or a trap and trace device" to record
information about other individuals' conversations or transmissions.^^^ On
February 1, 1996, however. Congress passed the Telecommunications Act of
1 996, which included provisions protecting the privacy of "Customer Proprietary
Network Infoniiation''^^^ ("CPNI"). The Act defines CPNI as "information that
relates to the quantity, technical configuration, type, destination, and amount of
use of a telecommunications service subscribed to by any customer of a
telecommunications carrier, and that is made available to the carrier by the
251. See id
252. 18 U.S.C. §§ 2510-2520 (1994 & Supp. 1997).
253. /^. §§2510-1 1(2) (1994).
254. Seeid.^25\\(2)ic).
255. See id ^ 25l\{2).
256. Id §2511(2)(g).
257. The Federal Communications Commission regulated the disclosure of such information
as a way of promoting competition among telephone companies. See 47 C.F.R. § 64.702(d)(3)
(1997). Under the Commission's regulations, a regulated telecommunications service provider
could not provide information about telecommunications transactions to its own subsidiaries which
offered "enhanced" services, unless it also disclosed that information to competitors. See id. See
generally Fred H. Cate, Privacy and Telecommunications, 33 WAKE FOREST L. REV. 1, 37-41
(1998).
258. 18U.S.C. §2511(2)(h)(i)(1994).
259. Pub. L. No. 104-104, 1 1 Stat. 56 § 702 (codified at 47 U.S.C. § 222 (Supp. 1996)).
1 999] PRIVACY PROTECTION 2 1 5
customer solely by virtue of the carrier-customer relationship."^^^ Under the Act,
service providers may "use, disclose, or permit access to individually
identifiable" CPNI only as necessary to provide the telecommunications service
from which the information is derived or services necessary to that
telecommunications service.^^' Service providers are free to use CPNI as
necessary to protect their own business interests.^^^ Although the Act only
restricts the disclosure of information and the exemption for related services such
as telephone directories is considerable, the new provision reflects Congress'
growing attention to privacy concerns.
The Cable Communications Policy Act of 1984^^^ provides extensive
privacy-related regulation of cable television service providers. The Act restricts
the collection, storage, and disclosure of "personally identifiable information"
without the subscriber's consent,^^ and requires that service providers provide
their subscribers with access to information collected about them.^^^ The Act
also requires that the cable service provider inform the customer at least once a
year of the information it collects, the "nature, frequency, and purpose of any
disclosure" of that information, the duration of its storage, the times and places
at which a customer may have access to that information, and the terms of the
statute.^^^ The Act provides for statutory damages against cable operators who
violate their customers' rights under the Act.^^^ It also includes some
exemptions, particularly for disclosures of information "necessary to render, or
conduct a legitimate business activity related to" the provision of cable service,^^^
but it nonetheless constitutes the broadest set of privacy rights in any federal
statute.
Federal law also protects against the disclosure of video tape rental and sale
records. The Video Privacy Protection Act of 1988,^^^ adopted in response to
congressional outrage over the disclosure of the list of videos rented by Judge
Robert Bork during his ill-fated Supreme Court nomination confirmation
hearings, prohibits the disclosure of titles of particular films rented by
identifiable customers. The statute also requires the destruction of personally
identifiable information not later than one year after the information if no longer
necessary for the purpose for which it was collected.^^*^ There are significant
exemptions, for example, "if the disclosure is incident [sic] to the ordinary course
260. Id. (codified at 47 U.S.C. § 222(f)(1)).
261. Id. (codified at 47 U.S.C. § 222(c)(1)).
262. See id (codified at 47 U.S.C. § 222(d)).
263. 47 U.S.C. § 551(a)(1) (1994).
264. M§ 551(c).
265. See id § 551(d).
266. M§ 551(a).
267. See id ^ 55\{f).
268. Id § 551(c)(2).
269. 18 U.S.C. §2710(1994).
270. See id § 2710(e).
2 1 6 INDIANA LAW REVIEW [Vol. 33 : 1 73
of business of the video tape service provider "^^' Moreover, data about user
viewing habits may be disclosed for marketing purposes if the user has been
given an opportunity to "opt out" of such disclosure.^^^ As a result, lists are
widely available containing information on user viewing habits and other
demographic information, such as median age and income.
Congress' most recent privacy law, the Children's Online Privacy Protection
Act,^^^ restricts the online collection of information about children under 1 3 . The
Act requires that operators of commercial web sites which target children or are
aware that they are collecting information from children provide notice of their
data collection policies and seek parental consent before collecting information
from children.^^'* The Act defers to the Federal Trade Commission most of the
keys issues about the form and substance of parental notification and consent.
The Commission adopted implementing regulations on October 20, 1999, which
will take effect on April 2 1 , 2000.^^^ The Act also features a "safe harbor" option
which allows industry groups to submit self-regulatory mechanisms to the
Commission which, if approved would create a presumption that persons in
compliance with these self-regulatory mechanisms are also in compliance with
the Act.^^^
C State Statutes
At least thirteen states have general privacy statutes applicable to government
activities. Some states also have statutory privacy rights that apply to the private
sector. We can see three approaches reflected in these state statutory
provisions.^^^
Two states, Massachusetts and Wisconsin, have adopted general rights of
privacy, although these statutes largely restate the common law privacy torts
which are discussed below. For example, Massachusetts provides that "[a]
person shall have a right against unreasonable, substantial or serious interference
with his privacy,"^^^ but state courts largely limit this right to the "public
disclosure of private facts" tort discussed below. Similarly, Wisconsin's facially
broad privacy statute — "The right of privacy is recognized in this state"^^^ — is
restricted to the torts of intrusion, public disclosure of private facts, and
misappropriation.^^^ Even in those limited contexts, the statute specifically
271. M §27 1 0(b)(2)(E).
272. See id. § 2710(b)(2)(D).
273. Children's Online Privacy Protection Act, Pub. L. No. 105-277, 1 12 Stat. 2681 (to be
codified at 15 U.S.C. §6501).
274. See id.
275. See id.
276. See id.
111. See Reidenberg, supra note 229, at 227-28.
278. Mass. Gen. Laws Ann. ch. 214, § IB (1996) (West 1989).
279. Wis. Stat. Ann. § 895.50 (West 1998).
280. See id.
1 999] PRIVACY PROTECTION 2 1 7
exempts from any prior restraint designed to protect privacy "constitutionally
protected communication privately and through the public media. . . ."^^'
A number of states have eschewed the appearance of broad privacy
protection and have instead codified one or more of the common law privacy
torts (discussed below).^^^ Finally, many states have enacted industry-specific
privacy legislation in areas similar to federal private sector statutes.^^^ These
sectoral statutes have been the focus of recent intense state legislative activity,
with forty-two states enacting a total of 786 bills in 1998.^^"* Already in 1999,
states have considered an extraordinary array of privacy statues addressing issues
ranging from direct marketing to medical records. New York has adopted
fourteen new privacy laws and is still considering others.^^^ Like their federal
counterparts, "each state law generally seeks to resolve a narrow problem within
a given industry and does not systematically address all the privacy concerns
relating to the acquisition, storage, transmission, use and disclosure of personal
information."^^^ The new array of state statutes is also focusing new attention on
issues surrounding the interaction of these laws with each other and with federal
law, especially in the context of the Internet and electronic information transfers.
D. Tort Law
Following publication of Samuel Warren's and Louis Brandeis' article, "The
281. Id. § 895.50(l)(a).
282. See, e.g., Cal. Civ. Code § 3344 (West 1997); Fla. Stat. Ann. § 540.08 (West Supp. '
1999); N.Y. Civ. Rights Law §§ 50-51 (McKinney 1992 & Supp. 1999).
283. See, e.g., Cal. Lab. Code § 1 198.5 (West Supp. 1999) (employee personnel records);
Conn. Gen. Stat. Ann. § 31-128f (West 1997) (employee personnel records); Del. Code Ann.
tit. 1 1, §§ 1335-36 (1995) (intrastate telephone service); Mass. Gen. Laws Ann. ch. 93, §§ 50-68
(West 1997) (credit reporting); N.J. Stat. Ann. § 48:5 A-54 to -63 (West 1998) (cable subscriber
information and viewing habits); N.Y. Gen. Bus, Law § 380 (McKinney 1996) (credit reporting);
18 Pa. Cons. Stat. Ann. §§ 5701-775 (West 1983 & Supp. 1999) (intrastate telephone service).
284. See Privacy Legislation in the States, Priv. & AM. Bus., Nov./Dec. 1 998, at 1 , 3.
285. See A.B. 7047, 222nd Legis., 1st Reg. Sess. (N.Y. 1999) (identify theft); A.B. 5543,
222nd Legis., 1st Reg. Sess. (N.Y. 1999) (temporary state privacy commission); A.B. 137, 222nd
Legis., 1st Reg. Sess. (N.Y. 1999) (limits credit card and debit card issuers' release of customer
names); A.B. 467, 222nd Legis., 1st Reg. Sess. (N.Y. 1999) (regulates personal identification of
a credit card holders); A.B. 5384, 222nd Legis., 1st Reg. Sess. (N.Y. 1999) (credit card fraud
prevention); A.B. 5917, 222nd Legis., 1st Reg. Sess. (N.Y. 1999) (telemarketing and unsolicited
advertisements); A.B. 8110, 222nd Legis., 1 st Reg. Sess. (N.Y. 1 999) (limits use of registration lists
and title information made available to contracting parties); AB. 8116, 222nd Legis., 1 st Reg. Sess.
(N.Y. 1999) (prohibits the disclosure of photos by state agencies); A.B. 1830, 222nd Legis., 1st
Reg. Sess. (N.Y. 1999) (confidentiality of electronic toll records); A.B. 7044, 222nd Legis., 1st
Reg. Sess. (N.Y. 1 999) (privacy of e-mail addresses); A.B. 7045, 222nd Legis., 1 st Reg. Sess. (N.Y.
1999) (unsolicited e-mail advertisements); A.B. 8130, 222nd Legis., 1st Reg. Sess. (N.Y. 1999)
(Internet privacy).
286. Reidenberg, supra note 229, at 229.
2 1 8 INDIANA LAW REVIEW [Vol. 33 : 1 73
Right to Privacy" in the Harvard Law Review in 1 890,^^^ seventy years passed
before William Prosser proposed a structure for the common law privacy rights
that Warren and Brandeis advocated.^^* Dean Prosser analyzed the numerous
state court opinions recognizing various forms of a "right to privacy," and then
categorized that right into four distinct torts: physical intrusion,
misappropriation, false light, and publication of private facts.^^^ This structure,
included in the Restatement (Second) of Torts (for which Dean Prosser served as
reporter), replaced the single privacy right found in the TxYsi Restatement of Torts .
The second Restatement provides:
Section 652A. General Principle
(1 ) One who invades the right of privacy of another is subject to liability
for the resulting harm to the interests of the other.
(2) The right of privacy is invaded by
(a) unreasonable intrusion upon the seclusion of another, as stated
in § 652B; or
(b) appropriation of the other's name or likeness, as stated in §
652C; or
(c) unreasonable publicity given to the other's private life, as
stated in § 652D; or
(d) publicity that unreasonably places the other in a false light
before the public, as stated in § 652E.^^^
The tort of unreasonable intrusion lends 1 ittle support to information privacy,
other than as a potential restriction on the means of gathering information. Like
the other three privacy torts, this one requires that the intrusion involve "solitude
or seclusion of another or his private affairs or concerns" and that it be "highly
offensive to a reasonable person. "^^' This tort is recognized in some form in all
but six states.
The tort of appropriation only applies to the "name or likeness" of an
individual,^^" and therefore is of limited value as a protection for information
privacy. Only about two-thirds of the states recognize this tort and most of them
require that the appropriation be for "commercial gain," such as advertising.
The tort of "unreasonable publicity given to the other's private life" applies
287. Warren & Brandeis, jwpra note 127.
288. See William L. Prosser, Privacy, 48 Cal. L. Rev. 383 (1960).
289. See id. at 389.
290. Restatement (Second) of Torts § 652A ( 1 976).
291. M§652B.
292. Id. § 652C.
1 999] PRIVACY PROTECTION 2 1 9
only when there is a disclosure to a large audience of private information that
would be "highly offensive to a reasonable person and is not of legitimate
concern to the public."^^^ In addition to these limits, the U.S. Supreme Court has
ruled that lawfully obtained, truthful information on a matter of public
significance can never be the subject of legal liability, at least not without
satisfying the requirements of strict scrutiny.^^"* In Philadelphia Newspapers, Inc.
V. Hepps,^^^ the Court reaffirmed that punishing true speech was "antithetical to
the First Amendment's protection. . . ."^^^ Susan M. Gilles has noted that "[i]f
the constitutional requirement of proof of falsity articulated in libel cases is
extended to privacy cases, then the private- facts tort is unconstitutional."^^^ This
tort is recognized in all but six states, but the number of successful public
disclosure actions has been insignificant.^^^
The final privacy tort is "publicity that unreasonably places the other in a
false light before the public."^^^ To be actionable under the false light tort, the
publication must be both false and highly offensive to a reasonable person.^^^ In
1 967, in Time, Inc. v. Hill,^^^ the Supreme Court extended the First Amendment
privileges previously recognized in the context of defamation to actions for false
light privacy. ^^^ The Court thus required plaintiffs to show that the defendant
knew the publication was false or recklessly disregarded its truth or falsity.^^^
Fewer than two-thirds of states recognize this tort.
These state tort actions are the principal source today of adjudicated legal
rights concerning privacy. However, they offer little protection for information
privacy. Even in their limited areas, only one award to a privacy tort plaintiff has
ever survived the Supreme Court's First Amendment scrutiny. ^^'^
E. U.S. Privacy Principles
Privacy protection in the United States reflects four features of American
society and system of government. Understanding those four features is critical
to recognizing both the level of privacy protection that exists in the United States
293. Id. § 652D. See also id. § 652D cmt. a.
294. See Florida Star v. B.J.F., 491 U.S. 524 (1989); Smith v. Daily Mail Publ'g Co., 443
U.S. 97 (1979); Cox Broad. Corp. v. Cohn, 420 U.S. 469 (1975).
295. 475 U.S. 767 (1986) (holding a private-figure defamation plaintiff could not recover
damages without also showing that the statements at issue were false).
296. Id at 777.
297. Susan M. Gilles, Promises Betrayed: Breach of Confidence as a Remedy for Invasions
of Privacy, 43 BUFF. L. REV. 1, 8 (1995).
298. See RESTATEMENT (Second) of Torts § 652E ( 1 976).
299. Id
300. See id.
301. 385 U.S. 374(1967).
302. See id at 387-88.
303. See id.
304. See Cantrell v. Forest City Publ'g Co., 419 U.S. 245 (1974).
220 INDIANA LAW REVIEW [Vol. 33 : 1 73
and the limits on that protection and on the means by which it may be achieved.
1. Rights Against the Government. — First, the U.S. Constitution reflects the
conviction that the greatest threat to individual liberty is the government. As a
result, rights articulated in the Constitution generally are protected only against
government actions. Only the Thirteenth Amendment, which prohibits slavery,
applies directly to private parties.^^^ All other constitutional rights — whether to
speak freely, confront accusers, or be tried by a jury of one's peers — regulate the
public, but not the private, sector.
One dominant theme of constitutional rights is the protection of citizens from
government intrusion into their privacy. A vigorous First Amendment, as we
have seen, permits individuals the privacy of their own thoughts, beliefs, and
associations.^^^ The Third Amendment keeps government soldiers from being
quartered in private homes.^^^ The Fourth Amendment prohibits unreasonable
searches and seizures.^^^ The Fifth Amendment restricts government from
interfering with private property, provides for due process and compensation
when it does so, and protects citizens from self-incrimination.^^^ Collectively,
these and other provisions of the Constitution impose extraordinary limits on
government authority to intrude on private property, compel testimony, or
interfere with practices closely related to individual beliefs, such as protest,
marriage, family planning, or worship.
Controlling a government's actions is an essential step to protecting privacy
not only because of a government's size and power, but also because of its
isolation from the market — a mechanism, as is discussed in greater detail below,
that plays a vital role in protecting individuals from private- sector intrusion.
The effect of these constitutional protections, however, is not just to protect
privacy from government intrusion. Legal respect for private property, for
example, also allows individuals to separate themselves from each other, perhaps
the best guarantee of privacy. The laws that attend private property are what
empower one person to exclude another from her land, home, papers, and
possessions, and to call upon the state to protect those objects from physical
intrusion and interference.
2. Importance of Open Information Flows. — ^The second feature of the U.S.
information society is the extraordinary importance placed in the United States
on the unrestricted flow of information. As the Federal Reserve Board noted in
its report to Congress on data protection in financial institutions, "it is the
freedom to speak, supported by the availability of information and the free-flow
of data, that is the cornerstone of a democratic society and market economy."^ '^
The significance of open data flows is reflected in the constitutional
provisions not only for freedom of expression, but for copyrights, to promote the
305. See Clyatt v. United States, 197 U.S. 207, 216-220 (1905).
306. See U.S. CONST, amend. I.
307. See id. amend. III.
308. See id. amend. IV.
309. See id amend. V.
3 1 0. Report to the Congress, supra note 246, at 2.
1 999] PRIVACY PROTECTION 22 1
creation and dissemination of expression, and for a post office, to deliver the mail
and the news.^*' Federal regulations demonstrate a sweeping preference for
openness, reflected in the Freedom of Information Act, Government in the
Sunshine Act, and dozens of other laws applicable to the government. There are
even more laws requiring disclosure by private industry, such as the regulatory
disclosures required by securities and commodities laws, banking and insurance
laws, and many others.
The focus on openness both advances and restricts privacy interests. It
furthers privacy by guaranteeing that citizens have affordable access to data,
particularly about themselves, thereby facilitating the identification and
correction of inaccurate information. This is a key function, for example, of the
disclosure requirements in the FOIA. It also facilitates privacy protection by
supporting a vigorous, independent press, which has repeatedly proved
invaluable in investigating and exposing privacy intrusions by both government
and private parties.^ '^
The focus on openness, however, also reflects an understanding that in a
democracy and a market economy, privacy is not an unmitigated good. As a
result, efforts to enhance personal privacy are balanced against the costs that
those efforts impose on the free flow of information, the election and supervision
of governments, the development of efficient markets, and the provision of
valuable services.
Protecting the privacy of information imposes real costs on individuals and
institutions. Judge Richard Posner has written:
Much of the demand for privacy . . . concerns discreditable information,
311. See U.S. CONST, art. I, § 8.
312. In 1991, Lotus Development Corporation and Equifax abandoned plans to sell
"Households," a CD-ROM database containing names, addresses, and marketing information on
120 million consumers, after receiving 30,000 calls and letters from individuals asking to be
removed from the database. See Lawrence M. Fisher, New Data Base Ended by Lotus and Equifax,
N.Y. Times, Jan. 24, 1991, at D4. Cancellation of "Households" led Lotus to abandon "Lotus
Marketplace," a similar CD-ROM database with information on seven million U.S. businesses.
Eight months later, Equifax, one of the United States' largest credit bureaus, decided to stop selling
consumer names and addresses to direct marketing firms altogether, a business that had earned the
company $11 million the previous year. See Shelby Gilje, Credit Bureau Won't Sell Names,
Seattle Times, Aug. 9, 1 99 1 , at D6.
More recently, Lexis-Nexis, operator of one of the largest legal and general information
databases in the world, has revamped plans for "P-Track," a service that provides anyone willing
to pay the $85-$ 100 search fee with personal information, including maiden names and aliases,
about "virtually every individual in America." Kathy M. Kristof, Deluged Lexis Purging Names
from Databases, L.A. TIMES, Nov. 8, 1996, at D5. The database reportedly includes current and
previous addresses, birth dates, home telephone numbers, maiden names, and aliases. Initially,
Lexis was also providing Social Security numbers. However, in response to a storm of protest.
Lexis stopped displaying Social Security numbers, and it is honoring the requests of anyone who
wishes to be deleted from the database. See id.
222 INDIANA LAW REVIEW [Vol. 33 : 1 73
often information concerning past or present criminal activity or moral
conduct at variance with a person's professed moral standards. And
often the motive for concealment is ... to mislead those with whom he
transacts. Other private information that people wish to conceal, while
not strictly discreditable, would if revealed correct misapprehensions
that the individual is trying to exploit . . . .^'^
Privacy facilitates the dissemination of false information, protects the
withholding of relevant true information, and interferes with the collection,
organization, and storage of information on which businesses and others can
draw to make rapid, informed decisions. The costs of privacy include both
transactional costs incurred by information users seeking to determine the
accuracy and completeness of the information they receive, and the risk of future
losses resulting from inaccurate and incomplete information. Therefore, privacy
may reduce productivity, lead to higher prices for products and services, and
make some services untenable altogether.
Moreover, even when the information disclosed is not inherently significant,
or in the context of a relationship where health or safety are at stake, there is
nonetheless value in curiosity. As Judge Posner has noted, "casual prying" is not
only a common feature of everyday life, it "is also motivated, to a greater extent
than we may realize, by rational considerations of self-interest. Prying enables
one to form a more accurate picture of a friend or colleague, and the knowledge
gained is useful in one's social or professional dealings with him."^^"* Even the
term "idle curiosity," according to Judge Posner, is "misleading. People are not
given to random, undifferentiated curiosity."^ '^ For example, "[g]ossip columns
recount the personal lives of wealthy and successful people whose tastes and
habits offer models — ^that is, yield information — ^to the ordinary person in making
consumption, career, and other choices. . . . [They] open people's eyes to
opportunities and dangers; they are genuinely informational."^'^ Protection for
privacy, therefore, not only interferes with the acquisition of information that has
a particular, identified significance, it also impedes a voyeuristic curiosity that
is widely shared and that serves valuable purposes for both individuals and
society.
The protection of privacy may also interfere with other constitutional values,
such as the protection for expression in the First Amendment and the protection
for private property in the Fifth Amendment.
The late Professor Anne Branscomb wrote: "Information is the lifeblood that
sustains political, social, and business decisions."^'^ Although U.S. law offers
extensive protection to individuals from government collection and use of
313. Richard A. Posner, The Right of Privacy, 12 Ga. L. Rev. 393, 399 (1978).
314. Mat 395-96.
315. Mat 396.
316. Id.
3 1 7. Anne W. Branscomb, Global Governance of Global Networks: A Survey ofTransborder
Data Flow in Transition, 36 Vand. L. Rev. 985, 987 (1983).
1999] PRIVACY PROTECTION 223
personal data, the commitment to open information flows is so great that our laws
extend virtually no direct protection to data, other than trade secrets, in the
marketplace.
3. Preference for Private Action. — The third significant feature is that the
United States has historically depended heavily on private industry, private
property, and individual self-reliance. Constitutional rights are generally
"negative"; they do not obligate the government to do anything, but rather to
refrain from unnecessarily interfering with individuals' freedom to act. This also
explains the very high protection in U.S. law for private agreements. Citizens do
not have to make promises to one another, but when we do, the government
makes available valuable resources to enforce those promises.
The preference for private action and individual responsibility is especially
clear when information is involved. The U.S. Supreme Court has repeatedly
interpreted the First Amendment to deny plaintiffs aggrieved by even false and
harmful speech any remedy, stressing instead, in the words of Justice Brandeis,
"the remedy to be applied is more speech, not enforced silence."^'^
The focus on individual and collective private action inevitably restrains the
power of the government to pass sweeping privacy laws. But it also facilitates
considerable privacy protection through the use of technologies, markets,
industry self-regulation and competitive behavior, and individual judgment. For
example, technological innovations such as adjustable privacy protection settings
in both Netscape and Microsoft Explorer, encryption software, anonymous
remailers, and, in fact, the Internet itself all facilitate privacy and individual
control over the information we disclose about ourselves.
Many companies are actively competing for customers by promoting their
privacy policies and practices. If enough consumers demand better privacy
protection and back up that demand, if necessary, by withdrawing their
patronage, virtually all competitive industry sectors are certain to respond to that
market demand. In fact, consumer inquiries about, and response to, corporate
privacy policies are an excellent measure of how much the society really values
privacy. ^
Considerable privacy protection also exists in private agreements. When a
company promotes its privacy policy, under U.S. law it is obligated to adhere to
that policy. The failure to do so may subject an institution to suits by consumers
and action by the Federal Trade Commission, which is empowered by Congress
to investigate "unfair or deceptive" trade practices.^ '^
Industry organizations are increasingly providing standards for privacy
protection and help to consumers whose privacy interests are compromised. The
Direct Marketing Association, for example, operates the Mail Preference Service
and the Telephone Preference Service. With a single request to each, it is
possible to be removed from most DMA-member company mailing and telephone
318. Whitney v. California, 274 U.S. 357, 377 (1927) (Brandeis, J., concurring). See 44
Liquormart, Inc. v. Rhode Island, 517 U.S. 484, 497 (1996); Texas v. Johnson, 491 U.S. 397, 419
(1989).
319. See 15 U.S.C. § 57b-l(1997).
224 INDIANA LAW REVIEW [Vol. 33 : 1 73
solicitation lists.^^°
Many industry associations have adopted guidelines and principles which
may serve as models for individual company policies. Corporate compliance
with privacy standards constitutes an increasingly important accolade in
competitive markets, particularly among Internet users. Moreover, industry
associations can help persuade member organizations to adopt and adhere to
industry norms for privacy protection. The DMA, for example, has begun
issuing quarterly reports on members who are being disciplined for violating
DMA codes of conduct.
A consortium of privacy advocates and software companies has announced
the development of a service to make privacy self-help easier on the Internet.
"TRUSTe" is a program that rates Internet sites according to how well they
protect individual privacy. Internet sites that provide sufficient protection for
individual privacy — including not collecting personal information, not
disseminating information to third parties, and not using information for
secondary purposes — earn the right to display the "TRUSTe" logo.^^' The Better
Business Bureau has recently launched a similar initiative — BBB Online.^^^
The majority of the individual reference services group industry has agreed
to abide by the ISRG Principles, which not only establish data protection
standards, but also require annual compliance audits by third parties and a
commitment not to provide information to entities whose practices are
inconsistent with the ISRG Principles.^^^
These more flexible, more contextual, more specific tools offer better privacy
protection than an omnibus law, and at potentially lower cost to consumers,
businesses, and the society as a whole. These responses are exactly what we
would expect from the market if consumers value privacy protection in the
private sector.
4. Limited Role for Government. — Finally, the United States has historically
recognized important roles for government to keep markets open, to fill in those
gaps necessary to protect vulnerable populations, such as children, and to
respond to needs left unmet by traditional markets, such as protecting the
environment.
The same is true for privacy. The government still plays an important role
in protecting privacy, but the legal regulation of privacy in the U.S. private sector
is largely limited to facilitating individual action. For example, Congress
recently enacted federal restrictions on collecting information from children
3 20. See Direct Marketing Association, Frequently Asked Questions to Help You Understand
Direct Marketing <http://www.the-dma.org/topframe/index5.html>. The DMA reports that these
service are used by only two percent of the U.S. adult population.
32 1 . See How the TRUSTe Program Works (visited Dec. 1 , 1 999) <http://www.truste.org>.
322. See BBB Online Privacy Program (visited Dec. 1, 1999) <http://www.
BBBOnLine.org/>.
323. see federal trade commission, individual reference services: a report to
Congress (1997).
1999] PRIVACY PROTECTION 225
online,^^"* and has put in place extensive data protection regulation applicable to
local telephone service^^^ and cable television providers,^^^ which rarely operate
in markets offering consumers real competitive choice. In those and similar
situations, the law provides important but carefully circumscribed, basic privacy
rights, the purpose of which is to facilitate — not interfere with — ^the development
of private mechanisms and individual choice as the preferred means of valuing
and protecting privacy.
Conclusion
An ocean of ink has been spilled comparing European and U.S. privacy
protection and predicting the impact of the EU data protection directive on U.S.-
European relations. At its core, the impact of the directive will be measured by
the provisions of the fifteen member states' national laws transposing the
directive's requirements. As ten of those countries have yet to be heard from,
and in the face of many and frequent political and technological developments,
predictions about the future are not only uncertain, but also likely to be unwise.
With that caution clearly in mind, however, I want to advance five observations
about the changing face of privacy protection in Europe and the United States.
While these may strike many readers as obvious, I believe they are important to
understanding and perhaps even anticipating future developments.
A. The Value of Privacy and the Role of the Government in Protecting It
First, while Europe and the United States share many values, the systems of
privacy protection reflected in the EU directive and U.S. law diverge most
sharply on how much they value privacy, especially in competition with other
goals, and on the appropriate role for the government in protecting privacy. The
directive is based on the stated belief that information privacy is a basic human
right, on par with the rights of self-determination, freedom of thought, and
freedom of expression. Article 1 of the EU directive obligates member states to
protect the "fundamental rights and freedoms of natural persons, and in particular
their right to privacy with respect to the processing of personal data."^^^
The primacy of the right to privacy is further reflected in the text of the
directive, which permits member states to carve out exceptions "for the
processing of personal data carried out solely for journalistic purposes or the
purposes of artistic or literary expressions which prove necessary to reconcile the
right to privacy with the rules governing freedom of expression,"^^^ but only with
regard to two of the directive's substantive provisions. Member states may create
exceptions to the prohibition on processing sensitive data, and the requirement
324. See Children's Online Privacy Protection Act of 1998, Pub. L. No. 105-277, 1 12 Stat.
2681 (1998).
325. See 18 U.S.C. §§ 2510-2520, 2701-2709 (1997); 47 U.S.C. §§ 222, 1001-10 (1997).
326. See 47 U.S.C. § 551(a) (1997).
327. Directive 95/46/EQ supra note 44, art. 1 ( 1 ).
328. Id. art. 9.
226 INDIANA LAW REVIEW [Vol. 33: 173
that data subjects be notified of information processing activities.^^^ By the
omission of any reference to the other substantive rights from the article
permitting exceptions for expressive undertakings, it is clear that the directive's
drafters believe that the protection of privacy is paramount to freedom of
expression and the activities of the press and other authors and artists.
As a result of the extraordinary value, it places on information privacy, the
EU data protection directive requires persons who wish to collect, process, use,
store, and disseminate personal information to register with their national data
protection supervisory authority. This scheme is anathema to the U.S.
constitutional system, which so highly values freedom of expression and of the
press, freedom from government intrusion, and protection of private property,
and which frankly places less value on privacy. Privacy protection in the United
States is fundamentally in tension with other values. Even if the law did not
recognize these competing values and regard privacy as imposing both benefits
and costs, the nation's constitutional commitment to a government of limited
powers, particularly when expression is involved, poses a substantial obstacle to
the creation of government privacy authority. This suggests a core difference
between European and U.S. privacy protection: the extent to which the
government is responsible for protecting information privacy. According to Jane
Kirtley, former Executive Director of the Reporters Committee for Freedom of
the Press:
Privacy advocates urge the adoption of the European model for data
protection in the name of protecting individual civil liberties. But in so
doing, they ignore, or repudiate, an important aspect of the American
democratic tradition: distrust of powerful central government. . . .
[W]hen it comes to privacy, Americans generally do not assume that the
government necessarily has citizens' best interests at heart. . . . The
European paradigm assumes a much higher comfort level with a far more
authoritarian government.^^^
B. The Restriction on Transborder Data Flow
Article 25 of the EU directive only exacerbates the divergence between EU
and U.S. law by seeking to extend European privacy laws beyond the territories
of the nations enacting those laws. This effort is understandable in light of the
directive's treatment of privacy as a human right, and necessary if the privacy of
European nationals is to be protected effectively in a global information
economy. However, Article 25 is justifiably criticized as an effort to establish
European protection for information privacy as a global standard. Because of the
difficulty of separating data collected within Europe from data collected
elsewhere, the directive effectively requires multinational businesses to conform
329. See id.
330. Jane E. Kirtley, The EU Data Protection and the First Amendment: Why a "Press
Exemption " Won 't Work, 80 lOWA L. Rev. 639, 648-49 ( 1 995).
1999] PRIVACY PROTECTION 227
all of their data processing activities to EU law or to self-regulatory or
contractual provisions that mirror EU law. Even businesses that do not operate
in Europe may run afoul of the directive if they collect, process, or disseminate
personal data about European nations or via multinational networks.
As a result, U.S. businesses with interests in personal data collected, stored,
or processed in Europe, and particularly U.S. businesses with operations in
Europe, fear that they will be unable to move those data legally — even if they
"own" them — ^to the United States.
The concerns of non-European information users are not misplaced.
Although the directive only took effect in 1998, the British Data Protection
Registrar has forbidden, under British law, a proposed sale of a British mailing
list to a United States direct mail organization.^^' France, acting under French
domestic law, has prohibited the French subsidiary of an Italian parent company
from transferring data to Italy because Italy did not have an omnibus data
protection law.^^^ The French Commission nationale de I'informatique et des
libertes has required that identifying information be removed from patient
records before they could be transferred to Belgium,^^^ Switzerland,""* and the
United States."^
The United States' fear about the impact of the directive is still further
exacerbated by the EU Working Party's skepticism towards extra-legal
protections for privacy. In the United States, industry self- regulation and private
agreements are the primary means of protecting privacy. So the Working Party's
conclusion that these should be the exception, not the norm, in measuring the
adequacy of privacy protection decreases the likelihood that European data
protection officials will find privacy protection in the United States to be
"adequate."
At its heart, however. Article 25 is merely the most recent evidence of an
expanding phenomenon: the effort to use national or regional law to deal with
fundamentally global issues. As we have already seen, information is inherently
global. It is because of its inherently global character that information has been
the subject of some of the earliest multinational agreements, treaties, and
organizations. Binational postal treaties were concluded as early as 1601
between France and Spain and 1670 between France and England."^ The Postal
Congress of Berne in 1874 established a multinational postal
33 1 . See Office of the [UK] Data Protection Registrar, Seventh Annual Report 33-34(1 990).
332. See Ddliberation No. 89-78 du 1 1 juillet 1989, reprinted in Commission nationale de
i'informatique et des libertes, lOe Rapport 32-34 (1989).
333. See Ddlib^ration No. 89-98 du 26 sept. 1989, reprinted in Commission nationale de
rinformatique et des libertds, lOe Rapport d'activite 35-37 (1990).
334. See Reidenberg, supra note 38, at S 1 63 (citing an interview with Ariane Mole, Attachee
Relations Internationales, Direction juridique de la Commission nationale de I'informatique et des
libertes, Paris, France (Jun. 6, 1991)).
335. See id.
336. See Ludwig Weber, Postal Communications, International Regulation, 5 ENCYCLOPEDIA
OF Public Int'l Law 238 (1983).
228 INDIANA LAW REVIEW [Vol. 33:173
regime — administered today by the Universal Postal Union — seventy- four years
before the General Agreement on Tariffs and Trade was opened for signature.^^^
Today, when data processing is wholly dominated by networked computers,
information is difficult to pinpoint and almost impossible to block, through either
legal or technological means. Digital information not only ignores national
borders, but also those of states, territories, and even individual institutions. Not
surprisingly, the inherently global nature of digital information poses
extraordinary challenges to the power of national governments, and efforts to use
national law to deal regulate information in one jurisdiction often pose
substantial legal and practical issues in another.
This is the conundrum that Article 25 has come to symbolize. If the directive
did not extend to data processing activities outside of the EU, it would be certain
to fail, because of the ease with which those activities can be moved off-shore.
However, by extending its application beyond the jurisdiction of EU member
states, the directive presents a host of international law issues, conflicts with the
information law regimes of other nations, and is hardly more likely to be
effective. If a regulatory approach is to be pursued, then global standards are
necessary. But the conflict between the core values of the European and U.S.
systems of privacy protection makes global consensus on effective privacy
standards little more than a mirage. In short, national approaches to regulating
information are becoming increasingly ineffective, at the very time that the
economic power of information is increasing the pressure for national
governments to pursue those approaches.
C The Search for Compromise
Despite the profound differences in core principles undergirding U.S. and
European privacy law, there is likely to be some accommodation between U.S.
and European interests. Both European and U.S. officials have a significant
economic interest in avoiding such a trade dispute, and both sides have thus far
worked diligently to do so. European data protection officials have shown an
increasing willingness to at least consider the privacy protection models offered
by the rest of the world. The Working Party's later working documents, while
still firm about the definition of "adequacy," are more moderate in tone than were
earlier documents.
United States' officials, for their part, are growing more attentive to
European officials and European concerns. At the same time, as already noted,
both U.S. federal and state government officials are considering increased
legislation and regulation to protect information privacy. While U.S. law is
likely to satisfy the "adequacy" requirement of the EU data protection directive,
all of this activity has given U.S. officials something to talk about, and European
337. See id. ; General Agreement on Tariffs and Trade, opened for signature Jan. 1 , 1 948, 6 1
Stat. 5, 6, T.I.A.S. No. 1700, 55 U.N.T.S. 188. See generally Fred H. Gate,
Introduction — Sovereignty and the Globalization of Intellectual Property, 6 IND. J. GLOBAL LEG.
Stud. 1 (1998).
1999] PRIVACY PROTECTION 229
officials some sign of "positive" movement to seize on, during extensive U.S.-EU
face-to-face exchanges designed to avoid confrontation over data protection.
Moreover, European data protection officials are interested in some level of
compromise not only because of their own desire to avoid a trade war and the
positive signs emanating from the U.S. government, but also because they are
subject to considerable pressure from within Europe. While gaining new stature
by virtue of passage of the directive, European privacy regulators are nonetheless
subject to pressure from European businesses, which do not want their trading
relationships with U.S. companies sacrificed in the interest of data protection;
European consumers, who do not want to be denied the services and products
offered by non-European organizations; and other government officials in
European national governments and in the EU itself, who are anxious to avoid
a trade dispute. And European officials responsible for trade, while not ignoring
privacy issues, have demonstrated a broader, more optimistic view of EU-United
States trade relations.
These trends are clearly in evidence in the current efforts of the U.S.
Department of Commerce and Directorate General XV of the European
Commission to negotiate a "safe harbor" to allow U.S. companies to comply with
the directive, despite the absence of "adequate" data protection law in the United
States. Under the safe harbor, "[o]rganizations within the safe harbor would have
a presumption of adequacy and data transfers from the European Community to
them would continue. Organizations could come within the safe harbor by self-
certifying that they adhere to these privacy principles. The status quo ante would
exist for firms that choose not to take advantage of the safe harbor."^^^
Judging from current drafts, the safe harbor principles are substantially
meaningless; they simply restate the basic principles that undergird the
directive.^^^ Moreover, the negotiations appear to have run aground in recent
weeks in the face of widespread opposition from both Europe and the United
States. The negotiations do, however, reflect the efforts of U.S. and EU officials
to find some common ground on data protection. A recent letter from
Ambassador David L. Aaron, Under Secretary of Commerce for International
Trade Affairs, to U.S. industry leaders signals the tone of the discussions:
We have discovered that, despite our differences in approach, there is a
great deal of overlap between U.S. and EU views on privacy. Given that
and to minimize the uncertainty that has arisen about the Directive's
effect on transborder data transfers from the European Community to the
United States, the Department of Commerce and the European
338. Letter from Ambassador David L. Aaron, Under Secretary for International Trade
Affairs, International Trade Administration, U.S. Department of Commerce, to "Industry
Representatives," (Nov. 4, 1998), available in <http://www.ita.doc.gov/ecom/aaronll4.html>
[hereinafter Letter from Ambassador Aaron].
339. See id. <http://www.ita.doc.gOv/ecom/menu.htm#Safe>; see also Comments of Fred H.
Cate, Robert E. Litan, Joel R. Reidenberg, Paul M. Schwartz & Peter P. Swire on International Safe
Harbor Principles <http://www.ita.doc.gOv/ecom/comabc.htm#cate>.
230 INDIANA LAW REVIEW [Vol. 33: 173
Commission have discussed creating a safe harbor for U.S. companies
that choose voluntarily to adhere to certain privacy principles.^'*^
Moreover, it is also noteworthy that the negotiations involve DG XV, which
deals with the internal market and financial services issues within the EU, rather
than the Article 29 Working Party, which has responsibility for data protection.
In addition to governmental efforts, many U.S. businesses, individually and
as part of industry associations, have engaged in a widespread campaign to
inform European regulators about data protection in the United States, improve
their own privacy practices, and develop innovative extra-legal guarantees of
better privacy protection to EU data protection officials. Obviously, not all of
these efforts are in response to European developments; U.S. businesses are
reacting to domestic consumer and political pressure as well. But the actions of
these businesses, however motivated, are expanding the room for compromise
and increasing the likelihood that at least in some industry sectors in the United
States, data protection will be found to be "adequate."^"*'
Taken together, the efforts of the European and U.S. government officials,
internal European pressures and lack of resources experienced by many European
data protection officials, and the broad-based actions of at least some U.S.
businesses seem likely to diminish the likelihood of a trade war resulting from
enforcement from Article 25 of the EU data protection directive. Certainly there
will be at least limited enforcement of Article 25, and some U.S.
businesses — perhaps many — will be caught unaware. But the possibility of an
outright trade war is remote.^"*^
D. The Role of the Internet
Fourth, regulatory approaches to protection privacy seem ill-suited to the
Internet. The EU directive purports to create broad protection for personal
privacy, but it is ill-suited to a far-flung, inherently global medium such as the
Internet, as EU data protection officials have acknowledged. Recall that the
directive was drafted before the World Wide Web was even invented. In an
expansive information economy, centralized control — based on registration and
direct government oversight — cannot provide meaningful privacy protection.
The directive was designed for a world in which data processing took place in
comparatively few, easily identifiable locations, usually with mainframe
computers. With the power and widely distributed technologies of the Internet
and other digital networks, the directive's centralized approach to privacy
protection is outdated. Moreover, national or regional controls are particularly
easy to circumvent in the Internet environment, simply by moving data
processing activities outside of the territory affected. Finally, the lack of
340. Letter from Ambassador Aaron, supra note 338.
341. See, e.g., John F. Mogg, Comments to the European-American Business Council,
Washington, DC (Mar. 18, 1998).
342. See generally Fred H. Cate, The European Data Protection Directive and European-
U.S Trade, CURRENTS vol. Vii, no. 1, at 61 (1998).
1 999] PRIVACY PROTECTION 23 1
resources for government enforcement, especially when confronted with such
widespread data processing, further diminishes the likely role of the directive as
an effective means of protecting privacy online.
The U.S. legal system's protection for privacy online is similarly limited,
although in very different ways. There is less of a gap between the level of
protection promised by the law and the level actually delivered, because the law
promises substantially less protection to U.S. citizens. At present, the law only
directly protects privacy online in two settings: government collection and use
of data, and the collection of data from children. Otherwise, individuals may use
contracts, agreements with their Internet service providers, technological tools
in Internet browsers and other software, and common sense to protect their
privacy online. The law may be used to enforce private promises, but, in all
areas other than government data processing and data collection from children,
the law largely leaves citizens to their own devices, recognizing that the
technologies of the Internet may be unusually effective in protecting privacy.
The technologies and current structure of the Internet largely frustrate
regulation. That may not always be the case and that certainly does not mean
that effective regulation is always impossible, but merely that it is time-
consuming, expensive, and seldom effective for long. In the now- famous words
of John Gilmore, one of the founders of the Electronic Frontier Foundation, "the
Net treats censorship as damage and routes around it."^"*^ Encryption
technologies, anonymous remailers, multinational access, and other features of
the Internet make it comparatively easy for even unsophisticated users to avoid
regulation, and information that is not available from one online source is almost
certain to be obtainable from another. The effect of much regulation of Internet
content is simply to discourage law-abiding information providers, thereby
leaving a gap that is often filled by less scrupulous providers.
These same technologies that distort the application of laws and facilitate
their evasion also provide important tools for protecting vital interests. Digital
technologies offer individuals enormous privacy protection and the ability to
access information with disclosing anything about themselves. This is not to
suggest that technologies are a panacea or that law is irrelevant, but simply that
the Internet is empowering many people to protect their rights in a way that the
law so far has been able to.
E. The Future of U.S. Information Law
Finally, while the EU system of data protection may be well suited to Europe,
privacy protection in the United States responds to core values in this society and
system of government. Certainly, that protection may be improved, but U.S.
government and business leaders should avoid imposing costly new privacy
protection merely as a sop to European data protection officials. As noted, the
four-part approach to information privacy in the United States highlights
important limits on that protection, reflected in U.S. law, markets, and
343. JudithLewis, Why Johnny Can't Surf, l..\.\^ViL\.,V do. 2\, 1997,at43.
232 INDIANA LAW REVIEW [Vol. 33:173
consumers. Those limits protect other important values, such as free expression;
they avoid imposing unnecessary costs on commercial and social interaction of
all forms, especially electronic; and they protect against creating the illusion of
government-enforced privacy while in fact interfering with the development and
use of more practical means for protecting information about individual citizens.
At heart, the debate about information privacy is fundamentally one about
controlling information. Privacy is often confused with other issues — security,
reliability, verifiability, anonymity, and so on — and to be sure it relates to other
concepts; but at its core privacy is about who controls the collection,
dissemination, storage, and use of information about individuals; under what
authority or compulsion do they exercise that control; and what responsibilities,
if any, attend that control.
In the United States, the law has historically prevented the government from
exercising control over information collection and dissemination by private
individuals and institutions. The law may require disclosure of certain
information, especially to facilitate self-governance and open markets, but it
rarely prohibits disclosure. Instead, U.S. law most often places control over
information in the hands of citizens.
The U.S. approach to information privacy inevitably results in some harm to
individuals' privacy, reputations, and sensibilities. But it reflects a constitutional
calculation that such harm is less threatening to the body politic than the harm
associated with centralized privacy protection, government interference with the
information flows necessary to sustain democracies and markets, and the growing
ineffectiveness of omnibus legal controls in the face of the widespread
proliferation of powerful information technologies. We should be loathe to alter
that delicate constitutional balance lightly, by granting to the government new
authority to interfere with the flow of information in the search for new — but
often illusory and costly — protection for personal privacy.
Identity, Privacy, and the New Information
Scalpers: Recalibrating the Rules of
THE ROAD IN THE AGE OF THE INFOBAHN:
A Response to Fred H. Cate
Ronald J. Krotoszynski, Jr.*
Bernard: Oh Brave New World that has such people in it. Let's start
at once.
John: Hadn't you better wait till you actually see the new world?^
Introduction
Professor Fred Cate makes a powerful and cogent argument against the
adoption of European-style privacy regulations in the United States.^ To the
extent that Professor Cate rests his argument against the adoption of privacy
regulations modeled on the European Union's approach solely on policy-based
grounds, he makes some important, indeed powerful, points. There is, as
Professor Cate suggests, good cause to think that the European Union's approach
overvalues individual privacy interests at the expense of facilitating commerce.^
Even if this is so, however, one might question whether Professor Cate's
preferred approach to privacy protection in the United States — reliance on market
forces to protect privacy interests — is sufficient to the task at hand. Reasonable
minds can and will differ as to whether the market predictably will vindicate the
legitimate privacy expectations of the citizenry.
Recent events, such as Amazon.com's "fun" practice of releasing employer-
by-employer information about employees' purchases from the company,'* or the
* Paul Beam Research Fellow and Associate Professor of Law, Indiana University School
of Law— Indianapolis. I wish to thank Professors Gary Spitko, Michael Heise, Dan Cole, Betsy
Wilborn Malloy, and Lyrissa Lidsky for providing very helpful comments and suggestions on an
earlier draft of this Essay. As always, any errors or omissions are mine alone.
1 . Aldous Huxley, Brave New World 165-66 (1946); cf. William Shakespeare, The
Tempest, act 5, sc. 1, at 124 (Frank Kenmode ed., 6th ed.. Harvard Univ. Press 1958) (Miranda
speaking, "O, wonder!/How many goodly creatures are there here!/How beauteous mankind is! O
brave new world/That has such people in it!). In my view, Huxley's caution is far more prudent
than Shakespeare's blind, unreflective enthusiasm.
2. See Fred H. Cate, The Changing Face of Privacy Protection in the European Union and
the United States, 33 IND. L. REV. 173 (1999).
3. ^ee/flf. at 180-95, 225-30.
4. See David Streitfeld, Who's Reading What? Using Powerful "Data Mining"
Technology, Amazon.com Stirs an Internet Controversy, WASH. POST, Aug. 27, 1999, at Al. This
is hardly innocent. Suppose that employees were afficiandos of Scott Adams' Dilbert cartoons or
were purchasing mass quantities of How to Spruce Up Your Resume titles? All things being equal,
an employee would probably prefer that her employer not have ready access to her reading, music,
or video tastes. For a discussion of the market's failure adequately to protect reasonable privacy
expectations, see Jerry Berman & Deirdre Mulligan, Privacy in the Digital Age: A Work in
234 INDIANA LAW REVIEW [Vol. 33:233
practice of telephone companies selling information about their customers to
third parties,^ raise serious doubts about the wisdom of trusting privacy
protection to the invisible hand's not-so-tender mercies. Moreover, w^hatever the
wisdom of federal or state legislation protecting individual privacy interests, I
disagree quite strongly with Professor Gate's assertions about the legal authority
of the federal or state governments to enact such laws.^ As this Essay will
explain more fully below, the Bill of Rights should not be read to preclude the
vindication of reasonable privacy interests through appropriate legislation, even
if restrictions protecting the confidentiality of personal information incidentally
burden commercial speech or information gathering practices associated with
commercial speech.^
In this era of technological marvels, of virtual reality and e-commerce, it is
all too easy to become enamored of the obvious (and highly touted) benefits of
technology, without giving careful consideration to the costs associated with the
introduction of new technologies on society generally and on each of us
individually. Indeed, the German existentialist philosopher Martin Heidegger
deeply distrusted technology following the turn of the last century.^ Despairing
of modernity and its focus on the here and now, he took to wearing the garb of
a Bavarian peasant and fled to the hills (quite literally to a secluded cabin in the
depths of the Black Forest).^
Heidegger warned that technology threatened what he called the "Enframing"
of "Being." '° By this, he meant that as technology increased the pace of
everyday life, people would find less and less time for meaningful reflection;
individuals would live in the world of mundane tasks (bus to be caught, report to
be filed) rather than "authentically," which for Heidegger meant living every
moment with some consciousness of one's own mortality. '' To the extent that
the wonders of technology lead us to forget the blunt reality of our mortality,
Progress, 23 NoVA L. Rev. 552, 563-68 (1999).
5 . See Shu Shin Luh, FCC to Fight Ruling on Customer Data, WASH. POST, Sept. 4, 1 999,
at E2.
6. See infra Part II.A-B.
7. See infra Part II.A-B.
8. See Martin Heidegger, The Question Concerning Technology, in THE QUESTION
Concerning Technology and Other Essays 3-35 (William Lovitt trans., Garland 1977)
[hereinafter The Question Concerning Technology]', Martin Heidegger, The Turning Point, in id.
at 38-49 [hereinafter The Turning].
9. See RUDIGER SAFRANSKI, MARTIN HEIDEGGER: BETWEEN GOOD AND EVIL 131,1 85-86
(Ewald Osers trans., Harv. Univ. 1998).
1 0. The Question Concerning Technology, supra note 8, at 25-28; The Turning, supra note
8, at 37-41, 48-49.
1 1 . Heidegger referred to this as "authentic" Being — that is to say, making choices and
living with the consequences of these choices with full and actualized knowledge that one has only
a limited period of time in which to exercise the power of choice in light of the certainty of death.
See MARTIN HEIDEGGER, BEING AND TlNlE 78-86, Ch. I, Pt. 2, §§ 12, 293-3 1 1, Ch. II, Pt. 1, §§ 50-
53 (John Macquarrie & Edward Robinson trans., 1962).
1 999] RECALIBRATING THE RULES OF THE ROAD 23 5
technology robs us of our ability to make good choices (that is to say, choices
that we would make if we reflected about a particular matter in light of our own
mortality).
More recently, Theodore Kaczynski embraced a neo-Heideggerian world
view and went about destroying the purveyors of technology with mail bombs.
Kaczynski, of course, is a deluded madman, who saw violence as the only means
of reasserting human control over a world that seemed (to Kaczynski) to be
defined and controlled by technology.'^ Like Heidegger, Kaczynski feared that
society would permit technology to define our humanity rather than harness
technology to accomplish tasks selected independently of technology's ability to
accomplish them.'^
In Kaczynski's view, "[t]he industrial revolution and its consequences have
been a disaster for the human race," and "[t]he continued development of
technology will worsen the situation."'"* He goes on to explain that "[t]he
technophiles are taking us all on an utterly reckless ride into the unknown."^^
Consistent with Heidegger's philosophy, Kaczynski advocates a return to nature
because "[n]ature makes a perfect counter-ideal to technology."'^
I deplore Kaczynski's action plan and believe that, not unlike the Luddites
before him, he did a great deal more harm than good for his cause. Similarly, I
rather doubt that dressing in Bavarian peasant garb and taking to the hills
represents an acceptable plan of action for dealing with the new problems and
challenges that technology presents. If those of us who severely mistrust the
Microsofts of the world, who inevitably pop up every few months bearing new
upgrades, choose to disengage and withdraw from the fray, new technologies
simply will grow unchecked like weeds. Moreover, the consequences of those
technologies will be considered systematically only after they have altered the
basic chemistry of our society.'^ As the saying goes, once released, it is difficult
to put the genie back into the bottle.
It is therefore essential that we ask hard questions of those who would lead
us into a brave new world before agreeing to make the journey. Before we
1 2. See Martin Gottlieb, Pattern Emerges in Bombing Tract, N. Y. TIMES, Aug. 2, 1 995, at
Al; Robert D. McFadden, Times and the Washington Post Grant Mail Bomber Demand, N.Y.
Times, Sept. 19, 1995, at Al; see also Theodore J. Kaczynski, Unabomber Manifesto:
Industrial Society and Its Future (1996).
1 3 . See Kaczynski, supra note 1 2. The Washington Post published Kaczynski ' s Manifesto
in full on Tuesday, September 19, 1995, as a supplement to its regular edition. See PC, Industrial
Society and Its Future, WASH. POST, Sept. 19, 1995. For a more concise version of Kaczynski's
position on technology, see Excerpts from Manuscript Linked to Suspect in 17-Year Series of
Bombings, N.Y. TIMES, Aug. 2, 1995, at A 16.
14. Kaczynski, supra note 12, at 1 ^ 1.
15. Id. at 29, ^ 1 80; see also id. at 20-22.
16. Mat 29, ^184.
1 7. See Elizabeth Einstein, The Printing Press as an Agent of Change ( 1 979); M.
Ethan Katsh, /?/g/z/5, Camera, Action: Cyber spatial Settings and the First Amendment, 104 YALE
L.J. 1681, 1685-92, 1703-17 (1995).
236 INDIANA LAW REVIEW [Vol. 33:233
blithely embrace the ostensible benefits of gizmos and programs that allow us to
do things cheaper, faster, and better (or so we are supposed to believe), we must
first demand answers to serious questions about the desirability of such devices
and their potential social costs.
Technology for technology's sake is no virtue, and a healthy appreciation for
the accomplishments of the past (and the means used to achieve them) is no
vice.'^ Perhaps synthesizers and computer-assisted musical composition will lead
us into a new and wonderful world in which Mozarts, Beethovens, and Verdis
abound. You will have to pardon me if I express some doubts about this; for it
seems that one of the necessary consequences of technology is homogenization
and standardization. A program that assists a composer in creating a bar of music
assists every composer using the same lines of code; it undoubtedly makes
composing easier, but there is likely to be a good deal of sameness to the
resulting compositions.
Similarly, mass production and technology allow anyone with a few hundred
dollars to own a perfectly executed piece of jewelry. One wonders, though, if
these technologies will give us the wonders that Faberge wrought for the Tsars?
At least arguably, the homogenizing effects of technology make it less likely that
someone with the talent of a Faberge will fully realize that talent.
If one looks to many of the great works of art or literature, they are the
product of great suffering and a society that presented hardships and challenges.
Michelangelo's Sistine Chapel is not the product of Java graphics — nor do I think
it ever could be. Richard Wright's Native Son could only have been conceived
and executed by someone who had lived through the horrors and depredations of
Mississippi in the Jim Crow era. Make no mistake, I am not arguing that we
should work to create a world in which prejudice, sickness, and death are
commonplace because an artist's reaction to such conditions can give rise to
works of power and beauty. Rather, I am simply suggesting that the convenience
and comfort that technology often bring may entail greater difficulty in creating
works that are, for better or worse, in part a product of the social conditions
extant at the time of their creation.
I. Drawing the Battle Lines
It is time to draw some battle lines — ^to challenge the unquestioned march of
technology into our lives. To the extent that technology helps us to do things that
we freely seek to accomplish, it is a powerful friend. On the other hand, to the
extent that purveyors of technology seek to force us to change the way we go
about being in the world in order to accommodate a new technology, to the extent
that we are forced to change who we are and how we go about our daily lives
18. See LoRi B. ANDREWS, THE CLONE Age!: Adventures in the New World of
Reproductive Technology (1979) (discussing the potential social impact of new medical
technologies and procedures with particular attention to cloning); George Annas, Some Choice:
Law, Medicine and the Market 3-79, 249-59 (1998) (discussing the ethical questions raised by
new medical technologies and procedures).
1 999] RECALIBRATING THE RULES OF THE ROAD 237
solely in order to accommodate a new technology, we have a legitimate
complaint with the seemingly ceaseless forward march of modernity.
Privacy presents one of these "quo vadis" social questions: Shall we permit
our identities to be bundled and sold like sacks of potatoes, or rather shall we
demand some protection from the power of technology to collect and sell data
about everything from where we bank, to what we earn, to what we watch on
cable television? As Professor Gate says, the need to have such a debate "is
prompted largely by extraordinary technological innovations that are
dramatically expanding both the practical ability to collect and use personal data
and the economic incentive to do so."'^ Moreover, he correctly posits that "[t]he
ramifications of such a readily accessible storehouse of electronic information
are astonishing: others know more about you — even things you may not know
about yourself — ^than ever before."^^
Given this state of affairs, it seems crucial that citizens demand protection
against the involuntary dissemination of confidential information of this sort.^'
Neither my physician nor my banker should enjoy the legal right to sell
information about my physical or financial health. Traditionally, tort law has
prohibited the public disclosure of private facts.^^ There is no reason that
Congress, state legislatures, and state supreme courts should not apply this
traditional common law rule to prevent the unauthorized transfer of highly
personal information from those providing particular goods or services.^^
Indeed, in a variety of contexts. Congress and state governments have acted
to protect the privacy of personal information. The Buckley Amendment, also
known as the Family Educational Rights and Privacy Act ("FERPA"), prohibits
an educational institution from publicly releasing either academic or disciplinary
records without the consent of the student.^"* Violations of the Act are punishable
with the offending institution's loss of all federal education funds.^^ Similarly,
19. Gate, supra note 2, at 175-76.
20. Id. at 178.
21. Cf. James Lardner, I Know What You Did Last Summer—and Fall, U.S. NEWS& WORLD
Rep., Apr. 19, 1999, at 55 (reporting that "[c]orporate America is mobilizing against the threat of
a broad federal privacy-protection law.").
22. See RESTATEMENT (SECOND) OF TORTS, § 652D ( 1 965); see also Lyrissa Barnett Lidsky,
Prying, Spying, and Lying: Intrusive Newsgathering and What the Law Should Do About It, 73
TulaneL. Rev. 173, 198-203 (1998) (describing the nature and scope of the "private facts tort").
23. It is true that, as to media disclosures, the Supreme Court has severely limited the
potential applicability of the private facts tort. See Florida Star v. B.J.F., 491 U.S. 524 (1989);
Lidsky, supra note 22, at 200-01. Of course, those collecting private information of the sort to
which Professor Gate is adverting have absolutely no intention of publishing their lists — doing so
would destroy the economic value of the database. Rather, information brokers seem much more
analogous to Dun & Bradstreet, a financial reporting service, which did not generally make its
analyses available to the general public. See Dun & Bradstreet, Inc. v. Greenmoss Builders, Inc.,
472 U.S. 749(1985).
24. See 20 U.S.G. § 1232g (1994).
25. 5'ee§ 1232g(a).
238 INDIANA LAW REVIEW [Vol. 33:233
most states have enacted statutes protecting the identity of persons tested for the
AIDS virus.^^ One can imagine all sorts of marketing opportunities associated
with a such a list — everything from birth control devices to viatical settlement
plans might be direct-marketed to persons having taken an AIDS test. For better
or worse (in my view for better), those providing such test services cannot profit
by selling the names of clients to entities wishing to direct-market to them, even
if they maintain a database containing the names of such persons.
Viewed from this perspective, the only real question is whether Congress,
state legislatures, and state supreme courts will act to protect us from one of the
more profoundly negative consequences of living in the information age.
Professor Gate, however, does not think that such legislation could be enacted
and enforced constitutionally: "In the United States, however, the government
is constitutionally prohibited under the First Amendment from interfering with
the flow of information, except in the most compelling circumstances."^^ For the
reasons set forth below, I think he is unduly pessimistic about the possibility of
securing appropriate legislation protecting private facts from public disclosure.
That said, I am far from convinced that government will act to protect the
citizenry's reasonable expectations of privacy.^^
II. Reasonable Federal or State Legislation Protecting
AN Individual's Privacy Would Be Constitutional
Professor Cate argues that efforts to protect personal information are
somehow doomed by the First Amendment right of those collecting such
information to disseminate it, or alternatively that such regulation might raise
serious issues under the Takings Clause.^^ Notwithstanding Professor Cate's
objections, with respect to average citizens living average lives, the government
could, if it wished, secure a great deal more information against commodification
and sale than present law protects.
Moreover, one reasonably could take strong issue with Professor Cate's view
that markets will sufficiently protect private information from commodification
and sale.^^ In most instances, disparities of bargaining power will make it
26. See, e.g.. Doe v. Shady Grove Adventist Hosp., 598 A.2d 507, 514 (Md. Ct. Spec. App.
1991) (upholding request for plaintiffs name to remain under seal in lawsuit alleging that hospital
breached a duty to hold the results of an AIDS test confidential); Cal. Health & Safety Code
§§ 120975-121020 (Supp. 1999); MASS Gen. L. ch. 1 1 1, § 70F (1992); TEX. HEALTH & SAFETY
Code Ann. § 8 1 . 1 03 (Vernon 1 992).
27. Cate, supra note 2, at 179-80.
28. See Lardner, supra note 21, at 55 (reporting that "corporate lobbyists have sold
Republican and Democratic leaders alike on the view of the Internet economy as a tender, if vital,
young thing needing protection from, in the words of George Vradenburg, senior vice president for
global and strategic policy of America Online, 'the regulatory mechanisms of the past.'").
29. See Cate, supra note 2, at 1 96-225.
30. See id. at 225 ("In those and similar situations, the law provides important but carefully
circumscribed, basic privacy rights, the purpose of which is to facilitate — not interfere with — ^the
1 999] RECALIBRATING THE RULES OF THE ROAD 239
difficult, if not impossible, for individual citizens to demand that service
providers or merchants refrain from distributing highly personal information. As
one commentator has wryly observed, reliance on market mechanisms and self-
regulation to protect privacy is tantamount to "putting Count Dracula in charge
ofthe blood bank."''
Accordingly, government action is needed to secure basic privacy rights.
Just as the National Labor Relations Act was necessary to ensure parity of arms
in negotiations between workers and management, so too legislation is needed
to secure parity of bargaining power between the general public and the new
information brokers. If left to the market, working class Americans would be at
a considerable disadvantage in disputes with management over the terms and
conditions of their employment,'^ if left to the market, basic expectations of
privacy will not be routinely honored.'' Just as laborers are free to waive their
collective bargaining rights, individuals might choose to waive privacy
protections. The existence of privacy protections should not, however, be left to
the tender mercies of the market (just as basic rights to collective bargaining
should not be, and are not, left to market forces)."^
A, The First Amendment
Professor Cate argues that the Free Speech and Press Clauses of the First
Amendment would preclude the adoption of reasonable privacy legislation.'^ His
position overstates the First Amendment value of facilitating open markets in
highly confidential information about non-public figures that does not implicate
matters of public concern. Simply put, the First Amendment value in distributing
highly personal information about average citizens is, at best, very low.'*^ For
example, the First Amendment value in permitting an insurance company to sell
an average citizen's medical records is slight. The medical records of a sitting
President might present a harder question; the President is the ultimate "public
figure," and the condition of his health is, at least arguably, a matter of public
development of private mechanisms and individual choice as the preferred means of valuing and
protecting privacy."); cf. Berman & Mulligan, supra note 4, at 563-79 (describing the market's
failure adequately to protect reasonable privacy expectations and proposing legislative remedies to
correct these market failures).
31. Lardner, supra note 21, at 56 (quoting Stephen Lau, Hong Kong's "privacy
commissioner").
32. For an example of how markets treated workers in one sector of the economy at the turn
of the last century, see UPTON SINCLAIR, THE JUNGLE (1906).
33. See, e.g., Streitfeld, supra note 4, at 1, 11 (reporting on Amazon.com's practice of
publishing information about customers' buying habits without the overt and freely-given consent
of its customers).
34. See Berman & Mulligan, supra note 4, at 571-79.
35. See Cate, supra note 2, at 203-05.
36. See Dun & Bradstreet, Inc. v. Greenmoss Builders, Inc., 472 U.S. 749, 759 (1985).
240 INDIANA LAW REVIEW [Vol. 33:233
concern.^^ In this regard, one should keep in mind that the Supreme Court's
efforts to protect the free flow of information generally have been limited to
information about public figures or matters of public concern. Purely private
matters relating to non-public figures are not the subject of serious First
Amendment protection.^^ Hence, if John falsely tells his co-workers that Jane
has syphilis, John will be liable in tort for defamation for his slanderous
statement about Jane. If Jane is a non-public figure and her health status is not
a matter of public concern, Jane need only show that the statement was false and
was "of and concerning" her. Indeed, in most states, stating that someone has a
"loathsome" disease is slanderous per se, and damages are presumed at law.^^
Professor Gate is correct, of course, in noting that vast areas of state tort law
have been constitutional ized by New York Times Co.'*^ and its jurisprudential
progeny."*^ He argues that "when information is true and obtained lawfully, the
Supreme Court has repeatedly held that the state may not restrict its publication
without showing a very closely tailored, compelling government interest."'*^
State tort law has not, however, been entirely displaced by First Amendment
values. Indeed, Dun & Bradstreet's inaccurate assertion that a construction
company had filed for bankruptcy led to a judgment for damages against Dun and
Bradstreet. Predictably, Dun & Bradstreet argued that the mistake should not
give rise to liability, except under the "actual malice" standard of New York
Times Co^^
The Supreme Court correctly rejected Dun & Bradstreet's First Amendment
defense. Writing for the plurality. Justice Powell explained that an inaccurate
credit rating neither implicated a public figure nor a matter of public concern. ^*
He also noted that the Supreme Court has "long recognized that not all speech is
of equal First Amendment importance.'"*^ More specifically, "speech on matters
of purely private concern is of less First Amendment concern" than speech
related to the project of democratic self-governance.'*^
Moreover, Justice Powell emphatically rejected Dun & Bradstreet's
argument that the dissemination of credit reports constituted an important
enterprise related to matters of public concern: "There is simply no credible
37. See U.S. CONST, amend. XXV.
38. See Dun & Bradstreet, 412 U.S. at 162-64.
39. See RESTATEMENT OF TORTS § 570 ( 1 938).
40. New York Times Co. v. Sullivan, 376 U.S. 254 ( 1 964).
41 . See Cate, supra note 2, at 203-05.
42. Id. at 204.
43. See Dun & Bradstreet, 472 U.S. at 75 1 . This standard requires a plaintiff to show that
the defendant not only published a false and damaging statement about the plaintiff, but that it did
so either with actual knowledge of its falsity or in reckless disregard of its truth or falsity. See also
Hustler Magazine v. Falwell, 485 U.S. 46, 52 (1988).
44. See Dun & Bradstreet, 472 U.S. at 760, 762.
45. Id at 758.
46. Id. at 759; see ALEXANDER Meiklejohn, Free SPEECH AND ITS Relation to Self-
GOVERNMENT 22-27 (1948).
1 999] RECALIBRATING THE RULES OF THE ROAD 24 1
argument that this type of credit reporting requires special protection to ensure
that 'debate on public issues will be uninhibited, robust, and wide open.""*^
Justices Rehnquist and O'Connor joined Justice Powell's opinion, and Chief
Justice Burger and Justice White concurred in the judgment — including Justice
Powell's rejection of any special First Amendment protection for credit reports/^
The reasoning of Dun & Bradstreet strongly suggests that the states are far
from powerless to prevent the unauthorized collection and distribution of
personal information when such collection and distribution is potentially harmful
to the subjects of the information. Accordingly, the state of Vermont was free
to impose liability on any standard requiring a showing of fault.
Although one should be cautious against reading too much into Dun &
Bradstreet, the case seems to support the proposition that state legislatures and
the Federal Congress could enact legislation that protects private information
from collection and/or disclosure without the permission of the person about
whom the information relates."*^ The specific information in Dun & Bradstreet
47. Dun & Bradstreet, 472 U.S. at 762 (quotations and citation omitted); see Meiklejohn,
supra note 46, at 24-25.
48. See Dun & Bradstreet, 472 U.S. at 763-64 (Burger, C.J., concurring); id. at 765-74
(White, J., concurring).
49. Professor Gate correctly notes that the Supreme Court "has struck down laws restricting
the publication of confidential public reports, and the names of judges under investigation. Juvenile
suspects, and rape victims." Gate, supra note 2, at 204 (citations omitted). These precedents may
not support his broader argument, however. For example. New York Times Co. v. United States,
403 U.S. 7 1 3 ( 1 97 1 ), a.k.a. "The Pentagon Papers Gase," involved an executive order (not a statute)
against publication of "information whose disclosure would endanger the national security," based
on "the constitutional power of the President over the conduct of foreign affairs and his authority
as Gommander-in-Ghief {not the imposition of liability after the fact, pursuant to statutory law).
See id. at 718 (Black, J., concurring). Several justices were quite careful to emphasize this very
point. See id. at 727-31 (Stewart, J., concurring); id. at 731-40 (White, J., concurring); id. at 743-
48 (Marshall, J., concurring). Gases involving public officials or matters of public concern are also
inapposite. See Dun & Bradstreet, 472 U.S. at 756-63. This leaves Florida Star, the case involving
publication of a rape victim's name in violation of a state statute. See Florida Star v. B.J.F., 491
U.S. 524(1989).
Although Florida Star might raise some questions regarding restrictions on the print media's
publication of such materials, in the absence of publication, one reasonably could be skeptical that
Florida Star would necessarily govern. Indeed, given that Florida Star involved criminal charges
in the public courts, it would be very easy to limit the reasoning of the case and its precedential
value, given the Supreme Gourt's consistent practice of requiring that the press enjoy reasonable
access to public court proceedings and the right to report on such proceedings. See, e.g. , Richmond
Newspapers, Inc. v. Virginia, 448 U.S. 555 (1980); Nebraska Press Ass'n v. Stuart, 427 U.S. 539
(1976). The Supreme Gourt has been much less receptive to claims involving a right to gather
information, when the information gathering techniques violate laws of general applicability. See
Seattle Times Go. v. Rhinehart, 467 U.S. 20 (1984); Branzburg v. Hayes, 408 U.S. 665 (1 972). The
Supreme Gourt also has permitted the imposition of liability on the press for breaching a promise
of confidentiality on general principles of state tort and/or contract law. See Gohen v. Gowles
242 INDIANA LAW REVIEW [Vol. 33:233
was, of course, false, and therefore outside Professor Gate's assertion about the
nature of contemporary First Amendment law. Nevertheless, the states or
Congress could enact privacy-protection laws that limit the legal means of
obtaining information about non-public figures involving matters that are not of
public concern.^^
Take, for example, the information associated with the processing of health
insurance claims. If Indiana wished to enact a statute prohibiting the transfer of
such information without a patient's consent, it is difficult to believe that the
First Amendment would prevent the enforcement of such a law.^' That is to say,
the state could enact legislation that precludes an insurance company or HMO
from disclosing such information without a patient's or plan participant's prior
consent.
In many respects, laws shielding the identity of persons testing positive for
AIDS are similar in nature. In order to encourage persons to seek testing and
treatment for HIV, many communities have adopted privacy laws that prohibit
the disclosure of test results to anyone but the patient.^^ The First Amendment
does not preclude state or local governments from preventing testing agencies
from selling lists of persons who tested positive for the virus.
Although a privacy law protecting the confidentiality of medical records
more generally would be significantly broader in scope, such legislation would
not necessarily fail judicial review. The core concern of the First Amendment
is democratic self-governance, not the marketing of medical goods or services.^^
It also seems self-evident that protection of commercial speech does not
necessarily imply a right to disclose otherwise confidential information. "Drink
Coca-Cola" is quite different from buying a list of persons with halitosis and
mailing them information on "The Halitosis Connection Dating Service" (the
"HCDS"). Although HCDS could undoubtedly advertise its services without
government censorship, its ability to collect and use confidential private
information incident to such marketing efforts presents a very different question.
Let me be clear: I am not suggesting that privacy rights exist independent of
particular statutory protections. Thus, if Blue Cross/Blue Shield decided to sell
Halitosis Connection a list of persons receiving reimbursements or subsidies for
drugs associated with treating halitosis, there would be no impediment to the
transaction absent some positive legislation. In this sense, Professor Cate is quite
correct to assert that, absent some positive law delimiting the right to obtain or
distribute particular information, Blue Cross/Blue Shield would be perfectly
Media Co., 501 U.S. 663 (1991); see also Lidsky, supra note 22, at 184-93, 200-01.
50. See Lidsky, supra note 22, at 203-26 (arguing that legal limits on newsgathering
techniques are consistent with the First Amendment and suggesting the tort of intrusion as an
appropriate device to limit intrusive newsgathering techniques).
51. See Branzburg v. Hayes, 408 U. S. 665 ( 1 972); see also Cohen v. Cowles Media Co., 50 1
U.S. 663 (1991).
52. See sources cited supra note 25.
53. See Meiklejohn, supra note 46, at 25-27.
1 999] RECALIBRATING THE RULES OF THE ROAD 243
entitled to sell lists of persons with halitosis to would-be marketers.^"* As against
purely private companies, privacy protections exist only by operation of
legislation creating privacy interests.^^ That said, a rational legislature could
conclude that certain information is sufficiently personal to warrant the
protection of legislation (i.e., statutes protecting the identities of persons testing
positive for HIV, tuberculosis, or other communicable and socially stigmatizing
diseases).^^
With regard to lawyer solicitations, the U.S. Supreme Court has upheld
complete bans on in-person solicitations and even permitted the imposition of
time delays before written solicitations can be mailed to the victims of accidents
and disasters.^^ In upholding restrictions on truthful, non-misleading written
solicitations, the Court credited Florida's interest in protecting accident victims
from the trauma of vulture-like lawyer behavior; the lawyer's interest in
communicating truthful information to potential plaintiffs was insufficient to
outweigh a kind of privacy interest on the part of victims.^^
The Florida Bar expressly defended the prohibition on soliciting disaster
victims on privacy grounds: "The Florida Bar asserts that it has a substantial
interest in protecting the privacy and tranquility of personal injury victims and
their loved ones against intrusive, unsolicited contact by lawyers."^^ The
Supreme Court had "little trouble crediting the Bar's interest as substantial,"
explaining that "[o]ur precedents leave no room for doubt that 'the protection of
potential clients' privacy is a substantial state interest. "'^°
One should note that, like Justice Powell in Dun & Bradstreet, Justice
O'Connor emphasized that the scope of First Amendment protection is
intrinsically related to the nature of the speech at issue. Hence, "[tjhere are
circumstances in which we will accord speech by attorneys on public issues and
matters of legal representation the strongest protection our Constitution has to
offer."^' According to the majority, direct mail solicitations to the victims of
disasters and their families fell well outside this category of speech activity. ^^
Although one might question whether the trauma of receiving a lawyer's
solicitation letter is as great as Justice O'Connor seems to believe, the logic of
Went For It should squarely apply to legislation aimed at protecting the
54. See Lidsky, supra note 22, at 193-98; see also S. Elizabeth Wilborn, Revisiting the
Public/Private Distinction: Employee Monitoring in the Workplace, 32 Ga. L. Rev. 825, 832-38,
862-66, 879-86 (1998) (describing the absence of privacy protections against non-governmental
employees and proposing federal legislation to extend reasonable privacy protections to employees
of non-governmental employers).
55. 5ee Wilborn, ^Mpm note 54, at 879-87.
56. See id. at 876-83.
57. See Florida Bar v. Went for It, Inc., 515 U.S. 618 (1995).
58. See id. at 624-26, 634-35.
59. Mat 624.
60. Id at 625 (quoting Edenfied v. Fane, 507 U.S. 761, 769 (1993)).
61. /^. at 634.
62. See id. at 635.
244 INDIANA LAW REVIEW [Vol. 33:233
confidentiality of highly personal information.
Indeed, if Professor Gate is correct, educational institutions should be free
to sell information regarding their students' academic progress. Undoubtedly,
Stanley Kaplan or some other entity offering tutoring services would appreciate
a list of students currently on the brink of academic probation. Of course, the
Buckley Amendment would prevent Indiana University from selling such
information to Stanley Kaplan. Professor Gate, however, seems to be of the view
that a law largely identical to the Buckley Amendment would potentially violate
the First Amendment.^^ I think it very doubtful that a reviewing court would
absolve Indiana University of liability under the Buckley Amendment if this
school's dean, Norman Lefstein, elected to sell student academic records to
would-be marketers. The analysis should not be any different just because an
Internet service provider happens to be the information broker.
Professor Gate responds that the Supreme Gourt has never upheld limits on
the dissemination of truthful speech.^"* As he puts it, "all of the cases [Professor
Krotoszynski] puts forward as supporting government restraints on information
involve false express ion. "^^ This is simply not true: Went for It upholds
limitations on truthful, non-misleading commercial speech by lawyers in order
to vindicate important privacy interests.^^ Justice O'Connor's opinion in Went
for It expressly balances the community's interest in privacy against the value of
certain commercial solicitations by lawyers and holds that the State of Florida
may constitutionally strike a balance in favor of privacy at the expense of
commercial speech (at least in some circumstances).^^ Professor Gate is free to
lament this turn in the Supreme Gourt' s free speech jurisprudence, but it does not
seem reasonable simply to deny the existence of the precedent Went For It
establishes in this field.^^
63. See Gate, supra note 2, at 203-05.
64. Seeid.'dXM'in*.
65. Id.
66. See supra notes 57-62 and accompanying text.
67. See Went For It, 515 U.S. at 634-35.
68. Although one should normally abjure attempting to predict the future, the Supreme
Court's decision in Wilson v. Layne, 1 19 S. Ct. 1692 (1999), has potential relevance to the First
Amendment questions that Professor Gate's article raises. In Wilson, the Supreme Gourt held that
local and federal law enforcement officers could not constitutionally invite media representatives
to participate in "ride along" activities that included filming at the homes of persons subject to a
lawful arrest warrant. See id. at 1697-99. Ghief Justice Rehnquist, speaking for a unanimous court
(at least on this point), explained that the Fourth Amendment's protection of privacy precludes law
enforcement officials from facilitating the filming of the execution of arrest warrants over the
objections of the arrestees. "We hold that it is a violation of the Fourth Amendment for police to
bring members of the media or third parties into a home during the execution of a warrant when the
presence of third parties in the home was not in aid of the execution of the warrant." Id. at 1699.
Along the way, the Gourt rejected a First Amendment defense of the practice of media ride-alongs,
explaining that "the Fourth Amendment also protects a very important right, and in the present case
it is in terms of that right that the media ride-alongs must be judged." Id. at 1698. On the facts at
1 999] RECALIBRATING THE RULES OF THE ROAD 245
B. The Takings Clause
In the alternative, Professor Gate argues that the Takings Glause would raise
serious constitutional problems for legislation designed to vest individual citizens
with the right to control access to personal information gathered by doctors,
creditors, or educational institutions: "Data protection regulation may
legitimately prompt takings claims."^^ According to Professor Gate, "[a] data
processor exercises property rights in his data because of his investment in
collecting and aggregating them with other useful data."^^ He concludes that "[a]
legislative, regulatory, or even judicial determination that denies processors the
right to use their data could very likely constitute a taking and require
compensation."^^ All that said, whether or not particular information belongs to
the entity that collects it seems to be something about which reasonable
legislative minds might disagree^^
The Takings Glause only protects property interests; property, in turn, exists
at the sufferance of state governments. The Supreme Gourt consistently has
refused to recognize property interests arising directly under the Constitution.^^
This approach is probably mistaken; if liberty interests arise directly under the
issue in Wilson, the citizen's interest in privacy simply outweighed any First Amendment benefits
that the practice of media ride-alongs might provide. A similar analysis should govern in a case
presenting a challenge to reasonable privacy legislation. See, e.g. , Cable News Network v. Noriega,
917 F.2d 1543 (11th Cir.) (balancing CNN's right to broadcast the Noriega tapes against General
Noriega's Sixth Amendment interest in a fair trial), cert, denied, 498 U.S. 976 (1990); cf. id. at 976-
77 (Marshall, J., dissenting from the denial of a writ of certiorari).
69. Id at 207.
70. Id at 208.
71. Id
72. For example, one might assume that one owns her own body, its parts, and the DNA that
controlled the creation of those parts. The California Supreme Court did not so view the matter.
See Moore v. Regents of the Univ. of Cal., 793 P.2d 479 (Cal. 1990), cert, denied, 499 U.S. 936
( 1 99 1 ). That said, one could easily imagine a decision going the other way (which is precisely how
the intermediate California appellate court had ruled). See Moore v. Regents of the Univ. of Cal.,
249 Cal. Rptr. 494 (Ct. App. 1988), rev'd, 793 P.2d 479 (Cal. 1990); see also William Boulier,
Note, Sperm, Spleens, and Other Valuables: The Need to Recognize Property Rights in Human
Body Parts, 23 HOFSTRA L. REV. 693 (1995); Michelle Bourianoff Bray, Note, Personalizing
Personality: Toward a Property Right in Human Bodies, 69 TEX. L. Rev. 209 (1990). The
Takings Clause would not require compensation to either losing party; the state is free to establish
a property right in either the patient or the hospital, and the creation of that property right does not
raise any serious Takings Clause issue. It is possible that the decision might raise substantive due
process concerns if the court's (or legislature's) decision seemed utterly irrational or arbitrary. See
Ronald J. Krotoszynski, Jr., Fundamental Property Rights, 85 GEO. L.J. 555 (1997).
73 . See, e.g. , Board of Regents v. Roth, 408 U.S. 564 ( 1 972) (holding that property interests,
unlike liberty interests, arise only by operation of positive law and requiring a would-be plaintiff
to establish a "legitimate claim of entitlement" under existing state law to demonstrate a cognizable
property interest in a government job or benefit).
246 INDIANA LAW REVIEW [Vol. 33:233
Constitution, it stands to reason that the Constitution also should limit the states'
ability to extinguish or define away the existence of property rights.^"^
Nevertheless, the Supreme Court, in a variety of contexts, has made clear that
property interests arise only by operation of positive law; what the state giveth,
the state can taketh away (at least prospectively).^^
A state legislature could simply pass legislation declaring that no property
interest accrues from the collection of personal data. Thus, if a Kroger elects to
track its customers' grocery purchases, it would be free to do so.^^ If it attempted
to assert a regulatory takings claim in response to state legislation prohibiting it
from selling such a list, the claim would fail because the Takings Clause only
applies in instances where a property interest has been implicated.
Indiana is particularly instructive in this regard. For reasons that are non-
obvious, the state legislature passed a cap on actual damages resulting from
medical malpractice. No matter what the plaintiffs actual damages, a plaintiff
cannot recover more than $1.25 million.^^ The Supreme Court of Indiana
sustained this law on a broad-based constitutional attack, including claims arising
under the due process and equal protection clauses.^^
Indiana has effectively revoked the property (or liberty) interest that one has
in physical integrity. The legislature snatched a stick from the citizen's bundle
of property rights (evidently when not many citizens were looking, or at least
failed to appreciate the gravamen of this law).^^ If positive law can deny a citizen
the ability to recover for damages to her person due to negligence, it seems
logically to follow that the state could define away Kroger' s property interest in
its customer database.
Indeed, a sufficiently privacy-loving legislature could go one step further and
enact legislation creating an individual property interest in one's confidential
personal information and authorizing actions for damages when such information
is released without the consent of the person about whom the information relates.
It is easy to imagine such a law.
Consider the parallel fates of Monica Lewinsky, Justice Clarence Thomas,
and Judge Robert Bork. Independent Counsel Kenneth Starr attempted to force
Kramerbooks and Barnes & Noble, two Washington, D.C. bookstores, to disclose
74. See Krotoszynski, supra note 72, at 583-90, 6 1 5-25.
75. See, e.g., Cleveland Bd. of Educ. v. Loudermill, 470 U.S. 532 (1985); O'Bannon v.
Town Court Nursing Ctr., 447 U.S. 773 (1980); Arnett v. Kennedy, 416 U.S. 134 (1974); Punikaia
V. Clark, 720 F.2d 564, 566 (9th Cir. 1983), cert, denied, 469 U.S. 816 (1984).
76. Many grocery stores can and do collect data on their customers, most commonly through
"frequent shopper" programs that involve identification cards that permit the store to track a
customer's purchasing patterns. See Lena H. Sun, Checking Out the Customer, Wash. Post, July
9, 1989, at HI.
77. See IND. CODE § 34-18-14-3(a)(3) (1998).
78. See Johnson v. St. Vincent Hosp., Inc., 404 N.E.2d 585, 598-601 (Ind. 1980); see also
Frank Cornelius, Crushed by My Own Reform, N.Y. TIMES, Oct. 1, 1994, at A31; Krotoszynski,
supra note 72, at 610 n.344.
79. See Cornelius, supra note 78.
1 999] RECALIBRATING THE RULES OF THE ROAD 247
Ms. Lewinsky's recent purchases.^^ Opponents of Justice Thomas's appointment
to the Supreme Court and Judge Bork's nomination to the Supreme Court sought
and obtained information regarding their video rental habits,^' which, in the case
of Justice Thomas, ostensibly included some relatively racy titles.**^ A state
legislature could easily conclude that customers of video rental establishments
should be able to assert a privacy claim against the disclosure of their rental
records without consent.^^ The Supreme Court probably would not strike down
such legislation on either First Amendment or Takings Clause grounds.
Similarly, an insurance company's claim to a proprietary interest in an insured
person's medical history also is something that a rational state legislature could
reject, probably without encountering serious constitutional difficulties.
Professor Cate responds that the Congress and state legislatures are
powerless to adopt legislation that upsets "reasonable investment-backed
expectations," citing Ruckelshaus v. Monsanto Co}^ in support of this
proposition.^^ He fails to mention the Supreme Court's explicit reliance on the
existence of a pre-existing property right under Missouri law as a necessary
incident of invoking the Takings Clause. As Justice Blackmun explains in
Monsanto, "we are mindful of the basic axiom that 'property interests ... are not
created by the Constitution. Rather, they are created and their dimensions
defined by existing rules or understandings that stem from an independent source
80. See David Stout, Lewinsky 's Bookstore Purchases Are Now Subject of Subpoena, N. Y.
Times, Mar. 26, 1 998, at A 1 (reporting on Independent Counsel Kenneth Starr's efforts to force two
Washington, D.C. bookstores to divulge Monica Lewinsky's book purchases over the previous 28
months and the bookstores' decision to fight Starr's subpoena); David Streitfeld & Bill Miller,
Starr's Quest for Book Titles Faces High Bar, WASH. POST, Apr. 10, 1998, at Bl (same).
81. See Amitai Etzioni, Privacy Isn 't Dead Yet, N. Y. TIMES, Apr. 6, 1 999, at A5 (describing
how Judge Bork's experience led to adoption of the Video Privacy Protection Act, 18 U.S.C. §
27 1 0); Michael deCourcy Hinds, Personal But Not Confidential: A New Debate over Privacy, N. Y.
Times, Feb. 27, 1988, at 56 (providing an account of Judge Bork's experience and the uproar that
followed); Jeffery Yorke, The Call-In People 's Court, Wash. Post, Oct. 29, 1 99 1 , at C7 (reporting
on rumors that Justice Thomas rented pornographic video tapes from Graffiti 's, a Washington, D.C.
video rental store).
82. See Yorke, supra note 81.
83. Indeed, Congress has already passed such legislation in response to Judge Bork's
experience of having his viewing habits put on public display incident to his confirmation hearings.
See The Video Privacy Protection Act, 18 U.S.C. § 2710 (providing both criminal and civil
penalties for disclosing any "personally identifiable information" about a video rental store patron
absent the patron's prior written consent). Although case law under the Video Privacy Protection
Act is scant, at least one civil suit has gone forward, without any serious First Amendment
challenge to the law. See Dirkes v. Borough of Runnemede, 936 F. Supp. 235 (D.N.J. 1996)
(permitting a civil action pursuant to the Video Privacy Protection Act to move forward against
both a video rental store and third parties who distributed the Dirkes' video rental records).
84. 467 U.S. 986 (1984).
85. See Cate, supra note 2, at 173 n.*.
248 INDIANA LAW REVIEW [Vol. 33:233
such as state law.'"^^ Thus, Monsanto's takings claim was entirely contingent on
Missouri law affirmatively recognizing a property interest in trade secrets,
including the specific data at issue in the case.
After examining the matter in some detail, Justice Blackmun concludes that
"[w]e therefore hold that to the extent that Monsanto has an interest in its health,
safety, and environmental data cognizable as a trade secret property right under
Missouri law, that property right is protected by the Takings Clause of the Fifth
Amendment."^^ The contingent nature of the takings claim on the substance of
Missouri state law could not be more clear, or more expressly stated. If Missouri
modified its substantive law to abolish the property interest in trade secrets, it
would preclude a takings claim identical to the claim raised by Monsanto for data
assembled after the new law's effective date. The Monsanto Court's subsequent
discussion of "reasonable investment-backed expectations" takes place against
this backdrop of state positive law, and is entirely contingent on Missouri's
decision to recognize a property interest in the data at issue.^^
To put the matter in some context, consider Congress's recent decision to
extend the life of copyrights from the life of the author plus fifty years to the life
of the author plus seventy years.^^ Simply put, in 1998 Congress enacted
legislation extending by twenty years the life of copyrights. If Congress were so
inclined, it could have reduced the term of copyrights to two years, or set the
term at any point it deemed prudent.^° Even if such legislative action upset
"reasonable investment-backed expectations," such a law would not trigger the
Takings Clause, at least insofar as the law purported to have merely prospective
effect. Since 1 937, the Supreme Court has not attempted to establish substantive
limits on the powers of the state and federal governments to tinker prospectively
with the content or scope of property rights. Accordingly, adoption of state laws
prospectively limiting the ability of information scalpers to collect and sell
personal information would not exceed the meager limits imposed on such
policies by the substantive aspect of the Due Process clause.^'
86. Monsanto, 467 U.S. at 1001 (quoting Webb's Fabulous Pharmacies, Inc. v. Beckwith,
449 U.S. 155, 166 (1980)). Webb's Fabulous Pharmacies, Inc., in turn, quoted language from
Board of Regents v. Roth, 408 U.S. 564, 577 (1972).
87. Monsanto, 467 U.S. at 1003-04.
88. See id. at 1004-16.
89. Compare the 1976 version of 17 U.S.C. § 302(a) ("Copyright in a work created on or
after .January 1, 1978 subsists from its creation and, except as provided by the following
subsections, endures for a term consisting of the life of the author and fifty years after the author's
death."), with 1 7 U.S.C. § 302(a) (Supp. IV 1998) ("Copyright in a work created on or after January
1, 1978 subsists from its creation and, except as provided by the following subsections, endures for
a term consisting of the life of the author and 70 years after the author's death.")
90. See U.S. Const, art. I, § 8, cl. 8 ("The Congress shall have the power . . . [t]o promote
the Progress of Science and useful Arts, by securing for limited Times to Authors and Inventors the
exclusive Right to their respective Writings and Discoveries.").
91. Cf. Lochner v. New York, 198 U.S. 45 (1905) (holding that economic liberty
guaranteed by the Due Process clause precluded New York from adopting health and safety
1 999] RECALIBRATING THE RULES OF THE ROAD 249
To be sure, it is certainly possible that market mechanisms might incent
video rental stores or bookstores to promise confidentiality in order to attract
privacy-minded customers.^^ Nevertheless, the citizenry should not be forced to
rely solely on the market to protect its privacy interests. After all, neither the
First Amendment nor the Takings Clause is a mutual suicide pact. Properly
understood, neither provision presents a serious impediment to the adoption of
reasonable privacy legislation.^^
C Conditional Spending and Privacy Rights
Let us suppose, for the moment, that one would be wrong to think that the
First Amendment and/or the Takings Clause, properly construed, would permit
a state to adopt legislation protecting the privacy interests of its citizens. Even
if one supposes that the First Amendment and/or the Takings Clause preclude
direct privacy protections, a sufficiently privacy-loving state government (or the
federal government) could nevertheless prevent a good deal of private
information from being commodified and sold like bags of potatoes. ^"^
When the government elects to subsidize the delivery of particular goods or
services, it may condition its willingness to do business with potential providers
of goods or services on those providers agreeing to particular terms or conditions.
For example, the receipt of federal family planning funds might be conditioned
on the recipient clinic refusing to provide any meaningful information about
abortion services.^^ Similarly, the decision to fund particular kinds of art does
regulations governing maximum weekly hours of employment in a bakery); Truax v. Corrigan, 257
U.S. 3 12 (1921) (invoking the Due Process clause to impose substantive limits on Arizona's ability
to define the scope of property rights associated with ownership of a restaurant).
92. Scott McNealy, chairman and CEO of Sun Microsystems, has stated publicly that "[y]ou
already have zero privacy — get over it." Etzioni, supra note 8 1 , at 27. If Mr. McNealy 's approach
is representative of the Internet industry's attitudes toward privacy issues, I seriously question
whether reliance on market mechanisms will prove sufficient to protect reasonable privacy
expectations. See, e.g., ^iXQ\ifQ\d, supra noXQ A.
93. Indeed, the Clinton administration has recently issued proposed regulations governing
access to individual medical records. See Standards for Privacy of Individually Identifiable Health
Information, 64 Fed. Reg. 59,91 8 (proposed Nov. 3, 1 999); see also Robert Pear, Clinton to Unveil
Rules to Protect Medical Privacy, N.Y. TIMES, Oct. 27, 1999, at Al ("The Proposed regulations
would be the first comprehensive Federal standards specifically intended to protect the
confidentiality of medical records."). The President proposed the new rules because Congress
failed to meet a self-imposed statutory deadline for enacting legislation in this area. See Pear,
supra. The proposed rules have proven controversial, and their ultimate fate remains uncertain.
See Robert Pear, Rules on Privacy of Patient Data Stir Hot Debate, N.Y. TIMES, Oct. 30, 1 999, at
Al.
94. See generally Berman & Mulligan, supra note 4, at 571-79.
95. See Rust v. Sullivan, 500 U.S. 173 (1991); Kathleen M. Sullivan, Unconstitutional
Conditions, 1 02 Harv. L. Rev. 1412(1 989); c/ William W. Van Alstyne, The Demise of the Right-
Privilege Distinction in Constitutional Law, 81 Harv. L. Rev. 1439 (1968).
250 INDIANA LAW REVIEW [Vol. 33:233
not imply that the government must fund all kinds of art.^^
The federal and state governments are among the largest purchasers of
medical services. Literally billions of dollars pass through the Medicare and
Medicaid programs. Either the federal or a state government could condition
participation in the Medicare and Medicaid programs on respecting the privacy
interests of plan participants, perhaps by not disclosing patient information to
third parties without prior patient consent. A health care provider who wished
to create and sell patient lists would remain free to do so, provided, of course,
that it did not take Medicare or Medicaid funds.
A similar sort of arrangement protects student grade and disciplinary records
from public disclosure. If I were to locate and publish Dan and Marilyn Quayle's
transcripts from this law school, the law school's continued participation in all
federal educational programs would be jeopardized (notably including student
loan programs).
All of this is a rather round about way of saying that, if government has the
will to protect confidential personal information, multiple avenues of potential
relief exist. The failure of the federal and state governments to protect such
information adequately to date has a great deal more to do with the lobbying
power of those who profit by trading in such information than with the weakness
of the legal tools at the government's disposal.
III. The Need to Rethink the Public/Private Dichotomy in
THE Context of Privacy Rights
At a more theoretical level. Professor Gate's article raises, rather squarely,
the age old question of precisely where to draw the line between the government
and the private sector. Historically, the private sector has been free to disregard
the constitutional limitations applicable to the government. Thus, the City of
Indianapolis could not fire an employee for subscribing to the political goals of
the National Organization for the Reform of Marijuana Laws ("NORML"),
whereas IBM could do so. The theory behind this result is that the state presents
a far greater threat to liberty than does the private sector.
If the Framers had foreseen the advent of Microsoft, one might question
whether they would have created a system that assumes that only the government
is the enemy of liberty. ^^ As Professor Owen Fiss has argued in various contexts,
in contemporary times, the state can be as much the friend of individual liberty
as its enemy.^^ This is doubly so when one contrasts government efforts to
enhance personal liberty through progressive legislation with the liberty-
squelching behavior of large corporate interests.^^
At least arguably, the creation of new and vast capabilities to create and
96. See National Endowment for the Arts v. Finley, 524 U.S. 569 (1998).
97. See Wilborn, supra note 54, at 828-3 1, 864-76.
98. See Owen M. Fiss, Silence on the Street Corner, 26 SUFFOLK U. L. REV. 1 ( 1 992).
99. See Scott Edwin Sundby, Is Abandoning State Action Asking Too Much of the
Constitution?, 17 HASTINGS CONST. L.Q. 139, 144 n.ll (1989).
1 999] RECALIBRATING THE RULES OF THE ROAD 25 1
disseminate data make the private sphere even more potentially threatening to
individual liberty. '^^ If this is so, legal academics, judges, and legislators should
rethink the wisdom of limiting basic privacy protections to the government. Of
course, the extension of privacy protections to non-state actors, like Anthem or
Blue Cross/Blue Shield, would require positive legislation. If the community
concludes that the principal contemporary threat to individual liberty is the
collection and dissemination of intensely personal information by private
information brokers, then it would be entirely appropriate to rethink the wisdom
of maintaining the public/private distinction in this particular area.
Conclusion
I am not a great fan of the new information age — I am not yet convinced that
"faster, cheaper, better" will mean that we live qualitatively better, more
fulfilling lives. '°' Professor Cate's article presents a rather nightmarish scenario
in which our very souls can be digitized, commodified, and sold to the highest
bidder. If this is truly the import of the information age, one should question
whether we are not losing a great deal more than we are gaining in the bargain.
Nevertheless, there is no stopping the information revolution. China has
tried and failed. '^^ The ubiquity of technology means that, like it or not, we will
all have to readjust our lives to accommodate new technological realities. One
must hope, however, that the federal courts resist the temptation to "Lochner-'izo''
the info-bahn.
Some of the arguments contained in Professor Cate's article could be
deployed in an attempt to use the First Amendment and Takings Clause to create
a kind of constitutional "liberty of contract" for information service brokers. JUst
as industrial production and the benefits of economies of scale led capitalists at
the turn of the last century to reject social welfare legislation as an untenable
interference with freedom of contract, it appears likely that similar arguments
will be mustered on behalf of the information brokers. Just as the federal courts
eventually came to realize that laws protecting men, women, and children from
dangerous or unfair terms and conditions of employment were not
unconstitutional, let us hope that federal and state courts do not interpose the Bill
of Rights to thwart legislation and common law precedents designed to check the
worst abuses of the new information brokers.
Markets failed to protect labor at the turn of the last century. There is every
reason to believe that markets will fail to protect privacy at the turn of this
100. See Berman & Mulligan, supra note 4, at 563-68.
101. See Andrews, supra note 18, at 248-60 (arguing that new biological technologies,
including cloning, are not inherently beneficial or harmful, but require careful debate about ethics
and culture before they are embraced).
1 02. See Scott E. Feir, Comment, Regulations Restricting Internet Access: Attempted Repair
of Rupture in China 's Great Wall Restraining the Free Exchange of Ideas, 6 Pac. Rim L. & POL'Y
J. 361 (1997).
252 INDIANA LAW REVIEW [Vol. 33:233
century. History teaches that if there is money to be made by collecting highly
personal information and selling it to the highest bidder, someone will undertake
to provide this service — absent some legal impediment to doing so. Let us hope
that the federal and state courts will take a lesson from the past and embrace,
rather than reject, progressive legislation aimed at securing a modicum of
personal privacy in the new information age.
The Internet Is Changing the Face of
American Law Schools
Henry H. Perritt, Jr.*
Introduction
Information technology, especially as deployed in the Internet's World Wide
Web ("the Web"), is changing the law, the ftinctioning of legal institutions and
the roles of lawyers. The Internet's potential for changing the face of American
law schools is especially profound.
Legislatures, courts, and statutory bodies all over the world are discovering
how a $3000 Internet-connected computer can be a remarkably cheap legal
printing press through which new statutes, court decisions and administrative
regulations can be communicated instantly to anyone in the world. Thus used,
the Internet is an engine of legitimacy for new political and legal institutions
because they can communicate their work and their reasoning to their own
citizens and the international community.
Readily available court decisions are necessary components of any rule of
law that depends upon consistent decisionmaking. A low-cost personal computer
("PC") connected to the Internet becomes a virtual library through which a judge,
legislator or government official can consult the laws of other jurisdictions and
international bodies such as the European Commission, the European Court of
Human Rights and the World Trade Organization. Such a virtual library makes
legal harmonization possible.
The Internet also affords easier participation in political and legal processes.
Legislatures and administrative agencies regularly publish proposed laws and
regulations on the Web and solicit comment from interested persons. ' Comments
can be submitted by e-mail simply by clicking a link on the Web page. Internet
connectivity eases the formation and maintenance of political action groups and
Non-Governmental Organizations ("NGOs").^ However, the Internet not only
favors those seeking to change governmental policy or incumbent governments
but also enables established governments to inform their constituencies of
policies and the underlying rationales. When disputes arise, the Internet
facilitates adjudication by making it easier to find court dockets, exchange
litigants' materials^ and file papers with judicial officers."*
* Dean and Professor of Law, Chicago-Kent College of Law, Illinois Institute of
Technology. Member of the bar: Virginia, Pennsylvania, District of Columbia, Maryland, Illinois,
and the U.S. Supreme Court.
1 . See, e.g. , National Telecommunications and Information Administration (last modified
June 1, 1999) <http://www.ntia.doc.gov> (soliciting comments on several telecommunication
policies); Federal Communications Commission (visited July 13, 1999) <http://www.fcc.gov>
(instructions on how to submit electronic comments).
2. See generally Henry H. Perritt, Jr., Cyberspace and State Sovereignty, 3 J. INT'L LEGAL
Stud. 155(1 997); Henry H. Perritt, Jr., The Internet and the Sovereign State: The Role and Impact
of Cyberspace on National and Global Governance, 5 IND. J. GLOB. LEG. STUD. 423 (1998).
3. See, e.g.. The Center for Information Law and Policy (visited July 13, 1999)
254 INDIANA LAW REVIEW [Vol. 33:253
The Internet is not only an instrument of legal procedure and political action;
it is also a means of commerce.^ Like other means of commerce, e-commerce
gives rise to disputes which must be adjudicated.^ Internet contracts, like any
other contracts, sometimes lead to disappointed expectations and to breach-of-
contract lawsuits. Statements made through Internet e-mail, offers made to
consumers on Web sites, private data collected through electronic orders,
pictures allegedly infringing copyright, and symbols allegedly infringing
trademarks all give rise to tort and statutory disputes.^ Sometimes these disputes
arising in Cyberspace give rise to suggestions that new legal principles should be
applied to resolve them because of the Internet's unique characteristics.^ Such
Cyberlaw proposals must be evaluated against claims that the Internet is a
different medium for commercial transactions.
As commerce moves to the Web and the Internet, so do criminals. Fraud,
forgery, extortion, and theft of property already are serious threats. To combat
this intrusion effectively, law enforcement personnel, and the lawyers who advise
and direct them, must be able to understand the details of crimes committed in
Cyberspace.
For the potential of electronic legal publishing, virtual legal libraries and
electronic democracy to be realized, lawyers performing judicial, parliamentary,
and administrative functions must understand the Internet's potential and be
knowledgeable about its use by other legal institutions around the world.
For practicing lawyers who advise or represent clients and forjudges hearing
Cyberspace disputes or criminal prosecutions, some knowledge of the new
medium and of the legal issues it produces is necessary for professional
effectiveness. One could go seriously astray in analyzing a judicial jurisdiction
<http://www.cilp.org>.
4. See Henry H. Perritt, Jr., Video Depositions, Transcripts and Trials, 43 EMORY L.J.
1071 (1994).
5. See Janine S. Hiiler & Don Lloyd Cook, From Clipper Ships to Clipper Chips: The
Evolution of Payment Systems for Electronic Commerce, 17 J.L. & COM. 53 (1997); Kerry Lynn
Macintosh, How to Encourage Global Electronic Commerce: The Case for Private Currencies on
the Internet, 1 1 Harv. J.L. & TECH. 733 (1998); Henry H. Perritt, Jr., Legal and Technological
Infrastructures for Electronic Payment Systems, 22 RUTGERS COMPUTER & TECH. L.J. 1 (1996).
6. See generally HENRY H. PERRITT, JR., LAW AND THE INFORMATION SUPERHIGHWAY
(1996) (analyzing contract, tort, intellectual property, jurisdictional and various regulatory issues
raised by the Internet).
7. See Maureen A. O'Rourke, Fencing Cyberspace: Drawing Borders in a Virtual World,
82 Minn. L. Rev. 609 (1998) (considering appropriate legal treatment of linking and framing);
Henry H. Perritt, Jr., Property and Innovation in the Global Information Infrastructure, 1996 U.
Chi. Legal F. 261 (1996); Dan Thu Thi Phan, Note, Will Fair Use Function on the Internet?, 98
COLUM. L. Rev. 1 69, 1 73 ( 1 998) (explaining why current or expanded fair-use concept is important
for the Internet).
8. See Henry H. Perritt, Jr., Cyberspace Self-Government: Town-Hall Democracy or
Rediscovered Royalism? , 12 BERKELEY TECH. L.J. 413 (1997); Josh A. Goldfoot, Note, Antitrust
Implications of Internet Administration, 84 Va. L. Rev. 909 (1998).
1999] THE INTERNET 255
issue, for example, if one believed that a document requested from a website is
necessarily physically present or necessarily is communicated through the
Internet-connected computer from which it is requested. In fact, a request for a
document, made by clicking an icon displayed by a Web server, often merely
connects the requester's computer to a third computer containing the requested
information. The third computer may be half way around the world from the
computer originally contacted.
Those interested in developing a rule of law and an effective legal profession
must think about how lawyers, judges, legislators and administrators will get the
requisite knowledge.
It is the Internet, more than information technology in general, that offers the
potential to do all these things. Focusing on frame relay, ATM (Asynchronous
Transfer Mode), proprietary videoconferencing techniques, or on any other
proprietary approach not closely linked to the TCP/IP and http protocols that
define the Internet and the World Wide Web is a distraction. It is important to
understand that what makes the Internet special in regard to law, legal institutions
and legal education is its modular character and universality.
Before the Internet, one could distribute or acquire information by an
electronic network, but one had to invest in establishing the network itself, invest
in software at both ends of the connection, and other infrastructure features. By
using the Internet, one can take the network for granted. One can assume Web
server and browser sofl^vare at both ends of the connection. In other words, one
can take the infrastructure and user interface for granted and concentrate on the
particular value-added features that are within one's own particular competence.
United States law schools have an important role to play in connection with
these revolutionary phenomena. They can and should support electronic
publishing and virtual library initiatives by public institutions. They must
continue to perform their functions of generating intellectual and human capital
in the form of scholarship and well-educated graduates, taking into account the
new substantive legal issues presented by the Internet. It is increasingly clear
that the Internet provides a new set of educational tools — ^tools for "distance
learning." More schools must begin to understand how these tools can be used
to improve the quality of their teaching.
I. Supporting Electronic Publishing and the Virtual Library
The Internet is a means of making existing, and mostly state-based, public
institutions more effective.^ The Internet functions as a virtual library, a medium
for electronic publishing, and a case manager. '° The virtual library and electronic
9. "Effective" signifies improvements in democratization and legitimacy as well as
improvements in efficiency. Often, efficiency conflicts with democratization and legitimacy. In
the short run, transparency usually impairs efficiency.
1 0. Electronic publishing has multiple effects: in the first as a technique for improving the
functioning of courts and other existing institutions; in the second as an example of the
transformation of information markets; and in the third as an influence giving rise to new political
256 INDIANA LA W REVIEW [Vol. 33:253
publishing functions are interdependent. The extent of the virtual library
depends upon the scope of relevant electronic publishing. John Dawson
explained how the wide availability of legal tests promoted the unification of
legal systems in his classic, The Oracles of the Law}^ The Internet, by making
it easier for lawyers in different legal cultures to access information about other
cultures similarly promotes unification. Constitutionalism and human rights are
ripe for this kind of unification. The restricted set of authoritative texts, about
a dozen new constitutions and the Universal Declaration of Human Rights, the
International Covenant of Civil and Political Rights and the European
Convention on Human Rights ("ECHR"), and relatively limited output of
specialized courts should enhance the feasibility of constructing a complete
electronic information system that encompasses all relevant precedent. There is
the possibility that these institutions will develop a common case law, not
necessarily in the stare decisis sense that a case from the Czech Republic will
bind a Slovenian court, but in the sense that all of the state decisions within the
United States make up a common case law. Such harmonization would make
constitutionalism and human rights law a truly international set of norms rather
than a patchwork differing from state to state. National courts and legislatures
must be tied to supranational ones; an ECHR decision or an Organization for
Security and Cooperation in Europe ("OSCE") finding cannot influence a
national judge or legislator if he does not know about it. That is where the
Internet enters; it enables him for find such a decision and use it as justification
for his own.
A new international court, or a national one trying to enhance principled
decisionmaking need not have these aspirations frustrated by a poor traditional
law library. The virtual library function also enhances the legitimacy of the
institutions using it. A controversial case by the constitutional court in the Czech
Republic may be more difficult to vilify if it is factually similar and decided
similarly as a case decided by a constitutional court in Slovenia, if the analogous
case is known and recognized by the Czech judges.
A rich variety of national materials from the same country, national materials
from other countries and international materials from the ECHR are available
through the Web. Access to them can be organized easily and cheaply by
constructing specialized Web pages oriented toward the types of cases in the
areas of law most frequently of interest to a particular tribunal. The Venice
Commission recognizes the potential of such an information infrastructure for the
intermediaries.
1 1 . John P. Dawson, The Oracles of the Law ( 1 968). Dawson explains the importance
of dissemination of legal texts and decisions through law reports:
One main theme that will recur throughout this study is that the reasoned opinion,
issued by the judge as a function of his office, is modern product. I will also contend
that the assumption by judges of a duty to publish their own official statements of
reasons has transformed their relationship to other agencies for the declaring and
making of law.
Id. at xii.
1999] THE INTERNET 257
constitutional courts by publishing their opinions and developing a conceptual
topology or thesaurus to index opinions according to their subject matter.'^
Electronic publishing is a tool to promote compliance as well as increasing
efficiency and legitimacy. The Bosnian Ombudsman, a creature of the Dayton
Accords, is a feature of human rights law. Someone alleging a human rights
violation may file a complaint with an ombudsman, triggering the ombudsman's
duty to investigate. If settlement is achieved, the ombudsman's job is complete.
If it is not achieved, the ombudsman may publicize the human rights violation,
seeking to mobilize domestic and world opinion to induce the offending
governmental entity to resolve the dispute and to mend its ways.
Inherent in the ombudsman tradition and nomenclature is the idea that
informal means, particularly public opinion, can be an effective alternative to
more traditional, formal court judgments and coercive enforcement and execution
of them. That is where the Internet comes in. The Internet is a startlingly
effective new tool for mobilizing public opinion through electronic publishing.
Not only does electronic publishing on the Internet enhance the power of
official judicial institutions, the vast network of interested nongovernmental
organizations and human rights advocates around the world can focus public
attention by adding their own indexes and analytical frameworks to raw material
developed and published by the ombudsman. The need for translations into other
languages need not delay publishing. The basic findings can be posted in the
native language of the ombudsman with anyone else anywhere in the world
performing the translation function through the World Wide Web.
Electronic publishing is profoundly important in preserving a rule of law and
enhancing democracy. Freedom of information is an essential feature of
responsive government. In the past, freedom of information meant a right in the
press and public to obtain information on paper upon request. Now, freedom of
information means more. It means the possibility of accessing virtually the entire
stock of public information generated by governments at the click of a mouse
button. ^^ This is significant not only for the convenience of citizens and their
representatives who can retrieve information quickly and cheaply but also for
governments who can disseminate information cheaply. Now, even small
countries like Macedonia can expect their information resources to be widely
available even though the market for government information from such small
countries is likely to be too thin for traditional publishing initiatives. Because the
Internet reduces costs, it lowers barriers to entry and makes it easier for even
smaller bodies of information to be made available.
The case management function permits documents filed anywhere to be
available from everywhere the court desires. New constitutional courts need not
establish regional court houses or be integrated with a hierarchy of trial courts
in order to be accessible to individual claimants. The case management function
12. The European Commission for Democracy Through Law ("the Venice Commission")
is an advisory body on constitutional law, organized within the Council of Europe.
13. See generally Henry H. Perritt, Jr., Sources of Rights to Access Public Information, 4
Wm. & Mary Bill Rts. J. 179 (1995).
258 INDIANA LAW REVIEW [Vol. 33:253
also permits confidential deliberations among the judges and conferences with
counsel without all of them having to be in the same place at the same time.
Using the Internet in this fashion, to automate adjudication, and to link it to
an increasingly unified body of substantive law, does not require any change in
the formal organic or procedural documents for the potential institutional users
in Eastern and Central Europe. Nevertheless, the mere existence of technology
does not change international law; people have to use the technology for certain
activities.
The Internet is a vast virtual library. In order for this library to have a
collection, however, individuals and institutions possessing relevant information
must place it on computers connected to the Internet. Moreover, other
individuals and institutions must provide a value-added layer of bibliographic
information pointing to primary documentation. For example, the full text of
treaties must be placed on the Internet, and someone must also organize a list of
treaties with pointers to the text of the treaties, which may be located on a
multiplicity of servers. Many of those providing the bibliographic information
may choose to standardize the typologies or thesauri for indexing documents, but
they need not do so. One of the Internet's major advantages is the diversity of
approaches to information retrieval.
The rest of the world is just starting to take advantage of the Internet's
potential for electronic publishing and virtual libraries. The United States is far
ahead both in terms of its electronic publishing and virtual library activities, and
in terms of its freedom of information policies. That does not mean, however,
that there is not much work yet to be done in the United States. For one thing,
much state and municipal information is hard to find in paper formats. The
markets for such information are not large enough to induce private publishers
to distribute such materials. Few local governments have the technical expertise
or the motivation to organize several Web sites. Accordingly, law schools,
especially those with a local or regional orientation, can perform a valuable
service by working with state and local authorities and local bars to get primary
material such as municipal ordinances and housing and zoning codes on the Web.
Law schools can do more. To start, every law school should make sure that
its law review is available in full text form on the Web. The main purposes of
law reviews are to provide a special educational opportunity for law students and
to disseminate new contributions to legal scholarship. They are not primarily
commercial enterprises. Thus, if placing the full text of law review articles on
the Web facilitates dissemination and provides practical opportunities for law
review students to learn about Web-based publishing, the Web initiative will
fulfill law review purposes — it is irrelevant if Web publishing decreases "sales"
of the paper volumes of the law review.'"*
Law schools and law professors also play an important role when they
organize "portals" and "one-stop shopping centers" for legal content placed on
the Web by somebody else. Faculties and deans should encourage this kind of
14. See Bernard J. Hibbets, Last Writes?: Re-assessing the Law Review in the Age of
Cyberspace, 71 N.Y.U. L. REV. 615 (1996) (suggesting web-based formats for law reviews).
1999] THE INTERNET 259
publishing and enhancement activity by their faculty colleagues.
Both the placement of primary information and the publication of
bibliographic aids is facilitated by the Internet. An Internet server can be
established for a little as $3000. All it takes to publish a document on the server
is to save it in a particular format (hypertext markup language "html") from
either of the two most popular word processing programs, Microsoft Word or
Corel's WordPerfect, and then to "publish it" to a particular directory on the
server — a single step in either of the two most popular Internet Web browser
programs, Microsoft's Internet Explorer or Netscape's Communicator. For an
institution such as a court that regularly generates textual judgments or opinions,
the process of web publishing can be automated with a few simple scripts that
take word processing files and automatically formats and publishes them to an
appropriate Web server directory, which automatically generates indexes and
tables of contents as new opinions or judgments are added.
The preparation of bibliographic aids also is simple. All one needs is a
concept for organizing the information. For simple content, one simply keys the
text for the usually hierarchical arrangements for organizing the information
resources and links the entries on the word processing documents to the URLs
for the full documents. Typically, the linking can be done with one mouse click
in popular word processing programs and Web browsers. The typology or
thesaurus then is published to a Web server in the same fashion used for primary
documents. The Web server containing the bibliographic information may be
anywhere in the world and need not have any pre-established relationship with
the Web server containing primary documents.
Unfortunately, not all governments make their information resources
available for electronic access. The reluctance of some foreign governments
stems from the Communist era in which public access to information about
government activities either was unnecessary or was actively opposed. In other
instances the motivation is not to discourage public participation in government,
but to make money. Many government institutions recognize the economic value
of government information in electronic form and also recognize that
monopolists can extract more revenue by maintaining their monopolies and
discouraging competition. Accordingly, they set up government-run or
government-sponsored monopolies to sell access to their information resources
and block access by others.'^
State sponsored monopolies involving government information are
undesirable for a number of reasons. Monopolies make it easier for censorship
to occur. Because monopolists have no economic incentive to introduce new
technologies, monopolies usually perpetuate older information technologies, thus
depriving consumers of the benefits of new technology. Monopolies rarely serve
the needs of particular consuming communities as well as a competitive market
15. See Perritt, supra note 13, at 184 (explaining and criticizing agency temptations to set
up state monopolies over government information); Henry H. Perritt, Jr., Should Local
Governments Sell Local Spatial Databases Through State Monopolies?, 35 JURIMETRICS J. 449,
454-55(1995).
260 INDIANA LAW REVIEW [Vol. 33:253
structure can serve them because no monopolist can understand and cater to the
needs of specialized communities as well as a designer and producer who
narrowly specializes.
Accordingly, information policy should commit to and encourage a diversity
of sources and channels for government information.^^ This policy is best
implemented by a legal framework that grants anyone a right of access to basic
government information and also gives everyone a privilege to publish that
information in electronic form or otherwise.'^
There will always be commercial and economic forces aimed at creating
information monopolies. Law schools, their universities and their faculties must
vigilantly oppose such monopolies at the state or local level. When appropriate,
they should support litigation by Web-based publishers against those who seek
to enforce monopolies.
Effective use of information technology also needs technical support. The
Internet is easy to use, but work is required to make it so. Any legal publishing
or virtual library initiative must allocate sufficient resources to network
administration, technical support personnel and training. Often, a university-
based effort benefits from the availability of relatively low cost student resources
in meeting these needs.
1 6. A good example of a commitment to a policy of diversity is expressed in the Paperwork
Reduction Act Amendments of 1996, Pub. L. 104-13, 109 Stat 163 (May 22, 1995), which
amended 44 U.S.C. § 3506 to read as follows, in material part:
(d) With respect to information dissemination, each agency shall —
(1) ensure that the public has timely and equitable access to the agency's public
information, including ensuring such access through —
(A) encouraging a diversity of public and private sources for information based on
government public information;
(B) in cases in which the agency provides public information maintained in electronic
format, providing timely and equitable access to the underlying data (in whole or in
part); and
(C) agency dissemination of public information in an efficient, effective, and
economical manner . . . ."
44 U.S.C. § 3506(d)(1) (Supp. Ill 1997).
1 7. See Henry H. Perritt, Jr. & Christopher J. Lhulier, Information Access Rights Based on
International Human Rights Law, 45 BUFF. L. REV. 899 (1997). In the United States, the
Paperwork Reduction Act amendments to 44 U.S.C. § 3506(d) appropriately continue:
(4) [With respect to information dissemination, each agency shall] not, except where
specifically authorized by statute —
(A) establish an exclusive, restricted, or other distribution arrangement that interferes
with timely and equitable availability of public information to the public;
(B) restrict or regulate the use, resale, or redissemination of public information by the
public;
(C) charge fees or royalties for resale or redissemination of public information; or
(D) establish user fees for public information that exceed the cost of dissemination."
44 U.S.C. § 3506 (d)(4).
1999] THE INTERNET 261
A number of American law schools, beginning with Chicago-Kent, Cornell
and Villanova, have been pioneers in showing how the Internet can be used to
facilitate dissemination of primary legal information. Cornell established a
seamless channel for making Supreme Court opinions available on the Internet.
The Center for Information Law and Policy ("CILP"), which the author
originated at Villanova and now directs from Chicago-Kent, established the
"Federal Web Locator" — a one-stop shopping center for access to every federal
agency Web server. The CILP also led a consortium of law schools, including
Emory, Pace, Texas and others, in organizing the "Federal Court Locator," a
distributed database of all U.S. appellate court opinions, downloading them
automatically from court-system electronic bulletin board computers to Web
servers maintained by these law schools. Now, dozens of law schools maintain
Web sites that facilitate access to specialized bodies of legal information
available through the Web.
The author also led an effort, beginning with Project Bosnia in 1996, to
encourage foreign law schools and other legal institutions to launch similar
projects. One of the most notable successes is the Macedonian Legal Resource
Center ("MLRC"), maintained by the Skopje law faculty in Macedonia. By
going to the MLRC website,^^ one can get the full text of major Macedonian legal
resource materials. The MLRC is a good example of how a law faculty can help
the profession embrace the possibilities of the new technologies.
These schools and others can continue their leadership by: committing to
free availability of basic legal information through the Web; allowing multiple
publishing channels; and supporting university- and bar association-based efforts
to educate judges and practicing lawyers on the new possibilities for legal
institutions and new legal issues likely to arise from electronic commerce.
II. Developing Intellectual and Human Capital
Supporting the electronic printing press and virtual library are not enough;
as legal issues arise from the Internet's use for commerce and conversation, we
must also provide ideas for policy makers and educate lawyers, in the bench and
the bar. Law faculties specialize in educating legal professionals and, in most
parts of the world, law faculties recognize the need to include in their educational
programs some exposure to issues at the frontier of legal thinking and analysis.
The Internet is a source of such issues.
A. Developing Intellectual Capital
Increasingly intellectual capital is beginning to be generated for these
problems. The most ambitious project is the Internet Jurisdiction Project ("UP")
of the American Bar Association. Begun by the ABA Business Law Section, it
now is co-sponsored with the International Law, Science and Technology and
Public Utilities sections. Based at Chicago-Kent College of Law, at the Illinois
1 8. Robertino Poposki & Gjorge Ivanov, The Macedonian Legal Resource Center (visited
July 14, 1999) <www.pf.ukim.edu.mk>.
262 INDIANA LAW REVIEW [Vol. 33:253
Institute of Technology, and led by reporter Margaret Stewart, a professor at
Chicago-Kent, the project will report at the year 2000 Annual Meeting of the
ABA in London. The UP will analyze jurisdictional issues and eight different
areas of law, including privacy, tax, consumer protection, banking and financial
services, contracts for the sale of goods, contracts for services, and intellectual
property.
Many different sections of the ABA regularly hold programs on the legal
applications of the Internet. Additionally, the National Academy of
Sciences/National Research Council commissioned a major policy analysis of
encryption policy, which was completed in 1996. It now has underway, in
cooperation with the German American Academic Committee, an investigation
of "global networks and local values."'^
Law review articles are proliferating, exploring issues as diverse as
jurisdiction in cyberspace, electronic signatures, appropriate application of
contract avoidance rules when consumers are taken advantage of, and the like.^°
As often happens with early scholarly exploration of new phenomena, many
of the articles simply identify the issues raised as commerce and political activity
moves to the Internet. Increasingly, however, commentators are beginning to
suggest specific ways of adapting or replacing traditional legal doctrines to
handle these Internet disputes more appropriately. Jack Goldsmith's proposal,
that personality-based jurisdiction may be the best answer to jurisdiction
problems, is one good example.^' Peter Swire's distinction between "elephants"
and "mice" is another because it focuses attention on the sharply different
problems associated with large enterprises doing business on the Internet, where
the challenge may be to prevent overreaching by national law, and small
enterprises and individuals engaging in harmful activity on the Internet, where
the problem more likely is to be underconclusive and ineffective enforcement.^^
Larry Lessig, David Johnson, and David Post explore possibilities that new
1 9. The author serves as a member of the committee.
20. A January 30, 1 999 Westlaw search of the "JLR" database revealed 772 documents with
the word "Internet" included in their title. See, e.g., James Garrity & Eoghan Casey, Internet
Misuse in the Workplace: A Lawyer's Primer, 72 FLA. B.J, 22 (Nov. 1998); Michael R. Gottfried
& Anthony J. Fitzpatrick, The Internet Domain Name Landscape in the Wake of the Government 's
"White Paper, " 42 B. B.J. 8 (Dec. 1998); Robert L. Ullmann & David L. Ferrera, Crime on the
Internet, 42 B. B.J. 4 (Dec. 1998); Dawn A. Edick, Note, Regulation of Pornography on the
Internet in the United States and the United Kingdom: A Comparative Analysis, 21 B.C. INT'L &
COMP. L. Rev. 437 ( 1 998); Christopher E. Friel, Note, Downloading a Defendant: Is Categorizing
Internet Contacts a Departure from the Minimum Contacts Test?, 4 ROGER WILLIAMS U. L. REV.
293 (1998); Josh A. Goldfoot, Note, Antitrust Implications of Internet Administration, 84 Va. L.
Rev. 909 (1998); Sandi Owen, Note, State Sales & Use Tax on Internet Transactions, 51 Fed.
COMM. L.J. 245(1998).
21. See Jack L. Goldsmith, Against Cybernarchy, 65 U. CHI. L. Rev. 1 1 99 ( 1 998).
22. See Peter P. Swire, Of Elephants, Mice, and Privacy: International Choice of Law and
the Internet, 32 iNT'L LAW. 99 1 , 1 0 1 9 ( 1 998) (defining elephants as large enterprises such as AOL
and mice as small enterprises and individuals).
1999] THE INTERNET 263
forms of interaction popularized by the Internet might be good guides for the
legal system more generally .^^ And the author has explored how the Internet may
change international law, and the possibilities for self- governance.^"*
Sufficient momentum is underway with respect to research and scholarship,
and other mechanisms for generating intellectual capital that little need be done
to stimulate this activity. It is inevitable that law school faculties will continue
to explore legal applications of the Internet and related information technologies.
B. Developing Human Capital
Law schools also must adapt legal education to encompass the Internet. In
doing so, they must distinguish between technology as an educational tool, and
technology as a source of legal problems that lawyers help solve. Educating legal
professionals about information technology as a tool sharpens needed skills. All
law students should know how to use a personal computer ("PC") for word
processing and email, and all should know how to use the Web. Increasingly,
law students learn this on their own, often before they enter law school. Part of
a law faculty's responsibility is to reinforce the need for these skills, to expect
the skills of their students and to provide supplementary instruction as necessary
for students who lack the requisite skills. The same approach is appropriate for
newer skills such as ability to publish a Web page, and basic knowledge of
database design and use. A competent law graduate for the 2V^ Century should
know how to publish a Web page as easily as sending an email message.
Educating legal professionals about the legal problems arising from the
Internet ultimately will occur in the regular curriculum, just as learning about
contract problems resulting from use of the telephone and learning about torts
arising from automobile use are covered in the regular contracts and torts classes
respectively. At present, however, there are few teaching materials that cover
Internet-related problems, and few faculty are sufficiently familiar with how the
Internet is used in commerce and how it functions to generate their own.
Two initiatives by law schools and legal publishers thus are needed in the
near term. First, they should undertake to develop teaching materials and equip
willing faculty with knowledge of Internet commerce. Second, they should offer
courses such as "Computer Law," "Internet Law" or "Cyberlaw." Such courses
23 . See David R. Johnson & David Post, Law and Borders — The Rise of Law in Cyberspace,
48 Stan. L. Rev. 1367, 1370 (1996); Lawrence Lessig, The Constitution of Code: Limitations on
Choice— Based Critiques of Cyberspace Regulation, 5 CommLaw CONSPECTUS 181 (1997).
24. See Perritt, supra note 8, at 4 1 7 (suggesting points of tangency between cyberspace and
other legal systems and rules of thumb for sovereign deference to cyberspace "sovereignty;" "self-
governance may be more efficient; the rules and/or the adjudicatory techniques for applying the
rules may need to be different from those of the surrounding community; it may be impracticable
to apply the rules of the surrounding community; or compliance with basic norms of the community
may be higher when members of the subcommunity participate in self-governance); Perritt, supra
note 2, at 425; Henry H. Perritt, Jr., The Internet Is Changing International Law, 73 Chi-Kent L.
Rev. 997(1998).
264 INDIANA LAW REVIEW [Vol. 33:253
should cover the following subjects:
( 1 ) Introduction to Internet technology, stressing the function of routers
in packet-switched networks, and the architecture of http, ftp, and
mail protocols;
(2) Contract formation via electronic networks;
(3) Authentication and electronic payment systems;
(4) Tort issues in the Internet, including standards for intermediary
liability;
(5) Jurisdiction to prescribe, to adjudicate, and to enforce;
(6) Intellectual property in the Internet, especially copyright and
trademark;
(7) Computer crimes, with an emphasis on definition, detection and
apprehension;
(8) Consumer fraud and breach of Internet access service contracts; and
(9) Relationship of the Internet to the public switched telephone system
and its regulation.
These subjects can be covered adequately in a one-semester course, meeting
three hours per week, if students already have sufficient grounding in basic
contract, tort, jurisdiction, crimes and administrative law, and if the instructor is
appropriately selective in assigning materials to permit in-depth analysis of
examples rather than a superficial description of a multiplicity of problems in
each topic.
For law schools it is difficult to decide how to approach Internet-related
issues that eventually should be covered in regular law school courses. Unlike
the case with primary and secondary public school education, it is not the legal
academy's tradition to make collective judgments about the content of the
curriculum. The challenge is to induce individual teachers, without interfering
with their academic freedom to design their own courses, to teach their students
about the legal issues which arise when commerce and other human activity
moves to the Internet.
One way to accomplish this goal is to ensure that Internet problems and cases
creep into the case books. Most law professors structure their courses around
case books. As interesting issues in contracts, torts, procedure and property are
solved by appellate courts,^^ casebook authors no doubt will begin to include
these cases, and the problem gradually will take care of itself.
But the process can be accelerated. More and more law professors are
becoming exposed to Internet issues through the American Association of Law
Schools ("A.A.L.S."). For example, the A.A.L.S. program in January, 1999,
included many sessions dealing with some aspect of the Internet. Notably, the
sessions were not sponsored by the section on Law and Computers; they were
sponsored by the mainstream sections on contracts, conflicts of law, property and
civil procedure. Programming of this sort, which is likely to continue and
25. A January 30, 1999 search of the Westlaw "allcases" database revealed 168 cases with
the word "Internet" in their syllabus or headnotes.
1999] THE INTERNET 265
intensify, will convince law professors all around the country, in the full range
of law schools, that Internet issues define the frontier of their subject areas.
Motivated professors will expose their students to these issues on the frontier
if they can do so at tolerable costs. Two ways exist to reduce costs for these law
professors. One way is to make it easier for them to learn about the basic
technological features of the Internet that matter in resolving legal disputes.
Another way is to make anthologies of legal commentary, caselaw and statutory
law available to them for a transitional period until the regular case books include
such materials.
III. Using New Tools FOR Teaching
The Internet can be a tool for legal education as well as the subject of
scholarship and education. New Internet- and Web-based technological tools,
grouped generally under the rubric of "distance learning," offer new
opportunities to enhance legal education.
Distance learning, as the term is used in this article, extends to all uses of
computers, telecommunications, and digital networking technologies that permit
education to occur outside a conventional classroom. Thus defined, it includes
preparation of video tapes of lectures, pre-programmed Computer Assisted Legal
Instruction ("CALI") exercises, and use of the Web to deliver these and other
materials. These technologies have been around for several decades. The more
interesting distance learning opportunities focus on newer technologies and new
combinations of older technologies. In particular, digitized video and audio
presentations can be delivered through the Web, and through appropriately
designed Web pages, video and audio can be combined with interactive
exercises, assigned and supplementary text and graphical materials, and
electronic discussion groups.
In the past five years the interest in and capability to deliver computer-
supported education at a distance has literally boomed. Federal funding, the
emergence of the Internet, pervasively available and inexpensive PCs, and the
potential for efficiency, reach and pedagogical improvement, have fueled
growing interest and experimentation by universities in the use of distance
education. Experimentation with distance learning technologies has occurred at
Cornell, Chicago-Kent, Villanova, SMU, and elsewhere. Typically, these
experiments involved specialized proprietary videoconferencing technology in
relatively small classes. The Kaplan Organization announced its intent to offer
a J.D. degree entirely through the Internet. Regents University received approval
from the ABA to offer an L.L.M. degree entirely through the Internet. Florida
State University and the Open University and College of Law of England and
Wales have announced their intention to explore offering a variety of
undergraduate legal courses remotely, making greater use of Internet technology.
Meanwhile, engineering schools, including such distinguished ones as
Stanford, and MBA programs, including such distinguished programs as to the
Sloan School of Management at MIT and the Wharton School of Business at the
University of Pennsylvania, are actively deploying distance learning alternatives
to their regular programs, especially in foreign markets.
266 INDIANA LAW REVIEW [Vol. 33:253
Because distance learning can both supplement, and replace parts of an
existing education process, it is convenient to have in mind a simple model of the
conventional process. Such a model can unbundle a J.D. course into four
components: (1) classroom instruction; (2) class preparation through assigned
readings; (3) occasional office visits in which students and instructor discuss
course materials and deal with student questions; and (4) student- to- student
discussion of materials, such as occurs in study groups.
Use of distance learning technologies is most advanced for the second
component. Through one of several available techniques for electronic
publishing, authors and editors of course materials can make them available
cheaply and conveniently to law students who can read assignments on the screen
or print them. The electronic case books used in Chicago-Kent's first-year E-
Learn section focus directly on this component of legal instruction. Other
techniques, such as publishing all or some of course materials on a Website and
linking those materials to entries on a syllabus, are similar examples of
automating this component. A significant percentage of published law school
case books are available in electronic form, albeit not directly on the Web.
A growing number of law schools are using Internet technologies,
predominately e-mail and e-mail listservs, to automate the third component.
Students send their questions about points covered in class or read in assigned
materials to the instructor who either replies by e-mail or broadcasts the question
and answer to the entire class. Web-based discussion groups are another way of
organizing the same kind of interaction between student and instructor. Most
users of the technology find it more efficient than office hours and student
appointments. However, the character of the student- instructor interaction is
qualitatively different through the newer medium. It is more focused, partially
because an average typist finds extended exploration of related points
burdensome and inconvenient. The use of distance learning for this component
of instruction tends to make student- instructor interactions more succinct, which
may or may not benefit learning.
The same technology applications often used for the third component are
well suited for the fourth, student study groups. For several reasons, this
technology has been used sparingly in the past. First, students tend to use the
discussion groups and listservs to present questions directly to the instructor, and
they are likely to use the application for nothing else unless the instructor
deflects these bilateral questions and answers into a broader multilateral
electronic discussion. Not many instructors realize the need for this purposeful
intervention.
Moreover, the same characteristics of the technology that discourage
extensive exploration of collateral points and intellectual context in student-
instructor discussions may also discourage wide ranging electronic study group
discussions among students. It takes more work to follow a group discussion
through a computer display than simply to sit at a conference table and
participate orally.
Less has been done to use information technology to complement or replace
what goes on in the classroom, the first component. To be sure, the Illinois
Institute of Technology and other universities have been using distance learning
1999] THE INTERNET 267
in the form of remote television broadcasts of classroom lectures for many years.
Closed circuit video of this form, however, simply takes a piece of what goes on
in the classroom and makes it available remotely; it does not probe the classroom
experience deeply or select particular pieces for technological enhancement. The
E-Leam experiment at Chicago-Kent has motivated automation of the classroom
experience. Not only has student use of electronic case books on notebook
computers in class subtly altered the in-class interaction between student and
teacher, in class use of Web pages and prepared electronic materials has
presented alternatives to the spoken word, blackboard diagrams and paper
handouts.
Limited distance learning experiments with Internet-based television, have
permitted student-student and student- instructor interaction in "classroom"
environments encompassing multiple law schools at the same time. Chicago-
Kent faculty and technology staff who have participated in these experiments
have come away struck by how much is missing from a simple broadcast of a part
of a law class. Much of the ritual, stress and entertainment aspects of a good
Socratic law class is lost. The subtle nonverbal cues from class to instructor
communicating levels of preparation, degree of student comprehension, boredom
and interest are lost. To the extent that the best law school classes have these
elements in them, and to the extent that good law professors make effect use of
pace, momentum, theatre and overall group dynamics in their teaching, it is
important that further technology development in legal education explore these
phenomena more deeply and take advantage of the full range of technological
tools that are readily available. Only in such an environment can choices of
techniques be driven by pedagogical judgment rather than technological
convenience.
In addition, several decades of bar review teaching, in which video
broadcasts are a regular alternative to live classroom presentation, provide a rich
source of empirical data about the impact of video technology on the educational
process. Little has been done so far to make effective use of this experience.
The frontier for distance learning is the classroom. Use of Web technologies
for other components of the learning experience are proven and will be used by
more law faculty as they become familiar with the techniques and gain access to
the necessary infrastructure. As the interim ABA guidelines note, distance
learning can be useful not only for regular law school classes in J.D. programs,
but also for post- J.D. programs, for clinical instruction where maintaining faculty
oversight can be difficult, and for foreign programs. Chicago-Kent has been
especially active in exploring distance learning techniques for managing
international Rule of Law externship programs, and in designing new
practitioner-oriented education programs for China.
A. Virtual Classroom
The preceding section suggested that one can think about distance learning
technologies in legal education in two different contexts. The first context
relates to using distance education technologies as an enhancement to regular
classroom-based instruction. The second context invites consideration of the use
268 INDIANA LAW REVIEW [Vol. 33:253
of distance learning technologies as a way to substitute new modes of education
for some existing classroom time. This section considers the second context and
poses some of the questions that must be resolved in designing useful
experiments for "virtual classrooms."
Good design of a virtual legal classroom begins by deconstructing the law
school classroom experience. One approach to such deconstruction identifies the
following specific purposes for classroom instruction in law school, with the
first-year socratic class as a paradigm, including:
(1) Modeling the behavior of judges and advocates;
(2) Transmitting information;
(3) Quizzing students to give them feedback on how they do;
(4) Allowing students to practice articulating legal concepts and
developing argument and patience skills; and teaching students how
to deal with stress in an advocacy situation.
If one accepts the above-mentioned list, it is apparent that many of these
purposes can be met by the use of information technology equally as class
instruction. The quizzing and the translating information tasks are the clearest
examples. Other goals, such as role-modeling, might be best met by showing law
students actual instances of judging and advocacy.
Using information technology to relax the constraints of the calendar and the
clock could improve what now must occur in the classroom. For example, one
could begin a semester with actual virtual observation of judging and in court
advocacy. Then, one could have a period of live discussion followed by a period
of virtual interaction shaped by specific professor questions and CALI-type
exercises. Toward the end of the semester, one might have a moot court or mock
trial experience for all the students followed by a critique. By substituting
information technology for the classroom channel in instances where information
technology can do the job as well or better than in-class activity by the professor,
the professor is freed to do other things that ordinarily would not be feasible
within manageable investments of time for regular classes.
However, designing appropriate "virtual classroom" tools and modules
requires answering a number of mixed pedagogical and technological questions.
1. How Much Content Should Be Produced in a Studio Environment and
How Much Should Be Captured from an Actual Classroom? — Capturing
classroom activity by video and audio broadcast reduces the requirements for
faculty time, and, therefore, may be more acceptable to some faculty members,
and may require fewer budgetary resources. On the other hand, costs for video
and audio operators may be higher because of the need for cameras to follow
instructor movement around the classroom and to capture student interaction.
Also, because of the complexity and richness of a good classroom interaction, it
almost certainly requires a high degree of artistic talent to capture the important
qualities of the interaction. It is not clear whether law schools will be able to
mobilize the requisite cinematographer, director and video editing talent at
affordable costs. If they cannot do so, simply filming students and professors in
a Socratic classroom is likely to be the merest shadow of the reality.
Studio production permits use of technology to do things that are difficult to
1999] THE INTERNET 269
do in a live classroom, such as quizzes and programmed instruction, scripted
presentations, simulations and multimedia techniques such as streaming
PowerPoint presentations. It also may be easier to make effective use of video
or audio of actual real world events when they are edited into other studio-
produced materials, rather than being played live in a classroom with the entire
classroom experience including audio visual aids being taped or broadcast. The
principal disadvantage of extensive studio production is greater expenditure of
faculty time, probably much greater, and the capital expenditures necessary for
appropriate production and editing equipment.
2. How Important Is a Group Setting for the Students? — Regardless of the
nature of the distance learning materials, whether broadcast or recorded from a
classroom or produced in a studio, they can be delivered to students either in a
solo setting, such as an individual student's home or office, or they may be
delivered to students in a group setting, such as a remote classroom, or a
conference room controlled by an institutional sponsor. The common experience
of most people suggests that there is significant motivational value of being
scheduled to go to class at a particular time with other people. There is a
combination of embarrassment and loss of self esteem when one misses class.
The loss of self esteem is less when one simply fails to do an individual
computer-based exercise. Also, distractions are minimized in the classroom;
students are shielded from telephone calls, television in the background and
requests from children or spouses.
On the other hand, some of the benefits of distance learning technology are
eliminated when one delivers education only into group settings. Actual or
imputed rent must be paid for the classroom space. Students must travel to be
with other group members. The group must meet at prescribed times. There
must be enough students within a reasonable distance to permit a group to be
formed. Eliminating the group learning constraint permits time shifting entirely
according to individual student desires that eliminates the cost and time
associated with travel and any sort of critical-mass or remote-facility
requirement.
Technology requirements for group learning are challenging. It is difficult
with low-cost, Internet-based technology to capture the group interaction. Should
there be one or multiple cameras? Should each student be wired, should a staff
member carry a microphone around the classroom, or is the group small enough
to use a single, table-top microphone? On the other hand, equipment for
delivering course content to students in groups is simpler than delivering it to
students in solo settings. Only one appropriately-sized video display device and
an audio system is necessary for the entire group, as opposed to one for each
student that would be necessary in a solo setting. Also, the students can interact
with each other orally, eliminating the need for technology applications to permit
student to student interaction. Obviously, design decisions must be made as to
how the remote group communicates with the professor, but that decision also
must be made with respect to solo learners.
5. Should the Virtual Classroom Experience Be Synchronous (Simultaneous)
or Asynchronous (Time Shifted)? — Asynchrony (time shifting) has advantages,
including accommodation of student and professor. Anyone can schedule class
270 INDIANA LAW REVIEW [Vol. 33:253
attendance whenever it is most convenient, assuming solo, rather than group
reception. Specific classes can be defined by time periods, such as twenty-four
or forty-eight hours or one week. To attend that class means to participate a
specified number of times during that extended period. Students can interact
with each other and with the professor by posting questions or comments in the
form of text messages or video or audio clips. They also can make changes to
Web pages to which they all have access, a kind of white boarding concept.
Through these processes, asynchronous interaction can be fairly probing.
On the other hand, the lags between question and answer and comment and
response can reduce the quality of the experience. A live interchange permits
instant clarification of ambiguities or misunderstandings. Simultaneous
interaction, to be efficient, must involve audio and perhaps video; it is simply too
inefficient for multiple users to wait while a poor typist laboriously enters an idea
in a coventional "chat room."
4. How Much Does Video Add? — The most common form of distance
learning is probably a "talking head," a broadcast or video recording of a
professor teaching a class. It is reasonable to ask how much richer such a video
image is than presentation of the same class through audio alone, especially when
the video images such as streaming video over an Internet connection are not
"television quality." A related question is what should be shown on the video.
Under what circumstances is streaming PowerPoint or edited video of real world
events better than a talking head? On the other hand, talking heads are almost
certainly cheaper to produce than any other kind of video.
5. What Is the Most Appropriate Mix Between Audio and Text? — Should
some things be delivered by streaming audio rather than text? Why, because
audio is easier and cheaper than text? What use should be made of voice
recognition technology to produce transcripts, perhaps imperfect transcripts, of
prerecorded audio?
6. To What Extent Should Media Channels Between Students and Professor
Be Symmetrical? — One can envision distance learning environments in which
material is presented to students through a combination of full motion video,
audio, text and static images, while students respond and interact with each other
only through text. This is a typical Web-based distance learning environment.
One can also envision a setting in which students receive video and audio, but
respond only via audio, as in atypical remote classroom equipped with a speaker
phone. How important is it to add video from the students? What is the
purpose? Does it enhance the students' experience or the professor's, or both?
7. Does the Following Adequately Disaggregate the Elements of a
Traditional Class? — Communicating rules and concepts to students? Role
modeling — exemplifying problem-solving behavior of practicing professionals?
Giving feedback to students through quizzes and evaluation of simulated
professional activities? Allowing for student- to- student interaction?
8. What Technology Applications Are Most Interesting? — Multi-user white
boards? Multi-user Internet Telephony? Improved video streaming over the
Web? To be "interesting," an application must be available in easily deployable
form and must meet a pedagogical need.
1 999] THE INTERNET 27 1
B. Accreditation Issues
Aggressive use of distance learning raises significant problems under the
existing rules of accreditation for law schools to the United States. Standard
304(f) of the ABA standards for approving law schools says, "a law school will
not grant credit for study by correspondence." Almost everyone interprets this
prohibition as including any form of distance learning that might be useful. In
1997, however, the Section on Legal Education of the ABA adopted interim
guidelines to encourage experimentation with distance leaming.^^ These
guidelines suggest a more favorable reaction to post-J.D. programming than to
J.D. programming and also express a clear preference for educational content
sent from one physical law school to another rather than programs that allow
students of one law school to receive credit at that law school without physically
being present for classes.^^
Beyond that, the interim guidelines allow considerable room for
experimentation with technology that enhances existing courses as long as
students are not relieved of the obligation for regular and active physical
participation in classes.
It is important to understand the relationship between Learning with
Electronics at a Distance Program ("Leam-ED") experiment and accreditation.
Accreditation is a standardization and minimum quality control system. It is not
meant to be the source of innovation. It may be that new technologies make
available teaching techniques that should cause accreditation rules to be changed.
The legal academy will never know what those are if experiments only take place
within a conservative estimate of what the accreditation rules allow.
Accordingly, an essential part of any proposal is that it be bold and essentially
uninhibited by existed accreditation standards. Law schools must be willing
testing grounds. This does not suggest defiance of accreditation rules or bodies;
instead, it suggests taking a prominent leadership position in the current A. A. L.S.
and ABA task forces which are developing an understanding of the relationship
between distance learning technology and sound education.
C Specific Plans
For almost two decades the Chicago-Kent College of Law has been
preeminent in the application of computer technology to the teaching of law. The
law school has gathered a gifted faculty of powerful intellectuals who are making
visible and important contributions to legal scholarship. Its parent institution, the
Illinois Institute of Technology, has been a leader in the use of analog television
for distance education.
Chicago-Kent intends to leverage its historical institutional strengths and the
recent societal developments to move in a deliberate but concerted way towards
26. See Temporary Distance Education Guidelines, SYLLABUS (ABA Sec. of Legal Educ.
and Admissions to the Bar), Fall 1997, at 12 (encouraging experimentation).
27. See id. at 13 ("[DJelivery of course work to a person's home or office would generally
not be in compliance with these principles.").
272 INDIANA LAW REVIEW [Vol. 33:253
leadership in the delivery of computer-enhanced legal education at a distance.
The law school will devote focused energy to enhance all of its E-leam sections
to enable professors and students to use Internet tools as improvements to the
existing traditional classroom instruction. E-leam techniques will be applied to
the second and third year curriculum when targets of opportunity appear, as the
faculty approves extensions of the present initiative.
Chicago-Kent will begin to deliver an Internet-enhanced Evening Division
curriculum in fall 1999. The law school will immediately review the pedagogy,
methodology, support structure, performance and student acceptance of its
pioneering E-learn first year curriculum. All faculty members teaching E-leam
sections will be offered additional resources to extend, improve and enhance the
use of computer-assisted techniques. Special emphasis will be placed on the use
of Intemet tools that permit students to learn collaboratively and asynchronously.
In early 1999, faculty members were recruited to devote intense effort to make
the Evening Division curriculum a model for electronically enhanced education.
The school began immediately to enhance electronically all of the courses taught
in the Evening Division. Special emphasis was placed on delivering educational
experiences outside the classroom using distance education, including faculty-
student interaction outside of class, student study groups and discussions, clinical
simulations and client interaction over the Internet. Classroom instruction and
the study of substantive material were supported by use of computer exercises,
problems and interactive lessons. This Learning with Electronics at a Distance
Program ("Learn-ED") will evaluate and experiment with distance learning
technology, including e-mail, discussion groups, chat rooms, streaming video and
audio, video conferencing and computer white board tools.
Upper level courses will be enhanced in the same way, as faculty choose to
implement these changes. Enhancing the Day Division first year courses will
produce two years of curriculum for the Evening Division. In 2000 the school
will reevaluate the progress in large enrollment upper level courses to determine
if more directed efforts to encourage distance enhancements are needed.
In addition to the strategic target of a distance-enhanced Evening Division
beginning in fall 1999, the law school expects that the educational tools, lessons,
simulations and exercises will be useful in building a variety of instructional
programs for other markets. These new markets will include foreign lawyers
interested in U.S. law, undergraduates seeking interprofessional degrees, business
executives and others who will not practice law but seek less-expensive or less-
disruptive access to high quality legal instruction. The new educational program
and materials will be mined to leverage their usefulness in these new markets.
Obvious examples include: the China-Bridge initiative. Building Businesses on
the Web, the Financial Markets curriculum and a number of opportunities for
distance instruction in Europe.
As soon as possible, three core upper class subjects, such as Evidence,
Federal Income Taxation, Constitutional Law, Decedents' Estates or Federal
Courts should be scheduled so that one contact hour per week can take place in
a regular law school classroom and the remaining contact hours (typically two)
can occur through appropriately-designed distance learning Web channels.
Initial selection of courses should give preference to subjects in which interactive
1999] THE INTERNET 273
instructional materials already exist. The Web-based contact hours should be
designed to provide, as nearly as possible, the educational ingredients present in
the classroom and addressed by accreditation standards, specifically including
instructor control, student eligibility for being "called on," instructor feedback
to student recitation and exposure of student contributions to other students in the
class. The Web-based contact hours should be packaged so that one class session
can be distinguished from another and linked with the assigned materials. In
other words, each Web-based class should be a discrete event, although it would
not necessarily demand the simultaneous participation of all students and
instructor. Instead, the class might be spread over a defined time period to permit
the benefits of time shifting. Asynchronous participation will extend student
scheduling flexibility with important benefits to evening students.
The Web-based instructional sessions should draw upon the "preceptorial"
model of education pioneered for undergraduate education by Woodrow Wilson.
At the end of the first year, student performance on examination questions can
be compared with student performance on the same questions in regular classes
covering the same subject matter. If this cannot be arranged politically, perhaps
"baby bar" questions could be given to the Leam-ED students. Upper class
experimentation would be done under existing accreditation ground rules. To the
extent it seems appropriate, accreditation authorities would be notified of the
experiment.
Eventually, as accreditation rules are modified, the same techniques, refined
in light of the first year experience, could be extended to first year students with
at least two first year courses taught in the same fashion. Similar assessment
techniques would be used, and the accreditation authorities would more
completely engaged, perhaps conducting onsite visits.
D. Mobilizing Faculty Support
Distance learning will never become successful in legal academia unless
mainstream law professors lend it support. It is not enough to get the computer
aficionados of the faculty to experiment with distance learning tools. One must
enlist the respected Socratic teachers, who teach large classes in basic subjects,
regardless of whether they like computer technology. Of course not all such
people must be enlisted at the same time. But any serious strategy to experiment
with distance learning and to learn more about the relationship between
technology and legal pedagogy must involve, from its earliest stages, at least one
large-class basic-subject Socratic instructor.
One can anticipate that the biggest source of faculty opposition to distance
learning techniques will derive from the professors' sense of independence and
tradition. Most of us honor Justice Holmes' maxim that we should do legal
education not only in a competent matter but also in the "Grand manner." The
paradigm of a successful law school class involves considerable theater. There
is great ego satisfaction in teaching one of these classes. To the extent that
distance learning technology pulls professors off center stage in the classroom
and turns then into video producers and casting directors, the thrill of teaching
law will diminish.
274 INDIANA LAW REVIEW [Vol. 33:253
As with any innovation, thought must be given to incentives, favorable and
unfavorable, for instructors and students who might participate. In the long run,
Leam-ED classes might be more attractive than regular classes to law school
faculty because of the advantages of time shifting and flexibility of location. In
the short run, however, teaching a Leam-ED class will mean considerably more
work for the instructor than teaching a regular class. The educational experience
must be rethought, the components of a traditional course unbundled and
repackaged to take advantage of the technology, and the anxiety associated with
any experiment and inevitable difficulties and implementation tolerated. Because
of these short run disincentives, significant economic incentives must be made
available to those faculty members willing to participate. It is especially
important that these incentives be available because, for the experiment to be
successful, a broader range of faculty beyond those fascinated with technology
must be enlisted. In particular, faculty who like to teach Socratically and using
other interactive methods must participate, rather than those who are inclined to
lecture and who find it easy simply to prepackage their lectures in electronic
media.
Closing One Gap but Opening Another?:
A Response to Dean Perritt and Comments
ON THE Internet, Law Schools,
AND Legal Education
Michael Heise*
Introduction
Dean Perritt is surely correct when he writes that "The Internet's potential
for changing the face of American law schools is profound."' Some might take
issue with the implicit suggestion that American law schools share a single
"face."^ Others might emphasize the Internet's important influences that are
already manifest.^ And perhaps some might press Dean Perritt for a more precise
definition of what he means by "profound." But, on balance, these points rise to
little more than mere quibbles that take little away from the overall thrust of
Dean Perritt' s general observations. Indeed, after examination. Dean Perritt' s
main premises remain standing: Information technology — as deployed in the
Internet's World Wide Web — is changing traditional areas of the law,'* fueling
new law,^ altering how legal institutions function, and transforming lawyers'
roles within those institutions.^ Dean Perritt' s conclusion — ^that the Internet and
* Professor of Law, Case Western Reserve University. A.B., Stanford University; J.D.,
University of Chicago; Ph.D., Northwestern University. I want to thank participants in the Indiana
Law Review 's A Symposium on Law and Technology in the New Millennium: Closing the Gap,
especially Professors Ronald J. Krotoszynski, Jr., Daniel Cole, and Larrie P. Wilkins who provided
helpful comments on earlier drafts of this Article. Terry Hall, a second-year student at Indiana
University School of Law-Indianapolis, provided outstanding research assistance.
1 . Henry H. Perritt, Jr., The Internet Is Changing the Face of American Law Schools, 33
IND.L. Rev. 253,253(1999).
2. To get some flavor of how law schools might differ, see, e.g.. Inside the Law Schools:
A Guide FOR Students by Students (Sally F. Goldfarb ed., 6th ed. 1993).
3. See infra Part I.
4. See, e.g. , Saba Ashraf, Virtual Taxation: State Taxation of Internet and On-Line Sales,
24 Fla. St. U. L. Rev. 605 (1997) (tax); Stephen P. Heymann, Legislating Computer Crime, 34
Harv. J. ON Legis. 373 (1997) (criminal law); Corey B. Ackerman, Note, World-Wide
Volkswagen, Meet the World Wide Web: An Examination of Personal Jurisdiction Applied to a
New World, 71 ST. JOHN'S L. REV. 403 (1997) (civil procedure).
5. For example, President Clinton signed into law the Communications Decency Act of
1996, which constitutes Title V of the Telecommunications Act of 1996. See Communications
Decency Act of 1996, Pub. L. No. 104-104, § 502, 110 Stat. 56, 133-36 (1996) [hereinafter CDA].
The CDA was ruled unconstitutional by the Supreme Court in Reno v. Shea ex rel. Am. Rep., 117
S. Ct 2501 (1997), aff'g 930 F. Supp. 916 (S.D.N.Y. 1996).
6. See Richard A. Matasar & Rosemary Shiels, Electronic Law Students: Repercussions
on Legal Education, 29 Val. U. L. Rev. 909, 910 (arguing that the legal profession is pushing law
schools to embrace technology to a greater degree); Catherine G. O' Grady, Preparing Students for
the Profession: Clinical Education, Collaborative Pedagogy, and the Realities of Practice for the
New Lawyer, 4 CLINICAL L. REV. 485 (1998).
276 INDIANA LAW REVIEW [Vol. 33:275
Internet-related technology are changing American law schools^ — strikes me as
similarly persuasive. Indeed, I argue that his conclusion has already proved
accurate. More specifically, to some degree the Internet has already changed
American law schools.
However, even if one assumes that Dean Perritt's observations are basically
correct, where they lead us remains decidedly unclear. What does it mean to say
that the Internet's increased integration into legal education fuels changes in how
law schools educate their students? Obviously, more specificity would assist this
inquiry prompted by Dean Perritt's Article. Perhaps regardless of the precise
directions that the Internet will point legal education or even how one might
construe them, I respectfully suggest that the Internet's influences on legal
education make three related but slightly distinct questions ripe for consideration.
One question raised by Dean Perritt's Article concerns the magnitude of the
changes to legal education that will result from the Internet's increased
integration into law schools. A second question dwells on how the Internet's
influence on law schools will manifest itself. Perhaps even more important is
that the combination of the first two questions generates a third question.
Embedded within this third question lurks a potentially troubling paradox. While
the increased use of the Internet as an educational tool may well help close
technological gaps,^ at least those suggested by the overarching theme of this
conference,^ whether such gaps can be closed without generating new gaps
between law schools and their students and among law students remains far from
certain and warrants^ careful consideration.
Criticism of Dean Perritt's observations is not properly inferred from this
Article's focus on the three questions described above. Indeed, just the opposite
inference is more appropriate. The issues that Dean Perritt ably discusses are
critical and concern (or should concern) all legal educators as well as law
students, particularly future law students. The implications of Dean Perritt's
remarks are especially important for those who produce and consume legal
education services. Moreover, his discussion of the multiple intersections of
technology and legal education contributes to a welcome and much-needed base
that will support and fuel further elaboration.
That neither I nor anyone else that I am aware of — not even, dare I say. Dean
Perritt — really knows the answers to my questions is not a reason to avoid them.
Rather, the questions' difficulty provides yet another reason to pursue answers
with vigor. This is particularly so if, as Dean Perritt suggests, it is inevitable that
7. See Perritt, supra note 1 , at 253.
8. Dean Perritt briefly notes that leading American business schools already deploy Internet
technology, especially through distance learning programs. One obvious thrust of Dean Perritt's
observation is to illustrate that in relative terms American law schools lag in their implementation
of Internet technology. See Perritt, supra note 1, at 265; see also Andrea L. Johnson, Distance
Learning and Technology in Legal Education: A 21st Century Experiment, 1 ALB. L.J. Sci. &
Tech. 213, 227 n.54 (1997).
9. A Symposium on Law and Technology in the New Millennium: Closing the Gap, 33 IND.
L.Rev. 1 (1999).
1 999] A RESPONSE TO DEAN PERRITT 277
law schools will continue to explore new ways to harness the Internet.'^ That the
questions uncover even a small sector of uncertainty should give thoughtful and
concerned people pause. However, pause should not be confused with paralysis,
at least in this context. The uncertainty surrounding the Internet's present and
future influence on legal education is no reason to shy away from its continued
deployment so long as its use is accompanied by the necessary care and
judiciousness. Instead, my small point is that as the Internet becomes
increasingly integrated into legal education — as it in many ways should and, like
it or not, will — legal educators need to think through this powerful and
potentially useful educational tool as well as its implications for our students and
how we go about teaching law.
I. The Internet Has Already Changed Law Schools in Ways
Both Big and Small
Dean Perritt correctly notes that the Internet "is changing the law, the
functioning of legal institutions[,] and the role of lawyers."' ' The implications
for the rule of law, citizenry, commerce, and the host of other aspects discussed
in Dean Perritt' s Article are products of the Internet's "modular character and [
] universality."'^ Indeed, now that the Internet is, essentially, ubiquitous, one can
take its infrastructure — indeed, its very existence — for granted.'^ Those who
endeavor to resist the Internet and Internet-related changes, even if resistance was
feasible, will quickly learn that such efforts will largely fail. Not only is the
cyberspace "genie" out of its bottle, but the bottle has been
shattered — effectively precluding any chance that the Internet will disappear or
that its influence might wane. As far as legal education is concerned, the Internet
has arrived and it will remain germane for the foreseeable future.
From this. Dean Perritt correctly concludes that the Internet is changing
American law schools. This conclusion safely follows for two main reasons.
First, the Internet has already changed numerous institutions — political, legal,
social, and economic institutions— which surround and influence law schools.
For example, as Dean Perritt and others note, the Internet influences political and
legal processes''* and commerce.'^ Consequently, the Internet's influence on
institutions that surround and influence law schools indirectly bears on law
schools themselves. This result is hardly surprising, especially to those who
10. See Perritt, supra note 1, at 263.
U. Mat 253.
12. Mat 255.
13. See id.
14. See id. dX252t n.l.
15. See, e.g., Kerry L. Macintosh, How to Encourage Global Electronic Commerce: The
Case for Private Currencies on the Internet, 1 1 Harv. J.L. & TECH. 733 (1998); Henry H. Perritt,
Jr., Legal and Technological Infrastructures for Electronic Payment Systems, 22 RUTGERS
Computer & Tech. L.J. 1 ( 1 996).
278 INDIANA LAW REVIEW [Vol. 33 :275
understand the nexus between law schools and the world around them.'^ One
obvious example involves law firms, many of which have turned increasingly to
Internet technology. As law firms continue to incorporate Internet technologies,
one will almost certainly find increased pressure brought to bear on law schools
by law firms to follow suit.'^
Second, as Dean Perritt notes in the title of his Article and discusses
throughout, a second set of changes implicates law schools directly. Notable is
Dean Perritt' s bold point about law schools' role in fueling the "revolutionary
phenomena" ushered in by the Internet. ^^ Thus, in Dean Perritt' s view, law
schools not only respond to the Internet's influence, but are well positioned and
structured as institutions to help shape the Internet's development.
It is on the second set of changes that I take small issue with Dean Perritt.
My issue relates to his choice of verb tense. I argue below that Dean Perritt is
simultaneously correct, but too timid and cautious. A small adjustment to Dean
Perritt' s title would address my point and result in a more accurate
characterization. Specifically, I argue that the Internet has already changed the
face of American law schools, albeit in modest ways. Moreover, the changes that
have already arrived — however small or subtle — provide important clues to even
greater changes that lie ahead.
A. Scholarly Resources
While it is certainly much more, the Internet is already among the world's
most powerful and rich sources of information. As such, it can serve as the
world's virtual library. Just as the law library serves as an integral part of a law
student's legal education, the Internet is now likewise an integral part of the law
library. It is already difficult to imagine a law library without Internet access.
Indeed, by as early as 1996 some argued that the migration to electronic
information and technology in all aspects of legal education, particularly law
libraries, was a "fait accompli."'^ In time, the Internet might rank
among — perhaps even be — ^the most important component of a law library.
The implications of increased Internet accessibility as a scholarly resource
for law schools, principally through law libraries, are large. As the principal
16. See Michael A. Geist, Where Can You Go Today?: The Computerization of Legal
Educationfrom Workbooks to the Web, 1 1 Harv. J.L.&Tech. 141, 182 (1997) (arguing that "[t]he
development of the Internet is likely to mark a turning point in the computerization of legal
education").
1 7. See Matasar & Shiels, supra note 6, at 9 1 0.
1 8. See Perritt, supra note 1 , at 255 (arguing that law schools have an important role to play
in connection with the Internet's development). But see Geist, supra note 16, at 161 (downplaying
law schools' contribution to the development of web materials for law students).
19. Richard A. Danner, Facing the Millennium: Law Schools, Law Librarians, and
Information Technology, 46 J. LEGAL Educ. 43, 43 ( 1 996) (quoting Robert C. Berring, The Current
State of Networked Information in the United States and Why You Should Care About It, 26 LAW
LiBR. 246, 246(1995)).
1 999] A RESPONSE TO DEAN PERRITT 279
engine of new legal knowledge, law schools have a special responsibility and role
to play in virtual law libraries' development. Not only do legal scholars need to
generate new legal knowledge with an eye towards the Internet, but they must
also think through how this new medium can be best deployed within the context
of a law library's system of services. If law libraries continue down the path
already embarked upon, it is difficult to overstate their potential for generating
social change flowing from the increased availability of information. The
Internet is our generation's vehicle to vastly increase information's reach. The
Internet and its capability to construct a virtual library pose a serious threat to
many information monopolies, public and private.^^ With greater access to
information comes, as the saying goes, greater power. Greater power, more
widely dispersed, reaffirms Madison's insight into the structural benefits of off-
setting competing political factions.^'
^' B. Scholarship
A second example of how the Internet has already influenced legal education
relates to scholarship, particularly its production and distribution. On the
production side, many^ — if not most — legal scholars avail themselves of Internet-
driven listservs, websites, and e-mail. Access to information now available on
the Internet enables legal scholars to blunt challenges to research posed by
geography. One consequence is the greatly increased potential for scholars to
interact with one another. Scholars now collaborate more easily and effectively
with colleagues whom they might otherwise not collaborate but for the Internet.
Increased interaction and collaboration among scholars increases the flow of
information among them. On balance and over time this should contribute to
increases in scholarly productivity and quality.
The Internet has already influenced the distribution side of legal scholarship.
For example, scholarly outlets, what we traditionally have come to know as law
reviews or journals, no longer appear exclusively in a form that can be touched
by the human hand. On April 10, 1995, the University of Richmond's T.C.
Williams School of Law launched the Richmond Journal of Law and Technology,
purportedly the world's first student-edited, scholarly legal journal published
exclusively on-line.^^ Setting aside the perennial debate among legal academics
about the merits of student-edited law reviews,^^ the development of an entirely
20. One interesting example of public and private information monopoly is the functional
control over documents generated by the federal government. Traditionally, Washington D.C.-
based lobbying firms levered their physical location to gain economically by influencing the
legislative processes. The advent of the Thomas website, however, blunts some of the comparative
advantage flowing from geography. Now any individual with access to the Internet can benefit
from current access to governmental documents and information. See <http://thomas.loc.gov>.
21. See The Federalist No. 10, at 122-28 (James Madison) (Isaac Kramnick ed.. Penguin
1987).
22. See <http://law.richmond.edu/general/student.htm>.
23. In the world of scholarly journals, typical law reviews stand in stark contrast to blind
280 INDIANA LAW REVIEW [Vol. 33 :275
on-line law review raises interesting questions of its own.^"* On the one hand, an
electronic journal possesses the distinct advantages of timeliness and mass
distribution or circulation. Although it might not yet be realized, electronic
journals have the potential for speedier turn-around time as their production time
should be less than that of their traditional paper counterparts. In fast-moving
areas of the law, this might yield strategic and comparative advantages. It also
might placate some law professors who tire of waiting for law review printing
companies to generate and ship their Article reprints. Also, electronic journals
typically are distributed free to those who can access cyberspace. Such a
potentially broad and low-cost distribution system might further disseminate
legal scholarship to a wider audience. Of course, even paper law reviews can
blunt this potential comparative disadvantage by placing their volumes on-line.
Finally, the notion that a professor can "publish" a scholarly article in a medium
that exists only in cyberspace might generate interesting questions for promotion
and tenure committees.
The Internet's influence on scholarship extends far beyond its own medium.
The Internet has been the subject of much scholarly focus recently and shows no
sign of abating.^^ The subject of this symposium is yet another example that the
intersection of the Internet and legal scholarship is rich, and its surface has only
been scratched thus far.^^ Although I am not aware of any journal devoted
exclusively to Internet law issues,^^ many journals and reviews specialize in law
and technology topics that frequently include Internet and Internet-related
issues.
C Law School Teaching
Few law professors today can walk into a law school classroom and not find
a sizable, though varying, number of students using laptop computers equipped
peer-reviewed journals. For a discussion of related issues, see, e.g.. Symposium, Law Review
Conference, 47 STAN. L. REV. 1 1 17 (1995) (discussing various issues relating to student-edited law
reviews).
24. See generally Bernard J. Hibbitts, Last Writes?: Reassessing the Law Review in the Age
of Cyberspace, 71 N.Y.U. L. REV. 615 (1996) (arguing that the Internet reduces the usefulness of
current, more traditional law reviews).
25. As one crude proxy, Dean Perritt points to the number of sessions at the most recent
American Association of Law Schools annual conference devoted to some aspect of the Internet.
See Perritt, supra note 1, at 264.
26. In a footnote. Dean Perritt notes that as of January 30, 1999, a search of the "JLR"
database in Westlaw revealed 772 documents with the word "Internet" in their title. See id. at 262
n.20. My identical search conducted just eight months later revealed 953 such documents,
reflecting a 23% increase.
27. Given the recent and sustained proliferation of law reviews and journals, such a
specialization is not beyond the pale.
28. See. e.g., JURIMETRICS: J. L. SCI. & TECH.; BERKELEY Tech. L.J.; Harv. J.L. & TECH.;
IDEA: ; J. L. & TECH.; RICHMOND J.L. & TECH.
1999] A RESPONSE TO DEAN PERRITT 28 1
with Internet access and web browsers. Many schools are examining the
feasibility of direct Internet access availability at each student station in law
school classrooms. This is particularly true at the small but growing number of
law schools that require students to possess computers upon matriculation.^^ An
already sizable number of faculty regularly interacts with those students
technologically equipped and inclined on-line through e-mail and websites. ^° A
related development involves on-line class discussion through moderated or
unmoderated listservs.^' Such developments parallel movement outside law
schools' walls. Increasing litigation over such questions as whether employers
can "snoop" or "eavesdrop" on employees' e-mail "conversations"^^ and whether
archived or stored e-mail is discoverable material hints at the proposition that e-
mail is fast becoming increasingly woven into the fabric of how people
29. For example, the University of Oregon School of Law requires all students to possess
laptop computers upon matriculation. Notably, because the University of Oregon requires its law
students to have laptops, their cost is included in a law student's financial aid package. See
<http://www.law.uoregon.edu/support/comprec/compreq.shtml>. At Dean Perritt's Chicago-Kent
College of Law, only those students who elect to participate in that law school's E-Learn program
are required to own laptops. Similar to the University of Oregon, Chicago-Kent includes the cost
of laptops into a student's financial aid package. See <http://www.kentlaw.edu/academics/
elearn.html>. Presumably, given Chicago-Kent's progressive posture on law and technology, it
actively encourages its other students to possess computers.
30. A reliable number eludes. Common sense and experience suggest to me, at least, that
it is far from the exception anymore. For a related discussion about the importance of students'
active engagement in the law school process, see, e.g., Steven L Friedland, How We Teach: A
Survey of Teaching Techniques in American Law Schools, 20 SEATTLE U. L. Rev. 1 (1996);
Michael L. Richmond, Teaching Law to Passive Learners: The Contemporary Dilemma of Legal
Education, 26 CUMB. L. REV. 943 ( 1 995-96).
Presumably, many — if not most — law schools provide students with access to terminals
equipped with Internet access browsers. Most universities equip their students for little or no cost
with e-mail accounts. This provides those students who do not own the necessary hardware or
software with access to the Internet and, as a consequence, access to classroom listservs along with
e-mail capabilities.
3 1 . See Geist, supra note 1 6, at 1 69-7 1 . It is notable that concurrent with increased use of
moderated listservs by law professors for courses (deploying university-owned and operated
servers) is increased litigation on issues surrounding an array of liability questions that arise out of
the Internet technology. See, e.g., Kevin F. O'Shea, The First Amendment: A Review of the 1997
Judicial Decisions, 25 J.C. & U.L. 201 (assessing the implications of the case, Reno v. American
Civil Liberties Union, 117 S. Ct. 2329 (1997), on college and university's exposure to criminal
sanctions for obscene material that finds its way onto college and university computers); Joseph R.
Price, Colleges and Universities as Internet Service Providers: Determining and Limiting Liability
for Copyright Infringement, 23 J.C. & U.L. 183 (1996) (discussing possible university copyright
liability exposure due to their status as Internet service providers).
32. See, e.g., Bohach v. Reno, 932 F. Supp. 1232 (D. Nev. 1996); see also Scott A.
Sundstrom, You 've Got Mail! (and the Government Knows It): Applying the Fourth Amendment
to Workplace E-Mail Monitoring, 73 N.Y.U. L. Rev. 2064 (1998).
282 INDIANA LAW REVIEW [Vol. 33:275
communicate."
Some students enjoy the ready access to faculty that the Internet provides.
Perhaps these students, for an array of reasons, prefer to interact with law
professors or classmates with the distance provided over the Internet.^'* As a law
professor I have come to appreciate the benefits of a medium that requires
students to commit their queries to writing before posing them. I often fmd that
the discipline of reducing a question to writing helps students focus, fuels clarity,
and more quickly identifies related or collateral points requiring explication.
However, it is important to note that not all commentators agree on the utility
of Internet interaction with law students.^^ Internet proponents point out that e-
mail communication between professors and students has the potential to
overcome some constraints presented by time and distance and, as a result,
complement the educative processes by increasing student access to professors. ^^
On balance, such a development — increased student and faculty interaction — is
positive and should be encouraged as it can enhance the law school experience
for many law students, administrators, and professors. On the other hand, some
skeptics point out that this newly emerging electronic mode of communication
may displace some "one-to-one" student- faculty conferences and discussions.^^
That is, rather than supplement important face- to- face contact between student
and faculty, e-mail or electronic communication may supplant such contact. If
so, the development of e-mail may increase one form of communication at the
expense of another. The true threat posed by increased reliance on e-mail
interaction, at least to one commentator, "lies in an almost insidious loss of the
sense of community. "^^ The comparatively depersonalized Internet (or e-mail)
communication threatens to further isolate law students, particularly the less
experienced first-year law students.^^
33. See Uniden America Corp. v. Ericsson, Inc., 181 F.R.D. 302 (M.D.N.C. 1998) (civil
case); New York v. Jovanovic, 676 N.Y.S.2d 392 (Sup. Ct, N.Y. County 1997) (rape defendant
sought to discover victim's e-mail to evidence past sexual conduct).
34. Some commentators advance another benefit, arguing that Internet listserv discussion
groups "help counteract the unfortunate tendency for classroom discussion to be dominated by only
a few students." Richard Warner et al., Teaching Law with Computers, 24 RUTGERS COMPUTER
& TECH L.J. 107, 150(1998).
35. Compare Geist, supra note 16, at 143 (speaking positively of the Internet's role in law
schools), with Robert H. Thomas, "Hey, Did You Get My E-Mail? " Reflections of a Retro-Grouch
in the Computer Age of Legal Education, 44 J. LEGAL Educ. 233 (1994) (presenting a dissenting
view about the benefits of increased technology in legal education).
36. See Geist, supra note 16, at 160 (extolling the speed and convenience of e-mail).
37. See Thomas, supra note 35, at 238.
38. Id. at 242.
39. See id. at 244-45 (arguing that "being a lawyer, thinking like a lawyer, is an intensely
human enterprise" and that over-reliance on impersonal modes of communication erodes the human
dimension.).
1999] A RESPONSE TO DEAN PERRITT 283
D. Law School Building Architecture
The influence of emerging technology in general and the Internet in
particular becomes quite evident for those charged with the task of helping
design new law school facilities or re-model existing physical facilities/^
Assigned the daunting task of designing a new law school facility, a faculty or,
more likely, a faculty committee can spend numerous hours thinking and re-
thinking assumptions about what a law school building should look like and how
it should function. Faculty members' perceptions about what legal education
should look like inform their opinions of what designs for new law school
buildings should look like. The stakes are exceptionally high as the opportunity
to design new law school buildings comes around, if a law professor is lucky,
perhaps once during a career.
Paramount to law school building design are questions concerning what
directions existing, emerging, and wholly unforeseen technological forces will
take legal education. The magnitude of the influence technology exerts on the
physical and conceptual design of a law school building will likely surprise those
who have not had occasion to consider the issue directly. To take one extreme
hypothetical, suppose "technocrats" argue that in the not-too-distant future virtual
libraries will render obsolete libraries as we now know them. What is a
responsible response to such an argument by a law faculty building committee?
After all, many law schools are built with a desired or contemplated useful life
of, say, thirty years. Most American law school libraries occupy, on average,
anywhere between thirty-three to fifty percent of a law school's total square
footage."^' Obviously, it is difficult to overstate the importance of decisions
concerning a law library to a law school. Should law schools simply forego
constructing a library on the hunch that the technocrats' prediction proves
correct? If the collective hunch is correct, the faculty looks like a collection of
geniuses; if wrong, the faculty looks beyond foolish. It would have either
constructed a "dinosaur" of a law school building perhaps even before the
concrete dries or it would have constructed a building without an essential
part — a library. Neither alternative is particularly attractive.
E. Bluebook
Another small but significant mark of the Internet's growing influence in the
legal academy is that even the venerable Bluebook, the bane of all too many first-
year and law review students, now formally recognizes the Internet's influence.
Specifically, Rule 17.3.3 ("Internet Sources") in the current edition of the
Bluebook provides citation form guidance for Internet sources."^^ Moreover, the
40. By way of full disclosure, I had the good fortune of serving for two years on a law
school building committee.
41. I am grateful to James F. Bailey, III, Director of Law Library, Indiana University School
of Law — Indianapolis, for his assistance in formulating this rough estimate.
42. See THE BLUEBOOK, Rule 17.3.3, at 124 (16th ed. 1996). It is perhaps notable that the
Bluebook expressly discourages citation to Internet sources because of their "transient nature." Id.
284 INDIANA LAW REVIEW [Vol. 33 :275
Bluebook now includes citation form guidance for journals that appear only on
the Internet."*^
F. How to Assess These Changes
Having briefly described a few examples of how the Internet has already
influenced law schools, it is useful to return to my original queries. Is it possible
to fairly characterize the magnitude or degree of change to legal education
traceable to the Internet? Moreover, how have these changes altered the
production and delivery of legal education? Finally, has legal education's
dabbling in the brave new world of Internet and cyberspace generated new gaps
between law schools and their students and among law students?
Firm answers to these questions, if they exist, are elusive. On the other hand,
opinions are plentiful. What follows are the latter. Despite fast-moving changes
surrounding law schools, commentators note that the degree to which such
changes have penetrated law schools and legal education is not yet sufficient to
define a "Web culture.'"^ That is not to say that law schools, students,
professors, and legal education have not been influenced by the Internet.
However, the magnitude of influence at most law schools does not yet appear to
have reached a level sufficient to dislodge the general character of law schools
or legal education. The core of legal education appears to have proceeded
through much of the Twentieth Century remarkably intact. Consequently,
because the Internet's overall influence thus far on law schools and legal
education cannot fairly be described as major, distributional or equity concerns
for students lacking Internet capability or access flowing from the increased
deployment of Internet technology appear neither significant nor systemic, at
least at this juncture. Of course, the lack of any significant distributional or
equity problems may only reflect the reality that Internet technology has not yet
penetrated into the core of law students' daily lives. However, the Internet's role
in legal education will certainly increase over time. Consequently, the relative
absence of distributional or equity problems today is no guarantee that such
problems will not emerge in the future.
Hindsight provides some assistance in assessing the Internet's past and
present roles in legal education. However, hindsight falls short with respect to
important aspects in this context. It does not answer the counterfactual question
of what law schools and legal education would look like today but for the
Internet. Finally, hindsight does not reflect changes already in place but not yet
noticeable, nor does it reveal influences on legal education that have not yet
emerged. Despite these imperfections, a quick glance backward illuminates
discernable changes to legal education, however small or large, that have already
manifested. This glance backward also provides some insight into future changes
to legal education flowing from increased deployment of the Internet.
43. See supra note 22 and accompanying text.
44. Geist, supra note 16, at 159-60 (arguing that a Web culture for law schools is still at
least "several years" from fruition).
1 999] A RESPONSE TO DEAN PERRITT 285
II. Changes Likely to Be Important in the Future
By figuratively turning one's gaze from legal education's past and present to
its future, particularly how that future might be further shaped by the Internet,
two immediate points quickly emerge. First, existing changes, including the few
I have identified above, will continue to evolve. Second, new changes and
influences will emerge. Among the potentially vast number of possible changes,
one stands out starkly — distance learning. The Internet makes distance learning
a much more viable proposition for law schools. Because of its potential import
to legal education, I will limit my discussion of future changes to distance
learning's potential influence on legal education.
A. Distance Learning
It is important to realize that the term "distance learning," at least as it is
bandied about within the context of legal education, can mean vastly different
things to different people. Distance learning includes continuing legal education
programs, such as those in states where Continuing Legal Education is required,
that involve satellite transmission of instruction generated from one site and
delivered to (potentially) many others. Distance learning is also used to describe
nascent programs such as these at Chicago-Kent College of Law ("Chicago-
Kent"), ably described by its dean in his Article. Chicago-Kent proposes to
begin with an Internet "enhanced" evening division program in the fall of 1 999. '^^
From what Dean Perritt describes, however, Chicago-Kent intends to enhance the
traditional legal education paradigm with Internet technology. Regardless, it is
axiomatic that in virtually all conceptions of "distance learning" the Internet will
serve as an integral component.
Distance learning can also mean much more, and recent announcements offer
a glimpse at potentially how much more. For example, the Regent University
School of Law recently petitioned the American Bar Association's ("ABA")
Section of Legal Education, the office that performs many of the law school
accreditation tasks, for recognition of a graduate level international taxation
degree to be completed entirely on-line."*^ Bolder still, Kaplan Educational
Centers, a for-profit corporation, recently announced plans to launch a new law
school that will provide instruction exclusively over the Internet."*^
At this juncture how the legal education establishment will respond to the
forces of technology is anyone's guess. Accreditation will be one early vehicle
for the ABA and law schools to shape, traject, or re-traject legal education's
present and future course.
One preliminary sign — a memorandum from James P. White, the ABA's
Consultant on Legal Education to the deans of ABA-approved law
45. See Perritt, supra note 1, at 272.
46. See generally Randall T. Shepard, Our Evolving Policy on Distance Learning,
Syllabus (ABA Sec. Legal Educ. and Admissions to the Bar) Winter 1999, at 5.
47. See id.
286 INDIANA LAW REVIEW [Vol. 33:275
schools — evidences caution with respect to distance education's application to
the legal education setting/^ The memorandum contains a brief discussion of the
underlying principles for distance legal education as well as a set of temporary
guidelines/^
B. Will " Virtual " or Distance Legal Education Be Good for Students?
To some, perhaps many, the value of the Internet in law school classrooms
in general and distance education in particular seems self-evident.^^ Further
expansion of distance learning into the legal education market will certainly
benefit some interests. Whose interests will be advanced is not entirely clear.
One clear winner would be the Internet industry. No doubt the Internet industry
salivates at the prospect of formal or "traditional" legal education migrating onto
the Internet. Rather than endeavor to assess the array of possible "winners" and
"losers," the focus of this Article is to consider whether the Internet will be good
for law schools and legal education. My even narrower focus dwells on the
interests of law students.
Good reasons support the optimism that flows from Dean Perritt's Article
about the Internet's potential for influencing and changing how legal education
is delivered. On a purely visceral level, it is difficult to imagine how law
students and law schools would not be assisted by a well-crafted integration of
the Internet. Indeed, it is already difficult to imagine a law library at any
accredited American law school that lacks Internet access. The Internet and
access to it by law students and professors are already indispensable. Because
the Internet has become the world's information highway, legal educators need
to understand how it can be used to improve legal education. Even if it does not
fulfill its current promise, the medium is already important enough to warrant
greater integration into the various aspects that comprise legal education. Also,
as Dean Perritt makes clear, the Internet is changing how lawyers function as
professionals and how they serve clients. Law schools need to be aware of and,
ideally, ahead of such changes. As a result, all law students, but particularly
those preparing to enter the constantly evolving legal market as attorneys, would
be well served to acquaint themselves as much as possible with the Internet and
related technology. Law students who actively ignore the Internet during law
school risk handicapping themselves as newly-minted attorneys.^' Law firms will
soon come to expect new associates to be as familiar with e-mail as they are with
48. See Memorandum from James P. White, Consultant on Legal Education to the American
Bar Association, to Deans of ABA Approved Law Schools (May 6, 1 997) (on file with the Indiana
Law Review or available on-line at: <http://www.abanet.org/legaled/distance.html>).
49. See id.
50. Dean Perritt's teaching is one prime example. But, as he makes perfectly clear in his
Article, Dean Perritt views distance learning as one of an array of possible tools to train law
students. See Perritt, supra note 1, at 266-67.
5 1 . For a discussion about how law practices now incorporate Internet technology, see, e.g.,
Mark Pruner, The Internet and the Practice of Law, 19 PACE L. REV. 69 (1998).
1 999] A RESPONSE TO DEAN PERRITT 287
Shepherds. Consequently, the belief that the Internet will change legal education
should surprise few.
1. Pedagogical Issues. — ^As important as the Internet may prove to be in the
future, at least two issues warrant careful thought. First, legal educators need to
get a better sense about whether the Internet will assist law students to learn and,
if so, how. Those who study technology's role in education (not legal education
per se, but rather education generally) readily acknowledge that no one really
knows whether the technology deployed in today's classrooms help students
learn better or more.^^ Empirical evidence on the efficacy of virtual classrooms
is sketchy, at best, and severely limited by a paucity of data.
One prominent example involves Professor Andrea Johnson who taught, on
a pilot study basis, an advanced telecommunications course simultaneously to
students at the California Western School of Law in San Diego and the
Cleveland-Marshall College of Law in Cleveland. The course enrolled eight law
students from both schools and incorporated Internet, teleconferencing and
videoconferencing, e-mail, and an electronic casebook. Notably, Professor
Johnson, acutely aware of the pedagogical ground she was breaking, employed
a "control" telecommunications course, which met in a regular law school setting
in the conventional manner. On the basis of her experience. Professor Johnson
concluded that enhanced technology served as a significant supplement to the
student learning processes, with students in the Internet section of
telecommunications law exhibiting the same or deeper understanding of the
covered material. ^^ Clearly, a single case study with the potential for self-
selection bias limits substantially what can properly be inferred. But it will be
from such experiments that, over time, a helpful empirical base will emerge.
2. Distributional and Equity Issues. — A second set of concerns relates to
distributional and equity concerns stemming from increased use of distance
learning in legal education. How differences between "traditional" law school
instruction and instruction provided through distance learning technologies will
be distributed among law students is not entirely clear. One crucial, potential
difference is in instructional quality. For purposes of this discussion, I will
construe instructional quality wholly in terms of the efficacy of student learning
and comprehension of the material presented. Justice Ginsburg recently offered
her perceptions of instructional quality differences distinguishing traditional and
distance learning in legal education.^"^ Because Justice Ginsburg feels that so
52. For a fuller articulation of this point, see, e.g., David Skinner, Computers: Good for
Education?, 128 PUB. INTEREST 98 (1997) (discussing evidence of computers' efficacy in the K-12
educational setting).
53. For a fuller description of this experiment, see Johnson, supra note 8, at 245.
Interestingly, Professor Johnson, one who is clearly in the vanguard of incorporating the Internet
into legal education, concludes that "[djistance learning and technology will never replace
professors or negate traditional teaching methods. The dynamics of human interaction and feedback
are too critical to the development of legal skills and problem-solving." Id. See also Geist, supra
note 16, at 177 nn. 174-77.
54. See Katherine S. Mangan, Justice Ginsburg Raises Questions About Internet-Only Law
288 INDIANA LAW REVIEW [Vol. 33:275
much of legal education and practice is a shared, genuinely interactive endeavor,
she feels that instructional quality is threatened for law students exposed only to
distance learning methodologies.^^
Cost might be another variable distinguishing traditional learning from
distance legal instruction. Indeed, one of distance learning's key selling points
pivots on its relative cost-effectiveness.^^ It will be interesting to see how law
schools price distance learning credit hours, especially in relation to traditionally
taught credit hours. Given limitations imposed by classroom size and faculty
fatigue, ceilings exist that effectively cap how many students a law professor can
teach in the traditional classroom format. No analogous limitation exists for
distance learning.
The quality and cost variables may well interact. That is, should the quality
of instruction delivered through distance learning programs fall short of the
quality level achieved by the traditional classroom format, whether quality
differential is rooted in reality or merely perception, the distance learning
program might be priced lower to reflect the quality differential. Lower price for
lower quality legal education may result in the calcification of law school "tiers."
Such tiers, should their roots deepen, may manifest in terms of student self-
selection. What may culminate is a law school within a law school with less (or
more, depending on one's perspective) desirable distance learning program
serving a certain student profile and the traditional law school program serving
yet another.
It is certainly conceivable that such differentiation might generate net
educational gains. Some students might benefit from an alternative to today's
law school environment. It is assuredly true that the pool of potential law
students increases when geographic barriers to legal education fall. The
questions are provocative enough to generate excitement and anticipation about
novel programs such as the one that Dean Perritt describes.
Possible distributional and equity issues also flow from law schools' more
general increased deployment of the Internet and related technology. Ethical
considerations flow from access issues relating to the requisite technology,
especially hardware. What affirmative steps, if any, should law schools take to
maximize access to Internet technology for all students and thereby blunt
possible advantages enjoyed by some students over others? Ideally, law schools
would take steps to ensure that their students do riot artificially organize into the
technological "haves" and "have nots." Moreover, it is obvious that even among
students comfortable and fluent in cyberspace some will simply take a greater
interest in it than others. That, of course, is fine and raises no structural
5'c/zoo/5 (visited Sept. 16, 1999) <http://chronicle.com/free/99/09/99091302t.htm>.
55. See id.
56. See, e.g., Johnson, supra note 8, at 227 n.53 (arguing that law schools will soon follow
the lead taken by colleges and universities in exploring distance education programs partly in
response to enduring pressures to contain costs). For a related argument about the cost-
effectiveness of incorporating Internet technologies into traditional law firms, see, e.g., Pruner,
supra note 5 1 , at 79.
1999] A RESPONSE TO DEAN PERRITT 289
problems. Potential problems do arise, however, if it turns out that some students
are structurally advantaged over others due solely to matters relating to access to
the Internet and related technologies. If some of the Internet's strongest
supporters are correct — and the Internet stands ready to revolutionize the way
law is taught — ^then those without access to the Internet might be harmed.
In many ways, the personal computer market may help minimize potential
distributional issues. As the cost of personal computers — hardware and
software — continues to fall, law students' economic barriers to the Internet
similarly fall.^^ Perhaps those law students lucky enough to grow up in well-to-
do households with easy and early access to computers and Internet technology
might benefit from a slight, initial advantage over law students not as fortunate.
But the skills necessary to successfully avail oneself of the Internet are ones that
can be picked up with relative ease and speed. Also, as some law schools are
already doing, personal computer costs can be folded into a student's overall loan
package.^^ Many of the needs of students whose financial situations preclude
them from owning their own Internet accessible personal computer can be met
through law school-owned computers placed in public locations throughout a law
school, especially in a law library. Finally, for those students who might lack the
background or familiarity with Internet software or hardware, law schools can
organize training sessions to equip such students, or at least those students
desiring such training. While important equity issues linger, clear thinking and
strategic planning by a law school can adequately and responsibly address many
of these issues.
In some ways the nub of the larger issue concerning distance learning
education delivered over the Internet might resemble a burden placement
question. Do legal educators need to affirmatively persuade that the Internet
should not be an integral part of American legal education because distributional
and equity issues will arise? Or, rather, should those promoting the Internet bear
the initial burden of demonstrating why and how it can assist the legal education
processes through such programs as distance learning. Given the uncertainty of
our current knowledge base, the burden placement may well be determinative.
In time, and with some effort and foresight, however, the placement issue can
become less important.
Conclusion
As Dean Perritt correctly notes, the Internet is changing American law
schools and, consequently, how we educate and train law students. Internet
technology has already seeped into law school classrooms as well as law
libraries. Most law students now arrive at law school already Internet savvy and
possessing relatively sophisticated cyberspace navigational skills. Increasingly,
they lever these skills in their efforts to learn the law, particularly as the skills
57. See Marc Friedman & Kenneth R. Buys, 'Infojacking: ' Crimes on the Information
Superhighway, 13 COMPUTER L. 1, 2 (noting computers' lower cost and increased availability).
58. See supra note 29.
290 INDIANA LAW REVIEW [Vol. 33:275
relate to manipulating vast sources of information. The Internet's influence
within law schools will assuredly increase over time.
The Internet's increased influence on law schools and legal education also
is assured in part by forces surrounding the legal academy. Notably, the Internet
continues to fuel explosive growth in electronic commerce. Information is
becoming increasingly Internet friendly. As a result, many economic, political,
and social institutions now routinely harness Internet technology. Moreover, law
firms that serve such clients or find a need to access information sources realize
the need to tap into the Internet simply to remain competitive. Many of the
attorneys working in law firms today — especially the younger ones — enter law
firms already comfortable working with various Internet technologies. Those not
yet comfortable with Internet technology might find themselves at a distinct
disadvantage. With all such changes occurring around law schools it is
inevitable that law schools and legal education will adjust to a newly emerging
environment.
Consequently, I find little with which to quarrel in Dean Perritt's Article.
One not-so-subtle thrust of his Article is that American law schools need to catch
up with the fast-moving Internet technologies and find ways to use them that will
enhance legal education. Because I am largely persuaded by Dean Perritt's
arguments, my Article dwells on questions that flow from a world of law schools
that increasingly uses Internet technologies. Assuming that Dean Perritt's
observations about the Internet are correct, the implications for legal education
in the future are important and warrant careful consideration. The pedagogical
value created by Internet-related law teaching tools and how law schools will
incorporate these new tools generate important questions. Distance learning is
one obvious avenue {hat will receive increased attention from legal educators in
the future. Finally, while greater use of Internet technologies may succeed in
helping law schools close technological gaps, whether such gaps can be closed
in a manner that avoids creating new gaps endures as a possibly important issue.
The trick, of course, will be for law schools to lever the Internet's desirable
attributes in a way that minimizes the costs, both direct and collateral. I remain
optimistic that a successful balance can be achieved. However, my optimism
does not dislodge my concerns over a potential set of distributional and equity
issues. These issues certainly can be addressed in a responsible manner. The
Internet has spawned issues that will warrant attention from legal educators, but
has also helped thrust law schools into the new millennium.
Indiana Law Review
Volume 33 1999 Number 1
NOTES
inrelindseyi a needless void in the government
Attorney-Client Privilege
Amanda J. DicKMANN*
/
Introduction
"I did not have sexual relations with that woman — Miss Lewinsky. "^
When President Clinton looked straight into the camera and spoke these
infamous words in January 1998, perhaps the only other person who knew the
misleading nature of this statement was Bruce Lindsey, Deputy White House
Counsel and Assistant to the President. If President Clinton had not admitted to
an "inappropriate" relationship with Monica Lewinsky in August 1998,^ prior to
In re Lindsey^ the government attorney-client privilege would have protected
Bruce Lindsey 's knowledge of this relationship, despite the fact that Independent
Counsel Kenneth Starr issued a subpoena to Bruce Lindsey in the course of a
criminal investigation. However, as this Note will demonstrate, In re Lindsey has
changed the status of the government attorney-client privilege.
The President, members of Congress, and legal clients have
consistently enjoyed protection for their confidential communications via
the Executive Privilege,"^ Speech and Debate Clause,^ and attorney-client
♦ J.D. Candidate, 2000, Indiana University School of Law— Indianapolis; B.A., 1997,
Indiana University— Bloomington.
1. President Clinton denied he had a sexual relationship with Monica Lewinsky on
Monday, January 26, 1998. See 'I Never Told Anybody to Lie. ' Ottawa Sun, Mar. 29, 1998, at
26.
2. President Clinton admitted he had an "inappropriate" relationship with Monica
Lewinsky on Monday, August 17, 1998. See 'I Misled People, Even My Wife, ' Ottawa SUN, Aug.
18, 1998, at 4.
3. 158 F.3d 1263 (D.C. Cir.) (per curiam), cert, denied. Office of President v. Office of
Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.).
4. The executive privilege is a "broad, constitutionally derived privilege that protects frank
debate between President and advisers." Id. at 1285 (Tatel, J., dissenting) (citing United States v.
Nixon, 418 U.S. 683, 708 (1974)).
5. The Speech and Debate Clause states that Senators and Representatives shall be
privileged for "[a]ny Speech or Debate in either House, [and] they shall not be questioned in any
other Place." U.S. CONST, art. I, § 6.
292 INDIANA LAW REVIEW [Vol. 33:291
privilege;^ however, government attorneys and officials have only
periodically received protection for their confidential communications.^
This inequality has primarily derived from the special duty of government
attorneys to uphold the public trust reposed in them, and has produced the
government attorney-client privilege, a creature of common law that grew
out of the traditional attorney-client privilege.^ Courts have sporadically
applied this privilege, and until In re Liudsey, many commentators
questioned the viability of the government attorney-client privilege in a
court of law.^ In re Lindsey acknowledged the privilege's existence;
however, it restricted the privilege by dissolving protection for confidential
communications between government attorneys and officials in the context
of a criminal investigation. '°
Commentators have mixed reactions to In re Lindsey. Some support an
absolute government attorney-client privilege that would protect candor and
frank communications that the attorney-client privilege embodies in every other
context.*' Others support a qualified government attorney-client privilege that
stresses the public's interest in uncovering illegality among its elected and
appointed officials. In re Lindsey chooses the qualified government attorney-
client privilege. Similar to the executive privilege, the government attorney-
client privilege evaporates when a criminal investigation ensues. Unlike the
executive privilege, absolute protection does not extend when the subject matter
sought to be exposed relates to military, diplomatic, or sensitive national security
secrets. The court's failure to address the possibility of revealing military,
diplomatic, or sensitive national security secrets has left a void in the In re
Lindsey decision that needs to be filled.
Part I of this Note outlines the attorney-client privilege, distinguishes it from
the principle of confidentiality and the executive privilege, and provides the
derivation and scope of the government attorney-client privilege. Part II of this
Note analyzes In re Lindsey and the cases leading up to it. In re Grand Jury
6. See Fed. R. Evid. 501. "[T]he privilege of a witness, person, government. State, or
political subdivision thereof shall be governed by the principles of the common law as they may be
interpreted by the courts of the United States in the light of reason and experience." Id.
7. See News & Observer Publ'g Co. v. Poole, 412 S.E.2d 7, 17 (N.C. 1992) ("So far this
Court has not recognized an attorney-client privilege for public entity clients, and it is unclear
whether the traditional privilege should be so extended. Most courts that have applied such a
privilege have not considered its origin but have merely assumed it exists.") (citation omitted).
8. See In re Lindsey, 1 58 F.3d at 1 273.
9. See Loser: Attorney-Client Privilege, LEGAL TIMES, Dec. 22/29, 1997, at 1 5 (quoting
former White House Counsel C. Boyden Gray, "I'm not sure there is any such thing as [a]
governmental attorney-client privilege now.").
10. See In re Lindsey, 158 F.3d at 1278.
11. See Ruth Marcus, Court Rejects Privilege Claim, WASH. POST, July 28, 1998, at Al .
1 999] IN RE LINDSEY 293
Subpoena Duces Tecum^^ and In re Grand Jury Proceedings. '^ Part III visits the
aftermath of /« re Lindsey, particularly the legal commentary and the alleged
repercussions this decision may produce for government attorneys and officials.
Part IV addresses a proposed alteration to In re Lindsey and offers its own
modification to the government attorney-client privilege — extension of absolute
protection to confidential communications containing military, diplomatic, or
sensitive national security secrets. Finally, this Note concludes with
recommendations for government attorneys and officials in light of the
restrictions In re Lindsey has placed on the government attorney-client privilege.
I. Evolution of the Government Attorney-Client Privilege
A . The A ttorney-Client Privilege
Federal Rule of Evidence 501, the foundation for the attorney-client
privilege,''* states that "the privilege of a witness, person, government, State, or
political subdivision thereof shall be governed by the principles of the common
law as they may be interpreted by the courts of the United States in the light of
reason and experience."'^ The attorney-client privilege, the oldest privilege for
confidential communications at common law, furnishes protection to
communications made between client and attorney by forbidding disclosure.'^
By utilizing the attorney-client privilege, a client may refuse to disclose
confidential communications and may also prevent his attorney from disclosing
confidential communications that were made for the purpose of obtaining legal
guidance.'^ The identity of a client, underlying facts, and incidental
12. 112 F.3d 910 (8th Cir.), cert, denied. Office of President v. Office of Indep. Counsel,
521 U.S. 1105(1997).
13. 5 F. Supp.2d 21 (D.D.C.), aff din part, rev 'din part sub nom. In re Lindsey, 158 F.3d
1263 (D.C. Cir.) (per curiam), cert, denied. Office of President v. Office of Indep. Counsel, 1 19 S.
Ct. 466 (1998) (mem.).
14. The elements of the attorney-client privilege are: (1) The asserted holder is or sought
to become a client; (2) the person to whom the communication was made is a member of the bar,
or his subordinate, and, in connection with the communication, is acting as a lawyer; (3) the
communication relates to a fact of which the attorney was informed by the client, without the
presence of strangers, and for the purpose of securing primarily either a legal opinion, legal
services, or assistance in some legal proceeding; (4) the communication was not for the purpose of
committing a crime or tort; and (5) the privilege has been claimed and not waived by the client. See
United States v. United Shoe Mach. Corp., 89 F. Supp. 357, 358-59 (D. Mass. 1950).
15. FED.R.EVID. 501.
1 6. See Michael J. Chepiga, Federal A ttorney-Client Privilege and Work Product Doctrine,
in Current Developments IN Federal Civil Practice 1998, at 473, 476 (PLI Litig. & Admin.
Practice Course Handbook Series No. 583, 1998).
17. See Proposed Fed. R. Evid. 503(b). Although this rule has not been enacted, it has
been recognized as "a powerful and complete summary of black-letter principles of lawyer-client
privilege." 3 Weinstein's Federal Evidence § 503.02, at 503-10 (McLaughlin 2d ed. 1997).
294 INDIANA LAW REVIEW [Vol. 33:291
communications are generally not protected by the attorney-client privilege,^^ but
an exception applies when the person asserting the privilege can show the
possibility that disclosure would implicate the client in the very criminal activity
for which the client sought legal advice.*^
Although privileges generally are in "derogation of the search for truth"^^ and
contravene the fundamental maxim that the "public . . . has a right to every man's
evidence,"^' the attorney-client privilege "promotes the attorney-client
relationship, and, indirectly, the functioning of our legal system, by protecting
the confidentiality of communications between clients and their attorneys."^^ As
a consequence, the attorney-client privilege promotes the "broader public
interests in the observance of law and administration of justice."^^ As a result of
the conflicting principles inherent in seeking out the truth and protecting
confidential communications between attorneys and clients, courts have
determined that the attorney-client privilege is not absolute and must be strictly
construed. Therefore, the privilege is recognized "only to the very limited extent
that permitting a refusal to testify . . . has a public good transcending the
normally predominant principle of utilizing all rational means for ascertaining
truth."^"^ This public good must be shown "with a high degree of clarity and
certainty" in order to apply the attorney-client privilege.^^
In addition to the public good requirement, other limitations exist in asserting
the attorney-client privilege. The crime-fraud exception exempts from the
attorney-client privilege communications made in furtherance of future or
ongoing criminal or fraudulent conduct, including other wrongful conduct such
as intentional torts.^^ Another example is the at-issue exception, which provides
that a party may have effectively waived the attorney-client privilege through an
1 8. See Chepiga, supra note 16, at 479.
19. See id. (citing In re Grand Jury, 631 F.2d 17, 19 (3d. Cir. 1980)).
20. United States V.Nixon, 418 U.S. 683, 710 (1974).
21. In re Grand Jury Subpoena Duces Tecum, 1 1 2 F.3d 91 0, 91 7-1 8 (8th Cir.), cert, denied.
Office of President v. Office of Indep. Counsel, 521 U.S. 1 105 (1997).
22. Westinghouse Elec. Corp. v. Republic of the Philippines, 95 1 F.2d 1 4 1 4, 1 428 (3d. Cir.
1991).
23. Upjohn Co. v. United States, 449 U.S. 383, 389 (1981).
24. In re Grand Jury Proceedings, 5 F. Supp.2d 21,30 (D.D.C.) (emphasis added), aff'd in
part, rev 'd in part sub nom. In re Lindsey, 158 F.3d 1263 (D.C. Cir.) (per curiam), cert, denied.
Office of President v. Office of Indep. Counsel, 1 19 S. Ct. 466(1998) (mem.) (quoting Trammel
V. United States, 445 U.S. 40, 50 (1980)). See also In re Lindsey, 158 F.3d at 1268 ("[FJederal
courts do not recognize evidentiary privileges unless doing so 'promotes sufficiently important
interests to outweigh the need for probative evidence.'") (citation omitted).
25. In re Sealed Case, 148 F.3d 1073, 1076 (D.C. Cir.), cert, denied, Rubin v. United States,
119S.Ct. 461(1998).
26. See Chepiga, supra note 16, at 485; see also United States v. Zolin, 491 U.S. 554, 561
(1989) (holding that the general policy for the crime-fraud exception is "to assure that the 'seal of
secrecy' between lawyer and client does not extend to communications made for [the] purpose of
getting advice for [the] commission of a fraud or a crime") (citations omitted).
1 999] IN RE LINDSEY 295
affirmative act, such as filing suit, that puts protected information at issue by
making it relevant to the case.^^ Finally, the self-defense exception allows an
attorney to override the client's privilege in order to defend himself against
accusations of wrongful conduct.^* These exceptions ensure that the truth is
revealed in situations where a compelling public good outweighs a refusal to
testify.
B. The Principle of Confidentiality and the Executive Privilege
The principle of confidentiality is often entangled with the attorney-client
privilege.^^ The principle of confidentiality is rooted in professional ethics while
the attorney-client privilege is rooted in the law of evidence.^^ As to the principle
of confidentiality. Model Rule of Professional Conduct 1.6 states:
A lawyer shall not reveal information relating to representation of a
client unless the client consents after consultation .... A lawyer may
reveal such information to the extent the lawyer reasonably believes
necessary to prevent the client from committing a criminal act that the
lawyer believes is likely to result in imminent death or substantial bodily
harm; or to establish a claim or defense on behalf of the lawyer . . . ?^
The critical difference between the attorney-client privilege and the principle
of confidentiality is that the attorney-client privilege applies injudicial and other
proceedings in which a lawyer may be called as a witness while the principle of
confidentiality applies in situations other than those where evidence is sought
from the lawyer through compulsion of law.^^ Furthermore, the principle of
confidentiality applies not only to matters communicated in confidence by the
client, but also to all information relating to the representation, whatever its
27. See Chepiga, supra note 16, at 488; see also Heam v. Rhay, 68 F.R.D. 574, 581 (E.D.
Wash. 1975) (holding that the at-issue exception provides that a party may have waived the
privilege when (1) the assertion of the privilege was a resuh of some affirmative act, such as filing
suit; (2) through this affirmative act, the asserting party put protected information at issue by
making it relevant to the case; and (3) application of the privilege would deny the opposing party
access to information vital to its defense).
28. See Chepiga, supra note 1 6, at 490; see also Meyerhofer v. Empire Fire & Marine Ins.,
497 F.2d 1190, 1194-96 (2d Cir. 1974) (holding that an attorney who had been named as a
defendant in a class action brought by the purchasers of the securities who claimed that the
prospectus contained misrepresentations had the right to make an appropriate disclosure to counsel
representing the stockholders as to his role in the public offering).
29. See MODEL RULES OF PROFESSIONAL CONDUCT Rule 1 .6 cmt. 5 ( 1 995) ("The principle
of confidentiality is given effect in two related bodies of law, the attorney client privilege . . . and
the rule of confidentiality . . . .") (emphasis added).
30. See id
3 1 . MODEL Rules of Professional Conduct Rule 1.6(1 995).
32. See id at cmt. 5 (1995).
296 INDIANA LAW REVIEW [Vol. 33:291
source.^^
The executive privilege is also confused with the attorney-client privilege.
The executive privilege is a "broad, constitutionally derived privilege that
protects frank debate between President and advisers"^"^ while the attorney-client
privilege is a much narrower privilege that emanates from the common law.
Although the President may utilize the attorney-client privilege, the executive
privilege is exclusive to the President.
The landmark case United States v. Nixon^^ carved out the executive
privilege from the U.S. Constitution. The Court created the executive privilege
in part to equip the President with a comparable protection that members of the
House and Senate are afforded under the Speech and Debate Clause^^ in the U.S.
Constitution.^^ In creating this privilege, the Court reasoned that the "President's
need for complete candor and objectivity from advisers calls for great deference
from the courts."^^ However, the Court fashioned an exception to the executive
privilege by holding that the executive privilege is not absolute and must
ultimately yield to the specific need for evidence in a criminal investigation,
unless the investigation encompasses military, diplomatic, or sensitive national
security secrets.
C Derivation and Scope of the Government Attorney-Client Privilege
In addition to the attorney-client privilege, many other privileges have been
recognized, such as the psychotherapist-patient privilege,"*^ husband-wife
privilege,"*' and corporate attorney-client privilege."*^ A more recent addition to
this list is the government attorney-client privilege. "Courts, commentators, and
government lawyers have long recognized a government attorney-client privilege
33. See id.
34. In re Lindsey, 158 F.3d 1263, 1285 (D.C. Cir.) (Tatel, J., dissenting), cert, denied.
Office of President v. Office of Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.) (citing United States
V. Nixon, 418 U.S. 683, 708 (1974)).
35. 418 U.S. 683 (1974).
36. The Speech and Debate Clause states that Senators and Representatives shall be
privileged for "[ajny Speech or Debate in either House, [and] they shall not be questioned in any
other Place." U.S. CONST, art. 1, § 6.
37. 5'eeMjco/2, 418U.S. at704.
38. Id at 706.
39. See id
40. 5ee Jaffee V. Redmond, 518 U.S. 1 (1996) (observing that this privilege would serve the
public interest by facilitating the provision of appropriate treatment for individuals who suffer from
mental or emotional problems); PROPOSED FED. R. EviD. 504.
41. See Trammel v. United States, 445 U.S. 40 (1980) (recognizing two distinct spousal
privileges: testimonial and communications); Proposed Fed. R. Evid. 505.
42. See Upjohn Co. v. United States, 449 U.S. 383 (1981) (extending the attorney-client
privilege to communications made between corporate counsel and all-level corporate employees,
as long as the communications concern matters within the scope of employment).
1 999] IN RE LINDSEY 297
in several contexts.'"*^ Although this privilege was not universal and guaranteed
prior to In re Lindsey^^"^ case law, litigation concerning the Freedom of
Information Act, and secondary authority did endorse a comprehensive
government attorney-client privilege.
Although there are no Federal Rules of Evidence that acknowledge a
government attorney-client privilege, precedent on this subject exists in both
federal'*^ and state"^^ case law. An example of a federal case recognizing the
government attorney-client privilege is Green v. Internal Revenue Service. ^^ The
district court, reiterating the Seventh Circuit, recognized the privilege on the
basis of important underlying policy considerations."*^ The Seventh Circuit had
stressed that the government attorney-client privilege promotes frank
43. In re Lindsey, 158 F.3d 1263, 1268 (D.C. Cir.) (per curiam), cert, denied. Office of
President v. Office of Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.).
44. See 24 CHARLES ALAN WRIGHT & KENNETH W. GRAHAM, JR., FEDERAL PRACTICE AND
Procedure § 5475, at 128 (1986) ("Whatever the merits of the arguments for and against the
governmental privilege, it seems likely thdX some form of privilege for governmental clients will be
recognized by federal courts . . . .") (emphasis added),
45. See, e.g.. Reed v. Baxter, 134 F.3d 351, 356 (6th Cir. 1998) (assuming the government
attorney-client privilege exists, but never explicitly deciding); In re Grand Jury Subpoena, 886 F.2d
135 (6th Cir. 1989) (assuming that a governmental entity, such as a municipal corporation, may
invoke the attorney-client privilege); Coastal States Gas Corp. v. Department of Energy, 617 F.2d
854, 863 (D.C. Cir. 1 980) (dicta); In re Polypropylene Carpet Antitrust Litig., 1 8 1 F.R.D. 680, 694
(N.D. Ga. 1998) (holding that the attorney-client privilege applies to a governmental entity when
it seeks advice to protect personal interests and needs the same assurance of confidentiality so it will
not be deterred from full and frank communications); Scott Paper Co. v. United States, 943 F. Supp.
489, 499 (E.D. Pa.), aff'd, 943 F. Supp. 501 (E.D. Pa. 1 996) ("In claims of attorney-client privilege
by an organization, such as a governmental agency or corporation, the privilege extends to those
communications between the attorney and all agents or employees of the organization who are
authorized to act or speak for the organization in relation to the subject matter of the
communication.").
46. See, e.g.. People ex rel. Dep't of Pub. Works v. Glen Arms Estate, Inc., 41 Cal. Rptr.
303, 310 (Cal. Ct. App. 1964) (holding that the privilege for governmental agencies is determined
in the same way as the privilege for private corporations); City of Orlando v. Desjardins, 493 So. 2d
1027, 1029 (Fla. 1986) (finding an exception under state open-files statute); District Attorney v.
Board of Selectmen, 481 N.E.2d 1128, 1130 (Mass. 1985) (finding an exception to the open-
meeting law, but refusing to recognize an implicit exception for non-litigation consultation);
Minneapolis Star & Tribune v. Housing & Redevelopment Auth., 25 1 N. W.2d 620, 624-25 (Minn.
1 976) (holding that state open-meeting laws implicitly exempt meetings between agency and lawyer
for purposes of discussing pending litigation); Matter of Grand Jury Subpoenas Duces Tecum
Served by Sussex County Grand Jury on Farber, 574 A.2d 449, 455 (N.J. Super. Ct. App. Div.
1989) ("[W]e are convinced that many of the considerations which underlie application of the
attorney-client privilege to corporations militate strongly in favor of its extension to public
entities.").
47. 556 F. Supp. 79 (N.D. Ind. 1982), aff'd, 734 F.2d 18 (7th Cir. 1984).
48. See id at 84.
298 INDIANA LAW REVIEW [Vol. 33:291
communications among those who make meaningful decisions regarding
governmental functions/^ The Seventh Circuit had also recognized that the
privilege was designed to shield from disclosure the mental processes of
executive and administrative personnel. ^°
An example of a state case upholding the government attorney-client
privilege is Markowski v. City of Marlin.^^ The Texas court extended the
privilege to governmental entities because "a governmental body has as much
right as an individual to consult with its attorney without risking the disclosure
of important confidential information."^^ The Texas court reasoned that because
a governing body may consult privately with its attorney, logic prescribes that the
information disclosed should be protected.^^ However, the Texas court mandated
that a "checking" mechanism be applied to claims of the government attorney-
client privilege.^"* In order to justify the privilege, the Texas court required the
proponents to submit the alleged privileged documents or communications to an
in camera inspection. ^^
Although a great deal of general case law exists, most of the law on the
government attorney-client privilege has primarily developed from litigation^^
concerning exemption five of the Freedom of Information Act^^ ("FOIA").
Under this exemption, "inter-agency or intra-agency memorandums or letters
which would not be available by law to a party other than an agency in litigation
with the agency"^^ are excused from mandatory disclosure to the public.
"Exemption five does not itself create a government attorney-client privilege."^^
Rather, it creates an effective government attorney-client privilege only "when
the Government is dealing with its attorneys as would any private party seeking
advice to protect personal interests, and needs the same assurance of
confidentiality so it will not be deterred from full and frank communications with
its counselors."^*^
49. See id.
50. See id.
51. 940 S.W.2d 720 (Tex. App. 1997).
52. Id at 726.
53. See id dX 121.
54. Id
55. See id.
56. See, e.g., NLRB v. Sears, Roebuck & Co., 421 U.S. 132, 154 (1975); Mead Data Ctr.,
Inc. V. United States Dep't of Air Force, 566 F.2d 242, 252-53 (D,C. Cir. 1977); Porter County
Chapter of Izaak Walton League v. United States Atomic Energy Comm'n, 380 F. Supp. 630, 637
(N.D. Ind. 1974).
57. 5 U.S.C. § 552 (1994). The Freedom of Information Act is a "broadly conceived statute
which seeks to permit public access to much previously withheld official information." Izaak
Walton League, 380 F. Supp. at 636.
58. 5 U.S.C. § 552(b)(5).
59. In re Lindsey, 158 F.3d 1263, 1269 (D.C. Cir.) (per curiam), cert, denied. Office of
President v. Office of Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.).
60. Id (quoting Coastal States Gas Corp. v. Department of Energy , 6 1 7 F.2d 854, 863 (D.C.
1 999] IN RE LINDSEY 299
The proposed, but never enacted. Federal Rule of Evidence 503 lends
additional support for the government attorney-client privilege, and courts have
often turned to it as evidence of the black-letter law.^' Proposed Federal Rule
503 defines "client" for the purposes of the attorney-client privilege as a "person,
public officer, or corporation, association, or other organization or entity, either
public or private."^^ The advisory committee's notes to the proposed rule clarify
that the attorney-client privilege extends to communications of governmental
organizations.^^
Finally, the Restatement (Third) of the Law Governing Lawyers advocates
support for the government attorney-client privilege.^ However, the commentary
emphasizes that the privilege for governmental clients is much narrower than the
attorney-client privilege due to statutory formulations, such as open-meeting and
open-file statutes, that reflect a public policy against secrecy in many areas of
governmental activity .^^
As the above-mentioned authority reflects, the scope of the government
attorney-client privilege was broad prior to In re Lindsey. It protected the
processes by which a decision was reached, extraneous matters considered,
contributing factors, and the role played by the work of others.^^ The government
attorney-client privilege also protected "government documents reflecting
advisory opinions, recommendations, and deliberations comprising part of a
process by which governmental decisions and policies are formulated."^^ In
certain circumstances, the government could even invoke this privilege with
regard to state and military secrets.^*
Although this privilege was broad, no legal precedent existed determining
Cir. 1980)); see also Confidentiality of the Attorney General's Communications in Counseling the
President, 6 Op. Off. Legal Counsel 481, 495 (1982) ("[T]he privilege also functions to protect
communications between government attorneys and client agencies or departments, as evidenced
by its inclusion in the FOIA.").
61. See, e.g.. In re Lindsey, 158 F.3d at 1269.
62. Proposed Fed. R. Evid. 503 (a)( 1 ).
63. See PROPOSED FED. R. EviD. 503 advisory committee's note.
64. See RESTATEMENT (Third) of the Law Governing Lawyers § 1 24 (Proposed Final
Draft No. 1 , 1 996) ("[T]he attorney-client privilege extends to a communication of a governmental
organization "). The American Law Institute has approved the chapter of Proposed Final Draft
No. 1 of the Restatement governing the attorney-client privilege. See In re Grand Jury Subpoena
Duces Tecum, 1 12 F.3d 910, 916 n.4 (8th Cir.), cert, denied. Office of the President v. Office of
Indep. Counsel, 521 U.S. 1 105 (1997) (citing 64 U.S.L.W. 2739 (1996)).
65 . See RESTATEMENT (Third) of the Law Governing Lawyers § 1 24 cmt. b (Proposed
Final Draft No. 1, 1996).
66. See Green v. IRS, 556 F. Supp. 79, 84 (N.D. Ind. 1982), affd, 734 F.2d 18 (7th Cir.
1984) (citing Carl Zeiss Stiftung v. V.E.B. Carl Zeiss, Jena, 40 F.R.D. 318 (D.D.C. 1966)).
67. Jacob Mertens, Jr., The Law of Federal Income Taxation § 58 A.34 ( 1 997) (citing
Machin v. Zuckert, 316 F.2d 336 (D.C. Cir. 1963)).
68. See id. (citing E.W. Bliss Co. v. United States, 203 F. Supp. 175 (N.D. Ohio 1961)).
300 INDIANA LAW REVIEW [Vol. 33:291
whether this privilege applied in a criminal investigation.^^ The logical
assumption, however, was that the government attorney-client privilege applied
in criminal investigations because a court had never carved out an exception to
the attorney-client privilege based solely on the type of proceeding in which a
party claimed the privilege.^^ In re Lindsey marked a fundamental change in this
assumption as it created an exception applicable only to government entities: no
attorney-client privilege for criminal investigations.
II. In RE Lindsey AND Its Companion Cases
While the world's focus was on Monica Lewinsky and President Clinton,
Independent Counsel Kenneth Starr, in his extended Whitewater investigation,
was attempting to pierce the government attorney-client privilege. Although
the cases discussed below are from the Eighth and D.C. Circuits, they have
borrowed from each other and were ultimately combined to produce the
holding in In re Lindsey: the government attorney-client privilege evaporates
in the face of a federal grand jury subpoena.
A. In re Grand Jury Subpoena Duces Tecum
In re Grand Jury Subpoena Duces Tecum^^ decided by the Eighth Circuit on
February 13, 1997, paved the way for In re Lindsey. In this case, the Special
Division of the United States Court of Appeals for the District of Columbia,
pursuant to the Independent Counsel statute,^^ ordered Kenneth Starr to
investigate and prosecute matters "relating in any way to James B. McDougal's,
President William Jefferson Clinton's, or Mrs. Hillary Rodham Clinton's
relationships with Madison Guaranty Savings & Loan Association, Whitewater
Development Corporation, or Capital Management Services, Inc."^^ The Special
Division also assigned Kenneth Starr to pursue evidence of "other violations of
the law developed during and connected with or arising out of his primary
investigation, known generally as 'Whitewater.'"^'* Pursuant to its investigation.
69. See Lisa E. Toporek, "Bad Politics Makes Bad Law: " A Comment on the Eighth
Circuit 's Approach to the Governmental Attorney-Client Privilege, 86 GEO. L.J. 242 1 , 2433 ( 1 998).
70. See id.
71. 112 F.3d 910 (8th Cir.), cert, denied. Office of President v. Office of Indep. Counsel,
521 U.S. 1105(1997).
72. 28 U.S.C. § 592 (1994). An investigation pursuant to this statute shall be made of such
matters as the "Attorney General considers appropriate in order to make a determination ... on
whether further investigation is warranted, with respect to each potential violation, or allegation of
a violation, of criminal law." Id. § 592 (a)(1). The Independent Counsel statute expired on June
30, 1999. See Independent Counsel Law Expires Today: Statute Started During Watergate, Fla.
Times Union, June 30, 1999, at A4 (reporting the reasons for enacting the Independent Counsel
statute as well as the reasons for letting it lapse).
73. In re Grand Jury Subpoena Duces Tecum, 1 1 2 F.3d at 91 3 (quoting In re Madison Guar.
Sav. & Loan Ass'n, Div. No. 94-1, Order at 1-2 (D.C. Cir. Sp. Div. Aug. 5, 1994)).
74. Id
1999] INRELINDSEY 301
the Office of Independent Counsel delivered a grand jury subpoena duces tecum
to the White House that required production of "all documents created during
meetings attended by any attorney from the Office of Counsel to the President
and Hillary Rodham Clinton."^^ The White House identified nine sets of notes
in response to this subpoena, but ultimately refused to produce them, claiming,
among other things, the attorney-client privilege/^
The district court addressed the White House's refusal, but found it
unnecessary to decide the broad question presented by the Office of Independent
Counsel of whether a federal governmental entity may assert the attorney-client
privilege in response to a subpoena by a federal grand jury 7^ Rather, the court
concluded that because Mrs. Clinton and the White House had a genuine and
reasonable, albeit mistaken, belief that the conversations at issue were privileged,
the attorney-client privilege indeed applied/^ The Office of Independent Counsel
appealed, and the Eighth Circuit granted an expedited review 7^
On appeal, the Eighth Circuit refused to decide whether the government
attorney-client privilege applies in civil litigation pitting the federal government
against private parties.^^ Furthermore, the Eighth Circuit rejected the dissent's
approach of recognizing a qualified government attorney-client privilege that
would be subject to theMjcow^' test for the executive privilege which balances the
grand jury's need for the subpoenaed material against the White House's need for
confidentiality.^^ The Eighth Circuit ultimately held that "the criminal context
of the instant case, in which an entity of the federal government seeks to withhold
information from a federal criminal investigation, presents a rather different
issue"^^ and found that the government attorney-client privilege indeed
evaporates during a criminal investigation.^"* In re Grand Jury Subpoena Duces
Tecum was the first federal court of appeals case that actually decided whether
a government attorney-client privilege exists in a federal grand jury setting.^^
In holding that the attorney-client privilege does not apply, the court relied
primarily on the nature of public service, stating that "the general duty of public
service calls upon government employees and agencies to favor disclosure over
concealment."^^ Additionally, the court found significant the fact that executive
75. Id. (citation omitted).
76. See id.
11. Seeidai9\4.
78. See id.
79. See id.
80. Seeida.t9\l-\9.
81. United States v. Nixon, 418 U.S. 683, 712-13 (1974).
82. See In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d at 917-19.
83. /^. at 917-18.
84. See id
85. See In re Grand Jury Proceedings, 5 F. Supp.2d 21,31 (D.D.C.), aff'd in part, rev 'd in
part sub nom. In re Lindsey, 158 F.3d 1263 (D.C. Cir.) (per curiam), cert, denied. Office of
President v. Office of Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.).
86. In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d at 920 (emphasis added).
302 INDIANA LAW REVIEW [Vol. 33:291
branch employees, including attorneys, are under a statutory duty^^ to report
criminal wrongdoing by other employees to the Attorney General.^* Although the
court acknowledged the White House's concern that "[a]n uncertain privilege .
. . is little better than no privilege at all,"^^ the court pointed out that
confidentiality will suffer only in those situations that involve criminal
violations.^^ The court's practical advice concerning this possibility was that, "an
official who fears he or she may have violated the criminal law and wishes to
speak with an attorney in confidence should speak with a private attorney, not a
government attorney."^'
B. In re Grand Jury Proceedings
The D.C. District Court decided In re Grand Jury Proceedings^^ on May 27,
1998, just prior to In re Lindsey. Before In re Grand Jury Proceedings, the
Special Division of the United States Court of Appeals for the District of
Columbia expanded Kenneth Starr's prosecutorial jurisdiction and ordered him
to conduct investigations concerning "whether Monica Lewinsky or others
suborned perjury, obstructed justice, intimidated witnesses, or otherwise violated
federal law."^^ The Office of Independent Counsel then moved to compel the
testimony of Bruce Lindsey, Deputy White House Counsel and Assistant to the
President.^"* Lindsey refused to answer certain questions, citing the government
attorney-client privilege.^^ In seeking to compel Lindsey to testify, the Office of
Independent Counsel urged the court to follow In re Grand Jury Subpoena Duces
Tecum from the Eighth Circuit, by holding that the government attorney-client
privilege disintegrates in a criminal context. The White House insisted that the
majority ' s reasoning in In re Grand Jury Subpoena Duces Tecum was flawed and
that the D.C. Circuit clearly recognizes an absolute government attorney-client
privilege that applies equally to civil a«<i criminal matters.^^
The D.C. District Court partially agreed with the White House's view and
confirmed the existence of an absolute government attorney-client privilege that
87. See 28 U.S.C. § 535(b) (1994).
88. See In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d at 920.
89. Mat 921.
90. See id.
91. Id
92. 5 F. Supp.2d 21 (D.D.C.), affdinpart, rev 'din part sub nom. In re Lindsey, 158 F.3d
1263 (D.C. Cir.) (per curiam), cert, denied. Office of President v. Office of Indep. Counsel, 1 19 S.
Ct. 466 (1998) (mem.).
93. In re Lindsey, 1 58 F.3d at 1267 (citation omitted).
94. See In re Grand Jury Proceedings, 5 F. Supp.2d at 24.
95. See id.
96. See id. at 31-32. The Attorney General filed an amicus brief in which she asked the
court to recognize a qualified government attorney-client privilege that would "balance the demands
of criminal law enforcement against the asserted need for confidentiality." Id. at 32 (quoting Brief
Amicus Curiae for the United States, Acting Through the Attorney General at 7-8).
1999] INRELINDSEY 303
applies to Freedom of Information Act cases and other civil cases in which
government attorneys represent government agencies or employees against
private litigants in matters encompassing official government conduct.^^ The
court reasoned that the "President's need for confidential legal advice from the
White House Counsel's Office . . . [is] as legitimate as his need for confidential
political advice from his top advisers."^^ The court then held that this
"compelling need supports recognition of a governmental attorney-client
privilege even in the context of a federal grand jury subpoena."^^
Although this initial holding clearly contradicts the decision of the Eighth
Circuit in In re Grand Jury Subpoena Duces Tecum, the court illustrated its
unwillingness to recognize an absolute government attorney- client privilege. '°°
The court agreed with the Eighth Circuit that the criminal/civil distinction is
significant and that "[m]ore particularized rules may be necessary where one
agency of government claims the privilege in resisting a demand for information
by another."'^' Finally, the court held that in the context of a grand jury
investigation, where one government agency requires information from another
to determine whether a crime has been committed, the government attorney-client
privilege must be qualified "in order to balance the needs of the criminal justice
system against the government agency's need for confidential legal advice."'^^
This is essentially the same test proposed by the dissent in In re Grand Jury
Subpoena Duces Tecum }^^
To accomplish this balancing test, the court established that the government
attorney-client privilege dissipates if the subpoena proponent can show "first, that
each discrete group of the subpoenaed materials (or testimony) likely contains
important evidence; and second that this evidence is not available with due
diligence elsewhere." '^'^ Upon application of this test, the court found that the
Office of Independent Counsel's submissions'^^ detailing its need for the
conversations between Lindsey and President Clinton were likely to elicit
evidence that was important and relevant to the grand jury's investigation and
97. See id. at 32.
98. Id.
99. Id
100. See id.
101. Id. (quoting In re Grand Jury Subpoena Duces Tecum, 112 F.3d 910, 916 (8th Cir.
1997)).
102. In re Grand Jury Proceedings, 5 F. Supp.2d at 32-33.
103. See In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d at 935 (Kopf, J., dissenting),
("A careful balancing of the interests of the White House and the IC [is required] to preserve and
protect the public interest that both governmental entities seek to promote.").
104. In re Grand Jury Proceedings, 5 F. Supp.2d at 37-38 (quoting In re Sealed Case, 121
F.3d 729, 754 (D.C. Cir. 1997)).
105. The details of the submissions cannot be revealed because the submissions were viewed
in camera and involve matters subject to Federal Rule of Criminal Procedure 6(e)(2). See In re
Grand Jury Proceedings, 5 F. Supp.2d at 38.
304 INDIANA LAW REVIEW [Vol. 33:291
were not available with due diligence elsewhere. ^°^ Therefore, the District Court
granted the Office of Independent Counsel's motion to compel the testimony of
Bruce Lindsey.'^^
C In re Lindsey
In re Lindsey, decided by the D.C. Circuit on July 27, 1998, commenced
when the Office of President appealed the D.C. District Court's compulsion of
Bruce Lindsey's testimony.'^^ In response, the Office of Independent Counsel
immediately petitioned the Supreme Court for review of the district court's
decision, hoping to prevent a future delay resulting from a possible appeal from
the D.C. Circuit Court. The Supreme Court, however, denied certiorari from the
district court and indicated its expectation that the D.C. Circuit Court would
proceed expeditiously to decide this case.*^^
After exploring the foundation for the attorney-client privilege and tracking
the evolution of the government attorney-client privilege, the D.C. Circuit Court
concluded that the "issue whether the government attorney-client privilege could
be invoked [in response to a grand jury subpoena] is therefore ripe for
decision.""^ In deciding this issue of first impression for the D.C. Circuit, the
court held that "[w]hen government attorneys learn, through communications
with their clients, of information related to criminal misconduct, they may not
rely on the government attorney-client privilege to shield such information from
disclosure to a grand jury."'"
In route to its holding, the court discussed numerous policy considerations.
The court relied heavily on the basic duties of government attorneys and officials
when defining the contours of the government attorney-client privilege in the
context of a criminal investigation:
When an executive branch attorney is called before a federal grand jury
to give evidence about alleged crimes within the executive branch,
reason and experience, duty, and tradition dictate that the attorney shall
provide that evidence. With respect to investigations of federal criminal
offenses, and especially offenses committed by those in government,
government attorneys stand in a far different position from members of
the private bar. Their duty is not to defend clients against criminal
charges and it is not to protect wrongdoers from public exposure."^
106. See id.
107. Seeid.z!tZ9.
1 08. See in re Lindsey, 1 58 F.3d 1 263, 1 267 (D.C. Cir.) (per curiam), cert, denied. Office of
President v. Office of Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.).
1 09. See Office of President, 1 1 9 S. Ct. at 466.
110. In re Lindsey, 1 58 F.3d at 1 27 1 .
111. /c^. at 1278.
112. Id. at 1272 (emphasis added).
1999] INRELINDSEY 305
Furthermore, borrowing from Judge Weinstein,"^ the court stated, "If there is
wrongdoing in the government, it must be exposed .... [The government
attorney's] duty to the people, the law and his own conscience requires disclosure
and prosecution."*'"* The court then complimented these governmental duties
with the public's interest in exposing illegality among its elected and appointed
officials. ''^ "Openness in government has always been thought crucial to
ensuring that the people remain in control of their government."*'^
As a supplement to these rudimentary duties, the court looked to several
provisions in the U.S. Constitution involving oaths in order to formulate the
confines of the government attorney-client privilege. First, the President and all
members of the executive branch have a constitutional responsibility to "take
Care that the Laws be faithfully executed.""^ Furthermore, the President swears
that he "will faithfully execute the Office of President of the United States, and
will to the best of [his] [a]bility, preserve, protect and defend the Constitution of
the United States.""^ Lastly, each officer of the executive branch is bound by
oath or affirmation to uphold the U.S. Constitution."^ Although Judge Tatel
pointed out in his dissent that every attorney must take an oath to uphold the U.S.
Constitution in order to enter the bar of any court, the majority responded that a
government attorney must take an additional oath to enter into government
service and stated, "[T]hat in itself shows the separate meaning of the government
attorney's oath."'^°
Additionally, the court noted that the executive branch adheres to the
precepts of 28 U.S.C. section 535(b), which provides that "[a]ny information . .
. received in a department or agency of the executive branch of the Government
relating to violations of title 1 8 [the federal criminal code] involving Government
officers and employees shall be expeditiously reported to the Attorney
General."*^* The court concluded that this provision suggests that government
attorneys and officials have a duty to reveal evidence of possible commissions of
federal crimes. *^^
After evaluating these policy concerns, the majority concluded that the
government attorney-client privilege dissolves in the context of a criminal
investigation and is therefore qualified. The dissent proposed some problems
113. The Hon. Jack B. Weinstein is a Senior Judge for the United States District Court for
the Eastern District of New York.
1 14. In re Lindsey, 158 F.3d at 1273 (emphasis added) (quoting Jack B. Weinstein, Some
Ethical and Political Problems of a Government Attorney, 18 ME. L. REV. 155, 160 (1966)).
115. See id at 1266.
1 16. Id at 1274 (quoting In re Sealed Case, 121 F.3d 729, 749 (D.C. Cir 1997)).
1 17. U.S. Const, art. II, § 1, cl. 8.
118. Id
119. See id an. Wlcl 2.
120. In re Lindsey, 158 F.3d at 1273 n.3.
121. Id at 1274 (quoting 28 U.S.C. § 535(b) (1994)).
122. See id
306 INDIANA LAW REVIEW [Vol. 33:291
with this holding, particularly that government officials will avoid confiding in
government attorneys because they will never know at the time of disclosure
whether the information they share, no matter how innocent it appears, may some
day become pertinent to possible criminal violations. '^^ Therefore, the dissent
predicted that government officials will shift their trust on all but the most routine
legal matters from White House counsel to private counsel.'^'* The majority
conceded that this qualified application of the government attorney-client
privilege may indeed "chill some communications between government officials
and government lawyers."^^^ However, the majority ultimately concluded that
government attorneys and officials will still enjoy the benefit of fully confidential
communications between them unless the communications reveal information
about possible criminal wrongdoing. '^^ Moreover, the majority pointed out that
nothing prevents government officials who seek totally confidential
communications from seeking a private attorney. '^^
In response to the D.C. Circuit Court's holding, the Office of President filed
a petition for certiorari; however, the Supreme Court denied certiorari. ^^^ Justice
Stevens, while respecting the denial of certiorari, stated, "I believe that this
Court, not the Court of Appeals, should establish controlling legal principle in
this disputed matter of law, of importance to our Nation's govemance."'^^
III. The Aftermath OF/// 7^ Z/A^D5'£r
Commentators have mixed reactions to In re Lindsey. Proponents of /« re
Lindsey have hailed the outcome because they believe that government attorneys
and officials should answer directly to the American public. '^° The opponents of
In re Lindsey have criticized it, citing detrimental consequences, such as "chilling
effects," outsourcing of governmental legal work, revelation of military,
diplomatic, or sensitive national security secrets, and slippery slope concerns. '^^
Some critics have been more extreme with their remarks, stating that "this is a
123. See id. at 1284 (Tatel, J., dissenting) (citation omitted).
124. 5ee /<^. (Tatel, J., dissenting).
125. Id. at 1276.
1 26. See id.
127. See id
128. Office of President v. Office of Indep. Counsel, 1 19 S. Ct. 466 (1998) (mem.).
129. M (Stevens, J., respecting denial of certiorari).
130. See, e.g. , Bob Barr, Barr Hails Clinton Attorney-Client Decision "Government Assets
Not for Private C/ye " (visited Nov. 1, 1998) <http://www.house.gov/barr/p_starr3.htm>.
131. See Harvey Berkman, Lindsey Ruling Impact: Outsourcing, Nat'l L. J., Aug. 1 0, 1 998,
at A 12; Marcia Coyle, In the 8th Circuit-Privilege Ruling Could Touch All Government
Attorneys-Whitewater Case Withholds Right That Corporate Clients Have Long Enjoyed, Nat'L
L. J., May 1 9, 1 997, at A 1 ; Marcus, supra note 1 1 , at A 1 ; Walter Pincus, Past Attorney-Client Issue
Resonates White House Lawyers Invoked Privilege in Iran-Contra Investigation, WASH. POST, June
7, 1997, at A3.
1999] INRELINDSEY 307
mess that needs fixing.'"^^ Although the Supreme Court denied certiorari, the
potential repercussions this decision may have on government attorneys and
officials is still unsettled. Therefore, these consequences would benefit from
further analysis.
Supporters of a qualified government attorney-client privilege rely mostly on
the nature of government employment as their arsenal. Congressman and former
U.S. Attorney Bob Barr commented, "Taxpayer- funded government attorneys do
not work for individuals under investigation for private conduct. They work for,
and serve, the taxpaying citizens of this country. "'^^ Furthermore, recognizing
an absolute privilege for attorney-client communications in the government
context would "compromise[] . . . the important public policy of openness in
government affairs.'"^"* While the majority of the judicial community appears to
agree with the basic rationale that the public policy of open government
outweighs the public policy of confidential communications involving a possible
criminal violation by a government official, vehement opposition exists in the
legal community. This opposition falls into these basic categories: "chilling
effects" on communications between government attorneys and officials,
outsourcing burdens, omission of protection for military, diplomatic, or sensitive
national security secrets, and slippery slope concerns.
A. 'Vhilling Effects"
Opponents of the qualified government attorney-client privilege are primarily
concerned with the "chilling effects" this ruling may have on communications
between government attorneys and officials. Commentators, expanding upon
Judge Tatel's dissent in In re Lindsey,^^^ have responded that the "chilling
effects" this holding may induce are in direct conflict with the primary purpose
of the attorney-client privilege: promoting full and frank communications.'^^
White House counsel Charles F.C. Ruff, in response to the Supreme Court's
denial of certiorari in In re Lindsey, pronounced that "[w]e continue to believe
that the attorney-client privilege should protect conversations between
Government officials and Government attorneys. The American people benefit
1 32. Fix-up Time, Nat'l L. J., Aug. 1 0, 1 998, at A20.
133. Barr, supra note 130; see also Appendix to the Hearings of the Select Committee on
Presidential Campaign Activities, reprinted in THOMAS D. MORGAN & RONALD D. ROTUNDA,
Professional Responsibility 105 (6th ed. 1995) ("It is the people who not only pay the
Government lawyer's salary but who are supposed to be the beneficiaries of his legal work and his
true client.").
1 34. Lory A. Barsdate, Note, Attorney-Client Privilege for the Government Entity, 97 Yale
L.J. 1725, 1744(1988).
135. Judge Tatel forecasted that the ruling essentially would deter government clients from
confiding in government attorneys. See In re Lindsey, 158 F.3d 1263, 1284 (D.C. Cir.) (Tatel, J.,
dissenting), cert, denied. Office of President v. Office of Indep. Counsel, 119 S. Ct. 466 (1998)
(mem.).
1 36. See Marcus, supra note 1 1 , at A 1 .
308 INDIANA LAW REVIEW [Vol. 33:291
from decisions made by Government officials ... on the basis of full and frank
information and discussion."'^^
"Chilling effects" on full and frank communications will inevitably occur
because potential criminal wrongdoing is not always conspicuous at the time of
disclosure; "[f]ear of a future investigation, even a meritless one, will make
government officials practice a better-safe-than-sorry approach" '^^ and err on the
side of nondisclosure. The In re Lindsey majority's rebuttal states that
government officials will still enjoy the benefit of fully confidential
communications with their attorneys, unless the communications expose
information relating to possible criminal wrongdoing. '^^ While this lessens the
concern about "chilling effects," the practical effect is that government officials
will more likely seek private counsel if they even remotely suspect that a criminal
investigation may ensue.
B. Outsourcing of Governmental Legal Work
The practice of government officials seeking private counsel, known as
outsourcing, ''^^ is an additional concern of those opposed to the qualified
government attorney-client privilege. However, attorneys have already been
advising government attorneys and officials to retain a private attorney. For
example, G. Jerry Shaw, a partner in a D.C. law firm that represents federal
employees, has confirmed that "[ajttomeys who work for the government have
always known, and it has always been taught to them, that their client is the
government or agency and not the individual."'"^* However, even when
government officials heed this advice and hire a private attorney, they incur a
tremendous monetary burden. '''^ Furthermore, it essentially deprives the
government of critical information because government officials will be less
likely to give information freely to government attorneys based on the advice of
their private attorneys, '"^^
In an effort to abate this burden on government officials, an insurance policy,
which has been "selling like hotcakes," has recently been made available and
provides $1 million in liability coverage for suits arising out of government
officials' jobs and pays up to $100,000 for legal services."*"* Furthermore,
Congress has proposed a bill that reimburses government supervisors and
management officials for up to fifty percent of the costs incurred by such
137. Stephen Labaton, Administration Loses Two Legal Battles Against Starr, N. Y. TIMES,
Nov. 10, 1998, at A 19.
138. Toporek, supra note 69, at 2436-37.
1 39. See In re Lindsey, 1 58 F.3d at 1 276.
140. See generally Patricia M. Wald, Looking Forward to the Next Millennium: Social
Previews to Legal Change, 70 TEMP. L. REV. 1085, 1096 (1997).
141. Berkman, supra note 1 3 1 , at A 1 2 (emphasis added).
142. See Toporek, supra note 69, at 2438.
143. See id
1 44. See Berkman, supra note 1 3 1 , at A 1 2.
1999] INRELINDSEY 309
employees for this professional liability insurance.'"*^ Although the availability
of liability insurance and the reimbursement of premiums will not prevent
outsourcing of legal work to the private sector, it does curb the monetary burden
for government officials, and therefore weakens the opposition's argument.
C Omission of Protection for Military, Diplomatic, or
Sensitive National Security Secrets
Seeking a private attorney may involve a more potent and clandestine
concern than mere "chilling effects" and outsourcing burdens: the possibility of
revealing military, diplomatic, or sensitive national security secrets. This is the
third concern opponents of the qualified government attorney-client privilege
raise. This possibility is particularly worrisome in a situation involving a high-
ranking government official, such as the President, Vice President, or a cabinet
member, because the communications exchanged often involve matters that are
of vital importance to the security and prosperity of the nation.'"*^ Even
supporters of a qualified government attorney-client privilege shun its
applicability to national security matters. For example, C. Boyden Gray, White
House counsel during the Bush administration, believes that an absolute
government attorney-client privilege should extend to communications involving
national security matters, such as Iran-Contra,''*^ that may involve possible
violations of law.'"*^ C. Boyden Gray's rationale for this absolute protection is
that government officials will not have to acquire two sets of attorneys, one
government and one private, in order to clear a top secret.'"*^ Second, C. Boyden
Gray believes that absolute protection will eliminate the inherent riskiness in
relying on outside attorneys because of the sensitivity, and consequent exposition
to a non-government attorney, of the top-secret information involved. '^°
Although Gray supports this view, he does not believe that government attorneys
should be representing government officials who face possible involvement in
145. See H.R. 4278, 104th Cong. § 636 (1996). This liability insurance covers any tortious
act, error, or omission while in the performance of such individual's official duties, as well as the
ensuing litigation and settlement expenses. See id.
1 46. See United States: Government Lawyers Can 't Invoke Privilege when Called to Testify
Before Grand Jury, 1 998 U.S.L. W.D. (BNA), Aug. 3, 1 998, at D3; see also Stanley Brand, A Blow
Is Struck Against Attorney-Client Privilege for Government Lawyers in the Whitewater Independent
Counsel Case, 44-JUN FED. LAW. 9 (1997) ("[Outsourcing] may spark more government officials
to seek advice from private lawyers in sensitive ethics cases or internal agency investigations that
have the potential to turn into criminal probes.") (emphasis added).
147. In 1986, two secret U.S. Government operations were publicly exposed in which the
United States sold arms to Iran in exchange for American hostages in contravention of stated U.S.
policy and in possible violation of arms-export controls. See 1 Lawrence E. Walsh, Final
Report of the Independent Counsel for Iran/Contra Matters 1-2(1 993).
1 48. See Pincus, supra note 1 3 1 , at A3.
149. See id
1 50. See Coy le, supra note 1 3 1 , at A 1 .
310 INDIANA LAW REVIEW [Vol. 33:291
criminal matters, even if the information involves issues of national security.'^'
D. Slippery Slope Concerns
Less worrisome than the revelation of national security matters is the slippery
slope problem. Even before the D.C. Circuit decided In re Lindsey,
commentators cautioned to "[b]e prepared to see [the Eighth Circuit's ruling in
In re Grand Jury Subpoena Duces Tecum] flower because of the number and
breadth of government investigations that become criminal. And be prepared for
the extension of this decision . . . from criminal to civil proceedings."'^^
Furthermore, the increasing number of investigations conducted by the Office of
Independent Counsel also causes concern for an over-inclusive extension of this
ruling. '^^ Although In re Lindsey will clearly place restrictions on the
relationship between government attorneys and officials, the effects of these
restrictions are yet to be known.
In re Lindsey will indeed have repercussions for government attorneys and
officials. However, the nature of public service validates most of the effects this
decision will create. While the "chilling effects," outsourcing burdens, and
slippery slope concerns can be minimized, the possibility of revealing military,
diplomatic, or sensitive national security secrets based on this qualified
government attorney-client privilege must be thwarted.
IV. Proposed ALTERATIONS TO /A^i^^Z/yvD^-Er
Many suggestions have been made to lessen the impact that In re Lindsey
may have on government attorneys and officials. Most of these proposed
solutions incorporate balancing the need for confidentiality against the need for
evidence in criminal cases. However, the Supreme Court has explicitly rejected
this concept of applying balancing tests to the attorney-client privilege.'^"*
Furthermore, using a balancing test will likely compromise the public's interest
in unmasking illegality among its elected and appointed officials. In light of this
concern, there still remains a void in the In re Lindsey decision that must be
addressed before hindsight regrets its omission from the government attorney-
client privilege. This void can be filled by establishing an exception to the
government attorney-client privilege that applies when the information disclosed
deals with military, diplomatic, or sensitive national security secrets. This can
be accomplished by using an in camera inspection.
151. See Pincus, supra note 1 3 1 , at A3 .
152. Coyle, supra note 131, at Al; see also Brand, supra note 146, at 9 ("The court of
appeals decision will certainly encourage litigants to seek to expand the rationale to civil cases.").
153. See Coyle, supra note 131, at A 1 ("Given the proliferation of independent counsel . .
. similar requests by other independent counsel for attorney-client materials will be made against
numerous government agencies.").
154. See Swidler & Berlin v. United States, 1 18 S. Ct. 2081, 2087 (1998).
1 999] IN RE LINDSEY 3 1 1
A. Balancing Test
One example of a balancing test, borrowed from Judge Kopfs dissent'^^ in
In re Grand Jury Subpoena Duces Tecum, is to require a showing of need and an
in camera inspection by a federal judge of the subpoenaed materials in order to
determine relevance and admissibility.'^^ The benefit of using this approach is
that every privileged communication subpoenaed in a criminal investigation will
not be automatically disclosed. '^^ Instead, the "judge would carefully weigh the
importance of the communication to the criminal investigation against the
importance of confidentiality to encourage full and frank communications with
government attorneys." '^^
Although this balancing test appears "fair," it must ultimately fail. The first
reason is the context in which the government attorney-client privilege initially
will be claimed — ^the grand jury. The grand jury, a constitutional body
established in the Bill of Rights,'^^ "belongs to no branch of the institutional
Government, serving as a kind of buffer or referee between the Government and
the people."'^" Allowing a government attorney to withhold relevant criminal
evidence in some instances would essentially disparage the grand jury's function
as a buffer between the government and the people. Furthermore, not only does
a grand jury have broad investigatory powers,'^' but government attorneys also
have a duty to provide testimony to the grand jury. '^^
Second, the Supreme Court has criticized the practice of applying a balancing
test to the attorney-client privilege. '^^ This criticism has resulted because of the
155. Judge Kopf would require the special prosecutor to make an initial threshold showing
before the district court that the documents are specifically needed, relevant, and admissible.
Furthermore, assuming the prosecutor met this showing. Judge Kopf would require the documents
to be examined in chambers in order to determine whether in fact the documents are relevant and
admissible. See In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d 910, 926-27 (8th Cir.) (Kopf,
J., dissenting), cert, denied. Office of President v. Office of Indep. Counsel, 521 U.S. 1 105 (1997);
see also In re Grand Jury Proceedings, 5 F. Supp.2d 21, 32 (D.D.C.), aff din part, rev 'din part sub
nom. In re Lindsey, 158 F.Bd 1263 (D.C. Cir.) (per curiam), cert, denied. Office of President v.
Office of Indep. Counsel, 1 1 9 S. Ct. 466 ( 1 998) (mem.) (stating that the government attorney-client
privilege must be qualified "in order to balance the needs of the criminal justice system against the
government agency's need for confidential legal advice").
1 56. See Toporek, supra note 69, at 2439.
157. SeeiddXlAAQ.
158. Id
159. See U.S. CONST, amend. V ("No person shall be held to answer for a capital, or
otherwise infamous crime, unless on a presentment or indictment of a Grand Jury . . . .").
160. In re Lindsey, 158 F.3d at 1271.
161. See In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d at 918. Furthermore, "[t]he
principle that the public is entitled to 'every man's evidence' is 'particularly applicable to grand
jury proceedings.'" Id. at 919 (quoting Branzburg v. Hayes, 408 U.S. 665, 688 (1972)).
1 62. See Marcus, supra note 1 1 , at A 1 .
163. See In re Lindsey, 158 F.3d at 1268.
312 INDIANA LAW REVIEW [Vol. 33:291
uncertainty a client may have at the time of disclosure as to whether the
information will later become relevant to a civil or criminal matter, let alone
whether it will be of substantial importance. ^^ Balancing the importance of the
information against client interests introduces substantial uncertainty into the
privilege's application; therefore, the use of a balancing test is not applicable
when defining the contours of the attorney-client privilege.'^^
B. In Camera Inspection
Although good grounds exist for not employing a balancing test, the issue of
disclosing military, diplomatic, or sensitive national security secrets, which In re
Lindsey left open, is still not resolved. The possibility of disclosure, which Part
III of this Note addresses, is a realistic concern that the Supreme Court addressed
United States v. Nixon}^^
In determining whether President Nixon must disclose audiotapes concerning
the break-in at Watergate, the Court held that the assertion of the executive
privilege must ultimately yield to the specific need for evidence in a criminal
investigation, unless the investigation encompasses military, diplomatic, or
sensitive national security secrets. '^^ The basis of this sensitive information
exception is rooted in the nature of the President's work. "The President, both
as Commander-in-Chief and as the nation's organ for foreign affairs, has
available intelligence services whose reports are not and ought not to be
published to the world."'^^ Furthermore, "[i]t may be possible to satisfy the
court, from all the circumstances of the case, that there is a reasonable danger that
compulsion of the evidence will expose military matters which, in the interest of
national security, should not be divulged."'^^
Although the government attorney-client privilege does not necessarily
involve information exchanged between the President and his advisors, it does
involve information exchanged between government officials and government
attorneys. High-ranking government officials, such as the Secretary of Defense,
1 64. See Swidler & Berlin v. United States, 1 1 8 S. Ct. 208 1 , 2087 ( 1 998).
1 65. See id. ; see also Jaffee v. Redmond, 5 1 8 U.S. 1 ( 1 996). The Court in Jaffee stated
if the purpose of the privilege is to be served, the participants in the confidential
conversation must be able to predict with some degree of certainty whether particular
discussions will be protected" because "an uncertain privilege, or one which purports
to be certain but results in widely varying applications by the courts, is little better than
no privilege at all.
Id. at 17-18. See also Upjohn Co. v. United States, 449 U.S. 383, 393 (1981) ("[T]he attorney and
client must be able to predict with some degree of certainty whether particular discussions will be
protected.").
166. 418 U.S. 683(1974).
167. See id at 706.
168. Id at 710 (quoting Chicago & S. Air Lines v. Waterman S.S. Corp., 333 U.S. 103, 1 1 1
(1948)).
169. Id at 71 1 (quoting United States v. Reynolds, 345 U.S. 1, 10 (1953)).
1999] INRELINDSEY 313
Joint Chiefs of Staff, Secretary of State, or National Security Advisor, often have
unrestricted access to top-secret information concerning the military, foreign
affairs, or national security. Therefore, it is reasonable that if such officials are
called upon to testify in a criminal investigation, they should also be extended the
protection that the President is afforded under the executive privilege.'^^
Furthermore, the In re Lindsey court affirmatively borrowed the concept of
evaporating the attorney-client privilege in a criminal context from the Supreme
Court's formulation of the executive privilege in United States v. Nixon,^^^ but
neglected, without apparent explanation, to adopt the other important facet of the
executive privilege — absolute protection for military, diplomatic, and sensitive
national security secrets. The In re Lindsey court gave no reason why it only
adopted one-half of the executive privilege formula. Whether by oversight or
intent, divulgence of secret matters is a realistic possibility that the court in In re
Lindsey should have discussed.
This concept of extending absolute protection to communications involving
secret matters is not distinctive to the executive privilege. "In certain
circumstances, the Government may invoke its governmental privilege with
regard to the discovery of informants and state and military secrets."'^" Other
courts have also acknowledged that disclosing secrecy matters could be harmful
to the government and consequently have devised methods to prevent this from
occurring. '^^
In order to extend this needed protection to matters concerning military,
diplomatic, or sensitive national security secrets, a method should be utilized
which will not compromise the public's right to unveil wrongdoing among
government officials. Several courts have held that, given the strong competing
interests to be balanced, the government attorney-client privilege should require
examination of the subpoenaed documents in camera.''"^ "The court must give .
. . consideration to an appropriate method by that which is legitimately privileged,
such as . . . intragovernmental policy discussions, [which] may be shielded while
the relevant factual data is disclosed. In this connection, the court may want to
use the in camera examination device."'^^ Therefore, whenever information
1 70. C. Boyden Gray, White House counsel during the Bush administration, believes that an
absolute government attorney-client privilege should be extended to communications that involve
national security matters. See Pincus, ^wpra note 131, at A3.
171. See In re Lindsey, 1 58 F.3d at 1 266.
1 72. Mertens, supra note 67, at § 58A.34 (citing E.W. Bliss Co. v. United States, 203 F.
Supp. 175 (N.D.Ohio 1961)).
173. See, e.g.. United States v. Reynolds, 345 U.S. 1, 6-7 (1953) (holding that there is a
governmental privilege for state and military secrets); People ex rel. Dep't of Pub. Works v. Glen
Arms Estate, Inc., 41 Cal. Rptr. 303 (Cal. Ct. App. 1964) (applying an in camera inspection to state
secrets and official communications).
1 74. See, e.g., Scott Paper v. United States, 943 F. Supp. 489, 498 n.8 (E.D. Pa.), aff'd, 943
F. Supp. 501 (E.D. Pa. 1996).
175. Id. (quoting United States V. O'Neill, 619 F.2d 222, 230 (3d. Cir. \9^Q)),seealso Inre
Franklin Nat'l Bank Sec. Litig., 478 F. Supp. 577, 582 (E.D.N. Y. 1 980) ("Given the clash of strong
314 INDIANA LAW REVIEW [Vol. 33:291
potentially contains military, diplomatic, or sensitive national security secrets, the
judge would determine what exactly should be disclosed, such as basic facts,
without compromising the sensitivity of the information, but nevertheless
satiating the public's right to unveil illegality among government officials.
Using a balancing test to eradicate the negative effects of /« re Lindsey may
not be a viable alternative for two primary reasons: the specialized function of
the grand jury and the criticism by the Supreme Court concerning application of
balancing tests to the attorney-client privilege. However, by holding that the
government attorney-client privilege evaporates in the context of a criminal
investigation, the In re Lindsey court left open a possibility that has been
criticized before — revelation of diplomatic, military, or sensitive national security
secrets. '^^ The possibility of revealing such information needs to be addressed
before hindsight regrets its omission from the government attorney-client
privilege. In order to accomplish this, whenever the government attorney-client
privilege is claimed in a response to a criminal investigation involving
diplomatic, military, or sensitive national security secrets, the courts should
create an exception to the government attorney-client privilege that requires
judges to conduct an in camera review. An in camera review will ensure that the
sensitivity of the information is not compromised because judges will censor
what should be disclosed.
Conclusion
Regardless of the proposed alterations to the government attorney-client
privilege, there will be consequences to the relationship between government
attorneys and officials. In order to alleviate these ensuing changes, a few simple
procedures should be followed. First, government attorneys should establish a
plan for identifying and reporting to senior attorneys any legal matters that
involve a criminal inquiry.'^'' Those matters, and the work of government
attorneys in connection with them, can then be monitored with the understanding
that the government attorney-client privilege may not be available. '^^ Second,
government attorneys should warn government officials from the outset that they
represent the governmental entity, not the individual official; therefore,
government attorneys can steer individuals toward private counsel if needed. '^^
If government attorneys follow this approach, it may sometimes make it more
difficult to obtain information from government officials; however, it should then
minimize the risk that a government attorney could be criticized for not putting
an official on notice that his discussion with the government attorney was not
competing interests, the official information privileged usually requires examination of the
documents in camera.").
1 76. See supra text accompanying notes 1 68-75.
1 77. See Lance Cole, The Government-Client Privilege After Office of the President v. Office
of the Independent Counsel, 22 J. LEGAL PROF. 15, 26 (1998).
178. See id.
179. See id. 2X2%.
1999] INRELINDSEY 315
privileged J^° As far as government officials are concerned, they should heed the
advice of the Eighth Circuit, "An official who fears he or she may have violated
the criminal law and wishes to speak with an attorney in confidence should speak
with a private attorney."'^' Following these simple recommendations will not
entirely eradicate the proposed effects of the qualified government attorney-client
privilege, but it will ease the transition to limited protection for communications
between government attorneys and officials that encompass criminal wrongdoing.
In conclusion, although the government attorney-client privilege contains an
exception, dissolution of the privilege in the face of a criminal investigation, that
the attorney-client privilege does not contain, the differences between the two
privileges are ultimately dispositive. The bottom line is that taxpayer-funded
government attorneys and officials work for, and serve, the taxpaying citizens of
this country. Therefore, a qualified government attorney-client privilege in a
criminal context, which In re Lindsey establishes, is warranted because of the
public's right to uncover illegality among its elected and appointed government
officials.
Although there has been much opposition to In re Lindsey, much of the
criticism, such as "chilling effects" and outsourcing burdens, can be tempered.
The major solutions proposed to eradicate these potential effects, such as
balancing tests that weigh the grand jury's need for the evidence against the need
to protect full communications between government attorneys and officials, are
equally problematic. However, this does not resolve the issue. The In re Lindsey
court notably left out an important possibility in its construction of the qualified
government attorney-client privilege — revelation of military, diplomatic, or
sensitive national security secrets. This oversight has a left a void in the In re
Lindsey decision that needs to be filled. To fill this void, courts should create an
exception to the government attorney-client privilege that will protect military,
diplomatic, and sensitive national security secrets by requiring judges to employ
an in camera inspection. An in camera inspection will safeguard the sensitivity
of such information because judges can censor it before disclosure.
Unfortunately, because Monica Lewinsky is not a military, diplomatic, or
sensitive national security secret, even this formulation of the government
attorney-client privilege would not have prevented Bruce Lindsey from testifying
about the "inappropriate" relationship between President Clinton and Monica
Lewinsky had President Clinton not admitted to it.
180. See id. at 28-29.
181. In re Grand Jury Subpoena Duces Tecum, 1 12 F.3d 910, 921 (8th Cir.), cert, denied,
OfficeofPresidentv.Officeoflndep. Counsel, 521 U.S. 1105(1997). SeealsoInreUn(\sQy, 158
F.3d 1263, 1276 (D.C. Cir.) (per curiam), cert, denied. Office of President v. Office of Indep.
Counsel, 119 S. Ct. 466 (1998) (mem.) ("[Njothing prevents government officials who seek
completely confidential communications with attorneys from consulting personal counsel.").
RocKiN' Down the Highway: Forging a Path
FOR THE Lawful Use of MP3 Digital Music Files
Mary Jane Frisby*
Only the Beginning: An Introduction
Since the late 1990s there has been an uproar, widely reported in the popular
media, over the widespread copying and transmission of pre-recorded music onto
high-quality computer files known as MP3 files. With angry representatives of
the music industry on one side and defiant copyright infringers on the other, the
law that pertains to digital music has been misunderstood and sometimes ignored.
The purpose of this Note is to provide some guidance to MPS users on what is
required for lawfully copying and transmitting MPS music files by applying the
current law to digital recordings and analyzing how recent acts of Congress have
further sharpened the issues surrounding the use of MPS files on the Internet. An
underlying theme throughout the paper will be the continuing importance of
preserving opportunities for the fair use of digital music.
This Note is organized into eight Parts. Part I briefly introduces MPS files,
including how they are made, acquired, and played. The controversy in both the
music industry and in the popular media is also described. Part II provides a
short primer on the music industry and outlines the relationship between the
industry's two principal players, music publishers and record companies.
Part III provides a somewhat longer primer on the complicated law of
copyrights for music recordings. Even attorneys who have a basic familiarity
with the Copyright Act are frequently confused by the distinctions the Act makes
between the rights that accompany musical works and those that accompany
sound recordings; this distinction only grows more confusing as the law
endeavors to enter the realm of digital audio recordings. This Part begins by
attempting to sort out and explain the rights of the two principal players. Next
is a simplified description of the complex system of voluntary and compulsory
licenses used by the music publishing industry, followed by a brief definition of
infringements Finally, an introduction to the doctrine of fair use is provided.
Part IV demonstrates how common uses of MPS files, particularly the
transmission of MPS files over the Internet, fit into the framework of copyrights
and licensing. More specifically, the licensing provisions of the Digital
Performance Rights in Sound Recordings Act of 1 995 is used to demonstrate the
licensing framework in which non- infringing transmissions of MPS files can
occur. Part V turns to infringing uses of MPS files and assesses the potential
liabilities of various entities in the online world, including the owners of web
sites, Internet Service Providers, and home users. The difficulty of using
traditional enforcement methods in the online environment is emphasized. Part
VI briefly recounts how the music industry is turning to technology to prevent
future copyright infringement rather than focusing on finding remedies for past
infringements.
* J.D. Candidate, 2000, Indiana University School of Law— Indianapolis; B.A., 1994,
Indiana University. This Note is dedicated to my music muse, Yun Hui.
3 1 8 INDIANA LAW REVIEW [Vol. 33:317
Part VII introduces, somewhat skeptically, the latest salvo in the war to
prevent the piracy of digital sound recordings: the Digital Millennium Copyright
Act (DMCA), which was enacted in November 1998 and will become effective
in October 2000. The basic provisions of the DMCA relevant to MP3 users are
described, including sections that shield Internet Service Providers in certain
circumstances from liability for infringing web sites, the creation of an additional
statutory license for certain transmissions of digital recordings, and how the
circumvention of copyright protection devices has been criminalized. The
DMCA also purports to accomplish these protections while still protecting
traditional notions of fair use.
Part VIII assesses the impact of the DMCA on the fair use of MP3 -formatted
sound recordings. The dilemma faced by Congress is how to balance a locked-up
"pay-per-use" Internet, which was envisioned by some as the likely future of the
World Wide Web, with the need to protect fair use. A danger exists that fair use
in such a system would require a narrow, regulated, status-based regime that
would have to determine who would be "eligible" to make fair use of copyrighted
works.
The conclusion contains the hope that during the time before the DMCA goes
into effect Congress will formulate a policy able to amply protect the rights of
copyright owners while still permitting individuals to make fair use of digital
materials without undue regulation or a "locked up" Internet. There may be other
ways to compensate copyright owners while preventing a pay-per-view Internet.
In fact, the best solution may be for the recording industry to accept the MP3
format and begin to exploit it itself. The appendix contains a table outlining the
respective licensing regimes of the two different types of copyright owners in
sound recordings.
I. ANEW Sensation: Introducing MP3 Files
A powerful new computer file format for digitally storing music has swept
through the online community, captured the attention of the popular culture, and
in the process, raised the ire of many leaders in the recording industry.^ This file
format is being used to create super-compressed digital copies of pre-recorded
works that have the same sound quality as tracks found on compact discs
("CDs"). These files are known as MP3 files.
MP3 stands for MPEG 1 layer 3, which is an abbreviation of "Motion Picture
Experts Group Layer 3 Compression Format."^ It is a file format for digitally
storing music in computer files, which as a result are named with the extension
1 . See, e.g.. Blame It on Rio, NEWSWEEK, Nov. 9, 1998, at 8; David Bowie, Bowie Wants
to Rock Music World with World Wide Web, INDPLS. STAR, Jan. 24, 1999, at 13; Ron Harris, Tech
Advances May Reform Shopping for Music, iNDPLS. STAR, Dec. 1 2, 1 998, at C 1 ; John Pareles, With
a Click, a New Era of Music Dawns, N.Y. TIMES, Nov. 15, 1998, at ARl.
2 . See T. R. Reid, Record Company Execs Infuriated by the Newest PC Buzzword: 'MP 3. '
The Daily Record (Baltimore), May 19, 1998, at 2B, available in 1998 WL 9507824; MPS for
Beginners (visited July 28, 1999) <http://www.mp3.com/faq/general.html>.
1 999] MP3 DIGITAL MUSIC FILES 3 1 9
".mp3." MP3 files have an advantage over the standard WAV^ music files
because the quality of sound they contain is near perfect, and since they are
compressed, take up very little space — a ratio of twelve WAV files to one MP3
file.
MP3 files are easy to make. Provided one has a computer with a suitable
CD-ROM drive, MP3 files can be made by transforming tracks from an ordinary
CD into WAV files (a process called "ripping" that uses CD ripper software,
such as WinDac32), and then using MP3 encoder software to compress the WAV
files into MP3 files. Alternatively, MP3 files can be encoded directly from a CD
with MP3 compressor software."^ The process can also be reversed. MP3 files
can be transferred into WAV files, or even written onto a regular audio CD.^
In addition to making MP3 files by ripping tracks from CDs, MP3 files can
be acquired directly over the Internet. For instance MP3.com offers a complete
catalog of MP3 music, organized both by song titles and artists and by genre and
region.^ Plenty of other MP3 files can be found posted on other web sites,
including "renegade" sites with bootlegged music, legitimate sites such as
MP3.com and e-music.com and those sponsored by recording artists or record
companies. Some music has had its first release in the MP3 file format,
including a recent album released online by Public Enemy and an electronic
label. Atomic Pop.^
To play an MP3 file on a computer requires a simple player that can be
downloaded as shareware (such as WinAmp) to uncompress files.^ MP3s do not
require a computer to play them, however. Recently, Diamond Multimedia
Systems, Inc. has released a small portable MP3 player, named the Rio.^
Creative has introduced an even smaller portable player called the Nomad. '°
In a brief time, MP3 has become a household word and is among the top
terms searched on the World Wide Web.'' The magazine Entertainment Weekly
3. WAV is "[t]he format for storing sound in files developed jointly by Microsoft and IBM.
. . . WAV sound files . . . can be played by nearly all Windows applications that support sound."
<http://webopedia.intemet.com/TERM/WAVAV.html>.
4. See Making MPSs (visited July 28, 1999) <http://www.mp3.com/faq/making.html>.
5. See id.
6. See Find Music (visited July 28, 1999) <http://www.mp3.com/faq/findmusic.html>
7. See Zack Stentz, Net Effect, NEWSWEEK, May 14, 1999, at 24. Even a comic strip
character — Doonesbury's aging rock star Jimmy Thudpucker — released music on the web in a
series of strips during the summer of 1999. See Garry Trudeau, Doonesbury, INDPLS. Star, July
5, 1999, at E8.
8. See MPS Player Setup (visited July 28, 1 999) <http://www.mp3 .com/faq/gettingstarted
html>
9. See Harris, supra note 1 , at C 1 .
10. See Join the Happy Wanderers, NEWSWEEK, July 26, 1999, at 16. An MP3 player is
even available for cars from a British company called Empeg at www.empeg.com.
<http://www.empeg.com>.
1 1 . "To the surprise of nearly everyone connected to the Web, MP3 has replaced sex as the
most frequently searched term on the Internet, according to market researcher Searchterms.com."
320 INDIANA LAW REVIEW [Vol. 33:3 17
now devotes regular coverage of the MP3 worldJ^ According to its enthusiasts,
the MP3 format has become the dominant form of digital music file found on the
Internet:
MP3 is an open standard, meaning no one organization controls it. On
the Internet, open standards win and this is why even without any
significant corporate backing, MP3 is already the de facto [music file
format]. There are more MP3 listeners, software programs, and
hardware devices than any other CD quality audio format in the world.
Microsoft has also built MP3 support into Windows 98.'^
Naturally, multiple legal ramifications accompany this success. The high-
quality sound, the compressed format, and the ease and speed with which MP3
files can be reproduced and distributed around the globe via the Internet poses
a significant threat to the copyright owners of songs and sound recordings. The
Recording Industry Association of America (RIAA) has cracked down on web
sites that post MP3 versions of copyrighted songs by getting temporary
restraining orders.''* But RIAA also recognizes that online distribution is the
future of the business.'^ Nevertheless, the threat of infringement is growing.
Until recently, the danger of computer piracy seemed confined to a relatively
small niche of advanced computer users and web surfers. In the near future,
however, creating and playing MP3 files will become as easy, and possibly as
commonplace as the making of a cassette tape from a CD. An example of this
technology reaching the everyday music listener is the recent public release of
the Rio, a tiny three-ounce portable digital music player, by Diamond Multimedia
Systems, Inc., a California-based electronics company. '^ Resembling a miniature
palm-sized Sony Walkman, the Rio is able to store and play up to sixty minutes
of digitally-recorded music. '^ Alarmed at the prospect of mass-market copying
of music, RIAA asked the U.S. District Court for the Central District of
California to enjoin Diamond from releasing the Rio.'^ Although a temporary
Warren Cohen, They Want Their MP3, U.S. NEWS ONLINE, July 26, 1999 (visited Jan. 7, 2000)
<http://www.usnews.com/usnews/issue/990726/mp3.htm>.
12. See, e.g., Chris Willman, A New Format Lets Any Dorm-room Netnik Download and
Duplicate Music, ENTERTAINMENT Wkly., Nov. 27, 1998, at 92 (the magazine's first article on
MP3). The magazine now routinely covers MP3 news in its Internet section. See, e.g., several
mentions in the Nov. 5, 1999 issue at 89.
13. Michael Robertson, Top 10 Things Everyone Should Know About MPS (visited July 28,
1 999) <http://www.mp3.com/news/070.html>.
14. See John F. Delaney & Adam Lichstein, The Law of the Internet: A Summary of U.S.
Internet Caselaw and Legal Developments, 505 PLI/PAT 79, 104 (1998).
1 5. See Jason Chervokas, New CD-Copying Trend Threatens Record Industry, Chi. Trib.,
Apr. 17, 1998, at 70, available in 1998 WL 2846958.
16. See Michael S. Mensik & Jeffrey C. Groulx, From the Lightweight 'Rio' Flows
Heavyweight Battle, Nat'L L.J., Dec. 14, 1998, at B5.
1 7. See id.
18. See id.; Recording Indus. Ass'n of Am., Inc. v. Diamond Multimedia Sys. Inc., 29 F.
1999] MPS DIGITAL MUSIC FILES 321
restraining order was granted, at the full liearing for a preliminary injunction, the
court denied the relief the recording industry sought on the grounds that the Rio
is a neutral recording and playback device, not a device for making downstream
copies.*^ This interpretation was upheld by the Ninth Circuit in June 1999.^°
Although RIAA did not yet prevail against the Rio, this case will likely be one
skirmish in a long battle between the recording industry and the consumer
electronics industry over the future use of MP3 files.
It is important to recognize that the MP3 format is itself legally neutral. For
instance, the use of MIDI technology to record music played on electronic
instruments directly into a computer file is a method of creating original music
as an MP3-formatted recording. Similarly, copyrighted music can be reproduced
as an MP3 file by the copyright owner or with the owner's permission, and
recordings in the public domain can also be MP3-formatted. This Note is
concerned with the reproduction, performance, and distribution of MP3 files
created from copyrighted works by non-owners. Before launching into the place
of the MP3 storm in the context of our current copyright law system, broad
summaries of both the music industry and of copyright law as it relates to music
are needed to provide a framework for understanding the problem.
II. ROCKIN' IN THE FREE WORLD: A PRIMER ON OWNERSHIP
IN THE Music Industry
The ownership of a piece of music and any accompanying lyrics (a "song"
for our purposes) can be divided among a variety of personages. The songwriter
(the "composer") is generally the original owner of the song.^' As is frequently
the case in today's popular music, the composer is also the artist who will
eventually perform or record the song. Thus the owner of a song may
simultaneously be its composer, lyricist, and artist. Composers ordinarily enter
into a contract with a music publisher ("publisher") in which the composer
licenses to the publisher hi? ownership of the song in exchange for a share of the
song's revenues. The publisher's job is to market the song commercially, which
includes contracting with record companies to record the song in exchange for
royalties, a share of which is then passed on to the composer.^^ Because
traditionally song composers were not themselves performing artists, publishers
also contracted with selected artists who would perform and record the song.
These days, however, the role of the traditional independent publisher has
Supp.2d 624 (CD. Calif. 1998), affd, 180 F.3d 1072 (9th Cir. 1999).
19. See Recording Indus. Ass 'n of Am., Inc., 29 F. Supp.2d at 632.
20. See Recording Indus. Ass'n of Am., Inc. v. Diamond Multimedia Sys. Inc., 180 F.3d
1072, 1080 (9th Cir. 1999).
21 . If the song is comprised of music written by one person and lyrics written by someone
else (as in the famed collaborations of George and Ira Gershwin or, more recently, Elton John and
Bemie Taupin), then ownership in the song may be divided between both authors jointly.
22. See Donald S. Passman, All You Need to Know About the Music Business 2 1 3-
35 (1997) for a good summary of the role of music publishers.
322 INDIANA LAW REVIEW [Vol. 33:317
diminished. Many composers are themselves the performers, and now often
serve as their own publishers as well. Moreover, record companies now also
have publishing divisions. For the sake of simplicity, I shall always refer to a
song's owner as the "publisher." Still, it is important to keep in mind that in
many contractual arrangements the "publisher" may actually be the composer,
who may also be the artist.^^
Publishers enter into contracts with record companies (the ever-elusive
"record deal") for their songs. Although the terms of these contracts can vary
widely, the standard agreement requires the record company to produce and
manufacture a sound recording ("record") of the publisher's song(s).^'* The
recording company gets to keep the bulk of the revenues from sales of the record
while passing on a percentage to the publisher in the form of royalties. The artist
who performs on the record will also be given either a royalty share or a flat
stipend. Thus, when the publisher and artist are the same person, the
publisher/artist contracts upon two bases for payment from the record company.
The record company must also arrange for the distribution and marketing of the
record (including advertising and soliciting radio play), and in some cases
support the artist's promotional activities on behalf of the record (such as
concerts and tours).^^ While in most agreements the publisher maintains
ownership of the songs, the record company has complete ownership of the
record itself. ^^ Therefore, when discussing a particular recording, at least two
sets of rights are generally involved: those of the owner of the song, and those
of the owner of the recording of the song.
23. A song in which the recording artist has an ownership interest is termed a "controlled
composition," which entitles the artist to receive publisher's royalties as well as royalties for
performing on the record. See id. at 22 1 -30 for a detailed account of the complex negotiations that
occur to set royalty rates in recording contracts for controlled compositions.
24. These are also known as phonographs. A "record" here is intended to be the same as
what the Copyright Act refers to as "sound recordings" in section 101 , including MP3 files and all
the formats currently being manufactured by record companies, such as CDs/Enhanced CDs/mini
discs, audio cassettes. Digital Audio Tapes (DATs), and LPs. See 17 U.S.C. § 101 (1994).
25. As this is a very simple example, complicating factors such as music videos (often paid
for by the artists themselves) and the selection and compensation of producers (sometimes the
artists pay producers out of their own pockets) are not considered.
26. Although a variety of entities may own copyrights to a sound recording, the term "record
company" will be used synonymously with the owner of a sound recording. A single song may be
recorded several times by the same record company or by different record companies, as in a studio
version, a live version, various "re-mixed" versions, "cover" versions by different artists, or a re-
mastering of original recordings. It is important to note that a record company has ownership rights
only to its own recordings of the song, not to any recording of the song. This is amplified in the
discussion of compulsory licenses in Part III.B of this Note. See, e.g., 17 U.S.C. § 1 14(b) (Supp.
IV 1998).
1999] MP3 DIGITAL MUSIC FILES 323
iii. where it's at: the current state of copyright protection for
Music Recordings
A. The Nature of Copyrights
Copyright law today is governed almost entirely by federal statute.^^
According to the Copyright Act of 1976, copyright protection extends for a
limited period of time to original works, including songs, as soon as they are
expressed in a "tangible medium of expression."^^ For a composer, this means
that automatic copyrights are granted to a song once it is reduced to written
music notation or when a simple recording of the song is made. The copyrights
are the ownership interests that are then licensed to the publisher. For a record
company, the record is copyrighted once it has been reduced to a tangible form
such as a master tape, and the copyright extends to all reproductions of the
master tape that are made by the record company (such as CDs, audio cassettes,
and of course MP3 files).^^
Publishers of songs have, subject to certain exceptions, exclusive rights in
the form of a temporary monopoly to do or authorize all reproductions and
distributions of songs in the form of phonorecords (or sound recordings), the
preparation of all derivative works based on the songs, and every public
performance of the songs.^°
Record companies traditionally only own the rights to reproduce and
distribute their sound recordings and to prepare derivative works based on them;
no display or performance rights to sound recordings were granted.^' However,
in 1995, a performance right was provided for sound recordings in limited
circumstances.^^ A brief examination of each of the relevant rights belonging to
publishers and to record companies is useful.
1. The Reproduction Right. — ^The exclusive right to reproduce one's works
includes both partial and complete copying and exists regardless of whether the
27. For the sake of simplicity, this Note considers only the 1976 Copyright Act and its
subsequent amendments; however, songs published before 1978 are still governed by the 1909
Copyright Act until their copyrights expire, at which point the works enter the public domain. State
common law may also still protect certain rights not preempted by the 1976 Copyright Act. See id.
§301(1994).
28. Id. § 102(a). The duration of copyright protection is defined in id. §§ 303-305.
29. See Passman, supra note 22, at 206 for further examples of tangible expressions of
music.
30. See 17U.S.C. § 1 06(1 994 &Supp. IV 1998). Although as the discussion above details,
the reproduction and distribution rights are the main rights that are sold or licensed to the record
company in the record deal.
31. See id § 1 1 4(a) (Supp. IV 1 998).
32. See The Digital Performance Right in Sound Recordings Act (1995), codified at 17
U.S.C. §§ 106(6), 1 14(b), 1 15(c)(3)(A) (1994 8l Supp. IV 1998). See infra Part IV for a closer
look at the Digital Performance Right in Sound Recordings Act.
324 INDIANA LAW REVIEW [Vol. 33:317
copies are made for private or public use.^^ For publishers, the right to reproduce
their songs means they have the right to make copies of the tangible forms of
their songs, including sheet music to the song or even recordings of the song
made by the publisher. If a contract has been made between the publisher and
a record company, the publisher has licensed, in exchange for royalties, the
reproduction right for that particular recording of its song since v^^henever the
record is reproduced, the song is reproduced too. However, the Copyright Act
provides a limit to the otherwise "exclusive" reproduction right of music
publishers: once a publisher has allowed a song to be recorded, that song can
then be recorded by anyone else.^"* Thus, a record company does not necessarily
have to negotiate a contract with a publisher in order for it to be able to make
recordings of the publisher's previously recorded songs. While publishers are
free to arrange for multiple recordings of their songs, they cannot prevent anyone
else from making a recording of their songs. A record company does not need
the publisher's permission to record that publisher's music; the company only
pays a statutory license fee to the publisher.^^ For other forms of reproduction,
like sheet music, the publisher retains full exclusive rights.
Record companies acquire the exclusive right to reproduce copies of their
products. This applies to the words and graphics found on the label and other
packaging material accompanying the recording, and to the sequence of sounds
contained in the recording — usually originating in a master tape — as reproduced
in the form of mass-produced CDs, audio cassettes, or even MP3 files posted on
the company's web page. "Reproduction" is understood to mean producing a
"material object in which the work is duplicated, transcribed, imitated, or
simulated in a fixed form from which it can be 'perceived, reproduced, or
otherwise communicated, either directly or with the aid of a machine or
device. '"^^ In the case of sound recordings, only the actual recorded sounds from
the sound recording are protected; the right does not protect against
reproductions that merely simulate or imitate the sounds in the sound recording.^^
In the digital age, records are increasingly being transmitted digitally over
telephone lines and cable lines, both directly and on the Internet. The expansion
of the ways to acquire music adds complexity to the understanding of record
reproduction and distribution. The recent Digital Performance Right in Sound
Recordings Act (1995) amended section 1 15 of the Copyright Act to recognize
the nascent digital reproduction and distribution of music.^^ This means that
when a record of a musical work is created and digitally transmitted to a receiver,
for the intended purpose that the receiver making a copy of the record as it is
received, then both a reproduction and a distribution have occurred, and a
33. See 17 U.S.C. § 106(1) (1994). This is true by inference from the language of section
106, because the performance and display rights are qualified with the adjective "public."
34. See id. § 115(a)(1).
35. See infra Part III.B for a discussion of these "compulsory" or "mechanical" licenses.
36. H.R. Rep. No. 94-1476, reprinted in 1976 U.S.C.C.A.N. 5659, 5675.
37. See 17 U.S.C. § 1 14(b) (1994 & Supp. IV 1998).
38. See id § 1 15(c)(3)(A) (Supp. IV 1998).
1999] MP3 DIGITAL MUSIC FILES 325
compulsory fee must be paid. These types of transmissions are called "digital
phonorecord deliveries."^^
2. The Distribution Right. — As in the reproduction right, publ ishers have the
right to distribute copies of their songs to the public, although those rights are
also typically sold or licensed to record companies with respect to particular
recordings of songs/^ As noted above, publishers may maintain the right to
distribute other forms of their songs such as the sheet music. Similarly, record
companies acquire the exclusive right to distribute to the public the records they
produce. However, the right to distribute is limited to the first sale of each copy,
according to a concept known as the First Sale Doctrine. In other words, a record
company has the exclusive right to make the initial sale of each record it
manufactures, but once someone has lawfully acquired a copy of a copyrighted
work, that person is entitled to re-sell that particular copy to someone else, even
at a profit, without the record company's permission.'*'
3. The Right to Prepare Derivative Works. — A derivative work is defined
as a work that is based upon a preexisting work (as in a song or a recording of a
song) which consists of "editorial revisions, annotations, elaborations, or other
modifications [that] as a whole represent [the] original work.'"^^ That is, an
actual part of the original work must be incorporated into the new work for it to
be considered a derivative work."*^ The derivative work itself is also copyright
protected, just like any other work, as soon as it is reduced to a "tangible medium
of expression.'"*'* Owners of rights to songs or recordings of songs also have
copyrights to works derived from those songs or recordings. For instance, a
recording that is based on "samples" taken from an earlier recording may be a
derivative work of both the original recording and the original song."*^
39. Id. Note that the distribution may also be a protected public performance of the record,
with implications for those with performance rights, namely publishers.
40. See id. § 106(3) (1994).
41. See id. § 1 09(a). For a further twist to distribution rights, see id. § 1 09(b)( 1 )(A). The
music and software industries, wielding their considerable political muscle, lobbied for and received
an amendment to section 109 that prohibits the lending, rental, or leasing for profit of records or
computer software without the permission of those who, in the case of records, own the copyrights
in both the sound recording and the underlying music. Hence there are no music or software
"Blockbuster" stores.
42. Id § 101.
43. A song based on a story in a novel would not be a derivative work of that novel unless
the song's lyrics come from the actual text of the novel, thereby incorporating portions of it into the
song. See id. § 1 14(b) (limiting the scope of the right to derivative works in sound recordings to
those derivative works that reproduce actual sounds from the original sound recording).
44. Id
45. A recent example of this phenomenon is the royalty settlement arranged between the
British rock group The Verve and the Rolling Stones' publisher — The Verve's 1998 hit
"Bittersweet Symphony" was based on a sampled guitar riff from the Rolling Stones' song "The
Last Time." See Paul Sexton, Bittersweet Synergy, Adweek E. EDITION, Oct. 26, 1998, available
in 1998 WL 10549389.
326 INDIANA LAW REVIEW [Vol. 33:317
4. Performance Rights. — The publisher maintains the exclusive right to
perform its songs in public/^ This encompasses live performances of the song
in public, including "covers" of songs by other artists and the broadcasting of
songs over the radio/^ Understandably, it is virtually impossible for an
individual publisher to enforce the performance right for every song, given the
enormous number of ways that songs can be performed. Everyday examples
include the local bands who play throughout the country in bars, restaurants and
other venues for live music, and the large variety of radio broadcasts, such as
low-frequency college and high school radio broadcasts. Publishers handle this
problem by contracting with performance rights societies. These nonprofit
organizations serve as agents for securing performance fees for the publishers'
material.'*^ The two dominant societies are American Society of Composers,
Authors, and Publishers (ASCAP) and Broadcast Music, Incorporated (BMI).
These societies negotiate "blanket licenses" with users such as radio stations and
nightclubs.'*^ Blanket licenses give the users a license to perform all of the songs
owned by all of the publishers who have contracted with the performance right
society, in exchange for one fee.^° The society then pays a share of the fees to
the publishers.^' Thus, for example, radio stations pay fees to performance rights
societies for the songs they broadcast; the performance rights societies pay the
publishers, who in turn pay the composers.
Performance rights in recordings, until recently, fared differently. For most
of the history of copyright law no copyright was available for the public
performance of sound recordings.^^ Thus, following the radio example, record
companies receive nothing when a song is broadcast on the radio (although they
do arguably still benefit from the record sales that accrue from radio play).
However, in response to the technological changes brought by digital audio files
and Internet radio broadcasting, foreshadowing the eventual digital distribution
of music over telephone and cable lines, the 1995 Digital Performance Right in
46. See 17 U.S.C. § 106(4) (1994 & Supp. Ill 1997).
47. See id.
48. See PASSMAN, supra note 22, at 230-35. Over $800 million has been generated by
performance rights societies for their members, constituting the main source of income for music
publishers. See Nancy A. Bloom, Protecting Copyright Owners of Digital Music: No More Free
Access to Cyber Tunes, 45 J. COPYRIGHT Soc'Y U.S.A. at 179, 197 (1997).
49. Even though the nightclub owners themselves are not the performers of the songs, they
could still be liable for infringing performances under a theory of vicarious infringement. Thus it
behooves them to protect themselves through blanket licensing with performance rights societies.
50. The use of these blanket licenses may give the impression that these licenses are
somehow compulsory — that is, that the publisher has no choice or control over who may or may
not "cover" their songs. While practically speaking this may be true, in fact these licenses are
voluntary. Publishers maintain the exclusive right under the Copyright Act to control the public
performances of their songs and therefore, theoretically could choose to deny permission to perform
its songs in public. For comparison, see infra Part III.B. for a discussion of compulsory licenses.
51. See Passman, supra note 22, at 23 1 -32.
52. See 17 U.S.C. § 114(a) (1994).
1999] MPS DIGITAL MUSIC FILES 327
Sound Recordings Act recognized that certain digital audio transmissions of
sound recordings constitute a public performance." The Act further provides a
compulsory license for publishers and record companies for these transmissions
under certain conditions.^"* Thus in limited circumstances record companies join
music publishers in receiving royalties for licensing performance rights.
B. Compulsory Licenses
It would seem that an implication of a copyright being "exclusive" is that the
copyright owner can choose to withhold permission for the copying of the work
by another, or that the owner is the one who has the privilege of deciding who
gets to exercise the copyrights to the work, for example by licensing the use of
the copyrighted work for a negotiated fee (known as a "voluntary license").
Nevertheless, for the reproduction and distribution rights to songs. Congress has
limited music publishers' "exclusive" reproduction rights to only a right to
collect compulsory license fees. A compulsory license is a license that is
mandated by statute to permit otherwise infringing uses of a copyrighted work
in exchange for the payment by the user of statutorily determined royalties to the
copyright owner. ^^ They are "compulsory" because the permission by the
copyright owner for these uses cannot be denied and the formula for determining
the license is set by statute.
Congress, fearing monopolies by music publishers over the recording of
songs, enacted compulsory (also known as "mechanical") licenses to permit
others to make new recordings of previously-recorded songs.^^ Section 1 15 of
the Copyright Act provides that once a song has been recorded and publicly
distributed, the publisher is required to license the song, in exchange for a fee,
to anyone else who wants to record and distribute the song.^^ Thus anyone is
entitled to make and sell a recording of a previously recorded song, provided the
requisite license fee is paid to the song's owner, the publisher.
Just as nonprofit organizations like ASCAP assist publishers in collecting
53. See 17 U.S.C § 101 (1994 & Supp. Ill 1997).
54. See id. §106(6). The Act requires that the performances be digital (as opposed to
analog), that it be audio-only, and that the transmission be a part of a subscription transmission in
which the listener has paid the provider to receive the transmission. For the specific requirements
for entitlement to compulsory licenses for these transmissions, see id. § 1 14(d).
55. See Passman, supra note 22, at 208- 1 2 for a helpful summary of compulsory licenses.
56. For the rationales behind compulsory licensing, see H.R. Rep. No. 94- 1 476, 94th Cong.,
2d Sess. 107 (1976), reprinted in 1976 U.S.C.C.A.N. 5659, 5722; H.R. REP. No. 83, 90th Cong.
Sqss., reprinted in 1 1 CopyrighTRevisionLegislativeHistory (George S. Grossman ed., 1976).
57. See 17 U.S.C. § 115. Additional compulsory licenses are paid by the Public
Broadcasting System (§ 118), owners of jukeboxes (§ 116), and cable and satellite television
companies for the copying and rebroadcasting of programs in areas with weak television reception
(§ 119). Certain digital performances and the digital distribution of records are also subject to
compulsory licenses under the Digital Performance Right in Sound Recordings Act, as discussed
infra Part IV. See also 17 U.S.C. § 106(6).
328 INDIANA LAW REVIEW [Vol. 33:317
license fees for the public performances of their songs, organizations are also
available to help publishers collect the compulsory license fees for the recording
and distribution of their songs. The Harry Fox Agency is the most prominent
organization that is dedicated to collecting license fees from record companies
on behalf of publishers.^^
C Infringement of Copyrights
The use of a copyrighted work by a non-owner, that conflicts with any of its
copyrights and that fails to qualify as an exception (such as fair use), is an
infringement of the copyright.^^ Only one right need be infringed to constitute
an infringement; conversely, a single act can infringe on multiple rights.^^ The
Copyright Act confers a private right of action for copyright owners against
infringers.^'
Infringement can also be a federal crime.^^ At one time the law required that
in order to bring criminal charges against an infringer, the infringer had to have
made a profit from the infringing activities.^^ Because of piracy on the Internet
by individuals who are not interested in benefitting financially from their
exploits, this is no longer the case. Now, infringers who reproduce and distribute
more than $1000 worth of copies of copyrighted works, even if with no financial
gain, will face criminal charges.^
Infringement can also be vicarious. A third party can incur liability by
enabling infringement by someone else providing the third party had control over
the infringement and derived profit from it.^^ As will be discussed below, this
58. See PASSMAN, supra note 22, at 21 1 . These compulsory licenses are now widely used
as merely a benchmark in negotiations for royalties owed to publishers from sales of records. See
also Bob Kohn, A Primer on the Law of Webcasting and Digital Music Delivery, 20 No. 4
Entertainment Law Rep., Sept. 1998, at 6-7, for an introduction to the Harry Fox Agency.
59. See 17 U.S.C. § 501 (1994) (providing remedies for copyright infringement).
Infringement need not be intentional. See also Pinkam v. Sara Lee Corp., 983 F.2d 824, 829 (8th
Cir. 1992) ("The defendant's intent is simply not relevant: The defendant is liable even for
'innocent' or 'accidental' infringements.").
60. 5eel7U.S.C. §501 (1994).
61. See id. ^ 50\{b).
62. See id § 506 (1994 & Supp. Ill 1997).
63. The old version of § 506(a) read as follows: "Any person who infringes a copyright
willfully and for purposes of commercial advantage or private financial gain shall be punished as
provided in section 2319 of title 18." Id § 506(a) (1994).
64. See id §§ 10 1, 506(a), as amended by the No Electronic Theft Act ("NET") (1997). The
NET Act amended § 101 ("financial gain" definition) and § 506(a). The legislation was enacted
in response to a Massachusetts case that had been dismissed because the defendant had not
benefitted financially from his practice of encouraging users to download unauthorized copies of
computer games from his bulletin board service. See United States v. LaMacchia, 871 F. Supp. 535
(D. Mass. 1994).
65. See Dreamland Ball Room, Inc. v. Shapiro, Bernstein & Co., 36 F. 2d 354 (7th Cir.
1999] MP3 DIGITAL MUSIC FILES 329
potential liability is particularly salient for web site owners and Internet service
providers who may find themselves liable for the infringing actions of their users.
Civil remedies for infringement include injunctive relief, the impounding and
destruction of unlawful copies, actual damages, or potentially large statutory
damages, costs, and attorneys fees.^^ The criminal penalties range from fines to
up to five years in prison.^^
D. A Limit to Copyright Protection: The Fair Use Exception
Despite the broad and overlapping rights accorded to songs and records, as
well as the extensive system of compulsory licenses to compensate music
publishers, copyrights are not absolute. In fact, exceptions are built in to the
granting of the rights. In section 106 of the Copyright Act, included with the
enumeration of the rights of copyright owners, fifteen exceptions are
referenced — corresponding to sections 107-121.^^ These exceptions include
certain reproductions by libraries and archives, the First Sale Doctrine, and
certain performances and displays in front of students.^^ Perhaps the most
important of these exceptions is the fair use exception.
Section 107 permits some uses of copyrighted w6rks that would otherwise
be infringing by recognizing them as "fair uses," thereby providing an affirmative
defense to copyright infringement.^^ As the preamble to section 1 07 states, fair
uses generally serve the public interest through such endeavors as scholarship,
teaching, criticism, commentary, research, and news reporting.^'
To help courts determine whether a particular use is fair (and assuming of
course that it would be otherwise an infringement), section 1 07 provides four
factors:
(1) the purpose and character of the use, including whether such use is
of a commercial nature or is for nonprofit educational purposes;
(2) the nature of the copyrighted work;
(3) the amount and substantiality of the portion used in relation to the
copyrighted work as a whole; and
(4) the effect of the use upon the potential market for or value of the
1929).
66. See 17 U.S.C. §§ 502-505 (1994). An owner's entitlement to some of these remedies
depends on whether the work was formally registered with the Copyright Office prior to the
infringement. The details concerning registration are important for copyright owners, but are
beyond the scope of this Note.
67. See id § 506 (Supp. IV 1998); 18 U.S.C. § 2319 (1994 & Supp. IV 1998).
68. See 17 U.S.C. § 106-121 (1994 & Supp. IV 1998). The grounds for reading the
exceptions of sections 107-121 as being incorporated into section 106 by reference came recently
from the United States Supreme Court in Quality King Distributors, Inc. v. L 'Anza Research
International, Inc., 523 U.S. 135 (1998).
69. See 17 U.S.C. § 106-121 (1994 & Supp. IV 1998).
70. See id. ^ \^1 {\99A).
1 1 . See id.
330 INDIANA LAW REVIEW [Vol. 33:317
copyrighted work/^
These factors have not been interpreted as exclusive.^^ What they have in
common is a focus on the conduct of the alleged infringer and the nature of the
thing used and not the status of the user. Thus, in addition to the scholars,
teachers, journalists, and others who serve the public interest, home users have
also been allowed the fair use of copyrighted works in certain circumstances. In
Sony Corp. of America v. Universal City Studios, Inc.^^ the Supreme Court held
that the time-delayed video taping of television programs by home consumers
constituted fair use.^^ Similarly, and relevant to the world of music, the Audio
Home Recording Act of 1992 finds certain non-commercial copying of digital
audio recordings non-infringing.^^
There is no question of the fundamental importance in the United States of
protecting copyrights, particularly since protecting these rights is a specifically
enumerated power of Congress in the U.S. Constitution.^^ Some theorists claim
that the primary goal of securing copyrights is to reward a private benefit to
authors and inventors in the form of a temporary monopoly in their works since
authors have a "natural right" to the fruits of their labor; any benefit to society
ensuing from these works is secondary and incidental. ^^ However, in recognition
of the constitutional function of fair use, the U.S. Supreme Court has determined
that the founding fathers' intention was to place the benefit to the public that
accrues from authorship at the forefront, and the private reward received by the
author is secondary. ^^ In Sony, Justice Stevens, quoting Chief Justice Hughes,
noted that "[t]he sole interest of the United States and the primary object in
conferring the monopoly lie in the general benefits derived by the public from the
labors of authors."^^ The relation between rewarding authorship and benefitting
72. Id.
73. See, e.g., Maxtone-Graham v. Burtchaell, 803 F.2d 1253, 1260 (2d Cir. 1986) (stating
that "the doctrine is an equitable rule of reason . . . each case raising the question must be decided
on its own facts"), cert, denied, 481 U.S. 1059 (1987). The Second Circuit has also analyzed the
denial of permission by the copyright owner and the commission of errors by the alleged infringer.
See id at 1260-61, 1264.
74. 464 U.S. 417(1984).
75. See id. at 449-50.
76. See 17 U.S.C. § 1008 (1994).
77. See U.S. CONST, art. I, § 8: "The Congress shall have Power ... to Promote the
Progress of Science and useful Arts, by securing for limited Times to Authors and Inventors the
exclusive Right to their respective Writings and Discoveries."
78. For a discussion of the author-centered approach to the justification of copyrights, see
Marshall A. Leaffer, Understanding Copyright Law 12-17 (1995).
79. See Feist Publications, Inc. v. Rural Tel. Serv. Co., 499 U.S. 340, 349 (1991) ("[T]he
primary objective of copyright is not to reward the labor of authors, but to 'promote the Progress
of Science and the Useful Arts.'").
80. Sony Corp. of Am., 464 U.S. at 429 (quoting Fox Film Corp. v. Doyal, 286 U.S. 123,
127(1932)).
1 999] MP3 DIGITAL MUSIC FILES 33 1
society exists in a type of balance — "the rights of owners to control and exploit
their works, and society's demand to use, to learn from, and to build upon the
same materials."^'
Acting consistently with its desire to nurture the development of the "useful
arts" for the benefit of the public, Congress codified in section 1 07 the traditional
common law privilege of fair use.^^ The fair use exception is a long-standing
recognition of the worthiness of tipping the balance in favor of society's
"demand to use" in certain circumstances, permitting certain otherwise infringing
uses of copyrighted works. Since fair use is justified by tying it to the very
purpose of copyright protection — ^to benefit the public — it should be viewed as
indispensable. Although our emergent digital, online society is making it more
and more difficult for copyright owners to maintain control over their works, it
should be an imperative of those attempting to adapt the law to new technology
that the devices of the information age not preclude opportunities for fair use.
As the conflict rages over digital music recordings, particularly those
surrounding MP3 files, fair use risks getting lost in the maelstrom.
IV. Ball of Confusion: Fitting MP3 into the Copyright Framework
Now that the nature of copyrights and the fair use exception has been
outlined, a framework exists to analyze where the use of MP3 music files fits
under the Copyright Act. Users of MP3 files will need to know which uses are
infringing, whether permission for their uses (i.e., a voluntary license) is required
or whether the mere payment of a compulsory license will suffice, and, perhaps
most important, who gets paid the fee — ^the publisher, the record company, or
both? Further, when might an otherwise infringing use constitute fair use?
The key to answering these questions emerges from an analysis of the thorny
and controversial problems of whether the manner in which these files are made
and used constitutes a performance, a reproduction, a distribution, or perhaps
even simultaneous uses. This analysis is particularly necessary for understanding
the implications of the transmission of MP3 files over the Internet.
A. MPS Transmissions as Performance
"Performance" is defined in the Copyright Act. Section 101 states that "[t]o
'perform' a work means to recite, render, play, dance, or act it, either directly or
by any means of any device or process ... in its images in any sequence or to
make the sounds accompanying it audible."^^
"Performance" becomes relevant to the use of MP3 files when they are
transmitted over the Internet via web sites that operate like conventional radio
stations in a medium known as "webcasting." However, it is important to make
a distinction between two types of transmissions. Some digital audio
8 1 . Kenneth D. Crews, Copyright, Fair Use, and the Challenge for Universities 3
(1993).
82. See\lV.S.C.§\07(\994).
83. Id § 101.
332 INDIANA LAW REVIEW [Vol. 33:317
transmissions are only transmissions and nothing else. That is, the MP3 files are
"broadcast" out to Internet users much like songs are broadcast out into the air
by radio. These can be thought of as "pure transmissions." Other transmissions,
however, result in an identifiable copy of the song being received by the recipient
of the transmission, as in the actual downloading of the song as an MP3 file.
These transmissions are called "digital phonorecord deliveries."^'* The former
type of transmission is relevant here, for the purposes of figuring out
performance rights; digital phonorecord deliveries will be discussed in the
context of reproduction rights.^^
When a webcaster broadcasts music in the form of MP3 files (or any other
digital format) in a manner analogous to a radio broadcast, the songs are being
publicly "performed" by the means or process of the data's streaming from one
site to another, in that the transmissions are potentially available to Internet users
generally. As discussed above, publishers have under section 106(4) an
exclusive right to the public performance of their songs. Thus, like radio
broadcasters, webcasters of MP3 files should negotiate a blanket license
arrangement with the performance rights societies such as ASCAP and BMI for
songs that are transmitted.^^ This is generally true for all types of digital audio
transmissions.^^
A more difficult question is whether the record companies should also get a
performance royalty from pure transmissions of digital audio files. Remember,
no general right exists in the public performance of sound recordings.^^
However, a performance right to sound recordings has been provided for certain
types of digital audio transmissions under the Digital Performance Rights in
Sound Recordings Act ("DPRSRA").^^ To qualify as a "digital audio
transmission" there must be a transmission that is digital (not analog) and audio
only (since audiovisual works are already covered in section 106(4)).^^ A
transmission is the communication of a work "by any device or process whereby
images or sounds are received beyond the place from which they are sent."^'
Under this definition, webcasting MP3 files would seem to constitute a digital
84. Kohn, supra note 58, at 7. Digital audio transmissions are addressed in 1 7 U.S.C. § 1 14
(1994 & Supp. Ill 1997); digital phonorecord deliveries are addressed in id. § 1 15.
85. However, the performance rights societies (BMI, ASCAP, SESAC) may be taking the
controversial position that a digital phonograph delivery is both a reproduction which entitles
publishers to a receive a mechanical license AND a performance which entitles them to their
negotiable blanket licenses. See Kohn, supra note 58, at 9. The language of section 1 15(c)(3)(A)
is sufficiently vague to provide support for this position.
86. See Kohn, supra note 58, at 9. Several web sites have already entered into blanket
license agreements with ASCAP and/or BMI. See Bloom, supra note 48, at 197-98.
87. In fact. Bloom suggests that the mere posting of an MP3 file may still be considered a
public performance, even if no one accesses it. See Bloom, supra note 48, at 195.
88. See discussion supra Part III.B.4; see also Kohn, supra note 58, at 5.
89. 17 U.S.C. § 106(6) (1994 8l Supp. IV 1998).
90. See Kohn, supra note 58, at 3.
91. 17U.S.C.§ 101(1994).
1999] MPS DIGITAL MUSIC FILES 333
audio transmission. On this basis, RIAA has independently contacted MP3
webcasters requesting that they pay performance license fees to record
companies for all of the pure transmissions of MP3 versions of their recordings.^^
RIAA may be overreaching, however. Identifying the webcasting of MP3
files as a pure transmission does not end the question. The scope of the
DPRSRA is limited by certain conditions and exemptions enumerated in section
1 14.^^ Further, pure transmissions consist of two types: one type of transmission
occurs at the request of the recipient as part of an interactive service, and the
other does not. An interactive service is defined as a service that "enables a
member of the public to receive, on request, a transmission of a particular sound
recording chosen by or on behalf of the recipient."^"* The ability merely to
request a recording is not enough to make the service interactive; to be
interactive the user must also be able to receive the transmission on request.^^
Since users will thus be able to receive music upon request and at will (with a fee
paid to the interactive service), these services will likely be used to bypass the
purchase of the recording. These are the sort of transmissions that are
contemplated by section 106(6), and therefore record companies are entitled to
licensing fees from the "performance" via these types of transmissions.^^ The
fees for the license are not defined by the statute, but are negotiable between the
record company and the webcaster who provides the interactive service.
Implicitly as well, the license is itself voluntary— it can be denied by the record
company.
Pure transmissions that are not part of an interactive service also come in two
types, subscription and non-subscription transmissions.^^ A subscription
transmission is defined as one that is "controlled and limited to particular
recipients, and for which consideration is required to be paid or otherwise given
by or on behalf of the recipient to receive the transmission."^^ A common
example of a subscription transmission is an online bulletin board service for
which users pay a fee to gain access to data posted on the electronic bulletin
board. For the same reasons that were articulated for interactive services,
subscription transmissions require licenses for both the performance of the song
(from the publisher) and for the performance of the sound recording (from the
record company) under section 1 14(d).^^
92. SeeKohn, supra notcSS, at 3.
93. See 17 U.S.C. § 1 14(d) (Supp. IV 1998).
94. M§114(j)(4).
95. See id.
96. See id. § 1 1 4(d)( 1 )( 1 994 & 1 996 Supp. II).
97. See Kohn, supra note 58, at 1 2.
98. 17 U.S.C. § 1 14(j)(8) (1994 & Supp. Ill 1997).
99. Section 1 14 is actually more complicated: for some transmissions in which there is a
greater risk of loss of record sales, the statute provides for voluntary licensing, meaning the record
company can negotiate the fees or even withhold permission for the license; other types of
subscription transmissions only require the familiar compulsory licenses, which the record
companies are required to give in exchange for statutory fees. See id. § 1 14(d).
334 INDIANA LAW REVIEW [Vol. 33:3 17
Non-subscription transmissions, which most closely resemble traditional
radio broadcasts, should not require a license to the record company. However,
it is precisely these sorts of transmissions that the recording industry claims are
subject to voluntary licensing. '°^ Yet section 1 14(d) clearly intends to exempt
transmissions that are non- interactive and non-subscription, in other words,
transmissions that resemble today's radio broadcasts:
The greater part of Section 1 14(d) is intended to make it clear that public
performances of sound recordings over the radio continue to be free of
any requirement of a license from the owners of the sound recordings,
even though such performances are by means of digital audio
transmissions, provided they are not part of an interactive service, and
are made on a non-subscription basis. '°'
In summary, MP3 webcasters must first receive permission from music
publishers for all pure digital transmissions of copyrighted songs. Webcasters
can contract with performance rights societies to receive blanket licenses.
Second, while there remains no general performance right for sound recordings,
there is a specific delineated performance right in certain digital audio
transmissions for which record companies may choose to grant licenses for
negotiated fees. These "performances" are the types of transmissions that are
most likely to affect the actual market for the record companies' records, such as
interactive transmissions and certain non- interactive subscription transmissions.
Other types of non- interactive subscription transmissions may only require
compulsory licenses. Non- interactive, non-subscription pure transmissions,
however, are currently exempted from any licensing from record companies.
B. Reproduction and Distribution of MPS Files
Grounds may exist for recognizing a reproduction/distribution mechanical
license for publishers from a pure transmission received from an interactive
service, even though no actual "copy" was made by the recipient. The ease of
access to songs by request from interactive services could conceivably replace
the need to purchase an actual physical copy of the record or even to purchase a
digital phonorecord delivery of the song. Therefore, some organizations,
including the Harry Fox Agency, argue that these transmissions should be subject
to the same compulsory mechanical licenses that record companies pay to
publishers. '^^ Conceptually, it has already been asserted that such a transmission
100. See Kohn, supra note 58, at 18.
101. Id
102. See id. at 12. This raises a troubling issue of "double-dipping" by music publishers.
From a single transmission by an interactive service, a publisher would claim entitlement to fees
from the public performance of the transmission, paid to ASCAP or BMI on their behalf (as if it
were a radio broadcast) and claim entitlement to a mechanical license fee as if it were equivalent
to a phonorecord delivery, paid to Harry Fox on their behalf (as if it were a royalty from the sale
of a record). There is language in the statute to support such a proposition. Section 1 1 5, addressing
1999] MP3 DIGITAL MUSIC FILES 335
can be both a public performance and a reproduction/distribution of a record. ^^^
In contrast to the "pure" transmission of digital recordings, some
transmissions result in the recipient actually receiving a fixable copy of the
record. These transmissions are called digital phonorecord deliveries. '^'^ A
commercial purchase of an MP3 file from a web site is an example of a digital
audio transmission that results in a digital phonorecord delivery. For each copy,
publishers are entitled to the compulsory mechanical license fees provided in
section 115 and usually collected by the Harry Fox Agency on the publishers'
behalf, just as in other reproduction/distribution licenses. '^^
Record companies are in the same position they would be in for any other
reproduction of their sound recordings — ^the position to grant voluntary licenses.
Web sites that seek to make digital phonorecord deliveries of records therefore
must receive the permission of the record company and pay the negotiated fee.
V. Here, There, AND Everywhere: Who Is Liable for
Infringing Uses of MP3 Files?
Despite, or perhaps due to, the complex framework for voluntary and
compulsory licensing for digital recordings, ample opportunities remain for
copyright infringement with the use of MP3 files. The infringement can range
from an innocent misunderstanding of the law to willful piracy designed to
separate publishers and record companies from their profits. A common example
of infringement would be fly-by-night web sites posting MP3 files and
encouraging visitors to listen to and/or download (and keep or redistribute)
copies of the files, either for free or after payment to the web site owner, who
neither compensates nor has permission from the record company or the
publisher.
There is currently no authority that regulates the Internet to police copyright
infringements. '^^ Thus, copyright owners are essentially responsible for their
own enforcement. Publishers and record companies have conceptually three
potential targets when enforcing their copyrights in this scenario: those who
licenses for phonorecord deliveries, says its provisions do not apply to exempt transmissions under
section 114(d)(1). 17 U.S.C. § 115(c)(3)(L) (1994 & Supp. Ill 1997). Because interactive
transmissions are not exempt, arguably section 115 would apply to them as well. However, the
whole purpose in recognizing a performance right in these particular sound recordings is to address
the problem of their equivalency to reproduction/distribution.
1 03. The White Paper from the Working Group on Intellectual Property Rights (September
1995) has stated that transmissions of phonorecords are both a distribution and a public
performance. See Delaney & Lichstein, supra note 14, at 113-14.
104. 5ee Kohn, ^wpra note 58, at 8.
105. See 17 U.S.C. § 1 15 (1994 & Supp. Ill 1997). In addition, publishers are asking for
performance fees (via ASCAP and BMI) for each digital phonorecord delivery, on the basis that
section 1 1 5 implies that a digital phonorecord delivery can also be a public performance. See
Kohn, supra note 58, at 9, 10.
106. See Bloom, supra note 48, at 180.
336 INDIANA LAW REVIEW [Vol. 33:3 17
create the web sites, the consumer who appropriates the copyrighted material, or
the Internet Service Providers (ISPs) who provide the server for the web site.
A. Web Site Owners
Renegade web site owners are a logical choice for copyright owners'
enforcement activities since they are the direct infringers in the scenario
described above. Unfortunately, the ubiquity of web sites maintained by ordinary
people, the ease with which MP3 files can be made, posted, copied, and played,
and the online community's growing appreciation for the quality and efficiency
of the MP3 file format all make catching, not to mention preventing,
infringement very unlikely. Moreover, even when an infringing site is found, it
is very difficult to pin down the people responsible for the site. Recent lawsuits
directly addressing MP3 postings have been stymied when the web sites simply
disappear after restraining orders have been issued. '^^ These web sites may
reappear in a different location. If damages are sought in addition to an
injunction, another consideration is the fact that most of the smaller web sites
(who are likely to be the most flagrant infringers) are likely to be judgement-
proof.
B. Home Users
Ordinarily, the exposure of home users to liability for copying MP3 files
stems from the principle that a fixed copy of a file is made when it is downloaded
from an online source to a disk drive. In fact, a fixed copy is made even when
a file is uploaded from a disk drive into random access memory (RAM), even
though its existence is only temporary. '^^
However, the Audio Home Recording Act of 1992, codified as Chapter 10
of the Copyright Act,'°^ may protect some consumers. Section 1008 permits
noncommercial consumer copying of both digital and analog material.' '°
Therefore "ripping" songs from one's own CDs for the purpose of creating MP3
files for playing on a computer (or on the new portable Rio) should be considered
the equivalent of making an audio cassette of a CD for one's own home use.
Although the impetus for enacting the Audio Home Recording Act was the
development of digital audio tape (DAT) technology that allowed people to
create CD-quality cassette tapes of their CDs in their homes, there are reasons to
believe that section 1008 may also be applicable to MP3 files received from
Internet transmissions.'" The act defines a "digital audio copied recording" as
107. See. e.g., A&M Records, Inc. v. Internet Site Known as Fresh Kutz, No. 97-CV-1099
H (S.D. Cal. filed June 10, 1997). It and a similar case are discussed in Delaney & Lichstein, supra
note 14, at 104.
108. See MAI Sys. Corp. v. Peak Computer, Inc., 991 F.2d 511,518 (9th Cir. 1993).
109. 17 U.S.C. §§ 1001-10 (1994); other provisions of the Audio Home Recording Act
protect copyright owners. These other provisions are discussed in the Conclusion of this Note.
110. See id. § lOOS.
111. See the discussion in Bloom, supra note 48, at 1 92.
1999] MP3 DIGITAL MUSIC FILES 337
"a reproduction in a digital recording format of a digital musical recording,
whether that reproduction is made directly from another digital musical recording
or indirectly from a transmission. ""^^^ Thus, the reasonable "recording" of a song
from a webcast in the privacy of the home for one's own use may be recognized
as the equivalent of making a digital cassette recording of a CD.
C Internet Service Providers
ISPs presented at one time an enticing target for copyright owners who were
seeking to redress infringements on the Internet, on theories of either direct,
contributory, or vicarious infringement. Compared to the number of individual
web sites, there are relatively few ISPs. The ISAs are easier to target and are
more likely to have sufficient resources to make lawsuits worthwhile. However,
the recent Digital Millennium Copyright Act has clarified and limited the liability
oflSPs.'^'
ISPs may be liable for direct infringement to the extent that they are directly
responsible for infringing sites, for instance by providing subscription services
in which MP3 files are transmitted upon request or by hosting bulletin boards in
which MP3 files are posted and directly downloaded by visitors. As the
discussion of sections 1 1 4 and 1 1 5 above suggested, the operators of subscription
services are publicly performing the music and thus are subject to paying
compulsory licenses to the copyright holders of sound recordings and voluntary
licenses to music publishers. Conversely, operators of bulletin boards that allow
visitors to download fixed copies of records are subject to paying voluntary
licenses for the sound recordings and compulsory licenses for the songs.""*
ISPs are therefore required to obtain licenses only to the extent that they
provide subscription services or are directly responsible for infringing sites and
not because they provide space on the Internet to others' infringing subscription
services or web sites. "^
112. 17 U.S.C. § 1001(1) (1994) (emphasis added).
113. See H.R. 2281, 105th Cong., 144 CONG. Rec. H7074-03 (1998). The Digital
Millennium Copyright Act is discussed infra Part VII.
114. The stage was also set for ISPs to be responsible for the payment of mechanical
licenses — that is, the compulsory license that is paid to music publishers for the reproduction of
their songs — before the passage of the 1 995 Performance Right in Sound Recordings Act. In 1 993,
Frank Music Corporation, acting on behalf of the Harry Fox Agency, filed suit against CompuServe
in the U.S. District Court in Manhattan. Frank Music claimed that CompuServe's bulletin board
service infringed their copyrights by providing a database of copyrighted musical works for its
subscribers to download. The case reached a settlement before trial, in which in addition to paying
damages, CompuServe agreed to a license agreement to provide future mechanical fees to Harry
Fox. See Frank Music Corp. v. CompuServe Inc., No. 93 Civ. 8153 (S.D.N. Y. filed Nov. 29,
1993); Bloom, supra note 48, at 192-94; see also Delaney & Lichstein, supra note 14, at 97-98
(providing more details of the Frank Music case).
115. To be liable for direct infringement, it would have to be shown that the ISP actually
engaged in infringing activity; "[m]erely encouraging or facilitating [infringing] activities is not
338 INDIANA LAW REVIEW [Vol. 33:317
An ISP, however, may be liable for contributory infringement, if, having
knowledge of an infringing site, it '"induces, causes or materially contributes to
the infringing conduct' of the primary infringer.""^ Even if contributory
infringement is not found, the ISP may still be liable for vicarious infringement,
where the ISP "(0 has the right and ability to control the infringer's acts and (2)
receives a direct financial benefit from the infringement."''^ ISPs should not be
allowed to ignore and allow infringement by those who make use of their space,
particularly when they also profit from the infringement. However, for practical
and policy reasons, ISPs should also not be pressured to censor or otherwise exert
prior restraint on the activities of their members.
VI. Paranoid Androids: The Industry's Use of Technology
TO Protect Copyrights
Because enforcement of copyrights on the Internet is so difficult, the music
industry has turned to technological innovations with the aim of preventing
infringement from occurring. Although these innovations may be successful,
there are also troubling implications for the use of works in the public domain or
for the fair use of copyrighted works, particularly if these innovations become
mandatory.
Technology exists that can be included in the MP3 file compression process
that would make the format more secure from the moment an MP3 file is made.
Encryption technology that prevents the saving of MP3 files received from digital
broadcasts, watermarks that embed the computer source of an MP3 file in the file
itself, and the restriction of the playback of an MP3 file to one computer are all
possible and in use in MP3 applications today. "^
Congress has taken an interest in mandating the use of security technology.
The Audio Home Recording Act of 1992 implements a Serial Copyright
Management System for DAT devices."^ DATs are audio cassette tapes that
make CD-quality digital recordings. As a response to the danger of the mass
production of CD-quality DATs copied from CDs, a Serial Copyright
Management System is incorporated into DAT devices so that the device can
make a copy of a CD onto a DAT, but it will not be able to make a copy from the
proscribed by the statute." Playboy Enter., Inc. v. Russ Hardenburgh, 982 F. Supp. 503, 512 (N.D.
Ohio 1997). Indeed, ISPs have been resistant to entering into blanket license agreements because
they are not the ones directly purveying the audio files found on web sites or on bulletin board
services operated by private individuals on the Internet. See Bloom, supra note 48, at 198. For
another example of a subscription bulletin board service, and not the ISP, being found liable for
infringement, see Sega Enterprises, Ltd. v. Maphia, 948 F. Supp. 923 (N.D. Cal. 1996).
116. Religious Tech. Ctr. v. Netcom On-Line Communication Servs., Inc., 907 F. Supp.
1361, 1375 (N.D. Cal. 1995) (citations omitted).
1 17. Id. Much of the holding of this case was codified in the safe harbor provisions of the
Digital Millennium Copyright Act, discussed infra Part VII.
1 18. See Robertson, supra note 13.
1 19. See 17 U.S.C. § 1002 (1994).
1999] MPS DIGITAL MUSIC FILES 339
copy. Thus while unlimited copies may be made from the original recording,
copying a copy is always prevented. '^^ Furthermore, Microsoft has also recently
released MS Audio 4.0 which prevents the copying of music files that have been
downloaded from the Internet.'^*
These are potentially very effective methods to prevent rampant piracy of
digital sound recordings. They may, however, prove to be too effective if they
also prevent justifiable copying, such as when the copyright owner seeks to make
copies, the copying is fair use, or when the recording eventually enters the public
domain. The problem with using mandatory technological measures to address
infringement is that it impacts all devices indiscriminately. Copy protection
devices on MPS players and recorders are legally neutral entities that function
whether the material is copyrighted or in the public domain, or whether
permission to use a copyrighted work has been granted or not.
Nevertheless, Congress, apparently undaunted by such concerns, recently
enacted new legislation that expands the Serial Copyright Management System
requirements to cover other kinds of digital recordings, including MPS files.
VIL The Shape OF Things TO Come: The Digital
Millennium Copyright Act
In October 2000, the recently passed Digital Millennium Copyright Act'^^
(DMCA) will go into effect, and the copyright framework depicted above will
change. Passed in November of 1998, the DMCA (H.R. 2281) creates Chapter
12 of the Copyright Act (titled "Copyright Protection Systems and Copyright
Management Information") and implements both the World Intellectual Property
Organization (WIPO) Copyright Treaty and the Performances and Phonograms
Treaty. *^^ The DMCA came as a response to the "ease with which flawless
copies of copyrighted materials can both be made and transmitted in the digital
network environment,"'^"* of which MPS formatting is the obvious example. It
has been interpreted as creating a "paradigm shift" in copyright law that reflects
Congress's change in focus "from 'giving minimal protection to works to
providing maximum revenue flow to American companies. '"'^^
The DMCA contains three major components pertinent to MPS files: a
clarification of the responsibilities of ISPs in the transmission of digital
recordings, new statutory licensing for digital audio transmissions, and most
significantly, a sharp focus on the protection of encryption and other security
technologies that protect the copyrights of digital materials.
120. See PASSMAN, supra note 22, at 245-46.
121. See Maureen S. Domey, New High-tech Solutions for High-tech Infringement, Nat'l
L.J.,May 17, 1999, at B5.
122. Pub. L. 105-304, 1 12 Stat. 2860 (1998).
123. See 144 CONG. Rec. H7074-03 (Aug. 4, 1998).
1 24. Id. at H7096 (statement of Rep. Boucher).
1 25. Wendy Leibowitz, The Sound of One Computer Copy, THE Nat'l L. J., Nov. 2, 1 998,
atA16.
340 INDIANA LAW REVIEW [Vol. 33:3 17
A. Safe Harbor for ISPs
The DMCA protects ISPs with the Online Copyright Infringement Liability
Limitation Act.^^^ One of its purposes is to reduce the incentives on ISPs to
censor their users/^^ The Act provides that an ISP will not be liable for
infringement when it transmits, routes, or provides connections for material on
its systems, when the following conditions are met: the transmission was
initiated by someone other than the ISP; the transmission is an automatic process
(meaning the ISP did not select the material to be transmitted); the ISP does not
select the recipient of the transmission; no copy of the material is made that can
be accessed by anyone other than an intended recipient; and no modification of
the material occurs during transmission. ^^^ Thus, ISPs need not aggressively
monitor webcasts for infringing transmissions of MP3 files.
An ISP is also not liable for the temporary storage of infringing material that
occurs during the material's transmission, when the material was made available
by someone other than the ISP, the material is transmitted without modification
by the person who made it available to another person who requested it, and
when the storage is only what is necessary for the transmission.'^^ Similarly, an
ISP would also not be liable for storing infringing materials at the direction of
users, if the ISP does not know of the existence of the infringing materials (no
actual knowledge, no awareness of the apparent signs of the materials, or if the
ISP did have knowledge it took quick action to remove the materials), and the
ISP does not receive any economic benefits attributable to the infringing
materials (under the rationale that if no money is earned the ISP has no control
over the material). '^° Thus an ISP will not be found liable for renegade web sites
in its file servers that post MP3 files containing pirated material if the ISP is
unaware of their presence.
B. Additional Requirements for Licensing Digital Audio Transmissions
The status of record companies' public performance rights in non- interactive,
non-subscription digital audio transmissions will change with the implementation
of the DMCA. The language in section 114(d)(1) that exempted non-
subscription transmissions from any licensing requirement has been changed to
exempt only non-subscription "broadcasf transmissions.'^* Accordingly,
"eligible non-subscription transmissions" that are not "broadcasf transmissions
are now subject to compulsory licensing from record companies, just as
subscription transmissions are in section 1 14(d)(2). '^^ New eligibility
126. 17 U.S.C. § 512 (found in 144 CONG. Rec. H7079).
127. See 144 CONG. REC. H7092 (statement of Rep. Frank).
128. See 17 U.S.C. § 512(a) (found in 144 CONG. REC. H7079).
129. See 17 U.S.C.A. § 512(b) (West Supp. 1999).
130. See id. § 512(c).
131. See id. ^ 114(d)(1)(A).
132. Id § 114(d)(2).
1999] MP3 DIGITAL MUSIC FILES 341
requirements have been added, including a requirement that transmitting entities
take "reasonable steps to ensure, to the extent within its control, that the
transmission recipient cannot make a phonorecord in a digital format of the
transmission "'^^ What would constitute such "reasonable steps" is not clear.
Other eligibility provisions limit the duration of the transmissions. '^"^
Transmissions that are neither exempt nor meet the eligibility requirements for
statutory licenses must be permitted by the record company, however, the
transmitter will have to pay the record company the agreed-upon license fee.
C The Advent of an Encrypted Web?
The DMCA takes copyright law in a new direction by focusing not only on
the protected works themselves, but also on general types of security devices that
protect digital works from infringement. The DMCA adds criminal penalties for
the use of devices that circumvent copyright protection measures to the already
existing criminal penalties for the infringement itself; specifically, section 1201
will prohibit the circumvention of any technological measures that control access
to copyrighted sound recordings. '^^ For instance, if Diamond Multimedia
Systems negotiates with the RIAA to install a type of serial management system
on its tiny MPS player, the Rio, that would prevent or limit the ability to make
copies of MPS files; any interference with such a system would be a federal
crime under the DMCA.
The prohibition will not apply to libraries, educational institutions, and other
types of nonprofit institutions whose use of copyrighted works has traditionally
been considered non-infringing fair use, if they are likely to be "adversely
affected" by the prohibition in their abilities to make non-infringing use of
copyrighted works. '^^ Moreover, the implementation of the DMCA will not
affect any other existing copyrights or defenses to copyright infringement,
including the fair use privilege.'^^ The DMCA encourages the private sector to
develop technological measures that will enable nonprofit educational
institutions and libraries to continue to create and lend copies of sound
recordings while at the same time protecting copyright owners from
infringements of their rights. ^^* As a further showing of good faith, in the interim
two-year period between the date the DMCA was passed and the date the Act
goes into effect, the Secretary of Commerce must assess the impact of the new
criminal provision on fair use and on the market for the copyrighted works. *^^
133. 144 Cong. Rec. H7084 (daily ed. Aug. 4, 1998) (statement of Rep. Cable).
134. See 17 U.S.C.A. § 1 14(d)(2)(iii) (West Supp. 1999).
135. S'ge/t/. § 1201(a)(1)(A).
136. 5'ee/f/. § 1201(a)(1)(B).
137. See id. § 1201(c).
138. See 1 44 CONG. REC. at H7078-7079.
139. See 17 U.S.C.A. § 1201(a)(1)(C) (West Supp. 1999).
342 INDIANA LAW REVIEW [Vol. 33:317
VIII. Trampled Under Foot: The Fair Use of Sound
Recordings and the DMCA
The comprehensive and complex statutory licensing system that exists to
compensate record companies and music publishers can be avoided if the
reproduction or public performance of the songs and sound recordings is
considered fair use. Uses of MP3 files made from copyrighted recordings that,
in a general sense, are a benefit to society in a manner consistent with section
107 of the Copyright Act do not require the payment of mechanical or voluntary
licenses and there may be permissible uses of MP3 recordings that will be
recognized after analyzing the language of the preamble and the four factors in
the fair use statute. '"^^ After all, the Supreme Court, interpreting the Constitution,
said that, "the primary objective of copyright is not to reward the labor of
authors, but to 'promote the Progress of Science and the useful Arts.'"^"^'
Unfortunately, the DMCA may have the unintended consequence of stifling this
Constitutional mandate by encouraging the technological locking up of access to
digital materials and providing mandatory payments for most types of digital
transmissions. These measures are contributing to the commercialization and
over-regulation of the Internet, which could narrow its early promise as a haven
for the relatively unregulated flow of information worldwide.
The time before the October 2000 effective date for the DMCA, will
determine the impact of Congress's desire to justly balance the "technical
measures" that will be designed to protect copyrighted material against the fair
use needs of non-profit libraries, educational institutions, and other organizations
whose function is the dissemination of information. A risk exists that Congress
will overreach and unnecessarily constrain lawful uses of copyrighted material
or even access to uncopyrighted material.
Particularly problematic is the fact that technological security devices, like
Serial Management Systems or password protections, do not distinguish between
infringing and non- infringing uses. For instance, if MP3 recorders were
140. See 17 U.S.C. § 107 (1994). For instance, a nonprofit fan-supported web site that
reviews the music of a particular genre or recording artist may contain samples from recent records.
Commentary and criticism are recognized public purposes in the preamble to section 1 07. Although
the artistic nature of the work may weigh against fair use (the law may be more likely to favor the
fair use of factual works), the noncommercial use of a limited amount of a sound recording favors
fair use. See Harper & Row Publishers, Inc. v. Nation Enters., 47 1 U.S. 539, 563 ( 1 985) ("The law
generally recognizes a greater need to disseminate factual works than works if fiction or fantasy.");
Dr. Seuss Enters. L.P.v. Penguin Books USA, Inc., 109F.3d 1394, 1402 (9th Cir. 1997) ("Creative
works are 'closer to the core of intended copyright protection' than informational and functional
works . . ."). But see Campbell v. Acuff-Rose Music, Inc., 510 U.S. 569 (1994) (which found 2
Live Crew's parody of "Oh, Pretty Woman" to be fair use). The impact on the market for the
copyrighted work may even be favorable if visitors to the site are motivated to purchase the entire
album.
141 . Feist Publications, Inc. v. Rural Tel. Serv. Co., Inc., 499 U.S. 340, 349 (1991) (quoting
U.S. Const, art. I, § 8, cl. 8).
1 999] MPS DIGITAL MUSIC FILES 343
equipped with devices that limited the number of copies that could be made, or
that permitted copies to be made only from a CD, musicians who are now
eschewing the traditional recording industry and distributing their music
themselves on the Internet may find it difficult to exercise their own
reproduction, distribution, and public performance rights. Furthermore, not
every digital recording is necessarily copyrighted. Federal government-produced
materials, for instance, automatically belong in the public domain."*^ Thus under
the scenario described above, it would be difficult to disseminate a digital
recording of the President's State of the Union Address, even though the
recording of that work would almost certainly be in the public domain. Even
copyrighted digital recordings will eventually enter the public domain as their
term of protection expires.
Lastly, there is a growing movement on behalf of the "copy left" ideal — ^the
complete antithesis of copyright — ^which advocates placing and keeping new
works — such as software — ^permanently in the public domain.''*^ Copy left refers
to a quasi-license agreement that certain works on the Internet are intended by
their authors to be freely copied, distributed, performed, derived from, or
displayed by anyone free of charge, no permission necessary, with only the
requirement that the work and any subsequent copies or derivative works
continue to be "copylefted," so that no-one ever "owns" any rights to it.'"*"* This
could be the ethos behind many small-scale recording artists who are currently
using MP3 files to freely distribute their music on the Internet, desiring only that
they reach an audience.
Thus a key issue for Congress is whether the security devices contemplated
by the DMCA will be amenable to accessing works in the public domain,
regardless of how they enter the public domain, or, whether due to the recording
industry's desire to prevent infringement, non-infringing uses will be prevented
too. The Supreme Court has looked disfavorably on efforts to combat
infringement that interfere with the public's ability to make non-infringing uses
of materials. In denying Universal the ban it sought on Betamax video recorders,
Justice Stevens commented that "an injunction which seeks to deprive the public
of the very tool or article of commerce capable of some non-infringing use would
be an extremely harsh remedy, as well as unprecedented in copyright law.'""*^
There are also significant dangers of overreaching with respect to the fair use
of copyrighted recordings. The DMCA encourages a vision of the future digital
environment in which copyrighted materials are promulgated with technological
142. ^ee 17 U.S.C.§ 105(1994).
143. Not surprisingly, much discussion of "copy left" is found on the Internet. Derived from
the "open source" movement in software development and distribution, "copyleft" is introduced
in Open Source Software: A (New?) Development Methodology (visited Nov. 17, 1998)
<http://www.opensource.org/halloween 1 .html>.
144. This "copyleft" licensing scheme is summarized in Wired Magazine's web site:
<http://www.wired.eom/wired/5.08/linux.html>.
145. Sony Corp. of Am. v. Universal City Studios, Inc., 464 U.S. 417, 444 (1984) (citation
omitted).
344 INDIANA LAW REVIEW [Vol. 33:317
"locks" that limit their ability to be accessed, reproduced, and circulated without
first being assessed a charge, creating in effect a "pay-per-view" Web."^^
Congress, expressing its best intentions, made it clear that the circumvention
provision does not apply to nonprofit libraries, archives, educational institutions,
and charitable and other tax-exempt institutions."*^ The DMCA also stipulated
that it would have no effect on the law of fair use.^"*^ Thus certain copyrighted
works may also be required to contain some sort of "key" that will facilitate the
circumvention of their protection devices.
Unfortunately, this may result in a very narrow, regulated future for fair use.
While it may be conceivable to authorize such "keys" to libraries, educational
institutions, and other organizations who routinely make fair use of copyrighted
works, the fair use privilege does not belong solely to these institutions.'"*^ As the
language of the statute and the development of the case law demonstrates, the
finding of fair use is based on conduct — ^that is, the "use" of the copyrighted
work and the effects of that use, and not on the status of the user, that is, on
whether the user is a librarian, a professor, scholar, or journalist. ^^^ Anyone may
be in the position to make a fair use of a copyrighted work for a variety of
legitimate purposes, including scholarship, commentary, parody, and even the
more mundane temporary copying for later use or the copying for home use of
lawfully acquired materials.*^* If the general public is going to be able to
continue to make fair use of copyrighted works in Congress's locked-down vision
of the Internet, then either everyone is going to be provided a "key" (thereby
defeating the purpose of the locks in the first place), or "keys" will have to be
distributed in advance for each purported fair use in an oppressive regulatory
framework. Unfortunately, savvy members of the online community may
respond to excessive regulation by attempting to hack around protection devices,
exposing themselves not only to the risk of a suit for infringement but for
criminal prosecution as well.^^^
1 46. See A Pay-Per- View World, WASH. POST, Aug. 4, 1 998, at A 1 4 (discussed in 1 44 CONG.
Rec. H7094) (statement of Rep. Bliley).
147. See 17 U.S.C.A. § 1201(d)(1) (West Supp. 1999).
148. See id. § 1201(c)(i).
149. Not to mention that the very idea of "authorizing" fair use by such institutions before
the fact brings to mind troubling images of fair use being narrowly defined.
1 50. The diversity of those found to have made permissible fair use of copyrighted materials
includes the rap group 2 Live Crew's parody of Roy Orbison's "Oh, Pretty Woman." See Campbell
V. Acuff-Rose Music, Inc., 510 U.S. 569 (1994).
151. Certain home copying was recognized as legitimate fair use in Sony Corp. v. Universal
City Studios, Inc., 464 U.S. 417 (1984); home taping for noncommercial use is permitted in the
Audio Home Recording Act. See 17 U.S.C. § 1002 (1994).
152. Congress, made sensitive to the importance of fair use from lobbying by libraries,
universities, and other interested parties, convened a Conference on Fair Use (CONFU) to address
these concerns and to begin to develop guidelines for librarians. Ultimately the CONFU could not
reach a consensus on the guidelines, reporting that it was "premature to draft guidelines for digital
transmissions of digital documents." 1 44 CONG. REC. at H7096-7097 (statement of Rep. Boucher).
1999] MPS DIGITAL MUSIC FILES 345
To summarize, the Digital Millennium Copyright Act encourages music
publishers and record companies to control the access and circulation of their
works, which could cut off not only infringing uses but also lawful fair use.'^^
This, along with the imposition of a more expansive regime of statutory licenses,
will make the Internet increasingly a pay-per-use marketplace rather than an open
forum for the free flow and exchange of information. However, by providing for
fair use, as supported by language in the Constitution, the Copyright Act has
recognized that there are circumstances in which the goals enumerated in the
Constitution, that are served by copyrights (that is, promoting progress), are
better served by allowing the use of copyrighted works, rather than prohibiting
such use.'^"^ Congress should spend the time before the DMCA goes into effect
carefully reconsidering the impact of the Act on fair use as understood in its
broadest (and truest) sense and taking action to ameliorate the potential damage
to the best aspects of the Internet. Until then, the music industry will be
developing technological measures to contain MP3 music piracy.
Strange Brew: A Conclusion
MPS files are at the forefront of a revolution in the reproduction and
distribution of popular music:
[rjecord companies and music publishers are confronted with a
consuming public that can literally manufacture its own albums based on
material that is beamed into households from remote sources, and can
enjoy these albums with a sound quality that is equal to, or higher than.
Besides the fact that the CONFU was given a narrow charge that did not consider fair use outside
an educational and institutional context, any guidelines on fair use would be of limited use to
libraries and other academics anyway. Whether an otherwise infringing use of copyrighted
materials constitutes lawful fair use is an extremely fact-sensitive determination that ultimately is
best settled by looking at each situation on a case-by-case basis, rather than applying a static set of
guidelines. Analysis on a case by case basis ensures both a more accurate assessment of fair use
that is tailored to each use and the ability to adapt each assessment to the current state of the law.
This approach was recently adopted by Indiana University in its policy on the use of copyrighted
works for education research, on the advice of Professor Kenneth Crews, Director of the lUPUI
Copyright Management Center. This approach is supported by the United States Supreme Court.
Emphasizing the hard-to-pin-down nature of fair use. Justice Stevens in Sony remarked that fair use
is not conducive to rigid rules or guidelines, but instead must be decided on a case by case basis.
See Sony, 464 V.S. at 449.
153. The usefulness of the protection devices once the copyright term has expired is yet
another question.
1 54. See Arica Inst., Inc. v. Palmer, 970 F.2d 1 067, 1 077 (2d Cir. 1 992); see also Pacific &
Southern Co. v. Duncan, 744 F.2d 1490, 1495(Ga. \9M),cert. denied,41\ U.S. \004, on remand,
618 F. Supp. 469 (1985) ("The 'fair use' doctrine allows a court to resolve tensions between the
ends of copyright law, public enjoyment of creative works, and the means chosen under copyright
law, the conferral of economic benefits upon creators of original works.").
346 INDIANA LAW REVIEW [Vol. 33:317
that which is currently the standard. '^^
Nevertheless, users of MP3 files on the Internet must conscientiously attempt
to comply with the Copyright Act. Some form of a license payment is necessary
for most transmissions of digital recordings not made by the copyright owner or
on the owner's behalf. Voluntary licenses for public performances can be
negotiated with ASCAP and the other performance rights societies; mechanical
licenses for reproductions and distributions can be paid to the Harry Fox Agency;
and RIAA can negotiate on behalf of record companies. On the other hand, MP3
users should always remain open to exploring the scope of fair use of sound
recordings for bona fide purposes that benefit the public.
For its part, the recording industry can develop sensitive methods to obtain
all the royalties to which copyright owners are entitled, while at the same time
not foreclosing non- infringing uses of MP3 technology. For example, ASCAP
has recently begun using a software program called "EZ-Seeker" that searches
out web sites that distribute music and automatically sends out a license form.'^^
The RIAA is in the process of developing an industry-wide technical standard
that would give the music industry control over the online distribution of
music. '^^ Entitled the Secure Digital Music Initiative (SDMI), the initiative is a
coalition of representatives from the record industry and several technology
companies organized to develop a system to limit music distribution, provide
license and royalty payments, and secure online music from unauthorized
copying. ^^^ While such a system may satisfy the RIAA, it is unclear, and
probably doubtful, whether these companies have been concerned with fair use
or access to works either in the public domain or not eligible for copyright
protection.
Yet a workable model already exists: the Audio Home Recording Act
compensates copyright owners for unlawful copying using DATs by providing
them with royalty payments derived from sales of DAT recording devices and
paid to them by manufacturers and importers of DAT equipment. '^^ Similarly,
a small surcharge could be added to the price of MP3 playback devices like the
Rio, or even to blank CDs and floppy disks, with a share going to publishers and
record companies. Although this would compensate copyright owners by raising
the prices paid by consumers, the impact of the increase would be minimized
since it would spread the cost across the public. Meanwhile, the MP3 files
themselves would remain accessible for fair use, public domain use, and
authorized copying.
Finally, the music industry may have to accept the revolution in music
1 55. Howard Siegel, Digital Distribution of Music: How Current Trends Affect Industry, 5
Multimedia & Web Strategist, Oct. 1998 at 1, 3.
1 56. See Multimedia Developments of Note, 4 MULTIMEDIA & WEB STRATEGIST, Sept. 1 998,
at 1, 2.
1 57. See Domey, supra note 1 2 1 , at B7.
158. See id
1 59. See PASSMAN, supra note 22, at 245-46.
1999] MPS DIGITAL MUSIC FILES 347
distribution that MP3 files represent. Rather than trying to contain the
proliferation of digital music on the information highway, record companies and
music publishers should embrace and develop the new markets made possible by
MPS technology. For instance, the industry could learn from the way obscure,
far-flung musicians have made names for themselves in localized online
communities by distributing their recordings on MPS sites. As one web site
enthuses, "[a]rtists and labels can employ MPS technology in the best way to suit
their individual needs. Give away one song to sell a CD, distribute low quality
versions of songs, sell individual songs for digital delivery, prepend an audio
commercial to songs, there are limitless possibilities for artists to explore." '^°
Record companies could reproduce and distribute music in a similar fashion,
reaching widely diverse audiences:
[D]igital distribution presents Utopian possibilities. Freed of the costs
of manufacturing and distributing CDs, digitally distributed music could
be cheaper for consumers and more profitable for musicians. Music
could be geared to more specialized audiences that may be small but
widely scattered; a fan in Helsinki could download tunes from a band in
Jakarta.'^*
As an example, Hollywood Records, a well-known handler of high-profile movie
soundtracks, has adopted MPS as its standard. '^^
In the meantime. Congress will struggle to develop a policy that both
facilitates the technological protection of copyrights and preserves the law's
traditional deference for fair use. Whatever policy emerges may be short lived.
Congress, the music industry, and the online community are likely to discover
well before the October 1, 2000 implementation of the DMCA that the MPS
format has become obsolete and a new format is looming on the horizon. To
prevent perennial crises as new technologies emerge. Congress and the courts
must learn to reconcile both the law to technology and the rights of copyright
owners to the progressive goals found in the Constitution.
1 60. Robertson, supra note 1 3 .
161. Jon Pareles, Internet Incites Revolution in Music Industry, J. Rec, July 17, 1998,
available in 1998 WL 1 1955428.
1 62. See Internet: Hollywood Records Embraces "Pirate " Standard MPS, NETWORK Wk.,
July 27, 1998, available in 1998 WL 16054305.
348
INDIANA LAW REVIEW
[Vol. 33:317
Appendix: Table of Licences
Rights
Record Companies
Music Publishers
(sound recordings)
(songs)
Reproduction
Voluntary License
Compulsory License for
reproductions in the form of
(including digital
recordings (mechanical licenses)
phonorecord deliveries)
(Harry Fox Agency)
(including digital phonorecord
deliveries)
Distribution
Voluntary License
(including digital phonorecord
Compulsory License for distributions
of recordings
deliveries)
(Harry Fox Agency)
Public
No license required/No
Voluntary License
Performance
performance right
(Except for certain digital
transmissions*)
(ASCAP/BMI/SESAC)
Derivative
Voluntary License
Voluntary License
Works
Voluntary License: thecopyrightownermay voluntarily grant the license. The
effect is that the use cannot be made without the owner's permission and without
paying a negotiated license fee.
Compulsory License: the copyright owner must grant a license. The effect is
that the use may be made without the owner's permission as long as the license
fee set by statute is paid.
Digital Phonorecord Delivery: a recording that is transmitted digitally with the
intent that the receiver will be acquiring a fixed copy of the recording.
^criteria for Digital Audio Performances:
There must be a transmission, that is digital, and audio only (not audio-visual).
If the transmission is interactive: Voluntary License.
If the transmission is non- interactive:
and through a subscription: Voluntary (Compulsory if "compliant"),
and not through a subscription:
and is a "broadcast": no performance right, so no license is required,
and is an "eligible" non-broadcast: Compulsory License (DMCA).
Closing the Doors on Unsupported Speculation:
Joiner's Effect on the Admissibility
OF Expert Testimony
Theresa M. Moore*
Introduction
The critical debate over what types of scientific testimony and evidence
should survive the scrutiny of the Federal Rules of Evidence continues to
progress. Attorneys continuously search for guidance regarding the admission
of expert testimony because admissibility decisions can be a pivotal point in
determining the viability and/or outcome of a particular claim.' Due to the
Supreme Court's goal to exclude "junk science,"^ the Court has emphasized the
importance of scientifically accurate (or reliable) expert evidence and testimony.
In achieving this goal, however, the scope of a district court judge's authority to
exclude a particular expert's testimony has never been clearly defined. In the
meantime, courts continue to experience an influx of new scientific and non-
scientific testimony. Therefore, it is critical that district court judges are given
guidance to assist them in their determinations of admissibility.
Over five years ago, the Supreme Court created a new standard governing the
admissibility of expert testimony in Daubert v. Merrell Dow Pharmaceuticals,
Inc? After defining the requirements for the admissibility of expert testimony,
the Court set forth a directive addressing the scope of district court judicial
authority. The Supreme Court specifically provided that the district court judge,
when acting as the gatekeeper, must focus "solely on [the] principles and
methodology [of the experts and], not on the conclusions they generate.'"* As a
result of Daubert' s distinction between methods and conclusions, conflicting
views developed as to the scope of a district court's power when determining the
* J.D. Candidate, December 1999, Indiana University School of Law— Indianapolis; B.S.,
1993, Ball State University.
1 . See Patrick C. Barry, Admissibility of Scientific Evidence in the Remand o/Daubert v.
Merrell Dow Pharmaceuticals, Inc.. Questioning the Answers, 2 WiDENER L. Symp. J. 299, 305
(1997) (noting that evidence of causation now must be presented via expert testimony, and
therefore, many suits can be precluded if the expert's opinion is speculatively based on existing
data); Michael H. Gottesman, From Barefoot to Daubert to Joiner; Triple Play or Double Error?,
40 ARIZ. L. Rev. 753, 769 (1998).
2. 5ee Graham v.Playtex Prods., Inc., 993 F.Supp. 127, 134(N.D.N.Y. 1998) (stating that
Dauberfs primary concern was the exclusion of "junk science"); Charles F. Preuss, Closing the
Door on Junk Science, 65 Def.Couns. J. 323, 323 (1998) (illustrating how the appropriate standard
of admissibility is important to ensure that courtrooms are not infiltrated with "junk science");
Richard B. Racine et al., The Battle over Science in the Courtroom, FED. LAW., Feb. 1995, at 36,
40; Jeffrey Robert White, Experts and Judges, TRIAL, Sept. 1998, at 91, 91.
3. 509 U.S. 579(1993).
4. Mat 595.
350 INDIANA LAW REVIEW [Vol. 33:349
admissibility of an expert's testimony.^ Some of the circuit courts gave great
deference to the Supreme Court's direct limitation that a judge's focus should be
on the reliability of an expert's methods and not on the expert's conclusions.^
Other circuit courts gave less deference to the Supreme Court's distinction and
allowed a "district [court] judge to evaluate both the scientific validity of the
expert's methodology and the strength of the expert's conclusions."^
After many years of confusion, the Supreme Court revisited Daubert in
General Electric Co. v. Joiner} Although the Court's primary concern in Joiner
was identifying the appropriate standard of review governing a district court's
decision to admit or exclude expert testimony, the Court also provided insight
into Dauber fs "methodology/conclusion" distinction.^ While it is unclear
whether Jo/w^r conclusively extended the trial court judge's gatekeeping role to
include an expert's conclusions,'^ the Supreme Court's opinion has resoundingly
5. See J. KennardNeal, Life After JoinQr, How Will the New Supreme Court Decision Affect
the Admissibility of Expert Testimony in Georgia?, 3 Ga. B. J. 32, 34 (1998) (discussing the
growing debate as to the scope of "the district court's gatekeeper role in evaluating the
'conclusions' of the proposed expert"); Anthony Z. Roisman, The Courts, Daubert and
Environmental Torts: Gatekeepers or Auditors?, 14 PACE Envtl. L. Rev. 545, 562 (1997) (stating
that Daubert's seemingly bright-line distinction between methodology and conclusions has not
produced uniform results among the circuit courts); Ruth Saunders, The Circuit Courts 'Application
o/ Daubert v. Merrell Dow Pharmaceuticals, Inc., 46 Drake L. Rev. 407, 422-23 (1997)
(illustrating that posi-Daubert circuit court opinions have led to two distinct interpretations of the
Supreme Court's opinion).
6. See infra notes 52-53 and accompanying text; see also Kenneth J. Chesebro, Taking
Daubert '5^ "Focus" Seriously: The Methodology/Conclusion Distinction, 15 CardozoL. Rev.
1745, 1746 (1994) (indicating that the persuasiveness of the expert's opinion is beyond the scope
of an admissibility determination under Rule 702); Lawrence S. Pinsky, The Use of Scientific Peer
Review and Colloquia to Assist Judges in the Admissibility of Gatekeeping Mandated by Daubert,
34 Hous. L. Rev. 527, 542 (1997) (stating that a judge's focus is limited to the validity of the
expert's underlying methodology and not whether the expert's testimony or ultimate conclusion is
correct); Saunders, supra note 5, at 422 (stating that circuit courts, supporting Daubert' s bright-line
distinction, distinguished between the trial judge's initial role of determining whether to admit the
proffered scientific testimony and the jury 's role of deciding the "weight" of the expert's opinion).
7. Saunders, supra note 5, at 422 (intimating that the Ninth Circuit interpreted Daubert' s
gatekeeping role broadly); see infra notes 72-101 and accompanying text.
8. 522 U.S. 136(1997).
9. The Supreme Court granted certiorari "to determine what standard an appellate court
should apply in reviewing a trial court's decision to admit or exclude expert testimony under
Daubertr Id. at 138.
1 0. Some commentators believe that the combined effect of the Daubert and Joiner opinions
allows a district court judge to exclude expert testimony if the judge is in disagreement with the
expert's application of a reliable methodology in arriving at the proffered conclusion. See. e.g.,
Gottesman, supra note 1, at 772; Preuss, supra note 2, at 323. However, there are others who
maintain that the Joiner decision should not be construed so broadly and that the Supreme Court's
opinion did not extend the judge's gatekeeping role to include an expert's conclusions. See, e.g..
1 999] ADMISSIBILITY OF EXPERT TESTIMONY 3 5 1
impacted the admissibility of expert testimony.
This Note analyzes and summarizes the various standards governing the
admissibility of expert testimony and provides a glimpse at Joiner'^ effect on
future decisions. Part I provides a historical background of expert testimony and
describes the differing opinions on a district court judge's authority to analyze
the validity or reliability of an expert's conclusion(s). Part II addresses the
history of Joiner from the district court decision to the appeal to the Supreme
Court. Part III suggests that the Supreme Court's decision in Joiner and the
proposed amendments to Federal Rule of Evidence 702 represent a retreat from
Dauberfs methodology/conclusion distinction. Finally, part IV discusses how
the Court's decision signals a return to a more restrictive era governing expert
testimony admissibility determinations under Federal Rule of Evidence 702.
I. History of Expert Testimony
A. The Step Away from Requiring General Acceptance
For more than seventy years, the admissibility of expert testimony was
governed by the "general acceptance" test set forth in Frye v. United States}^
Under Frye, a trial judge was required to exclude evidence based on scientific
principles that had not gained general acceptance in that field. '^ The proponent
of scientific evidence was required to demonstrate that (1) "the expert's
conclusions represent[ed] an established view within the field" and that (2) "the
expert's conclusions . . . [were] sufficiently accurate to be reliable."'^
Frye's "general acceptance" test was first called into question when the
Federal Rules of Evidence ("FRE") were adopted in 1975.'"^ Specifically, the
Frye test conflicted with FRE 702, which provides "[i]f scientific, technical or
other specialized knowledge will assist the trier of fact to understand the
evidence or determine a fact in issue, a witness qualified as an expert by
knowledge, skill, experience, training, or education, may testify thereto in the
form of an opinion or otherwise."'^ Because Rule 702 did not require "that the
offered evidence be generally accepted within the scientific community," this
established a conflicting view as to the admissibility of expert testimony.'^ This
discrepancy developed into a split among the circuit courts as to whether the
Frye standard survived under the Federal Rules. In 1993, the Supreme Court
Chesebro, supra note 6, at 1 746; Pinsky, supra note 6, at 542.
11. 293 F. 1013, 1014(D.C. Cir. 1923).
12. See id. at \0\4.
13. Peter B. Oh, Assessing Admissibility ofNonscientific Expert Evidence Under Federal
Evidence Rule 702, 64 Def. Couns. J. 556, 564 (1997).
14. ^eeRussellD. Marlin,Note, 21 U. Ark. Little RocK L. Rev. 133, 139(1998).
15. Fed. R. EviD. 702.
1 6. See Racine et al., supra note 2, at 38; see also Marlin, supra note 1 4, at 1 39 (indicating
that ''''Frye''?, replacement was not fully recognized until the court incorporated it into the Daubert
standard in 1993.").
352 INDIANA LAW REVIEW [Vol. 33:349
granted certiorari in Daubert v. Merrell Dow Pharmaceuticals, Inc}^ to (1)
resolve the conflict between Frye's restrictive approach and the more liberal
approach promulgated in PRE 702 and (2) determine the proper standard for
admitting scientific, expert testimony. ^^
B. The Daubert Decision
The primary issue in Daubert was whether the plaintiffs' expert could testify
as to epidemiological studies establishing the "causational" link between the
plaintiffs' birth defects and their pregnant mothers' use of the antinausea drug
Bendectin. The defendant moved for summary judgment and offered a
supporting affidavit of an expert stating that after his review of all Bendectin
literature, he was unable to find a study indicating that use of the drug caused
fetus malformations.^^ In opposition, the plaintiffs offered the testimony of eight
experts claiming that the use of Bendectin could cause birth defects.^^ The
plaintiffs' experts based their opinion on the use of animal studies and a
"reanalysis of previously published epidemiological (human statistical)
studies."^' The district court applied F/^^e's general acceptance test and excluded
the plaintiffs' expert testimony. As a result, the plaintiffs were unable to sustain
their burden of causation and the district court granted the defendant's motion for
summary judgment.^^ The Ninth Circuit Court of Appeals also applied Frye's
general acceptance test and affirmed the district court's decision to exclude the
expert testimony .^^
The Supreme Court vacated the decision by the Ninth Circuit and
unanimously concluded that Frye's general acceptance test "was superseded by
the adoption of the Federal Rules of Evidence."^'* The Supreme Court also
determined that federal judges, as "gatekeepers,"^^ are to apply a two-step
analysis under PRE Rules 104(a)^^ and 702 to determine any preliminary
17. 506 U.S. 914 (1992 (mem.)
18. See Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579, 585 (1993).
19. See id. at 5S2.
20. See id. at 583.
21. M (citations omitted).
22. See id. at 583-84.
23. See Daubert v. Merrell Dow Pharm., Inc., 951 F.2d 1 128 (9th Cir. 1991).
24. Daubert, 509 U.S. at 587, 589. Specifically, Rule 702 governs the admissibility of
expert testimony. See id. at 588.
25. Id. at 596. See Racine et al., supra note 2, at 39 (stating that a trial judge must act as a
gatekeeper to "assess whether the reasoning or methodology underlying the testimony is
scientifically valid and can be applied properly to the facts at issue").
26. PRE 104(a) states:
Preliminary questions concerning the qualification of a person to be a witness, the
existence of a privilege, or the admissibility of evidence, shall be determined by the
court, subject to the provisions of subdivision (b) [discussing relevancy admissions
conditioned of fact]. In making its determination it is not bound by the rules of
1999] ADMISSIBILITY OF EXPERT TESTIMONY 353
questions regarding the reliability and relevance of an expert's testimony.^^ The
two-step analysis requires the trial judge to conduct an initial determination as
to whether "the expert is proposing to testify to (I) scientific knowledge that (2)
will assist the trier of fact to understand or determine a fact in issue."^^
Therefore, the combination of both prongs requires the judge to assess "whether
the reasoning or methodology underlying the testimony is scientifically valid and
. . . whether that reasoning or methodology properly can be applied to the facts
m issue.
Dauber fs first prong ensures scientific reliability by requiring that the
proffered testimony be based on scientific knowledge.^^ Basically, this reliability
prong requires that the testimony be supported by valid, scientific methods and
procedures.^' The testimony's reliability is determined by applying Dauberfs
non-exclusive list of factors which include: (1) whether the expert's theory or
technique "can be (and has been) tested[,]"^^ (2) "whether the theory or technique
has been subjected to peer review and publication[,]"^^ (3) "the known or
potential rate of error,"^"* and (4) whether the technique is generally accepted in
the scientific community. ^^ Dauber fs second prong, in contrast, confirms the
relevance or "fitness" of the proffered testimony by requiring "that the evidence
or testimony assist the trier of fact to understand the evidence or to determine a
fact in issue."^^ Therefore, the goal is to keep unreliable or irrelevant evidence
evidence except those with respect to privileges.
Fed.R.Evid. 104(a).
27. See Daubert, 509 U.S. at 589; see also FEDERAL JUDICIAL CENTER, REFERENCE MANUAL
ON Scientific Evidence 45-46 (1994) [hereinafter Reference Manual].
28. Daubert, 509 U.S. at 592.
29. Id. at 592-93; see also Jonathan R. Schofield, Note, A Misapplication o/ Daubert.-
Compton V. Subaru of America Opens the Gate for Unreliable and Irrelevant Expert Testimony,
1997 BYU L. REV. at 489, 493.
30. See Daubert, 509 U.S. at 590. Scientific knov^ledge requires that the testimony is
grounded "in the methods and procedures of science" and "connotes more than subjective belief
or unsupported speculation." Id. Under this standard, scientific knowledge is described as "an
inference or assertion [that is] derived by the scientific method" and is "supported by appropriate
validation— i.e., 'good grounds,' based on what is known." Id. See also Shelly Storer, Note, The
Weight Versus Admissibility Dilemma: Daubert 's Applicability to a Method or Procedure in a
Particular Case, 1998 U. ILL. L. Rev. 231, 235.
31. See Kurtis B. Reeg & Cawood K. Bebout, What 's It All About, Daubert.?, 55 J. Mo. Bar
369, 369 (1997) (indicating that "a valid scientific connection to the pertinent inquiry" is a
precondition to Rule 702 admissibility) (quoting Daubert, 509 U.S. at 592); Saunders, supra note
5, at 410 (stating that Daubert' s first prong "focuses on the determination of whether the reasoning
or methodology applied by the expert is scientifically valid").
32. Daubert, 509 U.S. at 593.
33. Id.
34. Id. at 594.
35. See id.
36. Id. at 591 (citations omitted).
354 INDIANA LAW REVIEW [Vol. 33:349
from the jury's purview.^^
In applying both Daubert prongs, the Court emphasized that under PRE 702,
a district court judge's inquiry should be flexible and that the judge should focus
on the expert's underlying methodology and not the conclusion generated.^^ The
Court also noted that any concerns of admitting ill-founded conclusions are
safeguarded by vigorous cross-examination, presentation of contrary evidence,
and careful instructions on burden of proof.^^ According to the Court, the
Federal Rules of Civil Procedure ("FRCP") also provide further protections
against the admission of ill-founded conclusions.'^^ Irrespective of whether an
expert's testimony satisfies the requirements of FRE 702, the district court judge
may conclude that the evidence is insufficient to maintain the plaintiffs burden
to persuade a "reasonable juror to conclude that the position more likely than not
is true.'"^' In such an event, the judge remains free to direct a judgment under
FRCP 50(a) or to grant summary judgment under FRCP 56.^^
The Court viewed the use of these procedural devices as a sufficient
safeguard and a more appropriate resolution than the wholesale exclusion of
expert testimony under Frye's general acceptance test/^ The Court recognized
that its flexible approach may still "prevent the jury from learning of authentic
insights and innovations.'"*"* However, the Court noted that the balance should
always be struck in favor of admitting the proffered testimony.'*^
In the wake of Daubert, many articles were written assessing the Supreme
Court's effect on the admissibility of expert testimony. The articles discussed the
challenging responsibilities imposed upon district court judges to act as a
gatekeepers and to assess the validity of scientific expert testimony. Many
believed that the Daubert decision required district court judges to become
"amateur scientists" in order to make admissibility determinations on complex
scientific evidence and testimony .''^ One commentator even opined that
37. See REFERENCE MANUAL, supra note 27, at 46.
38. See Daubert, 509 U.S. at 594-95.
39. See id. at 596.
40. See id.
[I]n the event the trial court concludes that the scintilla of evidence presented supporting
a position is insufficient to allow a reasonable juror to conclude that the position more
likely than not is true, the court remains free to direct a judgment, Fed. Rule Civ. Proc.
50(a), and likevy^ise to grant a summary judgment. Fed. Rule Civ. Proc. 56.
Id
41. Id.
42. See id.
43. See id.; see also Saunders, supra note 5, at 413-14 (discussing concerns over
abandoning Frye's more stringent approach for Daubert' s flexible approach).
44. Daubert, 509 U.S. at 596-97.
45. See id.; Saunders, supra note 5, at 4 14.
46. See, e.g., John M. Conley & David W. Peterson, The Science of Gatekeeping: The
FederalJudicial Center's New Reference Manual on Scientific Evidence, 74 N.C. L. REV. 1 183,
1 1 86 ( 1 996) (discussing the urgent need for the publication of the Federal Judicial Center's science
1999] ADMISSIBILITY OF EXPERT TESTIMONY 355
Dauberfs gatekeeping requirement sparked more questions than it answered/^
C. Confusion After Daubert
Even though the Daubert ruling clarified several issues regarding the
admissibility of expert testimony, the Court's decision prompted the development
of new uncertainties. One of the burgeoning issues was whether a district court
could exclude expert testimony that was based upon reliable methodology merely
because the court did not agree with the reliability of the expert's conclusion/^
The circuit courts responded differently to this issue, and as a result, a circuit
court split developed/^ The courts' disparate rulings resulted from attempts to
balance Dauberfs two-prong requirements of reliability and relevance (i.e.,
"fitness") against Dauberfs methodology/conclusion distinction limiting the
district court judge's scope of admissibility determinations.^^ The circuit courts'
attempts to balance these competing requirements resulted in two different
approaches for determining at what point a district court judge's gatekeeping role
ends and the jury's role (as factfinder) begins.
1. Weight'Ofthe-Evidence Approach. — The first approach, the "weight-of-
the-evidence approach," applies a strict interpretation of Daubert that
distinguishes "between the initial role of the trial judge in determining the
admissibility of scientific expert testimony and the weight the jury is to give that
testimony — ^the methodology/conclusion distinction."^' Circuit courts employing
this approach believed that if a proponent established the expert's reliance on a
standard scientific methodology, the trial judge had no inherent or implicit
authority to exclude the expert's testimony, no matter how absurd the
conclusion.^^ These courts allowed the jury (not the judge) to analyze the
manual to assist judges).
47. See Racine et al., supra note 2, at 38.
48. See Conley & Peterson, supra note 46, at 1 198; see also Pinsky, supra note 6, at 542
(indicating confusion as to whether an expert's conclusions were beyond the purview of the trial
judge's determination of admissibility). The Supreme Court in Daubert failed to clarify the extent
of a district court judge's authority to review the expert's application of a scientific technique or
methodology. See Storer, supra note 30, at 236.
49. See Roisman, supra note 5, at 562 (stating that Daubert' s bright-line distinction did not
yield uniform results among the circuit courts); Saunders, supra note 5, at 423 (opining that the
circuit courts have adopted two distinct readings as to the scope of a district court judge's
gatekeeping role under Daubert).
50. See Storer, supra note 30, at 246.
5 1 . Saunders, supra note 5, at 422.
52. S'ee United States V. Bonds, 12F.3d540,556(6thCir. 1993) (holding that "the Daw^er/
Court has instructed the courts that they are not to be concerned with the reliability of the
conclusions generated by valid methods, principles and reasoning. Rather, they are only to
determine whether the principles and methodology underlying the testimony itself are valid.");
Christopherson v. Allied-Signal Corp., 939 F.2d 1 1 06, 1 1 1 1 (5th Cir. 1 99 1 ) (en banc), cert, denied,
503 U.S. 912 (1992) (stating that the focus should be on the expert's methodology and not the
356 INDIANA LAW REVIEW [Vol. 33:349
expert's application of a "reliable" methodology to the facts at hand.^^ Under the
weight-of-the-evidence approach, the judge's role is to determine whether or not
an expert's opinion is based on more than mere conjecture; the jury's role is to
determine whether an expert's testimony is credible.^"* Circuit courts exercising
this approach give credence to the adversarial system's use of cross-examination,
presentation of evidence, well-crafted jury instructions,^^ and Dauber f^
differentiation between methodology and conclusions.
Dauber fs bright-line distinction was viewed as a necessary dividing line and
limitation upon the judge's authority.^^ Without Dauberfs delineation between
methods and conclusions, a district court judge could consider the expert's
ultimate conclusion in making her determination of admissibility and, as a result,
the judge would inappropriately encroach upon the jury's role.^^ Therefore, some
commentators argue that a more expansive approach of determining admissibility
inappropriately extends a district court judge's role as gatekeeper because
nothing in the Supreme Court's opinion in Daubert requires or mandates that the
judge determine whether the expert's conclusions are right or wrong.^^
Circuit courts applying the weight-of-the-evidence approach, such as the
District of Columbia, illustrate the concerns surrounding a more expansive
gatekeeping role and the importance of Dauberfs methodology/conclusion
conclusions); Peteet v. Dow Chem. Co., 868 F.2d 1428, 1433 (5th Cir. 1989) (providing that as
long as an expert's methodology is well-founded, the nature of the expert's conclusion is irrelevant
to admissibility, even if it is controversial or unique). "[A]n opinion must be admitted once an
expert demonstrates reliance on a standard scientific methodology; otherwise, the court would be
second-guessing the expert's conclusion contrary to Daubert.'' REFERENCE Manual, supra note
27, at 77. See also Conley & Peterson, supra note 46, at 1 1 95 (indicating that Daubert implies that
even if an expert's conclusions are absurd, the judge has no authority to exclude the testimony if
the expert uses a reliable scientific method); Pinsky, supra note 6, at 542 (stating that a judge's
focus is limited to the validity of the expert's underlying methodology and not whether the expert's
testimony or ultimate conclusion is correct).
53. 5ee United States v.Chischilly, 30 F.3d 1144, 11 52-54 (9th Cir. 1994) (holding that the
DNA expert's application of DNA profiling procedures was a question of weight to be determined
by the jury), cert, denied, 513 U.S. 1 132 (1995). Once Rule 702 has been met in regard to the
scientific method in the abstract, the scientific testimony will go to the finder of fact, unless the
judge determines that other Federal Rules of Evidence preclude the jury from considering the
testimony. See Storer, supra note 30, at 240.
54. See Roisman, supra note 5, at 550.
55. See Storer, supra note 30, at 238.
56. See Chesebro, supra note 6, at 1 753 (stating that the Daubert decision was made in vain
unless a district court judge's focus remains on the expert's procedures and methodologies).
57. See Saunders, supra note 5, at 4 1 8.
58. The Supreme Court did not "articulate any legal rationale for why the conclusion
reached by an expert bears on the Rule 702 admissibility inquiry, as long as the expert is using a
proper methodology." Chesebro, supra note 6, at 1 750. In fact, the Daubert opinion "demonstrates
that even the most fervent disagreements with an expert's conclusion are irrelevant under Rule
702." Id. at 1751. See Conley & Peterson, supra note 46, at 1 198-99.
1999] ADMISSIBILITY OF EXPERT TESTIMONY 357
distinction. In Ambrosini v. Labarraque,^^ a pregnant mother's use of the drugs
Bendectin and Depo-Provera was alleged to cause birth defects. The defendants,
the mother's physician and the drug manufacturer, moved for summary judgment,
alleging that the plaintiffs were unable to prove that the birth defects were caused
by the mother's use of the drug.^^ The district court agreed and granted the
motion.^'
The district court's decision was reversed on appeal^^ because the district
court failed "to distinguish between the threshold question of admissibility and
the persuasive weight to be assigned the expert evidence. . . ."^^ The appeals
court noted that Dauber fs relevance prong requires an expert's proffered
testimony to exceed subjective belief or unsupported speculation,^"* However, the
court stated that:
[TJhere is nothing in Daubert to suggest that judges become scientific
experts, much less evaluators of the persuasiveness of an expert's
conclusion. Rather, once an expert has explained his or her
methodology, and has withstood cross-examination or evidence
suggesting that the methodology is not derived from the scientific
method, the expert's testimony, so long as it "fits" an issue in the case,
is admissible under Rule 702 for the trier of fact to weigh.^^
Consequently, the appeals court disagreed with the district court's decision
excluding plaintiffs' expert testimony. The appeals court reasoned that Daubert
did not require the exclusion of the expert's underlying evidence nor the expert's
ultimate conclusion merely because the judge disagreed with studies indicating
the lack of a causal link between the drug and the resulting birth defects.^^
The appeals court further found that the expert's inability to reference an
existing epidemiological study supporting his conclusion was not fatal to the
issue of admissibility. In fact, the appeals court admitted the expert testimony
because the expert was able to explain that he considered all of the available data
and utilized traditionally accepted methods to reach his conclusion that Depo-
Provera could cause the plaintiffs type of birth defects.^^ In support of this
59. 101 F.3d 129 (D.C. Cir. 1996).
60. 5ee/£/. at 131.
6 1 . See id.
62. Seeid.dXXAX.
63. Id. at 131. With respect to Daubert' s reliability prong, the court noted Daubert' s
instruction that a district court's focus should be limited to the methodology and principles of the
plaintiffs expert and not on the ultimate conclusions rendered. See id. at 133.
64. See id. "Under the first prong of the analysis, the district court's focus is on the
methodology or reasoning employed. Scientific implies a grounding in the methods and procedures
of science and knowledge connotes more than subjective belief or unsupported speculation." Id.
(internal quotes omitted) (quoting Daubert, 509 U.S. at 590).
65. /^. at 134.
66. See id. at \36.
67. See id. at 131.
358 INDIANA LAW REVIEW [Vol. 33:349
decision, the appeals court stated that "when experts are 'concededly well
qualified in their fields,' the fact that a case may be the first of its type, or that the
plaintiffs doctors may have been the first alert enough to recognize a causal
connection, should not preclude admissibility of the experts' testimony. "^^
Thus, in balancing Daubert's requirements of reliability and relevance (i.e.,
"fitness") against Z)awZ?er/'s methodology/conclusion distinction, the Ambrosini
court favored the latter of the two requirements in order to support the admission
of novel scientific evidence. As a result of the circuit court's reasoning and
approach to Dauberfs requirements for admitting expert testimony, the
Ambrosini decision became one of the primary examples of maintaining
Dauber fs bright-line distinction under the weight-of-the-evidence approach.
2. Admissibility Approach. — ^The second approach is termed the
"admissibility approach."^^ This approach places more emphasis on Dauber fs
"fitness" requirement and interprets Daubert as giving trial judges a more active
gatekeeping role that "enables the district judge to evaluate both the scientific
validity of the expert's methodology and the strength of the expert's
conclusions. "^° Decisions by the Third and Ninth Circuits illustrate this approach
and, accordingly, do not share the Supreme Court's praise of ensuring reliable
expert testimony through cross-examination of experts.^' Furthermore, these
circuit courts began to question whether there was truly a dividing line between
an expert's methods and ultimate conclusions.^^
One of the first circuit court opinions questioning the limitations of
Dauber fs methodology /conclusion distinction was In re Paoli Railroad Yard
PCB Litigation.^^ The Paoli case was instituted by thirty-eight plaintiffs who
sought damages related to polychlorinated biphenyls ("PCBs"), which leaked out
of transformers at a railroad yard and into the groundwater of several nearby
residences.^"* Some plaintiffs sought recovery for physical injuries allegedly
caused by their exposure to PCBs.^^ Others sought damages for emotional
distress related to their fear of future injury or for a decrease in their property
values. ^^ Defendants filed a motion in limine to exclude the plaintiffs' expert
testimony and the underlying evidence purporting to show the harmful effects of
PCBs. The district court excluded all the testimony and underlying evidence
68. /<af. at 138 (citations omitted).
69. Storer, supra note 30, at 242.
70. Saunders, supra note 5, at 422.
71 . The Supreme Court viewed the concerns of a potential influx of "junk science" into the
courtrooms as an overly pessimistic view about the capabilities of the jury and the adversary system.
See Racine et al., supra note 2, at 40.
72. See Neal, supra note 5, at 34.
73. 35 F.3d 717 (3d Cir. 1994); see also Saunders, supra note 5, at 417 (stating that "[t]he
Third Circuit has taken a leading role in evaluating the admissibility of scientific expert testimony
since 1985.").
74. See In Re Paoli Railroad Yard PCB Litigation, 35 F.3d at 734-35.
75. See id at 732, 735.
76. See id.
1999] ADMISSIBILITY OF EXPERT TESTIMONY 359
relied upon by the plaintiffs' experts.^^ Because the plaintiffs were unable to
sustain their burden with respect to causation due to the lack of admissible expert
testimony, the court granted the defendants' motion for summary judgment.^^
The plaintiffs appealed the decision and contended that the district court's
admissibility determination "usurped the role of the jury. "^^ The Third Circuit
Court of Appeals affirmed the district court's decision to exclude the testimony
of several causation experts because the experts failed to proffer any justification
for their conclusions with respect to plaintiffs that they did not physically
examine.^^ In analytical support of the court's expert testimony admissibility
determination, the circuit court disagreed with DauberVs
methodology/conclusion distinction and specifically stated that it has "only
limited practical import."*' Nevertheless, the court acknowledged XhatDaubert's
"methodology/conclusion distinction remains of some import"*^ when a party
contends that an expert's testimony is unreliable only because it differs from the
opinions of that party's own experts.*^
The court provided that when a judge is determining the admissibility of
scientific evidence or testimony, the judge may not "exclude evidence simply
because he or she thinks that there is a flaw in the expert's investigative process
which renders the expert's conclusions incorrect. The judge should only exclude
the evidence if the flaw is large enough that the expert lacks 'good grounds' for
his or her conclusions."*"* The court reasoned that:
When a judge disagrees with the conclusions of an expert, it will
generally be because he or she thinks that there is a mistake at some step
in the investigative or reasoning process of that expert. If the judge
thinks that the conclusions of some other expert are correct, it will likely
be because the judge thinks that the methodology and reasoning process
of the other expert are superior to those of the first expert. This is
especially true given that the expert's view that a particular conclusion
"fits" a particular case must itself constitute scientific knowledge — a
challenge to "Jit" is very close to a challenge to the expert's ultimate
conclusion about the particular case, and yet it is a part of the judge's
admissibility calculus under Daubert}^
Thus, in balancing /)(2M^^r^'s requirements of reliability and relevance (i.e.,
"fitness") against Dauberfs methodology/conclusion distinction, the Paoli
decision illustrates that a district court judge must ensure that proffered expert
77.
See id. at 736.
78.
See id.
79.
Id. at 743.
80.
See id. at 733-34.
81.
Id. at 746.
82.
/^. at 746 n. 15.
83.
See id. at 746.
84.
Id.
85.
Id. (emphasis added)
360 INDIANA LAW REVIEW [Vol. 33:349
testimony is relevant to, or "fits," the facts of the case. The opinion also
demonstrates that a judge's admissibility determination cannot be impeded by
"classifications" prohibiting review of the fitness of the proffered expert's
testimony. ^^ Consequently, the Third Circuit's opinion in Paoli became one of
the primary cases illustrating a departure from Daubert's bright-line distinction.
Interestingly enough, the Ninth Circuit's opinion on remand in Daubert If^
also played a role in courts finding the line betw^een methods and conclusions to
be less distinct. Specifically, the Daubert II decision increased the confusion
surrounding the extent to which a district court can evaluate an expert's
conclusions.^^ In addressing Dauber fs first prong of reliability, the Daubert II
court recognized that expert testimony must reflect scientific knowledge, be a
product of scientific method, and amount to "good science."^^ The Daubert II
court determined the reliability of the plaintiffs' expert testimony by applying
two out of the four Supreme Court factors: ( 1 ) "whether the theory or technique
employed by the expert is generally accepted in the scientific community" and
(2) "whether it's been subjected to peer review and publication."^^ In addition,
the court considered "whether the experts are proposing to testify about matters
growing naturally and directly out of research they have conducted independent
of the litigation, or whether they have developed their opinions expressly for
purposes of testifying."^'
After applying these factors, the Daubert II court concluded that the
plaintiffs' expert scientists studied the effects of Bendectin only after being hired
for the purposes of providing litigation testimony and that their conclusions were
not based on any preexisting research.^^ The court provided that in order for the
plaintiffs to prove that the proffered expert testimony was founded on
"scientifically valid principles'':^^
[T]he [plaintiffs'] experts must explain precisely how they went about
reaching their conclusions and point to some objective source — a learned
treatise, the policy statement of a professional association, a published
article in a reputable scientific journal or the like — ^to show that they
86. See id.
87. Daubert v. Merrell Dow Pharm., Inc., 43 F.3d 1311 (9th Cir. 1995).
88. The Ninth Circuit's analysis "raised what may be the most difficult question left
unresolved by Daubert: the extent to which a trial court can evaluate an expert's conclusions in
ruling on admissibility." Conley & Peterson, supra note 46, at 1 198.
89. DflM^er/, 43F.3datl315.
90. Id. at 1316. The remaining two factors the Supreme Court mentioned were deemed
difficult or impossible to apply to the expert testimony proffered in this case because the same
experts were responsible for the original research on Bendectin, but were unable to explain the
nature of the research or what type of methodology they used. See id. at n.4.
91. /c/. at 1317.
92. See id. at 1318-19 (noting that the plaintiffs made no showing that their expert's
testimony stemmed from pre-litigation research).
93. /^. at 1318.
1999] ADMISSIBILITY OF EXPERT TESTIMONY 361
have followed the scientific method, as it is practiced by (at least) a
recognized minority of scientists in their field.^'*
After reviewing the plaintiffs' supporting evidence, the Daubert II court
concluded that the plaintiffs failed to satisfy their burden because the experts'
opinions were never published in a scientific journal or subjected to the scrutiny
of colleagues.^^ Furthermore, the experts were unable to explain a reliable
methodology supporting their use of animal studies, chemical analyses, and
epidemiological data to formulate their ultimate conclusions regarding this
matter.^^ Hence, the experts could not explain their conclusion that Bendectin
caused the plaintiffs' injuries in the absence of an authority for extrapolating
human causation from animal studies.^^ The court reasoned that "something
doesn't become 'scientific knowledge' just because it's uttered by a scientist; nor
can an expert's self-serving assertion that his conclusions were 'derived by the
scientific method' be deemed conclusive. . . ."^^ Therefore, the Daubert II court
held that the plaintiffs' expert testimony failed to satisfy Daubert' s reliability
prong.
The Daubert //court also held that the expert testimony failed Daubert' s
fitness prong because the plaintiffs were unable to prove by a preponderance of
the evidence that the ingestion of Bendectin by their mothers doubled the
likelihood of their birth defects.^^ Specifically, the plaintiffs' experts could not
reference epidemiological studies indicating that a mother's ingestion of
Bendectin during pregnancy would double the risk of birth defects. '^^ Because
the statistical relationships between Bendectin and birth defects did not prove the
relative risk to be greater than two, the court reasoned that the expert's testimony
would be unhelpful and confusing to the jury. '^' Consequently, the testimony
failed the Supreme Court's "fitness" prong, and the Daubert //court upheld the
trial court's exclusion of the plaintiffs' expert testimony on Bendectin. '^^
Thus, after balancing Daubert'^ two-prong requirements of reliability and
"fitness" against Daubert' s methodology /conclusion distinction, the Daubert II
court elected to give more weight to the "fitness" requirement than the Supreme
Court's bright-line directive. The Ninth Circuit's reasoning illustrates that a
judge making an admissibility determination must ensure that the expert's
conclusion is relevant to the facts of the case. As a result, the Daubert II
decision became an additional example of the admissibility approach to expert
94. Mat 1319.
95. Seeid.Rt\3\S.
96. See id. at ]3\9.
97. See id. at U]9-20.
98. Id. at 1315-16 (quoting Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579, 590, 592
(1993)).
99. See id. at \320.
100. See id.
101. See id. at \32\.
1 02. See Neal, supra note 5, at 34.
362 INDIANA LAW REVIEW [Vol. 33:349
testimony.
3, Which Approach Is Correct? — The preceding cases illustrate the conflict
among circuit courts regarding Daubert's bright-line distinction between
conclusions and methodology. Under the weight-of-the-evidence approach, the
district court judge admits expert conclusions premised on the support of
available data derived from reliable methodology. In contrast, under the
admissibility approach, the district court judge will prohibit admission of expert
conclusions when the testimony fails to satisfy PRE 702 's "fitness"
requirement — i.e., the gap between the underlying evidence and ultimate
conclusion is too large. The potential consequences of the differing approaches
were viewed by some commentators as leading to extremes of either cursory or
overly stringent review of an expert's testimony. '°^ Accordingly, the appropriate
balance between the competing requirements of PRE 702 and Dauber fs
methodology/conclusion distinction became a crucial point of interest requiring
direction by the Supreme Court. '^'^ The need for the Supreme Court to clarify the
scope of the district court's gatekeeping function became evident when the Court
granted certioari in General Electric Co. v. Joiner. ^^^
II. General Electric Co. v. Joiner
A. Procedural History and Factual Background
Since 1 973, the plaintiff (Joiner) had come into contact with dielectric fluids
in the city's electrical transformers through his employment as an electrician for
the Water & Light Department in Thomasville, Georgia. '°^ Early dielectric fluids
were flammable and made out of a petroleum-based mineral oil. To correct this
problem, polychlorinated biphenyls ("PCBs") were used to make the dielectric
fluid non-flammable, but in 1978, Congress banned the future production and
sale of PCBs because they were viewed as an "unreasonable risk of injury to
103.
[S]ome jurisdictions may subsume Rule 702's fitness requirement within the validity
inquiry required under the first prong of Rule 702. In contrast, an overly rigorous
application of the fitness test may result in a challenge to the expert's conclusions
regarding external validity, contrary to Dauberfs admonition that Rule 702's focus
"must be solely on principles and methodology, not on the conclusions they generate."
Erin K.L. Mahaney, Assessing the Fitness of Novel Scientific Evidence in the Po^r-Daubert Era:
Pesticide Exposure Cases as a Paradigm for Determining Admissibility , 26 Envtl. L. 1161, 1 1 85
(1996) (citations omitted) (reviewing post-Daubert application of Rule 702's fitness test and
arguing that use of Rule 702's fitness requirement provides a valid tool in the judge's gatekeeping
function).
1 04. "The sixty-four dollar question after Daubert was whether the weight-of-the-evidence
approach is a 'scientifically valid' methodology for determining the issue of causation in torts
cases." Gottesman, supra note 1, at 771.
105. 520 U.S. 1 1 14 (1997) (mem.).
106. General Elec. Co. v. Joiner, 522 U.S. 136, 139 (1997).
1 999] ADMISSIBILITY OF EXPERT TESTIMONY 363
health or the environment."'^^ In 1983, the city discovered that PCBs had
contaminated the fluid in approximately 2668 of the city's transformers, which
allegedly used mineral oil-based dielectric fluid. '^*
Eight years after the discovery of PCBs, Joiner was diagnosed with small-cell
lung cancer. The plaintiffs (Joiner and his wife) brought strict liability and
negligence claims against the manufacturers of the transformers and dielectric
fluids, alleging that Joiner's exposure to PCBs and its derivatives,
polychlorinated dibenzofurans ("furans") and polychlorinated dibenzodioxins
("dioxins"), promoted or accelerated the onset of his cancer.'^^ The plaintiffs
admitted that Joiner had smoked cigarettes for eight years, his parents smoked,
and his family had a history of lung cancer."^ However, Joiner claimed that his
cancer would not have developed for many years, if at all, in the absence of his
exposure to PCBs originating from the city's transformer.' '^
After the case was removed to federal court, the defendants moved for
summary judgment. The defendants contended that there was no supporting
evidence that Joiner was exposed to PCBs, furans, or dioxins, and even if he had
been, the plaintiffs were unable to offer admissible scientific evidence that
exposure to PCBs could cause or promote the type of cancer with which he was
diagnosed. ' '^ Because of the lack of supporting evidence, defendants alleged that
the plaintiffs were unable to establish that PCBs caused cancer in humans, i.e.
"general causation." Defendants further claimed that even if general causation
could be assumed, the plaintiffs were unable to establish that the alleged
exposure caused Joiner's cancer, i.e., "specific causation."''^ In response, the
district court held that PCB exposure presented a genuine issue of material fact,
but granted summary judgment with respect to furan and dioxin exposure
because the plaintiffs were unable to offer sufficient evidence to establish that
Joiner had been exposed to those substances.''''
The remaining issue for the district court was whether to admit the plaintiffs'
expert testimony that Joiner's cancer was caused by his exposure to PCBs. After
applying a Daubert analysis, the district court found the expert testimony
inadmissible because the testimony was buttressed on the assumption that Joiner
was exposed to furans and dioxins."^ The court then concluded that because the
plaintiffs "failed to show a genuine dispute over whether furans and dioxins were
in the PCBs to which Joiner was exposed,""^ any expert testimony based upon
107. Joiner V. General Elec. Co., 864 F.Supp. 1310, 1312(N.D.Ga. 1994) (citing 15 U.S.C.
§ 2605(a)), rev'd, 78 F.3d 524 (1 1th Cir. 1996), rev'd, 522 U.S. 136 (1997).
108.
Seeid.^\n\2-U.
109.
See Joiner, 522 U.S. at 139-40.
110.
Seeid.dXn9.
HI.
See id. at 140.
112.
See Joiner, 864 F. Supp. at 1314
113.
See id. at 1315.
114.
Seeid.dX\3\6.
115.
See id. at \322.
116.
Id.
364 INDIANA LAW REVIEW [Vol. 33:349
such assumptions "does not fit the facts of the case, and is therefore
inadmissible."''^
Even if the assumptions of exposure could be supported by evidence, the
district court still considered the opinions of the plaintiffs' experts inadmissible
due to the conclusions that the experts derived from the underlying studies.''^
Specifically, the defendants revealed that the plaintiffs' experts were unable to
proffer credible evidentiary support for their conclusion that PCBs cause or
promote small-cell lung cancer in humans.''^ The district court found the studies
underlying the experts' opinions to be flawed because the studies utilized infant
mice injected with massive doses of PCBs and the mice studies were preliminary
in nature. '^^
Furthermore, the district court was not persuaded by the experts' reliance on
four epidemiological studies'^' because none of the studies directly supported the
experts' conclusions that PCBs promote small-cell lung cancer in humans. '^^
The court, however, mentioned that the lack of an epidemiological study
supporting the plaintiffs' case did not require an automatic foreclosure of their
cause of action because:
[A] cause-effect relationship need not be clearly established by animal
or epidemiological studies before a doctor can testify that, in his opinion,
such a relationship exists. As long as the basic methodology employed
to reach such a conclusion is sound, such as use of tissue samples,
standard tests, and patient examination, products liability law does not
preclude recovery until a 'statistically significant' number of people
have been injured or until science has had the time and resources to
complete sophisticated laboratory studies of the chemical. '^^
Nevertheless, the court ultimately concluded that the epidemiological studies
relied on by the plaintiffs' experts were either equivocal or not helpful to the
plaintiffs' claim that exposure to PCBs caused or accelerated his cancer.'^"* The
court specifically found the experts' opinions to be nothing more than "subjective
belief or unsupported speculation."'^^ Thus, the court granted summary judgment
as to all of the plaintiffs' claims because the gap between the underlying
evidence and the experts ' ultimate conclusions was too wide}^^
The Eleventh Circuit Court of Appeals, applying an abuse of discretion
117.
Id.
118.
See id.
119.
See id.
120.
See id. at 1323.
121.
See id. at \324.
122.
See id at 1326.
123.
Id. at 1322 (citations omitted),
124.
See id. at 1324.
125.
Id at 1326.
126.
See id.
1999] ADMISSIBILITY OF EXPERT TESTIMONY 365
standard of review, reversed the decision in a divided three member panel. '^^
The court noted that "a particularly stringent standard of review [was applied] to
the trial judge's exclusion of expert testimony"'^^ in order to preserve the
preference for admissibility under the Federal Rules of Evidence. '^^ In applying
this standard, Judge Rosemary Barkett, writing for the majority, disagreed with
the district court's decision to exclude the plaintiffs' expert testimony. '^^ She
concluded that there was sufficient testimony in the record to support the
conclusion that Joiner had been exposed to PCBs.'^^ The court found the
experts' testimony reliable under FRE 702 because the experts had extensive
experience, specialized expertise, conducted physical examinations of Joiner, and
were familiar with "general scientific literature in the field."'^^ Furthermore, the
court accepted the experts' assertions that they "utilized scientifically reliable
methods."'"
Judge Barkett found that the district court incorrectly reviewed the plaintiffs'
expert testimony in its entirety.'^'* Accordingly, she wrote in support of the
weight-of-the-evidence approach for determining the admissibility of expert
testimony. '^^ Relying upon Dauber fs departure from the wholesale exclusion
of evidence, which commonly resulted under Fry^'s "general acceptance" test.
Judge Barkett explained that:
Opinions of any kind are derived from individual pieces of evidence,
each of which by itself might not be conclusive, but when viewed in
their entirety are the building blocks of a perfectly reasonable
conclusion, one reliable enough to be submitted to a jury along with the
tests and criticisms cross-examination and contrary evidence would
supply. '^^
The court held that each reason the district court recited in response to the
experts' reliance on the animal studies did not make the underlying research
unreliable in the absence of evidence that the studies themselves were flawed. '^^
127. See Joiner v. General Elec. Co., 78 F.3d 524 (11th Cir. 1996), rev'd, 522 U.S. 136
(1997).
128. Mat 529.
129. See id.
130. See id. ?Li 52%.
131. Seeid.dHSM.
132. Id.2X52>\.
133. Mat 532.
134. Seeid.dXSZl.
135. See id.
1 36. Id. Under this approach, "[t]he expert would not be required to prove, in a step-by-step
process, how she got from 'Point A' to 'Point B' as a prerequisite to admissibility of her testimony.
Rather, the court would only review the expert's conclusions 'in their entirety.'" Quentin F.
Urquhart, Jr. & Brett A. North, Joiner v. General Electric; The Next Chapter in the Supreme
Court 's Handling of Expert Testimony, FOR THE Def., Sept. 1997, at 9, 13.
137. See Joiner, 78 F.3d at 532.
366 INDIANA LAW REVIEW [Vol. 33:349
Judge Barkett further posited that the appropriate "question is whether the
expert's use of these studies to help formulate an opinion is methodologically
sound."'^^ A judge's gatekeeping role "is not to weigh or choose between
conflicting scientific opinions, or to analyze and study the science in question in
order to reach its own scientific conclusions."'^^ Rather, a judge's role is "to
assure that an expert's opinions are based on relevant scientific methods,
processes, and data, and not on mere speculation, and that they apply to the facts
at issue."''*^ After applying her view of the district court's gatekeeping role.
Judge Barkett concluded that the plaintiffs' expert testimony should have been
admitted because it was relevant to establish whether exposure to PCBs caused
Joiner's cancer.'"*' Therefore, the Eleventh Circuit Court of Appeals concluded
that all of the plaintiffs' expert testimony was admissible and reversed the grant
of summary judgment by the district court. '"^^
However, Judge Edward Smith disagreed with the majority's decision to
admit the expert testimony and wrote a dissenting opinion that provides insight
into the Supreme Court's opinion in the subsequent appeal. Judge Smith
explained that under Daubert's reliability prong, a district court judge must
evaluate "each step in the expert's analysis all the way through the step that
connects the work of the expert to the particular case.""*^ He further articulated
that:
[A]n expert's testimony does not "assist" the trier of fact if the expert
does not explain the steps he took to reach his conclusion. We should
not require the trier of fact to accept blindly the expert's word to fill the
analytical gap between proffered "scientific knowledge" and the expert's
conclusions. Therefore, the trial court "gatekeeper" has broad discretion
to decide whether a leap of faith across the analytical gap is so great that,
without further credible grounds, the testimony is inadmissible. "''*
Thus, Judge Smith wrote in support of the "admissibility approach" to expert
testimony determinations when he stated "[i]t is incumbent on the proponent of
scientific evidence to fill the analytical gap between a proffered study and the
particular facts of the case (i.e., Tit').""*^
138. Id.
1 39. Id. at 530. It is improper for a district court to exclude expert testimony when the court
would draw a different conclusion from the proffered evidence than the conclusion rendered by the
expert. See Conning the lADC Newsletters, 65 Def. Couns. J. 434, 441 (1998).
140. Joiner, 78 F.3d at 530; Roisman, supra note 5, at 567.
141. See Joiner, 7SF.3d at 533-34.
142. See id. Qi 534.
143. Id. at 537 (Smith, J., dissenting) (quoting In re Paoli, 35 F.3d 717, 743, 745 (3d Cir.
1994)). Judge Smith expressed his approval of the trial court's step-by-step approach and stated
that he cautions "against using the majority's approach that applies each Daubert prong to the
testimony as a whole." Id. at 540.
144. /^. at 535.
145. /flf.at539(quotingDaubertv.MerrellDowPharm.Inc.,509U.S.579,593n.lO(1993)).
1 999] ADMISSIBILITY OF EXPERT TESTIMONY 367
Using this approach, Judge Smith challenged the circuit court's majority
decision admitting non-supportive epidemiological studies and the majority's
claims that the district court impermissibly delved into the correctness of the
experts' conclusions.''*^ He explained that the district court was not determining
whether the expert opinions were correct, but whether the animal studies "fit" the
facts of the case.'"*^ Therefore, he found no abuse of discretion in the district
court's exclusion of the plaintiffs' expert testimony.''*^ In fact. Judge Smith's
dissenting opinion provided a detailed analysis of his concerns with the Eleventh
Circuit's approach to admissibility determinations. The Supreme Court's review
of this case recognized persuasiveness of the Smith dissent.
B. Appeal to the Supreme Court
The Supreme Court granted certiorari in General Electric Co. v. Joiner^^'^
specifically to decide the proper standard of review with respect to a trial court's
decision regarding the admissibility of expert testimony. '^° However, many
commentators viewed it as an important opportunity to revisit Dauber fs
methodology/conclusion distinction and the scope of a district court judge's
authority with respect to expert testimony.'^' The arguments propounded by the
petitioners (PCB manufacturers) and respondents (Joiner) provide insight as to
the concerns and arguments for both the weight-of-the-evidence and admissibility
approaches.
The petitioners argued in favor of the admissibility approach and for a more
expanded "gatekeeping" role for district court judges. The petitioners asserted
that the court of appeals incorrectly "held that if an expert cites conventional
scientific authorities, the expert has satisfied the requirement of scientific
methodology, no matter what the authorities actually say, and what steps are
missing between the citations and the conclusion."'^^ In other words, the
declaration approach taken by the court of appeals showed great deference to the
experts' own that their testimony constituted sufficient "scientific knowledge"
According to Judge Smith, "an expert may not bombard the court with innumerable studies and
then, with blue smoke and slight of hand, leap to the conclusion." Id. at 537.
146. See id. ?ii 539.
147. See id.
148. Seeid.dX5^().
149. General Elec. Co. v. Joiner, 520 U.S. 1 1 14 (1997) (mem.).
150. See General Elec. Co. v. Joiner, 522 U.S. 136, 138-39 (1997).
151. See William M. Sneed, The Ongoing Revolution in Expert Witness Practice: Daubert
and the Seventh Circuit, 86 ILL. B.J. 418, 422 (1998) (indicating that "many members of the legal
community believed that the case presented an excellent opportunity for the Court to revisit and
perhaps scale back Daubert. ""y, Urquhart & North, supra note 1 35, at 1 3 (anticipating the Supreme
Court's opinion in Joiner on the "question of whether trial courts can properly examine the
reasoning behind the expert's conclusions").
152. Petitioner's Briefat 48, Genera/ £/ec. Co. v. Jomer, 78 F.3d 524 (1 1th Cir. 1996)(No.
96-188).
368 INDIANA LAW REVIEW [Vol. 33:349
that was relevant to the facts of the case.'^^ Petitioners agreed with the district
court's decision finding the experts' testimony inadmissible because the
testimony relied on inconclusive epidemiological studies and animal studies that
subjected mice to high dosages of PCBs.'^"^
In support of their argument, petitioners reasoned that "[ujnder Daubert,
scientific methodology requires scientific reasoning, which includes as a
minimum that conclusions be logically supported by premises,"^^^ and in this
case, repeated testing did not give rise to a single study supporting the conclusion
that PCBs caused small-cell lung cancer.^^^ Similarly, the American Medical
Association as petitioners' amici curiae argued that the district court's
gatekeeping role requires a preliminary assessment that the research underlying
the expert's testimony was consistent with a reliable scientific methodology and
supports the expert's ultimate conclusion. '^^ During oral arguments before the
Supreme Court, the petitioners contended that if the gatekeeping role was
interpreted too narrowly, Daubert would essentially be overruled because a court
would be required to hold proffered expert testimony admissible if the expert
drew a conclusion from a published study conducted according to scientific
methodology.'^^
The petitioners further argued that a district court judge's gatekeeping role
lacks meaning unless it allows the judge to review whether "there is too great an
analytical gap" between the expert's underlying premise(s) and the expert's
ultimate conclusion(s).'^^ They claimed that a district court must utilize a "link-
by-link" analysis to ensure the reliability, or trustworthiness, of an expert's
proffered testimony. '^^ Hence, expert testimony would be submitted to the jury
only after the district court is satisfied that the proponent has established the
appropriate linkage between the expert's underlying data and the ultimate
1 53. See Urquhart & North, supra note 135, at 13.
1 54. See Anthony Z. Roisman, The Implications o/G.E. v. Joiner for Admissibility of Expert
Testimony, 84 A.L.I.-A.B.A. 491, 494 (1998).
155. Petitioner's Brief at 48, Joiner (No. 96-188).
156. See id.
157. See American Medical Ass'n Brief as Amicus Curiae in Support of Petitioners at 6,
Joiner (No. 96- 1 88). "The district court must consider whether the conclusions to which the expert
would testify can, as a matter of good science, be drawn from scientifically-generated data." Id.
See also Brief of Amici Curiae The New England Journal of Medicine and Marcia Angell M.D.,
in Support of Neither Petitioners nor Respondents, Joiner (No. 96-188) (espousing the use of
scientists to assist judges in making decisions as to the admissibility of expert testimony); Brief
Amici Curiae of Bruce N. Ames et. al, in Support of Petitioners, Joiner (No. 96-188).
158. See United States Supreme Court Official Transcript at *21, Joiner, 522 U.S. 136
(1997), available in 1997 WL 634566 (U.S. Oral Arg.).
159. Mat ♦22.
160. See Urquhart & North, supra note 135, at 13 (proposing that "district [court] judges
should be given the freedom to look behind an expert's facial assertion of 'good science' in ruling
on the admissibility of proffered expert testimony.").
1999] ADMISSIBILITY OF EXPERT TESTIMONY 369
conclusion rendered.'^'
In contrast to the petitioners' view, the respondents and their amici argued
that the petitioners' points of contention were issues reserved for the jury because
they relate to the "weight" of the proffered evidence/testimony, and not
admissibility.'^^ Therefore, "[wjhere opposing experts disagree as to how
epidemiological and other data should be interpreted it is for the jury to decide
the issue."'^^ The respondents reasoned that Dauhert "made it unmistakably
clear that [the district court judges'] discretion as gatekeepers does not extend to
evaluating the conclusions an expert may draw based on scientifically valid
principle or procedure."'^"* Thus, the respondents' amici supported Dauberfs
methodology /conclusion distinction,'^^ and contended that the petitioners were
falsely led to believe that admissibility under Daubert was dependent upon the
expert's conclusion or opinion, '^^
The respondents' view arose from the strong trust of a jury's ability to assess
the weight and credibility of expert testimony, '^^ and was bolstered by studies of
jury performance.'^^ Accordingly, the respondent's amici believed that the
petitioners' concern with alleged "gaps" between an expert's proffered testimony
and the expert's underlying data should go toward the weight of the testimony
and not admissibility.'^^ The respondents contended that the proper tools for
ensuring the reliability of expert testimony were that of cross-examination,
presentation of contrary evidence, exposing flaws in the scientific methodology
or the "underlying scientific knowledge in which the expert's opinion is
based.'"'"
161. See id.
162. Roisman, supra note 154, at 494.
163. Brief of Amicus Curiae Trial Lawyers of America in Support of Respondents at *8,
Jomer (No. 96-188).
164. Id\ see Brief of Amicus Curiae Trial Lawyers for Public Justice in Support of
Respondents at * 12, Joiner (No. 96-188).
165. See Brief of Amicus Curiae in Support of Respondents at 9, Joiner (No 96-1 88); Trial
Lawyers for Public Justice Brief at 4, Joiner (No. 96-188). Respondent's amici argued that the
petitioners and their amici disregarded the Supreme Court's bright-line distinction that only an
expert's methodology should be considered for purposes of determining admissibility. See id.
1 66. See Brief of Amicus Curiae Trial Lawyers for Public Justice in Support of Respondents
atl2,yomer(No. 96-188).
167. See Brief of Amicus Curiae Association of Trial Lawyers of America in Support of
Respondents at 22, Joiner (No. 96-1 88).
168. See id. at 23 (citing Joe S. Cecil et al.. Citizen Comprehension of Different Issues:
Lessons from Civil Jury Trials, 40 Am. U. L. Rev. 727, 744-45 (1991)).
1 69. See Brief for Ardith Cavallo as Amicus Curiae Suggesting Affirmance at 1 1 , Joiner (No.
96-188) (arguing that the purpose of Rule 702's gatekeeping function is to control courtroom
speculation and conjecture).
170. Id. at 1 1. Again, "vigorous cross-examination, presentation of contrary evidence, and
careful instruction on the burden of proof are the traditional and appropriate means of attacking
shaky but admissible evidence." Id. (citing Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579,
370 INDIANA LAW REVIEW [Vol. 33:349
Physicians devoted to health problems affecting workers provided an
interesting amicus brief on behalf of the respondents. The physicians opined that
the district court disregarded the Supreme Court's directive that admissibility
determinations must be consistent with the "liberal thrust of the Federal Rules of
Evidence," and "should weigh broadly in favor of the proponent of the
evidence."'^' Furthermore, the physicians' amicus brief set forth that the
plaintiffs' experts utilized the scientifically valid methodology of differential
diagnosis'^^ in concluding that PCBs could cause Joiner's type of lung cancer. '^^
The physicians' amici brief contended that the plaintiffs' physician-experts were
not required, under Georgia law, to prove that PCBs were the "sole, primary or
initiating cause"^^"^ of Joiner's cancer. In contrast, the experts merely needed "to
discern whether any other toxic exposure might reasonably have contributed to
the early appearance" '^^ of Joiner's lung cancer by a "reasonable degree of
medical certainty."*^^ As a result, the physicians believed that the district court
was incorrect in its assessment and understanding of the methodologies utilized
by medical professionals.'^^
After both sides had the opportunity to present their written briefs and oral
arguments on October 14, 1997, it appears the Supreme Court was most
persuaded by the position argued by the petitioners. Transcripts from the oral
argument indicate that the Court believed the district court was correct in finding
that the underlying methodology proffered by the plaintiffs' experts was not
sufficient to predicate a conclusion about the cause of cancer in humans. '^^
596(1993)).
171. Brief of Peter Orris, David Ozonoff, Janet S. Weiss and OCAW (Oil, Chemical, &
Atomic Workers Intl. Union, AFL-CIO), as Amici Curiae in Support of Respondents at *6, Joiner
(No. 96-188) (citing Daubert, 509 U.S. at 587). This preference of admissibility is derived from
the possibility for reasonable experts to arrive at "diametrically opposed conclusions." Id. at *5 n.6.
1 72. Differential diagnosis is defined as "[t]he method by which a physician determines what
disease process has caused a patient's symptoms. The physician considers all relevant potential
causes of the symptoms and then eliminates alternative causes based on a physical examination,
clinical tests, and a thorough case history." Id. at * 1 0 (citing Reference Manual, supra note 27,
at 214).
173. See id.
1 74. M at * 1 4 n. 1 4 (quoting Parrott v. Chatham County Hosp. Auth., 1 45 Ga. App.2d 269,
270 (Ga. Ct. App. 1978); Wells v. Ortho Pharm. Corp., 788 F.2d 741, 743 (1 1th Cir.), cert, denied,
479 U.S. 950(1986)).
175. M at*14.
176. /c/. at*14n.l4.
177. Seeid.dX*\.
1 78. See United States Supreme Court Official Transcript at +52, Joiner, 522 U.S. 1 36 (U.S.
1997), available in 1997 WL 634566 (U.S. Oral Arg.), 66 USLW 3321. The Supreme Court
posited:
Maybe the district court was saying the methodology is fine for what it purports to do.
But it does not provide a sufficient predicate for use in reasoning to a conclusion about
cause in humans. Maybe that's what the district court was doing. And if it was doing
1999] ADMISSIBILITY OF EXPERT TESTIMONY 371
Specifically, the Court was not convinced tiiat the weight-of-the-evidence
approach would ensure reliability because an expert could pass the threshold of
admissibility by stating that he reviewed all available evidence prior to making
his ultimate conclusiori.'^^ As a result, the Court responded that Dauber fs
methodology/conclusion distinction might be nothing more than a diversion. '^°
C The Supreme Court 's Decision
The Supreme Court's opinion provided important guidance and clarification
as to the extent and scope of a judge's gatekeeping role when determining the
admissibility of an expert's opinion.'^' Upon concluding that an abuse of
discretion standard governs the review of a lower court's exclusion of expert
testimony, ^^^ the majority found error with the court of appeals' overly stringent
review of the district court's decision excluding Joiner's expert testimony. '^^
Therefore, the Court began with a discussion of the problems underlying
causational expert testimony based on the analysis of animal and existing
epidemiological studies.
The Court first addressed the animal studies and found that the plaintiffs'
experts failed to explain why they based their opinions on studies utilizing mice
injected with massive doses of PCBs.'^"* Additionally, the experts did not explain
why no other study demonstrated an incidence of cancer due to PCB exposure in
humans. '^^ The Court stated that "[t]he issue was whether these experts'
opinions were sufficiently supported by the animal studies on which they
purported to rely,"'*^ not the validity of using of animal studies. '^^ Based on the
that, it seems to me, number one, that it was not committing any legal error. And,
number two, it was making a judgment, ultimately, about what the jury could find
helpful that should be subject to abuse of discretion view.
Id.
179. Seeid.dX*5A.
1 80. See id. In response to Respondent's argument that Daubert merely requires the district
court to decide whether the bases supporting the expert's conclusion are reliable, the Court stated
that "maybe the methodology prong is just a red herring." Id.
181. See Neal, supra note 5, at 35 n.39 (stating that "the real issue that the defendants wanted
the Supreme Court to consider and clarify was whether a district court could look at the conclusions
that the expert had reached as well as the methodology.").
182. "Abuse of discretion — ^the standard ordinarily applicable to review of evidentiary
findings — is the proper standard by which to review a district court's decision to admit or exclude
expert scientific evidence." Joiner, 522 U.S. at 138-39. See Marlin, supra note 14, at 142-43
(providing an overview of the standard of review applied to the admissibility of scientific testimony
prior to the Supreme Court's decision in Joiner).
183. See Joiner, 522 U.S. at 143.
184. SeeiddXXU.
185. Seeid.dXU^'AS.
186. /c/. at 144.
187. See id.
372 INDIANA LAW REVIEW [Vol. 33:349
facts of this case, however, the Court found no abuse of discretion by the district
court's decision rejecting the animal studies as an insufficient basis of
establishing causation in humans.'^*
Next, the Court discussed the reliability and relevance of the epidemiological
studies underlying the expert's causation testimony. The majority found no legal
error in the district court's decision "because it was within the District Court's
discretion to conclude that the studies upon which the experts relied were not
sufficient, whether individually or in combination, to support their conclusions
that Joiner's exposure to PCB's contributed to his cancer."'^^ Thus, the Supreme
Court was not expressly rejecting the weight-of-the-evidence approach as an
acceptable methodology.'^^ To illustrate this point, the majority individually
analyzed the admissibility of four epidemiological studies used by the
petitioners' experts to derive their opinions and found that none of the studies
"concluded" that PCB exposure increased the risk of cancer or that Joiner's
cancer was aggravated by his exposure to PCBs.'^'
After the Court reviewed each of the four studies, the majority disagreed with
the petitioners' reliance on Dauberfs bright-line distinction requiring judges to
remain focused on the expert's methodology and not the expert's conclusions.*^^
The majority explained that "conclusions and methodology are not entirely
distinct from one another."'^^ The Court further described the difficulty of
conforming to Daubert's bright-line distinction as follows:
Trained experts commonly extrapolate from existing data. But nothing
in either Daubert or the Federal Rules of Evidence requires a district
court to admit opinion evidence which is connected to existing data only
by the ipse dixit of the expert. A court may conclude that there is simply
too great an analytical gap between the data and the opinion
188. Seeid,?&\A2>.
189. /^. at 146-47.
1 90. The Court recognized that there might be an argument that the experts' evidence, when
taken as a whole, provided support for a conclusion that PCB exposure aggravated the development
of Joiner's cancer. See id. at 145-47. However, the court was unwilling to take this approach
because the plaintiff failed to offer evidence showing (1) how the studies were analytically linked
or (2) the cumulative impact of the studies. See id.
191. Id. The first study involved Italian workers exposed to PCBs reporting an increased
incidence of lung cancer, but found no causal connection between the exposure and death from
cancer. See id. at 145. The second study reported an increased incidence of lung cancer deaths at
a defendant's PCB production plant, but no causal link between the exposure to PCBs and the
increased number of lung cancer deaths. See id. The third study involved Norwegian cable
company workers exposed to mineral oil, not PCBs. See id. at 145-46. The fourth study was
inconclusive because it involved Japanese workers who were exposed to numerous potential
carcinogens (by the ingestion of toxic rice oil) in addition to PCBs. See id.
192. Seeid.dXH6.
193. Id
1999] ADMISSIBILITY OF EXPERT TESTIMONY 373
proffered.'^'*
According to the Court, any expert testimony, such as the petitioners' expert
testimony, which interprets existing studies or data should not be adm itted based
on the bare assertion of an authority figure. '^^ Consequently, the majority found
no reversible error in the district court's decision and decided that "it was in the
District Court's discretion to conclude that the studies upon which the experts
relied were not sufficient ... to support their conclusions"'^^ with respect to the
cause of Joiner's cancer. '^^
7. Justice Breyer 's Concurrence. — ^Justice Breyer's short concurring opinion
placed emphasis on Dauberfs statement that trial judges must act as gatekeepers
to ensure the reliability and relevance of all scientific testimony and evidence. '^^
He cautioned that judges must exercise special care in making admissibility
determinations because the gatekeeping requirement may often require judges
to make subtle and sophisticated determinations about scientific
methodology and its relation to the conclusions an expert witness seeks
to offer — particularly when a case arises in an area where the science
itself is tentative or uncertain, or where testimony about general risk
levels in human beings or animals is offered to prove individual
causation.'^'
Given this difficult role, Justice Breyer noted that use of the pretrial conference
under the Federal Rules of Civil Procedure provides a forum to "narrow the
scientific issues in dispute."^^ Additionally, he encouraged district court judges
to use their power to appoint independent experts under FRE 706^^' as a method
194. /c/. (emphasis added).
195. See id.
196. Id.
197. See id. at \ 46-47.
198. See id. at 148 (Breyer, J., concurring).
199. Mat 147-48.
200. Id. at 149.
201 . The use of court appointed experts is governed by FRE 706(a), which provides:
The court may on its own motion or on the motion of any party enter an order to show
cause why expert witnesses should not be appointed, and may request the parties to
submit nominations. The court may appoint expert witnesses agreed upon by the
parties, and may appoint expert witnesses of its own selection. An expert witness shall
not be appointed by the court unless the witness consents to act. A witness so appointed
shall be informed of the witness' duties by the court in writing, a copy of which shall
be filed with the clerk, or at a conference in which the parties shall have opportunity to
participate. A witness so appointed shall advise the parties of the witness' findings, if
any; the witness' deposition may be taken by any party; and the witness may be called
to testify by the court or any party. The witness shall be subject to cross-examination
by each party, including a party calling the witness.
Fed. R. Evid. 706(a).
374 INDIANA LAW REVIEW [Vol. 33:349
of facilitating the court's task of determining the admissibility of scientific
evidence and testimony.^^^
2. Justice Stevens ' Partial Concurrence. — ^Justice Stevens concurred with
the majority's ruling regarding the proper standard of review, but dissented with
the majority's holding that the testimony of the plaintiffs expert witnesses was
inadmissible.^"^ He would have remanded the matter to the court of appeals.^"'*
Stevens agreed with the Eleventh Circuit's determination that the evidence of
exposure created an issue of fact.^°^ He was unpersuaded by the majority's
statement that "'conclusions and methodology are not entirely distinct from one
another, '"^"^ and found the court of appeals' opinion persuasive in its acceptance
of the "weight of the evidence"^"^ approach as a scientifically acceptable
methodology.^"^ Justice Stevens also found error in the district court's
conclusion that no study, by itself, was sufficient to establish a link between
PCBs and the plaintiffs onset of lung cancer.^"^ He opined that the district court
judge's individual examination of each of the studies led the judge to focus on
the experts' conclusions, and not on the underlying methodology.^'"
In support of his dissent. Justice Stevens wrote that "[i]t is not intrinsically
'unscientific' for experienced professionals to arrive at a conclusion by weighing
all available scientific evidence — ^this is not the sort of 'junk science' with which
Daubert was concerned."^" He further stated that the district court's position of
prohibiting experts from arriving at a conclusion by weighing all scientific
evidence is contrary to the same methodology used by the Environmental
Protection Agency ("EPA") to assess risks.^'^ Furthermore, he found "nothing
in either Daubert or the Federal Rules of Evidence requires a district judge to
reject an expert's conclusions and keep them from the jury when they fit the facts
of the case and are based on reliable scientific methodology."^'^ Thus, Justice
Stevens did not understand why the experts' opinions were inadmissible since the
proffered opinions were not based on a single study, but on the combined weight
of all available evidence — a methodology applied by the federal government.^ '"*
Consequently, he found that the plaintiffs experts could reasonably infer that
PCBs could promote lung cancer if the experts were allowed to combine the
202. See Joiner, 522 U.S. at 149 (Breyer J., concurring).
203. See id. at 150-51 (Stevens, J., concurring in part and dissenting in part).
204. See id.
205. Seeid.2A\52.
206. /^. at 155.
207. /^. at 153.
208. See id
209. Seeid2X\5A
210. Seeid-^XXSlf.
211. Id
2 1 2. See id. (citing Brief for Respondents at 40-4 1 , Joiner (No. 96- 1 88)).
213. Id. dX\55.
214. See id
1999] ADMISSIBILITY OF EXPERT TESTIMONY 375
results of various studies under the weight-of-the-evidence approach.^'^
III. The Effect OF Jo/7V£/?
A. The Methodology/Conclusion Distinction Remains
Even though commentators disagree as to whether the Supreme Court's
decision in Joiner resolved the circuit court split regarding the
methodology/conclusion distinction,^'^ the Joiner decision clearly represents a
retreat from Daubert's strict focus on methodology.^'^ The Supreme Court's
opinion reemphasizes that expert testimony proffered in a post-Joiner
environment must also satisfy Dauberfs second prong, which requires that
evidence be "sufficiently tied to the facts of the case"^'^ by a valid scientific
connection.^'^ In short, the expert testimony must "assist the trier of fact to
215. See id.
216. One commentator believes that the majority opinion in Joiner can be construed as
allowing "district courts to exclude evidence whenever they disagree with the inductive reasoning
by which the expert employing that methodology arrived at his or her conclusion about the
probability of causation." Gottesman, supra note 1, at 772. Others agree with this proposition and
state X\idX Joiner marked a retreat from the Supreme Court's previously strict focus on methodology
under Daubert, thus, expanding the scope of the district court judge's authority to include the
expert's conclusions. See, e.g., Neal, supra note 5, at 37 (opining that aftQr Joiner, a "district court
[can] assess whether the conclusions that the expert purports to reach are supported by the
underlying evidence."); Bruce R. Parker, Understanding Epidemiology and Its Use in Drug and
Medical Device Litigation, 65 Def. Couns. J. 35, 61 (1998) (indicating in its addendum that the
Supreme Court's decision in Joiner "re-emphasizes that a trial court is required, as part of its
gatekeeping role, to evaluate not only the methodology used by an expert, but also whether the
expert's conclusion[s] meet Daubert standards"); Preuss, supra note 2, at 323 (stating that Joiner
clarifies that an expert's methodologies and conclusions are subject to review). However, at least
one commentator disagrees with such an expansive reading of the Joiner decision. See Roisman,
supra note 154, at 497 (stating that the Joiner decision does not effect Daubert' s admonition that
a trial court's preliminary admissibility determination of expert testimony should focus on the
expert's methods and not on the ultimate conclusions rendered).
2 1 7. See Graham v. Playtex Prods., Inc., 993 F. Supp. 1 27, 1 32 (N.D.N. Y. 1 998) (noting that
with Joiner decision, "the Supreme Court seems to have retreated from this strict focus on
methodology alone.").
218. Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579, 591 (1993).
219. See id. at 592. The Daubert court provided the following example:
The study of the phases of the moon, for example, may provide valid scientific
"knowledge" about whether a certain night was dark, and if darkness is a fact in issue,
the knowledge will assist the trier of fact. However, (absent creditable grounds
supporting such a link), evidence that the moon was full on a certain night will not assist
the trier of fact in determining whether an individual was unusually likely to have
behaved irrationally on that night.
Id. 2ii59\.
376 INDIANA LAW REVIEW [Vol. 33:349
understand or determine a fact in issue."^^° The Court was simply reminding
judges that there are limits to the admissibility of scientific evidence under the
Federal Rules of Evidence.^^' A district court judge must still focus on the
expert's methodology ,^^^ and therefore, the Joiner decision did remove what the
Supreme Court previously established in Daubert.
The Joiner decision, however, failed to clarify which methodology a
scientific expert can rely upon to establish a "valid scientific connection."
Specifically, the Supreme Court did not expressly declare that an expert can rely
on the weight-of-the-evidence approach as a reliable methodology. ^^^ The
majority merely mentioned that it found no error in assessing the reliability of
expert conclusions either "individually or in combination."^^"* As a result, the
Court did not authorize or deny the reliability of a particular approach. The
Court, nevertheless, found that the weight-of-the evidence approach lacked
reliability under the Joiner circumstances because the Court apparently excluded
the plaintiffs' studies on an individual basis instead of examining the data as a
whole. This reasoning appears to form the basis of why the Court ultimately
agreed with the district court's decision excluding the plaintiffs' expert
testimony.^^^
In response to the post-Jo/wer ambivalence regarding the admissibility of
expert testimony, the Judicial Conference Advisory Committee proposed
amendments to PRE 702.^^^ As proposed, PRE 702 would read:
If scientific, technical, or other specialized knowledge will assist the trier
of fact to understand the evidence or to determine a fact in issue, a
witness qualified as an expert by knowledge, skill, experience, training
or education, may testify thereto in the form of an opinion or otherwise
provided that (1) the testimony is sufficiently based upon reliable facts
or data, (2) the testimony is the product of reliable principles and
methods, and (3) the witness has applied the principles and methods
220. Id. A district court judge must also focus on the fitness of "[the] experts' testimony and
the data from which they draw their conclusions." Marlin, supra note 14, at 149.
221. See Marlin, supra note 14, at 148.
222. The Joiner decision does not effect Daubert' s requirement that a judge should focus on
the expert's methods and not on the ultimate conclusions rendered. See Roisman, supra note 1 54,
at 497.
223 . See Gottesman, supra note 1 , at 77 1 -72.
224. General Elec. Co. v. Joiner, 522 U.S. 136, 147 (1997).
225. The Court provided that:
[I]t was within the District Court's discretion to conclude that the studies upon which
the experts relied were not sufficient, whether individually or in combination, to support
their conclusions that Joiner's exposure to PCBs contributed to his cancer, the District
Court did not abuse its discretion in excluding their testimony.
Id. at 146-47.
226. See Daniel J. Capra, Corporate Brief: Evidence Amendments, Nat'L L.J., Oct. 5, 1 998,
atB-U.
1999] ADMISSIBILITY OF EXPERT TESTIMONY 377
reliably to the facts of the case
227
The proposed amendment language of PRE 702 was intentionally written to
apply to both scientific and non-scientific expert testimony .^^^ If ratified, the
proposed FRE 702 would also clarify post-Joiner ambiguities surrounding
Dauber fs famous methodology /conclusion distinction.^^^ The language clearly
indicates that the district court judge, as the gatekeeper, must review the expert's
methodology and the expert's "application of that methodology to the facts of the
case,"^^^ i.e., the expert's conclusion. Furthermore, it appears that the Advisory
Committee was particularly persuaded by Judge Edward R. Becker's reasoning
in In re Paoli R.R. YardPCB Litigation,^^ ' that "any step that renders the analysis
unreliable renders the expert's testimony inadmissible . . . whether the step
completely changes a reliable methodology or merely misapplies that
methodology."^^^ Thus, the combined effect of the Joiner decision and the
recently proposed amendments to FRE 702 illustrate that a district court judge
must find the appropriate balance between assessment of the expert's
methodology and the expert's ultimate conclusion.
Some commentators believe that Joiner's reliance on Daubert's "fitness"
requirement may lead to an unfortunate erosion of the jury's factfinding role^^^
and an inappropriate extension of the district court judge's gatekeeping role.^^"*
These commentators further contend that there may be an increased incidence of
judges excluding "expert evidence solely on the basis of whether they think the
evidence supports the party's case."^^^ Additionally, they believe that the Joiner
decision may serve as a pretext for district court judges who do not believe the
expert's testimony^^^ and may extend the judge's scope of review to cover the
expert's underlying assumptions and data, as well as, the expert's conclusion.^^^
ThQ Joiner decision did not explicitly broaden a judge's scope of review, nor
did it not remove Dauberfs methodology/conclusion distinction. The decision
in Joiner merely clarified that a district court judge's scope of review does not
end with proof of reliability. Since Daubert it is required that all proffered
227. Id.
228. See id. (indicating that the all expert testimony is subject to the trial court's gatekeeping
function).
229. See id.
230. Id.
231. 35F.3d717(3dCir. 1994).
232. Id at 745.
233. See White, supra note 2, at 92
234. See Hope After Joiner, N.J. L. J., Mar. 23, 1 998, at 26.
235. Id.; see also Gottesman, supra note 1, at 775 (stating that the Joiner decision "places
too much discretion in the hands of district judges and makes the outcomes of toxic tort cases in
federal courts turn on the prejudices of the particular judge rather than on principles of law").
236. See White, supra note 2, at 92.
237. See Sneed, supra note 151, at 422.
378 INDIANA LAW REVIEW [Vol. 33:349
evidence be both reliable and relevant^^^ — i.e., will the evidence "assist the trier
of fact to understand or determine a fact in issue. "^^^ Nevertheless, the Joiner
court's reemphasis on the importance of Daubert's "fitness" prong may prove
fatal to some products liability and toxic tort claims.
B. Joiner 's Effect on Products Liability & Toxic Tort Claims
Judges have relied on the Joiner decision to exclude expert testimony in
cases where the expert was unable to satisfy Dauber fs "fitness" requirement.
There are several different scenarios where expert testimony is excluded in
products liability and toxic tort contexts. The plaintiffs expert testimony may
be excluded if (1) the expert's conclusion is too far removed from the available
scientific knowledge or data or (2) the expert is unable to establish, beyond his
own assertions, that he utilized a generally accepted scientific methodology.^'*^
In both products liability and toxic tort cases, a court may exclude expert
testimony when the gap between the underlying evidence and the expert's
opinion results in an analytical "chasm. "^"^^ The expert must prove there is more
than temporal proximity between the evidence and the ultimate conclusion
rendered.^"*^ A court will question an expert's conclusions that are "ad hoc" or
the product of deductive reasoning or speculation if there is no physical evidence
supporting the expert's position.^"*^
238. See Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579, 589 (1993).
239. Id. at 593.
240. In Moore v. Ashland Chemical, Inc., 151 F,3d 269 (5th Cir. 1998), cert, denied, 1 19 S.
Ct. 1454 (1999), the trial court excluded the plaintiffs expert testimony with respect to causation
because the expert was unable to explain his conclusion or cite scientific support for his conclusion.
See id. at 279. The court found the expert's assurances that he utilized a generally accepted
scientific methodology insufficient, see id. at 276 (citing Daubert v. Merrell-Dow Pharmaceuticals,
Inc., 43 F.3d 1311, 1316 (9th Cir. 1 995) (on remand)), the experts' testimony was allowed because
the expert "relied substantially on the temporal proximity between the [plaintiffs] exposure and
symptoms." Id. at 278. The trial court's exclusion was affirmed on appeal because "the 'analytical
gap' between [the expert's] causation opinion and the scientific knowledge and available data
advanced to support that opinion was too wide." Id. at 279. See also In re Breast Implant
Litigation, 1 1 F. Supp.2d 1217 (D. Colo. 1998) (excluding expert testimony necessary to establish
the plaintiffs burden of causation because the available epidemiologic evidence failed to establish
that breast implants caused the auto-immune diseases alleged).
241. Belofsky v. General Elec. Co., 1 F. Supp.2d 504 (D.C.V.I. 1998) (excluding expert
testimony that the defendant-manufacturer's refrigerator door was defectively designed because the
expert was unable to explain the discrepancy between her ultimate conclusion and contradictory
evidence).
242. See Daubert, 509 U.S. at 589.
243. In Childs v. General Motors Corp., No. CIV.A.95-0331, 1998 WL 414719 (E.D. Pa.
July 22, 1 998), the trial court granted the manufacturer's motion in limine prohibiting the plaintiffs
expert from testifying that a defect in the seat design caused the front passenger seat of the
manufacturer's car to collapse because the expert was unable to show that he relied upon generally
1 999] ADMISSIBILITY OF EXPERT TESTIMONY 379
Accordingly, for a products liability or toxic tort claim to survive the scrutiny
of both Daubert and Joiner, there must be a nexus between the scientific
evidence and the pertinent inquiry of the case. The requisite nexus is often
difficult for the plaintiff to establish when the experts are unable to prove that
their test results would remain the same if they used humans.^'*'* An expert's
inability to replicate the test results using humans will not prove fatal to the
admission of expert testimony, so long as the expert can explain her testing
procedures and the test results were subjected to peer review in a published
study.'''
Nevertheless, an expert's ability to explain her scientifically reliable
methodology may prove somewhat futile in the context of a novel opinion
because the expert must still overcome the issue of "fitness." A toxic tort or
products liability expert will fail the "fitness" requirement if the expert's opinion
is unable to reference the requisite causational link to the facts of a particular
case.'"^^ This may prove particularly true in situations where the expert's opinion
is based primarily upon the evaluation of animal studies, the impact of
cumulative studies, and statistical analysis. As a result, the exclusion of such
testimony could effectively preclude legally adequate products liability or toxic
accepted methodologies. See id. at *2. The exclusion was supported by the fact that there was no
physical evidence supporting the expert's proposition and the expert's theory could not be
replicated. See id. dX* A. 5ee a/jo Uribe v. Sofamor, 1999 WL 1129703, at* 12 (D. Neb. Aug. 16,
1999) (excluding medical causation testimony that was unsupported by scientific literature or
research conducted independent of the litigation as too speculative and conclusory); Comer v.
American Elec. Power, 63 F. Supp.2d 927, 931-34 (N.D. Ind. 1999) (excluding an electrical
engineer's testimony in a product liability action against an electrical utility because fire damage
due to defective wiring was "not based on any particular evidence or trained observation but
represents mere subjective belief and unsupported speculation"); Hartwell v. Danek Med., Inc., 47
F. Supp.2d 703, 710-16 ( W.D. Va. 1 999) (excluding expert medical testimony as merely conclusory
in its assertion that a spinal fixation device was the cause of the plaintiffs injuries, and thus
precluding the plaintiffs product liability claim).
244. In Lytle v. Ford Motor Co. , 696 N.E.2d 465 (Ind. Ct. App. 1 998), the Indiana Court of
Appeals excluded expert testimony that a defect in the defendant's seat belt caused the plaintiffs
wife to be thrown from the defendant's truck during a collision. The expert's testimony was
unreliable, under the combined criteria of Daubert and Joiner, because the expert was unable to
prove that his underlying pendulum test, "hitting the back of a suspended buckle with a small
hammer with sufficient force to cause the buckle to inertially release," id. at 467 n.2, results would
remain the same if he used testing method more similar to the forces present in a real world accident
(crash test dummy). See id. at 472-73.
245. See Graham v. Playtex Prods., Inc., 993 F. Supp. 127, 132 (N.D.N. Y. 1998) (admitting
expert testimony that the defendant-manufacturer's use of rayon fibers in the defendant's tampons
increased the risk of toxic shock syndrom because the court was not persuaded that the lack of
epidemiological data in support of the expert's conclusions gave rise to a significant "analytical
gap" requiring exclusion).
246. Barry, supra note 1, at 305. See Gottesman, supra note 1, at 769 ("Introduction of
scientific evidence in toxic tort litigation to prove causal relationships is inherently problematic").
380 INDIANA LAW REVIEW [Vol. 33:349
tort cases from reaching juries, who may reasonably find in favor of the plaintiff.
Such a plaintiff may therefore be unable to maintain a cause of action, survive
a motion to dismiss or a motion for summary judgment.
IV. A LOOK INTO THE FUTURE OF EXPERT TESTIMONY
Although the true effects of the Joiner decision remain open to debate,^"*^ the
Supreme Court's departure from DauberVs bright-line distinction is likely to
make the admissibility of expert testimony more restrictive,^'*^ as well as
burdensome for the plaintiff. The Supreme Court's reemphasis on "fitness" may
affect procedural matters relating to expert testimony and will require lawyers to
spend additional time preparing their experts.^"*^ An expert's opinion that
something is responsible for the cause of the plaintiffs injuries (i.e., specific
causation) will be deemed irrelevant un^Qv Dauber f s fitness prong if an expert
is unable to establish proof of general causation.^^^ In products liability or toxic
tort claims, the expert must be able to reference data that establishes the
relationship between the cause and injury by a preponderance of the evidence
before she can opine that the particular item was responsible for the claimant's
injuries.^^' If an expert is unable to satisfy this burden, a district court judge may
find that the testimony fails Dauber fs "fitness" requirement because the
testimony would be confusing and unhelpful to the jury.^^^
Thus, "the lawyer must be sure that the expert will be able to rationally
247. See supra note 215.
248. See Sneed, supra note 151, at 422 (stating that Joiner decision language undermines
Dauberfs liberal approach to the admission of expert testimony).
249. Experts must be prepared to write detailed reports supporting their conclusions and
lawyers must be prepared to spend additional time with experts to ensure the expert's ability to
explain his reasoning. See Roisman, supra note 154, at 501.
250. In products liability claims, specific causation evidence is admissible only after the
expert has established general causation between the product and the plaintiffs injuries. See
Raynor v. Merrell Dow Pharm., Inc., 104 F.3d 1371, 1376 (D.C. Cir. 1997) (holding that non-
epidemiological studies were insufficient to establish "causation in human beings in the face of the
overwhelming body of contradictory epidemiological evidence").
251. The case of In re Breast Implant Litigation, 11 F. Supp.2d 1217 (D. Colo. 1998),
excluded plaintiffs' expert testimony in a products liability claim against silicone breast implant
manufacturers because their experts were unable to establish general causation, i.e., there was no
known, epidemiological study concluding that women with silicone breast implants had at least
twice the risk of developing auto-immune diseases. The court admitted that epidemiological studies
are not required because they may often be unavailable. See id. at 1228. However, the expert
opinions were scientifically unreliable because none of the expert reports offered supporting
data/evidence on general causation that was subject to peer review. See id. at 1229.
252. A district court judge should exclude scientific testimony and evidence unless he or she
is convinced that it is relevant to a disputed issue of the case and will not confuse or mislead the
jury. See id. at 1223 (citing Daubert v. Merrell Dow Pharm., Inc., 43 F.3d 131 1, 1321 (1995) (on
remand)).
1999] ADMISSIBILITY OF EXPERT TESTIMONY 381
explain why A causes B in those cases where there is not universal recognition
of the conclusions advanced by the expert."^" Furthermore, the expert's
explanation must contain "the bases for her conclusions, including . . . why
certain evidence supports the ultimate conclusions, in logical and understandable
laymen's language, [otherwise,] the Court's [sic] are going to reject such
evidence where on its face, or following opposing expert criticism, it seems
il logical. "^^'* Therefore, the Joiner decision requires an expert to explain her
analysis in a manner establishing the "fitness" of the expert's underlying data and
her conclusion.^^^
In Joiner's wake, "[tjestifying experts should be prepared to speak the
language of Daubert in their depositions, describing the 'methodology' they
used, how they tested or otherwise sought to 'falsify' their conclusions or
'hypotheses,' etc."^^^ If the district court judge is not satisfied with the expert's
explanation or finds the underlying evidence unsupportive of the facts of the
case, the judge can rely on Joiner's authority to exclude the expert's testimony. ^^^
The Joiner decision allows judges to exclude expert testimony "solely on the
basis of whether she thinks the evidence supports the party's case."^^^ Thus,
lawyers should be prepared to substantiate their claims with expert testimony at
the summary judgment stage.^^^
Admittedly, the expansive gatekeeping role propounded in Joiner may keep
otherwise valid science from the jury, however, the Supreme Court was aware
of this potential risk when the Court set forth the standards governing the
admissibility of expert testimony under Daubert?^^ Nevertheless, allowing
judges to scrutinize each step of the expert's analysis in support of the expert's
conclusion may lead to an increased exclusion of testimony .^^' The district court
253. Roisman, 5M/7ra note 1 54, at 502.
254. Id. at 491.
255. The Joiner court stressed that a district court must review the legal reliability of an
expert's underlying methodology and the expert's conclusions. See Marlin, supra note 14, at 148.
''Joiner, at its most basic level, simply states that experts must explain their analysis sufficiently to
overcome any questions of fit between data and conclusion." Id. at 147.
256. Sneed, ^wpranote 151, at423.
257. If the expert is unable to describe or admit that her testimony is a result of a scientific
or analytical process, the testimony is likely to be excluded. See id.
258. Hope After Joiner, supra note 234.
259. See Sneed, supra note 1 5 1, at 423 (explaining that lawyers should "[b]e fully prepared
by the summary judgment stage, because a significant number of decisions hold expert evidence
inadmissible at this point. Affidavits or expert reports under FRCP 26(a)(2) frequently truncate the
expert's reasoning or omit the methodology.").
260. The Supreme Court previously noted in Daubert that no matter how flexible a judge's
gatekeeping role, it is inevitable that the judge's determinations of admissibility will "prevent the
jury from learning of authentic insights and innovations." Daubert v. Merrell Dow Pharm., Inc.,
509U.S. 579, 597(1993).
261. Justice Stevens' dissenting opinion in Joiner suggests that if a district court conducts
an individual examination of the underlying studies, the court will wrongly focus on the expert's
382 INDIANA LAW REVIEW [Vol. 33:349
judge's expanded gatekeeping role increases the potential for testimonial
exclusion when the scientific studies are still developing. The Joiner decision,
therefore, further restricted the admissibility of opinions based upon the weight-
of-the-evidence approach that are not exactly "junk science."
The Supreme Court has not returned to Frye's general acceptance test;
however, the Court has returned to a more restrictive standard governing the
admissibility of expert testimony. For novel scientific evidence or testimony to
be admissible undtrFrye, the expert's methods need to be generally accepted by
the relevant scientific community.^^^ According to the Frye standard, "the thing
from which the deduction is made must be sufficiently established to have gained
general acceptance in the particular field in which it belongs."^^^ Frye's "general
acceptance" test concerned the validity and reliability of the expert's
conclusions.^^'* The expert's conclusions were valid if they were consistent with
the predominant view in the expert's field^^^ and the trial judge determined the
expert's conclusions were accurate by weighing the strength of each party's
arguments. ^^^
Although Daubert and Joiner do not allow judges to determine admissibility
on the comparative strength of opposing experts, the Joiner decision allows the
Supreme Court's desire to combine the benefits of Frye's more restrictive
approach to scientific evidence and of Dauber fs reliance on procedural
safeguards. Standing alone, the Frye standard focused on the validity of an
expert's conclusions. In contrast. Dauber fs two-prong test requires a district
court judge to focus on the expert's underlying methodology and should favor the
introduction of proffered expert testimony .^^^ The Daubert Court also viewed the
use of cross examination, presentation of contrary evidence, and careful
instructions on burden of proof as a better resolution than a wholesale exclusion
of expert testimony under Frye's general acceptance test.
In Joiner, the Supreme Court appeared to clarify the Daubert opinion and its
previous stance on admissibility determinations. Although the Joiner decision
did not promulgate a complete return to Frye's general acceptance test, the Court
did illustrate support for district court judges to evaluate the "accuracy" of the
expert's conclusions by framing emphasis on the "fitness" of the proffered expert
testimony. The Joiner opinion resembles Frye's emphasis and concern over the
validity and reliability of the expert's conclusions. As a result, the Court
restricted opportunities for plaintiffs relying on the weight-of-the-evidence
approach to pass through a district court judge's admissibility "gates." After
Joiner, expert testimony will be submitted to the jury only after the judge is
ultimate conclusions. See General Elec. Co. v. Joiner, 522 U.S. 136, 154-55 (1997) (Stevens, J.,
concurring in part and dissenting in part).
262. See Daubert, 509 U.S. at 585.
263. Id. at 586 (quoting Frye v. United States, 293 F. 1013, 1014 (D.C. Cir. 1923)).
264. See Oh, supra note 13, at 564.
265. See id.
266. See id.
267. See Daubert, 509 U.S. at 596.
1 999] ADMISSIBILITY OF EXPERT TESTIMONY 3 83
satisfied that the plaintiff has established the appropriate linkage between the
expert's underlying data and the ultimate conclusion rendered. In the absence of
reliable evidence to predicate the expert's ultimate conclusion, the judge may
simply conclude "that there is simply too great an analytical gap between the data
and the opinion proffered."^^^
Conclusion
Dauberfs distinction between conclusions and methods remains important.
The Supreme Court's Jo/w^r decision revisited the Court's previous directive and
reemphasized the importance of Dauber fs second prong of relevance or
"fitness." The consequence oiX\iQ Joiner opinion remains the subject of debate.
However, various commentators and the proposed amendments to FRE 702
indicate that the Court has returned to heightened standards, thereby preventing
the influx of "junk science" into the courtroom, by requiring the trial judge, as
gatekeeper, to review the expert's methodology and the expert's application of
that methodology to the facts of the case. This heightened level of review may
create an insurmountable burden if the plaintiffs expert is unable to prove or
sufficiently explain the relevance or reliability of her conclusions. As a result,
the viability of many future claims will hinge on the expert's ability to survive
the heightened gatekeeping scrutiny established m Joiner.
268. General Elec. Co. v. Joiner, 522 U.S. 136, 146 (1997).
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