A new and unconstitutional, Orwellian gag-order law took effect on Jan. 1. Titled “Physicians and surgeons: unprofessional conduct,” the law permits the Medical Board of California to discipline doctors who “disseminate” misinformation.
It’s an obvious and direct attack on the First Amendment—freedom of speech—as well as the Fifth Amendment, which says an individual cannot be compelled by the government to provide incriminating information about himself, and the Fourteenth Amendment’s equal protection under the laws.
This law attempts to mandate a new and undefined standard known as “contemporary scientific consensus” and illegally suppress differing professional opinions counter to this consensus on COVID-19.
Differing professional opinions are of course protected from governmental interference and censorship by the First Amendment. The importance of differing professional opinions is also enshrined in the practice of medicine by the longstanding right and traditional entitlement of patients to the time-honored “second opinion.” If everyone were forced to adopt the undefinable “contemporary scientific consensus,” second opinions could be deemed to be “misinformation.”
As a physician and attorney, I am particularly interested in this law as it is very dangerous for both doctors and patients. It also happens that I am “Doctor Zero,” responsible for triggering California legislators to pass this unconstitutional law.
First and Fourteenth Amendments
The leading and most recent Supreme Court precedent on free speech is National Institute of Family and Life Advocates (NIFLA) v. Becerra. In NIFLA, the California Reproductive Freedom, Accountability, Comprehensive Care, and Transparency Act (FACT Act) attempted to impose mandatory medical speech on health care providers. The FACT Act required pro-life health care clinics to inform patients that free or low-cost abortions were available in California and required the clinics to give the patients a telephone number to call for those services.The United States Supreme Court held that this law was likely an unconstitutional violation of the First Amendment. The Court noted that laws targeting speech based on its content, which compel speakers to speak a particular message, are presumptively unconstitutional.
The Court also expressly stated, “Speech is not unprotected merely because it is uttered by professionals.”
This new California law does exactly the same thing, attempting to turn an undefinable “contemporary scientific consensus” into mandatory medical speech and is a fatal constitutional violation under any First Amendment analysis.
Court Challenges
There are currently three federal lawsuits challenging the new law.The suit alleges that the new California law violates physicians’ First Amendment and free speech rights by prohibiting them from sharing information with their patients if it is inconsistent with what the law refers to as “contemporary scientific consensus” and the “standard of care.”
Supporting vs. Opposing Groups
The groups supporting this censorship include the American Medical Association, the Federation of State Medical Boards, the Medical Board of California, and the Osteopathic Medical Board of California.The groups opposing this censorship include AFLDS, Advocates for Faith & Freedom, Advocates for Physicians’ Rights, American Civil Liberties Union, Association of American Physicians and Surgeons, California Health Coalition Advocacy, Children’s Health Defense, Liberty Justice Center, New Civil Liberties Alliance, and Physicians for Informed Consent.
Given its extraordinary legislative history targeting the free speech rights of an individual physician, as well as its multiple clear violations of the United States Constitution, this California Code needs to be struck down. The law is hardly the dispassionate and reasoned legal analysis the people of California deserve from its legislators.