Date: 20111207
Docket: T-926-11
Citation: 2011 FC 1431
Montréal, Quebec, December 7, 2011
PRESENT: The Honourable Madam Justice Bédard
BETWEEN:
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ROBERT HALL
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Applicant
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and
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THE ATTORNEY GENERAL OF CANADA
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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 rendered by an Appeal Panel of
the Veterans Review and Appeal Board of Canada (the Appeal Panel), dated May 9,
2011. This decision upheld the decision of a Review Panel to deny a disability
award to Robert Hall (the applicant). The applicant alleges that he is entitled
to an award pursuant to section 45 of the Canadian Forces Members and
Veterans Re-establishment and Compensation Act, SC 2005, c 21 [Veterans
Compensation Act] on the ground that he developed a solar elastosis condition
as a result of ultraviolet radiation treatments (UV treatments) that he
received from military doctors at the beginning of his military career. The Appeal
Panel found that there was not a sufficient nexus between the applicant’s
military duties and the development of his medical condition; hence, he was not
entitled to a disability award. The applicant is challenging that decision. For
the reasons that follow, this judicial review is allowed.
I. Background
[2]
The
applicant is 68 years old. He joined the Canadian Forces (CF) on September 17,
1959 and served until October 12, 1998, except for a few months in the early
sixties. When the applicant enrolled in the CF, he was suffering from severe
acne. In 1965, a military physician prescribed UV treatments to be
undergone in a military hospital. The applicant estimates that he received
approximately 200-250 UV treatments between April 1965 and December 1966.
[3]
Several decades
later, he developed severe skin conditions. First, he developed multiple actinic
keratosis on his face, scalp and trunk and basal cell carcinomas on his face,
scalp and forearm. Subsequently, he developed solar elastosis.
[4]
In October
2007, the applicant submitted a disability claim to Veterans Affairs Canada (VAC)
in relation to his multiple actinic keratosis and the basal cell carcinomas. The
Minister denied his claim but, on August 6, 2009, a Review Panel granted him a full
award. The Review Panel found that there was a sufficient nexus between the UV
treatments that the applicant received at the beginning of his career and his medical
condition. It is implicit from the decision that the Review Panel was satisfied
that there was a sufficient connection between the applicant’s condition and
his military service.
[5]
When the
applicant’s solar elastosis developed, he submitted a second claim to the VAC
in relation to this condition. The VAC denied that claim on April 6, 2011. The
applicant appealed from this decision before the Review Panel, which upheld the
denial.
[6]
The Review
Panel did not question the connection between the applicant’s solar elastosis
and the UV treatments. Rather, the Review Panel decided that there was an
insufficient nexus between the applicant’s condition and his military service.
The Review Panel did not “find that the Applicant was engaged in the
performance of a task or service related to his military duties when he was
receiving ultraviolet treatments for his acne. . .” Therefore, the Review Panel
concluded that the applicant had not established “a service relationship
between the development of solar elastosis and his military service.” In
reaching its decision, the Review Panel referred to King v Canada (Veterans
Review and Appeal Board), 2001 FCT 535, 205 FTR 204, [King], in
which Justice Nadon discussed the connection required by paragraph 21(2)(a)
of the Pension Act, RSC 1985, c P-6 [Pension Act]. That provision governed
disability and pension awards to CF members and veterans prior to the coming into
force of the Veterans Compensations Act and also required that the injury arise
out of or be directly connected with the military service in order for the
injury to be pensionable. In this case, the Review Panel cited the following
excerpt of Justice Nadon’s reasons:
[65] . . Pursuant to paragraph 21(2)(a),
only those injuries or diseases which arise out of or are directly connected
with an applicant’s military service are pensionable… an applicant’s military
service must be the primary cause of the injury or the disability and causation
must be established.
[7]
The Review
Panel noted the earlier decision which allowed the applicant’s claim in
relation to his condition of actinic keratosis and basal cell carcinomas but stated
that the Review Panel failed to fully consider the relationship between the
applicant’s ultraviolet treatments and the execution of his military duties.
II. The decision under review
[8]
The
applicant appealed from the decision of the Review Panel but, on May 6, 2011,
the Appeal Panel upheld the Review Panel’s decision.
[9]
The Appeal
Panel accepted that the solar elastosis was caused by the ultraviolet
treatments received by the applicant. It also acknowledged that the applicant
was granted an award for the actinic keratosis and basal cell carcinoma under
almost identical circumstances. The Appeal Panel’s reasons read as follows:
The Board has reviewed all the evidence
on file and has considered the submission of the Advocate. The Board finds, as
did the Review Panel, that although the Appellant was under the treatment of
military doctors he was not engaged in the performance of a task or service
related to his military duties when he was receiving the ultraviolet treatments
for his acne; he was not engaged in the undertaking of a service
requirement which required him to be in a particular place because of the
command nor was he in a special category in which he would be embraced by an
all inclusive coverage.
In light of all of the above, the Appeal
Panel concludes that disability award entitlement is not warranted for the
Appellant’s claimed condition of solar elastosis pursuant to section 45 of the Canadian
Forces Members and Veterans Re-establishment and Compensation Act.
[Emphasis added]
III. Issues
[10]
The only
issue to be decided in this case is whether the Review Board’s decision was
reasonable.
IV. Standard of review
[11]
Both
parties agreed, correctly in my view, that the Appeal Panel’s decision should
be reviewed under the standard of reasonableness. This case turns on the
interpretation of the Veterans Compensation Act and the application of section
45 of the Act to the specific set of facts of record. It therefore involves a
question of mixed fact and law. This inference is in accordance with the
jurisprudence of this Court and of the Federal Court of Appeal (Canada (Attorney
General) v Wannamaker, 2007 FCA 126 at para 12, 156 ACWS (3d) 929; Acreman
v Canada (Attorney General), 2010 FC 1331 at para 18, 381 FTR 139, and Lebrasseur
v Canada (Attorney General), 2010 FC 98 at para 13, 361 FTR 84 [Lebrasseur]).
[12]
The
Court’s role when reviewing a decision under the reasonableness standard is
explained in Dunsmuir v New Brunswick, 2008 SCC 9 at para 47, [2008] 1
SCR 190:
[47]. . . A court conducting a
review for reasonableness inquires into the qualities that make a decision
reasonable, referring both to the process of articulating the reasons and to
outcomes. In judicial review, reasonableness is concerned mostly with the
existence of justification, transparency and intelligibility within the
decision-making process. But it is also concerned with whether the decision
falls within a range of possible, acceptable outcomes which are defensible in
respect of the facts and law.
V. Analysis
A. Legislative framework
[13]
Members or
veterans of the CF who suffer from a service-related injury or disease are
entitled to receive disability awards pursuant to section 45 of the Veterans
Compensation Act which reads as follows:
45. (1) The Minister may, on
application, pay a disability award to a member or a veteran who establishes
that they are suffering from a disability resulting from
(a) a service-related
injury or disease; or
(b) a
non-service-related injury or disease that was aggravated by service.
(2) A disability award may
be paid under paragraph (1)(b) only in respect of that fraction of a
disability, measured in fifths, that represents the extent to which the
injury or disease was aggravated by service.
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45. (1) Le ministre peut, sur
demande, verser une indemnité d’invalidité au militaire ou vétéran qui
démontre qu’il souffre d’une invalidité causée :
a) soit par une blessure ou
maladie liée au service;
b) soit par une blessure ou
maladie non liée au service dont l’aggravation est due au service.
(2) Pour l’application de
l’alinéa (1)b), seule la fraction — calculée en cinquièmes — du degré
d’invalidité qui représente l’aggravation due au service donne droit à une
indemnité d’invalidité.
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[14]
Section 2 of the
Veterans Compensation Act defines as follows the phrase “service related injury
or disease:”
“service-related injury or disease”
“service-related injury or disease”
means an injury or a disease that
(a) was attributable to or was
incurred during special duty service; or
(b) arose out of or was directly
connected with service in the Canadian Forces.
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« liée au service »
« liée au service » Se dit de la
blessure ou maladie :
a) soit survenue au cours du service
spécial ou attribuable à celui-ci;
b) soit consécutive ou rattachée
directement au service dans les Forces canadiennes.
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[15]
Disputes arising
out of the Veterans Compensation Act are governed by the process set forth in
the Veterans Review and Appeal Board Act, SC 1995, c 18 [VRABA]. Section
4 of the VRABA establishes the Veterans Review and Appeal Board. The mandate to
establish a Review Panel and an Appeal Panel rests with the Chairperson of the
Board. Sections 3 and 39 of the VRABA provide guidance to Panel members with
respect to legislative interpretation and assessment of evidence:
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.
[Emphasis added]
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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.
[Je souligne]
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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.
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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.
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B. Positions of the parties
[16]
The
applicant submits that the Appeal Panel’s decision was unreasonable on several
accounts.
[17]
First, he
contends that, in assessing whether he had incurred a service-related injury,
the Appeal Panel applied the wrong test. He argues that by concluding that the
applicant “was not engaged in the performance of a task or service related to
his military duties when he was receiving the UV treatments,” the Appeal Board required
that there exist a direct causal connection between his condition and the
actual performance of specific tasks related to his military duties. He submits
that this test involves an excessively narrow construction of the phrase “arose
out of” in the definition of “service-related injury or disease.” That construction
is at odds with the purpose of the Veterans Compensation Act, with sections 3
and 39 of the VRABA and with the recent case law interpreting the Veterans
Compensation Act.
[18]
The
applicant submits that the Veterans Compensation Act has a welfare purpose: its
object is to ensure the financial security of former members of the Canadian Forces.
Therefore, its provisions must be given a liberal and broad interpretation; indeed,
that is required by section 3 of the VRABA. The applicant further contends that
the phrase “arose out of”, properly read, does not require that the injury or
disease result directly from the performance of specific military duties.
[19]
The
applicant submits that there has been an evolution over the years in the manner
in which the Courts have construed the phrase “arose out of” in the context of
veteran disability awards. The case law first developed in the context of the
Pension Act. The applicant concedes that the test developed in the early
jurisprudence required that military service be the “primary cause” of the
injury or disease related to the disability claim. This early test was the one
applied in King, above, and the one referred to by the Review Panel and
the Appeal Panel in the applicant’s case. The applicant contends that this test
is no longer the recognized test and that recent cases no longer require a
direct causal relationship between a claimant’s medical condition and military
duties. The applicant cites Canada (Attorney General) v Frye, 2005 FCA
264, 141 ACWS (3d) 660 [Frye], Lebrasseur, above, Bradley
v Canada (Attorney General), 2011 FC 309 (available on
CanLII) [Bradley] and Zielke v Canada (Attorney General), 2009 FC 1183, 361 FTR 16,
in support of his positio. The applicant further contends that the decision Boisvert
v Canada (Attorney General), 2009 FC 735 (available on CanLII) [Boisvert]
in which Justice De Montigny cites King is exceptional and that McLean
v Canada (Attorney General), 2011 FC 1047 (available on
CanLII) [McLean] and is easily distinguishable on the facts. The
applicant further contends that the case law pertaining to medical negligence
submitted by the respondent is not relevant.
[20]
The
applicant argues that the appropriate test is whether the activity that caused
his condition (in this case, the UV treatments) took place within the context
of military service and whether he would have developed his current condition but
for the fact that he was in the CF.
[21]
The applicant
is of the view that by applying the wrong test to determine whether his
condition was a service-related injury or disease, the Appeal Board rendered a
decision that was unreasonable.
[22]
In the
alternative, the applicant contends that, even if the “primary cause” test is
the correct test, he does meet this test and the Appeal Panel’s decision was unreasonable
because it failed to consider all of the evidence to make its determination.
The applicant points to the following elements which he contends should have
led the Appeal Panel to conclude that his condition arose out of his military service:
a.
His
condition of solar elastosis resulted from the UV treatments that he received
while he was in the CF;
b.
He was required,
as all CF members were, to seek any and all medical treatment from military
doctors;
c.
The
medical officer who ordered the treatment was his superior;
d.
When he
received the UV treatments, he was following an order from a superior.
[23]
The
applicant argues that the Appeal Panel failed to consider these circumstances
and, therefore, rendered an unreasonable decision. The applicant adds that the
Appeal Panel erred in failing to make every reasonable inference in his favour,
as directed by section 39 of the VRABA.
[24]
The
applicant also submits that the Appeal Panel failed to provide adequate reasons.
He argues that the Appeal Panel’s decision lacks justification, transparency
and intelligibility as it failed to analyse the relationship between his
military service and his current condition. He further contends that the Appeal
Panel should also have explained why it chose to follow King, above, and
to reject Frye. Moreover, the Appeal Panel should have explained why it
chose to depart from the prior decision rendered by the Review Panel in
relation to his actinic keratosis and basal cell carcinomas.
[25]
The
respondent submits that the Appeal Panel’s decision is reasonable and that the
applicant is asking the Court to substitute its own assessment of the evidence
to the Appeal Panel’s assessment which is not the Court’s role in judicial
review proceedings.
[26]
The
respondent takes the view that the “primary cause” test that the Appeal Panel
applied is the appropriate test to assess whether a condition is a
service-related injury or disease. The Appeal Panel was not satisfied that the
applicant’s military service was the primary cause for his medical condition
and it was reasonably open to it to conclude that the applicant’s condition did
not arise out of his military service. The respondent relies on the test
articulated by Justice Nadon in King, above. He also cites Boisvert,
above, and McLean, above, which, counsel
submitted, are recent applications of the “primary cause” test. The respondent
further contends that the “primary cause” test is not inconsistent with the
principles enunciated in Frye where the Federal Court of Appeal ruled that
it is not enough for a person to show that he or she was serving in the CF at
the time that the activity which led to the injury or the disease occurred.
[27]
The
respondent also finds support for this position in the cases pertaining to medical
negligence in the military context. In the respondent’s view, those cases stand
for the more general proposition that, absent a finding of negligence, there is
an insufficient causal connection between a member’s military service and the result
of medical treatment received at military facilities to grant a pension or
disability award.
[28]
The
respondent cites Gannon v Canada (Attorney General), 2006 FC 600, at
para 20, 292 FTR 280 [Gannon] in support of his submission that the correct
approach to claims relating to medical negligence is not based on the existence
of a sufficient causal connection between the member’s military service and the
medical outcome. Rather, it is “because the Department of Defence assumes the
obligation to provide adequate medical care to all servicemen.”
[29]
The respondent
also cites a case decided by the Supreme Court of Canada (SCC) that considered
the relationship between medical treatment and military service in a civil
action against the Crown for negligence. In Mérineau v Canada , [1983] 2 S.C.R. 362 (available on CanLII)
[Mérineau], the appellant received a blood transfusion with blood of the
wrong type in a military hospital and instituted a civil action against the
Crown for negligence. The Crown objected to the Court’s jurisdiction on the
basis that the plaintiff should have claimed benefits under the Pension Act. Subsection
21(2) of the Pension Act, in force at the time, contained language similar to
that of the provision in issue herein: “arose out of or was directly connected
with” military service. As Justice Pratte explained it:
There is certainly a link between the
damage for which the appellant is claiming compensation and his status as a
serviceman, but I think that link is too tenuous for one to say that the damage
is directly connected to his military service.
[30]
The
respondent also referred to O’Connor v Canada, 94 FTR 93, 54 ACWS (3d) 896 [O’Connor],
in which the Federal Court applied Mérineau to a case about a soldier who
received substandard treatment in a military hospital for a herniated disc. In O’Connor,
the Court decided that subsection 21(2) of the Pension Act was not broad enough
to justify the award of a pension in such circumstances.
[31]
The
respondent argues that while these cases involve civil actions directed at the
Crown and based on medical negligence, they illustrate the relationship between
military medical care and military service. In the case at bar, the applicant
did not provide any evidence of medical negligence or mismanagement and Mérineau,
above, and O’Connor, above, are strongly persuasive that the applicant’s
situation does not qualify him for the disability award. In the absence of any
inadequate medical care, attention, or management, it was reasonable for the Appeal
Panel to conclude that the applicant’s condition did not qualify him for the
award sought.
[32]
The
respondent further contends that the Appeal Panel did not violate section 39 of
the VRABA. The respondent submits that this section did not come into play in
this case since the Appeal Panel was not required to draw any inference from
the evidence. The evidence spoke for itself and could be relied on to determine
the outcome of the matter. Furthermore, the evidence was not contradicted and, therefore,
there was no doubt to be resolved in favour of the applicant.
[33]
The
respondent also rejects the applicant’s submission that the Appeal Panel’s
reasons were insufficient. The respondent contends that it is apparent from the
decision that the Appeal Panel understood the issues and considered all the
evidence. The respondent further argues that the Appeal Panel was not required to
specifically refer to every item of evidence (Anderson v Canada (Attorney General), 2009 FC 1122 at para 24 (available
on CanLII) [Anderson]). Moreover, the assessment of
the adequacy of the reasons could not be based solely on a consideration of the
portion entitled "Analysis/Reasons". The Appeal Panel was not required
to discuss how it distinguished its most recent decision from earlier ones. The
respondent argues that the authorities submitted by the applicant do not deal
with similar or analogous factual situations to the case at bar. Therefore,
they are of limited usefulness.
[34]
Finally, the
respondent argued that there is nothing unreasonable in the fact that the
decision under review is inconsistent with a prior decision of the Board
regarding the same facts. The Appeal Panel plainly stated that the applicant
received a disability benefit to which he was not entitled; accordingly, in
arguing that he is entitled to receive the disability award because an award
was previously granted in the same circumstances, the applicant is arguing that
the Appeal Panel should remain bound by a case that was wrongly decided.
C. Discussion
[35]
The
Veterans Compensation Act sets forth the conditions under which members and
veterans of the CF are entitled to receive compensation. The simple fact that a
CF member or veteran was injured or developed a disease while he was serving is
not sufficient to entitle him to a disability award. The injury or the disease
must be service-related or must have been aggravated by service. The definition
of a service-related injury or disease under the Veterans Compensation Act clearly
encompasses two alternative criteria: an injury or disease is service‑related
if it arose out of the service in the CF or if it was directly connected
with the service in the CF. It appears from the words used by Parliament that
the criteria referring to the “arose out of” military service is less stringent
than the “directly connected with” portion of the definition.
[36]
It is not
disputed by the respondent that the Veterans Compensation Act must be construed
in a broad and liberal manner; that flows from the general purpose of the Act,
which is to provide entitlements in specific circumstances, and from section 3
of the VRABA in particular, which clearly sets out this principle that the Act
“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.”
[37]
The
Federal Court of Appeal was very clear on that matter in Frye, above,
when it interpreted paragraph 21(2)(b) of the Pension Act. In my view,
the Court was also clear that a direct or immediate causal connection between
an injury or disease and military service was not required in order to
determine whether a condition “arose out of” military service. This, in my view,
sets aside the “primary cause” test. The Court made the following comments:
[21] The liberal approach to the
interpretation of the Pension Act, mandated both by Parliament and by
the interpretative principles outlined above, requires that the phrase
"arose out of" in paragraph 21(2)(b) be interpreted in a broad
manner. This phrase, used in another statute, was interpreted broadly in Amos
v. Insurance Corp of British Columbia, [1995] 3 S.C.R. 405 at para. 21,
where Major J. said:
The question is whether the requisite
nexus or causal link exists between the shooting and the appellant's ownership,
use or operation of the van. With respect to causation, it is clear that a
direct or proximate causal connection is not required between the
injuries suffered and the ownership, use or operation of a vehicle. The phrase
"arising out of" is broader than "caused by", and must be
interpreted in a more liberal manner.
[22] Since then, several courts have
applied this reasoning to determine whether injuries "arose out of"
the use and operation of an automobile in the insurance context. Even though,
in some cases, the automobile played only a minor role in the injuries, courts
have found a sufficient causal nexus between the injury and the operation of a
vehicle: see, for example, Lefor (Litigation guardian of) v. McClure
(2000), 49 O.R. (3d) 557 (C.A.).
[. . .]
[25] First, as the Judge himself
pointed out (at para. 20), it is significant that the phrase "arose out
of" is linked to "directly connected with" by the word
"or". This would appear to indicate that Parliament did not intend to
provide that a claimant was eligible for a pension only if the injury or death
both "arose out of" and was "directly connected
with" military service.
[. . .]
[29] Consequently, since the purpose
of the Pension Act is to provide pensions in defined circumstances, which must
be interpreted liberally and generously, a broad interpretation of paragraph
21(1)(b) is required in order to facilitate entitlement. Hence, we are of the
view that a claimant may fall within paragraph 21(1)(b) by establishing that
death or injury arose out of military service, whether or not there was a
direct connection between them. In other words, while it is not enough that the
person was serving in the armed forces at the time, the causal nexus that a
claimant must show between the death or injury and military service need be
neither direct nor immediate.
[. . .]
[31] The Board seems thus to have
treated recreational activities and military service as mutually exclusive
categories, so that, since the Corporal Berger's death occurred while engaging
in recreational activity, it did not arise out of military service. In so
reasoning, the Board failed to look at all the circumstances in order to
determine whether, while linked to recreational activity, Corporal Berger's
death was not also sufficiently causally linked to military service that his
death could be said to have arisen out of military service. This narrow
approach to the phrase "arose out of or directly connected with" is
not consistent with the liberal and generous interpretative approach to the Act
that is required by law.
[Emphasis
added]
[38]
In my
humble opinion, this approach is consistent with the language used by
Parliament in the definition of service‑related injury and with the
purpose of the Veterans Compensation Act. This approach was also applied by
Justice Tremblay-Lamer in Lebrasseur, above, and by Justice
Phelan in Bradley, above.
[39]
In Lebrasseur,
above, Justice Tremblay-Lamer made the following comments:
[22] The
terms "arose out of" are understood as not requiring a direct causal
link. In a case turning on the interpretation of a regulation providing
insurance coverage for injuries arising "out of" the use of a motor
vehicle, the Supreme Court has cautioned against "a technical construction
that defeats the object and insuring intent of the legislation providing
coverage." (Amos v. Insurance Corp. of British Columbia, [1995] 3
S.C.R. 405 at par. 17, 127 D.L.R. (4th) 618.) The words "arose out
of" therefore only require "some nexus or causal relationship (not
necessarily a direct or proximate causal relationship)" (ibid;
emphasis in the original).
[23] In my view, this
interpretation of the terms "arose out of" is well- suited to the Pension
Act. I note that Parliament, in its wisdom, has seen it fit to make clear
the Pension 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
... as a result of ... service ... may be fulfilled."
[40]
In Bradley,
above, Justice Phelan expressed the following:
[20] In assessing the reasonableness
of the Appeal Board's decision, the Court must consider not only the decision's
constituent parts but also its overall approach. For the reasons outlined below,
the Court finds that the Appeal Board took an approach to the case which was
inconsistent with s. 3 of the Act and approached the claim in a bureaucratic,
narrow and parsimonious manner. This is inconsistent with the legislation and
the decisions of this Court and the Court of Appeal with respect to the manner
in which the assessment of a pension claim is to be conducted. It is not
sufficient to pay lip service to the generous reading and application of the
legislation which Parliament intended, this Court has affirmed and which
members of the Armed Forces deserve.
[. . .]
[31] The Appeal Board, in general,
focused on whether the Applicant was performing a specific military function or
duty at the specific moment of the injury, rather than whether the Applicant's
injury arose from his being in military service. . . .
[41]
I am of
the view that these authorities clearly stand for a broad and liberal approach with
respect to the interpretation of the Veterans Compensation Act and I concur
with that approach.
[42]
I wish to
comment on some of the authorities that the respondent cites.
[43]
I have
reservations about the relevance of Mérineau in this case. First, Justice
Pratte’s reasons seem to be focussed on the portion of the definition that
relates to the direct connection with military service: “There is certainly a
link between the damage for which the appellant is claiming compensation and
his status as a serviceman, but I think that link is too tenuous for one to say
that the damage is directly connected to his military service.”
[44]
Second, I
am not sure that the interpretation suggested by Justice Pratte would still
stand in the light of Amos v Insurance Corp. of British Columbia,
[1995] 3 S.C.R. 405, 127 DLR (4th) 618 [Amos], in which the Supreme Court of
Canada gave a liberal and broad interpretation of the phrase “arose out of” in
the context of insurance. It is worth noting that both Lebrasseur,
above, and Frye, above, referred to Amos.
[45]
In Gannon,
above, referred to by the respondent, the focus was on medical negligence
because such was the basis of the claim. Justice Snider specified at paragraph
18 of her reasons that the submissions had focussed on the alleged
mismanagement of the applicant’s condition. Therefore, Gannon cannot provide
enlightenment as to the proper interpretation of section 21 of the Pension Act or
as to the treatment of a service-related injury or disease under the Veterans
Compensation Act.
[46]
With all
due respect to my learned colleagues, I am of the view that the approach taken
by the Court in Lebrasseur, above, and Bradley, above, is more
consistent with the principles enunciated by the Federal Court of Appeal in Frye,
above, than the “primary cause” approach favoured by the Court in King,
above, Boisvert, above, and Mc Lean, above. It is important to
add that the context in which Boisvert and McLean were rendered was different
than the one in this case; in those cases the issues involved the sufficiency
of the medical evidence.
[47]
I will now
return to the test applied by the Appeal Panel. The Appeal Panel referred to King,
above, when it cited excerpts of the Review Panel’s decision. In its reasons,
it also endorsed the rationale of the Review Panel. Therefore, I infer that the
Appeal Panel implicitly applied the “primary cause” test enunciated in King.
For the reasons above, it is my view that this test is not consistent with a broad
and liberal interpretation of the Veterans Compensation Act. However, in the
alternative, I conclude that the Appeal Panel erred in its application of the
test.
[48]
The Appeal
Panel’s reasons are quite succinct and lack detail. However, it appears that
the Appeal Panel rejected the applicant’s claim on the sole ground that he was
not performing his military duties when he received the UV treatments. The
Appeal Panel suggests that, to be service‑related, the injury or the
disease must absolutely occur while the member or veteran is performing
specific military duties. This, in my view, is an excessively restrictive
application of the “primary cause” test. There could be circumstances in which the
military service of a member may very well be the “primary cause” for an injury
or a disease even if the member was not performing his or her actual military
duties when it occurred. The Appeal Panel should have considered whether the
circumstances in which the applicant received the UV treatments were
sufficiently related to his military service to warrant an award. In
particular, the Appeal Panel should have kept in mind that the applicant was required
to seek medical treatment from a military physician, that he received the UV
treatments because they were prescribed by a military physician, who was his
superior in rank, and should have discussed whether this was sufficient to
conclude that the applicant’s medical condition arose out of his military
service. Clearly, the Appeal Panel did not take into account these elements: it
decided the matter on the simple ground that the applicant was not performing his
military duties when he received the UV treatments. Accordingly, the Appeal
Panel failed to consider relevant evidence and therefore its decision is
unreasonable and cannot stand.
VI. Remedy
sought
[49]
The
applicant asks to have the Court set aside the Appeal Panel’s decision and
grant him a full award for his solar elastosis condition. In the alternative,
he asks the Court to refer the matter back to a differently constituted Appeal
Panel with the specific direction that his claim be allowed.
[50]
I
have concluded that the Appeal Panel erred by applying the wrong test and by ignoring
relevant evidence. However, it is not the Court’s role to entertain the
applicant’s claim for benefits and to assess whether the evidence is sufficient
to conclude that his condition of solar elastosis arose out of his military
service. The Court will however send the file back for re-determination by a
differently constituted Appeal Panel which will be guided by the present
reasons.
JUDGMENT
The application for judicial review is allowed. The Appeal
Panel’s decision of May 9, 2011 is set aside and the matter is sent back for re‑determination
by a differently constituted Appeal Panel.
Costs are awarded
to the applicant.
“Marie-Josée
Bédard”