California Dental Ass'n v. Federal Trade Commission
California Dental Ass'n v. Federal Trade Commission
Opinion of the Court
delivered the opinion of the Court.
There are two issues in this case: whether the jurisdiction of the Federal Trade Commission extends to the California Dental Association (CDA), a nonprofit professional association, and whether a “quick look” sufficed to justify finding that certain advertising restrictions adopted by the CDA violated the antitrust laws. We hold that the Commission’s jurisdiction under the Federal Trade Commission Act (FTC Act) extends to an association that, like the CDA, provides substantial economic benefit to its for-profit members, but that where, as here, any anticompetitive effects of given restraints are far from intuitively obvious, the rule of reason demands a more thorough enquiry into the consequences of those restraints than the Court of Appeals performed.
HH
The CDA is a voluntary nonprofit association of local dental societies to which some 19,000 dentists belong, including about three-quarters of those practicing in the State. In re California Dental Assn., 121 P. T. C. 190, 196-197 (1996). The CDA is exempt from federal income tax under 26 U. S. C. § 501(c)(6), covering “[bjusiness leagues, chambers
The dentists who belong to the CDA through these associations agree to abide by a Code of Ethics (Code) including the following § 10:
“Although any dentist may advertise, no dentist shall advertise or solicit patients in any form of communication in a manner that is false or misleading in any material respect. In order to properly serve the public, dentists should represent themselves in a manner that contributes to the esteem of the public. Dentists should not misrepresent their training and competence in any way that would be false or misleading in any material respect.” App. 33.
The CDA has issued a number of advisory opinions interpreting this section,
Responsibility for enforcing the Code rests in the first instance with the local dental societies, to which applicants for CDA membership must submit copies of their own advertisements and those of their employers or referral services to assure compliance with the Code. The local societies also actively seek information about potential Code violations by applicants or CDA members. Applicants who refuse to withdraw or revise objectionable advertisements may be denied membership; and members who, after a hearing, remain
The Commission brought a leging that it applied its guidelines so as to restrict truthful, nondeceptive advertising, and so violated § 5 of the FTC Act, 38 Stat. 717, 15 U. S. C. § 45.
The Commission except for his conclusion that the CDA lacked market power, with which the Commission disagreed. The Commission treated the CDA’s restrictions on discount advertising as illegal per se. 128 F. 3d, at 725. In the alternative, the Commission held the price advertising (as well as the nonprice) restrictions to be violations of the Sherman and FTC Acts
Court of Appeals for the Ninth Circuit affirmed, sustaining the Commission’s assertion of jurisdiction over the CDA and its ultimate conclusion on the merits. Id., at 730. The court thought it error for the Commission to have applied per se analysis to the price advertising restrictions, finding analysis under the rule of reason required for all the restrictions. But the Court of Appeals went on to explain that the Commission had properly
“applied an abbreviated, or 'quick look,’ rule of reason analysis designed for restraints that are not per se un-lawffil but are sufficiently anticompetitive on their face that they do not require a full-blown rule of reason inquiry. See [National Collegiate Athletic Assn. v. Board of Regents of Univ. of Okla., 468 U. S. 85, 109-110, and n. 39 (1984)] ('The essential point is that the rule of reason can sometimes be applied in the twinkling of an eye.’ [Ibid, (citing P. Areeda, The “Rule of Reason” in Antitrust Analysis: General Issues 37-38 (Federal Judicial Center, June 1981) (parenthetical omitted)).] It allows the condemnation of a 'naked restraint’ on price or output without an 'elaborate industry analysis.’ Id., at 109.” Id., at 727.
The Court of Appeals thought truncated rule-of-reason analysis to be in order for several reasons. As for the restrictions on discount advertising, they “amounted in practice to a fairly 'naked’ restraint on price competition itself,” ibid. The CDA’s procompetitive justification, that the re
“[t]hese restrictions are in effect a form of output limitation, as they restrict the supply of information about individual dentists’ services. See Areeda & Hoven-kamp, Antitrust Law ¶ 1505 at 693-94 (Supp. 1997).... The restrictions may also affect output more directly, as quality and comfort advertising may induce some customers to obtain nonemergeney care when they might not otherwise do so. . . . Under these circumstances, we think that the restriction is a sufficiently naked restraint on output to justify quick look analysis.” Ibid.
The Court of Appeals went on to hold that the Commission’s findings with respect to the CDA’s agreement and intent to restrain trade, as well as on the effect of the restrictions and the existence of market power, were all supported by substantial evidence. Id., at 728-730. In dissent, Judge Real took the position that the Commission’s jurisdiction did not cover the CDA as a nonprofit professional association engaging in no commercial operations. Id., at 730. But even assuming jurisdiction, he argued, full-bore rule-of-reason analysis was called for, since the disclosure requirements were not naked restraints and neither fixed prices nor banned nondeceptive advertising. Id., at 730-731.
We granted certiorari to resolve conflicts among the Circuits on the Commission’s jurisdiction over a nonprofit professional association
W
The FTC Act gives the Commission authority over “persons, partnerships, or corporations,” 15 U. S. C. § 45(a)(2), and defines “corporation” to include “any company ... or association, incorporated or unincorporated, without shares of capital or capital stock or certificates of interest, except partnerships, which is organized to carry on business for its own profit or that of its members,” §44. Although the Circuits have not agreed on the precise extent of this definition, see n. 4, supra, the Commission has long held that some circumstances give it jurisdiction over an entity that seeks no profit for itself. While the Commission has claimed to have jurisdiction over a nonprofit entity if a substantial part of its total activities provides pecuniary benefits to its members, see In re American Medical Assn., 94 F. T. C. 701, 983-984 (1980), respondent now advances the slightly different formulation that the Commission has jurisdiction “over anti-competitive practices by nonprofit associations whose activities provid[e] substantial economic benefits to their for-profit members’ businesses.” Brief for Respondent 20.
urges deference to this interpretation of the Commission’s jurisdiction as reasonable. Id., at 25-26 (citing Chevron U. S. A. Inc. v. Natural Resources Defense Council, Inc., 467 U. S. 837 (1984), Mississippi Power & Light Co. v. Mississippi ex rel. Moore, 487 U. S. 354, 380-382
The FTC Act is at pains to an ganized to carry on business for its own profit,” 15 U. S. C. §44, but also one that carries on business for the profit “of its members,” ibid. While such a supportive organization may be devoted to helping its members in ways beyond immediate enhancement of profit, no one here has claimed that such an entity must devote itself single-mindedly to the profit of others. It could, indeed, hardly be supposed that Congress intended such a restricted notion of covered supporting organizations, with the opportunity this would bring with it for avoiding jurisdiction where the purposes of the FTC Act would obviously call for asserting it.
Just as the FTC Act does not require that a organization must devote itself entirely to its members' profits, neither does the Act say anything about how much of the entity’s activities must go to raising the members’ bottom lines. There is accordingly no apparent reason to let the statute’s application turn on meeting some threshold percentage of activity for this purpose, or even satisfying a softer formulation calling for a substantial part of the nonprofit entity’s total activities to be aimed at its members’ pecuniary benefit. To be sure, proximate relation to lucre must appear; the FTC Act does not cover all membership organizations of profit-making corporations without more, and an organization devoted solely to professional education may lie outside the FTC Act’s jurisdictional reach, even though the quality of professional services ultimately affects the profits of those who deliver them.
There is no line drawing exercise in this case, however, where the CDA’s contributions to the profits of its individual
The logic and purpose result. The FTC Act directs the Commission to “prevent” the broad set of entities under its jurisdiction “from using unfair methods of competition in or affecting commerce and unfair or deceptive acts or practices in or affecting commerce.” 15 U. S. C. § 45(a)(2). Nonprofit entities organized on behalf of for-profit members have the same capacity and derivatively, at least, the same incentives as for-profit organizations to engage in unfair methods of competition or unfair and deceptive acts. It may even be possible that a nonprofit entity up to no good would have certain advantages, not only over a for-profit member but over a for-profit membership organization as well; it would enjoy the screen of superficial disinterest while devoting itself to serving the interests of its members without concern for doing more than breaking even.
Nor, contrary to petitioner’s argument, history inconsistent with this interpretation of the Commission’s jurisdiction. Although the versions of the FTC Act first passed by the House and the Senate defined “corporation” to refer only to incorporated, joint stock, and share-capital companies organized to carry on business for profit, see H. R. Conf. Rep. No. 1142, 63d Cong., 2d Sess., 11, 14 (1914), the Conference Committee subsequently revised the definition to its present form, an alteration that indicates an
Commission had jurisdiction to pursue the claim here, and turn to the question whether the Court of Appeals devoted sufficient analysis to sustain the claim that the advertising restrictions promulgated by the CDA violated the FTC Act.
The Court of Appeals treated as distinct questions the sufficiency of the analysis of anticompetitive effects and the substantiality of the evidence supporting the Commission’s conclusions. Because we decide that the Court of Appeals erred when it held as a matter of law that quick-look analysis was appropriate (with the consequence that the Commission’s abbreviated analysis and conclusion were sustainable), we do not reach the question of the substantiality of the evidence supporting the Commission’s conclusion.
In National Collegiate Athletic Assn. v. Board of Regents of Univ. of Okla., 468 U. S. 85 (1984), we held that a “naked restraint on price and output requires some competitive jus-
case us, however, fails to present a situation in which the likelihood of anticompetitive effects is comparably obvious. Even on Justice Breyer’s view that bars on truthful and verifiable price and quality advertising are prima facie anticompetitive, see post, at 784-785 (opinion concurring in part and dissenting in part), and place the burden of procompetitive justification on those who agree to adopt them, the very issue at the threshold of this case is whether professional price and quality advertising is sufficiently verifiable in theory and in fact to fall within such a general rule. Ultimately our disagreement with Justice Breyer turns on our different responses to this issue. Whereas he accepts, as the Ninth Circuit seems to have done, that the restrictions here were like restrictions on advertisement of price and quality generally, see, e. g., post, at 785, 787, 790, it seems to us that the CDA’s advertising restrictions might plausibly be thought to have a net procom-petitive effect, or possibly no effect at all on competition. The restrictions on both discount and nondiscount advertising are, at least on their face, designed to avoid false or deceptive advertising
The explanation proffered by the Court of Appeals for the likely anticompetitive effect of the CDAs restrictions on discount advertising began with the unexceptionable statements that “price advertising is fundamental to price competition,” 128 F. 3d, at 727, and that “[r]estrictions on the ability to advertise prices normally make it more difficult for consumers to find a lower price and for dentists to compete on the basis of price,” ibid, (citing Bates v. State Bar of Ariz., 433 U. S. 350, 364 (1977); Morales v. Trans World Airlines, Inc., 504 U.S. 374, 388 (1992)). The court then acknowledged that, according to the CDA, the restrictions nonetheless furthered the “legitimate, indeed proeompetitive, goal of preventing false and misleading price advertising.” 128 F. 3d, at 728. The Court of Appeals might, at this juncture, have recognized that the restrictions at issue here are very far from a total ban on price or discount advertising, and might have considered the possibility that the particular restrictions on professional advertising could have different effects from those “normally5’ found in the commercial world, even to the point of promoting competition by reducing the occurrence of unverifiable and misleading across-the-board
But these text and describe no anticompetitive effects. Assuming that the record in fact supports the conclusion that the CDA disclosure rules essentially bar advertisement of across-the-board discounts, it does not obviously follow that such a ban would have a net anticompetitive effect here. Whether advertisements that announced discounts for, say, first-time customers, would be less effective at conveying information relevant to competition if they listed the original and discounted prices for checkups, X-rays, and fillings, than they would be if they simply specified a percentage discount across the board, seems to us a question susceptible to empirical but not a priori analysis. In a suspicious world, the discipline of specific example may well be a necessary condition of plausibility for professional claims that for all practical purposes defy comparison shopping. It is also possible in principle that, even if aeross-the-board discount advertisements were more effective in drawing customers in the short run, the recurrence of some measure of intentional or accidental misstatement due to the breadth of their claims might
In theory, it is true, the Court of Appeals neither ruled out the plausibility of some procompetitive support for the CDA’s requirements nor foreclosed the utility of an eviden-tiary discussion on the point. The court indirectly acknowledged the plausibility of procompetitive justifications for the
The Court of Appeals was comparably ing the sufficiency of abbreviated rule-of-reason analysis as to the nonpriee advertising restrictions. The court began with the argument that “[t]hese restrictions are in effect a form of output limitation, as they restrict the supply of information about individual dentists’ services.” Ibid, (citing P. Areeda & H. Hovenkamp, Antitrust Law ¶ 1505, pp. 693-694 (1997 Supp.)). Although this sentence does indeed appear as cited, it is puzzling, given that the relevant output for antitrust purposes here is presumably not information or advertising, but dental services themselves. The question is not whether the universe of possible advertisements has been limited (as assuredly it has), but whether the limitation on advertisements obviously tends to limit the total delivery of dental services. The court came closest to addressing this latter question when it went on to assert that limiting advertisements regarding quality and safety “prevents dentists from fully describing the package of services they offer,” 128 F. 3d, at 728, adding that “[t]he restrictions may also affect output more directly, as quality and comfort advertising may induce some customers to obtain nonemer-gency care when they might not otherwise do so,” ibid. This suggestion about output is also puzzling. If quality advertising actually induces some patients to obtain more care
of Appeals acknowledged the CDA’s view that “claims about quality are inherently unverifiable and therefore misleading,” 128 F. 3d, at 728, it responded that this concern “does not justify banning all quality claims without regard to whether they are, in fact, false or misleading,” ibid. As a result, the court said, “the restriction is a sufficiently naked restraint on output to justify quick look analysis.” Ibid. The court assumed, in these words, that some dental quality claims may escape justifiable censure, because they are both verifiable and true. But its implicit
The point have the procompetitive effect claimed by the CD A; it is possible that banning quality claims might have no effect at all on competitiveness if, for example, many dentists made very much the same sort of claims. And it is also of course possible that the restrictions might in the final analysis be anti-competitive. The point, rather, is that the plausibility of competing claims about the effects of the professional advertising restrictions rules out the indulgently abbreviated review to which the Commission’s order was treated. The obvious anticompetitive effect that triggers abbreviated analysis has not been shown.
Saying here that the Court of Appeals’s conclusion at least required a more extended examination of the possible factual underpinnings than it received is not, of course, necessarily to call for the fullest market analysis. Although we have said that a challenge to a “naked restraint on price and output” need not be supported by “a detailed market analysis” in order to “requirfe] some competitive justification,” National Collegiate Athletic Assn., 468 U. S., at 110, it does not follow that every ease attacking a less obviously anticompeti-tive restraint (like this one) is a candidate for plenary market examination. The truth is that our categories of analysis of anticompetitive effect are less fixed than terms like “per se,” “quick look,” and “rule of reason” tend to make them appear. We have recognized, for example, that “there is often no bright line separating per se from Rule of Reason analysis,” since “considerable inquiry into market conditions” may be required before the application of any so-called “per se” condemnation is justified. Id., at 104, n. 26. “[Wjhether the ultimate finding is the product of a presumption or actual
It is so ordered.
The advisory opinions, which substantially mirror parts of the California Business and Professions Code, see Cal. Bus. & Prof. Code Ann. §§ 651, 1680 (West 1999), include the following propositions:
“A statement or claim is false or misleading in any material respect when it:
“a. contains a misrepresentation of fact;
“b. is likely to mislead or deceive because in context it makes only a partial disclosure of relevant facts;
“e. is intended or is likely to create false or unjustified expectations of favorable results and/or costs;
"d. relates to fees for specific types of services without fully and specifically disclosing all variables and other relevant factors;
“Any communication or advertisement which refers to the cost of dental services shall be exact, without omissions, and shall make each service clearly identifiable, without the use of such phrases as ‘as low as,’ ‘and up,’ ‘lowest prices,’ or words or phrases of similar import.
which refers to the cost of dental services and uses words of comparison or relativity — for example, ‘low fees’ — must be based on verifiable data substantiating the comparison or statement of relativity. The burden shall be on the dentist who advertises in such terms to establish the accuracy of the comparison or statement of relativity.”
as to the quality of services are not susceptible to measurement or verification; accordingly, such claims are likely to be false or misleading in any material respect.” 128 F. 3d 720,723-724 (CA9 1997) (some internal quotation marks
The disclosures include:
“1. The dollar amount of the nondiseounted fee for the service!.]
amount of the discount fee or the percentage of the discount for the specific service!.]
length of time that the discount will be offered!.] '
“4. Verifiable fees!.]
discount or any other terms and conditions or restrictions for qualifying for the discount.” Id., at 724.
The FTC Act’s prohibition of unfair competition and deceptive acts or practices, 15 U. S. C. § 45(a)(1), overlaps the scope of §1 of the Sherman Act, 15 U. S. C. § 1, aimed at prohibiting restraint of trade, FTC v. Indiana Federation of Dentists, 476 U. S. 447, 454-455 (1986), and the Commission relied upon Sherman Act law in adjudicating this ease, In re California Dental Assn., 121 F. T. C. 190, 292, n. 5 (1996).
Compare In re American Medical Assn., 94 F. T. C. 701, 983-984, aff’d, 638 F. 2d 443 (CA2 1980), aff'd by an equally divided Court, 455 U. S. 676 (1982) (per curiam), and FTC v. National Comm’n on Egg Nutrition, 517
Cf. Bogan v. Hodgkins, 166 F. 3d 509, 514, and n. 6 (CA2 1999); United States v. Brown University, 5 F. 3d 658, 669 (CA3 1993); Chicago Professional Sports Limited Partnership v. National Basketball Assn., 961 F. 2d 667,674-676 (CA7 1992); Law v. National Collegiate Athletic Assn., 134 F. 3d 1010, 1020 (CA10 1998); U S. Healthcare, Inc. v. Healthsource, Inc., 986 F. 2d 589, 594-595 (CA1 1993).
This conclusion is consistent with holdings by a number of Courts of Appeals. In FTC v. National Comm’n on Egg Nutrition, the Court of Appeals held that a nonprofit association "organized for the profit of the egg industry,” 517 F. 2d, at 488, fell within the Commission’s jurisdiction. In American Medical Assn. v. FTC, 638 F. 2d 443 (CA2 1980), the Court of Appeals held that the “business aspects,” id., at 448, of the AJVLA’s activities brought it within the Commission’s reach. These cases are consistent with our conclusion that an entity organized to carry on activities that will confer greater than de minimis or presumed economic benefits on profit-seeking members certainly falls within the Commission’s jurisdiction. In Community Blood Bank v. FTC, the Court of Appeals addressed the question whether the Commission had jurisdiction over a blood bank and an association of hospitals. It held that “the question of the jurisdiction over the corporations or other associations involved should be determined on an ad hoc basis,” 405 F. 2d, at 1018, and that the Commission’s jurisdiction extended to “any legal entity without shares of capital which engages in business for profit within the traditional meaning of that language,” ibid, (emphasis deleted). The Court of Appeals also said that “Recording to a generally accepted definition ‘profit’ means gain from business or investment over and above expenditures, or gain made on business or investment where both receipts or payments are taken into account,” id., at 1017, although in the same breath it noted that the term’s “meaning must be derived from the context in which it is used,” id., at 1016. Our decision here is fully consistent with Community Blood Bank, because the CDA contributes to the profits of at least some of its members, even on a restrictive definition of profit as gain above expenditures. (It should go without saying that the FTC Act does not require for Commis.sion jurisdiction that members of an entity turn a profit on their membership, but only that the entity be organized to carry on business for members’ profit.) Nonetheless, we do not, and indeed, on the facts here, could
A letter from Bureau of Corporations Commissioner Joseph E. Davies to Senator Francis G. Newlands, the bill’s sponsor and a member of the Conference Committee, written August 8, 1914, before the Conference Committee revisions, included a memorandum dated August 7,1914, that expressed concern that the versions of the bill passed by the House and the Senate would not extend jurisdiction to purportedly nonprofit organizations, which might “furnish convenient vehicles for common understandings looking to the limitation of output and the fixing of prices contrary to law." Trade Commission Bill: Letter from the Commissioner of Corporations to the Chairman of the Senate Comm, on Interstate Commerce, Transmitting Certain Suggestions Relative to the Bill (H. R. 15613) to Create a Federal Trade Commission, 63d Cong., 2d Sess., 3 (1914).
on remand it can effectively assess the Commission’s decision for substantial evidence on the record, or whether it must remand to the Commission for a more extensive rule-of-reason analysis on the basis of an enhanced record.
That false or misleading advertising has an anticompetitive effect, as that term is customarily used, has been long established. Cf. FTC v. Algoma Lumber Co., 291 U. S. 67, 79-80 (1934) (finding a false advertisement to be unfair competition).
«The fact that a restraint operates upon a profession as distinguished from a business is, of course, relevant in determining whether that particular restraint violates the Sherman Act. It would be unrealistic to view the practice of professions as interchangeable with other business activities, and automatically to apply to the professions antitrust concepts which originated in other areas. The public service aspect, and other features of the professions, may require that a particular practice, which could
Justice Breyek claims that “the Court of Appeals did consider the relevant differences.” Post, at 790. But the language he cites says nothing more than that per se analysis is inappropriate here and that “some caution” was appropriate where restrictions purported to restrict false advertising, see 128 F. 3d, at 726-727. Caution was of course appropriate, but this statement by the Court of Appeals does not constitute a consideration of the possible differences between these and other advertising restrictions.
Justice Breyer suggests that our analysis is "of limited relevance,” post, at 791, because “[t]he basic question is whether this ... theoretically redeeming virtue in fact offsets the restrictions’ anticompetitive effects in this case,” ibid. He thinks that the Commission and the Court of Appeals “adequately answered that question,” ibid., but the absence of any empirical evidence on this point indicates that the question was not answered, merely avoided by implicit burden shifting of the kind accepted by Justice Breyer. The point is that before a theoretical claim of anticompeti-tive effects can justify shifting to a defendant the burden to show empirical evidence of procompetitive effects, as quick-look analysis in effect requires, there must be some indication that the court making the decision has properly identified the theoretical basis for the anticompetitive effects and considered whether the effects actually are anticompetitive. Where, as here, the circumstances of the restriction are somewhat complex, assumption alone will not do.
Justice Breyer wonders if we “mea[n] this statement as an argument against the anticompetitive tendencies that flow from an agreement not to advertise service quality.” Post, at 791. But as the preceding sentence shows, we intend simply to question the logic of the Court of Appeals’s suggestion that the restrictions are anticompetitive because they somehow “affect output,” 128 F. 3d, at 728, presumably with the intent to raise prices by limiting supply while demand remains constant. We do not mean to deny that an agreement not to advertise service quality might have anticompetitive effects. We merely mean that, absent further analysis of the kind Justice Breyer undertakes, it is not possible to conclude that the net effect of this particular restriction is anticompetitive.
The Commission said only that ““mere puffing’ deceives no one and has never been subject to regulation.” 121 F. T. C., at 318. The question here, of course, is not whether puffery may be subject to governmental regulation, but whether a professional organization may ban it.
Other commentators have expressed similar views. See, e.g., Ko-lasky, Counterpoint: The Department of Justice’s “Stepwise” Approach Imposes Too Heavy a Burden on Parties to Horizontal Agreements, Antitrust 41,43 (spring 1998) (“[I]n applying the rule of reason, the courts, as with any balancing test, use a sliding scale to determine how much proof to require”); Piraino, Making Sense of the Rule of Reason: A New Standard for Section 1 of the Sherman Act, 47 Vand. L. Rev. 1753, 1771 (1994) (“[C]ourts will have to undertake varying degrees of inquiry depending upon the type of restraint at issue. The legality of certain restraints will be easy to determine because their competitive effects are obvious. Other restrictions will require a more detailed analysis because their competitive impact is more ambiguous”). But see Klein, A “Stepwise” Approach for Analyzing Horizontal Agreements Will Provide a Much Needed Structure for Antitrust Review, Antitrust 41, 42 (spring 1990) (examination of procompetitive justifications “is by no means a full scrutiny of the proffered efficiency justification. It is, rather, a hard look at the justification to determine if it meets the defendant’s burden of coming forward with — but not establishing — a valid efficiency justification”).
Concurring in Part
with whom Justice Stevens, Justice Kennedy, and Justice Ginsburg join, concurring in part and dissenting in part.
I agree with the Court that the Federal Trade Commission (FTC or Commission) has jurisdiction over petitioner, and I join Parts I and II of its opinion. I also agree that in a “rule of reason” antitrust case “the quality of proof required should vary with the circumstances,” that “[w]hat is required ... is an enquiry meet for the case,” and that the object is a “confident conclusion about the principal tendency of a restriction.” Ante, at 780 and this page (internal quotation marks omitted). But I do not agree that the Court has properly applied those unobjectionable principles here. In my view, a traditional application of the rule of reason to the facts as found by the Commission requires affirming the Commission — just as the Court of Appeals did below.
The Commission’s conclusion is lawful if its “factual findings,” insofar as they are supported by “substantial evidence,” “make out a violation of Sherman Act §1.” FTC v. Indiana Federation of Dentists, 476 U. S. 447, 454-455 (1986). To determine whether that is so, I would not simply ask whether the restraints at issue are anticompetitive overall. Rather, like the Court of Appeals (and the Commission), I would break that question down into four classical, subsidiary antitrust questions: (1) What is the specific restraint at issue? (2) What are its likely anticompetitive effects? (3) Are there offsetting proeompetitive justifications? (4) Do the parties have sufficient market power to make a difference?
A
The most important question is the first: What are the specific restraints at issue? See, e. g., National Collegiate Athletic Assn. v. Board of Regents of Univ. of Okla., 468 U. S. 85, 98-100 (1984) (NCAA); Broadcast Music, Inc. v. Columbia Broadcasting System, Inc., 441 U. S. 1, 21-23 (1979). Those restraints do not include merely the agreement to which the California Dental Association’s (Dental Association or Association) ethical rule literally refers, namely, a promise to refrain from advertising that is “ ‘false or misleading in any material respect.’ ” Ante, at 760 (quoting California Dental Code of Ethics § 10 (1993), App. 33). Instead, the Commission found a set of restraints arising out of the way the Dental Association implemented this innocent-sounding ethical rule in practice, through advisory opinions, guidelines, enforcement policies, and review of membership applications. In re California Dental Assn., 121 F. T. C. 190 (1996). As implemented, the ethical rule reached beyond its nominal target, to prevent truthful and nondeceptive advertising. In particular, the Commission determined that the rule, in practice:
*783 (1) “precluded advertising that characterized a dentist’s fees as being low, reasonable, or affordable,” id., at 301;
(2) “precluded advertising ... of across the board discounts,” ibid.; and
(3) “prohibited] all quality claims,” id., at 308.
Whether the Dental Association’s basic rule as implemented actually restrained the truthful and nondeceptive advertising of low prices, across-the-board discounts, and quality service are questions of fact. The Administrative Law Judge (AU) and the Commission may have found those questions difficult ones. But both the AU and the Commission ultimately found against the Dental Association in respect to these facts. And the question for us — whether those agency findings are supported by substantial evidence, see Indiana Federation, supra, at 454-455 — is not difficult.
of Appeals referred explicitly to some of the evidence that it found adequate to support the Commission’s conclusions. It pointed out, for example, that the Dental Association’s “advisory opinions and guidelines indicate that... descriptions of prices as 'reasonable’ or ‘low5 do not comply” with the Association’s rule; that in “numerous cases” the Association “advised members of objections to special offers, senior citizen discounts, and new patient discounts, apparently without regard to their truth”; and that one advisory opinion “expressly states that claims as to the quality of services are inherently likely to be false or misleading,” all “without any particular consideration of whether” such statements were “true or false.” 128 F. 3d 720, 729 (CA9 1997).
The Commission itself had before it far more evidence. It referred to instances in which the Association, without regard for the truthfulness of the statements at issue, recommended denial of membership to dentists wishing to advertise, for example, “reasonable fees quoted in advance,” “major savings,” or “making teeth cleaning... inexpensive.”
I need not review said that “substantial evidence” is a matter for the courts of appeals, and that it “will intervene only in what ought to be the rare instance when the standard appears to have been misapprehended or grossly misapplied.” Universal Camera Corp. v. NLRB, 340 U. S. 474, 490-491 (1951). I have said enough to make clear that this is not a case warranting our intervention. Consequently, we must decide only the basic legal question whether the three restraints described above unreasonably restrict competition.
B
Do each of the three restrictions mentioned have “the potential for genuine adverse effects on competition”? Indiana Federation, 476 U. S., at 460; 7 P. Areeda, Antitrust Law ¶ 1503a, pp. 372-377 (1986) (hereinafter Areeda). I should have thought that the anticompetitive tendencies of the three restrictions were obvious. An agreement not to advertise that a fee is reasonable, that service is inexpensive, or that a customer will receive a discount makes it more difficult for a dentist to inform customers that he charges a lower price. If the customer does not know about a lower price, he will find it more difficult to buy lower price service. That fact, in turn, makes it less likely that a dentist will obtain more customers by offering lower prices. And that likelihood means that dentists will prove less likely to offer lower prices. But why should I have to spell out the obvious? To
The restrictions on the advertising of service quality also have serious anticompetitive tendencies. This is not a case of “mere puffing,” as the FTC recognized. See 121 F. T. C., at 317-318; cf. ante, at 778. The days of my youth, when the billboards near Emeryville, California, home of AAA baseball’s Oakland Oaks, displayed the name of “Painless” Parker, Dentist, are long gone — along with the Oakland Oaks. But some parents may still want to know that a particular dentist makes a point of “gentle care.” Others may want to know about 1-year dental work guarantees. To restrict that kind of service quality advertisement is to restrict competition over the quality of service itself, for, unless consumers know, they may not purchase, and dentists may not compete to supply that which will make little difference to the demand for their services. That, at any rate, is the theory of the Sherman Act. And it is rather late in the day for anyone to deny the significant anticompetitive tendencies of an agreement that restricts competition in any legitimate respect, see, e. g.,
Nor did the Commission rely solely on proposition that a restriction on the ability of dentists to advertise on quality is likely to limit their incentive to compete on qusility. Rather, the Commission pointed to record evidence affirmatively establishing that quality-based competition is important to dental consumers in California. 121 F. T. C., at 309-311. Unsurprisingly, these consumers choose dental services based at least in part on “information about the type and quality of service.” Id., at 249. Similarly, as the Commission noted, the ALJ credited testimony to the effect that “advertising the comfort of services will ‘absolutely’ bring in more patients,” and, conversely, that restraining the ability to advertise based on quality would decrease the number of patients that a dentist could attract. Id., at 310. Finally, the Commission looked to the testimony of dentists who themselves had suffered adverse effects on their business when forced by petitioner to discontinue advertising quality of care. See id., at 310-311.
The FTC found that the price amounted to a “naked attempt to eliminate price competition.” Id., at 300. It found that the service quality advertising restrictions “deprive consumers of information they value and of healthy competition for their patronage.” Id., at 311. It added that the “anticompetitive nature of these restrictions” was “plain.” Ibid. The Court of Appeals agreed. I do not believe it possible to deny the anticompeti-tive tendencies I have mentioned.
C
We must also ask whether, despite their anticompetitive tendencies, these restrictions might be justified by other pro-competitive tendencies or redeeming virtues. See 7 Areeda,
The problem with this or any similar argument is an empirical one. Notwithstanding its theoretical plausibility, the record does not bear out such a claim. The Commission, which is expert in the area of false and misleading advertising, was uncertain whether petitioner had even made the claim. It characterized petitioner’s efficiencies argument as rooted in the (unproved) factual assertion that its ethical rule “challenges only advertising that is false or misleading.” 121 F. T. C., at 316 (emphasis added). Regardless, the Court of Appeals wrote, in respect to the price restrictions, that “the record provides no evidence that the rule has in fact led to increased disclosure and transparency of dental pricing.” 128 F. 3d, at 728. With respect to quality advertising, the Commission stressed that the Association “offered no convincing argument, let alone evidence, that consumers of dental services have been, or are likely to be, harmed by the broad categories of advertising it restricts.” 121 F. T. C., at 319. Nor did the Court of Appeals think that the Association’s unsubstantiated contention that “claims about quality are inherently unverifiable and therefore misleading” could “justify banning all quality claims without regard to whether they are, in fact, false or misleading.” 128 F. 3d, at 728.
With one exception, my own review of the record reveals no significant evidentiary support for the proposition that the Association’s members must agree to ban truthful price and quality advertising in order to stop untruthful claims. The one exception is the obvious fact that one can stop un
In the usual Sherman Act § 1 case, burden of establishing a proeompetitive justification. See National Soc. of Professional Engineers v. United States, 435 U.S. 679, 695 (1978); 7 Areeda, ¶ 1507b, at 397; 11 H. Hovenkamp, Antitrust Law ¶ 1914c, pp. 313-315 (1998); see also Law v. National Collegiate Athletic Assn., 134 F. 3d 1010, 1019 (CA10), cert. denied, 525 U. S. 822 (1998); United States v. Brown Univ., 5 F. 3d 658, 669 (CA3 1993); Capital Imaging Associates v. Mohawk Valley Medical Associates, Inc., 996 F. 2d 537, 543 (CA2), cert. denied, 510 U. S. 947 (1993); Kreuzer v. American Academy of Periodontology, 735 F. 2d 1479, 1492-1495 (CADC 1984). And the Court of Appeals was correct when it concluded that no such justification had been established here.
D
I shall assume that the Commission must prove one additional circumstance, namely, that the Association’s restraints would likely have made a real difference in the marketplace. See 7 Areeda, ¶1503, at 376-377. The Commission, disagreeing with the ALJ on this single point, found that the Association did possess enough market power to make a difference. In at least one region of California, the mid-peninsula, its members accounted for more than 90% of the marketplace; on average they accounted for 75%. See 121 F. T. C., at 314. In addition, entry by new-dentists into the marketplace is fairly difficult. Dental education is expensive (leaving graduates of dental school with $50,000-$100,000 of debt), as is opening a new dentistry office (which costs $75,000~$100,000). Id., at 315-316. And Dental Association members believe membership in the Association is
These facts, in the Court of Appeals’ view, were sufficient to show “enough market power to harm competition through [the Association’s] standard setting in the area of advertising.” 128 F. 3d, at 730. And that conclusion is correct. Restrictions on advertising price discounts in Palo Alto may make a difference because potential patients may not respond readily to discount advertising by the handful (10%) of dentists who are not members of the Association. And that fact, in turn, means that the remaining 90% will prove less likely to engage in price competition. Facts such as these have previously led this Court to find market power— unless the defendant has overcome the showing with strong contrary evidence. See, e. g., Indiana Federation, 476 U. S., at 456-457; cf. United States v. Loew’s Inc., 371 U. S. 38, 45 (1962); Brown Shoe Co. v. United States, 370 U. S. 294, 341-344 (1962); accord, United States v. Aluminum Co. of America, 148 F. 2d 416, 424 (CA21945). I can find no reason for departing from that precedent here.
In the Court’s view, the legal analysis conducted by the Court of Appeals was insufficient, and the Court remands the case for a more thorough application of the rule of reason. But in what way did the Court of Appeals fail? I find the Court’s answers to this question unsatisfactory — when one divides the overall Sherman Act question into its traditional component parts and adheres to traditional judicial practice for allocating the burdens of persuasion in an antitrust case.
Did the Court of Appeals misconceive the anticompetitive tendencies of the restrictions? After all, the object of the rule of reason is to separate those restraints that “may suppress or even destroy competition” from those that “merely regulat[e] and perhaps thereby promot[e] competition.” Board of Trade of Chicago v. United States, 246 U. S. 231,
“advertising restrictions arguably protecting patients from misleading or irrelevant advertising call for more than cursory treatment as obviously comparable to classic horizontal agreements to limit output or price competition.” Ante, at 773.
And it criticizes the Court of Appeals for failing to recognize that “the restrictions at issue here are very far from a total ban on price or discount advertising” and that “the particular restrictions on professional advertising could have different effects from those ‘normally1 found in the commercial world, even to the point of promoting competition . . . .” Ibid.
The problem with these statements is that the Court of Appeals did consider the relevant differences. It rejected the legal “treatment” customarily applied “to classic horizontal agreements to limit output or price competition” — i. e., the FTC’s (alternative) per se approach. See 128 F. 3d, at 726-727. It did so because the Association’s “policies do not, on their face, ban truthful nondeceptive ads”; instead, they “have been enforced in a way that restricts truthful advertising,” id., at 727. It added that “[t]he value of restricting false advertising... counsels some caution in attacking rules that purport to do so but merely sweep too broadly.” Ibid.
Did the Court of Appeals misunderstand the nature of an anticompetitive effect? The Court says:
“If quality advertising actually induces some patients to obtain more care than they would in its absence, then restricting such advertising would reduce the demand for dental services, not the supply; and ... the producers’ supply ... is normally relevant in determining*791 whether a . .. limitation has the anticompetitive effect of artificially raising prices.” Ante, at 776-777.
But if the Court means this statement as an argument against the anticompetitive tendencies that flow from an agreement not to advertise service quality, I believe it is the majority, and not the Court of Appeals, that is mistaken. An agreement not to advertise, say, “gentle care” is anticom-petitive because it imposes an artificial barrier against eaeh dentist’s independent decision to advertise gentle care. That barrier, in turn, tends to inhibit those dentists who want to supply gentle care from getting together with those customers who want to buy gentle care. See P. Areeda & H. Hovenkamp, Antitrust Law ¶ 1505', p. 404 (Supp. 1998). There is adequate reason to believe that tendency present in this case. See supra, at 786.
Did the Court of Appeals inadequately consider possible procompetitive justifications? The Court seems to think so, for it says:
“[T]he [Association’s] rule appears to reflect the prediction that any costs to competition associated with the elimination of across-the-board advertising will be outweighed by gains to consumer information (and hence competition) created by discount advertising that is exact, accurate, and more easily verifiable (at least by regulators).” Ante, at 775.
That may or may not be an accurate assessment of the Association’s motives in adopting its rule, but it is of limited relevance. Cf. Board of Trade of Chicago, supra, at 238. The basic question is whether this, or some other, theoretically redeeming virtue in fact offsets the restrictions’ anticom-petitive effects in this case. Both court and Commission adequately answered that question.
The Commission found that the defendant did not make the necessary showing that a redeeming virtue existed in practice. See 121 F. T. C., at 319-320. The Court of Ap
The majority would have had the incentive to introduce such evidence” of procompetitive justification. Ante, at 776. (Indeed, that is one of the reasons defendants normally bear the burden of persuasion about redeeming virtues. See supra, at 788.) But despite this incentive, petitioner’s brief in this Court offers nothing concrete to counter the Commission’s conclusion that the record does not support the claim of justification. Petitioner’s failure to produce such evidence itself “explain[s] why [the lower court] gave no weight to the .. . suggestion that restricting difficult-to-verify claims about quality or patient comfort would have a procompetitive effect by preventing misleading or false claims that distort the market.” Ante, at 778.
With respect to the on board discounts, the majority summarizes its concerns as follows: “Assuming that the record in fact supports the conclusion that the [Association’s] disclosure rules essentially bar advertisement of [such] discounts, it does not obviously follow that such a ban would have a net anticompetitive effect here.” Ante, at 774. I accept, rather than assume, the premise: The FTC found that the disclosure rules did bar advertisement of across-the-board discounts, and that finding is supported by substantial evidence. See supra, at 783-784. And I accept as literally true the conclusion that the Court says follows from that premise, namely, that “net anti-competitive effects” do not “obviously” follow from that
The upshot, in my view, is that the Court of Appeals, applying ordinary antitrust principles, reached an unexceptional conclusion. It is the same legal conclusion that this Court itself reached in Indiana Federation — a much closer case than this one. There the Court found that an agreement by dentists not to submit dental X rays to insurers violated the rule of reason. The anticompetitive tendency of that agreement was to reduce competition among dentists in respect to their willingness to submit X rays to insurers, see 476 U. S., at 456 — a matter in respect to which consumers are relatively indifferent, as compared to advertising of price discounts and service quality, the matters at issue here. The redeeming virtue in Indiana Federation was the alleged undesirability of having insurers consider a range of matters when deciding whether treatment was justified — a virtue no less plausible, and no less proved, than the virtue offered here. See id., at 462-464. The “power” of the dentists to enforce their agreement was no greater than that at issue here (control of 75% to 90% of the relevant markets). See id., at 460. It is difficult to see how the two cases can be reconciled.
* * *
I would note that the form of analysis I have followed is not rigid; it admits of some variation according to the circumstances. The important point, however, is that its allocation
For these reasons, I the Court’s opinion.
Reference
- Full Case Name
- California Dental Association v. Federal Trade Commission
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- Published