JUDGMENT (Discovery - issue of falsity of imputations going to aggravated damages - SCR Pt 23 - the "Tabe" discretion)
1 The plaintiff sues the defendant for damages for defamation in relation to a "Today Tonight" program broadcast on 13 February 2001. A transcript of that program is appended hereto and marked "A".
2 On 13 February 2002 a jury found that the matter complained of contained the following defamatory imputations of the plaintiff:
(a) The plaintiff betrayed the medical interests of his patients by conducting clinical trials for experimental drugs on his patients in such a manner as to undermine the patient/doctor relationship.
(b) The plaintiff had failed, contrary to his obligations as a doctor, to ensure that his patients understood what they would endure and undergo when recruiting them for drug tests.
(c) The plaintiff is a greedy profiteer.
(d) The plaintiff pushed drugs on his patients in return for payment by drug companies.
(e) The plaintiff placed his own financial gains ahead of the lives of his patients and their human rights, which was an outrageously wrong thing to do.
3 By its defence filed on 18 March 2002, the defendant pleads substantively the defences of qualified privilege at common law and pursuant to s22 Defamation Act, and interstate qualified protection defences. In mitigation of damages the defendant relies upon the circumstances in which the plaintiff proved at trial that the publication was made and other proceedings apparently instituted by the plaintiff against John Fairfax Publications Pty Ltd.
4 It is to be observed that in the context of the privilege defences, the defendant nominates the following subjects of public interest:
1. The clinical trial of experimental drugs.
2. The payment by drug companies of fees to medical practitioners in respect of patients who take part in clinical trials of experimental drugs.
3. The regulation of clinical trials of experimental drugs.
4. The involvement of developmentally disabled people in clinical trials of experimental drugs.
5. The relationship between medical practitioners and their patients.
6. The ethical considerations in the relation to the conduct of clinical trials of experimental drugs including the payment by drug companies of fees to medical practitioners in respect thereof.
7. The obligation of medical practitioners to obtain informed consent from patients who participate in clinical trials of experimental drugs.
5 Of immediate relevance, however, is the claim by the plaintiff of an entitlement to aggravated damages by reason of "his knowledge of the falsity of the imputations". The defendant has not justified nor has it raised the truth of the imputations, or their substantial truth, in mitigation of damages.
6 The plaintiff having raised the issue of aggravated damages on the asserted basis, the law is clear that an issue has arisen on the pleadings and that the defendant is entitled to be given, and the plaintiff is obliged to give, discovery of documents in relation to that issue: Tabe v Amalgamated Television Services Pty Ltd, Hunt J, unreported, 27 March 1987; on appeal, NSWCA, 7 December 1987, A Def R 50,025. It is equally clear that there reposes in the judge a discretion whether or not to order such discovery. This discretion is in fact referred to by each of Samuels JA and Mahoney JA in the Court of Appeal and particularly by McLelland AJA (see Waterhouse v Perkins [2001] NSWSC 13 per Levine J at [62]; Murphy v Nationwide News Pty Ltd [2000] NSWSC 813 per Levine J at [46]; SCR Pt 23 r 3).
7 On 8 June 2002 the plaintiff filed his List of Documents. Part 1 of schedule 1 of that list sets out the following four documents:
1. Video of "Today Tonight";
2. Curriculae Vitae of Dr Roy Beran;
3. Letter to the Editor, Diane and Stephen Power;
4. Bundle of newspaper clippings.
8 By notice of motion filed 23 August 2002 the defendant seeks an order that the plaintiff give verified discovery of documents in the categories listed in an annexure to the notice of motion. That annexure is appended to these reasons and marked "B". In support of the notice of motion an affidavit of Ian Robert Angus, solicitor for the defendant sworn 22 August 2002 was read. Annexed to that affidavit is the defendant's List of Documents and a letter from the solicitors for the defendant to the solicitors for the plaintiff dated 17 July 2002 which sets out the defendant's requirement as to discovery in the same terms as the annexure to the notice of motion.
9 In opposition to the motion an affidavit sworn 4 October 2002 by Joseph Kouper of the plaintiff's solicitors was read and it is desirable to set out its substance:
"4 I am informed by the plaintiff and believe that he has conducted drug trials for more than 10 years, involving approximately 360 subjects. I am informed by the plaintiff and verily believe that each participant generates between 1 and 8 files per trial, each file generally containing over 250 pages.
5 Patient treatment documents requested by the Defendant would potentially fall within the professional confidential relationship privilege under section 126B of the Evidence Act (NSW) 1995 and I am informed by the Plaintiff and believe he would need his solicitors to review this material in order to determine this.
6 I am also informed by the Plaintiff and believe that he would need his solicitors to review all the documents requested by the Defendant, including financial information held by accountants, in order to ensure relevance.
7 The rate Corrs Chambers Westgarth would charge for me to review the documents to comply with the Defendant's request would be $220.00 per hour. I estimate that reviewing patient files generated by drug trials as referred to in paragraph 4 above, would cost $396,000.00 based on there being at least 4 files in relation to 360 subjects and spending at least 5 hours per subject in a situation where all the information had already been extracted by the plaintiff. There would be additional cost involved in reviewing other documents, such as financial information held by accountants and academic papers written by the plaintiff.
8 I am informed by the plaintiff and believe that not all the material requested by the Defendant is held in the Plaintiff's offices and there will be considerable time and effort involved on his part in retrieving and organising documents for review by his solicitors.
9 I am further informed by the Plaintiff and believe that should he have to notify each patient in relation to possible claims of privilege under s126 of the Evidence Act, it will involve, in some cases, making enquiries regarding the whereabouts of patients, particularly those involved in drug trials prior to three years ago".
10 In addition to the material hitherto mentioned, for the defendant applicant was tendered a bundle of correspondence (exhibit A) between the parties' solicitors. By the first letter dated 25 September 2002, the defendant's solicitors invited the plaintiff's solicitors to give informal discovery of documents falling within annexure "A", limiting the "patients" to those whose surnames begin with the letters "J" to "L". This offer was rejected by letter dated 4 October 2002. By letter dated 10 October 2002 the defendant limited the reference to "drug trial" in annexure A to the Notice of Motion as relating to "a drug trial conducted (in whole or in part) by the plaintiff". This was also rejected by the plaintiff's solicitors by letter dated 15 October 2002.
11 The plaintiff perceives the defendant's request for discovery as of a very broad nature, in effect requiring the discovery of any document relating to the subject of drug trials. The parties are at issue as to what may be described as the "parameters" of the found imputations.
12 The plaintiff sees imputation (a) as requiring, if anything, discovery of documents relevant to the truth or falsity of the notion of the relevant "betrayal" of patients' medical interests. The discovery should not extend to all documents relative to the conduct of trials by the plaintiff, it is contended, but only those which show "betrayal".
13 In relation to imputation (b) the plaintiff contends the documents relevant to the truth or falsity of the imputation are those relating to communications by the plaintiff with his patients when recruiting them for drug trials regarding what they would endure and undergo during such trials.
14 With respect to imputation (c) the area of relevance is "greedy" and "profiteer"; thus discovery would not extend to financial information as this does not demonstrate, or could not demonstrate, these qualities imputed to the plaintiff.
15 Imputation (d) is concerned with the "pushing" of drugs on patients in return for payment by the drug companies. The discovery sought by the defendant does not extend to financial information as this does not demonstrate that drugs were "pushed" in the sense of the wording of the imputation.
16 Imputation (e) points to the need for the discovery of any documents relevant to the truth or falsity of the component concerning the plaintiff placing his own financial gain ahead of the lives and human rights of his patients. Again, the plaintiff contends that this does not mean that all documents relating to the conduct of drug trials by him are relevant but only those indicating the "prioritising" of financial gain. Financial information, generally, is not relevant because it does not indicate that financial gain was so "prioritised".
17 The defendant simply states that the imputations found by the jury centre upon the following matters: (1) the plaintiff's involvement in, and conduct of, drug trials; (2) payment to the plaintiff in respect of drug trials; (3) disclosures made by the plaintiff to patients involved in drug trials.
18 The plaintiff asserts that paragraphs 1 - 6 of annexure B take no account of the parameters outlined above.
19 The first paragraph of the annexure seeks all documents relating to the conduct of drug trials, including the initial assessment of candidates and financial information. The flaw, so the plaintiff contends, is that the paragraph extends to drug trials not conducted by him and could include drug trials not only in this country but also overseas.
20 The second paragraph refers to the Guardianship Board or the Guardianship Tribunal, neither of which is referred to in the imputations or by name in the matter complained of. Again, the category seeks documents relating to any drug trial whether conducted by the plaintiff and whether or not in Australia or overseas.
21 The third paragraph of the annexure requires documents relating to the Epilepsy Association of New South Wales and any Ethics Committees. This category, the plaintiff contends, does not limit the documents sought to those relating to drug trials conducted by him or indeed any drug trials. On that basis alone the category requires discovery of irrelevant documents.
22 For the plaintiff it is contended that the fourth paragraph of the annexure requests discovery of documents concerning the conduct of any drug trial, whether actual or proposed, and outlines or documents are included, making it plain that the documents sought are not limited to those in fact listed. Again, the category seeks documents relating to drug trials not conducted by the plaintiff.
23 With respect to paragraph 5 of the annexure, the period stated is from 1 January 1990 to 1 January 2002 (ten years expiring after the date of publication of the matter complained of). The plaintiff objects to giving discovery of documents relating to any complaint, in that there is a requirement for the discovery of irrelevant material insofar as complaints, let alone mere "inquiries", may have been unsubstantiated (cf Murphy, supra, at paragraphs [38] and [39]). Further, documents relating to "concern, question or inquiry", whether related to any act or condition of the plaintiff or not, are irrelevant. Again, unjustified concerns may have been raised and thus be irrelevant.
24 As to paragraph 5(b), the plaintiff complains that the requirement here is not restricted to drug trials involving the plaintiff and to that extent are irrelevant. Further, none of the imputations refers to intellectually challenged or developmentally disabled persons.
25 Paragraph 6(a) of the annexure seeks, among other things, documents relating to any "complaints, concerns or questions or inquiries" made to "or about" the plaintiff "by any person" concerning "any drug trial". Again, the plaintiff complains of the irrelevance of such material, and also points to drug trials with which he had no connection and financial information is irrelevant to the truth or falsity of the imputations as set out above. Similar complaint is made in relation to the requirement of discovery of financial information as set out in paragraph 6(b); it is not limited to drug trials conducted by the plaintiff, for example.
26 Paragraph 6(c) is again very widely worded and the use of "interested" catches an extremely wide range of persons or organisations whose interest in the drug trials would have no bearing on the truth or falsity of the imputations.
27 The plaintiff takes the general objection, in the light of the analysis above, and against the background of the parameters of the imputations, that discovery, as sought, is oppressive. The evidence relied upon by the plaintiff is set out above and there would be involved an immense amount of labour and cost in retrieving and reviewing archived records. Further, the plaintiff would be obliged to consider retrieved material in the context of potential claims for privilege under s126B of the Evidence Act (protected confidences).
28 Even the limitation that the defendant has offered, by way of a sample of persons whose names begin with a certain letter of the alphabet but whose name is otherwise obliterated, might not overcome concerns in the plaintiff that such confidences would be exposed.
29 In addition to the matters upon which the defendant contends the imputations centre, as set out above, the defendant says that the imputations can be viewed against the background of the matter complained of and suggest that aspects of the plaintiff's conduct of drug trials that are relevant include the composition and conduct of Ethics Committees associated with the plaintiff (that is certainly referred to in the text of the matter complained of) and dealings between the plaintiff and representatives of intellectually disabled persons (which in my view is not dealt with in the matter complained of).
30 It is the "new" SCR Pt 23 that now governs discovery. SCR Pt 23 r 1(d) is as follows:
"(d) a document or matter is to be taken to be relevant to a fact in issue if it could, or contains material which could, rationally affect the assessment of the probability of the existence of that fact (otherwise than by relating solely to the credibility of a witness), regardless of whether the document or matter would be admissible in evidence".