Docket: IMM-925-11
Citation:
2011 FC 1336
Ottawa, Ontario, November 22, 2011
PRESENT: The Honourable Mr. Justice de Montigny
BETWEEN:
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RONILO VELASQUEZ PEREZ
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Applicant
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and
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THE MINISTER OF CITIZENSHIP AND
IMMIGRATION
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Respondent
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REASONS FOR JUDGMENT AND
JUDGMENT
[1]
This
is an application for judicial review of a decision made on January 24, 2011 by
Consul J. Seyler, the Visa Officer, denying the Applicant his permanent
resident application because of the health condition of his dependent son,
Carlos Niro Perez (“Carlos”). Relying on the Medical Officer’s opinion, the
Visa Officer found that Carlos, having been diagnosed with “profound
sensorineural hearing loss”, might reasonably be expected to cause excessive
demand on health or social services. As a result, he was found to be
inadmissible to Canada pursuant to ss. 38(1)(c) of the Immigration
and Refugee Protection Act, SC 2001, c 27 [IRPA]. Pursuant to
s. 42 of IRPA, Carlos’ inadmissibility renders the remainder of his
family inadmissible as well.
[2]
For
the reasons that follow, I have found that this application for judicial review
must be granted. The Visa Officer erred in his assessment of the demand on
social services that Carlos’ health condition might reasonably be expected to
cause, and also breached the Applicant’s right to procedural fairness in failing
to appropriately notify him of his concern.
1. Background
[3]
Ronilo
Velasquez Perez, the Applicant, was born on October 15, 1966 in Quezon City. He is a
citizen of the Philippines. The Applicant and his wife, Arlene De Guzman
Perez, have four children: Carlos, Patricia, Francesca and Ronielene. They
were all born in the Philippines.
[4]
The
Applicant was an engineer in the Philippines. He is currently completing
a professional engineering designation in Canada. He arrived
in Canada in March
2007 on a temporary work permit. Since then, he has worked at WorleyParsons in
Edmonton, a company
specializing in delivering engineering, procurement and construction management
services. The Applicant is currently the Business Unit Lead in piping design
for WorleyParsons.
[5]
On
May 8, 2009, Mr. Perez submitted an application for permanent residence in Canada in the
Provincial Nominee Class at the Consulate General of Canada, Immigration
Regional Program Centre in Buffalo, New York. His
application included his wife and his four children.
[6]
Mr.
Perez met the selection criteria, but that did not exempt him and his family
members from meeting the admissibility requirements under IRPA. By
letter dated January 5, 2010, the Visa Officer sent a procedural fairness
letter to Mr. Perez. He was advised that he may be inadmissible on the ground
that his family member, Carlos, is a person described in ss. 38(1) of IRPA,
in that he is a person whose health condition might reasonably be expected to
cause excessive demands on health or social services. He was provided with an
opportunity to submit within 60 days any additional information and documents
relating to his son’s medical condition or diagnosis. Mr. Perez was also
invited to “submit any information addressing the issue of excessive demand” if
that applies to his case.
[7]
In
his affidavit, Mr. Perez states that his family first discovered that Carlos
had a hearing impairment when they came to Canada in June
2008. He was diagnosed with a profound bilateral sensorineural hearing
impairment. The Applicant discussed possible treatments for Carlos with the
multi-disciplinary team of doctors and specialists at Glenrose Rehabilitation
Hospital in Alberta,
one of the major centres in Canada for Cochlear implantation. The Cochlear
Implant team at Glenrose is a multi-disciplinary team of medical professionals,
including speech language pathologists, educators of the deaf, audiologists,
psychologists, social workers, ear nose and throat surgeons and pediatricians.
Carlos was later assessed as a possible candidate for the surgery, and he
successfully underwent surgery on May 28, 2009. Since then, he has made
considerable improvements and is now able to use single words and word
approximations to indicate his wants and needs.
[8]
In
response to this first letter, the Applicant submitted, among other things, a
letter from Dr. Gail Andrew, a Developmental Pediatrician and Medical Site Lead
in Pediatrics at Glenrose Rehabilitation Hospital. After
summarizing the bilateral Cochlear implantation procedure, the surgery Carlos
underwent and his subsequent progress, she stated:
Carlos has already shown that he has
benefited from the Cochlear Implantation and it is anticipated that he will
continue to benefit. To continue to make progress, he will require ongoing
oral rehabilitation and programming which is readily available at the Glenrose Rehabilitation Hospital. There are some other
rehabilitation centres in Canada who would be able to provide
this level of support. It will be most unlikely that he will receive this type
of care if he is to return to Manila. The cost to support Carlos
around his disability has already been paid in terms of the expense of the
device and surgery. With his at least average non-verbal intelligence, Carlos
is in a position to be a functional and contributing member of society. The
current literature on early Cochlear Implantation indicates that these children
are most likely to be able to attend their education in mainstream placement
and have a lower dependence on special education support services. In the province of Alberta, those children
served by our Cochlear Implantation Service at the Glenrose Rehabilitation Hospital are demonstrating that outcome. Carlos
and other children with Cochlear Implantation cannot be compared to children with
similar levels of hearing impairment without the advantage of the Cochlear
Implant device. I would like to request that Carlos’ application for
immigration be reconsidered based on the fact that the most costly part of his
treatment has already been provided here in Canada and it will be unlikely that
he will receive rehabilitation services that he needs to fully benefit from the
device if he is not living in a major centre with access to the services such
as those at the Glenrose Rehabilitation Hospital.
[9]
In
another letter, the principals of an elementary school wrote to say that they
would welcome Carlos in their Junior Kindergarten Program, where he would be
provided the support of a teacher and special needs assistant to accommodate
his learning.
[10]
Upon
review of the material filed by the Applicant, another medical officer
determined that it was likely Carlos will require special education support
over the next several years. Based on the Government of Alberta Ministry of
Education document entitled Education Funding in Alberta (Kindergarten to Grade
12) 2010/11 School Year, despite his Cochlear implants, he would still qualify
for special education funding under code 45 (Deafness-Severe disability). The
Medical Officer concluded that Carlos has a health condition that might
reasonably be expected to cause an excessive demand on social services.
Specifically, that it might reasonably be expected that he will require social
service costs for Code 45 funding in Alberta (based on the above-noted
Government of Alberta Education document) in the amount of $24,560 per year for
1 year of kindergarten and $16,465 per year for 4 years of elementary school,
totalling $90,420 over 5 years.
[11]
In
view of the new medical assessment, according to which Carlos was medically
inadmissible because his health condition might reasonably be expected to cause
an excessive demand on social services, the Visa Officer sent another
procedural fairness letter to Mr. Perez dated June 9, 2010. This letter advised
Mr. Perez that Carlos might be medically inadmissible due to his medical
condition and invited him to provide additional information relating to the
medical condition or diagnosis, as well as to submit any information addressing
the issue of excessive demand.
[12]
In
response to that second letter, the Applicant submitted further documentation
including a new letter by Dr. Gail Andrew. In this letter, Dr. Andrew reiterated
the progress made by Carlos and her view that Carlos would be able to attend a
regular inclusive classroom setting, with minimal support of a teacher’s
assistant and consultation by a speech language pathologist. She also noted
that the Alberta Minister of Education had reviewed information on Carlos and
provided a letter of support for Carlos and his family in their application for
permanent residence. She concluded:
I feel that Carlos will not be a burden
to the health, education or social services in the province of Alberta. As previously stated, the majority of
his health costs have already been incurred and the cost for ongoing Audiology
monitoring is minimal. He has excellent general health and except for
unforeseen health issues which can occur to anyone across their lifetime, I
feel that he will not be a burden. In terms of cost to the educational system,
he will be able to participate in a regular classroom setting with quite
minimal human support such as a teachers assistant and will benefit from technology
devises that all students benefit from. In terms of cost to social services
Carlos has a stable and supportive family. His father is gainfully employed in
the province of Alberta and is financially
stable. (…) If Carlos is to return to the Phillipines, he will be unable to
access the level of monitoring of the Cochlear Implant device and appropriate
educational services. He will not have access to a centre such as the Glenrose Rehabilitation Hospital where we are very experienced
with Cochlear Implantation. As a result of the success of his Cochlear Implant
device, Carlos can not be compared to a child with a similar diagnosis of
hearing impairment who has not had the advantage of Cochlear Implant device.
[13]
Mr.
Perez also provided a letter from the Principal of Southview Child Care, a
private Early Childhood Services Operator, who took exception with a statement
of the Visa Officer that Carlos is expected to cause excessive demand on health
and social programs. The letter states, inter alia:
I believe that this statement is
incorrect, as Carlos no longer has a health condition. He is now a hearing
child and, although he will require auditory monitoring at the Glenrose Rehabilitation Hospital, I strongly believe that
Carlos will not require on-going supports as a student and later, as an adult.
He has no other medical issues that will prevent him from being able to
participate in the regular classroom setting. Our school jurisdiction will
access Program Unit Funding for Carlos beginning September 2010 and possibly in
the fall of 2011. These funds will enable our school to provide Carlos with
support as he is learning how to use his implant and help him to integrate
successfully into the classroom setting. It has been my experience in working
with children with cochlear implants over the past twenty years that these
children are extremely successful and, therefore, Carlos will not be a cause of
excessive demand on health, education and social services and/or that he will
require services costing over the average Canadian.
[14]
Finally,
Mr. Perez also sent a letter from his employer, stating that he earns
$129,000.00 per year and is covered, with his family, by the company’s
comprehensive benefit plan which includes extensive support for his son’s
medical condition.
[15]
The
Applicant’s documents and letters submitted in response to the June 2010
procedural fairness letter were forwarded to Immigration Medical Services in Ottawa for
consideration by the Medical Officer to assess whether this information altered
the previous medical opinion that Carlos’ medical condition would cause
excessive demand on social services. The Medical Officer noted that despite
his Cochlear implant, Carlos still qualifies for special education funding
under code 45 (Deafness-Severe Disability). Alberta Education defines a
student/child with a severe to profound hearing loss as one that has a hearing
loss of 71 decibels or more unaided in the better ear, or has a Cochlear
implant preceded by a 71 decibels hearing loss and requires specialized
educational supports. Previous reports on file and the new reports submitted
confirm that since Carlos’ hearing loss occurred prior to his acquisition of
normal aural/oral language skills, he will require specialized educational
support for the next several years.
[16]
Program
Unit Funding referred to by the Principal at Southview Child Care, is funding
provided to school authorities by Alberta Education for Early Childhood
Services, for children with severe disabilities who require additional support
beyond what is offered in the regular early childhood education program.
Program Unit Funding is provided for individualized programming that meets the
education needs of children with severe disabilities or delays, who are less
than 6 years of age and may be paid for a maximum of 3 years for each eligible
child. Carlos’ intended school (Southview) stated that it intended to access
this funding for September 2010 and possibly for the fall of 2011.
[17]
The
Medical Officer determined that even if Carlos only needed specialized
educational support in the classroom for the next two years, the Program Unit
Funding would amount to $41,025 ($24,560 for kindergarten and $16,465 for Grade
1). This amount is well over the 5 year threshold of $27,525, for that period,
for excessive demand. The Applicant did not submit any plan to offset the
social services cost of special educational support. Therefore, based upon the
results of the medical examinations and all the reports received, including the
information presented by the Applicant in response to the June 9, 2010 fairness
letter, the Medical Officer concluded that the new information does not modify
the previous medical opinion that Carlos is medically inadmissible under paragraph
38(1)(c) of IRPA due to a health condition that might reasonably be
expected to cause excessive demand on health and social services.
[18]
The
Visa Officer reviewed the file contents, the medical opinion and all documents
submitted in response to the June 2010 procedural fairness letter. The Visa
Officer noted that Mr. Perez has not submitted a plan which specifies any
private school or private educational support to avoid relying on the Alberta
Program Unit Funding, which his preschool facility (Southview Child Care)
intended to access in the fall of 2010 and possibly also in the fall of 2011.
The Visa Officer determined that the Medical Officer’s opinion and assessment
of Carlos’ medical condition was fair and reasonable and that he was,
therefore, inadmissible pursuant to subsection 38(1) of IRPA. This, in
turn, rendered Mr. Perez and the rest of his dependants inadmissible pursuant
to subsection 42(a) of IRPA. Mr. Perez was therefore refused pursuant
to subsection 11(1) of IRPA.
[19]
The
Visa Officer then considered possible humanitarian and compassionate
(“H&C”) grounds as referred to by Mr. Perez in his letter dated August 4,
2010. The letter states that Cochlear implants are rare in the Philippines and that
Carlos would lack training and technology for the rehabilitation program
there. However, the Visa Officer found that Mr. Perez did not provide any
particulars, research or other evidence to support this claim of hardship.
Therefore, he was not satisfied that there were sufficient humanitarian or
compassionate grounds to justify an exemption from the medical inadmissibility
provisions under IRPA and the H&C application was refused.
2. Issues
[20]
This
application for judicial review raises the following three issues:
a)
Did the Visa Officer fail to conduct an individualized assessment of the Applicant’s
son?
b)
Was there a breach of procedural fairness?
c) Was the
H&C assessment reasonable?
3. The Statutory
Framework
[21]
Subsection
38(1)(c) of IRPA provides that a foreign national is inadmissible on
health grounds if their health condition “might reasonably be expected to cause
excessive demand on health or social services”. Section 42 of the same Act
extends this inadmissibility to other family members:
42.
A foreign national, other than a protected person, is inadmissible on grounds
of an inadmissible family member if
(a)
their accompanying family member or, in prescribed circumstances, their
non-accompanying family member is inadmissible; or
(b)
they are an accompanying family member of an inadmissible person.
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42.
Emportent, sauf pour le résident permanent ou une personne protégée,
interdiction de territoire pour inadmissibilité familiale les faits suivants
:
a)
l’interdiction de territoire frappant tout membre de sa famille qui
l’accompagne ou qui, dans les cas réglementaires, ne l’accompagne pas;
b)
accompagner, pour un membre de sa famille, un interdit de territoire.
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[22]
Pursuant
to section 20 of the Immigration and Refugee Protection Regulations,
SOR/2002-227 [IRPR], an officer shall determine that a foreign
national is inadmissible on health grounds if an assessment of their health
condition has been made by an officer who is responsible for the application of
medical examinations, and the officer concluded that the foreign national’s
health condition is likely to be a danger to the public health or public safety,
or might reasonably be expected to cause excessive demand.
[23]
As
for “excessive demand”, it has been defined in ss. 1(1) of the IRPR as
follows:
(a)
a demand on health services or social services for which the anticipated
costs would likely exceed average Canadian per capita health services and
social services costs over a period of five consecutive years immediately
following the most recent medical examination required by these Regulations,
unless there is evidence that significant costs are likely to be incurred
beyond that period, in which case the period is no more than 10 consecutive
years; or
(b)
a demand on health services or social services that would add to existing
waiting lists and would increase the rate of mortality and morbidity in
Canada as a result of an inability to provide timely services to Canadian
citizens or permanent residents.
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a)
de toute charge pour les services sociaux ou les services de santé dont le coût
prévisible dépasse la moyenne, par habitant au Canada, des dépenses pour les
services de santé et pour les services sociaux sur une période de cinq années
consécutives suivant la plus récente visite médicale exigée par le présent règlement
ou, s’il y a lieu de croire que des dépenses importantes devront probablement
être faites après cette période, sur une période d’au plus dix années
consécutives;
b)
de toute charge pour les services sociaux ou les services de santé qui
viendrait allonger les listes d’attente actuelles et qui augmenterait le taux
de mortalité et de morbidité au Canada vu l’impossibilité d’offrir en temps
voulu ces services aux citoyens canadiens ou aux résidents permanents.
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[24]
The
intent of the current medical inadmissibility provision is to avoid negative
impact on Canada’s publicly funded health and social services systems, by
refusing admission to prospective immigrants whose health conditions would
create excessive demands on health and social services in Canada, while
recognizing at the same time, that certain immigrant groups who have compelling
humanitarian and compassionate reasons for entering Canada, not be barred for
health reasons. The medical inadmissibility provisions in both the former Immigration
Act and IRPA have as their intent the protection of the finite and
costly resources of the Canadian health care system against excessive demands,
so as to ensure its sustainability into the future (see Regulatory Impact
Analysis Statement, Canada Gazette Part II, Extra Vol 136, No 9, p 202).
4. Analysis
[25]
There
is no dispute between the parties as to the applicable standard of review, at
least with respect to the first two questions. As established in Dunsmuir v
New Brunswick, 2008 SCC 9, [2008] 1 S.C.R. 190 [Dunsmuir], the first
step in conducting a standard of review analysis is to ascertain whether the
jurisprudence has already determined in a satisfactory manner, the degree of
deference to be accorded with regard to a particular category of question.
Both counsel for the Applicant and counsel for the Respondent agree that the
first question involves a factually intensive determination and the specialized
nature of a medical officer’s opinion and visa officer’s assessment, and
referred to a number of cases where such issues were held to be reviewable
against the standard of reasonableness (see Hilewitz v Canada (MCI),
2005 SCC 57 at para 117, [2005] 2 S.C.R. 706 [Hilewitz]; Canada
(Citizenship and Immigration) v Abdul, 2009 FC 967 at paras 20-22, 353 FTR
307 [Abdul]; Vashishat v Canada (MCI), 2008 FC 1346, 77 Imm LR
(3d) 230; Airapetyan v Canada (MCI), 2007 FC 42; Gao v Canada (MEI)
(1993), 61 FTR 65 (FCTD), 38 ACWS (3d) 777).
[26]
Review
on the reasonableness standard requires the Court to inquire into the qualities
that make a decision reasonable, which include both the process and the
outcome. Reasonableness is concerned principally with the existence of
justification, transparency, and intelligibility in the decision-making
process. It is also concerned with whether the decision falls within the range
of acceptable outcomes that are defensible in fact and in law (Dunsmuir,
above, at para 47; Canada (MCI) v Khosa, 2009 SCC 12 at para 63, [2009]
1 SCR 389 [Khosa]).
[27]
I
am also of the view that the decision to dismiss the application on H&C
grounds attracts a standard of reasonableness. Counsel for the Applicant
argued that the Visa Officer failed to give adequate consideration to H&C
grounds. This is, however, just another way to say that he disagrees with the
Visa Officer’s finding, since the H&C arguments were considered but
dismissed for lack of supportive evidence. Such an assessment is clearly to be
assessed with deference by this Court.
[28]
As
for the second question, it is well established that a court need not engage in
an assessment of the appropriate standard of review. Rather, a reviewing court
is required to evaluate whether the rules of procedural fairness or the duty of
fairness have been adhered to. The Court does this by assessing the specific
circumstances giving rise to the allegation and by determining what procedures
and safeguards were required in those circumstances in order to comply with the
duty to act fairly. No deference is due (Canadian Union of Public Employees
(C.U.P.E.) v Ontario (Minister of Labour), 2003 SCC 29
at para 100, [2003] 1 S.C.R. 539; Dunsmuir, above, at paras 129 and 151; Khosa,
at para 43; Ha v Canada (MCI), 2004 FCA 49
at para 44, [2004] 3 FC 195).
a) Did the Visa Officer fail to conduct
an individualized assessment of the Applicant’s son?
[29]
The
Applicant argues that the Medical Officer and the Visa Officer failed to
conduct an individualized assessment of the probable excessive demand that
Carlos’ health condition might place on Canada’s social
services. To support that proposition, the Applicant relies on the decision of
the Supreme Court of Canada in Hilewitz, above, where it was held that
in considering “excessive demand” the medical officer and the visa officer must
necessarily take into account the availability, scarcity or cost of publicly
funded services, along with the willingness and ability of the applicant or his
or her family to pay for the services. While that decision is based on ss.
19(1)(a)(ii) of the former Immigration Act, the Supreme Court made it
clear that the same analysis is applicable to ss. 38(1)(c) of IRPA, the
wording of which is sufficiently similar to the provision it replaced. The
following paragraphs of Justice Abella, writing for the majority, capture the
essence of that decision:
54. Section 19(1)(a)(ii) calls for an
assessment of whether an applicant’s health would cause or might reasonably be
expected to cause excessive demands on Canada’s social services. The term
“excessive demands” is inherently evaluative and comparative. Without
consideration of an applicant’s ability and intention to pay for social
services, it is impossible to determine realistically what “demands” will be
made on Ontario’s social services. The
wording of the provision shows that medical officers must assess likely demands
on social services, not mere eligibility for them.
55. To do so, the medical officers must
necessarily take into account both medical and non-medical factors, such as the
availability, scarcity or cost of publicly funded services, along with the
willingness and ability of the applicant to pay for the services.
56. This, it seems to me, requires
individualized assessments. It is impossible, for example, to determine the
“nature”, “severity” or probable “duration” of a health impairment without
doing so in relation to a given individual. If the medical officer considers
the need for potential services based only on the classification of the
impairment rather than on its particular manifestation, the assessment becomes
generic rather than individual. It is an approach which attaches a cost
assessment to the disability rather than to the individual This in turn
results in an automatic exclusion for all individuals with a particular
disability, even those whose admission would not cause, or would not reasonably
be expected to cause, excessive demand on public funds.
[30]
I
agree with the Applicant that the Medical Officer’s assessment, on whose
opinion the Visa Officer relied to determine Carlos’ admissibility, falls short
of the individualized assessment required by Hilewitz, above. It
appears from the reasons provided by the Medical Officer, that Carlos was not
assessed as an individual, taking into account his particular situation, but
rather as a member of a class of persons, that is, deaf people. A careful
reading of the two letters from Dr. Gail Andrew submitted by the Applicant
shows that Carlos should not be treated as a deaf person anymore, and that the
surgery that he has undergone was a success. More specifically, Dr. Gail
Andrew attests to the following:
(i)
scientific studies show that the auditory potential developed in children with
early Cochlear implantation is similar to normal hearing children;
(ii)
the educational needs for a child with successful Cochlear implants performed
at a young age cannot be compared to the costs of a child with the same level
of hearing impairment, who has not had the benefit of this type of technology;
(iii)
Carlos has shown 12 months of auditory development within 6 months of the
initial stimulation of his device;
(iv)
the current literature on early Cochlear implantation indicates that these
children are most likely to be able to attend their education in mainstream
placement and have a lower dependence on special education support services;
(v)
after Cochlear implantation, many individuals are able to pursue post-secondary
education with the help of technology supports that are becoming standard in
all classrooms, such as Smart Board and laptop computers; and
(vi)
Carlos has strong social skills, advanced non-verbal problem solving skills, is
well adjusted and has good readiness to learn skills, and will not present with
additional classroom challenges.
[31]
The
Medical Officer, however, focused on Dr. Andrew’s statement that “he will be
able to attend regular inclusive classroom setting with some supports of a
teacher’s assistant and consultation by speech language pathologist”. He also
chose to focus on that part of the report by the principal of the school Carlos
would be attending according to which the school would access Program Unit Funding
for Carlos beginning September 2010 and possibly the fall of 2011, to enable
the school to provide Carlos with support as he is learning to use his implant,
and help to integrate successfully in the classroom setting. On that basis, he
concluded that Carlos still qualifies for special education funding for
deafness and severe disability in Alberta, which would amount to
$41,025 for two years.
[32]
I
agree with the Applicant that this assessment is not reasonable. It is based
on two selective quotes taken out of context. The thrust of the letters written
by Dr. Andrew and the Principal of Southview Child Care is that Carlos’ hearing
and oral abilities have improved substantially since the activation of his
Cochlear implant, and that he will need minimal support in terms of teachers’
assistants and technological devices. Indeed, the Principal of Southview never
said that they will access the Program Unit Funding of the province for the
full amount available, or for the next two years. In assuming that the school
will seek funding for the maximum amount of $41,025, the Medical Officer did
not really consider the submissions made on behalf of Carlos, his actual needs
and the probable demands for specialized educational support. In focusing on
Carlos’ eligibility for these funds, the Medical Officer treated him
generically and not as an individual, which is precisely what the Supreme Court
warned against in Hilewitz.
[33]
I
also agree with the Applicant that the Medical Officer failed to consider
non-medical factors, such as the anticipated need for the social services and
the willingness of the family to assist. Indeed, there is no evidence that the
Medical Officer paid much attention to the assessment of Dr. Andrew and the Principal
of Southview that Carlos will likely need only minimal educational support. It
is true that the Applicant did not submit any detailed plan as to how he
intended to offset any excessive demand on public funding. Yet he did provide
information on his annual salary, and on his comprehensive benefits plan, as
well as a signed Declaration of Ability and Intent. Neither the Medical
Officer nor the Visa Officer said anything about the Applicant’s ability and
willingness to pay for social services in lieu of accessing public funding. To
that extent, it cannot be said that the decision was based on all relevant
available information and that it was reasonable.
b) Was there a breach of procedural
fairness?
[34]
It
is settled law that the duty of fairness requires that an applicant be given
notice of the particular concerns of the immigration officer and be granted a
reasonable and meaningful opportunity to respond by way of producing evidence
to refute those concerns (Rukmangathan v Canada (MCI), 2004 FC 284 at
para 22, 247 FTR 147; Sapru v Canada (MCI), 2011 FCA 35 at paras 31-32,
330 DLR (4th) 670 [Sapru]).
[35]
The
ability to meaningfully participate in the decision-making process requires
clear notice of the case to be met, a full and fair opportunity to present
evidence and submissions relevant to that case, and full and fair consideration
of the case: Hersi v Canada (M.C.I.) (2000), 198 F.T.R. 120, at para 20
(FCA).
[36]
In
light of the principles espoused in Hilewitz and in other cases,
Citizenship and Immigration Canada published an Operational Bulletin on
“Accessing Excessive Demand on Social Services” on September 24, 2008
(Operational Bulletin 063). This Bulletin was complemented on July 29, 2009 by
Operational Bulletin 063B, which does not significantly alter the procedures
that immigration officers are to follow when assessing probable excessive
demand on social services. While these guidelines are not legally binding,
they are nonetheless valuable tools in assessing the immigration officer’s
duties; they reflect the respondent’s own view as to what may be necessary to
achieve a fair outcome and they can certainly create expectations that they
will be adhered to (Frank v Canada (MCI), 2010 FC 270 at para 21, [2010]
FCJ No 304 (QL); Firouz-Abadi v Canada (MCI), 2011 FC 835 at para 21, [2011]
FCJ No 1036 (QL) [Firouz-Abadi]).
[37]
This
policy is meant to clarify the roles of the medical officer, the immigration or
visa officer and the applicant in those cases where the medical officer has
indicated that the applicant or dependent family member has a health condition
which might reasonably be expected to cause an excessive demand on social
services in Canada. It requires
immigration officers to send fairness letters to invite them to provide
additional information required to overcome findings of inadmissibility, as
well as the pertinent sections of the IRPR and a “Declaration of Ability
and Intent” to be signed by the applicant. This Declaration is intended to
inform applicants that their application for permanent residency may be
refused, unless they can provide a detailed plan to an immigration officer,
ensuring that their dependant will not impose an excessive demand on Canadian
social services.
[38]
In
the case at bar, the procedure followed by the Visa Officer was clearly
deficient. The Applicant received two procedural fairness letters in response
to his application for permanent residency. In both of these letters, the Visa
Officer essentially adopted and reproduced the Medical Officer’s assessment,
without ever telling the Applicant that he was expecting a detailed plan to
offset the probable excessive demand on Canadian social services.
[39]
The
Applicant could reasonably understand from the first letter that the Visa
Officer’s main concern (based on the Medical Officer’s assessment) was that
Carlos would have to attend a special school for the deaf, which would cost
$35,000 (for a non-residential student) to $70,000 (for a student in residence)
per year. The Applicant addressed this concern by submitting documentation to
demonstrate that Carlos was a hearing, healthy child, and that it was not
necessary for him to attend a special school for the deaf.
[40]
In
response to the second letter, according to which the cost implications for
Carlos’ special education needs (based on available funding in Alberta for deaf
children) would amount to $90,420 for the next five years, the Applicant once
again submitted further documentation to demonstrate that Carlos is not deaf
anymore, and that he will only need minimal assistance in the classroom for
which the Applicant was willing and able to pay.
[41]
Despite
the Applicant’s detailed submissions, his application was eventually rejected
because the Visa Officer was significantly concerned about the Applicant’s lack
of a detailed plan to offset the probable excessive demand on Canadian social
services:
File reviewed, including all documents
received in response to my procedural fairness letter of June 2010. I note
that the applicant has not submitted a plan which specifies any private school
or private educational support in order to avoid relying on Alberta public program unit funding
(PUF) – which his preschool facility (Southview Child Care) intended to access
in fall 2010 and possibly also in fall 2011. In the absence of specific
information on how they propose to use private social services in place of the
publicly-available ones already mentioned, I am not satisfied that this
represents a credible plan to offset the assessment of probable excessive
demand on social services.
Applicant’s Record, Tab 3, at p. 12
(CAIPS notes).
[42]
The
Visa Officer failed to notify the Applicant about his concern. No reference to
the requirement of a specific plan was ever communicated to the Applicant in
either the first or the second fairness letter. The form letter proposed by
the Operational Bulletin states, in part, as follows:
Before I make a final decision, you have
the opportunity to submit additional information that addresses any or all of
the following:
• the medical condition(s)
identified;
• social services required in Canada for the period indicated
above; and
• your individualized plan to
ensure that no excessive demand will be imposed on Canadian social services for
the entire period indicated above and your signed Declaration of Ability and
Intent.
(…)
In order to demonstrate that you/your
family member will not place an excessive demand on social services, if
permitted to immigrate to Canada, you must establish to the satisfaction of the
assessing officer that you have a reasonable and workable plan, along with the
financial means and intent to implement this plan, in order to offset the
excessive demand that you would otherwise impose on social services,, after
immigrating to Canada. The sections of the Immigration and Refugee Protection
Regulations that define the meanings of “social services” and “excessive
demand” are included for your reference.
[43]
The
two fairness letters sent to the Applicant contained none of that language or
anything equivalent. The only reference to further information that may be
provided by the Applicant is quite cryptic and merely mentions the following:
Before I make a final decision, you may
submit additional information relating to this medical condition or diagnosis.
You may also submit any information addressing the issue of excessive demand if
it applies to your case.
[44]
This
was far from being explicit enough to apprise the Applicant of the Visa
Officer’s concern that the Applicant had not submitted a detailed plan.
Counsel for the Respondent argued that it would be elevating form over
substance to require that the wording of the fairness letter be exactly the
same as that found in the form letter appended to the Operations Manual. I
cannot agree more with that proposition, as long as the language chosen by the
Visa Officer appropriately conveys his concern to an applicant. Here, the
Applicant was left in the dark as to what precisely was required of him, in
terms of addressing the Visa Officer’s preoccupations on the issue of excessive
demand. The problem is compounded by the fact that the Visa Officer did not
send a Declaration of Ability and Intent to the Applicant to be signed and
returned. Had the Applicant received such a Declaration, his attention would
have been drawn to the need to present a detailed plan in order to avoid any
excessive demand on Canadian social services.
[45]
This
case is indistinguishable from the decision of my colleague Justice Barnes in Firouz-Abadi,
above, where he found that the Applicant was not properly notified of the Visa
Officer’s concern in similar circumstances. A similar notification was also
found to be lacking by Justice Kelen in Abdul, above, at para 26. Counsel
for the Respondent tried to argue that these cases are inconsistent with the
decision of the Court of Appeal in Sapru, above, where it was held that
a medical officer is not obligated to seek out information about an applicant’s
ability and intent to mitigate excessive demands on social services from the
outset of the inquiry, provided that the fairness letter gives an applicant a
fair opportunity to respond to any concerns. However, the Court added an
important caveat: the fairness letter must clearly set out all of the
relevant concerns and provide a true opportunity to meaningfully respond to all
of the concerns of the medical officer. Indeed, the fairness letter sent by
the visa officer in that case closely followed the form letter stipulated in
the respondent’s Operational Bulletin.
[46]
For
all of the foregoing reasons, I am therefore of the view that the fairness
letters fell short of the requirements set forth in Sapru, above, and
did not adequately spell out the information sought by the Visa Officer. As a
result, it cannot be said that the Applicant was provided with full and clear
notice of the case to be met, nor did he receive a full and fair opportunity to
present relevant evidence that would have enabled the Visa Officer to make an
individualized assessment of his case. This clearly amounts to a breach of the
Applicant’s right to procedural fairness.
c) Was the H&C assessment
reasonable?
[47]
As
I have found that the decision of the Visa Officer must be quashed both because
it is unreasonable and because it is in breach of procedural fairness, I need
not answer this third question. I shall nevertheless comment briefly on the
Applicant’s submission in this respect, if only to provide guidance with
respect to any further assessment of his application.
[48]
Mr.
Perez argues that the Visa Officer failed to give adequate consideration to H&C
grounds and did not give sufficient weight to the comments made by Carlos’
pediatrician and the Southview Day Care Principal that Carlos will not have
access to the same service and technology in the Philippines.
[49]
I
find this submission without merit. First of all, the Visa Officer specifically
considered the H&C grounds submitted by Mr. Perez and noted, specifically,
the Applicant’s claim that Cochlear implants are rare in Philippines and that
Carlos would not have access to the technology, rehabilitation and training
enabling Carlos to benefit fully from his surgery. He nevertheless dismissed
this claim of hardship, on the basis that the Applicant did not provide any
specific information or research to support it.
[50]
The
person making an H&C application bears the onus of satisfying the immigration
officer that, in his or her personal circumstances, an exemption to IRPA
requirements is justified on H&C grounds. To that extent, bald assertions
suggesting that medical and social services are not available in the Philippines were not
sufficient to meet that onus. The fact that he relies for these bald
assertions on information from his Canadian pediatrician and day-care director
does not bolster his case. Neither of these two professionals provided any
information as to the source of their belief that programs, rehabilitation and
training for Cochlear implants are not available in the Philippines.
[51]
Mr.
Perez has provided no information from any reliable or knowledgeable source as
to what programs, facilities and training is available in the Philippines. He has
provided no evidence to suggest that he has made any inquiries in the Philippines
as to what programs, facilities and training is available in the Philippines. In truth,
he did provide some evidence to that effect as part of the affidavit that he
filed in support for this application for judicial review. However, that
evidence was not before the Visa Officer and the Medical Officer, and it cannot
be considered by the Court. It is trite law that in a judicial review
application, the only material that should be considered is the material that
was before the decision-maker (McConnell v Canadian Human Rights Commission,
2004 FC 817 at para 68, 132 ACWS (3d) 106, aff’d at 2005 FCA 389, 143 ACWS
(3d) 1066; Lalane v Canada (MCI), 2009 FC 5 at paras 14-20, 338 FTR 238).
[52]
Mr.
Perez has failed to fulfil his onus and assume his burden of proof.
Consequently, the Visa Officer could reasonably dismiss his H&C
application.
5. Conclusion
[53]
For
these reasons, the application for judicial review will be granted. Counsel
posed no question for certification, and none will be certified.
JUDGMENT
THIS COURT’S JUDGMENT
is that
this application for judicial review is granted. No
question is certified.
"Yves
de Montigny"