North Carolina is giving Steve Cooksey some choices. He can stop speaking. Or he can get a Ph.D. in nutrition, or a medical degree, or a bachelor’s degree in nutrition and then pass an examination after completing a 900-hour clinical internship. Or he can skip this onerous credentialing, keep speaking and risk prosecution.
He has chosen instead to get a lawyer. His case, argued by the libertarians at the Institute for Justice, or IJ, will clarify the First Amendment’s relevance to an ancient human behavior and a modern technology.
Four years ago, Cooksey was a walking — actually, barely walking — collection of health risks. He was obese, lethargic, asthmatic, chronically ill and prediabetic. The diet advice he was getting from medical and other sources was, he decided, radically wrong. Rather than eat a high-carbohydrate, low-fat diet, he adopted what he and other enthusiasts call a Paleolithic diet, eating as primitive humans did — e.g., beef, pork, chicken, leafy green vegetables. Cooksey lost 75 pounds and the need for drugs and insulin. And, being a modern Paleo, he became a blogger, communicating his dietary opinions.
When a busybody notified North Carolina’s Board of Dietetics/Nutrition that Cooksey was opining about which foods were and were not beneficial, the board launched a three-month investigation of his Internet writings and his dialogues with people who read and responded to them. The board sent him copies of his writings, with red pen markings of such disapproved postings as: “I do suggest that your friend eat as I do and exercise the best they can.”
“If,” the board sternly said, “people are writing you with diabetic specific questions and you are responding, you are no longer just providing information — you are counseling — you need a license to provide this service.” This had the intended effect of chilling his speech; his self-censorship stopped his blog. By saying his bloggings will be subject to continuous review, North Carolina hopes to silence him in perpetuity.
IJ’s Jeff Rowes notes that Cooksey’s speech “involves no sensitive relationship (as in psychological counseling), no uniquely vulnerable listeners (as in potential legal clients forced to make snap decisions), and no plausible presumption that the listeners are unable to exercise independent judgment.” That presumption is, however, the animating principle of modern regulatory government. North Carolina is uninterested in the fact that Cooksey’s advice is unpaid, freely solicited and outside any context of a professional-client relationship. The state simply asserts that Cooksey’s audience is “a uniquely vulnerable population,” which is how paternalistic government views everybody all the time.
Were Cooksey blogging for profit to sell beef and other Paleolithic food, he would be free to advise anyone to improve their health by buying his wares. So his case raises two questions:
Is an individual’s uncompensated advice, when volunteered to other individuals who seek and value it, constitutionally protected? And does the Internet — cost-free dissemination of speech to spontaneous, self-generated audiences — render many traditional forms of licensing obsolete?
Two principles are colliding. One is that when government regulates speech based on its content, judicial “strict scrutiny” of the regulation requires government to bear the burden of demonstrating a “compelling” need for “narrowly tailored” speech restrictions. The second is that when government regulates occupations in ways that restrict entry to them, excluded citizens bear an enormous burden of demonstrating that there is no reasonable basis for the regulation.
Since the New Deal, courts have applied the extremely permissive “rational basis” test: If legislatures articulate almost any reasons for regulating, courts will defer to them. This has given a patina of high principle to the judiciary’s dereliction of its duty to prevent individuals’ liberty from being sacrificed to groups’ rent-seeking. Laws like the one silencing Cooksey are primarily rent-seeking. They are written to enhance the prestige and prosperity of a profession by restricting competition that would result from easy entry into it, or from provision of alternatives to its services.
People, being opinionated mammals, have been dispensing advice to one another since the advent of language, and have been foisting dietary opinions since cavemen weighed the relative benefits of eating woolly mammoths or saber-toothed tigers. So IJ has two questions for North Carolina and for the judicial system:
Did Ann Landers and Dear Abby conduct 50-year crime sprees by offering unlicensed psychological advice? Is personal advice as constitutionally unprotected as child pornography? If so, since a 2010 Supreme Court opinion, it is less protected expression than videos of animals being tortured.
George Will is a columnist for The Washington Post Writers Group. He may be contacted at georgewill@washpost.com.



If he is doing it strictly as opinion, then he is alright. If he starts to say that he is being factual, then we might have a problem.
“Facts” are certainly debatable when it comes to diet and health advice. Licensed doctors disagree all the time and scientific studies are constantly refuting one another…thus we cannot say that someone must have a certain degree or license in order to discuss “facts.”
Your comment is d very naive.
My comment is very naive? From your understanding pretty much anyone can start to become there own expert and spew there own “facts”. Pretty much everything is up for debate. Doctors and scientist disagree all the time, but does that leave the door open for anyone to come in start claiming what they say are facts? No, these people actually study what they do, follow a method to coming to there conclusions. What they do is testable and repeatable. Just because doctors disagree, does not mean that anyone can start saying they know the facts because well, why not.
As near as I can tell it’s opinion. The licensing board stated “If people are writing you with diabetic specific questions and you are responding, you are no longer just providing information — you are counseling — you need a license to provide this service.” If everyone is now required to be licensed to give their opinion, these threads are going to get pretty sparse. As near as I can tell, Mr. Cooksey is not claiming to be a licensed nutritionist. Is every valued opinion now subject to government oversight and taxation? Does the government license the clergy? I can understand if he were claiming to be licensed, but this seems overly intrusive. Also, I hate agreeing with George Will. Damn.
I have no idea what the whole story is, but diabetic questions are not the same questions you are going to get from clergy. There are very real and dangerous implications, life or death implications. I do not think it is over intrusive, they will simply look at the context of the questions and the answers he gave. In this case is completely up to the state to prove their case, not the other way around.
If a person is relying on life or death answers from an unlicensed online source, without evidence of fraud, shouldn’t the onus to vet that opinion be on the questioner? The burden should lie even heavier on the questioner if there’s no money changing hands. The fact that some people will believe anything should not prevent Mr. Cooksey from answering questions. And no, you do not need any school to be part of the clergy. Listening to some of the nonsense that eminates from various pulpits should make this evident.
Also, I imagine the clergy take the role of psychological counselors at times on questions from the deeply depressed. That could very realistically be a life and death answer. Yet they remain unlicensed. Should people have to speak with only someone with a license if they have an important question?i
To be part of the Clergy do you have to go to school?
Don’t read much do you? There are disagreements about “facts” all the time. Does life begin at conception or at birth? Did God create us as humans, or did we evolve from sea creatures? Some folks see the very concept of “God” as a fact. Others opine that there is and never was such an entity.
These “disagreements” are not just passing phrases. Entire libraries have been dedicated to both pro and con on these and other subjects. The authors writing and backing up their literary works with reams and reams of “research.
You are talking about spiritual facts, there is a big difference between medical facts, and spiritual facts.
Not a Christian Scientist are you? There is nothing “spiritual” about denying a woman control over her own body.
Well I guess there are not facts when it comes to spiritual.
There is a middle-ground you fail to see here. What makes someone an “expert?” What is a “certification” or a “license?” The thing to remember is that humans invented these institutions and processes.
A Doctor is not an all-knowing being. Certified doctors used to prescribe all sorts of absurd things to patients:
http://www.ranker.com/list/the-13-craziest-things-ever-used-as-medicine-_in-america_/nicolebreanne
Currently there is a big debate amongst doctors as to whether or not we are over-medicating the population. Ritalin and OxyContin can do wonderful things ,but they certainly aren’t good for everyone.
On the other side of the coin, someone who didn’t go to medical school is still capable of processing and examining information and making informed decisions about health. You don’t need to get a formal education and certificate to become familiar enough with a subject to offer a valid opinion and yes, even “facts.” Doctors learn information just like the rest of us, you know.
Do you need an “expert” to advise you when you’re un-certified brain just can’t decide whether or not you think you should eat an apple or Doritos?
And thus the need, and right, to get a 2nd opinion.
The old test was “Is he taking money for his advise?” If he is, then he is a professional counselor and needs a license. If no money changes hands it is only opinion.
Just another example of govt trying to control
the internet…to protect the vulnerable they say.
No one has common sense anymore? We all listen
to and accept blogs as gospel? Look at some of the blogs
on this site! Will we see them censored too?
If I tell my friends that I believe a low salt diet is beneficial would I be counseling? If I tell the teenager down the street that I think he’s ruining his life with drugs am I counseling? If I tell the elderly lady next door that she should get some eye glasses am I practicing medicine without a license?
I’m really glad I don’t live in one of those civilized States.
As much as I am not a big fan of George Will, since he’s is a GOP fanatic right up there with the Koch Brother’s and LePage, this is one time where he is more than right and his position and arguement should be followed by every living soul in this Country who believes in The Constitution and it’s protection’s. North Carolina, and a fair number of other’s including the media, have a tendency to want to play Big Brother’ when it comes down to the ‘King of the Hill’ Syndrome being applied to their little ‘Kingdom’s’ . Even Maine’s newspaper’s have tendency to do this when a politically unpopular issue is raised. But North Carolina has gone way beyond King of the Hill in this case. And Will is 100 % correct that this case before the DC 9 is going to go a very long way in the determining just what is considered free speech and it’s responsibility’s. Given the recent comment’s made by Lewiston’s Mayor, this is once case that any number of Municipal Legal Counsel’s should start looking at. Free speech by an individual is just that, free speech. But when it’s made under the color of an official, and legally established, position, then it becomes public policy and a political issue to be debated. Will might not make a lot of friend’s in the GOP’s ‘smaller Govt’ ‘ crowd. But when the entire Country’s Constitutional protection’s are put at risk because of some bureaucrat’s sudden hair-growing-where-the-sun-don’t-shine attitude becoming more important than The Constitution then it’s time that we all took a BIG step back and took a good long look at what’s important and what’s moosepoop. Will, like him or not, has done that.