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1. Dodd RY. The risk of transfusion-transmitted infection. N Engl J Med 1992; 327: 419-21. Blumberg N, Triulzi DJ, Heal JM. Transfusion-induced immunmodulation and its clinical consequences. Trans Med Rev 1990; 4: 24-35. Linden JV, Paul B, Dressler KP. A report of 304 transfusion errors in New York State. Transfusion 1992; 32: 601-6. Schriemer PA, Longnecker DE, Mintz PD. The possible immunosuppressive effects of perioperative blood transfusion in cancer patients. Anesthesiology 1988; 68: 422-8. Surgenor DM, Wallace EL, Hao SH, et al. Collection and transfusion of blood in the United States. N Engl T Med 1990; 322: 1646-51. Toy PT, Strauss RG, Stehling LC, et al. Predeposited autologous blood for elective surgery: a national multicenter study. N Engl J Med 1987; 316: 517-20. Consensus conference: Perioperative red blood cell transfusion. JAMA 1988; 260: 2700-3. Miller RD. Transfusion therapy. In: Miller RD, ed. Anesthesiology. New York: Churchill Li&gstone 1994: 1619-46. 9. Messmer KFW. Acceptable hematocrit levels in surgical paY I tients. World J Surg 1; 11: 41-6. Sejourne I', Poirier A, Meakins JL, et al. Effect of haemodilution on transfusion requirements in liver resection. Lancet 1989; 2: 1380-2. Monopolists" will often have a base of sales that includes many brand-loyal customers, making it impossible for the upstart competitor to "match" the defendant's volume or market share targets. Nor would it be a stretch to argue that, under LePage's, single-product volume or market share discounts fall outside the predatory pricing rubric when they are structured so as to "condition" a customer's maximum discount levels on the customer buying so much of the defendant's product that the customer has no interest in the plaintiff's competing product. No less than 3M's rebates, which LePage's argued were conditioned in this way, such programs could be deemed "exclusive dealing" under the rationale of LePage's. See id. at 159.33 This uncertainty about the sweep of LePage's' rationale begs a second, more serious question, to which the court does not provide a satisfactory answer. Why should structured discounts be treated differently than unstructured discounts? So far as the record discloses, 3M's rebates were no more harmful to LePage's than an equal number of dollars off of 3M's private-label prices. Stated another way, although LePage's offered evidence that customers were induced to shift their purchases to 3M to take advantage of 3M's rebates, there was no evidence that the structure of 3M's prices, as distinct from their level, mattered to the decisions of these customers. To be sure, the court emphasized that the multi-product character of 3M's programs allowed it to provide customers with big dollar savings without reducing its prices very much. LePage's would not have been able to provide the same number of dollars without quite significant price reductions, and the court may have inferred that it was truly impossible for any single-product firm--no matter how efficient--to compete on the merits in this environment. But the court of appeals did not require LePage's to offer evidence proving that proposition. And because it did not insist on such proof, the decision could be read as insulating LePage's and similarly-situated competitors from the occasional need to make big price reductions. One reason the court may have been reluctant to apply predatory pricing principles was its apparent perception that the relationship between 3M's prices and 3M's costs could only be performed on an "aggregate" basis for the entire "bundle" of linked products. See id. at 155. If that were so, applying predatory pricing standards probably would give a multi-product monopolist unduly wide latitude to price "above cost" and at the same time undermine effective competition by an efficient single-product rival.34 But such an approach was not the only way that LePage's might have shown that 3M's prices were predatory. As cautiously suggested in 3M's brief, LePage's might have attempted to demonstrate that 3M's rebates, if allocated to the one 3M product with which LePage's competed, would render 3M's effective price for that product below its costs for that product.35 Alternatively, LePage's might have attempted to make the showing--suggested in Ortho 36--that a hypothetical ; company that was as efficient as 3M, but which only sold private and dronabinol.

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REFERENCES 1. Berman I, Sapers BL, Chang J, Losonczy MF, Schmildler J, Green AI: Treatment of obsessive-compulsive symptoms in schizophrenic patients with clomipramine. J Clin Psychopharmacol 1995; 15: 206210 Koran LM, Sallee FR, Pallanti S: Rapid benefit of intravenous pulse loading of clomipramine in obsessive-compulsive disorder. J Psychiatry 1997; 154: 396401 March JS, Frances A, Carpenter D, Kahn DA eds ; : Treatment of obsessive-compulsive disorder. The expert consensus guideline series. J Clin Psychiatry 1997; 58 suppl 4 ; : 64 MICHAEL POYUROVSKY, M.D. Tirat Carmel, Israel ABRAHAM WEIZMAN, M.D. Petah Tiqva, Israel and duragesic.

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