Docket: T-2125-14
Citation:
2015 FC 881
Ottawa, Ontario, July 17, 2015
PRESENT: The
Honourable Madam Justice Kane
BETWEEN:
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IDRIS BEN-TAHIR
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Applicant
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and
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ATTORNEY
GENERAL OF CANADA
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Respondent
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JUDGMENT AND REASONS
[1]
This is an application for judicial review of a
decision by the Veterans Review and Appeal Board (VRAB) Entitlement Appeal
Panel (the Board) dated September 10, 2014, which affirmed the decision of the
VRAB Entitlement Review Panel dated March 1, 2013, which affirmed the February
17, 2012 decision of Veteran Affairs Canada (VAC) to deny the applicant’s
request for a disability award under the Canadian Forces Members and
Veterans Re-establishment and Compensation Act, SC 2005, c 21 [Compensation
Act]. The Board found that the applicant had not established that his
hearing loss and benign paroxysmal positional vertigo (BPPV or vertigo) was
caused by or aggravated by his military service.
[2]
Mr Ben-Tahir, the applicant, provided a
significant amount of information regarding his role in the Canadian Forces and
his medical diagnoses.
[3]
The issue in this judicial review is not whether
Mr Ben-Tahir suffers from hearing loss and BPPV, as the medical evidence
confirms that he does indeed have these conditions. He described the serious
impact of these conditions on his day-to day-life.
[4]
Similarly, the issue on this judicial review is
not Mr Ben-Tahir’s contribution or commitment to the Canadian Forces as a
member of the Reserve Force and Supplementary Reserve and as a public servant
or civilian.
[5]
This judicial review focuses on the decision
made by the Board with respect to Mr Ben-Tahir’s particular claims for a
disability award.
[6]
For the reasons that follow, the application for
judicial review is dismissed. The decision of the Board is reasonable and was
reached in a procedurally fair manner.
Background
[7]
The pertinent background can be summarised as
follows.
[8]
Mr Ben-Tahir served in the Reserve Force of the
Canadian Forces (Reserve Force) from December 5, 1963 to February 14, 1967.
[9]
He recounts that in August 1965, while in the
Reserve Force, he was subjected to a bullying or hazing incident which was
sanctioned by his commanding officer. He describes that he was stripped of his
clothing, shoes and glasses; his feet were tied; Coca-Cola was poured on his
head; and, he was thrown into a swimming pool. He instituted a grievance, but
was encouraged to withdraw it. He also recounts other adverse consequences
which led to his transfer to the Supplementary Reserve in February 1967.
[10]
He indicates that the bullying incident, along
with the associated stress of the consequences following the incident, resulted
in or contributed to his BPPV and hearing loss.
[11]
He also recounts that while working for the
Canadian Forces in a civilian capacity at CFB Trenton beginning in 1967 and at
CFB Cold Lake in 1977, he suffered significant noise exposure which also
contributed to his hearing loss. In oral submissions, the applicant indicated
that the noise exposure began earlier, while he was located at CFB Uplands.
[12]
Mr Ben-Tahir submits that his hearing loss and
vertigo did not exist prior to the bullying incident and were exacerbated over
the years since the incident.
[13]
He also notes that he applied to be a member of
the VRAB in 2010 and was not accepted. He submits that he met all the
educational requirements and there was no valid reason provided to him for his
non-acceptance.
The Decision Under Review
[14]
As noted in the respondent’s record, the
applicant made a separate disability claim for another condition which was
decided by a different Entitlement Review Panel on June 18, 2014. That decision
has not yet been appealed to the Entitlement Appeal Panel.
[15]
There are several review and appeal mechanisms
from decisions of VAC regarding entitlement to various disability awards and
pensions. In the present case, Mr Ben-Tahir has pursued all levels of review
with respect to his claim related to BPPV and hearing loss and now seeks
judicial review of the decision of the Board dated September 10, 2014. It is
only this decision that is the subject of judicial review.
[16]
The Board found that the applicant’s claimed
conditions of hearing loss and BPPV did not arise out of and were not directly
connected to the applicant’s service in the Reserve Force.
[17]
The Board noted that most of the evidence the
applicant had filed in support of his claim was not relevant to his claimed
conditions.
[18]
With respect to the applicant’s hearing loss,
the Board noted that the medical documents did not reveal any medical
examinations or audiograms at the time of his release from the Reserve Force.
The Board also found that the report of the applicant’s medical examination for
enrolment in 1974 did not indicate that he suffered from any hearing problems
at that time.
[19]
The Board noted that the applicant’s first
available audiogram was dated May 1986 and the results did not indicate
sufficient decibel loss to be considered the cause of any category of hearing
loss disability as defined by the Entitlement Eligibility Guidelines (EEGs) for
hearing loss.
[20]
The Board considered the opinion of Dr Murphy,
an otolaryngologist, dated August 25, 2013 that indicated that noise exposure
may provide an accumulative effect which may not become evident for several
years.
[21]
The Board also noted that the evidence did not
reveal the activities the applicant participated in during his time in the
Reserve Force and what level of noise exposure he experienced in the Reserve
Force (from 1964-1967). The Board added that the applicant’s testimony
indicated that he was exposed to noise predominately from 1969-1974 while at
CFB Trenton. The Board concluded that the applicant had not demonstrated that
he was exposed to noise during his time in the Reserve Force.
[22]
The Board acknowledged that the applicant was
exposed to significant noise while working at CFB Trenton from 1969-1974 and
later at CFB Cold Lake, but found that, at those times, he was working as a
civilian and, as a result, he would not be entitled to benefits from VAC.
[23]
The Board concluded that the applicant is not
entitled to a disability award for the condition of hearing loss.
[24]
Regarding the applicant’s BPPV, the Board
referred to the Mayo Clinic website for information regarding the causes and
risk factors for BPPV, which indicates that doctors cannot identify a specific
cause in about half of all cases. Where a cause can be determined, the website
indicates that it is often associated with a minor or severe blow to the head
or other disorders that can damage the inner ear. No definite risk factors are
identified other than age.
[25]
The Board considered the opinion of Dr Murphy,
dated August 25, 2013, that stated that the act of being thrown into water
would not cause Meniere’s disease, which is a precursor to vertigo. Dr Murphy’s
opinion indicated that the psychological stress resulting from the bullying incident
may have aggravated the applicant’s perception of any vertigo that he may have
had prior to the incident.
[26]
The Board noted that the EEGs do not indicate
that stress is a cause of or can aggravate vertigo.
[27]
The Board added that the October 8, 2012 opinion
of Dr Murphy indicated prior diagnoses of cochlear hydrops, labyrinthitis and
viral infection as causes of the applicant’s vertigo. Dr Murphy indicated that
the diagnoses of cochlear hydrops or labyrinthitis could have been a first
episode of BPPV.
[28]
The Board also commented that the bullying
incident recounted to Dr Murphy had not been proven.
[29]
In addition, the Board considered the opinion of
Dr Smith, a psychiatrist, dated October 17, 2002 which stated that the
applicant’s 1969 episode of vertigo was attributed to a viral infection. Dr
Smith added that “this does not detract from
psychosocial factors as a significant contributor in regard to the exacerbation
of his benign positional vertigo.”
[30]
The Board concluded that the medical evidence
was insufficient to relate the applicant’s BPPV to his Reserve Force service.
Relevant Legislation
[31]
Canadian Forces Members and Veterans
Re-establishment and Compensation Act, SC 20015, c.
21:
43. In making a decision under this Part or under section 84, the
Minister and any person designated under section 67 shall
(a) draw from the circumstances of the case, and any evidence
presented to the Minister or person, every reasonable inference in favour of
an applicant under this Part or under section 84;
(b) accept any uncontradicted evidence presented to the Minister
or the person, by the applicant, that the Minister or person considers to be
credible in the circumstances; and
(c) resolve in favour of the applicant any doubt, in the weighing
of the evidence, as to whether the applicant has established a case.
…
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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43. Lors de la prise d’une décision au titre de la présente partie
ou de l’article 84, le ministre ou quiconque est désigné au titre de
l’article 67 :
a) tire des circonstances portées à sa connaissance et des
éléments de preuve qui lui sont présentés les conclusions les plus favorables
possible au demandeur;
b) accepte tout élément de preuve non contredit que le demandeur
lui présente et qui lui semble vraisemblable en l’occurrence;
c) tranche en faveur du demandeur toute incertitude quant au
bien-fondé de la demande.
…
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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[32]
Veterans Review and Appeal Board Act, SC 1995, c 18 [VRAB Act]:
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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The Issues
[33]
The applicant raised several issues and provided
a significant amount of information in his record, including information
relating to his career in Canada and his community involvement. Based on his
written memorandum and his oral submissions, the applicant’s key submissions
pertaining to this judicial review are that the Board erred in assessing his
entitlement to a pension. Specifically, the applicant argues that the incident
that occurred in 1965 was a cause of both his BPPV and hearing loss and that
his exposure to noise while working at CFB Trenton and CFB Cold Lake was a
cause or an exacerbation of his hearing loss. In addition, the applicant raised
the issue of bias by the VRAB.
[34]
The applicant also seeks relief which goes beyond
the authority of the Court on judicial review. For example, the Court cannot
address issues that relate to the admissibility or acceptance of evidence in
other proceedings.
[35]
The issues that will be considered in this
judicial review are:
(1)
Whether the decision of the Board is reasonable;
and
(2)
Whether the decision of the Board is
procedurally fair, based on allegations that the VRAB showed a reasonable
apprehension of bias.
The Supplementary Affidavit
[36]
As a preliminary issue, the applicant seeks to
admit his supplementary affidavit, dated June 15, 2015, with exhibits. The
respondent objects to the majority of the affidavit noting that it includes
legal argument, statements which are not relevant to the issue on this judicial
review, statements which are repetitive of information on the record and/or
included in the applicant’s December 2, 2014 affidavit, and, more generally,
that the affidavit will not assist the Court.
[37]
I agree that the applicant has not met the onus
upon him to establish that the evidence in the supplementary affidavit will
serve the interests of justice, assist the Court and not prejudice the
respondent (Mazhero v Canada (Industrial Relations Board), 2002 FCA 295
at para 5, [2002] FCJ No 1112. Prejudice to the respondent is not an issue in
the present circumstances; however, the other two branches of the test are not
met.
[38]
Although the applicant has not established that
the supplementary affidavit should be admitted, I have given the applicant, who
is self-represented, some latitude in his submissions and in his reference to
material included as exhibits to his supplementary affidavit. Some of the
information repeats that which is on the record or in his memorandum of law.
Other information describes his contribution to the community, which is commendable,
but not relevant to the issue before this Court, which is the reasonableness of
the Board’s decision. The affidavit refers to new information, a letter from
Dr Murphy dated May 2015. This letter was not available earlier and was not
provided to the Board. It provides a possible explanation for an anomalous
audiogram result in 1986 (or 1984, both dates are referred to at different
points in the record). I have considered this letter; however, as explained
below, this new evidence does not change the Court’s assessment of the
decision.
Standard of Review
[39]
The standard of review of discretionary
decisions and findings of fact of the VRAB Entitlement Appeal Panel is
reasonableness (Robertson v Canada (Minister of Veterans Affairs), 2010
FC 233 at para 32, [2010] FCJ No 263 [Robertson]; Phelan v Canada
(Attorney General), 2014 FC 56 at para 25; Jarvis v Canada (Attorney
General), 2011 FC 944 at para 4 [Jarvis]). The Board’s determination
of the applicant’s entitlement to a disability pension involves the
interpretation and assessment of medical evidence, which is also reviewable on
a standard of reasonableness (Beauchene v Canada (Attorney General),
2010 FC 980 at para 21, 375 FTR 13).
[40]
The standard of reasonableness is not
necessarily what a person may think or argue is reasonable based on their
perspective of the impact of the decision. Rather, the standard of
reasonableness that is applied to the review of decisions is based on
well-established legal principles. I appreciate that this concept may not be
readily understood, particularly where the result is not what is hoped for.
However, the Court is obliged to apply the relevant legal principles.
[41]
The role of the Court on judicial review where
the standard of reasonableness applies, as in the present case, is to determine
whether the Board’s decision “falls within ‘a range of
possible, acceptable outcomes which are defensible in respect of the facts and
law’ (Dunsmuir, at para. 47). There might be more than one reasonable
outcome. However, as long as the process and the outcome fit comfortably with
the principles of justification, transparency and intelligibility, it is not
open to a reviewing court to substitute its own view of a preferable outcome.”
(Canada (Minister of Citizenship and Immigration) v Khosa, 2009 SCC 12
at para 59, [2009] 1 S.C.R. 339 [Khosa]).
[42]
The Court does not re-weigh the evidence or
remake the decision.
[43]
A reasonable decision can also be described as
one that can stand up to a somewhat probing examination (Baker v Canada
(Minister of Citizenship and Immigration), [1999] 2 S.C.R. 817 at para 63,
[1999] SCJ No 39).
[44]
Questions of procedural fairness are reviewable
on a correctness standard (Khosa at para 43; Jarvis at para 5). A
breach of procedural fairness would require that the decision be reconsidered;
there is no deference to the decision maker where there is such a breach. This
standard applies to the allegations of bias raised by the applicant.
Material Not Before the Board
[45]
As explained at the oral hearing, on judicial
review, the Court may only consider the evidence which was before the board,
commission or other tribunal whose decision is being reviewed, unless certain
narrow exceptions apply, which are not present in this case (Via Rail Canada
Inc v Canada (Canadian Human Rights Commission), [1998] 1 FC 376 at paras
14-24, 135 FTR 214; Robertson at paras 29-31). Therefore, the reasonableness
of the Board’s decision is assessed based on the evidence that the Board had
before it, which the Board acknowledged was extensive, but not all of which was
relevant.
Is the Board’s Decision Reasonable?
The Applicant’s Submissions
[46]
The applicant submits that he was subjected to a
hazing incident in 1965, while in the Reserve Force, which was ordered or
approved of by the Commanding Officer and this led to several conditions,
particularly, vertigo and hearing loss.
[47]
The applicant also submits that much of the
relevant information regarding the incident in 1965 has been destroyed.
[48]
He explains that he suffered severe vertigo
while at CFB Trenton from 1969-1974 and that his hearing loss worsened due to
noise exposure.
[49]
He also explains that while he may have been a
civilian while working at CFB Trenton, he was called upon to participate in
various missions and this required him to wear his uniform. He submits that
these missions or assignments were analogous to being called out for service from
the Supplementary Reserve.
[50]
The applicant now submits that he was exposed to
noise much earlier while at CFB Uplands in 1963-1967 and while still in the
Reserve Force.
[51]
The applicant argues that the May 2015 letter of
Dr Murphy provides an explanation for an anomalous audiogram in 1984 or 1986
which indicated his hearing had not deteriorated from the previous test. The
applicant submits that Dr Murphy now indicates that there was a malfunction in
the equipment or a mix-up of the test results.
[52]
The applicant also argues that the Board did not
take the evidence of Dr Smith, who had treated him for many years prior to
2006, into account. The applicant submits that Dr Smith’s evidence shows that
stress is a cause of vertigo. Dr Smith stated:
On a balance of probability and given the
distressing events Mr. Ben-Tahir was experiencing at the time I would state
that there is a relationship between the symptoms of vertigo and the heightened
levels of anxiety he was experiencing. On a balance of medical probability the
emotional distress he did experience was a significant contributor to the
symptoms he experienced and which were associated with benign positional
vertigo.
The Respondent’s Submissions
[53]
The respondent notes that an applicant bears the
burden of proving that his or her condition is sufficiently proximate to his or
her military service (Acreman v Canada (Attorney General), 2010 FC 1331
at para 26, 381 FTR 139) with sufficiently credible and reasonable evidence (Weare
v Canada (Attorney General) (1998), 153 FTR 75 at para 19, [1998] FCJ No
1145 (FCTD)). The respondent submits that the Board reasonably found that the
applicant had not met this burden.
[54]
The respondent submits that the Board’s decision
clearly explains why it was not satisfied that a causal connection was
established between the applicant’s conditions and his military service.
[55]
The respondent points out that the determinative
factor for the Board was the lack of evidence of causation during the
applicant’s military service. The respondent notes that although the Board
acknowledged that the applicant was exposed to noise while working as a
civilian at military bases following his discharge from the Reserve Force, his
membership in the Supplementary Reserve or his civilian status while working at
a military base does not create a basis for a disability award and is not
relevant for the Compensation Act, as the harm suffered is not a “service-related injury or disease” (Compensation
Act, s 45).
[56]
The respondent notes that a “service-related injury or disease” is an injury or
disease attributable to “special duty service”
or which “arose out of or was directly connected to
service in the Canadian Forces” (Compensation Act, s 2).
[57]
The respondent submits that the evidence does
not suggest that the applicant was involved in “special
duty service.”
[58]
With respect to the applicant’s BPPV, the
respondent submits that the Board reasonably found that there was insufficient
evidence to relate this condition to his service in the Reserve Force. This
finding was reasonably based on the evidence that stress is not an identified
cause of BPPV and that the applicant had been diagnosed with three other
possible causes of BPPV, all of which were unrelated to his military service.
[59]
In response to the applicant’s submission that
it was unreasonable for the Board to disbelieve his bullying allegations, the
respondent notes that the Board stated only that the incident had not been
proven. Moreover, the incident was not the cause of the applicant’s condition.
If the Board had made a finding that the incident occurred, it would still have
found that the effect of the incident was stress and stress is not identified
by the EEGs as a cause of BPPV.
[60]
The respondent adds that, based on the three
other possible diagnoses that could have caused the applicant’s BPPV, the Board
reasonably concluded that the applicant had not established the causal link
between his disability and his service in the Armed Forces.
The Board’s Decision is Reasonable
[61]
As the respondent notes, the case law has
established that sections 43 and 45 of the Compensation Act and sections 3 and
39 of the VRAB Act mean that “an applicant must submit
sufficient credible evidence to show a causal link between his or her injury or
disease and his or her time of military service” (Grant v Canada
(Veterans Review and Appeal Board), 2006 FC 1456 at para 29).
[62]
The injury must be sufficiently proximate to
justify an award of disability benefits. This means that the injury must arise
out of service in the Canadian Forces or be directly connected with service in
the Canadian Forces (Hall v Canada (Attorney General), 2011 FC 1431 at
para 35, [2011] FCJ No 1806).
[63]
It is not necessary to decide whether membership
in the Supplementary Reserve constitutes membership in the Reserve Force, which
would then constitute membership in the Canadian Forces and provide for
possible eligibility for disability awards for service-related injuries. In the
present case, the Board reasonably found that the medical evidence was
insufficient to establish that the applicant’s BPPV was caused by his service
in the Reserve Force and that, to the extent that noise exposure resulted in or
aggravated the applicant’s hearing loss, this noise exposure occurred while the
applicant was a civilian employee.
[64]
As noted above, the reasonableness standard of
review considers whether the decision is justified, transparent and
intelligible. The decision of the Board meets this standard; the Board considered
all the evidence, did not misunderstand or misconstrue the evidence, provided
an explanation for relying on the evidence of Dr Murphy and the EEGs rather
than the somewhat different opinion of Dr Smith, a psychiatrist, and reached a
decision on both claims that falls within the range of acceptable outcomes and
is justified by the facts and the law.
[65]
With respect to the applicant’s hearing loss,
the Board reasonably found that the applicant was working as a civilian at CFB
Trenton and CFB Cold Lake (i.e., he not working in his capacity as a member of
the Supplementary Reserve). Any injuries suffered by the applicant while
working as a civilian do not engage section 45 of the Compensation Act
because he was not working as a member of the Canadian Forces. As the
respondent helpfully pointed out, there may be other avenues of recourse for
the applicant to pursue as a civilian employee.
[66]
The new evidence, the letter from Dr Murphy
dated May 15, 2015, which the applicant submits establishes an explanation for
an audiogram conducted in 1984 or 1986 and which showed some improvement from a
previous audiogram, does not, in my view, provide a specific explanation for
the anomalous result. Rather, Dr Murphy indicates that the earlier audiogram
was not conducted in his office but elsewhere and that it is difficult for him
to provide a specific reason for the result. Dr Murphy indicates that possible
explanations could be faulty equipment or a mix-up of medical records. Dr
Murphy does not say that this is what in fact occurred, because, as he notes,
he did not perform the audiogram.
[67]
The applicant also appears to rely on this
letter to support his submission that his hearing loss deteriorated over the
years and, as explained in Dr Murphy’s August 25, 2013 opinion, the accumulative
effect of noise exposure may become evident later. However, the applicant’s
hearing loss is not in dispute, only its cause. Dr Murphy’s full opinion
indicates hearing loss in the left ear and Meniere’s disease in the right ear,
regardless of the different results in 1984 or 1986.
[68]
The October 8, 2012 opinion of Dr Murphy notes
that the first available audiogram is dated April 2, 1981, with follow-up tests
done on April 22 and in July 1981, and describes the results. Dr Murphy also
notes the results of a hearing test conducted in September 1984.
[69]
Dr Murphy indicates that the hearing loss noted
in the 1981for the left ear is consistent with noise exposure, but that “with respect to the right ear an etiology regarding the
hearing loss cannot be gleaned strictly by a review of the hearing test itself”
(I note that etiology means a cause or origin).
[70]
Dr Murphy also indicates that “[v]ertigo per se does not cause hearing loss but can be an
additional manifestation of inner ear upset or derangements affecting the
vestibular apparatus.”
[71]
With respect to the applicant’s submission that
although he was working in a civilian capacity at CFB Trenton and later at CFB
Cold Lake, he was engaged in several missions where he was in effect on
special assignment analogous to service in the Reserve Force, the evidence
relied on by the applicant does not support this submission.
[72]
The letter from Major-General (retired) RG Husch
describes the Major-General’s familiarity and working relationship with the
applicant, which dates back to 1969, and some of the positions that the
applicant and the Major-General occupied during the relevant periods.
[73]
Major-General Husch notes that the Air Transport
Command’s motto was “Versatile and Ready” and
that Mr Ben-Tahir “supported the organization’s efforts
enthusiastically and served on many missions although he was a public servant
at the time.” He notes as examples, a three-week tour to replenish
troops in Vietnam and Kashmir, and other UN peacekeeping missions.
[74]
The Board did not misunderstand or ignore any
evidence that could have supported the applicant’s argument that he was exposed
to noise which was a cause of his hearing loss while in the Canadian Forces.
Major General Husch is clear in stating that the applicant was a public servant
at that time.
[75]
With respect to the applicant’s oral submissions
which raised the possibility that his exposure to noise began earlier while he
was located at CFB Uplands, the evidence he relies on does not establish that
there was such noise exposure nor does it describe the nature of his duties at
CFB Uplands at the relevant time. The copy of a memo from a former colleague,
Mr Barker, that the applicant submits indicates that he was stationed at CFB
Uplands in 1963-1967 is simply an acknowledgment by Mr Barker that the
applicant contacted him about his interest in taking certain courses. The memo
does not confirm the time period or the duties performed by the applicant or
that he was exposed to any noise at CFB Uplands in 1963-1967.
[76]
Regarding the applicant’s BPPV, the Board
considered all the evidence, did not misconstrue it in any way and reasonably
found that it was insufficient to establish that the BPPV was caused by an
injury or disease while in the Reserve Force.
[77]
Dr Murphy’s October 8, 2012 opinion also
responds to questions about the applicant’s vertigo.
[78]
With respect to whether there is a relationship
between vertigo and stress, Dr Murphy states that “[s]evere
vertigo can induce anxiety in individuals who experience it. The anxiety is
usually short lived and dissipates as the vertiginous episode recedes. Stress,
however, does not cause vertigo.”
[79]
Dr Murphy also provides the opinion that the
applicant’s symptoms are consistent with Meniere’s disease of the right ear. He
adds that a diagnosis of labyrinthitis in the 1960s could have been the first
episode of Meniere’s disease, as the two are indistinguishable.
[80]
Dr Smith provided an opinion dated October 17,
2012, based on a review of documents provided to him. Dr Smith noted that he
had not re-examined Mr Ben-Tahir since 1996 because Dr Smith has been
practicing in Australia since that time.
[81]
Dr Smith stated:
I would of course defer the significance of
benign positional vertigo to a specialist ear, nose and throat surgeon. I can
however state [sic] that from a psychiatric point of view, benign positional
vertigo may be worsened by a number of modifiers including stressful
conditions. Anxiety, depression and other emotional factors contributing to a
disturbance of sleep may also exacerbate and significantly contribute to the
symptoms of benign positional vertigo.”
[82]
Dr Smith adds:
On a balance of probability and given the
distressing events Mr Ben-Tahir was experiencing at the time I would state that
there is a relationship between the symptoms of vertigo and the heightened
levels of anxiety he was experiencing. On a balance of medical probability the
emotional distress he did experience was a significant contributor to the
symptoms he experienced and which were associated with benign positional
vertigo.
[83]
I note that Dr Smith clearly defers to the
expertise of an ear, nose and throat surgeon. His opinion is from a psychiatric
point of view and does not indicate that stress is a cause of vertigo, rather
that there is a relationship between symptoms of vertigo and anxiety, and
whether the vertigo aggravates anxiety or vice versa is not clear.
Regardless, Dr Smith speaks of symptoms and not causes.
[84]
The Board considered this opinion, but
reasonably deferred to the opinion of Dr Murphy, the ear, nose and throat
specialist, which indicates that stress is not a cause of vertigo.
[85]
I also note the applicant’s evidence that he did
not experience any vertigo prior to the bullying incident in 1965. Therefore,
Dr Murphy’s opinion dated August 25, 2013, which states that “[t]he psychological stress he may have had to endure prior,
during and after this incident may have aggravated his perception of any
vertigo that he may have had prior to this episode,” must be considered
in this context. If the applicant did not experience vertigo prior to the
bullying incident, then the resulting stress would not have aggravated his
perception of vertigo at that time, as he indicates that he had no vertigo at
that time.
[86]
The Board reasonably found, based on the medical
evidence and the EEGs, that stress was not a cause of vertigo.
Was There a Reasonable Apprehension of Bias?
[87]
The applicant submits that there was some bias
demonstrated and refers to three factors demonstrating bias: his application to
become a member of the VRAB was refused without a satisfactory explanation; the
members of the Entitlement Review Panel acted in an amused and mocking manner
in response to his account of the bullying incident; and, the same member sat
on the Entitlement Review Panel for two of his claims, although the publicly
available information regarding the VRAB indicates that some members sit in
Charlottetown and other members sit on hearings across the country.
[88]
The respondent submits that simply because the
same member heard two claims involving the applicant does not establish a
reasonable apprehension of bias (Khodeir v Canada (Governor-in-Council),
2010 FCA 308 at para 2). The respondent clarifies that the member in question
sat on a two person Entitlement Review Panel with respect to a separate claim
and on a three person Entitlement Appeal Panel of the VRAB which made the
decision which is now under review.
[89]
The respondent also submits that the only
statutory restriction on the ability of a VRAB member to hear an Entitlement
Appeal is where he or she was also a member of the Entitlement Review Panel
being appealed (VRAB Act, subs 27(2)). In other words, the member cannot
sit on the appeal of a decision they have taken part in. This is not the
situation in the present case.
[90]
In response to the allegations that the decision
rendered by the Entitlement Review Panel was not fair because the members acted
inappropriately, the respondent does not concede that this occurred, but points
out that this allegation is not about the conduct of the Board, but about the
members of the panel below. There is no evidence that any such conduct by the
panel below influenced that decision. Moreover, it is the decision of the
Entitlement Appeal Panel that is subject to this judicial review, which has a
different membership.
[91]
The respondent also submits that there is no
evidence that the Board was aware that the applicant had applied to be a member
of the VRAB or that the applicant made efforts to obtain further information
about the VRAB as a result of the refusal.
There is No Reasonable Apprehension of Bias
[92]
The test for reasonable apprehension of bias is “what would the informed person, viewing the matter
realistically and practically – and having thought the matter through –
conclude. Would he think that it is more likely than not that [the
decision-maker], whether consciously or sub-consciously, would not decide
fairly”. (Committee for Justice and Liberty v Canada (National Energy
Board), [1978] 1 S.C.R. 369 at 394, 68 DLR (3d) 716).
[93]
None of the applicant’s submissions meet this
standard of reasonable apprehension of bias.
[94]
While it may be a better practice for a member
to not be involved in several different claims regarding the same claimant,
this may not always be possible given the volume of decisions to be reviewed
and appealed across the country, the composition of the VRAB and other factors.
[95]
In this case, the member in question considered
an entirely different claim of the applicant as one member of the Entitlement
Review Panel. No reasonable apprehension of bias arises in these circumstances.
[96]
There are no allegations of improper conduct by
members of the Entitlement Appeal Panel, and it is the decision of this Board
which is the subject of this judicial review.
[97]
Finally, the applicant’s unsuccessful
application to become a member of the VRAB does not provide any basis for his
view that the Board could not decide his claim fairly. There are many criteria
in addition to the educational qualifications considered for appointment to the
VRAB, as indicated on the screening form which is on the record. The record
also indicates that the applicant was given information about the outcome of
his application, which was not based on lack of educational qualifications.
Moreover, the Board that decided the applicant’s claims would not have been
aware that he had applied to become a member.
[98]
The applicant raised other issues, including
about the conduct of the solicitor assigned to assist him and that he should
have been able to access information regarding his application to be a member
of the VRAB.
[99]
Even if the counsel assigned to assist the
applicant acted in the manner he alleged, there is no reasonable probability
that, but for the counsel’s action or inaction, the result of the initial
hearing would have been different.
[100] The applicant’s inability to access information about his VRAB
application is not an issue for this judicial review, apart from the
considerations noted above, which as found, do not raise any suggestion of
bias.