Date: 20090720
Docket: T-1044-08
Citation: 2009 FC 735
Ottawa,
Ontario, July 20, 2009
PRESENT: The Honourable Mr. Justice de Montigny
BETWEEN:
ALAIN
BOISVERT
Applicant
and
THE
ATTORNEY GENERAL OF CANADA
Respondent
REASONS FOR JUDGMENT AND
JUDGMENT
[1]
The applicant, Alain
Boisvert, is seeking judicial review by this Court of the decision of the
Veterans Review and Appeal Board (the Board) dated May 14, 2008, whereby it was
determined that the cervical osteoarthritis from which he suffers does not
entitle him to a pension under the terms of subsection 21(2) of the Pension
Act, R.S. 1985, c. P-6 (the Act or the Pension Act).
[2]
The Board thereby affirmed
a previous decision by the review panel, dated August 5, 2005, to the effect
that this condition neither arose out of nor was directly connected with
military service in peace time in the Regular Force.
[3]
That decision had in
turn affirmed the decision of the Department of Veterans Affairs (the
Department), dated July 27, 2004, denying Mr. Boisvert’s pension claim based in
particular on cervical osteoarthritis. It should be pointed out that the
initial pension claim filed with the Department on July 14, 2003 was not based
solely on cervical osteoarthritis, but also on rotator cuff impingement syndrome
in the left shoulder and a mucous cyst on the right wrist. The claims based on
the latter two conditions were also denied by the Department and the
applications for review of those two facets were withdrawn before the review panel.
Consequently, only the pension claim connected with the cervical osteoarthritis
condition was considered by the Board, both on review and on appeal.
FACTS
[4]
Mr. Boisvert joined
the Regular Force of the Canadian Army (Armed Forces) in peace time on September
12, 1986. Apart from a short stay in Syria from September 3, 1991 to March 5, 1992,
where he was in a special duty area, the applicant always served on Canadian
soil. He held the position of supply technician.
[5]
In the pension claim
he submitted to the Department, the applicant connected his health problems
with a blow to the head he sustained by hitting the edge of his car while
reaching for his dress uniform on the back seat. He also maintained that the
work to which he was assigned from 1996 to 1999 required him to bend over
repeatedly while making the same movements.
[6]
In its decision of
July 27, 2004, the Department found that the medical evidence submitted by Mr.
Boisvert was insufficient to show that the fact that he had hit his head on the
frame of his car could have contributed to the development of the alleged
condition. As for the fall that the applicant allegedly took on the stairs of
his residence as he was leaving for work in February 1997, the Department
concluded that it could be more significant but that there was no indication
that it was connected with his military duties. The Department also determined
that there was no indication that the repetitive strain associated with the
work of supply technician could have contributed to the development of his
cervical osteoarthritis. Consequently, the Department reached the conclusion
that Mr. Boisvert’s condition was not directly connected with and had not been
aggravated by service in the Regular Force.
[7]
On August 17, 2004, Mr.
Boisvert filed with the Board an application for review of the Department’s
decision of July 27, 2004. In support of his application, Mr. Boisvert submitted
additional evidence, namely, a statement describing the various events that, in
his view, could have contributed to his medical problems, a short letter from a
military physician attesting to the many injuries suffered by Mr. Boisvert in
the course of his occupation and concluding that all of those injuries [translation] “could have caused his
problem of chronic neck pain”,
as well as excerpts from his medical and personal record. Mr. Boisvert also
testified during the hearing before the Board.
[8]
The Board’s review panel
delivered its decision on the application on August 5, 2005, and affirmed the
Department’s decision that the cervical osteoarthritis from which Mr. Boisvert
suffers neither arises out of nor is directly connected with military service
in peace time in the Regular Force. The panel first noted that the applicant
had not filed any complaint regarding a neck injury or trauma while he was
performing his duties. The panel then noted the brevity of the medical evidence
produced and the absence of a connection between the events mentioned and the
condition in question. For these reasons, the panel concluded that absent
evidence tending to establish either repetitive strain or movements that could
have affected the state of his neck, it could not award Mr. Boisvert a pension
for the condition claimed.
[9]
On November 15, 2007,
Mr. Boisvert appealed that decision to the Board. In the written and oral
submissions made on his behalf by counsel from the Bureau of Pensions Advocates,
it was again argued based on evidence in the record that Mr. Boisvert’s neck problems
had begun well before 1996 and that his military service had led to his
condition.
[10]
New evidence was also
introduced, which can be briefly summarized as follows. First, a letter from
his osteopath, who, relying on what Mr. Boisvert had told her (she began
treating him only in June 2005) and her own observations, concluded that it was
[translation] “very highly probable that
the duties performed by Mr. Boisvert could have affected his physical condition
and therefore contributed to the deterioration of his state, and to the
resulting residual pain”.
[11]
Then, a letter from a
physiatrist, who, based on his own examination and Mr. Boisvert’s medical
record and statements, diagnosed symptomatic cervical diskarthrosis [translation] “probably caused by
intense physical activity, notably by playing contact hockey, especially since
it occurred between 1986 and 1991, that is, more than 12 years ago. Occupational activities may have contributed
to the aggravation of his current clinical picture”.
[12]
Also filed was a
letter from the coach of the hockey team on which Mr. Boisvert played from 1986
to 1991, testifying to the extreme violence and great competitiveness that
characterized this sport in the army, as well as the many injuries sustained by
Mr. Boisvert.
[13]
Finally, two letters
from an orthopaedist completed the evidence. The first, dated January 23,
2008, gives a medical opinion on Mr. Boisvert at the request of his counsel to
determine whether his neck problem was connected with his service in the Armed Forces.
Also basing himself on his own physical examination of Mr. Boisvert and on his
medical record and his account of events, he gives the opinion that the
applicant presents a degree of cervical diskarthrosis well beyond what could be
expected for a person of his age, and that [translation] “[i]t is clear that
this condition, which is very unusual for a man of his age, was engendered in a proportion of 5/5 by
his activities in the Canadian Armed Forces”. In a second letter from the same
orthopaedist, dated March 13, 2008, he adds further details at the request of
counsel for Mr. Boisvert. Although the doctor had taken into account the fall
on the stairs and the knock against the frame of the car, he was asked to
assess the role that those incidents would have played in the development of
Mr. Boisvert’s disease in view of the fact that the Board had concluded that
those incidents had not occurred in the context of military service. To those
questions, the doctor answered that the fall on the stairs had had no impact. On
the other hand, he said that in his opinion the knock on the car constituted [translation] “one of a series of
events that contributed to the appearance of cervical osteoarthritis that is
very unusual in a young man of 29”,
and he concluded, [translation]
“Consequently, we therefore believe that the intensity of the traumas sustained
playing hockey is much greater and if the only injury had been the knock
against a door frame, we do not believe that this incident would have
contributed in any way whatsoever to the acceleration of cervical
osteoarthritis.”
[14]
In a decision dated
May 14, 2008, the Board’s appeal panel denied Mr. Boisvert’s claim.
IMPUGNED
DECISION
[15]
The Board first
reviewed the new medical evidence submitted by counsel for Mr. Boisvert, and
even quoted several of the excerpts reproduced in the paragraphs above. Then it
noted that both the osteopath and the physiatrist base themselves on Mr.
Boisvert’s account to make their diagnoses. Moreover, none of the letters
written by these two specialists refers to the fall on the stairs and the blow
that the applicant suffered by hitting his head on the edge of his car, or the
possible impact of those incidents on his condition.
[16]
The Board also
assigns no value to the letters from the orthopaedic surgeon, for the following
reasons. First, the Board notes that he refers to the two incidents mentioned
above only after being informed of them by counsel for Mr. Boisvert. Furthermore,
the Board notes that the doctor does not indicate the nature of his
relationship with Mr. Boisvert, and in particular the number of times he has
seen Mr. Boisvert. Lastly, the Board points out that the doctor does not give the
reasons supporting his conclusion and does not even mention whether he saw Mr. Boisvert
again after receiving the letter from counsel.
[17]
Consequently, the
Board concluded that the new evidence did not satisfy it that the previous
decision should be varied, and therefore affirmed the review panel’s decision
of August 5, 2005.
ISSUES
[18]
This application
raises only one issue, in my view, which is whether the Board erred in fact or
in law by concluding that Mr. Boisvert was not entitled to a pension under
subsection 21(2) of the Pension Act. Naturally, the answer to that
question will be conditioned in part by the identification of the applicable
standard of review.
[19]
Counsel for the
applicant also argued, in a somewhat confused manner, that the rules of natural
justice had been violated because his client had not been permitted to testify
during the hearing before the Board’s appeal panel. Although that argument
strikes me as baseless and was not advanced with much conviction, I will deal with
it briefly in these reasons.
ANALYSIS
-
Preliminary Objection
[20]
In a preliminary
objection, the respondent requested the striking out of the affidavit signed by
the applicant on August 15, 2008 in support of his application for judicial
review, and of Exhibit D-1 appended to that affidavit. The latter consists of excerpts from the
applicant’s medical record that had not been reproduced by the Department’s
pension officer.
[21]
It is settled law
that in an application for judicial review only the evidence that was before
the original decision-maker may be introduced before the Court: see, for
example, Kaminski v. Canada (Minister of Social Development),
2008 FCA 225; Gagnon v. Canada (Attorney General), 2009 FC 147. I
note also that the applicant was entitled, under section 28 of the Veterans
Review and Appeal Board Act, 1995, c. 18 (the Board Act), to present
evidence provided it was documented. The applicant availed himself of that opportunity,
but the excerpts from the medical record that he now seeks to introduce before
the Court were not filed in evidence before the Board; consequently, the
applicant is now precluded from doing so as part of his application for
judicial review. In
any event, counsel for the applicant made no reference to them in his
submissions, and even conceded in his memorandum (at paragraph 17) that the
criteria for accepting new evidence were not met in this case.
[22]
As for the
applicant’s affidavit, I am of the opinion that it could be introduced in
evidence, subject to the removal of certain paragraphs that are more in the
nature of argument than of testimony. The fact that several statements
essentially repeat information that Mr. Boisvert already communicated to the
Board, although in a slightly different form, is not a sufficient ground for
striking out his affidavit. On the other hand, I agree with the respondent that
paragraphs 23, 25, 26, 27 and 28 of the affidavit are more in the nature of
argument and do not constitute factual evidence. Also, paragraphs 29, 30 and 31
contain several legal and medical conclusions and must for that reason be
struck out.
- Legal Framework
[23]
Entitlement to a
pension is provided under section 21 of the Pension Act. Pension eligibility
differs depending on whether the person concerned was a member of the Forces during
war or in peace time: if service was during war, it is paragraph 21(1)(a)
that applies; if in peace time, it is paragraph 21(2)(a). The latter
provision reads as follows:
PART III
PENSIONS
Service during war, or special duty service
21. (1)
…
Service in militia or reserve army and in
peace time
(2) In
respect of military service rendered in the non-permanent active militia or
in the reserve army during World War II and in respect of military service in
peace time,
(a) where a member of the forces suffers disability
resulting from an injury or disease or an aggravation thereof that arose out
of or was directly connected with such military service, a pension shall, on
application, be awarded to or in respect of the member in accordance with the
rates for basic and additional pension set out in Schedule I;
|
PARTIE
III
PENSIONS
Service pendant la guerre ou en service
spécial
21. (1) …
Milice active non permanente ou armée de
réserve en temps de paix
(2) En ce
qui concerne le service militaire accompli dans la milice active non
permanente ou dans l’armée de réserve pendant la Seconde Guerre mondiale ou le service militaire
en temps de paix :
a) des pensions
sont, sur demande, accordées aux membres des forces ou à leur égard,
conformément aux taux prévus à l’annexe I pour les pensions de base ou
supplémentaires, en cas d’invalidité causée par une blessure ou maladie — ou
son aggravation — consécutive ou rattachée directement au service militaire;
|
[24]
As already
noted by Justice Nadon, then of the Federal Court, in King v. Canada (Veterans Review and Appeal Board), [2001] F.C.J. No. 850, 2001 FCT 535 (at
paragraph 65), paragraph 21(2)(a) is more narrow in scope than paragraph
21(1)(a). While the latter refers to an injury or disease “that was attributable
to or was incurred during such military service”, paragraph 21(2)(a)
refers instead to an injury or disease “that arose out of or was directly
connected with such military service”. In other words, the member of the Forces
who suffered an injury or disease in peace time must establish that military
service was the “primary cause” of the injury or the disability and must
establish causation. See also: Leclerc v. Canada (Attorney General), [1996] F.C.J. No. 1425, 126 F.T.R. 94,
at paragraphs 18-21.
[25]
It should be pointed
out that subsection 21(3) of the same Act establishes a presumption as to the
existence of the causal connection required under paragraph 21(2)(a) between
the incident cited and the injury or disease suffered. The provision specifies that
an injury or disease shall be presumed, in the absence of evidence to the
contrary, “to have arisen out of or to have been directly connected with
military service” if it was incurred in the course of any of the circumstances
listed in the subsection’s various paragraphs:
Presumption
(3)
For the purposes of subsection (2), an injury or disease, or the aggravation
of an injury or disease, shall be presumed, in the absence of evidence to the
contrary, to have arisen out of or to have been directly connected with
military service of the kind described in that subsection if the injury or
disease or the aggravation thereof was incurred in the course of
(a) any physical training or any sports activity in which
the member was participating that was authorized or organized by a military
authority, or performed in the interests of the service although not
authorized or organized by a military authority;
(b) any activity incidental to or directly connected with
an activity described in paragraph (a), including
the transportation of the member by any means between the place the member
normally performed duties and the place of that activity;
(c) the transportation of the member, in the course of
duties, in a military vessel, vehicle or aircraft or by any means of
transportation authorized by a military authority, or any act done or action
taken by the member or any other person that was incidental to or directly
connected with that transportation;
(d) the transportation of the member while on authorized
leave by any means authorized by a military authority, other than public
transportation, between the place the member normally performed duties and
the place at which the member was to take leave or a place at which public
transportation was available;
(e) service in an area in which the prevalence of the
disease contracted by the member, or that aggravated an existing disease or
injury of the member, constituted a health hazard to persons in that area;
(f) any military operation, training or administration,
either as a result of a specific order or established military custom or
practice, whether or not failure to perform the act that resulted in the
disease or injury or aggravation thereof would have resulted in disciplinary
action against the member; and
(g) the
performance by the member of any duties that exposed the member to an
environmental hazard that might reasonably have caused the disease or injury
or the aggravation thereof.
|
Présomption
(3) Pour l’application du
paragraphe (2), une blessure ou maladie — ou son aggravation — est réputée,
sauf preuve contraire, être consécutive ou rattachée directement au service
militaire visé par ce paragraphe si elle est survenue au cours :
a) d’exercices
d’éducation physique ou d’une activité sportive auxquels le membre des forces
participait, lorsqu’ils étaient autorisés ou organisés par une autorité
militaire, ou exécutés dans l’intérêt du service quoique non autorisés ni
organisés par une autorité militaire;
b) d’une
activité accessoire ou se rattachant directement à une activité visée à
l’alinéa a), y compris le transport du membre des
forces par quelque moyen que ce soit entre le lieu où il exerçait normalement
ses fonctions et le lieu de cette activité;
c) soit du
transport du membre des forces, à l’occasion de ses fonctions, dans un
bâtiment, véhicule ou aéronef militaire ou par quelque autre moyen de
transport autorisé par une autorité militaire, soit d’un acte fait ou d’une
mesure prise par le membre des forces ou une autre personne lorsque cet acte ou
cette mesure était accessoire ou se rattachait directement à ce transport;
d) du transport
du membre des forces au cours d’une permission par quelque moyen autorisé par
une autorité militaire, autre qu’un moyen de transport public, entre le lieu
où il exerçait normalement ses fonctions et soit le lieu où il devait passer
son congé, soit un lieu où un moyen de transport public était disponible;
e) du service
dans une zone où la fréquence des cas de la maladie contractée par le membre
des forces ou qui a aggravé une maladie ou blessure dont souffrait déjà le
membre des forces, constituait un risque pour la santé des personnes se
trouvant dans cette zone;
f) d’une
opération, d’un entraînement ou d’une activité administrative militaires,
soit par suite d’un ordre précis, soit par suite d’usages ou pratiques
militaires établis, que l’omission d’accomplir l’acte qui a entraîné la
maladie ou la blessure ou son aggravation eût entraîné ou non des mesures
disciplinaires contre le membre des forces;
g) de l’exercice, par le membre des
forces, de fonctions qui ont exposé celui-ci à des risques découlant de
l’environnement qui auraient raisonnablement pu causer la maladie ou la
blessure ou son aggravation.
|
[26]
Attention should also
be drawn to section 2 of the Pension Act and section 3 of the Board
Act, which call for a broad and liberal construction and interpretation of
the provisions of these two statutes in recognition of what the members of the Forces
have done for their country. These provisions read as follows:
Pension Act:
CONSTRUCTION
Construction
2. The provisions of this Act shall be liberally construed
and interpreted to the end that the recognized obligation of the people and
Government of Canada to provide compensation to those members of the forces
who have been disabled or have died as a result of military service, and to
their dependants, may be fulfilled.
|
RÈGLE
D’INTERPRÉTATION
Règle d’interprétation
2. Les dispositions de la présente loi
s’interprètent d’une façon libérale afin de donner effet à l’obligation
reconnue du peuple canadien et du gouvernement du Canada d’indemniser les
membres des forces qui sont devenus invalides ou sont décédés par suite de
leur service militaire, ainsi que les personnes à leur charge.
|
Board Act:
Construction
3. The
provisions of this Act and of any other Act of Parliament or of any
regulations made under this or any other Act of Parliament conferring or
imposing jurisdiction, powers, duties or functions on the Board shall be
liberally construed and interpreted to the end that the recognized obligation
of the people and Government of Canada to those who have served their country
so well and to their dependants may be fulfilled.
|
Principe général
3. Les dispositions de la
présente loi et de toute autre loi fédérale, ainsi que de leurs règlements,
qui établissent la compétence du Tribunal ou lui confèrent des pouvoirs et
fonctions doivent s’interpréter de façon large, compte tenu des obligations
que le peuple et le gouvernement du Canada reconnaissent avoir à l’égard de
ceux qui ont si bien servi leur pays et des personnes à leur charge.
|
[27]
Finally, another
provision that must be taken into account is section 39 of the Board Act,
which sets out rules favouring the applicant with respect to his or her burden
of proof:
Rules of evidence
39. In all
proceedings under this Act, the Board shall
(a) draw from all the circumstances of the case and all
the evidence presented to it every reasonable inference in favour of the
applicant or appellant;
(b) accept any uncontradicted evidence presented to it by
the applicant or appellant that it considers to be credible in the
circumstances; and
(c) resolve in favour of the applicant or appellant any
doubt, in the weighing of evidence, as to whether the applicant or appellant
has established a case.
|
Règles
régissant la preuve
39. Le Tribunal applique, à l’égard du
demandeur ou de l’appelant, les règles suivantes en matière de preuve :
a) il tire des
circonstances et des éléments de preuve qui lui sont présentés les
conclusions les plus favorables possible à celui-ci;
b) il accepte
tout élément de preuve non contredit que lui présente celui-ci et qui lui semble
vraisemblable en l’occurrence;
c) il tranche en sa faveur toute
incertitude quant au bien-fondé de la demande.
|
[28]
This provision, which
generally gives the applicant or appellant the benefit of the doubt, has occasioned
much debate over the nature of the evidence that will allow the applicant or
appellant to succeed. The decisions of this Court and of the Court of Appeal
instruct us that the effect of this provision is not to compel the Board to
accept all of the allegations made by a veteran. Under the terms of paragraph 21(2)(a),
the applicant must establish, on the standard of proof applicable in civil
matters (a balance of probabilities), that he or she suffers from a disability and
that this disability arose out of or was directly connected with his or her military
service. It is the member who must prove causation between the alleged incident
and the condition cited. Justice Sharlow, writing for the Court of Appeal,
summarized the impact of section 39 well in Canada
(Attorney General) v. Wannamaker,
2007 FCA 126, at paragraphs 5 and 6:
Section 39 ensures that the
evidence in support of a pension application is considered in the best light
possible. However, section 39 does not relieve the pension applicant of the
burden of proving on a balance of probabilities the facts required to establish
entitlement to a pension: Wood v. Canada (Attorney General) (2001), 199 F.T.R. 133
(F.C.T.D.), Cundell v. Canada (Attorney General) (2000), 180 F.T.R. 193 (F.C.T.D).
Nor does section 39 require
the Board to accept all evidence presented by the applicant. The Board is not
obliged to accept evidence presented by the applicant if the Board finds that
evidence not to be credible, even if the evidence is not contradicted, although
the Board may be obliged to explain why it finds evidence not to be credible: MacDonald
v. Canada (Attorney General) (1999), 164 F.T.R. 42 at paragraphs 22 and 29.
Evidence is credible if it is plausible, reliable and logically capable of
proving the fact it is intended to prove.
See also: Nisbet v. Canada (Attorney General), 2004 FC 1106, at paras. 17-19; Moar
v. Canada (Attorney General), 2006 FC 610, at paras. 10 and 29; Currie
v. Canada (Attorney General), 2005 FC 1512, at para. 9; Comeau
v. Canada (Attorney General), 2005 FC 1648, at paras. 22-25; McTague
v. Canada (Attorney General), [2000] 1 F.C. 647; Gillis v. Canada (Attorney General), 2004 FC 751.
[29]
Neither the Pension
Act nor the Board Act provides for any restrictions or time limits for
filing an application for review or reconsideration with the Board or an appeal
before it. The Board therefore has jurisdiction to hear such actions regardless
of when the facts occurred and when the most recent decision was made.
[30]
It is also important
to say a few words about the decision-making process as it pertains to
veterans’ pensions and benefits. It is the Department of Veterans Affairs that
is charged with compensating persons who have served in the Canadian Forces in
the event of their disability or death. The initial decision is made by a
Department official; no hearing is held at the first level. On the strength of the
information contained in the claim and in medical reports, the evaluator makes
decisions on different questions concerning pension entitlement and on the
extent of the disability resulting from a pensionable injury or disease or from
the aggravation of that injury or disease.
[31]
Section 84 of the Pension
Act provides that an applicant who is dissatisfied with a decision made by
the Department may ask the Board to review it (see also s. 18 of the Board
Act). The applicant is entitled to a full hearing of his or her claim by
the review panel, which is generally composed of at least two members
designated by the Chairperson. The applicant may testify himself or herself or
call witnesses and is entitled to be paid expenses incurred in attending the
hearing. He or she is also entitled to be represented at no cost by counsel from
the Department’s Bureau of Pensions Advocates. A decision of a majority of the
members of the review panel is a decision of the Board. In the absence of a
majority decision, the decision most favourable to the applicant is the
decision of the Board. Even after making its decision, the review panel may, on
its own motion, re-open the case if it determines that it erred in its findings
of fact or interpretation of law. In that event, it can reconsider its decision and either affirm
it or, if it is found to be wrong, vary or reverse it: see sections 18 to 24 and
35 of the Board Act.
[32]
A person who is
dissatisfied with the decision of the review panel may appeal the decision to
the Board. A hearing is held, and the appellant may then submit documentary
evidence and arguments to a panel consisting of at least three members. No
testimonial evidence is admissible on appeal. A decision of the majority of
members of an appeal panel is a decision of the Board and is final and binding.
Nevertheless, even though its decision is final, the appeal panel may under
certain circumstances decide to reconsider it. It may do so if the appellant
has new evidence to present to the panel or if it determines on its own or as a
result of allegations made by a person that an error was made with respect to
any finding of fact or interpretation of law. Following the reconsideration, the appeal
panel may either affirm the decision or vary or reverse it: see sections 25 to
32 of the Board Act.
- Applicable Standard of Review
[33]
The Court of Appeal
and this Court have dealt many times with the standard of review applicable to
decisions of the Board. In the vast majority of cases, it has been held that
the question of what caused the disability, as well as the Board’s assessment
or interpretation of contradictory or inconclusive evidence to determine
whether the disability had been caused or aggravated by military service, were
questions of fact that should be reviewed with the greatest deference. Among
the decisions that applied the “patently unreasonable” standard are the
following: Caswell v. Canada (Attorney General), 2004 FC 1364, at
paragraph 17; Nolan v. Canada (Attorney General), 2005 FC 1305, at
paragraph 10; Rousselle v. Canada (Attorney General), 2005 FC
330, at paragraph 13; Comeau v. Canada (Attorney General), 2005 FC
1648, at paragraph 18, affirmed at 2007 FCA 68, at paragraph 9; McTague v.
Canada (Attorney General), [2001] 1 F.C.
647, at paragraph 46; Bradley v. Canada (Attorney General), 2004 FC
996, at paragraph 11; Nisbet v. Canada (Attorney General), 2004 FC
1106.
[34]
On the other hand, it
has sometimes been held that the question of whether a particular injury arose
out of military service (as opposed to the existence of a causal connection
between that injury and the applicant’s disability) was a question of mixed
fact and law reviewable on the standard of reasonableness: A.G.of Canada
v. Wannamaker, 2007 FCA 126, at paragraph 12; Thériault v. Canada
(Attorney General), 2006 FC 1070, at paragraphs 22-23.
[35]
Following the Supreme
Court’s decision in Dunsmuir v. New Brunswick, 2008 SCC 9, this
distinction no longer has any practical consequence since the two standards of
review have now been collapsed into one, that of reasonableness. That is in
fact the standard applied by my colleagues who have been called upon to review
Board decisions since Dunsmuir: see, among others, Bullock v. The
Attorney General of Canada, 2008 FC 1117; Goldsworthy v. The
Attorney General of Canada, 2008 FC 380; Macdonald v. Canada (Attorney
General), 2008 FC 796; Rioux v. Canada (Attorney General),
2008 FC 991; Dugré v. Canada (Attorney General), 2008 FC 682; Lenzen
v. Canada (Attorney General), 2008 FC 520; Clarke v. Veterans
Review and Appeal Board, Attorney General of Canada, 2009 FC 298. Those
decisions having already satisfactorily established the applicable standard of
review, there is no need to proceed with what has come to be referred to as the
“standard of review analysis”.
[36]
The Court must
therefore ask itself whether the Board’s decision, in terms of both form and
substance, can be considered reasonable. In terms of form, the reasonableness
of the decision will be assessed according to its justification, transparency
and intelligibility, whereas in terms of substance, it must fall within a range
of possible, acceptable outcomes which are defensible in respect of the facts
and law (Dunsmuir, above, at paragraph 47). As the Supreme Court took
pains to point out, this new single standard does not call for greater judicial
interference in the administrative process. Indeed, the courts must not lose
sight of the fact that such questions when submitted to administrative boards
and tribunals can often lead to more than one reasonable outcome and that it is
not up to the reviewing court to substitute the decision it might have made if
it, and not the administrative board or tribunal, had dealt with the question.
- Reasonableness of the
Board’s Decision
[37]
Under the terms of
paragraph 21(2)(a) of the Pension Act, Mr. Boisvert first had to
establish on a balance of probabilities that his condition constituted a
disability. That first qualification was not questioned by the Board, either on
review or on appeal, nor for that matter by the Department. It is admitted that
the applicant suffers from cervical osteoarthritis, as established by the many
expert medical opinions in the record. Mr. Boisvert also had to prove that his
disability resulted from an injury or disease that arose out of or was directly
connected with his military service. This is where Mr. Boisvert failed in his
evidence. As already discussed above, the Board was of the opinion that the new
evidence submitted by the applicant did not allow it to reverse the previous
decisions.
[38]
Counsel for the
applicant argued that the Board had erred by rejecting the medical evidence adduced
and by questioning the assessment of the orthopaedic surgeon, in the absence of
any contradictory evidence. According to the applicant, the Board exceeded its
jurisdiction by substituting its opinion for that of the physician even though
none of its members had medical expertise and no second opinion was sought
under the authority of section 38 of the Board Act.
[39]
As previously
mentioned, section 39 of the Board Act does not exempt an applicant from
the obligation to establish that his or her condition is directly attributable
to his or her military service. Even if there is no contradictory evidence, the
Board is not obliged to blindly accept the evidence adduced by the applicant if
it considers that it is not credible or of little probative value. In that case,
the Court must weigh the reasons given for rejecting the evidence submitted by
the applicant and determine whether they are reasonable, having regard to the
record as a whole.
[40]
To assess the Board’s
decision properly, it must be placed in context. The impugned decision resulted
from an application to the Board’s review panel, which affirmed the
Department’s decision to deny pension entitlement, essentially for two reasons.
First, it was found that the fall on the stairs and the knock on the edge of
the car were not events that occurred in the performance of the applicant’s
military duties. Moreover, the review panel concluded that the medical evidence
had not established a connection between those events and the condition in
question, and that in the absence of evidence tending to establish either
repetitive strain or movements that could have affected the applicant’s neck,
no pension could be claimed.
[41]
It was therefore to
counter those two conclusions that the applicant submitted the additional
medical evidence to which I have already referred. The decision the
reasonableness of which must now be assessed is therefore not that made by the
review panel or the Department, but rather that of the appeal panel which found
that the new evidence was insufficient to reverse the original decision.
[42]
In my opinion, the
Board could assign little credibility to the opinions of the osteopath and the
physiatrist, in that these specialists relied essentially on what Mr. Boisvert
had told them to formulate their opinions. I would note as well that these two
specialists limited themselves to speculating on the possible connection between
the duties performed by Mr. Boisvert and his physical condition. The osteopath
opined that it was [translation]
“very highly probable” that the duties performed by Mr. Boisvert could have
engendered his neck pain, while the physiatrist concluded that Mr. Boisvert’s
symptomatic cervical diskarthrosis was [translation]
“probably caused” by playing hockey and that his occupational activities [translation] “may have contributed to the
aggravation” of his condition. The question is not whether the Court would have
reached the same conclusion, but rather whether the Board’s conclusion is
reasonable. In view of the case law and the record as a whole, I believe that
the Board’s reasoning on this point is not unreasonable: A.G.of Canada v.
Wannamaker, above, at paragraph 30; Nisbet v. Attorney General
of Canada, 2004 FC 1106, at paragraph 22.
[43]
The same does not
apply to the reasons cited for rejecting the opinion of the orthopaedic surgeon.
The physician is faulted for not referring to the fall on the stairs and the knock
on the car in his first letter, and for mentioning them only when asked to by
counsel for Mr. Boisvert. Yet that is not the case. For one thing, he expressly
noted in his first letter that Mr. Boisvert had hit his head on the edge of his
car in 1996 and that his neck pain increased thereafter. For another, the
purpose of his second letter was not to fill a gap in the first letter and to
support Mr. Boisvert’s thesis, as the Board implies, but to specify that the blow
to his head from hitting his car would not, by itself, have contributed to the
acceleration of cervical osteoarthritis. Consequently, the fact that this
injury occurred while Mr. Boisvert was not performing his duties was not
significant.
[44]
There is nevertheless
another reason why the Board’s decision strikes me as unreasonable. In his two
letters, the orthopaedic surgeon refers to the numerous injuries suffered by
Mr. Boisvert while playing hockey on a Forces team. In his second letter, he even
writes that [translation] “the intensity of the multiple
traumas sustained playing hockey is much greater” than the fact that he hit himself on his car. He was
thereby to some extent repeating the opinion given by the physiatrist. What is
more, these numerous injuries were corroborated by the coach of the hockey team
on which Mr. Boisvert played between 1986 and 1991. Yet subsection 21(3) of the
Pension Act creates a certain number of presumptions, including the
following:
Presumption
(3) For the purposes of subsection (2), an injury
or disease, or the aggravation of an injury or disease, shall be presumed, in
the absence of evidence to the contrary, to have arisen out of or to have
been directly connected with military service of the kind described in that
subsection if the injury or disease or the aggravation thereof was incurred
in the course of
(a) any physical training or any sports activity in which
the member was participating that was authorized or organized by a military
authority, or performed in the interests of the service although not
authorized or organized by a military authority;
|
Présomption
(3) Pour
l’application du paragraphe (2), une blessure ou maladie — ou son aggravation
— est réputée, sauf preuve contraire, être consécutive ou rattachée
directement au service militaire visé par ce paragraphe si elle est survenue
au cours :
a) d’exercices
d’éducation physique ou d’une activité sportive auxquels le membre des forces
participait, lorsqu’ils étaient autorisés ou organisés par une autorité
militaire, ou exécutés dans l’intérêt du service quoique non autorisés ni
organisés par une autorité militaire;
|
[45]
Oddly, the Board does
not even discuss this aspect of the question, even though it had been argued by
counsel for Mr. Boisvert. This was still more uncontradicted evidence that should
have benefitted from the presumptions provided for under section 39 of the Veterans
Review and Appeal Board Act. By failing to explain its reasons for not
addressing that question, the Board denies this Court the opportunity to assess
the reasonableness of its justification. This is another reason militating in
favour of allowing the application for judicial review.
[46]
Lastly, the Board
cites the unspecified nature of the relationship between the physician and Mr.
Boisvert to reject his opinions. In my view, that is a specious argument. It
was not necessary for the physician to see Mr. Boisvert again to answer his counsel’s
request for more details regarding the impact of his fall on the stairs and of the
blow he had sustained by hitting his car, because he had already seen Mr.
Boisvert and had had ample time to examine him and consider his medical history.
As for the question of how often Mr. Boisvert had seen that doctor, it does not
seem relevant to me in assessing the merits of his opinion. Unless the doctor’s
professionalism and ethics are to be called into question, it must be presumed
that his opinion was in accordance with medical practice and that he considered
his knowledge of the applicant sufficient in order to exercise his judgment. I
find it significant, in fact, that this specialist, in contrast to the
osteopath and the physiatrist, expresses a firm opinion devoid of speculation. Not
only does he state in his first letter that the degree of Mr. Boisvert’s
diskarthrosis goes well beyond what could be expected in a patient of his age, but
he adds: [translation] “It is clear that this
condition, which is very unusual for a man of his age, was engendered in a proportion of 5/5 by
his activities in the Canadian Armed Forces.”
[47]
For these
reasons, therefore, I am of the opinion that the application for judicial
review must be allowed.
[48]
Counsel for the
applicant also tried to argue that Mr. Boisvert was not given a full and
complete hearing before the appeal panel because he was not permitted to testify
to establish his credibility. The Department was also criticized for omitting
certain important medical evidence from the record that was assembled for the
purpose of determining his entitlement to a pension. These arguments strike me
as unfounded.
[49]
Section 28 of the Veterans
Review and Appeal Board Act provides that an appellant may make a written
submission to the appeal panel or may appear before it, in person or by
representative and at the appellant’s own expense, to present documented
evidence and oral arguments. That seems to me to be fully in keeping with the
requirements of procedural fairness, especially since the the Armed Forces are
not allowed to appear or to make written submissions before the appeal panel. It
is true that the appellant, if he or she chooses to appear (in person or
through counsel), must do so at his or her own expense. But that does not
strike me as sufficient to invalidate section 28. The aim of the Act is to
allow proceedings to be conducted as informally as possible and to permit
applicants to make their arguments and to introduce new evidence without
excessive formality. Nothing in the evidence leads me to conclude that the
requirements of section 28 were not complied with, and the applicant tried to
have this provision declared invalid.
[50]
As for the
comprehensiveness of the record compiled by the Department, it is before the review
panel or, ultimately, the appeal panel of the Board that the applicant should
have made his submissions. On
judicial review, the Court may consider only the record as it stood before the
Board. In any event, a rapid examination of the additional excerpts from Mr.
Boisvert’s medical record does not allow me to conclude that they are relevant
and they would probably not have had a determining impact on the outcome of the
case.
JUDGMENT
THE COURT ORDERS AND ADJUDGES that the application for
judicial review is allowed, with costs.
“Yves de
Montigny”
Certified
true translation
Brian
McCordick, Translator