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Home » Categories » Business » Advertising / Marketing » Advertising by Attorneys, Doctors is Constitutionally Protected, Sort Of » Printer Friendly

Advertising by Attorneys, Doctors is Constitutionally Protected, Sort Of

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Submitted Wednesday, March 14, 2007
Jim Stillman (1,090)

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Advertisements for and by attorneys are everywhere, featured on television, the Yellow Pages, direct-mail solicitation letters, billboards, Web sites, and the backs of bus-stop benches. They flood the marketplace, informing consumers of their choices of legal counsel. "Protect Your Rights," "We'll Fight for You," and "Don't Settle for Less" have become familiar refrains. By the same token, doctors now freely advertise, on billboards, in newspapers, and in the ever present Yellow Pages.

For example, in the latest Yellow Pages for Tampa, the cover and back spine contain advertisements by attorneys; display advertisements cover 51 full page advertisements for a number of law firms, for the most part, specializing in either personal injury cases or criminal defense. There are separate listing for legal specialists, such as those engaged in aviation law, bankruptcy, family law and many more. Interestly, a number of attorneys engaged in medical malpractice cases are both attorneys and medical doctors. The advertisements, for the most part, list specialties of practice and an admonition that an injured or aggrieved person should call forthwith!

Nor are the advertisements limited to attorneys. Under the "physicians" section of the telephone book are extensive advertisements by medical professionals and hospitals, promising pain-free treatment, immediate appointments, affordable cosmetic surgery (with pictures of bikini-clad models, none of whom have the slightest need for cosmetic renewal.

Let me begin by asserting that I, generally, am uneasy of advertisements, other than, perhaps, display announcements of the opening or closing of a law or medical practice. I come to this opinion as a result of the practice of law in the days before advertising was even considered!

When I was growing up in Massachusetts, just a mile or so south of the New Hampshire state line, physicians and attorneys did not advertise in the classified telephone book or elsewhere. That is just the way it was. In those days, however, practitioners of chiropractic were not licensed in Massachusetts but were authorized to practice in New Hampshire.

Our classified directory in Haverhill, Massachusetts, was replete with display advertisements for chiropractic offices, just over the state line, that promised cures from everything from a backache to virus-caused illness. Broken bones? An adjustment would cure it. Cancer? Not to worry. Nothing was beyond the expertise of these chiropractic physicians. (I add here that the practice of chiropractic is now licensed and regulated by the Commonwealth of Massachusetts.)

When I practiced law in New York, in the 1960's, advertisements by or on behalf of attorneys were unheard of. Then, in the mid to late 1970's, the concept of commercial free speech was enunciated by the United States Supreme Court.

Two attorneys in Arizona, John Bates and Van O'Steen, opened a legal clinic, offering a number of legal services at modest fees to persons of moderate income who did not qualify for governmental legal aid. In order to achieve this end, they would accept only routine matters, such as uncontested divorces, uncontested adoptions, simple personal bankruptcies, and changes of name, for which costs could be kept down by extensive use of paralegals, automatic typewriting equipment, and standardized forms and office procedures. More complicated cases, such as contested divorces, would not be accepted. Because appellants set their prices so as to have a relatively low return on each case they handled, they depended on substantial volume. They began a series of advertisements that described their practice and advertised their fees.

At that time the Arizona Bar had a disciplinary rule similar to that in every state, "A lawyer shall not publicize himself, or his partner, or associate, or any other lawyer affiliated with him or his firm, as a lawyer through newspaper or magazine advertisements, radio or television announcements, display advertisements in the city or telephone directories or other means of commercial publicity, nor shall he authorize or permit others to do so in his behalf."

The U.S. Supreme Court in Bates v State Bar of Arizona (1977) expanded on the concept of commercial free speech that had previously allowed some advertising by pharmacists to permit advertisements by attorneys, provided that they were not deceptive nor misleading. Since then a number of cases have expanded the rule that attorneys may advertise, with some occasional backward steps that are beyond the scope of this article.

It is too late to discuss whether advertising by professionals should be allowed. That cat has been let out of the bag many years ago. The issue now is how such advertisements should be regulated and controlled.

Medical doctors are regulated by Boards of Medical Examiners, Departments of Health or other licensing agencies in each state. The rules on advertisements are, for the most part, similar to those of Florida's Department of Health, Board of Medicine, whereby advertising by physicians is permitted, "so long as such information is in no way false, deceptive, or misleading." Moreover, the physician's advertisement, must not convey "the impression that the physician disseminating the advertising or referred to therein possesses qualifications, skills, or other attributes, which are superior to other physicians, other than a simple listing of earned professional post-doctoral or other professional achievements recognized by the Board"

Lawyers are regulated by a variety of agencies throughout the country, depending on the peculiar situation in each state. For example, in New York, disciplinary rules and regulation is provided by one of the four Supreme Court Appellate Divisions in that state. There is no mandatory Bar Association; there are voluntary associations which often bring disciplinary ond other ethical breaches to the attention of the Court. The four Appellate Divisions have, however, jointly promulgated Rules of Professional Responsibility which relate, inter alia, to lawyers' advertising. Attorneys cannot advertise material that is "false, misleading or deceptive" or that guarantees, directly or by implication, a particular result."

In Florida, as in many states, there is an "integrated bar" which simply means that all attorneys are obliged to belong to a formal Bar association which, by statute or Court rules is the agency that establishes regulation of attorney conduct. In Florida, the Florida Bar has, with the concurrence of the state Supreme Court, regulated advertising. Generally, misleading, sensational terms, deceptive words, promises of a specific result are all considered unprofessional.

Some lawyer advertising is, frankly, offensive.

An attorney specializing in personal injury cases should be allowed to advertise his or her availability to represent victims of automobile accidents; similarly, an attorney who specializes in workman's compensation law or estate and probate cases or bankruptcy law, should be allowed to tell the public of his or her experience and availability. The last time I checked, one legal encyclopedia listed over 600 separate fields of law and no attorney can be expert or even proficient in all of them. Advertisement are a logical way to advise potential clients of the practice.

The same concept applies to physicians. There are hundreds of specialties and sub-specialties in medicine. A physician should be permitted to advertise his or her area of practice and competence.

However, where I find fault with my own profession is the advertisement which infers that there is a causal connection, always, between an injury and a person's or institution's negligence. To advertise to parents whose child has had a birth defect that there must have been negligence on the part of doctor or hospital is, in my opinion, cruel and deceptive. Sometimes, bad things simply happen. Sometimes bad results can occur with the best medical care. An automobile crash is not always a matter of the sole fault on one party's part. The injury that results during the use of a particular product may or may not be a case of product liability. The injured person may just be dumber than dirt and the cause of his own injury.

In the Tampa telephone book are advertisements aimed at frightening people. One advertisement for a bankruptcy firm asks if the potential client, "is afraid to answer the telephone. . .afraid that you may be sued, go to jail, lose your home?" For a remarkably reasonable fee, those fears can be assuaged.

Physicians are not free from criticism. There is a plastic surgery center advertised in the Tampa telephone directory as, "the Fountain of Youth Institute". Another doctor has in his waiting room a billboard announcing, "Miracle of the Week". I am intrigued by the surgeon who advertises, "Gentle Touch Vasectomy." I would hope so.

I wish we could go back to the "good old days" but, alas, this will not happen.

However we should take all professional advertisements with several grains of salt



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