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Report on Policy Aspects of the Smoking and Health Situation in U.S.A.

Date: Oct 1964
Length: 35 pages
2048925980-2048926014
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Abstract

This rich document is an exhaustive report written by two members of British tobacco industry recounting a month-long trip they took to the United States in 1964, 8 months after the U.S. Surgeon General issue the first report on Smoking and Health. The purpose of the trip was to investigate the current status of smoking and health issues in the U.S., and research ongoing lawsuits against tobacco companies in the U.S. The authors (who are identified only by their initials) begin by saying that the executive officers of R.J. Reynolds, American Tobacco and Brown & Williamson "firmly believe that is has not been proved that smoking is harmful to health." They also say, "On this important point, however, Mr. Cullman (Philip Morris), Mr. Harrington (L&M) and Mr. Cramer (Lorillard) would hedge a little." [Note: In 1969, Cullman categorically denied, in testimony before a Congressional Committee, that smoking was causally related to disease. See http://tobaccodocuments.org/landman/TIMN0124175-4186.html] The authors also point out the dilemma U.S. cigarette manufacturers faced by performing in-house smoking and health research, and the road they ultimately chose to follow: [From Page 16]:

"The [U.S.] manufacturers have to choose between - (a) Doing no smoking and health research and being represented in law suits as negligent (although "to meet public concern", they finance CTR and AMA research) [and] (b) Doing smoking and health research and being forced to admit in law suits that their experiments have caused cancer in animals and yet that they have made no changes in tobacco smoke to eliminate the tumours. The manufacturers have chosen (a)..."

The U.S. cigarette manufacturers also feared British tobacco companies' internal bioassay research programs would be construed as an admission that cigarettes caused disease. [Page 8]:

"The main criticism of TRC's research programme was that bio-assay research at Harrogate was an implied admission that cigarettes are harmful...We agreed that Harrogate bio-assay research could be represented as an implied admission, but we made the points that TRC...research was based on the needs of the situation in the U.K., including...a need from the legal point of view to give no grounds for an accusation of negligence against the manufacturers."

The authors also describes Philip Morris' intent to hold back any breakthrough information on smoking and health until they could make a profit from it first:

[From page 23]

"...Mr. Cullman added that he could not say when breakthrough information would be pooled -- e.g. they might want to use it first themselves in their markets including the U.K."

The authors also point out that the American companies' attitudes and actions on smoking and health were driven by lawyers ("who exercise close control over all aspects of the problem"), while in the U.K., industry behavior was driven by the "necessity of avoiding clashes with the 'medical establishment' - i.e., the Ministry of Health, the Medical Research Council, the Royal College of Physicians, leaders of medical opinion, etc." This was because in the U.S., the "Department of Health, Education and Welfare has much less public status than the Ministry of Health." They also observed that the "A.M.A. [American Medical Association] appears more concerned with safeguarding the financial interests of doctors...than with the doctors' patients."

The document also confirms the industry's interest in youth smoking, saying [on Page 29]: "There was more anti-smoking propaganda in the schools but no sign of it being effective. The percentage of smokers in the 16-24 age group has not declined."

This report points out differences between the U.S. and British tobacco companies and how they approached the difficult issue of smoking and health in the two countries.

Fields

Quotes

We were in the U.S.A. from 10th September to 15th October, 1964, and had discussions with the Presidents of the six main cigarette firms in the U.S.A., on ex-President and several directors, the Legal Advisors of four of the firmst and another lawyer advising two of the firms, the Directors of Research and other scientists of give fothe firms, Mr. J.M. Gregory and Mr. D.A. Coulson of the Imperial Tobacco Co., (of Great Britian and Ireland), Ltd., the Administratof of the U.S. Cigarette Advertising Code (Governor Robert B. Meyner), Senator J. Sherman Cooper (Republican, Ky.), The American Medical Association...The Council for Tobacco Research-U.S.A. and its Scientific Advisory Board, Mr. George Allen and Mr. DeHart of the TObacco Institute. Hill and Knowlton, New York, two senior members of the National Cancer Institute and two of the National Heart Institute, Dr. E.L. Wynder and his senior staff...The complete list of people with whom we had discussions is given in Appendix I.

...This report may be clearer if we record at the outset that Mr. Bowman Gray (Reynolds), Mr. Walker (A.T.Co.) and Mr. Finch (B&W) firmly and sincerely believe that it has not been proved that smoking is harmful to health. On this important point, however, Mr. Cullman (Philip Morris), Mr. Harrington (L&M) and Mr. Cramer (Lorillard) would hedge a little. ...

[From Page 3] LEGAL MATTERS

[Page 8]...Implied Admissions

Implied admissions that cigarettes may be harmful, when made by any manufacturer, are immediately criticized by their competitors as capable of being damaging in lawsuits. Such admissions, we were told, may affect decisions by juries on whether smoking caused the disease of the plaintiff and whether the defending manufacturer was aware that his cigarettes might be harmful.

The main criticism of TRC's research programme was that the bio-assay research at Harrogate was in implied admission that cigarettes are harmful...B&W consider that TRC"s research policy might be particularly prejudicial to them through their association with B.A.T.

We agreed that Harrogate bio-assay research could be represented as an implied admission, but we made the points that TRC constantly bore in mind the possible repurcussions of its actions in the U.S.A. and that T.R.C. research was based on the needs of the situation in the U.K., including a need from the legal point of view to give no grounds for an accusation of negligence against the manufacturers...

...There was some difference of opinion among the lawyers as to whether what TRC was doing in bio-assay research could actually be introduced in evidence in a case against a U.S. manufactuers, under U.S. rules about evidence.

Company
Philip Morris
Author
R, P.J.
T, G.F.
Region
United States
United Kingdom
Named Organization
Ad Hoc Group
A.D. Little, Inc. (Performed biological research & testing for Liggett & Myers)
Performed biological research and testing for Liggett on XA (Palladium) cigarette
American Medical Association (physicians group)
Professional trade group representing American physicians.
American Tobacco Co.
American Cancer Society
Appeal Court
Appropriations Subcomm
Armour Research Foundation
BAT, British American Tobacco
Battelle Research Institute
Bio-Research Institute (Conducted studies for CTR)
Conducted study for Council for Tobacco Research on hamsters exposed to tobacco smoke, finding that it produced malignant tumors.
Board of Trustees
BW, Brown & Williamson
Committee on Appropriations
Committee on Health Education + Welfare
Congress
*Council for Tobacco Research-- U.S.A. Inc. CTR (Formerly Tobacco Industry Research Committee (TIRC))
Created and funded by the tobacco industry to award grants to study of the link between smoking and disease. Part of a four decade effort to cast doubt on the links between smoking and disease.
Current Digest
Department of Agriculture Subcommittee
District Court
Federal Court
Fl Supreme Court
Food + Drug Research
Federal Trade Commission (Enforcement agency for laws against deceptive advertising)
Enforces laws against false and deceptive advertising, including ads for tobacco products. Ensures proper display of health warnings in ads and on tobacco products;collects and reports to Congress information concerning cigarette and smokeless tobacco advertising, sales expenditures, and the tar, nicotine, and carbon monoxide content of cigarettes.
Harrogate
Heart Magazine
United States Department of Health, Education & Welfare (Branch of U.S. Government concerned with public health)
Hill & Knowlton Inc. (Tobacco industry PR firm, 1953-68)
Public relations firm for the tobacco industry from 1953 through 1968.
House of Delegates
HRI, Health Research Inst, Roswell Park
Imperial Tobacco
Inst Journal
Interstate + Foreign Commerce Comm
Italian Monopoly
Joint Comm
Kotin Falk
Larus & Brother Company
Litigation Committee
LM, Liggett & Myers
LOR, Lorillard
Medical Research Council
Medical School of Virginia
Ministry of Health
National Heart Institute
National Cancer Institute NCI
Division of Cancer Prevention and Control, National Cancer Institute located in Rockville, MD
New England Journal of Medicine
New Medical Research Center
National Institutes of Health
New York Counsel
New York State Dept of Health
Policy Committee
Printers Ink
Readers Digest
Reference Comm
RJR, R.J.Reynolds
Royal College of Physicians
Scientific Advisory Board
Senate
Surgeon General's (Advisory) Comm
Sloan Kettering Memorial Institute
Spot Tv
State Court
State Lab
State Mutual Life Assurance Co of Americ
Stephano Bros
Supreme Court
TI, Tobacco Institute
Tobacco Research Lab
Tobacco Research Committee (British Industry Research Organization)
University of Kentucky
US Tobacco
U.S. Department of Agriculture
Lung Cancer Task Force
Named Person
Allen, George V. (TI President & Exec. Director 1961-66)
President and Executive Director for the Tobacco Institute, Inc. from 1961 through 1966.
Andervant, A.B.
Auerbach, Oscar, M.D. (Research Scientist, VA Hospital, E. Orange, NJ)
Austin
Bates, William Wannamaker, Jr., Ph.D. (L&M Research Director, Tobacco Working Group)
Defense
Battista, Sam (Pharmacologist, Arthur D. Little)
Baveley
Belli
Berkson, Joseph, M.D. (CTR Special Projects, Biostatistician, Mayo Clinic)
Wrote articles and letter expressing doubt that there was any real connection between cigarette smoking and cancer.
Bernfeld, Peter, Dr. (CTR Grantee, Bio-Researcher with Freddy Homburger)
Blasingame, Francis J. L. (Exec. Director, AMA Education & Research Fdn, 1964)
F.J.L. Blasingame was the Executive Director of the American Medical Association's Education and Research Foundation in 1964, which accepted large grants from the tobacco industry to conduct research. Blasingame accepted a $1 million grant for research in 1964 from the six major U.S. Tobacco Companies. (Bates No. TIMN0082718/2719)
Bloomfield
*Blunt, William W. (use Blount, William A.) (Former President, Lorillard Tobacco Co.)
Bock, Fred Garland, Ph.D. (Biochemist, Roswell Park, Anti-Tobacco Expert)
Bowling, James Chandler (PM; TI, Corporate Affairs Director & VP; Board of Dir.)
Vice President and Director of Sales at Philip Morris from 1967 to 1976. He was Senior Vice President of PM from 1977 to 1984 and on the Board of Directors from 1971 to 1984. Also worked for the Tobacco Institute. Attempted to improve the image of smoking in the face of negative health news.
Bright, W.H.
Brown, J.
Burford
Clements, Earle C. (TI President, '67-70)
President of the Tobacco Institute, Inc. from 1967 to 1970.
Cook, C.
Cooper
Cooper, J.S.
Coulson, D.A.
Cova
Cramer
Cullman, Joseph Frederick III (PM President & CEO (1957-1970))
Executive vice president and senior marketing executive of Philip Morris in the 1950s. Exec. VP 1955-57. President in 1958, held that position until 1967. Chairman from 1968-1972 and acquired title of CEO. Chairman of the Executive Committee, 1979-85. On the Board of Directors from 1954-1985.
Dalhamn
Darkis, Frederick Randolph, Ph.D. (Director of Research at Liggett & Myers)
F. R. Darkis was employed by Liggett & Myers, Inc. and served as M.D. Director of Research from 1954 to 1959 and served on the Board of Directors (Durham, N.C.) from 1957 to 1964. He served as Vice President from 1960 to 1962 and served as Vice President (Director of Research) from 1963 to 1964. (Source: L&M, et al Summary of Officers & Directors - LGI/LTC Liability Notebook.) Vice-president for research at Liggett in 1954 (Allman complaint p. 58). Dr. Darkis ordered replication of Wynder's mouse-painting experiments using Liggett brand cigarette, Chesterfield. Chesterfield tests were positive, a fact that Liggett never revealed (Allman complaint, p.58).
Davis
Dehart
Dixon
Fieser
Finch, Edwin P. (BW Pres; TI Exec. Comm.)
Finch was President of Brown & Williamson in 1963.
Fine, A.M.
Fortis, A.
Galloway, Alexander H. (RJR President c. 1967, Dir. 1953-73, Treas. '54-58)
Defense
Gray, Bowman Jr. (Chairman for RJ Reynolds Tobacco Company)
1907-1969
Green
Gregory, J.M.
Griffith, R.B.
Haas, Frederick P. (Liggett, General Counsel)
Frederick P. Haas was a member of the Board of Directors of Liggett & Meyers from 1966 through 1976. From 1975 and 76 he was Special Counsel. (N.M., L & M Liability Notebook, Section 3, Personnel List)
Haggerstat
Hammond, Edward Cuyler, Sc.D. (Epidemiologist, ACS (1950s), Plaintiff's Expert)
PMI
Hanmer
Hardy, D.
Harrington, M.
Harris, O.
Heimann, R.K.
Hetsko, Cyril F. (VP of ATC; CTR Director)
Vice President and General Counsel for American Tobacco. Served on the Executive Committee as a CTR Director.
Hill
Hockett
Holtzman, Alexander (PM Asst General Counsel. 1975-85.)
Horn
Hoyt
Jacob
Johnson
Kensler, Charles J., Ph.D. (Pharmacologist, Boston U, School of Med., Industry Expert)
Defense
Kissen, D.M.
Kornegay, Horace R. (TI President and Exec. Director)
VP Leaf Ops (RJR), TI Chairman (1985)
Kotin, Paul, M.D. (CTR SAB; Associate Prof. of Pathology, USC)
Larson
Little, G.G.
Maxwell
Mccardle
Meyner, R.B.
Moore, J.
Nelson
Neuberger
Old, J.
Oswald
Pritchard
R, P.J.
Ramm, Henry H. (CTR Chair; RJR VP & Gen Counsel, c. 1967)
Chairman of the Board & General Counsel for R.J. Reynolds and CTR Chairman 1971-1975.
Reid, D.D.
Russell, J.
Sanfield, M.
Sartori
Seay, W.
Seevers
*Seltzer, Dr. Carl C. (use Seltzer, Dr. Carl C.) (Industry consultant, CTR grantee, CTR Special Projects)
Defense
Shubik
Sincus, M.
Smith, F.
Smith, P.
Stedman
Surgeon General
T, G.F.
Terry
Tilt, R.K.
Tso
Wade, T.M.
Wakeham, Helmut R. R., Ph.D. (PM R&D VP)
Vice President and Director of Research & Development, Philip Morris
Wakely, C.
Walker, B.
Weiss, W.
Weissman, George (PM Chairman & CEO '79-84)
Vice President of Philip Morris from 1954 to 1956. Vice President and Assistant to the President in 1957. Vice President of Marketing from 1958-59. Executive Vice President of Marketing in 1960. Exec. VP Overseas in 1961, Exec. VP PM International 1962-66. President from 1967 to 1972. President and Chief Operating Officer in 1973. Vice Chairman from 1974-78. Chair and CEO from '79-84 and on the Board of Directors from 1959-84.
Wilkinson, H.M.
Wynder, Ernst L., M.D. (Epidemiologist, Sloan Kettering, Anti-Tobacco Expert)
1993 First scientist to report in 1950 on the carginocencity of cigarettes in rats painted with tar. Assistant at Sloan-Kettering Institute for Cancer Research Directed the American Health Foundation (AHF) from 1984 to his death in 1998.
Yeaman, Addison Y. (BW VP & General counsel; CTR Chairman of Board)
General counsel for B&W. CTR Chairman/President 1975-1981
Heggestat
Type
REPT, REPORT, OTHER
Litigation
Stmn/Produced
Subject
legal concept
legal system
lawsuits
industry sponsored research
industry strategy
liability
Youth

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Page 1: prq74e00
P,J,R, G. F. T. „« ~ Q ~ ~ ~ October 1961~ ~ C.`2 ~.~ Go
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I INTRODUCTION • F'e were in U.S.A. from 10th September to 15th October, 1964, and had discussions with:- The Presidents of the six main cigarette firms in U.S.A., one ex-President and several Directors, , The Legal Advisors of four of the firms and another, lawyer advising two of the firms, ' The Directors of Research and other scientists of five of the firms, , Mr. J.M. Gregory and Mr. D.A. Coulson of the Imperial Tobacco Co. (of Great Britain and Ireland) Ltd., The Administrator of the U.S. Cigarette Advertising Code (Governor Robert B. Meyner), Senator J. Sherman Cooper (Republican, Ky.). The American Medical Assoication - Senior Executives, and the L - Chairman and two other members of.the A.M.A. Committee for Research on Tobacco and Health, The Council for Tobacco Research - U.S.A. and its Scientific Advisory Board, Mr. George Allen and Mr. DeHart of the Tobacco Institute. Hill' and Knowlton, New York, Two senior members of the National Cancer Institute and two the National Heart Institute, Dr. E.L. 'r.ynder and his senior staff; Dr. E.C. Hammond; Dr. W. ;7eiss, Dr. J. Berkson, Dr. P. Bernfeld, Dr. C.C. Seltzer, The complete list of people with.whom we had discussions is Appendix I. of given in Th?s report deals only with policy aspects of smoking and health problems in U.S.A. A separate report on research aspects has been prepared. This report may be clearer if we record at the outset that ' Mr. Bowman Gray (Reynolds), Mr. Walker (A.T.Co.) and Mr. Finch (B,& W.)firmly and sincerely believe that it has not been proved that smoking is harmful to health. On this important point, however, Mr. Cuilman (Philip Morris), Mr. Harrington (L. & ii. ) and Mr. little. - 1 - Cramer (Lorillard) would hedge a . r i 00 C,C --
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Of the six Presidents, Mr. Gray, by virtue of his personality, smoking and health problems. confident that smoking will eventually be exonerated. Mr. Cramer is distinguished among the Presidents by thinking highly of Dr. Wynder. Mr. Harrington has come up on the leaf side of Liggott & Myers, and 3sacr learnt about the smoking and health side of the business only after he had become President. Mr. Finch, like Messrs. Walker, Iiarrington & Cramer, has only recently been appointed President, but Mr. Bowman Gray has already appreciated Mr. Finch's contributions to discussions of of the "hit-back", aggressive type of policy in smoking and health. Mr. Cullman has stopped assuring his stockholders annually that he is. experience-and his Company's share of the trade, is undoubtedly the leading personality. Mr. Walker is primarily a salesman and an advocate Our reception everywhere was most friendly. Mr. Bowman Gray, in particular, expressed appreciation that we had taken the trouble to go to Winston-Salem to see him. . - 2 - -•r r
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u LEGAL ]f.ATTERS Diff erences between U. S. and U. K. We should perhaps first emphasise that, despite the obvious similarities between the smoking and health situations in U.S,A. and U.K., there are major fundamental differences which prevent the two countries ever having anything like a complete identity of view. We emphasise this point because we found those differences under-appreciated In the U,S., by far the most important factor conditioning action by the manufacturers is the law suit situation and the danger of costly damages being awarded against the manufacturers in a flood of cases. Not so long ago thR drug industry was faced with some 300 law suits with claims totalling &-60,000,000, almost all of which in the*end were settled out of Court, so this type of danger is real. The leadership in the U.S. smoking and health situation therefore lies with the powerful Policy Committee of senior lawyers advising the industry, and their policy, very understandably, in effect is "don't take any chances." It is a situation that does not eneourage constructive or bold approaches to smoking and health problems, and it also means that the Policy Committee 7 of lawyers exercises close control over all aspects of the ~roblems. Law suits can be brought against the U.S. manufacturers by smokers developing one of the diseases associated with smoka.ng (or by their widows, by substitution) on the basis of breach of express warranty (e.g. manufac- turer advertised the cigarettes to be free from harm), breach of implied warranty (e.g. failure to meet standards implied by State laws) or n,e,gligence. It is relatively difficult to b ase a case on negligence so that the U.S, law suits are usually based primarily ori breach of warranty. In addition, they are usually financed on a contingency f ee basis, the plaintiff's counsel financing the case for an agreed percentage of the damages ( e. g, 40% or 60%) if successful. •The cases in U. S.A. are usually heard before juries, to whom highly emotional appeals can be directed and full use made of the convenience to plaintiffs of the U.S. rules regarding introductic+n of evidence. By contrast, we understand that in the TJ.K., any suit against a man- ufacturer would almost have to be based on alleged negligence by the man- ufacturer (as long as the manufacturer's advertising was free from expressing a warranty), would most likely be heard before a judge and n.t a jury, and would have to be financed by the plaintiff, with the risk of costs being awarded against him if he lost. It would therefore be very much more difficult for a plaintiff to win a suit against a manufacturer in Britain, and of course TRC's research programme takes into account the need f or the manufacturArs not being negligent in resesrch. -3- . ,. .~~.,. --- ~ :-- ,;. ..x-
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r In the U.K., the prime need is for objective and effective research and the most important factor external to •iRC's research policy that conditions their action in smoking and health matters is the necessity of avoiding : alashes with the "medical establishment" - i.e. the Ministry of Health, The i'edical Research Council, the Royal College of Physicians, leaders of medical opinion, etc. The power of the medical establishment in the U.K. was particularly seen in the incident of Sir Cecil Y7akely and the humiliating recantation forced on him. In U.S.A. by contrast, the Department of Health, Education and Welfare has much less public status than the Ministry of Health; the equivalent in U.S.A. of the Medical Research Council (viz. the National Institutes of Health) has much less- power and standing; there are a number of doctors who dissent from the : conclusions of the Surgeon General's Advisory Committee and are prepared to say so; the A.M.A. appears more concerned with safeguarding the financial interests of doctors through political lobbying than with the doctor's .patients; and there are hundreds of thousands of tobacco growers whose future votes silently influence the outcome of smoking and health issues with political aspects. The U.S. manufacturers naturally do not disregard 'medical opinion, but this opinion has relatively less weight in smoking ~ and health matters than U.K. medical opinion. ~ Law Suits Pen3ing Some 30-35 lax suits have been moving recently, including some which have been dismissed. Of these 30-35, 15 have been filed since publication of the S.G.A.C. report. Reynolds have been served with 9 suits in 8 months; A.T. Co. have had about the same. The future of the law suits largely depends on the outcome of the Green case, the re-hearing of which is due to start in Florida on 9th November and which we discuss below. The cases pending are mainly based on lung cancer, though there are _ now two cases in nhich the plaintiff has emphysema. Emphysema and heart disease cases could become worse than lung cancer; for one thing they are more common, and for another the plaintiff does not die so soon, and death of the plaintiff limits the maxdmum damages in some states. Lorillard had a case against them in Illinois, where the maximum damages for causing unlawful death are $30,000. When the plaintiff in this case died and the lawyer financing it saw vrhat the expenses were likely to be, he dropped the case., The first case due to come up is a case against Lorillard in Mississippi but it is likely to be postponed. The first major case will therefore be the re-hearing of the Green case against A.T.Co. in Miami, Florida. This is.regazYied by all the lawyers with great seriousness. In the original hearing of the case in Florida, the judge of the District Court had put certain queations to the jury and these, with the verdicts -4- I I J•. ~ ~ C,© h :Y,c
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_1. Did Green have lung cancer? - Yes 2. Did lung cancer cause Green's death? - Yes j. Was Green'ss lung canoer caused by the smoking of Lucky Strike cigarettes? - Yes 4. Could the manufacturer, at the time it sold the cigarettes which Green smoked, have known by the exercise of r easonable skill and f oresight that its Lucky Strike cigarettes might cause cancer - No. The plaintiff received no damages and appealed on the ground that the answer to question (4.) ought not to affect his right under a law of Florida to recover damages. In considering the appeal, the Appeal Court put a question to the Supreme Court of Florida, as could be done under Florida law, asking for an interpretation of a law of Florida about the implied conditi.on of goods marketed in Florida. The Florida Supreme Court gave an Opinion as requested but in effect said at the same time that the Appeal Court had asked them the wrong question. The Appeal Court has. • ordered a re-tr4mil by the District Court of the question only of A.T. Co.'s liability for damages, but in view of the complications of the situation, no lawyer knows the precise wording of the quostion that has to be re-tried." Mr. Ramm (R.J.R.) expects the jury to be asked whether the cigarettes were "reasonably fit and wholesome"•for their intendod use, and a basic con- sideration in determining this is likely to be the proportion of smokers who develop lung cancer. It is also felt that an ar,,.ument that the defence wil7l use is that cases could be brought on a similar basis against many other things sold in Florida - whiskey, butter, cars, etc. The difficulty is that, under the relevant Florida State law it is no defence that, at the time tho-cigarettes were smoked, A.T. Co. could not have knownthey might be harmful; the warranty imposed by the Act is unqualified. There is a general feeling that A.T. Co. may well lose the case: indeed, one lawyer thought A.T. Co. had handled it badly. Mr. Russell (Loi•illard) was more optimistic than the others: ho felt that while juries are anti-big business, they also feel that it is unreasonable of• people to smoke r ecklessly and then seek damages. The case is expected to last about two weeks. If A.T. Co. lose, the lawyers financing the law suits - e.g. Messrs. Belli, Bloomfield, McCardle - may fool re-encouraged, after they had been concluding that there were more profitable fields elsewhere f or claims. There is then likely to be a flood of now cases, not only in Florida. On the other hand, A.T. Co. are almost certain to appeal against an adverse verdict - which will hold off some new cases - and the Green case may not do much damage as a precedent, because the legal issues are so narrow. The claim that smoking caused the disease has to be re-proved -5-
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.in every case, because of course it has to be proved that the particular plaintiff's lung cancer (or other disease) was duo to smoking. While previous wordicts on this point are a psychological advantage to the plaintiff, they are not a legal precedent. ' It is impossible to guess what the damages would bo if A.T. Co. lose the case. The damages can turn on mcqy personal, emotional and irrelevant factors in the appeal to the jury. When prossod by us, one lawyer guessed $120,000 ar_d another $250,000. Two of the other cases pending have unusual variations. A.M. Fine . of New York has accused Philip Morris of breach of express and implied ; warranty and negligence, and accused Hill & Knowlton and CTR of conspiracy. The plaintiff, howe.ver, may well not succeod in stating sufficient causes of action against H. & K. and CTR. Lorillard have a case against them in Michigan in which the plaintiff is claiming damages of X9,999. A claim of X10,000 would take it out of the jurisdiction of the State Courts ~. into the Federal Courts. Mr. Blunt told us that the defence of the Pritchard case in Pittsburgh, involving two trials, had cost Liggett & Myers over ~1,000,000. The plaintiff in the Lartigue case against Liggott & Myers and R.J. Reynolds in New Orleans has asked leave to appeal. It is, of course, the practice of the defending companies to retain private agents to investigate the private lives and backgrounds of the plaintiffs. Mr. Ramm made the interesting point that quite a number of plaintiffs are alcoholics. The extent to which liver damage may affect metabolism of carcinogens and an individual's liability to develop lung cancer has not been studied, but some animal experiments by Kotin & Falk suggest that it may be worth investigating. Visit of U.K. Observer to the Green Case Mr. Jacob suggested that T.R.C. might find it worthwhile to send an observer to attend the Green case. He thought that in consequence of the narrowing of the issue t o the reasonable fitness of the product - i.e. should the product not have been put on the market - the issue came closer to the issue of negligence likely to be important in any Eaiglish case. We see no objection to Mr. Jacob's proposal but we are not in a position to judge the relevance of the Green case to possible law suits in the U.K. Influence of the Lawyers I 1 - In consoquence of the importance of tho lawsuits, the nain power in the smoking and health situation undoubtedly rests with the lawyers, and more particularly with the Policy Committoo of lawyers. The members of , -6-
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Cy. Hotsko (A.T.Co.) Add. Yeaman (Brown & Williamson) Paul Smith (P.M.) Fred Haas (L. & M.) John Russell (Lorillard) This Committee is extremely powerful; it determines the high policy of the industry on all smoking and health matters - research and public relations matters, for example, as well as legal matters - and it reports directly to the Presidents. The Committee is particularly concerned with possible Congressional legislation and it drew up the Cigarette Advertising Code. Yie understand that the Code was largely the work of Mr. Ramm. As Chairman of this Committee and the representative of the largest manufacturer, Mr. Ramm is probably the most influential member of the U.S. tobacco industry, apart from the Presidents, in forming industry policy in the field of smoking and health. The Policy Committee set up another Committee of lawyers, known as the Ad Hoc Group, to assist them. The members of the Ad Hoc Group are:- Dave HarB,y. . (PM) (Chairman) Jane: Brown (A.T. Co.) r^.d. Cook ' (RJR) Ed.. Jacob (RJR & B & W) John Russell I (Lorillard) (5) • Fred Haas (L & M) Alex Holzman (PM) The Ad Hoc Group is concerned with - Medical - legal matters. Scrutinizing proposed action by other'tobacco Clearing papers (e.g. organizations. Dr.'Little's annual report). Watching the Inter-State and Foreign Commerce Committee of the House of Reprosentatives. Making certain that no assurances of any kind relating to the safoty of smoking are given by any manufacturers (e.g. in advertissmotits). In addition, there are two other Committees of lawyers - one for dealing with Federal Trade Commission matters and a Litigation Committee T -7-
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i .consisting of New York Counsels of the larger Companies - e.g. L'r. Chandler Cook (R.J.R.) Mr. Coleman, Mr. Jacob and about 14 others. The lawyers aro thus the most powerful group in the smoking and health situation. It is unccrtain, howevur, whether the Presidents of the three smaller Companies aro fully in agreement with this situation, considering the lawyers to be too restrictive and too dominant generally in the industry. They are, however, neither powerful enough nor sufficently sure of themselves to do anything about it. Implied Admissions Implied admissions that cigarettes may be harmful, when made by any manufacturer, are immediately criticised by their competitors as capable of being damaging in law suits. Such admissions, we were told, may affect decisions by juries on whether smoking caused the disease of the plaintiff and whether the defending manuf4cturer was aware that his cigarettes might be harmful. The main criticism of TRC's research programme was that the bio-assay research at Harrogate was an implied admission that cigarettes are harmful. This was the first point raised by Mr. Hetsko in our meeting with Mr. Walker. It was the main point made by Mr. Bowman Gray who referred to ISr. Ramm's discussion of the subject with us last year. B dc W consider that TRC's research policy might be particularly prejudicial to them through their association with B.E.T. {7o agreed that Harrogate bio-assay research could be represented as an implied admission, but we made the points that 1RC ccnstaiitly bore in mind the possible rcpercuasions of its actions in U.S.A. and that T.R.C. research r.as based on the needs of the situation in the U.K., including a need from the legal point of view to give no grounds for an accusation of negligence against the manufacturers. PJR felt that Mr. Bowman Gray was less critical in this matter than he had been on his 1963 visit, and indeed Mr. Gray specifically stated at the end of the meeting that he was not trying to make us change our minds: the important thing, Mr. Gray felt, was that we were in touch with each other and could dis- cuss these matters. In reply to Mr. Hetsko's criticism, GF-4 suggested that publication of tar and nicotine contents on the packet of Carlton was an implied admission that these constituents of smoke were harmful. Mr. Hetsko replied that publication of tar and nicotine figures was "a bridge they had to cross". A.T. Co. had done it because publication of tar and nicotine figures by Ruaders'lUigest, etc., had created a public.demand for cigarettes low in those. A.T. Co. did not claim health advantages for Carlton, and a disclaimer, such as Reynolds had on Tempo packets, would probably bo printud on the packet when the Cigarette Advertising Code came into effect. (Governor Moyner's remarks later to us on the subject of disclaimers were inturesting). -8-
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Mr. Hetsko also said that the A.T.Co. did not go along with experiments that the U.S. Department of Agriculture was proposing that might lead to m.dified cigarettes. There was some difference of opinion among the lawyers as to whether what TRC was doing in bio-assay research could actually be introduced in evidence in a case aginst a U.S, manufacturer, under U.S. rules about evidence. it should be added that every onq of the six main U.S. cigarette manu- facturers has been accused by his competitors of making implied admissions Mr. Russell (Lorillard) aaid it would help considerably to offset the implied admission involved in TRC's bio-assay progr-mmo, if TRC also supported some research projects designed to answer the basic question; "tioes smoking cause lung cancer?" ' To put these comments on TRC's research programme into perspective, and/or implied health claims. Advertisements by B & PT for Life cigarettes, on its re-introduction as a low tar and low nicotine cigarette five years ago, were an implied admission. More recently, Lorillard issued a press release that Kent's reduced phenols reduced the ciliastatic effect of cigarette smoke. A.T.Co. have made implied admissions and implied health claims by publishing tar and nicotine figures on the packets of Carlton and Montclair. Mr. Cullman had quoted to Philip Morris stockholders the beneficial effects of smoking described in the SGAC report, leaving ' uncertain how far he accepted the rest of the'report. Liggett & Myers are considered to have made implied admissions and health claims for Lark in the paper in The New Fnaland Journal of Medicine by Kensler and Battista, and the subsequent local publicity and canvassing campaigns to 'exploit the statement about Lark made by Dr. 1fieser at the Press conference on the Surgeon General's report. Reynolds so-called "disclaimer" on Tempo packets is regarded as a major health claim by Mr. Crgmer, Mr. Harrington and others. The Administrator of'fhe Cigaretto Advertisfrig Code also criticised this disclaimer to us. Indeed, 'as Wr:-]`eaman'put it, a disclaimer cannot purge a claim. Yle understand that all members of the Policy Committee which prepared the Cigarette Advertising Code were dissatisfied with the provision about health disclaimers in the Code but it was the best they could do. Mr. Bowman Gray told us that, in addition to his competitors, some of his own colleagues had objected to the disclaimer on the Tempo packet. Liggett & Myers have also contracted with A.D. Little in,the past to carry out mouse skin painting experiments, and Bio-Research Inc, have carried out a similar type of experiment for The Council for Tobacco Research - U.S.A. Mr. Bowman Gray was reported as having said that if a cigarette smoke could be developed whoso condensate did not cause skin cancer in mice, Reynolds would adopt it. Mr. Finch said the same, though Mr. Yeaman expressed doubts. . A • 9

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