delivered the opinion of the court:
The plaintiffs, the County of Cook, the People of the State of Illinois ex rel. Richard A. Devine, and the People of the County of Cook ex rel. Richard A. Devine (the plaintiffs), brought suit against the defendants, Philip Morris, Inc., Liggett & Meyers, Inc., certain other named tobacco manufacturers and certain named advertising agencies (the defendants), seeking damages from the defendants for the cost of health care for tobacco consumers in Cook County. The State of Illinois was granted leave to intervene in the suit. The circuit court dismissed certain counts of the second amended complaint but denied dismissal as to the counts brought pursuant to the Illinois Consumer Fraud and Deceptive Business Practices Act (the Fraud Act) (815 ILCS 505/1 et seq. (West 1996)). However, the circuit court dismissed the second amended complaint in its entirety based upon the remoteness doctrine.
The plaintiffs appeal the dismissal of the second amended complaint and the dismissal of certain specified counts. The defendants cross-appeal from the denial of their motion to dismiss the consumer fraud counts.
By way of background, on April 18, 1997, Cook County filed suit against the defendants. On May 26, 1999, Cook County filed its second amended complaint, adding as plaintiffs the People of the State of Illinois and the People of Cook County. The circuit court denied the defendants’ motion to dismiss the counts alleging violations of the Fraud Act but granted the motion as to those counts alleging intentional and/or negligent breach of a special or general duty and a public nuisance.
During the pendency of the above suit, the State of Illinois entered into the “Master Settlement Agreement” (MSA) with the tobacco industry. See People v. Philip Morris, Inc.,
Based upon the MSA, the defendants filed motions for summary judgment, arguing that the MSA barred the plaintiffs’ suit and that the consent decree constituted res judicata as to the issues raised in the plaintiffs’ second amended complaint. The State was granted leave to intervene in the suit. The circuit court denied the motions for summary judgment but granted the defendants’ motion to dismiss the People of the State of Illinois and the People of Cook County as parties to the suit.
The defendants filed a motion for judgment on the pleadings, inter alia, on the remoteness doctrine. The defendants also filed another motion to dismiss the Fraud Act counts.
The circuit court denied the defendants’ motion to dismiss the Fraud Act counts but granted them judgment on the pleadings, based upon the remoteness doctrine, and dismissed the second amended complaint in its entirety.
This appeal and cross-appeal followed.
ANALYSIS
I. Jurisdiction
Initially, we address the issue of this court’s jurisdiction to consider this appeal. Even though neither party raises the issue, a reviewing court has a duty to consider sua sponte its jurisdiction. Cashmore v. Builders Square, Inc.,
At oral argument, we ordered the parties to address the issue of this court’s jurisdiction in light of our recent decision in Dewan v. Ford Motor Co.,
The parties’ memorandum does not specifically address our decision in Dewan. Nonetheless, we agree that since no petition for an award of fees was filed in this case, either before or after the circuit court’s dismissal of the plaintiffs’ complaint, the circuit court’s judgment did not resolve fewer than all the claims, thus distinguishing the present case from Dewan. We now turn to the merits of the appeal and cross-appeal in this case.
II. Judgment on the Pleadings
The plaintiffs contend that the circuit court erred in dismissing their second amended complaint in its entirety based on the remoteness doctrine.
A. Standard of Review
This court reviews the granting of judgment on the pleadings de novo. People ex rel. Ryan v. Village of Hanover Park,
“ ‘Judgment on the pleadings is proper only if questions of law, and not of fact, exist after the pleadings have been filed.’ [Citation.]” Chicago Title & Trust Co. v. Steinitz,
B. Discussion
The factual allegations of the plaintiffs’ second amended complaint may be summarized as follows. The defendants conspired to suppress information about the adverse and addictive qualities of nicotine, to create doubt about the publicly available adverse scientific studies, to conceal the defendants’ manipulation of the level of nicotine in tobacco products, and to avoid competition, which may have made safer cigarettes available. A direct result of the defendants’ actions was to forestall governmental regulation by Cook County and to contribute to Cook County’s overall increased healthcare costs. The defendants’ wrongful activities were designed to influence Cook County’s conduct, and had the defendants’ acts not been concealed, Cook County would have taken action to restrain those activities, which would have improved the health and lives of the residents of Cook County and directly reduced Cook County’s costs.
Proof of a causal relationship between a defendant’s action and a plaintiff’s injury is essential in every tort “[bjecause the consequences of an act go endlessly forward in time and its causes stretch back to the dawn of human history.” Laborers Local 17 Health & Benefit Fund v. Philip Morris, Inc.,
One way in which the concept of proximate cause operates is through the remoteness doctrine, which is sometimes called the “direct-injury” test. Holmes v. Securities Investor Protection Corp.,
We begin by noting that eight circuit courts of appeal have rejected claims similar to those raised in the present case, concluding that the alleged injuries are too remote and, therefore, are not redressable for lack of probable cause. See Service Employees International Union Health & Welfare Fund v. Philip Morris, Inc.,
The plaintiffs contend that they have standing under both the Fraud Act (815 ILCS 505/7, 11a (West 1996)) and the Illinois Antitrust Act (Antitrust Act) (740 ILCS 10/7(2) (West 1996)). Therefore, the remoteness analysis does not apply to them.
In Shannon v. Boise Cascade,
Recently, our supreme court reversed the appellate court decision in Shannon. See Shannon v. Boise Cascade Corp.,
The plaintiffs also rely on State ex rel. Humphrey v. Philip Morris, Inc.,
The plaintiffs maintain that antitrust statutes do not confine their protection to consumers or to purchasers but protect all who are made victims of practices forbidden by the statutes. Blue Shield of Virginia v. McCready,
In International Brotherhood of Teamsters, Local 734 Health & Welfare Trust Fund v. Philip Morris, Inc. (Teamsters), the Seventh Circuit Court of Appeals rejected attempts by the plaintiffs, insurers and benefit funds, to bring direct actions against the tobacco manufacturers. Noting its agreement with other appellate decisions rejecting similar claims, the court began its analysis as follows:
“For more than 100 years state and federal courts have adhered to the principle (under both state and federal law) that the victim of a tort is the proper plaintiff, and that insurers or other third-party providers of assistance and medical care to the victim may recover only to the extent their contracts subrogate them to the victim’s rights. [Citations.]” Teamsters,196 F.3d at 822 .
The court found that the risk of multiple recovery, since smokers could file their own antitrust actions, together with the difficulty in determining damages and the lack of an antitrust injury, prevented the plaintiffs from recovering. Teamsters,
Turning to the state-law claims, the court noted that the benefit funds relied on Illinois law.
3
Apart from finding no reason for applying Minnesota law to the case before it, the court observed that Minnesota was “an outlier with respect to suits by remotely affected persons.” Teamsters,
Although in Illinois Brick Co. v. Illinois,
In Associated General Contractors of California, Inc. v. California State Council of Carpenters,
“An additional factor is the directness or indirectness of the asserted injury. In this case, the chain of causation between the Union’s injury and the alleged restraint in the market for construction subcontracts contains several somewhat vaguely defined links. According to the complaint, defendants applied coercion against certain landowners and other contracting parties in order to cause them to divert business from certain union contractors to nonunion contractors. As a result, the Union’s complaint alleges, the Union suffered unspecified injuries in its ‘business activities.’ It is obvious that any such injuries were only an indirect result of whatever harm may have been suffered by ‘certain’ construction contractors and subcontractors.” Associated General Contractors,
The plaintiffs point out that this court has rejected the remoteness argument in City of Chicago v. Beretta U.S.A. Corp.,
The plaintiffs also rely on Young v. Bryco Arms,
Next, the plaintiffs argue that their governmental roles support a causal relationship between their alleged damages and the conduct of the defendants. They argue that the special relationship exception to the remoteness doctrine applies, especially in light of Cook County’s home rule status. See City of Boston v. Smith & Wesson Corp., No. 199902590 (Mass. Sup. Ct. July 13, 2000) (in Massachusetts, an exception to the remoteness doctrine may exist if a special relationship exists between a government body and an injured third person).
However, other cases have recognized that, even if a state has special rights of action, a political subdivision thereof is still subject to the proximate cause requirement. See Association of Washington Public Hospital Districts v. Philip Morris, Inc.,
Finally, the plaintiffs argue that proximate cause is a question of fact for the jury and, therefore, the circuit court erred in granting judgment on the pleadings. See Lee v. Chicago Transit Authority,
The plaintiffs’ continued reliance on Shannon is misplaced. Even if it could be said that the plaintiffs were deceived by the defendants’ campaign to suppress the dangers of smoking, they still were not purchasers of tobacco products. Moreover, the supreme court’s analysis did not include the remoteness doctrine. The plaintiffs’ reliance on Arangold Corp. v. Zehnder,
Moreover, similar arguments have previously been rejected. In Service Employees International, the court stated as follows:
“The remote, derivative nature of the alleged injuries, in turn, makes more difficult the determination of the amount of damages that is attributable to the alleged wrongdoing, as distinct from other independent factors. As the circuits have pointed out, considerable speculation would be involved in identifying the costs that have caused the alleged financial instability of the funds and similar costs to the nations’ treasuries that the plaintiffs contend have deterred or prevented them from financing various health care programs. [Citations.] For example, it is difficult to know how smokers might have behaved with more complete information, [citation], a problem compounded by the fact that the tobacco companies would be stripped of many defenses that would be available in a subrogation action. [Citations.] Reliance on aggregate statistical proof *** compounds the difficulties and does not alter the speculative nature of the claimed damages. [Citations.] Moreover, the insurers have likely already passed the costs on to the directly injured through higher premiums.” Service Employees International,249 F.3d 1074 -75.
The court also pointed out that because smokers, employers, health insurers and other potential plaintiffs might seek recovery for the same alleged conduct on various state and federal grounds, double recovery could occur. Service Employees International,
The plaintiffs point out that the circuit court refused to dismiss the State’s suit, rejecting the remoteness argument. However, there the circuit court’s proximate cause analysis dealt only with the allegations that the defendants foresaw and intended that the State would spend hundreds of millions of dollars. However, foreseeability and direct injury (or remoteness) are distinct concepts, both of which must generally be established by the plaintiff. Service Employees International,
“In any event, specific intent to harm the plaintiffs by shifting smoking-related health care costs to them is alone insufficient to overcome the bar on remote claims.” Service Employees International,249 F.3d at 1076 .
But see Blue Cross & Blue Shield of New Jersey, Inc. v. Philip Morris, Inc.,
As the plaintiffs point out, other courts have rejected the remoteness doctrine in suits against the tobacco companies, finding that the plaintiffs suffered a direct injury. See City & County of San Francisco v. Philip Morris, Inc., No. C 96 — 2090 (March 3, 1998); see also Blue Cross & Blue Shield of New Jersey, Inc.,
We conclude the remoteness doctrine applies to the plaintiffs’ second amended complaint. The remaining question is, have the plaintiffs set forth a direct relationship between the injury asserted and the injurious conduct in this case sufficient to withstand a motion for judgment on the pleadings?
The plaintiffs claim that they were injured by the defendants’ conspiracy to cover up the effects of smoking in order to sell more cigarettes to people who smoke, resulting in additional health costs to the plaintiffs, who provided the medical care necessary to treat the people who smoked. The defendants are not accused of selling tobacco products to the plaintiffs, but to the people who consumed tobacco products. Any injury to the plaintiffs results only indirectly: if a tobacco consumer needs treatment and if he or she seeks treatment from the plaintiffs. The fact that the tobacco consumers have filed their own suits against defendants, such as the ones in this case, illustrates the indirectness of the injury suffered by the plaintiffs in this case. The plaintiffs’ position is virtually identical to that of an insurance company seeking to recoup its medical payments to its insured from the party at fault. The insurance company must proceed via a subrogation action or not at all, as must these plaintiffs. See Teamsters,
Notwithstanding the contrary authority, based upon the weight of authority and our own analysis, we are convinced that, given the derivative nature of the injuries alleged in the plaintiffs’ second amended complaint, it was correctly dismissed on the basis of the remoteness doctrine. We are not convinced that the plaintiffs have a direct injury.
Deciding this case as we do, we need not address the remaining issues raised by the plaintiff, the intervenor or the defendants in their cross-appeal.
The judgment of the circuit court is affirmed.
Affirmed.
HOFFMAN, EJ., and SOUTH, J„ concur.
Notes
In dicta, the court suggested that if the plaintiffs had been “indirectly” deceived because the builder or architect had been deceived, the proximate cause requirement under the Fraud Act could be satisfied. See Shannon,
“To recover under the antitrust laws, the plaintiff must show that its injury flows from that which makes the conduct an antitrust problem: higher prices and lower output. But [the plaintiffs] do not say that the output of cigarettes is too low as a result of a conspiracy; they say that it is too high!” Teamsters,
In the district court case, the benefit fund plaintiffs raised claims under the Fraud Act and the Antitrust Act. International Brotherhood of Teamsters Local 734 Health & Welfare Trust Fund v. Philip Morris, Inc., 34 E Supp. 2d 656 (N.D. Ill. 1998). The district court dismissed the Fraud Act claims for lack of standing and for failure to state a cause of action. International Brotherhood of Teamsters,
