delivered the opinion of the court:
Plaintiff Seymour Kessler, a former podiatrist, filed a complaint in the circuit court wherein he alleged that he was defamed by false statements made by defendant Pamela Zekman, an investigative reporter for WBBM-TV, the wholly owned Chicago affiliate of defendant CBS, Inc., and by defendants Drs. Turf, Frankel, and Jones, who were interviewed by Zekman in a two-part report televised by WBBM-TV. He further claimed that the report tortiously invaded his privacy by placing him in a false light. The statements concerned his practice of podiatry and whether his negligence injured former patients.
Defendants brought a motion for summary judgment, contending that plaintiff, as a “limited public figure,” must prove that they misspoke with knowledge that their statements were false or with a reckless disregard for their truth or falsity, and since there was no evidence in the record before the court which tended to show that any of them harbored such knowledge or were guilty of such recklessness, there existed no genuine issue of material fact in the case. The circuit court granted the motion. Plaintiff appeals from that judgment, urging reversal on the following grounds: (1) that the court erred when it determined that the United States Supreme Court’s “actual malice” standard applied to the allegedly false statements made and/or aired by defendants; and alternatively (2) that the court erroneously concluded that there was no genuine issue of fact as to whether defendants acted with actual malice. We disagree with both contentions and, accordingly, affirm.
In 1984, plaintiff filed a 10-count complaint in the circuit court of Cook County naming nine podiatrists, including defendants Frankel and Jones, alleging that they had violated various provisions of the Illinois Antitrust Act (Ill. Rev. Stat. 1983, ch. 38, par. 60 — 1 et seq.), the Consumer Fraud and Deceptive Business Practices Act (Ill. Rev. Stat. 1983, ch. 121½, pars. 261 through 272), and the Illinois Uniform Deceptive Practices Act (Ill. Rev. Stat. 1983, ch. 121½, pars. 311 through 317). It also alleged that the doctors committed the common law torts of commercial disparagement, unfair competition and interference with prospective economic advantage.
Plaintiff’s action grew out of a controversy which raged among the practitioners of podiatric medicine. Plaintiff was the self-described “pioneer” of ambulatory or minimal incision foot surgery (MIS). By using MIS, he claimed that podiatrists could perform a good many surgical procedures in their offices, thus saving the patient the added expense of extensive post-operative hospitalization which accompanied the traditional approach of in-patient surgery. The defendants in that case were traditional-technique podiatrists who used large incisions in order to treat foоt ailments and who, according to plaintiff, feared MIS because it and its advocates, the principal one ’of whom was plaintiff, threatened the future economic viability of traditional podiatric methods. Plaintiff alleged that the defendants began a concerted attack on MIS in professional circles and lobbied to ensure that MIS practitioners could not become fully accredited members or diplomates of the American Podiatry Association (APA). They also purportedly conspired to dissuade insurers, hospitals and governmental agencies from recognizing podiatrists who were not diplomates of the APA. Plaintiff further asserted that the defendants created a scheme to foment litigation against him and other podiatrists who used MIS whereby former patients would file spurious medical malpractice actions in which defendants would voluntarily serve as experts, testifying that the mere use of MIS was per se malpractice, all the while knowing the falsity of those assertions. He alleged that he had been a victim of this scheme on many past occasions and that many of the malpractice claims then pending against him were the fruit of this conspiracy.
While the parties underwent discovery in the action, in early July 1984, WBBM-TV televised a two-part report, entitled “The Walking Wounded,” which was investigated, composed and narrated by Zekman. Prior to the broadcasts, CBS had aired four commercials promoting the broadcasts. The tenor of these ads was that a successful Chicago-area podiatrist was injuring his patients with a controversial new procedure and yet State regulators did nothing to prevent this malpractice. Before the Zekman piece aired, the in-studio anchor, Harry Porterfield, introduced it by stating:
“A controversial method of performing foot surgery is sweeping the country. It’s never undergone rigorous scientific evaluation. But the surgery is being used nationally by 2,000 foot doctors. Many of them were trained by the Chicago podiatrist who developed the technique. Well[,] tonight Pam Zekman and the Channel Two Investigative Team look at some of the deserving [sic] results of his surgery. Surgery that has turned some patients into The Walking Wounded.”
In the report itself, Zekman began by describing plaintiff as a successful Chicago-area foot doctor who claimed to have perfected a new, cheaper and less painful means to alleviate many commonplace foot maladies. She went on to state that in her investigation she spoke to many former patients who were pleased with plaintiff’s work and she advised of the plentiful and favorable publicity generated by MIS and the financial success of plaintiff’s clinics, while at thе same time contrasting those publicized successes with failures which were not as generally well known.
Zekman disclosed that at the time of the report there were over 60 lawsuits pending which charged plaintiff with negligence, use of improper surgical techniques and the performance of unneeded procedures. The report then went into depth with regard to the complaints registered by four of the plaintiffs in those lawsuits. The first one interviewed alleged that plaintiff overcharged her approximately $5,000 for the removal of two bunions; and a podiatrist at the Mayo Clinic, after viewing X rays of the foot, opined that because at the outset the patient needed to have only two toes straightened, the surgery on all 10 toes as performed by plaintiff was “excessive.”
The patient also complained that the method plaintiff employed to ensure that the bones hеaled properly was ineffective. Unlike the podiatrist who would use the conventional method of inserting surgical screws and pins or employing a plaster cast to ensure that the bones which had been cut mended together correctly, plaintiff bound the treated foot using only tape, bandages and a wooden-soled shoe. Defendant Jones stated in the program that this method of healing could lead to deformed growth of the bones, leaving patients with more severe foot injuries than they had before the procedure was employed. Another former patient described how after she saw plaintiff for removal of a bunion on the sole of her left foot, he convinced her to have the procedure on her right one as well, and that her toes healed by curling upward, destroying the arch of that foot. Zekman reported that the experts who were consultеd estimated that the excessive surgery doubled the patient’s costs to $3,500.
The report then focused on another of plaintiff’s former patients who was shown, in obvious pain, limping bare-footed around her workplace. Her toes pointed at nearly a 45 degree angle from the ground. She said that she went to plaintiff for treatment of calluses and bunions, and that after he operated on nine of her toes, at a cost of $4,400, she could no longer flex her big toes because their joints had been destroyed. She concluded the interview by expressing embarrassment at the way she was forced to walk because of plaintiff’s procedure. Defendant Frankel, who treated this patient after plaintiff had performed the operation, stated that “I think the surgery on Mrs. Thompson, ah, essentially was indiscriminately performed.” He later said “There is no way as far as I’m concerned that her foot can be restored to what it was prior to the surgery. Because essentially what has occurred is, ah, the foot has been destroyed.”
A fourth woman related how she had seen plaintiff for treatment of what he had diagnosed as a neuroma, or a benign nerve tumor, which he found between two bones. Zekman stated that experts told her that the normal treatment of a neuroma is an excision of the tumor, but plaintiff’s prognosis was not to remove the tumor but to relieve all pressure on it by repositioning the bones with which it came into contact. Plaintiff surgically altered the position of 10 bones of the foot, and billed the patient approximately $5,500 for the procedure. The patient incurred further expense when, after plaintiff’s efforts did not alleviate the pain, the foot required additional surgery. Defendant Turf was asked to comment on plaintiff’s means of treating a neuroma, to which he responded:
“In all the annals of orthopedics and all the literature everywhere[,] in common sense and good care and quality surgery and quality medicine there has never been anyone that stated that all the metatarsals had to be broken to cure a neuroma. No, [the patient] did not have to have it done.”
He concluded “I find it abhorrent. I find it ah *** indefensible.”
Zekman then informed her audience that plaintiff would not discuss the alleged malpractice disclosed in the report on advice of his attorneys, but he did deny doing unnecessary surgeries, contending that he had more patients now than he could handle. Plaintiff continued by stating that with MIS, complications are lessened because the invasion on the body is less severe, but that generally, any complications which did occur were rooted in his patients’ neglect while following his post-operative directions. He claimed that most of the 60 pending lawsuits were instigated by conspiratorial hospital-based podiatrists who stood to lose their lucrative practices if MIS gained wide acceptance among patients.
The second part of “The Walking Wounded,” which was aired on July 9, 1984, began by informing that the Illinois Department of Public Health (Department) was charged with the responsibility of regulating outpatient surgical centers such as those run by plaintiff. The report accused the Department of being remiss in its duties to ensure that only centers which comport with the statutory requirements continue to operate. It suggested that plaintiff’s clinic was not in compliance with State law, and that if the Department had ensured compliance, one former patient of plaintiff would not have suffered from the infection which resulted in her incurring nearly $38,000 in medical expenses to cure it. Defendant Dr. Jonеs was of the opinion that the infection progressed as rapidly as it did because it was not treated effectively and that he felt sure that “the doctor [who cared for the patient] did not know what he was doing.”
On October 12, 1984, plaintiff amended his still-pending complaint against the nine podiatrists to include defendants Zekman and CBS, Inc., alleging that their broadcast defamed him and invaded his privacy. He also added Dr. Turf as a defendant, asserting the same torts, and amended his complaint against Doctors Frankel and Jones to include defamation and false light counts against them as well. After a variety of pretrial proceedings which are not salient to the issues on appeal, only the current defendants were named in plaintiff’s fourth amended complaint.
Defendants moved for summary judgment and supported their motion with affidavits maintaining that plaintiff could not establish that they had acted with “actuаl malice.” In Zekman’s affidavit, she detailed all the information upon which she had formed her belief that the statements she made concerning plaintiff were true. The doctors’ affidavits all avowed that any statements made on the broadcast were based on their firsthand knowledge; that what they stated on the air was the product of their best professional judgment; and that when they made the statements, they believed them to be true. Plaintiff filed briefs in opposition to the motion for summary judgment, but offered no counteraffidavits denying or in any way controverting the factual claims presented in defendants’ affidavits.
Both at oral argument in the circuit court and in his various memoranda in opposition to defendants’ motion for summary judgment, plaintiff never raised or discussed whether there remained a genuine issue of material fact on the existence of actual malice. Instead, he argued only the lеgal point that since he was not a “limited public figure” for the purpose of the statements in the broadcast, the applicable quantum of fault he must show to prevail in the action was mere negligence. The court rejected this argument, finding a sufficient nexus between the allegedly defamatory statements and the controversy surrounding MIS in which plaintiff was an admitted public figure to warrant the imposition of the actual malice standard. The court further found insufficient evidence to create an issue of fact on actual malice; consequently, it found that summary judgment in favor of all defendants and on all counts of the fourth amended complaint was appropriate, and it entered a final judgment on May 23, 1991. Plaintiff filed a timely notice of appeal from that judgment.
I
The first issue before us concerns whether the trial court correctly determined that before he would be entitled to rеcover for any alleged injury to his good name, plaintiff must plead and ultimately prove that defendants acted with “actual malice” toward him. In New York Times Co. v. Sullivan (1964),
“The constitutional guarantees require *** a federal rule that prohibits a public official from recovering damages for a defamatory falsehood relating to his official conduct unless he proves that the statement was made with ‘actual malice’ — that is, with knowledge that it was false or with reckless disregard of whether it was false or not.” New York Times,376 U.S. at 279-80 ,11 L. Ed. 2d at 706 ,84 S. Ct. at 726 .
In Curtis Publishing Co. v. Butts and Associated Press v. Walker (1967), reported together at
Later, in Gertz v. Robert Welch, Inc. (1974),
The Gertz Court subdivided the “public figure” category identified in Butts into two types: general purpose and limited purpose public figures. One who falls within the former category was to be treated as though he were a public official and would be required to establish “actual malice” in order to prevail in any action wherein he asserts that he was defamed. Individuals who come within the second classification are those who “thrust themselves to the forefront of particular public controversies in order to influence the resolution of the issues involved.” (Gertz,
In the case at bar, plaintiff conceded that he was a limited purpose public figure in the ongoing controversy surrounding the use of MIS. He argues, however, that the court erred in holding him to the “actual malice” standard because the purported defamatory statements were unrelated to his role in that controversy. Thus, the argument continues, since defendants were not constitutionally privileged, he need establish simple negligence in order to prevail. The Gertz Court did not describe in detail how closely intertwined an alleged defamatory statement maligning a limited public figure must be to the controversy he has entered before it merits New York Times protection. It merely opined that the determination turns on “the nature and extent of an individual’s participation in the particular controversy giving rise to the defamation.” Gertz,
In what is universally regarded as the benchmark decision in the application of the rule in Gertz, the court in Waldbaum v. Fairchild Publications, Inc. (D.C. Cir. 1980),
Under the first step, the court must isolate the actual controversy and the extent into which plaintiff has placed himself. As the Court of Appeals for the D.C. Circuit explained in a later case applying Waldbaum, “the scope of the controversy into which plaintiff involves himself defines the scope of the public personality.” (Tavoulareas v. Piro (D.C. Cir. 1987),
Waldbaum explained the final part of its test as follows:
“Finally, the alleged defamation must have been germane to plaintiff’s participation in the controversy. His talents, education, experience and motives could have been relevant to the public’s decision to listen to him. Misstаtements wholly unrelated to the controversy, however, do not receive the New York Times protection.” (Waldbaum,627 F.2d at 1298 .)
Plaintiff maintains that one could reasonably infer that the content of the broadcasts was unrelated to the MIS debate and served only to paint plaintiff as a fee-gouging, malpracticing podiatrist, and therefore, whether the actual malice standard applied was a question which should have been reserved for a jury’s consideration.
Plaintiff’s arguments are unavailing for several reasons. First, they are premised on his unsupported and incorrect assertion that since a genuine issue of material fact existed on the question of whether the broadcasts were germane to the MIS controversy, the court erred in granting defendants’ motion for summary judgment. However, the United States Supreme Court, in one of the first occasions it had to apply the rule it had announced in New York Times, held that the question of whether one is a public figure is not to be relegated to the trier of fact to decide, but is a question of law to be left to the trial court for its resolution. (Rosenblatt v. Baer (1966),
Moreover, applying the Waldbaum test, it is apparent that the broadcasts were intimately connected to the public controversy surrounding MIS; therefore, the trial court correctly held that in order to prevail in the action, plaintiff was required to prove that defendants misspoke while harboring “actual malice” toward him. Waldbaum suggests that statements concerning a limited public figure’s “talents, education, experience and motives could [be] relevant to the public’s decision to listen to [the limited public figure].” (Waldbaum,
Here, likewise, the broadcasts highlighted that plaintiff, the most renowned practitioner of a hotly debated procedure, which plaintiff admitted was commonly referred to as the “Kessler procedure,” had allegedly committed malpractice while employing this controversial method of treating foot ailments. The fact that former patients of plaintiff were harmed by his use of MIS is certainly relevant to the debate about whether MIS is safer than traditional surgery. In addition, it would seem self-evident that former patients alleging that, due to plaintiff’s implementation of MIS, they paid substantially more for foot surgery than they would have if they had undergone traditional foot surgery contradicts рlaintiff’s public representations that MIS is preferable to the traditional method primarily because it is more economical. Finally, the results attained by plaintiff in employing his procedure aid the public in its assessment of his credibility when he serves in his voluntarily assumed and self-described role as the “major general” in the “war over MIS.” See Reuber v. Food Chemical News, Inc. (4th Cir. 1991),
Plaintiff claims that with regard to a limited public figure, the New York Times’ “actual malice” standard should apply only where a broadcast focuses primarily on the public controversy, and it indirectly and unintentionally challenges the public figure in its midst; but where, as here, the focal point of the broadcast is the limited public figure and it only indirectly touches upon the controversy, the normal negligence standard should apply to statements which defame the limited public figure. However, not only does plaintiff fail to offer authority for such a proposition,
1
but this “primary focus” argument is inconsistent with the rationale of the limited public figure doctrine. The United States Supreme Court has taken the position that those who expose themselves to the public in order to sway opinions “invite attention and comment,” and in so doing, will be deemed by the law to accept the potential risk that the media, while illuminating the controversy, may, perhaps, cast them in an unfavorable light. (Gertz,
In all the cases we have discussed to this point, an allegedly defamatory statement had, as its primary focus, an individual deemed to be a limited public figure, but, in not one of those cases was it held that the “actual malice” standard did not apply. Rather, each recognized that where a statement bears on the credibility of a leading proponent of one side of a debated subject, that statement is relevant to that debate because of the effect it may have on the way society perceives the message he advances or thе opinion he espouses. Since the “Walking Wounded” broadcast was relevant to plaintiff’s credibility, as well as being highly probative of the actual efficacy of the controversial procedure plaintiff advocated vis-a-vis the one to which he compared it, it was germane to the controversy in which he was a limited public figure; consequently, the trial court did not err when it held that in order to prevail in his defamation action, plaintiff had to establish that defendants acted with actual malice.
II
Plaintiff next contends that there existed a triable issue of fact as to whether defendant acted with actual malice and that, therefore, the trial court erred when it rendered summary judgment in favor of all defendants. Before reaching the substance of plaintiff’s argument, however, we must first decide whether his failure to offer any argument in the trial court on the existence of actual malice and his conscious choice to file no counteraffidavits contradicting defendants’ avowals that they did not act with actual malice toward him when making allegedly false statements constitute waiver of the issue for the purpose of our review.
A
As all defendants emphasized in their respective briefs to this court, “It is axiomatic that questions not raised in the trial court are waived and may not be raised for the first time on review.” (Shell Oil Co. v. Department of Revenue (1983),
Such a view of plaintiff’s silence in the circuit court on the factual question would be fully consistent with the rule that finds expression in Greves v. Firemen’s Pension Fund (1986),
Plaintiff ignores the applicability of Greves to his appeal, responding to defendants’ waiver argument by citing cases which state generally that an issue is waived on appeal if it went unargued in the trial court or if the court did not resolve it. (Citing Weigel Broadcasting Co. v. Hammer (1978),
B
Moreover, assuming arguendo that the issue has not been waived, we would nonetheless find no error because we are impelled to agree with the circuit court that there was no triable issue of fact as to whether defendants acted with actuаl malice toward plaintiff. The law applicable to the trial court’s resolution of a motion for summary judgment and this court’s subsequent review thereof is, by now, well settled. The motion permits the trial court to determine whether any genuine issue of material fact exists. (Purtill v. Hess (1986),
Although, as a general rule, this court reviews the grant of summary judgment de novo (Myers v. Health Specialists (1992),
“a court ruling on a motion for summary judgment must be guided by the New York Times ‘clear and convincing’ evidentiary standard in determining whether a genuine issue of actual malice exists — that is, whether the evidence presented is such that a reasonable jury might find that actual malice has been shown with convincing clarity.” (Anderson v. Liberty Lobby, Inc. (1986),477 U.S. 242 , 257,91 L. Ed. 2d 202 , 217,106 S. Ct. 2505 , 2514-15.)
(See also Costello v. Capital Cities Communications, Inc. (1988),
1
Defendants Zekman and CBS, Inc., assert thаt since the record is devoid of any evidence which would even tend to establish that Zekman acted with actual malice, plaintiff’s cause could not survive a motion for summary judgment even if thé normal preponderance of evidence standard applied. They conclude, therefore, that he is necessarily incapable of meeting the more stringent “clear and convincing” standard which controlled this particular motion. Plaintiff counters by claiming that a deposition Zekman gave, which they now seek to include as a supplement to the record on review, provides sufficient proof that she knew that the statements she aired in her report were false, thus creating a triable issue of fact, warranting preclusion of summary judgment in this instance.
In order to decide whether the plaintiff’s contention merits closer scrutiny, we must first resolve plaintiff’s motion to supplement the reсord with the deposition, which motion we took with the case. In that motion, he asks us to exercise our power under Supreme Court Rule 366(a)(3) (134 Ill. 2d R. 366(a)(3)) and add to the record on appeal the Zekman deposition which, albeit not presented to the trial court before it granted summary judgment in favor of defendants, is nonetheless necessary, plaintiff argues, to a just resolution of his appeal. However, while it is true that Rule 366(a)(3) allows us to amend the record to correct errors and to supplement by adding matters which it should contain, “it is axiomatic that new evidence not offered during the trial of a cause cannot be introduced for the first time on appeal.” (Catalano v. Pechous (1978),
The one case plaintiff relies upon in support of the novel proposition he advances, Welch v. Chicago Tribune Co. (1975),
2
Plaintiff additionally urges that the trial court mistakenly granted summary judgment in favor of the doctor defendants because there is еvidence in the record from which the court could have inferred that they had a motive to defame plaintiff, creating a factual issue as to their actual malice. He argues that the intent of the doctors was evident from the fact that they made the allegedly false statements about him while a suit, filed by him and which named them as defendants, was pending in the circuit court of Cook County. However, plaintiff urges the presence of these inferences for the first time on review; therefore, in view of his failure to draw them for the benefit of the trial court, he cannot now be heard to complain that the court somehow erroneously overlooked them. See Yasunaga,
Furthermore, even were we to consider plaintiff’s proffered inferences, we would still be compelled to affirm the trial court’s finding that there was not a genuine issue of material fact regarding whether the defendant doctors misspoke with malice toward plaintiff. As previously noted, where the protections of New York Times apply, in order to withstand a summary judgment motion a plaintiff must present evidence such that a reasonable trier of fact could find that he had established the requisite fault by the clear and convincing evidence standard. (Liberty Lobby, Inc.,
The defendant doctors all filed affidavits attesting to the fact that they entertained no serious doubts as to the truth of the statements concerning plaintiff when they made them. Although generally a defendant’s self-serving declaration swearing that he subjectively believed the truth of the false assertion will not negate a showing of actual malice (see, e.g., Pease v. International Union of Operating Engineers Local 150 (1991),
Affirmed.
McCORMICK, P.J., and HARTMAN, J., concur.
Notes
In argument before this court, plaintiff suggested that “Davis IF’ recognized his “primary focus” view of the limited public figure doctrine. We assume from this rather elliptical identification that he was referring to this court’s decision in Davis v. Keystone Printing Service, Inc. (1987),
“Even if the earlier articles indicate that the plaintiff had injected himself into some public controversy, he would only be a limited purpose public figure for that particular controversy, but not for unrelated subjects.” (Davis II,155 Ill. App. 3d at 315 ,507 N.E.2d at 1363 .)
As we have expressed above, “The Walking Wounded” revolved around the MIS controversy and plaintiff’s concededly influential role therein. Consequently, Davis II is inapposite to the case at bar, and plaintiff's “primary focus” theory still remains unsupported.
