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Could
www.aardent.com.au may be in breach of the advertising provisions of the Dental Board Rules 1973?The ADA Congress in Perth featured an afternoon series of multiple lectures on creating your own WebPage based on the premise that it was not contrary to Australian State Board guidelines and therefore presumably it was listed as an appropriate matter to be presented to 1,500 dentists.
My enquiries about the matter revealed that the unique matter of digital information was not specifically addressed in the Act and certainly I had not heard that the local Dental Board had taken action against the 103,699 dentists to whom a resident can access nor had it initiated any inquiry into the broader benefits of the "Information Superhighway".
The premise of the conventional advertising prohibition is that it may bring discredit to the profession or that it may not be in the public interest and I support that view. The internet is new and different to conventional thinking around printed advertising.
I abhor advertising of female hygiene products, male wigs, loose dentures, body odor remedies, dog ailment cures, cellulite and dentistry. We really don't want to know about these personal challenges, let alone be assailed or mystified by improbable miracles?
Wendy Grossman Scientific American May 2000 stated "It makes even less sense to prosecute people for doing what the Web was built for: posting and linking to useful information".
Intention to advertise or sell? Dismal failure:
From 1651 visitors to the date, not one patient has attended or phoned for an appointment. The pivotal issue is whether a site is "solicitation of prospective patients" for, if that is its intended purpose, then certainly it will be wasted effort. Websites do not generate patients, nor was it my intention, in creating an information source for my patients or referring dentists, to be soliciting or to be interpreted as being seen to be soliciting patients. I am a publisher of free information to people seeking it by seeking and visiting.
Lawyer David Hirsch of Iowa stated "The Internet provides a fantastic medium for lawyers to do a public service by educating the public about the law and States should not restrict it by making lawyers pay fees or observe burdensome requirements. Rules should be framed to freely encourage the distribution of substantive information yet to discourage crass 'hucksterism' that cheapens the image of the profession"
A group composed of people familiar with advertising, professional ethics, law and computer technology should comprehensively consider the issue.
The Telecommunications Act 1991, the Telecommunications (Interception Act) 1979 and the Australian Postal Corporation Act 1989 incorporate the notion that communications using the postal and telecommunications networks are private. Hence a citizen visiting my site is doing so privately and not in a public arena.
McKenzie Wark (http://rene.efa.org.au/liberty/odocs/wark0404.html) who lectures in media studies at Macquarie University wrote in the article "No place for cyber-censorship in a free society":
What the community and lawmakers need to understand is that in terms
of the amount of individual decision needed to see something, the Internet is much more like a library than like TV and should be treated accordingly.
Censorship may be defensible for broadcasting, but it is an infringement of the right of access to information and to free speech when applied to a book, a telephone call or the Internet.
ABA/BNA LAWYERS' MANUAL ON PROFESSIONAL CONDUCT
Under DR2-101(a) of the Lawyers Model Code of Professional Responsibility in the American Barristers Association report is was noted:
"a question may exist whether publicity on a system limiting access to a private group of subscribers can correctly be called 'a public communication'.
Although a visit to the site involves use of telephone lines, the contact is not ``live'' so as to be a prohibited contact. Moreover, the contact does not involve an uninvited solicitation, but is more akin to a client's telephoning the firm or walking into the office and asking for information. Note, Attorney Advertising and Solicitation on the Internet, supra, at 714. An unpublished Tennessee advisory ethics opinion advised that the State's ethics rules permit Web sites because the information is not indiscriminately distributed to Internet users, who themselves must choose to read the posting before it can appear on their screen. Tennessee Advisory Ethics Opinion 95-A-570 (1995). .No courts have yet discussed, much less delineated, the constitutional limits of permissible state the Supreme Court has upheld reasonable restrictions on the time, place, and manner.. but held that content regulation is not permissible unless there is a substantial government interest, the regulation advances that interest, and the regulation is narrowly drawn. See, e.g., Florida Bar v. Went For It Inc., 115 S.Ct. 2371, 11 Law.Man.Prof.Conduct 171 (US SupCt 1995); Shapero v. Kentucky Bar Association, 486 U.S. 466 (US SupCt 1988).
Many governments, including the Chinese and French have difficulties "censoring" the Net based upon obscure jurisdictional issues regarding such questions as:
Does the government have control over foreign sites' presence on the Net or can it preclude reference to locals whilst hosted on a foreign server?
Should locals be discriminated against in favor of unfettered foreign sites?
Should there be one rule for all or should interstate or international or government users have an advantage in usage or style?
Naturally any dentist would be happy to comply with the same restrictions applicable to the 263,000 other dental sites which are available to this State's citizens.
Is a site "advertising" given its passive presence, i.e. it is available only upon the request of "a surfer". The site is dormant and passive until intentionally phoned by a seeker, whereas most advertising is intentionally accidentally intrusive:
It falls out of the newspaper,
is interleaved with one's mail or
interrupts one's gaze
whilst driving past a billboard
.
A main road containing 103,000 dental surgeries can be visited by a citizen by walking in the door, but their presence per se on that road does not constitute advertising. Similarity on the Superhighway, the existence of a site, which the citizen seeks out and enters freely, is a private transaction and a citizen's liberty.
The site is passive; visitors come to me, they phone my computer. I do not project, I do not enter their space, I do not intercept, I do not have a public profile, I am not listed in Yellow pages,
I do not have any stationary or business cards printed with my web address nor is it disseminated within my locality other than to my patients by word of mouth nor is it linked from any other site as a banner or as a hyperlink.
The site "Find a dentist" is an example of advertising and the prospective dentist is asked to spend $200 because "an independent website created by a practice may never be found." The site lists 546 of this State's 700 dentists excluding this author!
Do our Board rules preclude me from communicating only to local citizens or am I prevented by local laws from communicating to all the people in the world?
I have always been an advocate of the level playing field and I do not support the concept of professional advertising in public newspapers, streets, television or magazines. The Internet is different because it relies on citizens seeking information. It is in the opposite direction to advertising, moving from the citizen to the provider rather than from the provider to the consumer.
To advertise is colorfully illustrated by the following
"... if the circus is coming to town and you paint a sign saying 'Circus Coming to the Fairground Saturday', that's advertising. If you put the sign on the back of an elephant and walk it into town, that's promotion. If the elephant walks through the mayor's flower bed, that's publicity. And if you get the mayor to laugh about it, that's public relations." If the town's citizens go the circus, you show them the many entertainment booths, explain how much fun they'll have spending money at the booths, answer their questions and ultimately, they spend a lot at the circus, that's sales.
I have no sign, no elephant, no publicity and not one "sale".
If an internet site is advertising, then it is no elephant . Or more a celestial lost moribund Mammoth.
The United States Supreme Court struck down blanket prohibitions against lawyer advertising, holding that lawyers may exercise their rights to engage in commercial free speech. Bates v. State of Arizona, 433 U.S. 350 (1977). Prior to Bates, most States' ethics rules prohibited all attorneys advertising. Following Bates, lawyers continued to successfully challenge the states' efforts to regulate or restrict lawyer advertising.
Neither the Model Rules of Professional Conduct nor the Code of Professional Responsibility specifically regulate advertising on the Internet. Only a few states have provided guidance on how existing professional regulations apply to lawyer advertising on the Internet. A threshold issue is whether law firm's home page on the Internet is an advertisement subject to regulation under existing rules. Some lawyers may consider their home pages a source of pure information only, therefore totally exempt from regulation under advertising rules.
Information not considered as the solicitation of prospective clients includes the following: newsletters, news articles, legal articles, editorial opinions, illustrations, questionnaires, fact or opinion survey forms, announcement of office openings and relocations, requests for proposals or information from the public, legal product specifications, e-mail and e-mail response forms, attorney biographical information, announcement of personnel changes, attorney and staff support recruiting, job openings, legal developments and events, including verdicts, judgments, court rulings, administrative rulings, legislation, announcement of legal seminars and events.
The site is a private site with a corresponding warning that "this site is intended only for patients of the Aardent Dental Centre".
The site was as a communication platform to patients as intended under Section 22C. " . Rules 22 and 22A do not apply to written communications by a dentist with members of the dental profession and bone fide patients on matters relating to dentistry".
My advice has been that a restriction on the use of this modern powerful technology would be "a restrain of trade" and that Dr Chris Pulec a Canadian dentist had fought and won a case against the District Board.
A search using Go.Com provides the following listings to a local citizen:
Dentist 103,699
Dental 235,423
Dental implants 234,138
OBrien 79,177
Dental Boards 35,965 (Lycos)
"The generation, in which there is no desire to know more or practise better than its predecessors, will probably neither know so much nor practise so well."
Adam Ferguson Principles of Moral and Political Science 1792
Is the passive presence of global sites of sufficient public harm that the local Board would wish to install and maintain filtering equipment to prevent and protect the citizens from such damaging influence, much as the third world regimes have attempted to restrict political information? Are such restrictions feasible or lawful or even desirable?
SIMON HAYES report in the Australian newspaper of 27 June 2000 "ABA fails to stop porn site"
THE Federal Government has conceded it is unable to act
against a pornographic Web site that has circumvented
Internet censorship laws by relocating to the United States
while retaining an Australian Web address.
Would indicate that any local dentist's webpage hosted in another country does not fall within the jurisdiction of local regulations?
So, the matter of "profile" or "obscurity" is interwoven with the concept of "advertising". A WebPage itself is evidential of "obscurity". Often times many sites receive no visitors! Equally should I erect a huge practice sign on the other side of the moon, its existence per se does not constitute advertising as it is neither visible to the passerby nor would they even know of its existence unless they mounted a galactic search.
Is censorship of a website an infringement of free speech?
In Theophanous Mason CJ, Toohey and Gaudron JJ spoke of 'the absence of any limit capable of definition to the range of matters that may be relevant to debate in the Commonwealth Parliament and to its workings'(Theophanous v Herald & Weekly Times Ltd (1994) 182 CLR 104 at 122) and suggested that whether speech fell inside or outside the freedom should be determined on a case by case basis. However, they did state that:
For present purposes, it is sufficient to say that 'political discussion' includes discussion of the conduct, policies or fitness for office of government, political parties, public bodies, public officers and those seeking public office. The concept also includes discussion of the political views and public conduct of persons who are engaged in activities that have become the subject of political debate, e.g., trade union leaders, Aboriginal political leaders, political and economic commentators.(46)
The width of the freedom was further demonstrated by their adoption of Barendt's statement that:
'political speech' refers to all speech relevant to the development of public opinion on the whole range of issues which an intelligent citizen should think about.
Should an intelligent citizen think about dentistry ?
Should only emerged issues, center staged issues, such as woodchipping, be recognised as the only issues worthy of the protection of free speech?
In his article 'Retooling rhetoric: Has free speech gone the way of the free lunch? Stephen Stockwell Lecturer in Film and Television Journalism, Griffith University observed
"Free speech, like all freedoms, must be constantly re-made to keep its effect."
Deane J in Cunliffe stated that the outcome of the reasonable proportionality test 'will ultimately depend upon an assessment of the character (including purpose), operation and effect of the particular law' ( Cunliffe v Commonwealth (1994) 182 CLR 272 at 337.) In Australian Capital Television Mason CJ suggested that a restriction or prohibition that targets ideas or information will be more difficult to sustain than a restriction or prohibition that targets an activity or mode of communication by which ideas or information are transmitted. He stated that where a law targets ideas or information:
only a compelling justification will warrant the imposition of a burden on free communication by way of restriction and the restriction must be no more than is reasonably necessary to achieve the protection of the competing public interest which is invoked to justify the burden on communication. Generally speaking, it will be extremely difficult to justify restrictions imposed on free communication which operate by reference to the character of the ideas or information. Australian Capital Television Pty Ltd v Commonwealth (1992) 177 CLR 106 at 143. 233, 234-235 per McHugh J.
Entry to my site is only by direct inquiry and the non-patients are asked to leave.
Government Dental Facilities (University of WA Dental School, Dental Therapy Centers, Aboriginal Medical and Dental) also list services and personal above which many of the 'advertised' personal are in private practice in Perth. Is it an inequitable dealing for the Board to favor the public sector above the private? Is a part-time public officer free to exist on the internet with an assumed ( yet incorrect) spin off for his private practice?
WA dentists are listed on ADA and AOS WebPages conference programs both in Australia and overseas.
Can the WA Dental Board prevent a Swedish Dental Conference site listing a WA speaker which sings his/her clinical experience and skills?
What is an unfair or deceptive practice? Rosa v. Johnston, 3 Haw.App. 420, 427 (1982) holds that "a practice is unfair when it offends established public policy and when the practice is immoral, unethical, oppressive, unscrupulous or substantially injurious to consumers." Probably the best way to prove an unfair practice is to show a statute or rule was violated. If so, then public policy is clearly violated, and the practice is probably immoral, unethical, oppressive, unscrupulous, or substantially injurious to consumers.
My web address is not listed in the electronic Yellow Pages as are some local dentists.
My site has been a global community outreach with communications from colleagues from Finland, Germany and India with invitations to visit and lecture with enquiries of reciprocal visits whilst in Perth.
American Dental Boards list their complaint findings at the site http://ncdentalboard.org/disciplinary.htm, which illustrates the powerful and appropriate use of the internet in spite of the knee flex desire on the part of regulators to "just ban it".
These matters are complex and according to an American report:
It is clear the FDA has yet to decide whether promotion of a product over the INTERNET is advertising or labeling.
"Labeling" is defined to include:
Brochures, booklets, mailing pieces, detail pieces, file cards, bulletins, calendars, price lists, catalogs, house organs, letters, motion picture films, filmstrips, lantern slides, sound recordings, exhibits, literature, and prints and similar types of printed, audio or visual matter.
CDA V FTC
orhttp://caselaw.findlaw.com/scripts/getcase.pl?court=US&vol=000&invol=97-1625 intrusion
In light of the Supreme Court decision in Feist Publications, Inc. v. Rural Telephone Co., 26/ an INTERNET home page is likely to be considered a compilation subject to copyright protection.
ADVERTISING
is an unsolicited "communication" transmitted to the general public or any substantial portion thereof primarily directed to seeking professional employment primarily for pecuniary gain.The South Carolina ethics committee decided it is permissible for attorneys to maintain a presence on electronic media for the purpose of discussing legal topics generally "
The key question for lawyers on the Internet: are their communications protected non-commercial speech that enjoys full First Amendment protection, or commercial speech that the Constitution permits states to regulate? Some lawyers with Web pages consider them to be a pure information source free from the advertising constraints of legal ethics codes
There is authority indicating that lawyer-to-lawyer marketing is exempt from ethics advertising rules. E.g., ABA Informal Ethics Opinion 84-1504 (1984)
Cameron [jcam@nwlawyer.net], a non-lawyer whose Seattle company, Northwest Lawyer Inc., provides Internet services to law firms, had this to say
These rules use language and thinking that may apply to a traditional print world, but not an interactive, electronic one. For example, the idea of ``when and where'' has little meaning in an environment where ``where'' means ``everywhere,'' and ``when'' means ``always.'' It's also not clear what is meant by an ``ad'' in an interactive world where information proliferates at an astounding rate, and can be linked and updated on a daily basis. Rules like this can be written easily; the real challenge will be their interpretation and enforcement.
A publisher of free information:
WEB SITES ARE PROTECTED IF LAWFUL AND NOT MISLEADING
Under the guidelines set by the United States Supreme Court for the regulation of advertising, a Web site would have constitutional protection if it was lawful and was not misleading. As stated by the Court:
Our general approach to restrictions on commercial speech is . by now well settled. The States and Federal Government are free to prevent the dissemination of commercial speech that is false, deceptive or misleading. Commercial speech that is not false or deceptive and does not concern unlawful activities, however, may be restricted only in the service of a substantial governmental interest, and only through means that directly advance that interest.
As stated by the United States Supreme Court in Ohralik v. Ohio State Bar Association, 436 U.S. 477, 98 S.Ct. 1912, 56 L.Ed.2d 444, the distinction between commercial speech and other varieties of speech, is whether or not the speech in question proposes a commercial transaction.
United States Supreme Court: " a written communications wherein the Attorney makes a solicitation aimed at making a profit or drumming up new business is advertising."
Restricting Access To Web Sites
While the technology enabling the restriction of the publication of Web sites is not yet apparently developed, it is not inconceivable that as the Web grows more cluttered, this technology will evolve and perhaps even be demanded. There is Internet precedent available for the use of such restrictions. For example, at present, publication restrictions are permitted (and even encouraged) by Newsgroups, where the poster of a message can restrict access to his message by choosing a level of distribution from the following choices: World, North America, US, State, City or Local.90 However, presently, the very nature of the Web, with its linked sites and pro-access culture, will make the restriction of access to sites an unpopular choice.
" Electronic Frontiers Australia response to Draft State Internet censorship legislation in Australia - Sept 1999"
The reference to advertisements should be deleted from proposed legislation,because this criminalises activity that is legal offline. Attempts to criminalise advertisements on-line are very likely to result in a raft of undesirable and unintended consequences, ranging from well-intentioned content providers becoming victims of overzealous regulation to adversely affecting the development of the Australian on-line economy.
The proposed legislation contravenes Australia's international obligations as a signatory to the Universal Declaration of Human Rights and the International Covenant on Civil and Political Rights (ICCPR). The proposed legislation will not protect children, but it will infringe adults' rights to freedom of speech and the legislated principle in Australian law that adults should be free to read, see and hear what they want.
I have raised these matters in a general sense, however in finding a solution to my site, I have issued instructions on August 1, 2000 for investigation of the feasibility of arranging for the site to be protected (with or without a password) and noticed with the following disclaimer pending the Board's acceptance of this compromise arrangement:
This Web page is a resource of general information which is intended, but not promised or guaranteed, to be correct, complete or up-to-date and it is intended only for bone fide patients of the practice or referring dentists.
However, this Web page is not intended to be a source of advertising, solicitation or dental advice; thus the reader should not consider this information to be an invitation for an doctor-patient relationship, should not rely on information provided herein and should always seek the advice of competent practitioner in the reader's state.
Furthermore, the owner of this Web page does not wish to represent anyone desiring dental advice or treatment based upon viewing this Web page in a state where this Web page fails to comply with all laws and ethical rules of that state or country.
Local citizens will not be allowed access; the site will only be made available to patients of the practice or referring dentists or members of the dental profession.
The site was as a communication platform to patients as intended under Section 22C. " . Rules 22 and 22A do not apply to written communications by a dentist with members of the dental profession and bone fide patients on matters relating to dentistry".
I would suggest that a website is not advertising but that listing with Yellow Pages or any paid directory is advertising and that the Board should examine the broader matter and formulate guidelines (if wise or even possible) for the 103,699 dentists accessible to the citizens of this State, a task for which I have unsuccessfully volunteered to assist.
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