Compelling Images: The Constitutionality Of Emotionally Persuasive Health Campaigns

59 Pages Posted: 5 Dec 2012 Last revised: 27 May 2015

Nadia N. Sawicki

Loyola-Chicago School of Law, Beazley Institute for Health Law & Policy

Date Written: April 4, 2013

Abstract

Legislation requiring the display of emotionally compelling graphic imagery in medical and public health contexts is on the rise – two examples include the FDA’s recently abandoned tobacco labeling regulations, which would have imposed images of diseased lungs and cancerous lesions on cigarette packaging, and state laws requiring physicians to display and describe ultrasound images to women seeking abortions. This Article highlights the disconnect between the constitutional challenges to these laws, which focus on perils of compelling speakers to communicate messages with which they may disagree, and the public’s primary objections, which are grounded in ethical concerns about the state’s reliance on emotion to persuade.

This Article argues that, despite inconsistent judicial precedent in the tobacco and ultrasound contexts, concerns about the emotional impact of images on viewers can and should be incorporated in First and Fourteenth Amendment analyses. In making this argument, the Article relies on the body of First Amendment jurisprudence in which the Supreme Court suggests that images are uniquely dangerous because they are less rational, less controllable, and more emotionally powerful than textual communications.

[SSRN posted version is a pre-publication draft]

Keywords: biomedical ethics, Constitutional Law, graphic health images, tobacco labeling, compelled speech, professional speech, commercial speech, ultrasound images

JEL Classification: K10, K32

Suggested Citation

Sawicki, Nadia N., Compelling Images: The Constitutionality Of Emotionally Persuasive Health Campaigns (April 4, 2013). 73 Maryland L. Rev. 458 (2014); Loyola University Chicago School of Law Research Paper No. 2012-22. Available at SSRN: https://ssrn.com/abstract=2184963 or http://dx.doi.org/10.2139/ssrn.2184963

Nadia N. Sawicki (Contact Author)

Loyola-Chicago School of Law, Beazley Institute for Health Law & Policy ( email )

25 E. Pearson
Chicago, IL 60611
United States

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