Date: 20100504
Docket: T-55-08
Citation: 2010 FC 490
Ottawa, Ontario, May 4, 2010
PRESENT: The Honourable Madam Justice Mactavish
BETWEEN:
THE ATTORNEY GENERAL OF CANADA
Applicant
and
RUTH WALDEN, ARLENE ABREY,
GLORIA ALLAN, CINDEE ANDRUSIAK, ELIZABETH ANTONY, SANDRA ARMITAGE, KAREN
ATTRIDGE, MARGARET HELEN ATTWOOD, AGNES BABA, KIMBERLY BARBER, GINGER BARNES
(HAINES), PATRICIA BASSO, LINDA BATES, LÉA BEAUCHAMP-CHARLTON, ROXANNE BÉDARD,
NICOLE BEGGS, SHERYL ANN BELL, AFFRENE BENJAMIN, SYLVIE BENOIT-LEMIRE, DIANA
BERARDINETTI, GISÈLE BÉRIAULT, JOANNE BEVILACQUA, JOY BISHOP, ALTHEA BLAGROVE,
DIANA BLANCHARD-MCALPINE, JOY BOBIER, SHARON BOLAND, JANET BO-LASSEN, LINDA
BOND, CHRISTINE BONGERTMAN, SHARON BOOKER, ALINE BOUILLON, KRISTINE BOWES, ANNE
BOYLAN CURRIE, LAURETTE BRADEMANN, JOAN BREUER, SUSAN BRIDGES, MORAG BROAD,
CONNIE BROWN, NANCY BROWN, SUSAN BUOTT, JUDY BURKE, CINDY BUTLER, KARLA
BUTTERFIELD, PAULA CALLAHAN, JAN CAMERON-GIONET, JOANNE CARROTHERS, DIANE CARSON,
NINA CASTLE, ESTHER CAVANAGH, BRENDA CEASAR, MAGGIE CHAN, MICHELE CHARLEBOIS,
PAUL CHARETTE, KATHLEEN SANDRA CHARETTE, TRUDY CHARRON, ELIZABETH CHASE, AMY
CHEN, SHEILA CHRIST, GERALDINE CHRISTOPHER, SHELLEY CHUCKREY, CORY CIAMPA,
CHRISTINE CLOUTIER, DANISE COLLINS, LINDA COLLINS, JACQUELINE COMBDEN, KYLA
CONNERS, SALLY CONSTANTINE, FAY CORMIER, NORMA CORSTORPHINE, LISA COTA (BOWEN),
LOIS COULTIS, TANISHA COULTIS, LYNDA CRAIG, MARTHA CROSS, MARIE CUDA, AGNES G.
CUNNINGHAM, TRACY DAKIN, DIANNE DARCH, MIRANDA DARE, LYNN DARROW, CAROLE
DAVIDSON, CHARLENE DAVIES (JENNER), CONNIE DAVIS, EMILY DEL CASTILLO, MARIAN
DEVINE, JANICE DEYNE, JULIA DHILLON, JUBLEE DHISNA, JOANNE DIETRICH, MELISSA
DINGWALL, DEBRA DOBBERTHIEN, JANET DONALDSON, FRANCES DONELY, CHERYL DOTY,
MONIQUE DOUGLAS, SUSAN DRYSDALE, ELIZABETH DUHAIME, KIM DUKE, LINDA DULONG,
BARBARA DUNCAN, LOUISE DUNCAN, SUSAN DUQUETTE, ANNA T. DURAND, ELAINE DURLING,
CHARLENE DYKSTRA, DENISE ELY, DENISE FEAVER, BONNIE JEAN FENTON, ALLISON
FERREIRA, ROXANNE K. FERRIER, VANDA FIKUS, PAM FITZSIMONDS, MICHELLE FLEURY,
BARBARA FLYNN, DONNA FONTAINE (JONES), JEAN T. FORBES, LEE FRANCZAK, ELIZABETH
FRANKLIN, BARBARA FRASER, RUTH FRAYNE, CONNIE FREEMAN, LAURIE FREEMAN, SUSAN
FREW, SIMONE GARDEZY, FRANCES GARDINER, JUDY GAUTHIER, NICOLE
GAUTHIER-TSCHUPRUK, KARRIE GEVAERT, CHANTAL GIGUERE-CARRIERE, KATIE GIRARD,
RHODA GODIN, DZIDRA GOOR (DECEASED), NANCY GRAHAM, JACQUELINE GRATTON, HAZEL
GRAY, SUZANNE GREEN, CARRIE GRONAU, JANET GUDEL, SHERRY GUIKAS, BRENDA GUTOSKE,
ANGELA HALES, SHEILA HALLS, JEAN HALPENNY, VANESSA HAMBERGER, JAMIE HANLEY,
PAUL HARRIS, SUSAN HARRIS, MARLENE HARRISON, BRENDA HART, LESLIE HASSAN, LISA
HATCHER, MARIE-JEANNE HAWLEY, JACQUELINE HEALY-LENTZ, PATRICIA HÉBERT, CAROLE
HELEY, LARRAINE HENDERSON, MARGARET HENRY, SUSAN HERTZ, JANET HESS, MARILYN
HEWITT, SANDRA HIGHGATE, MARIA HILLMAN, YVONNE HODDER, JEAN HODGSON, JOY HOLT,
DONNA HOOPER, PAMELA HORNING, JUDY HOWARD, LYNDA G. HUESTIS, MARIAN E.
HUMPHREY, CAROLYN HYNES, LISE IRELAND, DALE JAMESON, MAUREEN JOHANSSON,
KATHARINE JOHNSON, MARY B. JOHNSON, DONNA JOHNSTON, PAULETTE JOLICOEUR-WELLS,
BARBARA KADER-FARBER, KATIE KASSAM, RICHARD KAVANAGH, SHARON KEAN, MARY LYNNE
KELLY, MARY LOU KIGHTLEY, GAIL LYNN KIRKPATRICK, CAROL KNOWLES, BETH KOEHLER,
LOUISE KOEN, VERONIKA KREAGER, SALLY KRESS, GERI KRIETEMEYER, HIKKA KUOKKANEN,
JOYCE KUTNIKOFF, LISA LACOMPTE, SHABINA LADHA, COLLEEN LAFLEUR, JENNIFER LAKE,
RUTH LANKTREE, DENISE LAPLANTE, CATHY LAVERY, ANN LAWN, JO-ANNE LAWRENCE,
JOANNA LAWSON, MARY ANN LAWTON-BETTS, CHRISTINE LEACOCK, FRANCOISE LEBEL, DONNA
LEBLANC, GISÈLE LEBLANC, KAREN LEBLANC, NANCY LEBRETRON, COLLEEN LEDREW, ANNE
LEE, CAROLE LEGROS, FLORENCE LESSARD, JOCELYNE LESSARD, MARSHA LETT, MARIELLE
LEVESQUE, BERTRANDE LIBERTY, ELIZABETH LINGENFELTER, TIFFANY LINK, KATHLEEN
LOGAN, SOPHIA LONG, SHIRLEY E. LOWTHIAN, JANET LUCKETT, JANINE LYNCH, JOAN
MACEACHERN, HEATHER MACNEIL, DIANE MACPHERSON, ROSA MADSEN, ARLENE MAHADOO,
CAROL ANN MAHAR, SUZANNE MALTAIS, GLENDA MANNING, SUSAN MANNING, JANET MARSH,
DARLENE MARSHALL, MICHELLE MATWIY, SHARON MAUNDRELL, SHELLEY MAUNSELL, GAIL
MCCARTHY, DIANE MCCLURE, LYNN MCGREGOR, NANCY MCGUIRE, KAREN MCILROY, SANDY
MCKENNA, BARBARA MCKINNON, KEN MCKINNON, PAOLA MCKINNON, ANGELINE MCLAREN, FAY
MCLAUGHLIN, ADELE MCLEAN, DEBORAH MCLEOD, CATHERINE MCPARLAN, BONNIE MCWHIRTER,
MARGARET MEESTER, FARIDA MEGHANI, CAROLE MEGILL-BRESSAN, KAREN MEYER, CHRISTINA
MILLER, SUSAN MITCHELL, NARGIS MITHA, ROBERT MORENCY, DAWN MORGAN, VICTORIA
MORGENSTERN, CHUCK MORRIS, DOREEN MOURITS AARON, JENNIFER MUGFORD, SHERI-LYNN
MUISE, ADRIAN MULHOLLAND, JANE MULLIN, PATRICIA MURPHY, TRACIE MURRAY,
CHARLOTTE NEILL, GLORIA NEMETH, RENEE NOAH, BARBARA NOEL, ANNE NOLET, ROSEMARY
NORDSTROM, COLLEEN NOYLE, JENNIE PAIUK, CHERI PALIN, FRANCIE PALMER, LYNN
PARKER, TISHA PARRIS, FRANCES PAULIN, JOE PELLIZZARO, TAMMY PENNEL, VIKKY
PENNEY, IRENE PEPIN, LINE PERIARD, BARB PERKIN, KATHERINE G. PETERS, MICHELE
PETRAK, SUSAN PETTERSONE, KELLY PEZZOLA, KAREN PICK, MICHELLE PIEROWAY, SANDRA
POLLETT, INESE POPE, ISABELLE PRENAT, DONNA PRICE, MOIRA PRIETO, MAUREEN
RANDELL, DOREEN RASMUSSEN, JANISSA READ, ELMA RENDERS, CHARLOTTE RICHARDSON,
EILEEN RICHARDSON, DONNA RIDEOUT, DONNA RIDOUT, JAMES (JIM) ROBERTS, HELEN
ROBERTSON, DORIS ROBINSON, APRIL RODGERS, PAMELA ROSE, MAJIT ROSS, SHIRLEY
ROSS, ANNE ROWE, MARY ROWSELL, KEVIN RUNDLE, HOLLY RURYK, ELEANOR RUTHVEN,
JOHN RYAN, TRACEY RYAN, JOAN SAARINEN (MARTIN), KIM SAMSON, KAREN SAUNDERS,
KELLY SAUNDERS, ANGELA SCHAFFER, THELMA SCHJERNING, DONNA SCHRANK, DIANE SCHUSTER,
CAROL SCHWAB, CATHY SCOTT, ELIZABETH SEABROOK, SUSAN SEARLE, JULIE SECORD,
LEANNE SEETO, JEANNE SETLER, JANE SHENKAREK, MARGARET SHEPHERD, MARY JO
SHOSTAK, PRISCILLE SIGOUIN, JO ANN SIMMONS, BRENDA SKANDERUP-BERGUM, DIANE
SKODAK, BARBARA SMART, CATHERINE SMITH, BRENDA SPARKES, KIMBERLY SPURRELL,
LAURA STANFORD-MARTIN, CAROL STANLEY, JUDY STANLEY, JACQUELINE ST-DENIS, CARLA
STEINER, HEATHER STEWART, KAREN STEWART, PAULA STEWART, DIANE ST-JACQUES,
JOANNE SUMMERS, NANCY SUMMERS, NABIL TARFA, ANDREA TAYLOR, CHERYL TAYLOR,
SHIRLEY TEATHER, STEPHANIE TEMPEST, LINDA TEMPLETON, KATHERINE THACKER, BHAWNA
THAKRAR, JENNIFER THIBODEAU, VICKI THOMPSON, JO ANN THORP, KELLY TOLE, VERNON
TOEWS, JILL TURNOUR (ESPLEN), PATRICIA TYNDALL, TRINA ULRICH, HEATHER VADOVIC,
LAURA VAN BUSKIRK, MARGARET VANDAALEN, GWEN VANDERHEYDE, JUDITH VAN
HAMOND-BALL, KARI VANKOUGHNETT, DANA VANVLYMEN, ROSE VASTA, JOANNE VELLINGA,
MARILYN VERSTRAETE, YASMIN WALJI, BRENDA WALKER, KAREN WALKER, CECIL WATERS,
MICHELLE WATSON, DONELLY WATT, MARLENE WEEBER, MARCIA WEIR, ANNETTE WETHERLY,
JUDY WHITEWAY, KAREN WIEBE, LYNN WILLIAMS, SHARON WILLIAMS, LORI WILLIAMSON,
GWEN WILLS, SHANNA WILSON, SHARON WINTERS, CYNTHIA M. WITTY, MARGARET WOODROW,
DEBORAH WORTMAN, COLLEEN WOZNY, ANNETTE WYLIE, ANNA YAN-SANG, BRENDA YOUNG,
LEAH YOUNG
and
THE CANADIAN HUMAN RIGHTS COMMISSION
Respondents
REASONS FOR JUDGMENT AND JUDGMENT
I. Introduction
[1]
Although there are some differences in the day-to-day responsibilities
of Medical Advisors and Medical Adjudicators involved in the assessment of
applications for Canada Pension Plan disability benefits, the “core
function” of each position is the same. Both positions require the application
of professional knowledge and expertise in determining applicants’ eligibility
for benefits.
[2]
Medical Advisors are medical doctors. Their positions are classified
within the Health Services Group in the Public Service of Canada classification
scheme, and they are compensated accordingly. A significant majority of
Medical Advisors are male.
[3]
Medical Adjudicators are registered nurses, and the vast majority of them
are female. Their positions are classified within the Public Service’s Program
and Administrative Services Group. This affects the compensation and benefits
to which they are entitled.
[4]
The human rights complaint filed by Ruth Walden and over 400 other
complainants asks why it is that when a CPP doctor makes a determination of
disability, he is practicing medicine, but when a CPP nurse makes a
determination of disability, she is delivering a program.
[5]
No reasonable, non-discriminatory answer to this question was provided
to the Canadian Human Rights Tribunal by Social Development Canada, the
Treasury Board of Canada and the Public Service Human Resources Management
Agency of Canada (collectively “the Government of Canada”). As a consequence,
the Tribunal found that the Government’s refusal to recognize the professional
nature of the work performed by Medical Adjudicators in a manner proportionate
to the professional recognition accorded to the work of Medical Advisors
amounted to a discriminatory practice within the meaning of both sections 7 and
10 of the Canadian Human Rights Act, R.S.C. 1985, c. H-6.
[6]
This is an application for judicial review of that decision. For the
reasons that follow, I have concluded that the Tribunal did not err as alleged
by the Government, and that its decision was reasonable. As a consequence, the
application for judicial review will be dismissed.
II. Background
[7]
In order to appreciate the Government of Canada’s arguments, it is
necessary to have some understanding of the roles and responsibilities of both Medical
Adjudicators and Medical Advisors. It should be noted that the Government does
not challenge any of the Tribunal’s factual findings in this regard. What it
takes issue with is the analysis flowing from these findings, and the
conclusions arrived at by the Tribunal.
[8]
The Canada Pension Plan came into being in 1966. The Plan
provides various forms of benefits to contributors, including disability
benefits. Individuals are eligible for disability benefits if they have
contributed to the Plan for at least five years, and have a “severe and
prolonged mental or physical disability”: see paragraph 42(2)(a) of the Canada
Pension Plan. R.S.C. 1985, c. C-8.
[9]
Because five years of contributions were required before an application
for disability benefits could be brought, it was not until 1971 that medical
doctors were hired to assess claimants’ eligibility for benefits. As a result
of the high volume of applications, these doctors were unable to process all of
the applications in a timely manner, and a backlog soon developed. In 1972,
registered nurses were hired to work with the doctors in assessing applicants’
eligibility for disability benefits.
[10]
All of these individuals originally worked for Health and Welfare Canada.
As the allocation of responsibilities between Ministries has changed over the
years, responsibility for the administration of the Canada Pension Plan shifted
first to Human Resources Development Canada, and then to Social Development
Canada.
[11]
The evidence before the Tribunal was that approximately 80% of the
medical doctors involved in the determination of CPP disability claims are
male. In contrast, 95% of the nurses involved in the assessment of
applications for disability benefits are female.
[12]
Whether the assessment of a claim for disability benefits is carried out
by a doctor or by a nurse, medical knowledge on the part of the assessor is
required to understand and evaluate the documentation submitted in support of
the application. Neither Medical Advisors nor Medical Adjudicators ever
provide any direct care to patients.
[13]
As the Tribunal noted, the classification of positions within the Public
Service of Canada is important, as it determines the professional recognition,
pay, benefits, and opportunities for continuing education and career
advancement that employees will receive.
[14]
In determining how a position should be classified within the Public
Service system, regard is had to the primary function of the position in
question. Positions are first allocated to an Occupational Group. Occupational
Groups are comprised of jobs that are grouped together on the basis that they
involve common duties or similar work. Occupational Groups are sub-divided into
Classification Standards that reflect the specific type of work performed.
[15]
The Health Services Occupational Group is defined as including
“positions that involve the application of medical or nursing knowledge (among
other professional specialties) to the safety, and physical and mental
wellbeing of people”. The Health Services (SH) Group includes a Nursing (NU)
Classification Standard and a Medicine (MD) Classification Standard, among
others.
[16]
The Program and Administrative Services (PA) Occupational Group includes
the Programme Administration (PM) Classification Standard, among many others.
This Occupational Group is made up of positions that “primarily involve the
planning, development, delivery or management of administrative and federal
government programs to the public”.
[17]
Doctors assessing applications for CPP disability benefits are known as
“Medical Advisors” and are classified as MD’s within the Health Services
Group. Nurses assessing such applications are known as “Medical Adjudicators” and
are classified within the Program and Administrative Services Group.
[18]
According to the Tribunal, Medical Advisors have always been part of the
Health Services Group because “the definition of ‘medical officer’ has
historically included positions that have, as their primary purpose,
responsibility for the assessment of medical fitness for the determination of
disability and other federal government benefits”.
[19]
In contrast, Medical Adjudicators have always been classified as “PM’s”
within the Program and Administrative Services Group. The Tribunal found that
positions within the PA Group “do not involve the application of a
comprehensive knowledge of professional specialties such as nursing or
medicine”.
[20]
Medical Adjudicators have long felt that they have been treated unfairly
in this regard. From 1988 until shortly before the Tribunal hearing, Medical
Adjudicators had repeatedly sought to be recognized as health professionals by
having their positions reclassified as part of the Nursing Classification
Standard within the Health Services Group, without success. While
classification reviews were carried out by the Treasury Board and the Public
Service Human Resources Management Agency of Canada, each review confirmed that
Medical Adjudicators were properly classified within the PA group. The Public
Service Labour Relations Board (or “PSLRB”) came to a similar conclusion in a
2006 decision.
III. The Human Rights
Complaints
[21]
Ruth Walden filed her human rights complaint with the Canadian Human
Rights Commission in 2004. Her complaint alleged that she was being subjected
to discrimination on the basis of her sex, contrary to the provisions of
sections 7 and 10 of the Canadian Human Rights Act. Copies of the
relevant statutory provisions are attached as an appendix to these reasons.
[22]
Over the next three years, more than 400 other Medical Adjudicators
joined with Ms. Walden in the complaint.
[23]
A review of Ms. Walden’s complaint form discloses that the focus of her
complaint is on the classification issue.
[24]
Ms. Walden asserts that “CPP doctors have always been recognized as
medical professionals under the federal job classification scheme”, and are
compensated accordingly. In contrast, Ms. Walden says that “CPP nurses have
never been recognized as health care professionals by our employer. We are
called Medical Adjudicators or Service Delivery Specialists but are classified
as Program Managers/Program Administrators (PM3)”. According to Ms. Walden “[t]his
classification does not recognize our status as Registered Nurses” and results
in Medical Adjudicators receiving lower pay than that received by other nurses
working for the federal government, and also provides them less in the way of
professional development opportunities.
[25]
Ms. Walden’s complaint discusses the work performed by Medical Advisors
and Medical Adjudicators over the years, and concludes with the statement that
“[p]ut simply, my employer is saying that when a CPP doctor makes a
determination of disability, he is practicing medicine, but when a CPP nurse
makes a determination of disability, she is delivering a program”. According
to Ms. Walden, treating two groups of health care professionals differently
when they are employed for the same purpose amounts to sex discrimination.
IV. The Tribunal’s
Decision
[26]
In a lengthy and detailed decision, the Tribunal examined the nature of
the work performed by both Medical Advisors and Medical Adjudicators since the
inception of the CPP, as the work performed by each group evolved over time.
a) The Tribunal’s
Findings with Respect to the Establishment of a Prima Facie Case
[27]
The Tribunal concluded that the complainants had established a prima
facie case that the work that Medical Adjudicators have performed since1972
was the same as or substantially similar to the work performed by Medical
Advisors. According to the Tribunal, the “core function” of both types of
position is the application of professional knowledge to determine eligibility
for disability benefits under the Canada Pension Plan.
[28]
The Tribunal further concluded that the Medical Adjudicators had been
denied professional recognition as health professionals by being classified as
Program Administrators. This resulted in the denial of salary and benefits,
including vacation allowance, payment of professional fees, educational and
training opportunities and career advancement that would have flowed from the
classification of Medical Adjudicator positions within the Health Services
Group.
[29]
Given the statistical evidence of strong gender predominance within the
Medical Adjudicator group, the Tribunal found that the classification of
Medical Adjudicators within the Program and Administrative Services Group
rather than the Health Services Group negatively affected a disproportionate
number of women.
[30]
According to the Tribunal, these findings were sufficient to establish a
prima facie case of discrimination under the provisions of section 7 of
the Canadian Human Rights Act.
[31]
The Tribunal also found that the complainants had established a prima
facie case of discrimination under section 10 of the Act. That is, the
Tribunal found that the Government of Canada had, since 1972, pursued a
practice of treating Medical Advisors and Medical Adjudicators as though they
were doing different work, and classifying them accordingly, when they were
doing substantially similar work. Because this practice had a disproportionate
impact on women, this was sufficient to establish the connection between the impugned
practice and the prohibited ground of discrimination.
[32]
As a consequence, the Tribunal found that the burden shifted to the
Government of Canada to provide a reasonable, non-discriminatory explanation
for its conduct.
b) The Tribunal’s
Consideration of the Government’s Explanation
[33]
The Tribunal considered the evidence adduced by the Government of Canada
with respect to the similarities and differences between the Medical
Adjudicator and Medical Advisor positions. While the Tribunal accepted that
there were some differences between the two types of positions, these
differences were not, in the Tribunal’s view, extensive enough to explain the
wide disparity in treatment between Medical Advisors and Medical Adjudicators.
[34]
In particular, the Tribunal found that the Government of Canada failed
to provide a reasonable, non-discriminatory explanation as to why it is that
Medical Advisors are recognized as health professionals, and compensated
accordingly, when their primary function is to make eligibility determinations,
and yet, when Medical Adjudicators perform the same primary function, they are
designated as Program Administrators and are paid half the salary of Medical
Advisors.
[35]
The Tribunal rejected the Government’s contention that the 2006 decision
of the PSLRB holding that Medical Adjudicator positions did not belong in the
Health Services Group provided a reasonable explanation for the differential
treatment.
[36]
The PSLRB found that although Medical Adjudicators used their medical
knowledge in assessing applications for CPP disability benefits, they did not
provide direct health care to applicants. As a consequence, the Board found
that Medical Adjudicators were more properly classified as Program
Administrators.
[37]
The Tribunal observed that the PSLRB was not called upon to compare the
classification of Medical Adjudicators to the classification of Medical
Advisors, nor did it consider the classification issue in the context of the Canadian
Human Rights Act. As a consequence, the Tribunal concluded that the PSLRB
decision was of limited assistance in deciding the issue before it.
[38]
The Tribunal did not accept the explanation offered by Patricia Power,
the Acting Director General of Classification, Policy and Strategy at the
Public Service Human Resources Management Agency of Canada, for the differences
in the way that Medical Advisor and Medical Adjudicator positions were
classified.
[39]
Ms. Power testified that Medical Advisors are included within the Health
Services Group because they meet the Health Services Group Definition and the
Medicine Classification Standard. Medical Adjudicators are not included within
the Health Services Group because they do not meet the Health Services Group
Definition or the Nursing Classification Standard.
[40]
According to Ms. Power, in order to be included within the Health
Services Group Definition, a position must meet the “umbrella definition” for
the Health Services Group Definition, and then fall within an “inclusion
statement” for the MD or the NU Classification Standards.
[41]
The umbrella definition for the Health Services Group provides that the
Group is comprised of positions that are primarily involved in the application
of a comprehensive knowledge of professional specialties in the fields of
medicine and nursing (among others) to the safety and physical and mental
well-being of people.
[42]
Ms. Power stated that Medical Advisor positions meet the umbrella
definition for the Health Services Group, while Medical Adjudicator positions
do not. Ms. Power explained that this is because medical adjudication does not
involve the use of nursing knowledge to provide direct patient care.
[43]
However, the Tribunal observed that Medical Advisors also do not use their
medical knowledge to provide direct patient care in a clinical setting. As a
result, the Tribunal found that if Medical Adjudicators do not meet the
umbrella definition of the Health Services Group because they do not provide
direct patient care, then neither do Medical Advisors.
[44]
Ms. Power explained that Medical Advisors come within the MD
Classification Standard within the Health Services Group because these
positions match one of the “inclusion statements” for that Standard. That is,
“inclusion statement 5” allows for the inclusion of positions within the MD
Classification Standard that involve “the assessment of medical fitness for the
determination of disability and other federal government benefits …” It
appears that there is no comparable inclusion statement for the NU
classification within the Health Services Group.
[45]
Such an inclusion statement was incorporated into a new definition of
the Health Services Group during the Universal Classification System process in
1999. Ms. Power testified that had this new definition been applied to Medical
Adjudicator positions, it would have allowed Medical Adjudicators to be classified
within the Health Services Group.
[46]
However, the new definition was subsequently modified and inclusion
statement 5 was not applied to the Adjudicators because it would have meant
that Medical Adjudicators would no longer be part of the bargaining unit
represented by the Public Service Alliance of Canada, but would instead be
represented by the Professional Institute of the Public Service of Canada.
[47]
Ms. Power explained that in 1993, Treasury Board had been mandated under
the Public Service Reform Act to reduce the number of Occupational
Groups within the Public Service. One of the conditions set out in the
legislation was that the reduction in Groups was not to result in changes to
bargaining unit affiliation. To preserve bargaining unit affiliation, inclusion
5 was explicitly excluded from the NU Classification Standard, and was included
in the MD Standard.
[48]
Ms. Power conceded that if the 1999 UCS process introduced or
re-introduced gender bias into the classification process, it would have been
Treasury Board’s responsibility to re-define the Group Definitions and
Classification Standards in order to remove the bias. She also acknowledged
that Treasury Board has the exclusive authority to determine classifications in
accordance with section 7 of the Public Service Labour Relations Act, S.C. 2003, c. 22, s. 2, and that the
approval of the affected bargaining agents is not required to make
changes to the Classification Standards.
[49]
The Tribunal found that the need for bargaining agent approval was nevertheless
part of the explanation provided by Treasury Board and the Public Service Human
Resources Management Agency of Canada for refusing to change the NU
Classification Standard or the Health Services Occupational Group definition.
[50]
That is, in 2004, Social Development Canada presented a “Business Case”
seeking the reclassification of the Medical Adjudicator positions into a
proposed new sub-group to be created within the NU Classification Standard in
the Health Services Group, recognizing that the work performed by Medical
Adjudicators falls within the scope of nursing practice. Part of the response
of Treasury Board and the Public Service Human Resources Management Agency of
Canada was that such a change could only occur with the support of the affected
bargaining agents.
[51]
This response reiterated that the primary purpose of Medical Adjudicator
positions was not the application of nursing knowledge to the safety and
physical well-being of people or the assessment of medical fitness, but was
rather the administration of a government program.
[52]
The Tribunal found as a fact that if Medical Advisors are considered to
be applying their medical knowledge to the safety and physical well-being of
people and assessing medical fitness in determining eligibility for benefits
for the purposes of determining their classification, then so too should
Medical Adjudicators. As a consequence, the Tribunal found that the Government
of Canada had failed to provide a reasonable and non-discriminatory explanation
for the differential application of classification principles as between
Medical Advisors and Adjudicators.
[53]
The Tribunal thus held that the Government had failed to explain its
refusal to recognize the professional nature of work done by a predominantly
female group of workers performing essentially the same core function as a
predominantly male group of workers whose work does receive professional
recognition.
[54]
Given that the Government failed to adduce any evidence relating to the
cost of accommodating the Medical Adjudicators, the Tribunal also found that a bona
fide occupational requirement had not been established.
c) The Tribunal’s
Conclusion on Liability
[55]
The Tribunal concluded that the complainants had established that the
Government of Canada’s refusal, since March of 1978, to recognize the
professional nature of the work performed by Medical Adjudicators in a manner
proportionate to the professional recognition accorded to the work of Medical
Advisors, constituted a discriminatory practice within the meaning of both
sections 7 and 10 of the Canadian Human Rights Act.
[56]
According to the Tribunal, the effect of this discriminatory practice
was to deprive Medical Adjudicators of professional recognition and
remuneration commensurate with their qualifications. The Tribunal also found
that Medical Adjudicators were denied the payment of their licensing fees, and the
training and career advancement opportunities that were provided to Medical
Advisors.
[57]
The Tribunal did not decide the issue of remedy at the time that it made
its liability finding, but remained seized of the matter in the event that the
parties were unable to resolve the issue between them. I am advised that the
Tribunal has since rendered additional remedial decisions. These decisions are
the subject of applications for judicial review and are not before me at this
time.
[58]
With this understanding of the matters giving rise to this application,
I will next consider the issues raised by the Government, commencing with the
Government’s arguments regarding what it says are the implications of the
“reformulation” of the complaint by the complainants and the Commission.
V. The “Reformulation”
of the Complaint
[59]
The Government asserts that Medical Adjudicators have historically
sought to be classified as part of the Nursing Classification Standard within
the Health Services Group. It was only when the complainants and the
Commission delivered their Statement of Particulars in 2007 that the focus of
the case changed to suggest that Medical Adjudicators do the same work as Medical
Advisors, and the differential treatment between the two groups therefore
amounts to discrimination.
[60]
It is very clear from the wording of Ms. Walden’s human rights complaint
that the fundamental basis for her complaint is her claim that although Medical
Advisors and Medical Adjudicators perform similar functions, Medical
Adjudicators have always been denied the professional recognition accorded to
Medical Advisors, as well as the compensation and benefits to which they
believe they are entitled.
[61]
It is also very clear from the complaint form that the complainants are
of the view that the source of this adverse differential treatment lies in the
application of the Government’s classification scheme. This is illustrated by
the summary provided at the conclusion of the complaint where Ms. Walden states
that “[p]ut simply, my employer is saying that when a CPP doctor makes a
determination of disability, he is practicing medicine, but when a CPP nurse
makes a determination of disability, she is delivering a program”.
[62]
I will revisit this issue when dealing with the question of whether the
Tribunal erred in finding that liability should be assessed as of March of
1978. At this point, I would simply observe that while I agree that the
Statement of Particulars could have been expressed more clearly as it related
to the classification issue, there is no question but that the Government understood
the nature of the allegations against it, and the case that it had to meet.
[63]
I note from a review of the opening statements of counsel for both the
Commission and for the complainants that their position before the Tribunal was
that although the Government classification scheme was neutral on its face, it
was being applied to Medical Adjudicators in a discriminatory fashion. It was
also clearly asserted that the work performed by Medical Advisors was the same
as that done by Medical Adjudicators: see the transcript of Tribunal hearing at
pages 36-40 and 55-59. No concern was raised by counsel for the Government at
the commencement of the Tribunal hearing that this represented a change in the
position of the complainants and the Commission, or that he was taken by
surprise in any way.
[64]
Counsel for the Government confirmed that this was not a situation where
it was prejudiced in some way by a change in the position of the complainants
and the Commission, or that different evidence could have been led if it had
properly understood the nature of the claim. In response to questions from the
Court, counsel expressly confirmed that the issue was not one of fairness, and
that the Government understood the nature of the allegations and the case that
it had to meet.
[65]
Rather, as I understand counsel’s concern, it is that the Tribunal’s
analysis is flawed, and does not properly respond to the issues that it was
called upon to decide. I will deal with this allegation as I examine each of
the issues raised by the Government.
VI. Did the Tribunal
Err in its Choice of Comparator Group?
[66]
The Government argues that in identifying an appropriate comparator
group for the purposes of this complaint, the Tribunal should have had regard
to the level of skill, effort and responsibility involved in the position of
female Medical Adjudicator and the comparator group. In this regard, the
Government cites the decision of the British Columbia Human Rights Tribunal in Prpich
v. Pacific Shores Nature Resort Ltd., 2001 BCHRT 26.
[67]
The Government says that in carrying out its discrimination analysis,
the Tribunal should properly have compared the situation of female Medical
Adjudicators to that of male Medical Adjudicators, as these are the two groups
actually performing similar work, requiring comparable levels of skill, effort
and responsibility.
[68]
The Government further contends that the fact that these two groups have
always been treated in an identical fashion highlights the fact that the
complainants are not suffering from gender-based adverse differential
treatment. As a result, the complainants failed to establish a prima facie
case of discrimination.
[69]
The Tribunal rejected this argument as unreasonable, holding that male
Medical Adjudicators are not a separate group, but are part of the
predominantly female group of Medical Adjudicators. By virtue of their
membership in this group, male Medical Adjudicators are themselves subject to
any potential discriminatory difference in treatment vis-à-vis Medical
Advisors.
[70]
According to the Tribunal, a comparison of male Medical Adjudicators’
work with that of the female Medical Adjudicators would also not be a
meaningful indicator of equal treatment of the overwhelmingly female population
in the group. The Tribunal observed that the complainants alleged that their
inferior working conditions were a function of the strong gender predominance
of their occupational group. This allegation could not be properly tested by
examining the working conditions of the small male minority within their ranks.
a) What Standard
of Review Applies to the Tribunal’s Choice of Comparator Group?
[71]
The first question to be decided in considering the Government’s
argument is the appropriate standard of review to be applied to the Tribunal’s
choice of Medical Advisors as the appropriate comparator group.
[72]
The Government submits that the choice of comparator group is a question
of general law “that is both of central importance to the legal system as a
whole and outside the adjudicator’s specialized area of expertise” as
contemplated by the Supreme Court of Canada in Dunsmuir v. New Brunswick, 2008 SCC 9, [2008]
1 S.C.R. 190 at para. 60. As a consequence, the Government says that this
aspect of the Tribunal’s decision should be reviewed against the standard of
correctness.
[73]
In contrast, the Canadian Human Rights Commission argues that the
Tribunal’s choice of comparator group should be reviewed against the standard
of reasonableness. The complainants have made no submissions in this regard.
[74]
The determination of the relevant comparator group in a specific case
depends heavily on the facts of the particular case at hand. It does not
involve a question of law of central importance to the legal system as a whole.
[75]
Nor is the choice of comparator group a matter outside of the Tribunal’s
specialized area of expertise. Indeed, the Supreme Court of Canada has
determined that the identification of the relevant comparator in a given case
is a core function that lies at the very heart of the Tribunal’s expertise: Canada
(Human Rights Commission) v. Canadian Airlines International Ltd., 2006
SCC 1, [2006] 1 S.C.R. 3 at para. 42. As such, a high degree of deference is
owed to the Tribunal’s finding in this regard: Canada Post Corp. v. Public
Service Alliance of Canada, 2010 FCA 56, [2010] F.C.J. No. 272 at para.
182, per Evans J.A., dissenting, but not on this point.
[76]
In reviewing a decision against the reasonableness standard,
the Court must consider the justification, transparency and intelligibility of
the decision-making process, and whether the decision falls within a range of
possible acceptable outcomes which are defensible in light of the facts and the
law: see Dunsmuir at para. 47
and Canada
(Citizenship and Immigration) v. Khosa, 2009 SCC 12, [2009] 1 S.C.R.
339 at para. 59.
[77]
With this in mind, I will next consider whether the
Tribunal’s choice of Medical Advisors as the relevant comparator group was
reasonable.
b) Was
the Tribunal’s Choice of Comparator Group Reasonable?
[78]
Equality is an inherently comparative concept. In order to
determine whether there has been adverse differential treatment on the basis of
a proscribed ground, it is therefore necessary to compare the situation of the
complainant group with that of a different group.
[79]
A review of Ms. Walden’s complaint form discloses that the
essence of the complaint is the allegedly inferior treatment of Medical
Adjudicators - a female-dominated occupational group - relative to the
treatment accorded to a different, male-dominated occupational group, namely
Medical Advisors. In particular, Ms. Walden and the other complainants object
to the lack of professional recognition accorded to Medical Adjudicators
relative to that accorded to Medical Advisors under the Federal Public Service
job classification scheme.
[80]
While the issues of classification and compensation are undoubtedly
intertwined, this is not simply a wage discrimination case. While the
complainants are undoubtedly concerned about their level of compensation and
the extent of their employment benefits, they have also complained of the
professional recognition allegedly denied to Medical Adjudicators as a result
of their exclusion from the Health Services Group.
[81]
The complaint is not about preferential treatment allegedly
accorded to male Medical Adjudicators vis-à-vis female Medical Adjudicators.
Indeed, any adverse differential treatment suffered by Medical Adjudicators
relative to Medical Advisors would be experienced equally by both male and
female Medical Adjudicators. As Justice Evans observed in his dissenting
opinion in Canada Post, above, it is entirely possible to have males who
are disadvantaged by being members of a female-dominated occupational group: at
para. 185.
[82]
As a consequence, comparing the situation of female Medical Adjudicators
to that of male Medical Adjudicators would not allow for a meaningful
examination of the fundamental basis for the complaint, and would thus make
little sense. The Tribunal’s identification of Medical Advisors as the
appropriate comparator group was reasonable.
[83]
I do not agree with the Government that the fact that there may be
differences in some of the day-to-day duties and responsibilities of Medical
Advisors and Medical Adjudicators necessarily means that Medical Advisors
cannot be the appropriate comparator group for the purposes of the Tribunal’s
discrimination analysis.
[84]
The evidence before the Tribunal was that positions are allocated to an
Occupational Group having regard to the primary function of the position in
question. According to Ms. Power, positions within the Health Services Group
involve the application of a comprehensive knowledge of professional specialties
in the fields of medicine or nursing to the safety and physical and mental
well-being of people. As a result, an examination of the fundamental nature or primary
or “core” function of the work performed by Medical Adjudicators and Medical
Advisors was appropriate.
[85]
It was open to the Government to adduce evidence before the Tribunal as
to the differences between the work performed by Medical Adjudicators and that
carried out by Medical Advisors, as it in fact did. Evidence of this nature
could, if accepted by the Tribunal, potentially provide a reasonable and
non-discriminatory explanation for the differences in treatment between the two
groups. It does not, however, mean that Medical Advisors could not be the
appropriate comparator group for the purposes of the Tribunal’s discrimination
analysis.
VII. Did the Tribunal Err
in Finding that Statistical Evidence of Professional Segregation is Sufficient to
Establish a Prima Facie Case of Sex Discrimination Under Sections 7 and 10
of the CHRA?
[86]
The Government’s next argument is that the Tribunal erred in
allegedly finding that statistical evidence of gender-based professional
segregation is sufficient to establish a prima facie case of sex
discrimination. Before addressing this issue, it is once again necessary to
identify the appropriate standard of review to be applied to this aspect of the
Tribunal’s decision.
a) What Standard
of Review Applies to this Aspect of the Tribunal’s Decision?
[87]
According to the Government, this issue also involves a discrete and
specific question of law, with the result that this aspect of the Tribunal’s
decision should be reviewed against the standard of correctness.
[88]
The Canadian Human Rights Commission once again argues that the
reasonableness standard should be applied to this aspect of the Tribunal’s
decision, and the complainants have made no submissions in this regard.
[89]
There is pre-Dunsmuir jurisprudence establishing that the
formulation of the test for a prima facie case is a question of law, and
is reviewable against the standard of correctness: Morris v. Canada (Canadian
Armed Forces), 2005 FCA 154, 334 N.R. 316 at para. 23.
[90]
In the present case, the Tribunal identified the test for a prima
facie case in paragraphs 5, 7 and 38 of its decision. Although it did not refer
to the case by name, the test identified by the Tribunal is that articulated by
the Supreme Court of Canada in Ontario (Human Rights Commission) v. Simpsons
Sears Ltd., [1985] 2 S.C.R. 536 [O’Malley].
[91]
That is, a prima facie case of discrimination is one that covers
the allegations made, and which, if believed, is complete and sufficient for a
decision in favour of the complainant, in the absence of a reasonable answer
from the respondent: O’Malley at para. 28. Once a prima facie
case of discrimination has been established by a complainant, the burden will then
shift to the respondent to provide a reasonable explanation for the conduct in
issue.
[92]
What the Government takes issue with here is not the test applied by the
Tribunal, but rather the Tribunal’s finding that a prima facie case had
been established under both sections 7 and 10 of the Canadian Human Rights
Act.
[93]
Whether there was sufficient evidence before the Tribunal to constitute
a prima facie case involves the application of the legal test to facts
of this specific case. As a question of mixed fact and law, the Tribunal’s
finding in this regard is reviewable on the standard of reasonableness: Morris
at para. 33.
b) Did the
Tribunal Err in Finding that a Prima Facie Case had been Established Under
Sections 7 and 10 of the Canadian Human Rights Act?
[94]
According to the Government, the Tribunal erred in finding that the
complainants had established a prima facie case of sex-based
discrimination under sections 7 and 10 of the Canadian Human Rights Act
simply by showing that Medical Adjudicators are predominantly female whereas
Medical Advisors are predominantly male.
[95]
In so doing, the Government says the Tribunal erred by treating Medical
Adjudicators’ complaints as allegations of systemic discrimination which would
be more properly dealt with under the pay equity provisions contained in section
11 of the Act.
[96]
In order to appreciate the Government’s argument, it is first necessary
to have some understanding of the similarities and differences between
complaints under sections 7 and 10 of the Act, and pay equity complaints
brought under section 11 of the Act.
[97]
Subsection 7(b) of the Canadian Human Rights Act makes it a
discriminatory practice to differentiate adversely between individuals in
employment on the basis of a prohibited ground of discrimination. Subsection
10(a) of the Act makes it a discriminatory practice to establish or pursue policies
or practices that deprive or tend to deprive an individual or class of
individuals of employment opportunities on the basis of a prohibited ground.
[98]
Section 11 of the Act is intended to address systemic discrimination
resulting from the long-standing societal undervaluation of work performed by
female-dominated occupational groups. To this end, the scope of protection offered
by section 11 of the Act “is delineated by the concept of ‘equal value’”: Syndicat
des employés de production du Québec et de l'Acadie v. Canada
(Human Rights Commission), [1989] 2 S.C.R. 879, 62 D.L.R. (4th) 385 (S.E.P.Q.A.),
at para. 80, per L’Heureux-Dubé, J. dissenting, but not on this point.
[99]
That is, section 11 of the Act allows for the comparison of very
different types of work being performed by groups of employees working within
the same establishment, in order to determine whether there has been wage
discrimination. This is done by measuring the value of the work performed by
each group against certain specified criteria, namely skill, effort,
responsibility and working conditions. The Equal Wage Guidelines, 1986,
SOR/86-1082, issued by the Canadian Human Rights
Commission in accordance with subsection 27(2) of the Act provide additional
assistance in assessing the relative value of different types of jobs.
[100] As
Justice Evans observed in Canada (Attorney General) v. Public Service
Alliance of Canada, [2000] 1 F.C. 146, 176 F.T.R. 161, the nature of
systemic discrimination is such that it is often difficult to prove that the
disadvantaged position of many members of particular groups in the workplace is
based on the attributes associated with the groups to which they belong: at
para. 151.
[101] Justice
Evans went on to note that section 11 of the Canadian Human Rights Act
addresses the problem of proof by creating a rebuttable presumption of
gender-based discrimination when it can be shown that men and women working in
the same establishment are paid different wages for work of equal value: at
para. 152. See also Canada Post Corp. v. Public Service Alliance of Canada,
2008 FC 223, [2008] 4 F.C.R. 648 at paras. 227-228.
[102] According
to the Government, the Tribunal erred in this case by importing the section 11
presumption into its analysis in support of its finding that a prima facie
case of discrimination had been established, without first going through the
rigours of a full section 11 pay equity analysis.
[103] That
is, the Government asserts that the Tribunal presumed that any differences in
the treatment of Medical Adjudicators relative to that accorded to Medical
Advisors was a result of the fact that the Medical Adjudicator group was predominantly
composed of women.
[104] The
Government says that in the absence of evidence to the contrary, any
differential treatment as between Medical Adjudicators and Medical Advisors “would
simply reflect prevailing assumptions regarding the relative worth of nurses’
and doctors’ work. Doctors are assumed to have superior knowledge, and more
onerous tasks and responsibilities compared to nurses regardless of whether
they are men or women”: see the Government’s memorandum of fact and law at
para. 68.
[105]
As the Federal Court of Appeal observed in Morris, the legal definition of a prima facie case does not
require the complainant to adduce any particular type of evidence to prove the
facts necessary to establish that he or she was the victim of a discriminatory practice
within the meaning of the Canadian Human Rights Act: see para. 27.
[106]
Indeed, the Federal Court of Appeal has
specifically rejected the appropriateness of having a precise formula or test
for the establishment of a prima facie case, noting that a flexible
legal test is better suited to advance the broad purpose underlying the Canadian
Human Rights Act. The Court noted that “[d]iscrimination takes new and
subtle forms” and that it was “now recognized that comparative evidence of
discrimination comes in many more forms than the particular one identified in [the
jurisprudence]”: Morris at para. 28.
[107] Moreover, the determination of what type of evidence will
establish a prima facie case in a given set of circumstances is a matter
more within the expertise of the Canadian Human Rights Tribunal than that of
the Court: Morris at para. 29.
[108] The
Government’s argument in this case appears to be based upon the discussion
appearing at paragraphs 38-41 of the Tribunal’s reasons. Of particular
significance is the statement in paragraph 39 that “[s]tatistical evidence that
apparently neutral conduct negatively affects a disproportionate number of
members of a protected group is sufficient to establish a prima facie case
under sections 7 and 10”.
[109] I
agree with the Government that statistical evidence of professional occupational
segregation, by itself, is not sufficient to establish a prima facie
case of sex discrimination under either section 7 or section 10 of the Canadian
Human Rights Act. Indeed, the Canadian Human Rights Commission
concedes as much at paragraph 61 of its memorandum of fact and law, although the
complainants do not agree.
[110] That
is, a prima facie case of sex-based discrimination under sections 7 and
10 of the Act would not be established simply by demonstrating, for example,
that the majority of secretaries working in a military hospital are female and
the majority of neurosurgeons are male. Without more, this demonstrates
nothing more than the existence of gendered occupational segregation.
[111] I
would also note that statistical evidence of professional occupational segregation,
would not, by itself, be sufficient to establish a prima facie case of
wage discrimination under section 11 of the Act, in the absence of other
evidence establishing the equal value of the work under consideration: S.E.P.Q.A.
at para. 82.
[112] However,
when one examines the Tribunal’s reasons, it is clear that it did not rely
solely on the statistical evidence of occupational segregation in coming to its
conclusion that a prima facie case of discrimination had been
established both under section 7 and section 10 of the Act.
[113] Before
discussing the other evidence considered by the Tribunal which supported its prima
facie case findings, I will start by addressing the significance of the
statistical evidence in this case. It will be recalled that this evidence
demonstrated that the vast majority (95%) of Medical Adjudicators are female
and that a significant majority (80%) of Medical Advisors are male.
[114] As
Justice Richard observed in Canada (Canadian Human Rights Commission)
v. Canada (Department of National Health and Welfare) (re
Chopra), (1998), 146 F.T.R. 106, 79 A.C.W.S. (3d) 126, statistical evidence
can be useful in human rights complaints. Such evidence may constitute
circumstantial evidence from which inferences of discriminatory conduct may be
drawn: see para. 21, citing Blake v. Minister of Correctional Services
(1984), 5 C.H.R.R. D/2417 (Ont.), which was in turn citing Davis v. Califano,
613 F. 2d 957 (1979) at 962.
[115] Statistical
evidence can also be an important tool for placing seemingly inoffensive employment
practices in their proper perspective: Chopra at para. 20, citing Senter
v. General Motors Corp., 532 F. 2d 511 (1976).
[116] Indeed,
the Supreme Court of Canada has observed that statistical
evidence of professional segregation “is a most precious tool in uncovering
adverse discrimination” under sections 7 and 10 of the Canadian Human Rights
Act: S.E.P.Q.A. at para. 80, per L’Heureux-Dubé, J.
dissenting, but not on this point.
[117] That
said, the evidence relied upon by the Tribunal in finding that a prima facie
case had been established demonstrated more than the mere fact that individuals
occupying positions as Medical Advisors are predominantly male, whereas the
vast majority of those working as Medical Adjudicators are female.
[118] I
will return to consider the evidence adduced by both sides in relation to the
similarities and differences between the work of Medical Advisors and Medical
Adjudicators in the next section of these reasons. Suffice it to say that
there was considerable evidence put before the Tribunal by the complainants
with respect to the similarities in the nature of the work performed by Medical
Adjudicators and Medical Advisors.
[119] This
evidence was carefully examined by the Tribunal, which found that while there
were some differences in the work performed by the two groups, the “core
function” of both Medical Adjudicator and Medical Advisor positions involved
the application of professional knowledge to the determination of eligibility
for CPP disability benefits: see Tribunal decision at para. 11.
[120] The
Government has not challenged this finding.
[121] It
was not disputed that Medical Advisors have always been recognized as health
professionals under the Public Service classification scheme, whereas Medical Adjudicators
have not. In this regard, the Tribunal found that application of Medical
Advisors’ medical knowledge in the determination of eligibility for CPP
benefits has always been reflected in their classification as MD’s within the
Health Services Group.
[122] In
contrast, the application of the Medical Adjudicators’ knowledge and expertise
has never been reflected in their classification as program administrators
within the Program Administration Group: see Tribunal decision at para. 75.
[123] It
was also not disputed that health professionals (including Medical Advisors)
within the Health Services Group have always received more vacation allowance
than Medical Adjudicators. Medical Adjudicators also receive less in the way
of pay and other employment benefits.
[124] All
of this evidence was carefully considered by the Tribunal in coming to its
conclusion that a prima facie case of discrimination under section 7 of
the Canadian Human Rights Act had been established: see the Tribunal
decision at paras. 42-81.
[125] In
light of the above, I am satisfied that the Tribunal’s conclusion that the
evidence adduced by the complainants, including, but not limited to the
statistical evidence of gendered occupational segregation, was sufficient to
establish a prima facie case of discrimination under section 7 of the Canadian
Human Rights Act was one that was reasonably open to it on the record
before it.
[126] Similarly,
the Tribunal did not rely solely on the statistical evidence of occupational segregation
in coming to the conclusion that a prima facie case of discrimination
under section 10 of the Act had been established.
[127] The
Tribunal found that since 1972, the Government had pursued a practice of
treating Medical Advisors and Medical Adjudicators as though they were doing
different work, and classifying them accordingly. However, there was evidence
before the Tribunal showing that the core function of the two positions was the
same, and that the work performed by Medical Adjudicators was the same as, or
substantially similar to the work done by the Medical Advisors.
[128] All
of this evidence was considered by the Tribunal in determining whether a prima
facie case of discrimination under section 10 of the Act had been made out:
see the Tribunal decision at paras. 82-101.
[129] Moreover,
the statistical evidence before the Tribunal showed that the Government’s
practice had a disproportionate adverse effect on women, as a result of the
predominance of women in nursing generally, and in Medical Adjudicator positions
in particular.
[130] In
dealing with allegations of discrimination such as those in issue in this case,
it is not necessary for the complainants to demonstrate that the Government had
a discriminatory intent pursuing a particular policy or practice in order for a
prima facie case of discrimination under section 10 of the Act to be
made out: see, for example, C.N.R. v. Canada (Canadian Human Rights
Commission), [1987] 1 S.C.R. 1114 at paras. 34 and 40 [“Action Travail
des Femmes”].
[131] That
is, it will be sufficient if the complainants can show that the effect
of the Government’s policy or practice is to withhold or limit access to
opportunities, benefits, or advantages to one group that are made available to
another: see O’Malley, above, at para. 12, and Law Society British
Columbia v. Andrews, [1989] 1 S.C.R. 143, 91 N.R. 255 at para. 37.
[132] The
evidence before the Tribunal established that the unintended effect of a
Government practice was to expose a disproportionate number of women to
unfavourable treatment by depriving them of employment opportunities that are
available to men who are performing the same core function, and the same or
substantially similar work. This was sufficient to establish a prima facie case
of discrimination under section 10 of the Act, thereby shifting the burden to
the Government of Canada to provide a reasonable explanation for the conduct in
question.
[133] Before
leaving this issue, reference should be made to the Government’s argument that
in the absence of evidence to the contrary, any differential treatment as
between Medical Adjudicators and Medical Advisors would simply reflect
prevailing assumptions regarding the relative worth of nurses’ and doctors’
work.
[134] With
all due respect, it is these sorts of “prevailing assumptions” regarding the
relative worth of work performed by male-dominated and female-dominated
occupations that are precisely what the Canadian Human Rights Act seeks
to address through provisions such as sections 7, 10 and 11: see, for example, Action
Travail des Femmes, at para. 34, and Public Service Alliance of Canada
v. Canada (Department of National Defence), [1996] 3 F.C. 789
(F.C.A.) at paras. 11-16 [“NPF”].
VIII. Did
the Tribunal Make Inconsistent Findings Regarding the Similarity of Work?
[135] The
Government submits that the Tribunal’s finding that Medical Adjudicators and
Medical Advisors do the same or substantially similar work was inconsistent
with its finding that Medical Advisors’ work differed from that of Medical
Adjudicators in certain respects. According to the Government, either the two
positions are substantially similar, or they are not because there are
important differences between them.
[136] There
is no suggestion by the Government that the Tribunal’s description of the
similarities and differences between the two positions is inaccurate, nor is
there any suggestion that any evidence in this regard was overlooked or
misconstrued by the Tribunal. Rather, the Government’s argument is that having
concluded that there were differences in the work performed by the two groups,
it was simply unreasonable for the Tribunal to conclude that Medical
Adjudicators and Medical Advisors do the same or substantially the same work.
[137] A
question as to a potential inconsistency in the Tribunal’s factual findings
involves the Tribunal’s appreciation of the facts of the case. As such, the
findings are reviewable against the standard of reasonableness.
[138] In
its reasons, the Tribunal carefully reviewed the evidence adduced by both sides
as to the similarities and differences in the duties and responsibilities of
Medical Adjudicators and those of Medical Advisors as they evolved over time.
The Tribunal concluded that throughout the history of the CPP disability
benefit program there has been, and continues to be, “a significant overlap” in
the functions performed by Medical Advisors and Medical Adjudicators.
[139] As
noted earlier, the Tribunal found that the “core function” of both types of
position was the same and that both Medical Advisors and Medical Adjudicators
applied their professional qualifications and expertise in determining the
eligibility of applicants for disability benefits under the Canada Pension
Plan.
[140] The
Tribunal did accept that Medical Advisors’ work differs from Medical
Adjudicators’ work in certain respects. The Tribunal found that unlike Medical
Adjudicators, Medical Advisors have always provided an oversight and advisory
role in the determination of eligibility for benefits. According to the
Tribunal, this involved the provision of medical advice on difficult files,
training, and final decision-making responsibility at certain levels of the
process. In addition, Medical Advisors provide expert medical testimony before
the Pension Appeals Board - something that Medical Adjudicators do not do.
[141] The
Tribunal thus found that Medical Advisors bring a different kind of knowledge
to the program, perform some different tasks, and have been given some
different responsibilities than Medical Adjudicators.
[142] The
Tribunal concluded that these differences provided a reasonable,
non-discriminatory explanation for some of the differences in salary and
benefits between the two groups of employees. The differences in job function
also explained why Medical Advisor and Medical Adjudicator positions might
occupy different levels within a classification standard within the Health
Services Group.
[143] However,
the Tribunal also found that the differences in the work responsibilities between
the two positions were not extensive enough to explain the wide disparity in
treatment between Medical Advisors and Medical Adjudicators. In particular,
the Tribunal observed that:
[T]he [Government] has failed to provide a reasonable non-discriminatory
response to the following question: why have the advisors been recognized as
health professionals, and compensated accordingly, when their primary function
is to make eligibility determinations and yet, when the adjudicators perform
the same primary function, they are designated as program administrators and
are paid half the salary of the advisors? [at para. 121]
[144] In
my view, there is no inconsistency in the Tribunal’s findings that would render
its conclusions unreasonable.
[145] As
was noted earlier, the focus of Ms. Walden’s human rights complaint is on the
classification issue. Her concern is that Medical Advisors are recognized as
medical professionals within the Health Services Group and are compensated
accordingly, whereas Medical Adjudicators have never been recognized as health
care professionals by their employer and have suffered as a result.
[146] Medical
Adjudicators are classified as Program Managers/Program Administrators, a
classification that does not recognize their status as registered nurses. This
results in Medical Adjudicators receiving less in the way of pay and benefits
than that received by other nurses working for the federal government, and also
gives them less in the way of professional development opportunities. Indeed,
the evidence before the Tribunal indicated that Medical Adjudicators earn
between $10,000 and $13,000 less than clinical nurses employed by the
Government, and approximately half of what Medical Advisors are paid. The
classification of Medical Adjudicators as Program Managers/Program
Administrators also means that they are denied employment benefits that are available
to Medical Advisors.
[147] According
to the evidence before the Tribunal positions are categorized within
Occupational Groups having regard to the primary function of the position,
rather than the professional qualifications of the incumbents. The Health
Services Group is comprised of positions that are primarily involved in the
application of a comprehensive knowledge of professional specialties in the
fields of medicine and nursing (among others) to the safety and physical and
mental well-being of people. Neither Medical Advisors nor Medical Adjudicators
provide care directly to patients. Nevertheless, Medical Advisors are included
within the Health Services Group and Medical Adjudicators are not.
[148] It
appears from Ms. Power’s testimony that the reason that Medical Advisors were
historically included within the Health Services Group even though they do not
provide patient care is because “Inclusion Statement 5” in the MD definition
allows for the inclusion of medical doctors involved in the assessment of
medical fitness for the determination of disability and other federal
government benefits. There is evidently no similar “Inclusion Statement”
currently in the Nursing definition. Although such an Inclusion Statement was
part of the definition of the Health Services Group for a brief period between
1999 and 2003, it was not applied to Medical Adjudicators because its
application would have resulted in a change in their bargaining unit.
[149] It
was in this context that the Tribunal found that the primary or “core” function
of both Medical Advisors and Medical Adjudicators was the same. Both types of
positions required the application of medical qualifications and expertise in
determining the eligibility of applicants for disability benefits under the Canada
Pension Plan, and the Tribunal found that there was “a significant overlap”
in the functions performed by both groups.
[150] It
once again bears repeating that the Government has not challenged these factual
findings.
[151] It
was also in this context that the Tribunal asked itself why Medical Advisors
have always been recognized as health professionals, and compensated
accordingly, when their primary function is to make eligibility determinations
and yet, when Medical Adjudicators perform the same primary function, they are
designated as program administrators and are paid half the salary of the
Medical Advisors.
[152] It
is thus clear that the focus of this aspect of the Tribunal’s reasons was on
the essential nature and character of the work performed by both Medical Advisors
and Medical Adjudicators, as opposed to the precise day-to-day responsibilities
and duties of each position. The Tribunal’s finding that the essential nature
and character of the work performed by both groups is the same is not
inconsistent with its finding that there are, in fact, some differences in the
day-to-day responsibilities and duties of each group.
[153] Nor
is there any inconsistency between the Tribunal’s finding that the essential
nature and character of the work performed by both groups was the same, and its
finding that the differences in the responsibilities and duties of the two
groups could nonetheless justify some of the differences in salary and
benefits, and could also explain why Medical Advisor and Medical Adjudicator
positions might occupy different levels within a classification standard within
the Health Services Group.
[154] That
is, the Tribunal found that the fact that Medical Advisors may fulfill an
oversight and advisory role could potentially justify a higher level of pay and
benefits than that accorded to Medical Adjudicators. This does not, however,
take away from the Tribunal’s finding that the essential nature and character
of the work performed by both groups was the same.
[155] Nor
do the differences in the day-to-day responsibilities and duties of each group
explain why it is that, to quote Ms. Walden’s human rights complaint, “… when a
CPP doctor makes a determination of disability, he is practicing medicine, but
when a CPP nurse makes a determination of disability, she is delivering a
program”.
[156] As
a consequence, I am not persuaded that there is any inconsistency in the
findings of the Tribunal that would render the decision unreasonable.
IX. Did the Tribunal Err
in Finding that Sections 7, 10 and 53 of the Canadian Human Rights Act Demand
that the Employer Offer Proportionate Pay for Proportionate Work?
[157] The
Government submits that having found that the differences in work
responsibilities between Medical Adjudicators and Medical Advisors are not
extensive enough to explain the wide disparity in their treatment, the Tribunal
created new law by finding that sections 7 and 10 of the Canadian Human
Rights Act require that employers pay “proportionate compensation for proportionate
work”.
[158] In
support of this contention, the Government points to paragraph 143 of the
Tribunal’s decision where it states that:
I find, on a balance of probabilities, that the Complainants have
established that the [Government’s] refusal since March of 1978, to recognize
the professional nature of the work performed by the medical adjudicators in a
manner proportionate to the professional recognition accorded to the
work of the medical advisors, is a discriminatory practice within the meaning
of both ss. 7 and 10. The effects of the practice have been to deprive the
adjudicators of professional recognition and remuneration commensurate
with their qualifications, and to deprive them of payment of their licensing
fees, as well as training and career advancement opportunities on the same
basis as the advisors. [the Government’s emphasis]
[159] The
Government says that the Tribunal erred in this regard, as it is not a
discriminatory practice under either section 7 or section 10 of the Act for an
employer to pay different wages to employees performing different work. Moreover,
the remedial powers of the Tribunal identified in section 53 of the Act do not
extend to authorize compensation, in the absence of a discriminatory practice
having been established. According to the Government, in so doing the Tribunal
erred in law, and this aspect of the Tribunal’s decision should be reviewed
against the standard of correctness.
[160] Even
if I were to accept the Government’s contention that correctness is the
standard of review to be applied to this aspect of the Tribunal’s decision, I
do not agree that the Tribunal erred as alleged.
[161] A
fair reading of the Tribunal’s decision as a whole reveals that the Tribunal
did not purport to impose an obligation on employers to pay proportionate
compensation for proportionate work. Rather, the Tribunal’s concern was with
the failure of the Government to recognize the professional nature of the work
performed by the Medical Adjudicators in the way that the work of Medical
Advisors was recognized through the inclusion of these latter positions within
the Health Services Group.
[162] This
is made very clear in paragraph 11 of the Tribunal’s decision where, in
summarizing its findings, the Tribunal stated that:
The core function of both positions is applying professional knowledge to
determine eligibility for CPP disability benefits. The Respondents have failed
to provide a reasonable, non-discriminatory explanation as to why this function
is medical work when the advisors do it, and program administration work when
the adjudicators do it.
[163] It
was this denial of professional recognition through the classification process
for positions performing the same “core function” (and many of the same duties)
that was identified as the discriminatory practice by the Tribunal.
[164] It
is true that pay levels within the Federal Public Service are largely
determined by the classification of positions within an Occupational Group and
sub-group, and by the level of positions within the relevant sub-group. As the
Government conceded in the hearing before me, the issues of compensation and
classification are closely intertwined and it is difficult to disengage one
from the other.
[165] It
is also true that the reclassification of Medical Adjudicators to include them
within the Health Services Group could increase the wages paid to Medical
Adjudicators, and could also improve their employment benefits. However, this
would be the consequence that flows from Medical Adjudicators receiving the
professional recognition accorded to others performing the same “core function”.
It is not the result of the imposition of a purported legal obligation by the
Tribunal requiring the Government to pay proportionate compensation for
proportionate work.
X. Did the Tribunal Err in Finding that Liability
Should be Assessed from March of 1978 to the Present Time?
[166] The
Government’s final argument is that the Tribunal erred in finding that liability
should be assessed from the point at which the Canadian Human Rights Act
came into force in March of 1978, up to the time of the Tribunal hearing.
[167] According
to the Government, the facts of this case do not warrant a departure from the
“ordinary practice” of awarding remedies for no more than one year prior to the
filing of the human rights complainant.
[168] I
agree with the parties that reasonableness is the appropriate standard of
review to be applied to this aspect of the Tribunal’s decision.
[169] In
support of its position, the Government relies on the comments of the Federal
Court of Appeal in NPF, above, at paras. 46-49, where the Court
discussed the “appropriate cut-off date” for an award of damages for lost wages
in a section 11 pay equity case.
[170] The
Court noted that the claim in that case was specifically limited to the period
commencing one year prior to the date of the filing of the complaint. There was
also evidence before the Tribunal that it was the Commission’s practice to
limit claims in this fashion. According to the Court, there was arguably some
justification for this practice in light of the one-year limitation period
contained in paragraph 41(e) of the Canadian Human Rights Act.
[171] The
Federal Court of Appeal went on in paragraph 49 of its reasons to observe, in obiter,
that “there must be some reasonable time frame fixed around any claim for
retroactive pay”. While recognizing that the provisions of the Act are remedial
rather than punitive, the Court noted that it may represent a considerable
hardship to an employer to have to face claims for retroactive wages going back
many years. An employer may be disadvantaged by the passage of time in its ability
to marshal evidence regarding the duties of the jobs in issue, their value, and
the wages paid. The Court further observed that “the presumption that systemic
discrimination will have produced the same effects in the past as it does in
the present clearly becomes weaker the further it is extended into the past”.
[172] As
a result, the Federal Court of Appeal stated that it would be unreasonable to
allow a complainant to sustain a claim for wage discrimination for an unlimited
period of time. The Court was of the view that, in ordinary circumstances, the
Commission's practice of limiting claims to one year prior to the filing of the
complaint struck “a reasonable balance between the competing interests
involved”. The Court went on to recognize, however, that like any limitation
period, the one-year period was somewhat arbitrary, and could be varied in
cases where it could be demonstrated that a longer or shorter period was
warranted: NPF at para. 49.
[173]
In considering the Government’s argument, it is important to put
the comments of the Federal Court of Appeal in NPF into context. In NPF,
the Government had admitted liability under section 11 of the Act. What was at
issue before the Tribunal, and, subsequently, the Federal Court of Appeal, was
whether the remedy should include a retroactive wage
adjustment for a period extending back one year prior to the filing of the
original complaint: see NPF at para.
11.
[174] As a consequence, all of the Federal Court of
Appeal’s comments were made in relation to the exercise of the Tribunal’s
discretionary remedial power under section 53 of the Canadian Human Rights
Act.
[175] As
the Tribunal observed in this case at paragraph 31 of its reasons, one has to
distinguish between the determination of liability for discriminatory conduct
under sections 7 and 10 of the Act, and the exercise of the Tribunal’s remedial
discretion under section 53(2) to compensate victims for losses caused by the
discriminatory conduct. As the Tribunal noted, these are “related, but
separate questions”.
[176] In
this case, the Tribunal first had to determine whether the conduct of the
Government of Canada constituted a discriminatory practice under either section
7 or section 10 of the Canadian Human Rights Act. Assuming that a
discriminatory practice was found to have occurred, part of the Tribunal’s
inquiry required a finding as to when the discriminatory practice had
commenced.
[177] The
complainants alleged that the discriminatory practice began with the hiring of
the first nurses to work as Medical Adjudicators in 1972. The Tribunal did not
accept this argument. Relying on decisions such as Robichaud v. Canada
(Treasury Board), [1987] 2 S.C.R. 84, 75 N.R. 303, at para. 20, the
Tribunal observed that the Canadian Human Rights Act only came into
force in March of 1978, and does not generally have retrospective application
to conduct and practices which occurred prior to that date: see Tribunal
decision at para. 27.
[178] The
Tribunal also rejected the Government’s contention that its potential liability
for discriminatory conduct or practices should be further limited to one year
prior to the filing of Ms. Walden’s complaint in 2004. As the Tribunal noted,
this would mean that it would be required to dismiss the complaints of those complainants
who left the CPP disability benefit program prior to 2003.
[179] As
the Federal Court of Appeal observed in the NPF decision, there is a
one-year limitation period contained in paragraph 41(1)(e) of the Canadian
Human Rights Act. This limitation period is not absolute, however, and the Commission
has the discretionary power to accept complaints regarding discriminatory
practices allegedly occurring more than one year prior to the filing of the
complaint. This is what appears to have happened with respect to many of the
complaints in this case.
[180] It
was in this context that the Tribunal made its finding that the discriminatory
practice in issue in this case - namely the Government’s refusal to recognize
the professional nature of the work performed by Medical Adjudicators in a
manner proportionate to the professional recognition accorded to the work of
Medical Advisors – began in March of 1978, with the coming into force of the Canadian
Human Rights Act: see Tribunal decision at para. 143. This was a finding
that was reasonably open to it on the record before it.
[181] The
Government argues that it would not be fair for it to be “on the hook” for back
wages extending over a period of more than 30 years. In particular, the
Government says that the Medical Adjudicators did not clearly articulate their
complaint prior to filing their Statement of Particulars in April of 2007.
This deprived the Government of the opportunity to make representations to the
Commission as to why it should not exercise its discretion under paragraph
41(1)(e) of the Act to deal with acts or omissions which occurred more than one
year before the filing of the complaint.
[182] The
Government says that throughout the history of this dispute, Medical
Adjudicators have only sought reclassification as nurses within the NU Classification
Standard. The suggestion that Medical Adjudicators do the same work as Medical
Advisors, and that the differential treatment between the two groups therefore
amounted to discrimination, was clearly articulated for the first time only in
April of 2007 with the delivery of the complainants’ Statement of Particulars.
[183] I
would start by observing that although their approach to the issue may have
evolved over time, it is clear from the record that the Medical Adjudicators
have long been consistent in their position that they were being treated
unfairly by the Government in the way that their positions were classified, and
that the failure of the Government to include their positions within the Health
Services Group meant that they were being denied the professional recognition
to which they believed that they were entitled.
[184] It
is also clear that the Medical Adjudicators have made no secret of their
dissatisfaction with the situation, and that it has been an ongoing source of
friction between the Medical Adjudicators and their employer for many, many
years.
[185] Moreover,
Ms. Walden’s 2004 complaint form makes it very clear that the Medical
Adjudicators were of the view that the differences in the treatment accorded to
them relative to that accorded to Medical Advisors constituted discrimination
on the basis of sex. In this regard, it will be recalled that Ms. Walden’s
complaint concludes with the statement that:
Put simply, my employer is saying that when a CPP doctor makes a
determination of disability, he is practicing medicine, but when a CPP nurse
makes a determination of disability, she is delivering a program.
[186] As
I understand it, after Ms. Walden filed her human rights complaint, other
Medical Adjudicators joined in the complaint. It appears that this was done by
simply adding these individuals to Ms. Walden’s complaint, rather than having
them file separate complaint forms. Thus, the allegations made by all of the
complainants are exactly the same.
[187] As
a consequence, the Government would - or should - have been aware at the time
that these additional complainants joined in the complaint that it faced
allegations of discrimination involving Medical Adjudicators going back many
years, and that these complaints related to the professional recognition denied
to Medical Adjudicators in comparison to that accorded to Medical Advisors.
[188] It
should also be noted that there is a positive obligation on employers to
provide a workplace that is free from discrimination. There is no
corresponding obligation on employees to put the employer on notice of a
potential discriminatory practice before liability can start to run.
[189] The
Tribunal recognized that the complainants do not have to show that the
Government knew or ought to have known that the impugned practices were discriminatory.
It will be sufficient if the effect of their practice was to deprive the
Medical Adjudicators of an employment benefit on the basis of a prohibited
ground.
[190] That
said, the Tribunal clearly understood that the question of knowledge or intent could
be relevant to the issue of compensation under s. 53(3) of the Act: see
Tribunal decision at para. 93. Moreover, paragraph 53(2)(c) of the Act empowers
the Tribunal to award compensation for “any or all of wages lost
as a result of the discriminatory practice” [my emphasis]. Consequently, it is
clear that there is no absolute right on the part of a complainant to be
automatically compensated for any and all losses flowing from the
discriminatory practice. In addition, as the Federal Court of Appeal observed
in NPF, there must be some reasonable time frame fixed around any claim
for retroactive pay.
[191] There
may be any number of reasons in a given case as to why a limit should be
imposed on remedial awards made pursuant to section 53 of the Act, including
matters relating to the conduct of the complainants: see, for example, Chopra
v. Canada (Attorney General), 369 N.R. 207 at para.40. Indeed, the Tribunal
specifically recognized that it was open to it to impose a limit on the
compensable losses caused by the discriminatory practice in issue in this case.
[192] It
is thus clear that the Tribunal left the door open to considering the
Government’s arguments in its consideration of the scope of the appropriate
remedy under paragraph 53(2)(c) of the Act: see Tribunal decision at para. 146.
How the Tribunal ultimately decided to exercise its remedial discretion is the
subject of other proceedings, and is not before me at this time.
Conclusion
[193] For
these reasons, I have concluded that the Tribunal’s decision was reasonable in
that it meets that standard of justification, transparency and
intelligibility identified by the Supreme Court of Canada in Dunsmuir. I
am also satisfied that the Tribunal’s decision falls within the range of
possible acceptable outcomes which are defensible in light of the facts and the
law. As a consequence, the application for judicial review is
dismissed.
Costs
[194] I
see no reason why costs should not follow the event insofar as the complainants
are concerned. Given that all of the complainants appearing on this
application were represented by the same counsel, only one set of costs will be
awarded. Having regard to its public interest mandate, the Commission did not
seek its costs, and none are awarded.
JUDGMENT
THIS
COURT ORDERS AND ADJUDGES that this application for judicial review is
dismissed, with one set of costs to the respondents Ruth Walden, et al. The
Canadian Human Rights Commission shall bear its own costs.
“Anne
Mactavish”