Brown
Penultimate Amazing
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A case now pending before the United States Supreme Court involves issues of science. The case is Matrixx Initiatives, Inc. v. Siracusano.
In the court of oral arguments, the Court gets into questions relating to psychics, science, irrational people, homeopathy, satanic influence, and perhaps the role of Satan himself.
First, a little bit about the facts of the case. Matrixx makes a reputed cold remedy called Zicam. Zicam is (supposedly) a homeopathic product, and Matrixx claimed that this product was clinically proven to reduce the severity and duration of the common cold. Even so, the product was not regulated by the FDA and had not been evaluated for safety and efficacy. Matrixx sold millions of Zicam products.
In 1999, Matrixx began to receive isolated reports about adverse reactions from people who took the product, notably loss of sense of smell. The total number of adverse reactions is unknown, but it is estimated to be about one to two dozen. Matrixx said it tried to follow up on the reports but could not. In any event, Matrixx deemed the reports to be of no basis, since loss of sense of smell was a well-known side-effect of the common cold itself, and the number of complaints was statistically insignificant.
It appears that Matrixx did NOT also assert that a homeopathic product cannot cause adverse pharmacological effects, due to the absence of active chemical elements.
It appears, however, that there is more to this so-called homeopathic product than one might think. Matrixx called its product homeopathic so that the company could avoid federal regulation. But there are indications that the product was not one in which total dilution was applied. Instead, Zicam used zinc gluconate, and zinc has long been touted as a cold remedy. And zinc ions, which have been linked to loss of sense of smell, may have been present in Zicam. At least, this is what the medical doctors concluded might be involved, when their patients reported losing their senses of smell after using a product that supposedly had an active ingredient of zinc gluconate. (For more information, see this thread and this thread.)
When it was reported that there were adverse effects to Zicam, the value of Matrixx stock dropped. In response, Matrixx issued a press release saying that statements linking its intranasal product and loss of smell are "completely unfounded and misleading." This apparently stopped the decline in stock price.
Unfortunately, troubles for Matrixx were just beginning. Stockholders sued, saying that the company misled them under the securities laws. It is the securities misrepresentation issue, not the scientific issue of whether the homeopathic product can actually do anything pharmacologically, that is at issue.
(After the securities suit, the FDA got after Matrixx, saying that even though Zicam was labeled as homeopathic, the FDA could exercise its discretionary enforcement against homeopathic products because there was evidence of a safety risk. Matrixx also got hit with a product liability lawsuit.)
At issue was whether there could be misrepresentation when the reported adverse effects were hearsay and statistically insignificant. Matrixx won at the lowest court level, but lost on appeal. The Ninth Circuit ruled that statistical significance is not determinative, but the question should be whether reasonable investors would have viewed the information about the link between the product and the purported effect as significant.
There has not been a trial in this case, or significant discovery of evidence. The issue was basically, if the reputed problems are statistically insignificant and a company does not report them because they are insignificant, can the company be liable for misrepresentation under securities laws? Given the way the case got to the Supreme Court, the statistical insignificance of the reports will be assumed to be true. With that assumption, can you legally have a misrepresentation, with materiality and scienter (basically, knowing that there is a falsehood that is going to be important)… for a concern that lacks statistical significance and might be purely imaginary??
The case was argued to the United States Supreme Court on 10 January 2011. Read the transcript here.
Jonathan Hacker argued on behalf of Matrixx. After Justice Ginsburg asked a question about procedure, Justice Alito asked:
A purported maker of a homeopathic product is arguing that it what matters is evidence, and there is a rejection of a sort of placebo effect that might be at work here (it’s not whether or not it’s true, what matters is that a lot of people BELIEVE it to be true). The surreal nature gets even stranger when the purported maker of a homeopathic product argues a solidly scientific principle:
David Frederick argued on behalf of the folks suing Matrixx. Not long after he started, the question of psychics was raised:
The business about satanic influence did not draw any immediate comment, and it appeared that the Court might let it slide. Until:
In the court of oral arguments, the Court gets into questions relating to psychics, science, irrational people, homeopathy, satanic influence, and perhaps the role of Satan himself.
First, a little bit about the facts of the case. Matrixx makes a reputed cold remedy called Zicam. Zicam is (supposedly) a homeopathic product, and Matrixx claimed that this product was clinically proven to reduce the severity and duration of the common cold. Even so, the product was not regulated by the FDA and had not been evaluated for safety and efficacy. Matrixx sold millions of Zicam products.
In 1999, Matrixx began to receive isolated reports about adverse reactions from people who took the product, notably loss of sense of smell. The total number of adverse reactions is unknown, but it is estimated to be about one to two dozen. Matrixx said it tried to follow up on the reports but could not. In any event, Matrixx deemed the reports to be of no basis, since loss of sense of smell was a well-known side-effect of the common cold itself, and the number of complaints was statistically insignificant.
It appears that Matrixx did NOT also assert that a homeopathic product cannot cause adverse pharmacological effects, due to the absence of active chemical elements.
It appears, however, that there is more to this so-called homeopathic product than one might think. Matrixx called its product homeopathic so that the company could avoid federal regulation. But there are indications that the product was not one in which total dilution was applied. Instead, Zicam used zinc gluconate, and zinc has long been touted as a cold remedy. And zinc ions, which have been linked to loss of sense of smell, may have been present in Zicam. At least, this is what the medical doctors concluded might be involved, when their patients reported losing their senses of smell after using a product that supposedly had an active ingredient of zinc gluconate. (For more information, see this thread and this thread.)
When it was reported that there were adverse effects to Zicam, the value of Matrixx stock dropped. In response, Matrixx issued a press release saying that statements linking its intranasal product and loss of smell are "completely unfounded and misleading." This apparently stopped the decline in stock price.
Unfortunately, troubles for Matrixx were just beginning. Stockholders sued, saying that the company misled them under the securities laws. It is the securities misrepresentation issue, not the scientific issue of whether the homeopathic product can actually do anything pharmacologically, that is at issue.
(After the securities suit, the FDA got after Matrixx, saying that even though Zicam was labeled as homeopathic, the FDA could exercise its discretionary enforcement against homeopathic products because there was evidence of a safety risk. Matrixx also got hit with a product liability lawsuit.)
At issue was whether there could be misrepresentation when the reported adverse effects were hearsay and statistically insignificant. Matrixx won at the lowest court level, but lost on appeal. The Ninth Circuit ruled that statistical significance is not determinative, but the question should be whether reasonable investors would have viewed the information about the link between the product and the purported effect as significant.
There has not been a trial in this case, or significant discovery of evidence. The issue was basically, if the reputed problems are statistically insignificant and a company does not report them because they are insignificant, can the company be liable for misrepresentation under securities laws? Given the way the case got to the Supreme Court, the statistical insignificance of the reports will be assumed to be true. With that assumption, can you legally have a misrepresentation, with materiality and scienter (basically, knowing that there is a falsehood that is going to be important)… for a concern that lacks statistical significance and might be purely imaginary??
The case was argued to the United States Supreme Court on 10 January 2011. Read the transcript here.
Jonathan Hacker argued on behalf of Matrixx. After Justice Ginsburg asked a question about procedure, Justice Alito asked:
Justice Scalia, perhaps unsatisfied with that answer, pointed out that there was studies connecting Zicam and loss of smell. Hacker said the studies showed no such connection. Chief Justice Roberts felt that it didn’t matter whether there really was a connection or not:JUSTICE ALITO: Can there be some situations in which statistically significant evidence would not be necessary?
…
MR. HACKER: Well, I think a distinguished physician would not conclude that there's a connection unless the clinical trials reveal a statistically significant difference between what they've seen and what they would expect to see were there no association.
Now the Chief is just being hypothetical here, but the rule being toyed with is that maybe the law would require that some credence be given to psychics… as long as some people take them seriously, whether it is rational to do so or not.CHIEF JUSTICE ROBERTS: You're talking about -- you're talking about who's right or wrong about the connection between Matrixx and anosmia. But that's not the question. I'm an investor in Matrixx; I worry whether my stock price is going to go down. You can have some psychic come out and say Zicam is going to cause a disease, with no support whatsoever, but if it causes the stock to go down 20 percent, it seems to me that's material.
A pause may be due here, so that we may appreciate the surreal nature of the arguments.MR. HACKER: But if -- that's precisely the point, Your Honor. If a psychic came out or a lunatic on the street corner is barking, you know, through a megaphone that there's a problem with the product, that's not the kind of information a -- a reasonable investor would rely on.
JUSTICE SOTOMAYOR: But wait a minute. These -- these weren't psychics. These were three clinical doctors in this area, one of them you knew poised to go to a society meeting to make this allegation. Doesn't it make a difference who the reports are coming from and what the substance of those reports may do to your product?
MR. HACKER: It may make a difference, Your Honor, and I didn't mean to suggest that, you know, these are psychics. The point simply is, following up on the Chief Justice's question, that it does matter what the basis of the allegation, and is the evidence, the facts available to the company, reliable? Does it create a reliable inference that a reasonable investor would be concerned about?
JUSTICE KENNEDY: Well, suppose -- suppose you stipulate, in response to the Chief Justice's question, that it's irrational, that it's probably baseless, but that the market will react adversely. Is there a duty then to address the claim?
MR. HACKER: Under the case law, it's not clear that that's true.
A purported maker of a homeopathic product is arguing that it what matters is evidence, and there is a rejection of a sort of placebo effect that might be at work here (it’s not whether or not it’s true, what matters is that a lot of people BELIEVE it to be true). The surreal nature gets even stranger when the purported maker of a homeopathic product argues a solidly scientific principle:
Justice Scalia toyed with the notion of whether you need to make disclosures for the benefit of investors who are complete ignoramuses:MR. HACKER: … when the scientific panel said you can't make that claim, it's unfounded, there's no basis in the available science.
JUSTICE GINSBURG: They didn't say "unfounded." They said the evidence is not -- we can't say yes and we can't say no. That's different from completely unfounded.
MR. HACKER: Well, I'm -- with respect, Your Honor, I'm not entirely sure it is. When you're talking about science, you make a claim that's either supported in the science or it's without support.
Justice Kagan reminded everyone that the rationale of this case will apply not only to makers of homeopathic drugs, but to makers of (shall we say) more legitimate drugs as well. But Justice Breyer shortly thereafter weighed in on his understanding of scientific history, and whether having any evidence was really all that important:MR. HACKER: … we have to be very careful, as I said before, about a rule that requires a company to disclose false facts. I would say, second, that a reasonable investor doesn't want false information; a reasonable investor wants accurate information. And a reasonable investor would actually --
JUSTICE SCALIA: These are unreasonable investors who are relying on some talking head on Good Morning America who says that this is true … even though it isn't true.
…
MR.HACKER: -- the law doesn't respond to irrational, unpredictable, or unreasonable investors. It responds to a reasonable investor who wants accurate -- a reasonable investor is going to hold the stock --
CHIEF JUSTICE ROBERTS: A reasonable investor is going to worry about the fact that thousands of unreasonable investors are going to dump their Matrixx stock.
(Laughter.)
…
CHIEF JUSTICE ROBERTS: So -- but, I mean, there's nothing unreasonable about that.
Justice Breyer’s point, to which he eventually got, was to ask who had the right to decide whether an adverse effect was statistically significant or not.JUSTICE BREYER: … Albert Einstein had the theory of relativity without any empirical evidence, okay?
David Frederick argued on behalf of the folks suing Matrixx. Not long after he started, the question of psychics was raised:
Mr. Frederick basically responded that the science questions relate to scienter (basically, whether there was intent to deceive), rather than to materiality. After all, there are a lot of people who are moved by things that are irrational or that are unsupported by evidence. For example: Mr. Frederick referred to occult forces, a decision that he might later regret:CHIEF JUSTICE ROBERTS: … In other words, you're saying it's not simply the fact that some psychic would say something, that that is not sufficient, even if that has an impact on the market price, that there has to be some scientifically plausible link to the report.
Basically, Frederick argued that he had a slam-dunk win on the issue of whether the falsehood was material. Virtually ANYTHING is material, if dodos believe it. And he argued he ought to win on the guilty knowledge element as well because of the doctors and studies, which Matrixx dismissed.MR. FREDERICK: … I don't mean to be evasive, but if there is a product, say, that has some link to satanic influences, and there is some reason to think that a large body of followers in an irrational way might regard there to be satanic influences on the basis of a particular product, a cautious, reasonably prudent investor might want to know that on the basis of that information that most of us would regard as irrational, might affect the stock price.
The business about satanic influence did not draw any immediate comment, and it appeared that the Court might let it slide. Until:
Justice Scalia might be sounding like he makes a lot of sense here, but he later returns to the question of Satan:CHIEF JUSTICE ROBERTS: So it matters whether -- I don't know what kind of product has particular satanic susceptibility --
(Laughter.)
MR. FREDERICK: Well --
CHIEF JUSTICE ROBERTS: -- but I mean, are you saying it matters if it's something that -- that Satan's not going to be interested in? I don't understand.
(Laughter.)
MR. FREDERICK: You're --
CHIEF JUSTICE ROBERTS: I don't mean to be facetious, but your way of distinguishing the satanic product is that it depends on whether people who follow satanic cults are going to be interested or not.
MR. FREDERICK: Well, Your Honor, there are people who follow those things, and they spend money and they buy stocks, but my second point is that scienter …is the other way around this problem, because even though information --
…
JUSTICE SCALIA: … it seems to me ridiculous to -- to hold companies to -- to irrational standards.
Pratik Shah argued the position of the United States. Get a load of Justice Scalia’s first question to him:JUSTICE SCALIA: Mr. Frederick, I'm -- I'm not clear on why you can draw a distinction between materiality and scienter for purposes of the issue before us here. If, indeed, satanic effect is enough for materiality, you say, well, it may not be enough for scienter. Why? I mean, if the company knows that satanic effect is material, then the company … knowingly withholds it because it thinks satanic effect is irrational, why doesn't that company have scienter, if it's material? The scienter is withholding something that is material, that is known to be material, and once you say that -- you know, that Satan is material, if the company thinks Satan is involved here, it has to put it in its report, no?
MR. FREDERICK: And it would depend on what kind of stock effect occurred.
Shah answered seriously, but he treated the satanic business like any other scandalous rumor that a company might face. Justice Alito brought up satanic influence, and so did Justice Scalia, with perhaps the quote of the day:MR. SHAH: Mr. Chief Justice, and may it please the Court: For 35 years, this Court's precedents have instructed that information is material for securities fraud purposes if a reasonable investor would have viewed it as having meaningfully altered the total mix of information. Under the terms of their question presented, Petitioners propose to depart from that contextual inquiry in favor of a categorical rule that deems information about an adverse drug effect immaterial absent statistical significance.
JUSTICE SCALIA: Mr. Shah, … What do you think about Satan?
(Laughter.)
JUSTICE SCALIA: Well, I mean, if Satan comes in, surely lousy science comes in as well, no?