Marcus v. Swanson ( 2022 )


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  •                            NOT DESIGNATED FOR PUBLICATION
    No. 122,400
    IN THE COURT OF APPEALS OF THE STATE OF KANSAS
    ELYSIA A. MARCUS,
    Appellee,
    v.
    ERIC SWANSON, M.D.,
    Appellant,
    v.
    ELYSIA A. MARCUS,
    Appellee.
    MEMORANDUM OPINION
    Appeal from Johnson District Court; DAVID W. HAUBER, judge. Opinion filed August 19, 2022.
    Affirmed.
    Frankie J. Forbes, of Forbes Law Group, LLC, of Overland Park, Quentin M. Templeton, of the
    same firm, Russell J. Keller, of the same firm, and William J. Skepnek, of The Skepnek Law Firm, PA, of
    Lawrence, for appellant.
    Matthew V. Bartle, of Bartle & Marcus LLC, of Kansas City, Missouri, for appellee.
    Before HILL, P.J., ATCHESON and WARNER, JJ.
    ATCHESON, J.: In this case, we must apply defamation law crafted 40 years ago to
    a decidedly 21st century set of facts. A plastic surgeon asserted that a "review" a
    disgruntled former patient posted on an internet site falsely impugned his professional
    reputation. A jury sitting in Johnson County District Court agreed and entered a $15,000
    1
    verdict for the physician. The district court set aside the verdict because the physician,
    who continued to maintain a full schedule of patients, did not prove any actual harm to
    his reputation as a result of the post—a necessary component for a successful defamation
    claim under Kansas law. The physician has appealed the ruling. We agree with the
    district court's assessment of the law, the evidence, and the required outcome and,
    therefore, affirm the ruling and the final judgment entered for the ex-patient on the
    defamation claim.
    The jury also found the ex-patient violated a settlement agreement with the
    physician by posting the negative review and returned a verdict awarding him $2,500 for
    breach of contract. In her cross-appeal, the ex-patient contends the verdict lacks a basis in
    the trial evidence. We disagree and affirm that verdict and final judgment for the
    physician.
    FACTUAL AND PROCEDURAL HISTORY
    Dr. Eric Swanson, M.D., has a practice in Johnson County principally devoted to
    cosmetic surgery, including laser treatments of the face to reduce or eliminate wrinkles
    and other blemishes. Dr. Swanson performed a laser "resurfacing" of Elysia A. Marcus'
    face in December 2016 with what Marcus considered poor results. David Marcus,
    Elysia's husband, is a lawyer and contacted another lawyer who handles medical
    negligence claims. That lawyer made a settlement demand on Dr. Swanson. For purposes
    of this appeal, we may condense that aspect of the historical facts. In exchange for Dr.
    Swanson refunding the $2,500 fee for the laser treatment, the Marcuses gave up any legal
    claims they might have had against him and his clinic related to the laser treatment. The
    release the Marcuses signed in July 2017 also provided they "will not discuss this case or
    settlement in the media." The Marcuses never filed a medical malpractice action against
    Dr. Swanson.
    2
    Dr. Swanson and his clinic appear on various internet sites, including Yelp, and he
    and his staff periodically look at posts on those sites. In March 2018, Dr. Swanson
    discovered an exceptionally negative Yelp review from a "Lisa M." posted in November
    2017. We may again boil down the historical facts for this appeal. Elysia Marcus wrote
    and posted the review. No purpose would be served in setting out the lengthy review.
    Rather, we can and do assume the content includes false statements that disparage Dr.
    Swanson in his profession and portray him as an incompetent who "ruins lives." The post
    urges potential patients to look into Dr. Swanson's past and to consider going elsewhere
    for cosmetic surgery. In 1999, Dr. Swanson stipulated in a proceeding before the Kansas
    Board of Healing Arts that he negligently treated three patients; he was publicly
    censured, and the Board required his practice be limited and monitored for about two-
    and-a-half years.
    In May 2018, Dr. Swanson had a lawyer send a letter to the Marcuses demanding
    they take steps to remove the Yelp post, provide a written apology, pay $25,000 in
    damages, and sign a new release. The letter stated Dr. Swanson would sue the Marcuses
    if a settlement could not be reached. David Marcus promptly responded with an email
    threatening to file counterclaims in any civil action that would be damaging to Dr.
    Swanson's reputation and touting his own success as a litigator in the Kansas City
    metropolitan area. Four days later, David Marcus filed this action on behalf of Elysia for
    a declaratory judgment that the Yelp post did not violate the release they signed. Dr.
    Swanson duly answered, counterclaimed against Elysia Marcus for defamation and
    breach of contract—the claims eventually submitted for the jury's consideration—and
    named David Marcus as a third-party defendant in those claims.
    The parties undertook discovery and filed various pretrial motions. The district
    court dismissed David Marcus as a party before trial. The jury heard the case over three
    days in August 2019. David Marcus' law partner represented Elysia Marcus during and
    after the trial. As we have said, the jury found Elysia Marcus breached the release and
    3
    awarded Dr. Swanson $2,500 in damages on that claim. The jury found the post to be
    defamatory and injurious to Dr. Swanson's reputation and awarded him $15,000 in
    damages. The jury also found Elysia Marcus acted willfully or maliciously—defined in
    the district court's instructions as acting "intentionally or purposefully" to do "wrong or
    caus[e] injury" or "do[ing] harm without any reasonable justification or excuse"—thereby
    exposing her to an award of punitive damages to be set by the district court. See K.S.A.
    60-3702.
    After the district court received the jury's verdicts, Elysia Marcus renewed the
    motions for judgment as of a matter of law she had made during the trial on the grounds
    Dr. Swanson had not proved any actual damage to his reputation from the Yelp post. The
    district court granted the renewed motion, set aside the jury verdict on Dr. Swanson's
    defamation claim, and entered judgment for Elysia Marcus. Elysia Marcus neither
    specifically disputed the verdict on the breach of contract claim nor augmented the
    grounds she had raised for judgment in her favor during the trial. The district court
    understood she was not contesting the breach of contract verdict and entered judgment
    for Dr. Swanson.
    Dr. Swanson appealed the district court's decision on the defamation claim. Elysia
    Marcus then cross-appealed the judgment against her on the breach of contract claim. We
    first take up Dr. Swanson's appeal and then address Elysia Marcus' cross-appeal. We
    supplement our introductory account of the factual foundation for this litigation and its
    procedural progression as necessary.
    4
    LEGAL ANALYSIS
    I. DR. SWANSON'S APPEAL
    A. Standard of Review
    In considering a motion for a judgment as a matter of law, the district court must
    view the trial evidence in the best light for the party opposing the motion and give that
    party the benefit of any reasonable inferences drawn from the evidence. If the evidence
    taken that way would properly support a jury verdict for the nonmoving party, the district
    court should deny the motion. Russell v. May, 
    306 Kan. 1058
    , Syl. ¶ 2, 
    400 P.3d 647
    (2017); Siruta v. Siruta, 
    301 Kan. 757
    , 766, 
    348 P.3d 549
     (2015). The motion presents a
    question of law, and the ruling entails no weighing of disputed evidence. Accordingly, on
    appeal, we apply the same standard and owe no deference to the district court's decision.
    Russell, 
    306 Kan. 1058
    , Syl. ¶ 2.
    B. Legal Principles Governing Defamation
    Defamation is a species of tort based on one person or entity's publication of false
    statements that diminish the reputation of another person. Gobin v. Globe Publishing Co.,
    
    232 Kan. 1
    , 5-6, 
    649 P.2d 1239
     (1982). The utterance of an oral defamation is slander,
    and the dissemination of a written defamation is libel. Here, we are concerned with libel.
    The redressable harm entails the diminution of the subject's positive standing or esteem
    within a community, be it a professional network, an extended social circle, or some
    segment of the public at large. Moran v. State, 
    267 Kan. 583
    , 589-90, 
    985 P.2d 127
    (1999); Gobin, 
    232 Kan. at 6
    . Conversely, the subject's own emotional distress or upset
    caused by the publication will not alone support a claim for defamation, although
    damages for those noneconomic injuries may be recovered as an adjunct to a proved loss
    of reputation. 
    232 Kan. at 7
    .
    5
    Historically, defamation law recognized certain kinds of false statements were so
    noxious that damages were presumed to flow from their publication. The subject did not
    have to independently demonstrate a loss of community standing. Pertinent here, this
    kind of defamation—known as libel per se or slander per se—included false statements
    disparaging a person's abilities in his or her occupation. See Gomez v. Hug, 
    7 Kan. App. 2d 603
    , 611-12, 
    645 P.2d 916
     (1982) (libel per se includes "'imputation of a person's
    unfitness for his trade or profession'") (quoting Kraisinger v. Liggett, 
    3 Kan. App. 2d 235
    , 237, 
    592 P.2d 477
     [1979]). But the Kansas Supreme Court abolished libel per se and
    slander per se in Gobin, 
    232 Kan. at 5
    , and has since reiterated that position in Moran,
    
    267 Kan. at 599
    . We return to that development in the law shortly, since it bears on Dr.
    Swanson's claim, given the content of the Yelp post.
    As with many torts, the legal principles governing defamation are largely the
    product of the common law—judicial rules established through case precedent—rather
    than of statutes or legislative prescription. So the reach of the tort and what an ostensibly
    defamed plaintiff had to prove to prevail expanded and contracted as appellate courts
    crafted the law through their opinions. As a result, defamation law historically was the
    province of state courts and tended to be shaped and fine-tuned in each jurisdiction. But
    the insular character of defamation law changed dramatically in the middle of the 20th
    century when the United States Supreme Court recognized a constitutional overlay to that
    law grounded in protections for robust debate of matters of public concern undergirding
    the free speech and free press clauses of the First Amendment to the United States
    Constitution as applied to the states through the Fourteenth Amendment. The Court's
    decision in New York Times Co. v. Sullivan, 
    376 U.S. 254
    , 269-71, 279-80, 
    84 S. Ct. 710
    ,
    
    11 L. Ed. 2d 686
     (1964), was the fountainhead for that legal reordering.
    Central to New York Times, the Court recognized that the First Amendment
    requires "public official[s]" bringing libel actions to prove a publisher of a "defamatory
    falsehood" about their "official conduct" did so with "'actual malice'—that is, with
    6
    knowledge that it was false or with reckless disregard of whether it was false or not." 
    376 U.S. at 279-80
    . The Court, however, did not attempt to mark the outer reaches of its
    casting of the First Amendment—a doctrinal shift often described as revolutionizing
    defamation law. See Kohler, Forty Years After New York Times v. Sullivan: The Good,
    The Bad, and The Ugly, 
    83 Or. L. Rev. 1203
    , 1203-04 (2004); Stone, Justice Brennan
    and the Freedom of Speech: A First Amendment Odyssey, 
    139 U. Pa. L. Rev. 1333
    ,
    1343-44 (1991); Abrams, A Worthy Tradition: The Scholar and The First Amendment,
    
    103 Harv. L. Rev. 1162
    , 1166 (1990). In a series of decisions, the Court further crafted
    and refined the constitutional shields available to defendants in defamation actions. For
    example, a Court majority extended the New York Times requirement of proof of actual
    malice to defamation actions brought by "public figures," a somewhat ill-defined class of
    persons commanding public interest or attention because of their prominent positions or
    their noteworthy conduct. Curtis Pub. Co. v. Butts, 
    388 U.S. 130
    , 163-65, 
    87 S. Ct. 1975
    ,
    
    18 L. Ed. 2d 1094
     (1967) (Warren, C.J., concurring, joined in pertinent part by Black,
    Douglas, Brennan, and White, JJ.). A plaintiff likewise must prove New York Times
    actual malice by clear and convincing evidence. Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 257, 
    106 S. Ct. 2505
    , 
    91 L. Ed. 202
     (1986); Nunes v. Lizza, 
    12 F.4th 890
    , 895
    (8th Cir. 2021); Berisha v. Lawson, 
    973 F.3d 1304
    , 1312 (11th Cir. 2020).
    Among those decisions, Gertz v. Robert Welch, Inc., 
    418 U.S. 323
    , 
    94 S. Ct. 2997
    ,
    
    41 L. Ed. 2d 789
     (1974), significantly changed Kansas defamation law and continues to
    fix its boundaries. See Moran, 
    267 Kan. at 599
    ; Gobin, 
    232 Kan. at 4-5
    ; Rockhill Pain
    Specialists v. Hancock, 
    55 Kan. App. 161
    , 185-86, 
    412 P.3d 1008
     (2017). Gertz, a
    lawyer, sued a magazine for libel for publishing an article in 1969 branding him a
    communist or a communist sympathizer. The Court considered Gertz to be a private
    person rather than a public figure and held such plaintiffs could not recover presumed
    damages or punitive damages unless they proved actual malice as defined in New York
    Times—consistent with the constitutional protections of the First Amendment. But a state
    7
    could permit private-party plaintiffs to recover damages for actual harm to their
    reputations if a defendant publisher were merely negligent. Gertz, 
    418 U.S. at 347-50
    .
    As we have indicated, the Kansas Supreme Court has fashioned a rule in light of
    Gertz that requires any plaintiff to prove actual damages flowing from the defendant's
    defamatory statements. The Gobin court enunciated two key principles drawn from
    Gertz: (1) "Damages recoverable for defamation may no longer be presumed; they must
    be established by proof, no matter what the character of the libel." and (2) "Unless injury
    to reputation is shown, plaintiff has not established a valid claim for defamation, by either
    libel or slander, under our law." 
    232 Kan. at 5-6
    . They remain cornerstones of Kansas
    defamation law.
    The United States Supreme Court again looked at balancing constitutional free
    speech protections and the common-law right of private parties to recover for damage to
    their reputations in Dun & Bradstreet, Inc. v. Greenmoss Builders, Inc., 
    472 U.S. 749
    ,
    
    105 S. Ct. 2939
    , 
    86 L. Ed. 2d 593
     (1985). In that case, Greenmoss Builders sued Dun &
    Bradstreet for disseminating a credit report to five subscribers that falsely stated the
    company had filed for bankruptcy and misrepresented its assets and liabilities. Five
    justices agreed Greenmoss was not constitutionally required to prove actual malice to
    recover presumed damages or punitive damages in its defamation action. Three justices
    distinguished Gertz because the defamatory publication in that case involved an issue of
    "public concern" and Greenmoss' claim rested on a purely private matter. 
    472 U.S. at 763
    . Chief Justice Burger concurred in the judgment and noted his dissent in Gertz and
    his continuing view that Gertz was wrongly decided. 
    472 U.S. at 763-64
     (Burger, C.J.,
    concurring). In a more extended concurring opinion, Justice White also joined in the
    judgment, reiterated his dissenting views in Gertz, and questioned generally the wisdom
    of the Court's expansion of the rule in New York Times. 
    472 U.S. at 771-72, 774
     (White,
    J., concurring). In Dun & Bradstreet, then, five justices recognized that the First
    Amendment neither precludes recovery of presumed damages or punitive damages nor
    8
    requires proof of actual malice when a private person sues for defamation arising from
    the dissemination of a statement unrelated to a matter of public concern.
    The upshot seems to be that the categorical abandonment of libel per se outlined in
    Gobin and since repeated in Moran is not constitutionally mandated under the First
    Amendment or Gertz. See W.J.A. v. D.A., 
    210 N.J. 229
    , 246, 
    43 A.2d 1148
     (2012)
    (recognizing Gobin "abolished" presumed damages and required "proof of actual injury
    to reputation in all cases"). But doing so is presumably constitutionally permissible in
    that a state may afford greater protections—but not lesser protections—than the federal
    Constitution commands. See Gertz, 
    418 U.S. at 347
     (consistent with constitutional
    requirements, "the States may define for themselves the appropriate standard of liability"
    in defamation actions); see also State v. Carapezza, 
    293 Kan. 1071
    , 1077, 
    272 P.3d 10
    (2012) (State may provide greater rights or protections than federal Constitution
    guarantees). So a state, by common-law rule or statutory directive, may afford defendants
    greater protections in defamation actions than the First Amendment requires. See
    Bierman v. Weier, 
    826 N.W.2d 436
    , 449 (Iowa 2013) ("Iowa can make its defamation
    law more protective of defendants than the First Amendment requires."); Turner v. KTRK
    Television, Inc., 
    38 S.W.3d 103
    , 117 (Tex. 2000) ("While we have occasionally extended
    protections to defamation defendants greater than those offered by the United States
    Constitution, we have based these protections on the common law, not the Texas
    Constitution."). A state constitution may also establish rights beyond those found in the
    United States Constitution. See Hodes & Nauser, MDs v. Schmidt, 
    309 Kan. 610
    , Syl.
    ¶ 3, 
    440 P.3d 461
     (2019). Here, the parties have not mentioned, let alone engaged, the
    free speech protections in the Kansas Constitution Bill of Rights section 11.
    With that brief overview of defamation law, we turn to Dr. Swanson's argument
    that the district court improperly entered a judgment as a matter of law in favor of Elysia
    Marcus, voiding the jury verdict for him.
    9
    C. The Parties Frame the Issue on Appeal
    The parties have treated this case as one alleging purely private defamation—
    portraying a private person claiming to have been besmirched by statements unconnected
    to any matter of public concern. It is less than clear whether the issue has been framed
    that way deliberately or inadvertently. The premises are at least debatable.
    Courts have held that persons heavily advertising on the internet and otherwise
    injecting their business interests into the public eye or professional circles may be limited
    purpose public figures required to prove actual malice in suing for defamation related to
    those endeavors. See Gilbert v. Sykes, 
    147 Cal. App. 4th 13
    , 24-25, 
    53 Cal. Rptr. 3d 752
    (2007); Hibdon v. Grabowski, 
    195 S.W.3d 48
    , 59-60 (Tenn. App. 2005) (business owner
    touting on the internet and elsewhere his innovative modifications enhancing
    performance of jet skis deemed limited purpose public figure). In Gilbert, an often-cited
    case, the court held a plastic surgeon specializing in cosmetic procedures to be a limited
    purpose public figure in his defamation action against a dissatisfied patient who used a
    website to express her dissatisfaction. The court relied on the surgeon's advertising,
    appearances in the media, and authorship of articles promoting the benefits of such
    surgery. 
    147 Cal. App. 4th at 24-25
    .
    Courts have also held that public comments about a medical doctor's competence
    may sufficiently touch on matters of public concern to require proof of actual malice in a
    defamation action based on those comments. See Alost v. Lawler, 
    326 So. 3d 1255
    , 1264
    (La. App. 2021) (guest article written by son of patient attacking quality of care physician
    provided his parent addressed matter of public concern); Teachers Federal Credit Union
    v. Esquivel, 
    621 S.W.3d 786
    , 797-98 (Tex. App. 2021) (discussing Texas cases
    recognizing quality of healthcare provider's services to patient matter of public concern
    under defamation law); cf. Gilbert, 
    147 Cal. App. 4th at 23-24
     (widespread discussion of
    10
    risks and benefits of elective cosmetic surgery rendered the topic a matter of public
    interest and concern).
    Dr. Swanson and Elysia Marcus have effectively avoided those issues through
    their joint silence on them. And the district court quite properly didn't venture into those
    aspects of defamation law uninvited. The parties' briefing to us is similarly circumspect.
    We, too, have no occasion to consider what has not been presented to us in this civil
    action. See Central Kansas Medical Center v. Hatesohl, 
    308 Kan. 992
    , 1006-07, 
    425 P.3d 1253
     (2018) (appellate court typically will not consider issue parties have not raised). The
    issue for our review is the propriety of the district court's posttrial ruling setting aside the
    jury verdict for Dr. Swanson on his defamation claim. We take the issue in the frame the
    parties have given us—as one involving private parties and a matter of no public concern.
    D. Did Dr. Swanson Present Sufficient Evidence of Damage to His Reputation?
    Dr. Swanson contends he submitted evidence of actual damage to his reputation
    flowing from Elysia Marcus' post on Yelp. Although damages need not be proved with
    exactitude or certainty, they must be more than merely speculative. Ryan v. Kansas
    Power & Light Co., 
    249 Kan. 1
    , 9, 
    815 P.2d 528
     (1991); Ohlmeier v. Jones, 
    51 Kan. App. 2d 1014
    , 1021, 
    360 P.3d 447
     (2015). In establishing reputational harm in a defamation
    action, a plaintiff need not prove a direct economic loss. But the evidence must provide a
    tangible basis for inferring a real (rather than merely a presumed) diminution in
    reputation.
    For example, in Moran, a physician, who had specialized in heart transplant
    surgery, submitted an affidavit aimed at proving reputational harm in opposition to
    defendants' motion for summary judgment in his defamation action. In the affidavit, the
    physician represented that following the publication of negative statements from several
    colleagues in a newspaper article, he no longer received inquiries about his interest in
    11
    heading or starting up transplant programs at other hospitals and was no longer invited to
    write scholarly articles or to peer-review such articles for medical journals and other
    professional publications. The physician had left the transplant team and worked as a
    pediatric heart surgeon at a hospital in another state. Although characterizing that
    evidence as "weak," the court found it was legally sufficient to allow a jury to find the
    sort of actual reputational harm necessary to support a defamation claim. The court
    reversed the district court's summary judgment for the defendants. Moran, 
    267 Kan. at 593
    .
    Here, Dr. Swanson personally testified it stood to reason that some potential
    patients read Elysia Marcus' post and looked elsewhere for a plastic surgeon. But he
    offered no evidence supporting his surmise. No deterred would-be patients testified. And
    no one claiming expertise in measuring the impact of the internet on consumer choice or
    the marketing and selection of physicians or other professionals testified. We suppose
    evidence from people who went to another plastic surgeon might have been difficult to
    assemble. We venture no comment on the universe of expert witnesses. Dr. Swanson
    identified an ostensible expert who purported to calculate a number representing deterred
    patients and a concomitant loss of revenue. The district court granted Elysia Marcus'
    pretrial motion to exclude the testimony as too speculative—a ruling Dr. Swanson has not
    appealed. See K.S.A. 2021 Supp. 60-456(b) (requirement for admissible expert
    testimony). But Dr. Swanson also testified that he was working at capacity both before
    and after the post, so he had as many patients as he could handle and suffered no loss of
    business.
    Consistent with Moran, we infer a physician or other professional could go
    forward with a libel claim by showing a measurable drop in new patients or business
    following the prominent publication of defamatory statements. That would be
    circumstantial evidence tending to suggest reputational harm, and it would establish a
    quantifiable economic loss bearing on damages, especially in the absence of some other
    12
    obvious explanation. But see Kuxhausen v. Tillman Partners, 
    291 Kan. 314
    , 320-21, 
    241 P.3d 75
     (2010) (post hoc ergo propter hoc reasoning alone indicative of speculation and
    does not forge causal link between purported wrongful conduct and claimed harm). We
    need not travel further down this path, since Dr. Swanson did not assert a decline in
    actual patients or in revenue.
    Dr. Swanson testified that he continued to be an in-demand speaker at professional
    programs and did not suggest he otherwise lost professional engagements or
    opportunities because of the Yelp post. Again, consistent with Moran, that evidence at
    the very least cuts against some reputational harm. Dr. Swanson testified Elysia Marcus'
    statements in the post bothered him personally. But, as we have outlined, plaintiffs
    asserting defamation claims cannot rely on their own emotional upset or distress to
    establish the required reputational harm. Finally, Dr. Swanson testified he and his staff
    spent "hundreds of hours" to "deal with this," meaning the Yelp post and the ensuing
    litigation. He described his efforts to get the post taken down. And he briefly alluded to
    the attorney fees and other legal expenses he had paid. But those considerations do not
    translate into an actionable harm to Dr. Swanson's reputation. Likewise, the attorney fees
    would not be a recoverable damage even if Dr. Swanson otherwise proved his defamation
    claim. See Robinson v. City of Wichita Employees' Retirement Bd. of Trustees, 
    291 Kan. 266
    , 279, 
    241 P.3d 15
     (2010) ("The 'American Rule' is well established in Kansas so that,
    in the absence of statutory or contractual authorization, each party to the litigation is
    responsible for his or her own attorney fees."); Karrigan v. Valentine, 
    184 Kan. 783
    , 788,
    
    339 P.2d 52
     (1959) (noting "in passing" attorney fees are not recoverable in action for
    libel).
    Dr. Swanson also called a former patient of his as a witness at trial to testify she
    was concerned when she saw Elysia Marcus' Yelp post because it was in her view grossly
    inaccurate. She posted her own positive review of Dr. Swanson and later referred at least
    one person to him. The testimony, however, does not support damage to Dr. Swanson's
    13
    reputation. The evidence really is more or less to the contrary; the patient remained a
    supporter of Dr. Swanson and his work notwithstanding the post.
    We share the district court's view that this array of evidence failed to show Dr.
    Swanson's reputation was actually diminished in some way as a result of Elysia Marcus'
    post on Yelp. Or, more precisely, that the evidence would permit reasonable jurors to
    conclude his reputation had been harmed. Dr. Swanson speculated the post—given its
    vituperation and inaccuracies—must have scared off potential patients. But that was no
    more than a guess, and guesses are not evidence. The other points Dr. Swanson testified
    to are neither direct nor circumstantial evidence of reputational harm. For purposes of this
    appeal, we do not question the legitimacy of his assertion he found the attack on his
    professional capability both unwarranted and distressing. But those circumstances do not
    legally support a defamation claim. Nor did the testimony of the former patient.
    In closing argument to the jury, Dr. Swanson's lawyer did not identify specific
    reputational injuries flowing from Marcus' post and explicitly did not suggest a dollar
    amount the jurors should consider as compensatory damages. The lawyer explained to the
    jurors he struggled to come up with an amount and told them to "figure out a number that
    you think is fair compensation." The district court mentioned the closing argument in
    explaining its decision to set aside the jury verdict. On appeal, Dr. Swanson contends the
    district court improperly treated the argument as something like a binding admission the
    evidence showed no reputational harm. We don't read the district court's ruling that way.
    Rather, the argument is illustrative of the lack of evidence of actual reputational harm
    required to meet the standard set in Gobin. So the argument tends to confirm the
    evidentiary gap but does not in any legal way establish it.
    The jurors' communications with the district court after they had begun
    deliberations suggest they felt the constraint of the law in weighing the evidence as they
    worked toward a verdict. The jurors asked if they could require Elysia Marcus to take
    14
    down her post as a remedy—effectively granting Dr. Swanson a mandatory injunction.
    They were correctly told they could not; juries may award money damages in a civil
    action, not equitable relief. See Texas Const. Co. v. Hoisting and Portable Engineers'
    Local Union No. 101, 
    180 Kan. 393
    , 395, 
    304 P.2d 498
     (1956) (injunction action
    considered "purely equitable," so plaintiff not entitled to jury trial); Jensen International,
    Inc. v. Kelley, 
    29 Kan. App. 2d 836
    , 843-44, 
    32 P.3d 1205
     (2001) (no right to jury trial in
    declaratory judgment action raising essentially equitable claims or issues). The jurors
    then asked if they could award litigation costs to Dr. Swanson and again were told they
    could not. After twice being rebuffed, the jurors returned a verdict awarding Dr. Swanson
    $15,000 in damages on the defamation claim—an amount that has no anchor in the
    evidence.
    We hesitate to read too much into questions from deliberating juries; a given
    inquiry may be posed simply to satisfy a single vacillating or reluctant juror. The
    sequential inquiries here more readily depict jurors searching for an alternative path to
    the one laid out in the district court's instructions to give Dr. Swanson relief of some
    kind. The remedies the jurors wanted to award—requiring Elysia Marcus to remove the
    post or to pay Dr. Swanson's litigation expenses—were aimed at her morally
    blameworthy conduct in publishing a false statement rather than any actual loss of
    reputation to Dr. Swanson resulting from that conduct. Thwarted in those forays, they
    awarded what can fairly be characterized as a modest, if seemingly arbitrary, amount in
    compensatory damages, taking the only option available to them to redress what they
    considered Elysia Marcus' wrong.
    The fundamental problem for Dr. Swanson rests in the requirement he offer
    evidence of some actual damage to his reputation to establish a legally submissible claim
    for defamation. Since Gobin, Kansas law no longer presumes reputational harm from a
    false statement denigrating a person's professional skill or competence. The absence of
    demonstrable harm, then, legally dooms a claim, even when the challenged statement is
    15
    indisputably scurrilous and its author has acted quite deliberately in publishing it. The
    essential flaw lay in Dr. Swanson's failure to establish facts showing an actual injury,
    rendering any compensatory amount insupportable. The jurors seem to have struggled
    with that reality. The district court, however, was obligated to give legal effect to it by
    granting Elysia Marcus' renewed motion for judgment as a matter of law following the
    verdict. See K.S.A. 2021 Supp. 60-250(b)(3).
    On appeal, Dr. Swanson raises a pair of procedural arguments we quickly
    dispatch. First, he contends the district court engaged in a legally impermissible
    about-face by denying Elysia Marcus' motion for summary judgment and then granting
    her renewed motion to set aside the jury verdict. Dr. Swanson submits the evidence of
    reputational harm he offered in opposition to summary judgment was functionally the
    same as what he presented during the trial. Dr. Swanson cites no authority for the premise
    that a district court's denial of summary judgment imposes a legal constraint on or bar to
    granting a judgment as a matter of law during or following a jury trial. We are reasonably
    confident there isn't a developed body of the law to that effect.
    Dr. Swanson's argument does not track with accepted civil procedure precepts.
    The statute governing motions for judgment as a matter of law does not contain a
    directive that a district court may not grant such a motion if it had denied a motion for
    summary judgment on the same grounds. See K.S.A. 2021 Supp. 60-250(a), (b). And the
    denial of summary judgment, as an interlocutory ruling, does not itself have any
    preclusive effect. See Budd v. Walker, 
    60 Kan. App. 2d 189
    , 197, 
    491 P.3d 1273
     (2021).
    As a broad proposition, district courts should act "with caution" in granting summary
    judgment. See Manley v. Hallbauer, 
    308 Kan. 723
    , 726, 
    423 P.3d 480
     (2018). Here, of
    course, it may be that the district court was too deferential to Dr. Swanson in considering
    summary judgment and, thus, too cautious in declining to rule against him then. We have
    not perused the summary judgment submissions and offer no studied opinion on the
    ruling. But a district court's circumspection in considering (and denying) summary
    16
    judgment does not impose a genuine legal obstacle to its ruling on a properly lodged
    motion for judgment as a matter of law.
    Second, Dr. Swanson contends the district court's decision violated the protection
    for jury trials in the Kansas Constitution Bill of Rights section 5. The provision
    guarantees the right to jury trial "shall be inviolate" and has been construed to require
    jury trials in those cases in which they were permitted at common law when the Kansas
    Constitution was adopted. Kan. Const. Bill of Rights, § 5; see Hilburn v. Enerpipe Ltd.,
    
    309 Kan. 1127
    , 
    442 P.3d 509
     (2019). But Dr. Swanson frames the ostensible
    constitutional defect as arising from the district court's failure to apply the proper
    standard for assessing the evidence in ruling on Marcus' renewed motion for judgment as
    a matter of law. The argument, then, merely puts a constitutional veneer on the assertion
    the district court improperly weighed the evidence in granting the motion and setting
    aside the verdict. The argument rises or falls on that assertion and not on an independent
    ground under section 5. We have already explained why the district court properly
    granted the motion for a judgment as a matter of law, and that disposes of Dr. Swanson's
    ostensible constitutional claim.
    E. Does the Jury's Finding of Traditional Malice Make a Difference?
    Dr. Swanson contends the jury's factual finding that Elysia Marcus acted with
    traditional malice—that is, with an intention or design to do him harm—legally supports
    his defamation claim and, in turn, the verdict in his favor. But Gobin and the later
    iterations of defamation law in Kansas do not back up that theory. As we have explained,
    they require proof of actual reputational damage to make a submissible claim. And they
    do not (contrary to Dr. Swanson's suggestion) offer a substitute for that proof based on
    the publisher's malicious intent.
    17
    Basically, Dr. Swanson attempts to craft a rule that would permit a plaintiff to
    prevail on a defamation claim in some circumstances without showing actual harm.
    Under his approach, a plaintiff would have a judicial forum to prove the falsity of the
    challenged statements when the publisher acted with an evil purpose and could recover
    nominal actual damages and, perhaps, punitive damages. Such a formulation of
    defamation law would benefit Dr. Swanson in this case. More broadly, the rule would
    offer a path for name-clearing vindication in some cases and, in that way, would be
    similar to libel per se. Rather than relying on the message communicated, as does libel
    per se, Dr. Swanson's rule would turn on the publisher's pernicious intent in choosing to
    communicate a defamation whatever its content. Despite Dr. Swanson's characterization
    otherwise, he has asked us to change Kansas defamation law, albeit in an intriguing way.
    Because common-law doctrine defines the scope of permissible defamation claims, we
    cannot simply cast aside what the Kansas Supreme Court has declared the law to be. See
    Majors v. Hillebrand, 
    51 Kan. App. 2d 625
    , 629-30, 
    349 P.3d 1283
     (2015).
    Dr. Swanson's point on appeal also implicitly suggests libel per se may serve a
    significant remedial purpose in defamation law, especially in the age of the internet.
    Anyone with a computer and access to the internet can reach an extraordinarily large
    audience with stunning immediacy and a degree of permanency that outstrips other
    means of publication. Those tools offer a soapbox and megaphone that reach millions—
    not just passersby on the town square or recipients of leaflets handed out in front of the
    state capitol or even readers of a full-page advertisement in the print edition of The New
    York Times such as the one that prompted the Sullivan case. That ability to communicate
    carries with it an extraordinary power to promote what may be frivolous or profound or
    good or malevolent.
    In laboratory conditions, the marketplace of ideas is supposed to be self-regulating
    in the sense the intrinsically sound will drive out the unsound. But the marketplace
    doesn't necessarily function that way in the real world. Defamation law, in turn, provides
    18
    a tailored remedy to persons besmirched in public forums, especially when simply
    putting out a counter-narrative may be an ineffective antidote for particularly corrosive
    falsehoods. That is, the marketplace sometimes works too slowly or not at all, and some
    statements about some people are so obviously wrongful, such as false representations
    demeaning them in their chosen occupations, that their very publication arguably should
    permit vindication in a judicial forum. But the law should not be so onerous as to stifle
    vigorous and even controversial debate on matters of public concern. Balancing those
    competing and undeniably valuable objectives typically falls to the courts in fashioning
    defamation law.
    As this case illustrates, the internet has radically altered how the forces that drive
    the marketplace of ideas operate. Given the epochal change, some courts have closely
    examined whether and how libel per se may provide a needed check on those forces in
    certain circumstances. They have chosen to retain libel per se, at least in cases involving
    private parties and private matters. See, e.g., Bierman, 826 N.W.2d at 454; W.J.A. v.
    D.A., 
    210 N.J. 229
    , 233, 
    43 A.3d 1148
     (2012). For interested readers, the W.J.A. case
    offers an illustrative example of the power of the internet to catapult defamatory
    commentary far beyond earlier means of publication.
    Conversely, in an internet era case, the New Mexico Supreme Court abolished
    libel per se, finding the doctrine to be incompatible with "the very essence of the tort of
    defamation" in remedying "actual injury to reputation." Smith v. Durden, 
    276 P.3d 943
    ,
    943, 948-49 (N.M. 2012). The statements at issue in Smith were not published on the
    internet, and the court did not discuss any implications such publication might have for
    defamation law generally or the doctrine of presumed damages particularly. The court did
    cite Gobin as supporting authority. 276 P.3d at 950. Similarly, the Missouri Supreme
    Court did away with libel per se in Nazeri v. Missouri Valley College, 
    860 S.W.2d 303
    ,
    313 (Mo. 1993), and apparently has not again considered the issue in the last 30 years.
    19
    The communications revolution in this century invites a reexamination of the
    common-law principles governing defamation law shaped before the prevalence of social
    media and interactive websites that can reach around the globe. See Herington v. City of
    Wichita, 
    314 Kan. 447
    , 456-57, 
    500 P.3d 1168
     (2021) (stare decisis is not inexorable
    command and may yield when changed circumstances render a rule demonstrably
    unsound). Reexamination, however, does not necessarily mean change. The ramifications
    are both multifaceted and interlocking, given the permutations of defamation law turning
    on the public or private status of the publisher and the publisher's target combined with
    the subject matter of the publication. We do not mean to offer some veiled suggestion
    Kansas defamation law should be revised and simply repeat our observations that things
    are quite different now than they were when Gobin was decided.
    Regardless of those observations, we are bound to apply the common law as the
    Kansas Supreme Court has presently defined it. On that basis, we reject Dr. Swanson's
    argument that the jury's finding that Marcus acted maliciously in the traditional tort sense
    salvages the verdict in his favor without proof of any actual damage to his reputation.
    F. A Rejoinder to the Dissent
    Judge Warner dissents on this issue and submits Dr. Swanson offered evidence of
    harm to his reputation. But her discussion does no more than elaborate on Dr. Swanson's
    argument that it "stands to reason" Elysia Marcus' Yelp post must have diminished his
    professional reputation. The argument trades on speculation and assumption—not facts.
    The trial record and the dissent are bereft of colorable direct or circumstantial evidence
    supporting a diminution of reputation. The dissent, however, does backhandedly make a
    case for why presumed damages might reflect good policy in cases similar to this,
    allowing individuals falsely demeaned in their trade or profession to clear their names in
    district court proceedings without having to prove actual reputational harm. The dissent
    really rests on a call for restoring libel per se in at least some circumstances.
    20
    The dissent first underscores that Elysia Marcus acted with the intent to harm Dr.
    Swanson professionally and sought to do so with a post containing false and disparaging
    information placed on a prominent internet site. Slip op. at 27. All of that is undisputed
    on appeal. And it proves the elements of falsity and publication necessary for a libel
    action. Nonetheless, gross falsity and wide publication, which we may assume here, do
    not substitute for or diminish the required proof of actual damage to reputation as an
    independent element of a colorable libel claim under Kansas law.
    Dr. Swanson offered neither direct nor circumstantial evidence of harm to his
    reputation flowing from the Yelp post. As we have already said, direct evidence would
    have entailed testimony from persons seeing the post and thinking less of Dr. Swanson as
    a result. Such evidence would be difficult to assemble, and Dr. Swanson didn't offer any
    such witnesses at trial. His patient who did testify doesn't suffice, contrary to the dissent's
    suggestion. The patient read the post and was alarmed because she thought it might cause
    other people to unfairly think less of Dr. Swanson as a plastic surgeon. So she wrote a
    counter-post and continued to refer potential patients to him. Her testimony establishes
    only that she was of the opinion Elysia Marcus' post might harm Dr. Swanson's
    reputation. That's not proof of an actual injury. As we have also said, the post plainly did
    not adversely affect Dr. Swanson's reputation in that patient's eyes.
    For all the trial record shows, visitors to the Yelp page may have routinely
    dismissed the post as a hysterical rant unworthy of credence or the work of a gallivanting
    internet troll randomly lobbing fake bombshells for his or her misguided amusement.
    And those skeptical visitors likewise would have discounted Dr. Swanson's aggregate
    rating of 3.5 stars as unrealistically low as a result of the unfounded negative review.
    Ultimately, the notion that somebody somewhere must have been adversely disposed
    toward Dr. Swanson because of the post cannot pass for evidence of actual reputational
    harm. If that were the law in Kansas, widespread publication of a falsehood alone would
    be sufficient without evidence of any diminution of reputation.
    21
    Reputational harm—like pretty much anything else—may be proved with
    circumstantial evidence. The dissent misconstrues our discussion of the lack of
    circumstantial evidence to be a requirement for proof of economic loss attributable to a
    defamatory statement. We neither suggest nor apply such a rule. A loss of business (and
    the resulting economic harm) could be circumstantial proof of a reputational injury if the
    downturned came on the heels of the publication of a defamatory statement, particularly
    if the statement attacked the subject's professional abilities. Here, Dr. Swanson offered no
    evidence of the kind and apparently maintained a full practice notwithstanding Elysia
    Marcus' post.
    We also pointed out that Kansas cases recognize other forms of circumstantial
    evidence, such as the physician who asserted he stopped receiving inquiries from
    recruiters inviting him to consider positions heading departments at major hospitals and
    was no longer asked to write or peer review articles for professional journals. Those lost
    career opportunities would suggest a loss of professional standing or reputation without
    necessarily entailing any direct economic harm. Here, again, Dr. Swanson offered no
    comparable evidence. To the contrary, he testified he remained an in-demand presenter at
    professional seminars and conferences. There would be other ways of circumstantially
    showing a loss of reputation, but they didn't figure in this case. For example, a physician
    being removed or voted out as an officer of a professional society likely would be
    indicative of diminished reputation or standing. Even a pattern of social snubs closely
    following publication of a defamatory statement might be enough.
    Against that backdrop and lack of evidence, we pointed out the jury's award of
    $15,000 appeared to be pulled out of the air. The seemingly random amount simply
    illustrated the weakness of verdict precisely because Dr. Swanson marshalled no
    evidence of an actual injury to his reputation. As the dissent says, adequate compensation
    for proved reputational harm may be difficult to quantify in dollars and cents, and a jury's
    award should be given the utmost respect. Slip op. at 32. But an award rendered in the
    22
    absence of evidence on a necessary element of the asserted legal claim cannot stand. Dr.
    Swanson presented only guesses that the Yelp post must have harmed his reputation
    rather than direct or circumstantial evidence that it actually did so. Accordingly, we have
    done no more than our required duty in affirming the district court's ruling granting
    Elysia Marcus' motion for judgment as a matter of law. See K.S.A. 2021 Supp. 60-
    250(b)(3).
    II. ELYSIA MARCUS' CROSS-APPEAL
    On appeal, Elysia Marcus contends the amount the jury awarded Dr. Swanson as
    damages for his breach of contract claim has no support in the evidence and, therefore,
    must be set aside. As we have outlined, the jury entered a verdict of $2,500 in damages
    for breach of the settlement agreement. Elysia Marcus has not otherwise challenged the
    verdict and resulting judgment on appeal, so we confine ourselves to this issue.
    Elysia Marcus points out Dr. Swanson paid her $2,500 in exchange for her (and
    her husband's) release of any potential claims arising from the cosmetic laser treatment he
    performed and an agreement not to discuss the matter in the media. The verdict
    corresponds exactly to that amount. Elysia Marcus, in turn, argues the verdict actually
    represents an award of restitution—returning the consideration paid—rather than an
    award compensating for damages caused by any breach. Since Dr. Swanson did not
    pursue a claim for rescission and restitution, Marcus submits the verdict lacks support in
    the evidence as a damage award. Although Marcus' premise that restitution legally differs
    from money damages as a remedy for a breach of contract is correct, it doesn't provide
    the foundation for the result she wants, as we explain.
    Before turning to that explanation, we address and dispose of a procedural
    counter-argument Dr. Swanson has posed. He says Elysia Marcus has raised this point for
    the first time on appeal, and we should not consider it for that reason. The appellate
    23
    record indicates Elysia Marcus did not present this ground for setting aside the jury
    verdict to the district court. We typically do not consider arguments raised for the first
    time on appeal. Wolfe Electric, Inc. v. Duckworth, 
    293 Kan. 375
    , 403, 
    266 P.3d 516
    (2011). Elysia Marcus responds that Kansas appellate courts do address claims of
    insufficient evidence that have not been presented in the district court. We have
    repeatedly so stated in criminal cases. See State v. Farmer, 
    285 Kan. 541
    , 545, 
    175 P.3d 221
     (2008) (recognizing rule in context of criminal appeal); State v. Lamb, 
    57 Kan. App. 2d 633
    , 637-38, 
    458 P.3d 266
     (2020). But it is hardly self-evident that the rule transfers to
    civil actions. See Wood v. Groh, 
    269 Kan. 420
    , 433-34, 
    7 P.3d 1163
     (2000) (declining to
    consider sufficiency argument). But see Alford Ranches, LLC v. TGC Industries, Inc.,
    No. 112,375, 
    2015 WL 9591354
    , at *8 (Kan. App. 2015) (unpublished opinion) (citing
    Farmer, panel considers sufficiency of evidence supporting verdict for plaintiff on
    negligence claim for first time on appeal). We assume without deciding that Elysia
    Marcus has properly presented her argument; we do so merely to advance the appeal. See
    Louisburg Building & Development Co. v. Albright, 
    45 Kan. App. 2d 618
    , 628-29, 
    252 P.3d 597
     (2011) (questioning extent to which new claim may be considered on appeal in
    civil action).
    If one party materially breaches a contract, the other party has a choice of
    remedies including rescission or money damages. Rescission effectively attempts to place
    the parties in the position they would have occupied had the contract never been made
    and, thus, typically would include the return of any consideration. See Springer v.
    O'Brien, 
    164 Kan. 461
    , 463, 
    190 P.2d 341
     (1948); Erdley v. Dixon, 
    127 Kan. 142
    , 144,
    
    272 P. 154
     (1928); see also Economy Swimming Pool Co. v. Freeling, 
    236 Ark. 888
    , 891,
    
    370 S.W.2d 438
     (1963); Unger v. Ganci, 
    161 N.Y.S.3d 546
    , 549, 
    200 A.D.3d 1604
    (2021); 77A C.J.S. Sales § 228 (rescission remedies for breach of contract). Conversely,
    parties may sue for money damages compensating them for what they would have
    received had other parties performed their obligations under the contract rather than
    breaching. See State ex rel. Stovall v. Reliance Ins. Co., 
    278 Kan. 777
    , 789, 
    107 P.3d 24
    1219 (2005); Steel v. Eagle, 
    207 Kan. 146
    , 151, 
    483 P.2d 1063
     (1971). The two forms of
    remedy are inconsistent, and a party suing for breach can recover on one theory or the
    other and typically must specifically elect a theory. Lehigh, Inc. v. Stevens, 
    205 Kan. 103
    ,
    106-07, 
    468 P.2d 177
     (1970); Rosen v. Hartstein, No. 108,479, 
    2014 WL 278717
    , at *8
    (Kan. App. 2014) (unpublished opinion); Gamesa Energy, 655 Pa. at 372-73.
    Here, from the outset, Dr. Swanson asserted a claim for damages resulting from
    Elysia Marcus' breach of the settlement agreement based on her Yelp post. The jurors
    were never instructed on rescission and restitution. We, therefore, have no reason to treat
    the verdict as one for rescission and restitution. The question remains, however, whether
    the evidence supports a verdict of $2,500 in damages.
    Contract damages must be proved with some degree of specificity and may not
    rest on elongated extrapolation or outright speculation. Stovall, 
    278 Kan. at 789
    ; Venable
    v. Import Volkswagen, Inc., 
    214 Kan. 43
    , 50, 
    519 P.2d 667
     (1974). As we have said, Dr.
    Swanson testified that he and employees of his clinic spent time trying to mitigate the
    effects of Elysia Marcus' Yelp post. Obviously, those efforts would have been
    unnecessary if she refrained from posting. But Dr. Swanson did not quantify the time
    with any particularity and attached no dollar value or financial loss to the diverted time.
    Nor could Dr. Swanson identify any diminution in business and, thus, clinic revenues
    attributable to the post. None of that evidence sufficiently established recoverable breach
    of contract damages.
    But the evidence does show that Dr. Swanson valued Elysia Marcus' performance
    of the settlement—her refraining from suing him and not publicizing the matter—at
    $2,500, since that's how much he paid to buy that measure of peace. We are unwilling to
    say the jury erred in concluding the amount, which was certainly well-defined and
    without speculation, represented a reasonable measure of money damages that would
    25
    make Dr. Swanson whole. In other words, the monetary recovery represents a dollar
    value that substitutes for Elysia Marcus' actual performance of her contractual duties.
    We recognize the dollar amount of the damages matches the consideration Dr.
    Swanson paid for the performance, but we fail to see why that renders the verdict
    inherently unreasonable or outside the evidence, especially on this record. Consistent
    with PIK Civ. 4th 124.16, the jury was instructed that the verdict should "fairly and justly
    compensate" Dr. Swanson for the damages he "sustained as a direct result of the breach
    of contract." We have no reason to suspect, let alone conclude, the jury did something
    other than follow the instructions in arriving at the $2,500 figure. See State v. Crawford,
    
    300 Kan. 740
    , 757, 
    334 P.3d 311
     (2014); Koser v. Atchison, Topeka, & Santa Fe Ry. Co.,
    
    261 Kan. 46
    , 58, 
    928 P.2d 85
     (1996). The amount is neither patently too large nor too
    small and comes within some fair range that would give Dr. Swanson a monetary
    equivalent of his expectation interest or the benefit of the bargain had the Marcuses fully
    performed the settlement agreement. See Louisburg Building & Development, 45 Kan.
    App. 2d at 638 ("The basic goal in awarding contract damages is to put the nonbreaching
    party in the position the party would have been in had the breach never occurred, without
    allowing that party a windfall[,]" thereby protecting an expectation interest.); Vanderpool
    v. Higgs, 
    10 Kan. App. 2d 1
    , 3, 
    690 P.2d 391
     (1984) (recognizing money damages as
    fulfilling aggrieved party's expectation interest in benefit of contractual bargain).
    We find Elysia Marcus has failed to establish any error calling for reversal of the
    jury verdict on Dr. Swanson's breach of contract claim. The arguments raised on appeal
    do not require us to consider what, if any, contractual relationship continues to bind the
    Marcuses and Dr. Swanson based on the settlement agreement. Accordingly, we offer no
    opinion on that score.
    26
    We affirm the district court in all respects on the issues the parties have presented
    to us. The district court properly set aside the verdict for Dr. Swanson on his defamation
    claim and properly retained the verdict for him on his breach of contract claim.
    Judgment affirmed.
    ***
    WARNER, J., concurring in part and dissenting in part: I join my colleagues'
    analysis of the second issue in this case concerning Elysia Marcus' cross-appeal of the
    breach-of-contract verdict. And I have no qualms with the majority's thorough exposition
    of Kansas law relating to defamation claims. I diverge from the majority opinion,
    however, because I believe there was sufficient evidence presented at the trial to allow
    the defamation claim against Marcus to go to the jury.
    Marcus left a Yelp post, including a one-star rating and a lengthy narrative, on Dr.
    Swanson's practitioner page and the page for his medical practice. The post stated that
    Dr. Swanson was a "monster" who was unlicensed and unprincipled and who had
    committed medical malpractice. The jury found Marcus' post to be defamatory—the
    information in the post was false and exposed Dr. Swanson to public contempt or ridicule
    or deprived him of the benefits of public confidence and social acceptance. See Gobin v.
    Globe Publishing Co., 
    232 Kan. 1
    , 6, 
    649 P.2d 1239
     (1982). The jury also found the post
    to be willful and malicious—Marcus intended to injure Dr. Swanson and did so without
    any reasonable justification or excuse. See Turner v. Halliburton Co., 
    240 Kan. 1
    , 8, 
    722 P.2d 1106
     (1986). Though Marcus cross-appealed, she has not challenged these findings.
    We thus accept them as true.
    The only question that remains is whether there was evidence that Marcus' Yelp
    post injured Dr. Swanson's reputation. After being instructed on this element of a
    27
    defamation claim, the jury found Dr. Swanson had proven reputational injury and
    awarded him $15,000 in damages. The district court and the majority of this panel
    disagree with the jurors' assessment. But viewing the evidence in the light most favorable
    to Dr. Swanson, as our standard of review requires, I trust the jury's finding as one
    informed by the evidence, reasonable inferences, and common experience.
    Dr. Swanson presented evidence at trial showing that Yelp is a review-aggregator
    platform. Yelp users leave reviews of businesses, along with a corresponding star-rating,
    with five stars being the highest rating and one star the lowest. The platform then
    highlights certain reviews as "recommended" commentary and deemphasizes other
    reviews that the platform does not recommend. Yelp also provides each business with a
    representative star-rating based on the users' submissions.
    For whatever reason, Yelp highlighted Marcus' defamatory post as a
    "recommended" review. Neither Dr. Swanson nor Marcus provided any evidence about
    what criteria Yelp uses to determine whether a post will be recommended or not. But
    regardless of Yelp's internal criteria, Marcus testified that she posted her statement on
    Yelp because she wanted other people to see it. And after Yelp highlighted her review as
    recommended, Marcus refused to remove the post at Dr. Swanson's—and then his
    lawyer's—request. A reasonable inference from this testimony is that Marcus created her
    post, and then insisted that it remain, because she wanted to influence other people's
    views about Dr. Swanson and his medical practice.
    Dr. Swanson testified that he was concerned enough by the post that he and his
    staff went through significant—though unsuccessful—efforts to remove it. This included
    "hundreds" of hours of his and his staff's time.
    One of Dr. Swanson's patients testified that when she saw the Yelp post, she felt
    "concerned that it might have a negative effect on his practice" and talked with the doctor
    28
    so "he knew it was out there." Dr. Swanson had treated this patient in 2011 (before the
    post), and she again sought treatment in 2018. She explained she "felt alarmed" when she
    read the post because she did not believe it matched her experiences with Dr. Swanson or
    correctly portrayed his quality of work. When Dr. Swanson told the patient he was trying
    to get the post removed, she responded, "Good, because that seems like it could be really
    damaging to your practice."
    It is true, as the majority points out, that—despite Marcus' post—this patient
    sought and received treatment from Dr. Swanson a second time. But her testimony
    regarding reputational harm did not focus on her decision to receive treatment; it
    concerned the post's impact on Dr. Swanson's overall Yelp presence. According to the
    patient, the Yelp platform included 19 posts reviewing Dr. Swanson. Eighteen of those
    posts were positive, with Marcus' statement being the only negative comment. Yet 15 of
    the 19 posts were "not currently recommended" by Yelp and thus initially hidden from
    the main page. This meant that Marcus' post was given a degree of prominence that
    others were not. To "offset [the] negativity" of Marcus' post, the patient posted a positive
    review of Dr. Swanson on Yelp. For unknown reasons, Yelp did not denote this post as a
    "recommended" review, so it was hidden from the main page.
    Dr. Swanson also provided evidence about the effect of Marcus' post on his Yelp
    star-rating. He testified that before Marcus' post, his star-rating—essentially a snapshot of
    his aggregate business ranking—was 5 stars. But after Marcus' 1-star post, his star-rating
    dropped to 3.5 stars. Dr. Swanson testified that without Marcus' post, he would have a 5-
    star rating.
    Dr. Swanson testified that Yelp is an influential business-review platform, which
    is why he took steps to have the post taken down. His patient also testified about her
    reliance on review-aggregator platforms like Yelp in informing her decisions. She
    29
    testified that, given the popularity of Yelp generally and the prominence of Marcus' post
    specifically, the post was "harmful" to his reputation.
    I find this evidence sufficient to demonstrate reputational injury. See Wolfe
    Electric, Inc. v. Duckworth, 
    293 Kan. 375
    , 407, 
    266 P.3d 516
     (2011) (appellate court
    reviewing sufficiency of the evidence must draw all reasonable inferences in favor of
    verdict). Marcus created her Yelp post intending for people to see and be influenced by it.
    She refused to remove the post when it was highlighted by the Yelp platform because she
    knew more people would see her post and be influenced by it. Dr. Swanson's patient
    reached out to him because she was concerned about the post's negative impact. This
    combination of evidence, without more, may have danced on the razor's edge of
    speculation. But Marcus' post also affected Dr. Swanson's reputation in a real, measurable
    sense: It reduced Dr. Swanson's Yelp star-rating from 5 to 3.5 stars. Though people
    might reasonably disagree about how all this evidence should be interpreted, it is
    sufficient—in my view—to support the jury's finding that the post harmed Dr. Swanson's
    reputation.
    My colleagues disagree with this conclusion. But instead of analyzing the
    evidence relating to Marcus' Yelp post and the inferences that arise from that evidence,
    the majority opinion focuses on what kind of evidence was not presented to the jury:
    • The majority notes the absence of any expert testimony measuring the impact of
    the Yelp post or its effect on consumers. See slip op. at 12. But Yelp is "available
    to anyone with Internet access," and no one has argued that evaluating the effect of
    a defamatory post is a matter so outside the realm of consumer experience to
    require expert testimony. See Hassell v. Bird, 
    5 Cal. 5th 522
    , 527, 
    234 Cal. Rptr. 3d 867
    , 
    420 P.3d 776
     (2018). Accord K.S.A. 2021 Supp. 60-456(b) (expert
    testimony is only admissible when it would assist the trier of fact to understand the
    evidence). Jurors do not check their common sense at the courthouse door. In
    30
    2022, we should trust jurors, based on the evidence presented and the instructions
    given, to know what review-aggregator platforms are and to evaluate which posts
    are defamatory and harmful and which posts are not.
    • The majority observes that Dr. Swanson did not provide evidence of more
    traditional measures of reputational injury, such as a decline in business income,
    patient load, or invitations to professional events. See slip op. at 11-13. But
    analysis premised on this observation is rooted in faulty logic; though courts have
    found that those measures demonstrate reputational injury in some cases, these
    potential losses do not exhaust the universe of harms that may enable a defamation
    claim to succeed.
    In either instance, Marcus could have—and did—point out the absence of such evidence
    to the jury. Yet the jury still found Dr. Swanson had shown his reputation was harmed.
    Finally, the majority opinion notes the absence of evidence relating to the precise
    monetary impact of Marcus' post on Dr. Swanson's practice. But in doing so, the majority
    conflates reputational injury and economic loss. While Kansas law requires a person to
    show actual injury to prevail on a defamation claim, courts have never limited
    reputational injury to monetary losses—a reality the majority recognizes. See slip op. at
    11, 14-15. In fact, Kansas law contemplates the opposite—that reputational injury can
    (and often does) include noneconomic harm. In Moran v. State, 
    267 Kan. 583
    , 599, 
    985 P.2d 127
     (1999), which the majority discusses at length, the Kansas Supreme Court
    closed its decision by quoting the Supreme Court of the United States in Gertz v. Robert
    Welch, Inc., 
    418 U.S. 323
    , 349-50, 
    94 S. Ct. 2997
    , 
    41 L. Ed. 2d 789
     (1974):
    "'We need not define "actual injury," as trial courts have wide experience in
    framing appropriate jury instructions in tort actions. Suffice it to say that actual injury is
    not limited to out-of-pocket loss. Indeed, the more customary types of actual harm
    31
    inflicted by defamatory falsehood include impairment of reputation and standing in the
    community, personal humiliation, and mental anguish and suffering. Of course, juries
    must be limited by appropriate instructions, and all awards must be supported by
    competent evidence concerning the injury, although there need be no evidence which
    assigns an actual dollar value to the injury.'"
    See also Comment to PIK Civ. 4th 127.54 (quoting Gertz and noting that "'actual injury
    is not limited to out-of-pocket loss'").
    There is no question that noneconomic injuries can be difficult to quantify,
    regardless of the type of claim or issues raised. But courts routinely entrust juries with
    this task, whether it be in assessing pain and suffering in personal-injury cases,
    reputational injury in defamation suits, or other noneconomic injuries such as emotional
    distress. See, e.g., PIK Civ. 4th 171.02 (instructing juries on noneconomic loss). And
    Marcus does not dispute the suitability of the jury's $15,000 damage award—a factual
    assessment to which appellate courts show great deference. See Jackson v. City of Kansas
    City, 
    263 Kan. 143
    , 154-55, 
    947 P.2d 31
     (1997). She argues that Dr. Swanson's
    defamation claim fails as a matter of law, asserting there is no evidence to support the
    jury's finding that Marcus' Yelp post injured Dr. Swanson's reputation.
    As the majority notes, this case presents the somewhat daunting challenge of
    applying longstanding defamation principles to a situation not envisioned when those
    principles were adopted and developed. With the advent of internet-review websites and
    applications like Yelp, businesses have access to a more active and interactive market
    presence. At the same time, individual reviewers on those platforms can influence others
    in a way that would not have been possible a little more than a decade ago.
    But the law is broad and adaptable. And just because the application of the law
    may lead to unconventional results under a particular set of facts doesn't mean it's not
    right, or that we should not entrust the case to the jury's evaluation and experience.
    32
    Because there was evidence to support the jury's finding that Marcus' Yelp post
    injured Dr. Swanson's reputation, I would reinstate the verdict on Dr. Swanson's
    defamation claim. Thus, I respectfully dissent.
    33