Date:
20010803
Docket:
A-245-00
Neutral
Citation: 2001 FCA 248
CORAM: LINDEN J.A.
ISAAC
J.A.
MALONE
J.A.
BETWEEN:
GIUSEPPE
VILLANI
Applicant
-
and -
THE
ATTORNEY GENERAL OF CANADA
Respondent
REASONS
FOR JUDGMENT
ISAAC J.A.
[1]
This is an application for judicial review of a decision of the Pension
Appeals Board (the “Board”), dated 11 February, 2000, which concluded that the
applicant was not disabled within the meaning of subsection 42(2) of the Canada
Pension Plan, R.S.C. 1985, c. C-8 (the “Plan”) and was therefore not
entitled to a disability pension under paragraph 44(1)(b) of the Plan.
Background
and Medical History
[2]
The applicant was born in Italy on 3 June, 1938 and received a grade 5
education before emigrating to Canada in 1955. After finding several odd jobs,
the applicant found permanent employment at Rothman’s of Pall Mall, the tobacco
company, on 4 July, 1963. He worked at Rothman’s for the next twenty-three and
a half years until the plant closed in December of 1986. During this period at
the company, the applicant worked his way from general labourer to machine
adjuster.
[3]
In 1969 and 1974, the applicant sustained knee injuries which led to
three separate operations – the first for a torn meniscus, the second for a
left Baker cyst and the third to free the perineal nerve from pressure. In
1976, he sustained a shoulder and neck injury which resulted in stiffness and
discomfort extending down his back. In 1979, pain from the neck injury
recurred and required the applicant to consult with a number of doctors,
including those of the Workers’ Compensation Board of Ontario (the “W.C.B.”).
He then began using a TENS machine for pain relief. In 1985, he was awarded a
10% partial disability pension by the W.C.B. In 1992, the disability was
confirmed as being permanent. Since September of 1996, the W.C.B. has granted
him a 20% pension for the permanent disability in his shoulder and neck.
[4]
Despite his injuries, the applicant was able to continue work at
Rothman’s until the plant was closed in 1986. After Rothman’s closed its
plant, the applicant studied for and passed the Ontario Real Estate Board’s
examination and thereby obtained a real estate agent’s licence in 1987.
[5]
For one month in 1992, the applicant worked as an inside worker and van
delivery man for Golden Loaf Bakery. In 1993, he renewed his real estate
agent’s licence and became registered with National Group Realty Services Inc.
In the same year, he first applied to the W.C.B. for a pension for the injury
to his knee. He was granted an 8% pension on 2 March, 1994 which was raised to
a 12% pension on 14 January, 1996. Unfortunately, the applicant was unable to
generate a customer base for his real estate business. His registration with
National Group Realty ceased in December of 1995 at which time he felt he could
not continue to work because of his deteriorating physical health. The
applicant’s real estate licence lapsed in 1997. It has not been renewed.
[6]
Throughout the period mentioned in the preceding paragraphs, the
applicant also experienced some visual and hearing impairment, the latter a
product of environmental noise at the Rothman’s plant. For this impairment, he
has been receiving from the W.C.B. a 4.5% pension since 1983.
Procedural
History
[7]
On 11 March, 1994, the applicant – then nearly 56 years old – applied
for a disability pension under the Plan, citing his main disabling
condition to be pain in his right knee, his shoulders and his back. He also
complained of numbness in his lower leg and hands as well as hearing loss and
difficulty reading, even with glasses. In addition, the applicant reported
pain and a burning sensation in his stomach. By letter dated 25 March, 1994,
the respondent Minister denied the application. On reconsideration, the
respondent maintained his view and communicated his decision to the applicant
by letter dated 6 September, 1995.
[8]
The applicant appealed the denial to the Review Tribunal (“the
Tribunal”). In its decision of 14 May, 1996 (See Respondent’s Application
Record, Vol I at 20-21), the Tribunal affirmed the respondent’s decision,
stating:
...This
claimant does not present with sufficient objective evidence of medical
anatomical or physiological impairments which would be expected to restrict him
from performing all physical activities and work... [Emphasis added]
[9]
The applicant obtained leave to appeal the decision of the Tribunal to
the Board. The appeal was heard on 3 December, 1998. On 6 January, 1999, the
Board dismissed the appeal on the basis that the applicant had not adduced
sufficient evidence to demonstrate his disability prior to 31 December, 1995. The
Board noted that neither of the applicant’s doctors had described the applicant
as “totally disabled” prior to the critical date and that both of them had
indicated that he was “capable of performing non-physical work with
limitations” (Respondent’s Record, Vol II at 426).
[10]
The applicant applied to this Court for judicial review of the Board’s
decision. However, the application never came on for hearing, the parties
having agreed to refer the application back for redetermination by another
panel of the Board on the basis of the applicant’s allegation that he was
unable to hear the original appeal proceeding (Consent Order dated 26 October,
1999, Applicant’s Record, Tab 11 at 321).
[11]
A new hearing before a different panel of the Board was convened on 7
February, 2000. In a unanimous decision dated 11 February, 2000, the new panel
determined that the applicant was not, at the relevant time, disabled within
the meaning of subsection 42(2) of the Plan. The Board placed
considerable emphasis on the repeated statements of the applicant’s family
doctor, Dr. Soutar, that the applicant (at least prior to October of 1998) was
totally disabled only from “all physical work and work involving prolonged
standing or repetitive use of his hands” (Reasons of the Board, Respondent’s
Record, Vol. I at 9). In the opinion of the Board, this diagnosis of partial
disability was consistent with the applicant’s receipt of only a partial
disability pension from the W.C.B. and the applicant’s apparent mental and linguistic
ability to undertake work in the real estate industry between 1987 and 1991 and
between 1993 and 1997.
[12]
At page 10 of its reasons, the Board explained the statutory definition
of a “severe” disability found in subparagraph 42(2)(a)(i) of the Plan:
It
is very important to note that the words “regularly pursuing any
substantially gainful occupation...” means just that: any occupation.
It is not, as some insurance policies say, “...any occupation for which the
applicant is reasonably suited...” It is any occupation, even though
the applicant may lack education, special skills, or basic language.
A
second factor is availability of work. This is not a matter that is or can be
considered by this Board. So the state of the local job market is irrelevant:
It is legally assumed that work is available to do. [emphasis in original]
[13]
In support of its interpretation of the severity requirement in
subparagraph 42(2)(a)(i) of the Plan, the Board cited the following
passage from the reasons of Teitelbaum J. in Davies v. Canada (Minister of
Human Resources Development) (1999), 177 F.T.R. 88, [1999] F.C.J. No.
1514 (QL) (F.C.T.D.):
¶ 43 The relevant inquiry in
determining if an individual has a severe disability is whether they have the
physical capacity to pursue some type of substantially gainful employment,
irrespective of what their previous work experience has been. The legislation
specifies that this employment be "substantially gainful" and
subsection 42(2) articulates what factors will inform this assessment.
¶ 44 There is no ambiguity in which
factors are relevant in assessing disability. The decisions of the PAB in Bains
v. MHRDC, (1997) CP 4153 at pages 2 and 3, Aitkins v. MEI, (1996) CP 3408 at
page 5, and Wilson v. MEI, (1996) CP 4109 at page 6 are unambiguous in stating
that the applicant's inability to perform their previous job, the availability
of work, their skills and education, and other personal barriers do not form
part of the consideration into the severity of the disability.
[...]
¶ 46 However, the legislation does
not provide for the consideration of age or education under subsection 42(2).
The only issue is whether he is capable of obtaining some type of substantially
gainful employment, not necessarily anything related to his previous job.
[14]
Applying that definition of “severe”, the Board concluded that the
applicant’s disability was not severe within the meaning of the Plan.
The Board’s opinion was articulated in the following terms (at pages 12-13 of
its reasons):
(d)
While one acknowledges immediately that suitable sedentary work with relief
times to walk around is not easy to find, the test is not “Is the work
available?” but rather, “If it were there, could he do it?” In my opinion the
answer is yes. He is a highly intelligent man with excellent language skills
who was able to carry out the ordinary skills of living – walking short
distances and driving a car.
(e)
In the witness stand Mr. Villani complained of the disabling pain. I can only
say that up to December, 1995, in my opinion, he may well have been disabled
from doing what he wanted to do – a good job earning high wages – but
he was not disabled from a job he was capable of doing either mentally
or physically. [emphasis in original]
[15]
It is from the dismissal of his appeal by the Board that the applicant
now seeks judicial review. In his oral and written arguments, the applicant
attacked the decision of the Board on several grounds, including a large number
of procedural arguments and arguments touching on whether the Board had applied
the correct legal test for determining a severe disability under the Plan.
The Court did not require the Crown to answer any of the grounds raised by the
applicant except those relating to the issue of whether or not the Board had
applied the appropriate legal test. Counsel for the Crown, in her submissions,
supported the test which the Board applied in this case by referring the Court
to earlier decisions of the Board.
Relevant Provisions of the Plan
44. (1) Subject to this Part,
[...]
(b) a disability pension shall be paid to a contributor who has not
reached sixty‑five years of age, to whom no retirement pension is
payable, who is disabled and who
(i) has made contributions for not less than the
minimum qualifying period,
(ii) is a contributor to whom a disability pension
would have been payable at the time the contributor is deemed to have become
disabled if an application for a disability pension had been received before
the contributor's application for a disability pension was actually received,
or
(iii) is a contributor to whom a disability pension
would have been payable at the time the contributor is deemed to have become
disabled if a division of unadjusted pensionable earnings that was made under
section 55 or 55.1 had not been made;
(iv) [Repealed, 1997,
c. 40, s. 69]
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44. (1) Sous réserve des autres dispositions de la
présente partie_:
[...]
b) une pension d'invalidité doit être payée à un
cotisant qui n'a pas atteint l'âge de soixante‑cinq ans, à qui aucune
pension de retraite n'est payable, qui est invalide et qui_:
(i) soit a versé des cotisations pendant
au moins la période minimale d'admissibilité,
(ii) soit est un cotisant à qui une
pension d'invalidité aurait été payable au moment où il est réputé être
devenu invalide, si une demande de pension d'invalidité avait été reçue avant
le moment où elle l'a effectivement été,
(iii) soit est un cotisant à qui une
pension d'invalidité aurait été payable au moment où il est réputé être
devenu invalide, si un partage des gains non ajustés ouvrant droit à pension
n'avait pas été effectué en application des articles 55 et 55.1;
(iv) [Abrogé, 1997, ch. 40, art. 69]
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42(2) For the purposes of this Act,
(a) a person shall be considered to be disabled only
if he is determined in prescribed manner to have a severe and prolonged
mental or physical disability, and for the purposes of this paragraph,
(i) a disability is severe only if by
reason thereof the person in respect of whom the determination is made is
incapable regularly of pursuing any substantially gainful occupation, and
(ii) a disability is prolonged only if it
is determined in prescribed manner that the disability is likely to be long
continued and of indefinite duration or is likely to result in death; ... [emphasis added]
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42(2) Pour l'application de la présente loi_:
a) une personne n'est considérée comme invalide que
si elle est déclarée, de la manière prescrite, atteinte d'une invalidité
physique ou mentale grave et prolongée, et pour l'application du présent
alinéa_:
(i) une invalidité n'est grave que si
elle rend la personne à laquelle se rapporte la déclaration régulièrement
incapable de détenir une occupation véritablement rémunératrice,
(ii) une invalidité n'est prolongée que si
elle est déclarée, de la manière prescrite, devoir vraisemblablement durer
pendant une période longue, continue et indéfinie ou devoir entraîner
vraisemblablement le décès;
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The Standard of Review
[16]
Before considering the merits of this application, it is necessary to
determine the appropriate standard of review to be applied to the decision of
the Board. This undertaking has as its primary concern the legislative intent
of Parliament in creating the tribunal whose decision is being reviewed. That
intention must be gleaned from the constating statute of the tribunal in order
to appreciate whether the question which the tribunal has answered was intended
by legislators to be left to its exclusive jurisdiction (Pasiechnyk v.
Saskatchewan (Worker’s Compensation Board), [1997] 2 S.C.R. 890 at para.
18).
[17]
This task requires a Court to consider and weigh a number of different
factors which assist in indicating the degree of deference to be given to the
decision under review. That degree of deference is now measured on a spectrum
of standards running from the most deferential – patent unreasonableness, to
the least deferential – correctness. Since the Supreme Court’s decision in Canada
(Director of Investigation and Research) v. Southam Inc., [1997] 1 S.C.R.
748, a mid-point on the spectrum of deference has been identified which
requires a standard of reasonableness simpliciter.
[18]
The principal factors to be considered in arriving at the appropriate
standard of review are the following: (i) the existence or absence of a
privative clause, (ii) the expertise of the tribunal relative to that of the
reviewing court, (iii) the purpose of the Act as a whole and of the provision
in particular and (iv) the nature of the problem or question decided by the
tribunal (See Pushpanathan v. Canada (Minister of Citizenship and
Immigration), [1998] 1 S.C.R. 982 at paras. 29ff). No one of these factors
alone is dispositive. Rather, they must be analysed together in order to
identify the proper standard of review to apply in each case. This is the
“pragmatic and functional” approach to determining legislative intent, and it
must be applied in this case to determine the amount of curial deference this
Court owes to the Board and its decision in respect of the applicant.
[19]
In this case, the Court did not have the benefit of full submissions
from the parties on the question of the appropriate standard of review, because
the appellant was unrepresented by counsel. Though the respondent did make
submissions on this point, those submissions were limited to the appropriate
deference to be accorded the Board on questions of fact. That issue is quite
straightforward and I agree with the respondent that on questions of fact the
standard is one of patent unreasonableness. This view has been articulated in
previous decisions of this Court involving judicial reviews of decisions of the
Board pursuant to section 28 and paragraph 18.1(4)(d) of the Federal Court
Act (See Wirachowsky v. Canada (Minister of Human Resources Development),
[2000] F.C.J. No. 2094; Powell v. Canada (Minister of Human Resources
Development), [2000] F.C.J. No. 1008).
[20]
However, the appropriate standard of review on questions of law or mixed
fact and law decided by the Board has never, to my knowledge, been thoroughly
addressed by this Court, except on one other occasion. In Canada (Minister
of Human Resources Development) v. Skoric (C.A.), [2000] 3 F.C. 265, [2000]
F.C.J. No. 193 (QL), this Court reviewed a decision of the Board respecting the
appropriate contributory period applicable for the payment of a benefit to a
surviving spouse under paragraph 44(1)(d) of the Plan. The primary
issue was whether the Board erred in deciding whether the pre- or post-January
1, 1987 version of subparagraph 44(2)(b)(ii) applied to the circumstances of
the case.
[21]
Evans J.A. applied the pragmatic and functional approach and concluded
that the decision of the Board was entitled to little or no deference. He
reasoned as follows:
¶ 15 It was more or less common
ground between the parties that the standard of review applicable in this case
is at the correctness end of the spectrum. I agree. A pragmatic or functional
analysis clearly indicates that this is not a situation in which curial
deference is appropriate.
¶ 16 First, there is no privative
clause restricting the scope of judicial review. Subsection 84(1) of the Plan
provides that, "except for judicial review under the Federal Court Act",
the Board's decisions are "final and binding for all purposes of this
Act". Since this provision expressly exempts judicial review from its
scope, the effect of the finality clause can only be to restrict the
jurisdiction that the Board would otherwise have had to reconsider its
decisions pursuant to Chandler v. Alberta Association of Architects,
[1989] 2 S.C.R. 848. However, subsection 84(2) expressly permits the Board to
reconsider its decisions "on new facts".
¶ 17 Second, the Board has no broad
regulatory responsibilities, but performs only the adjudicative function of
hearing appeals from the Review Tribunal: subsection 83(1) [as am. by S.C.
1995, c. 33, s. 36]. Third, the Chair, Vice-Chair and other members of the
Board must be judges of the Federal Court or of specified section 96 [Constitution
Act, 1867, 30 & 31 Vict., c. 3 (U.K.) (as am. by Canada Act
1982, 1982, c. 11 (U.K.), Schedule to the Constitution Act, 1982, Item
1) [R.S.C., 1985, Appendix II, No. 5]] courts: subsection 83(5); retired judges
of these courts are eligible to be appointed as additional "temporary
members": subsection 83(5.1). Fourth, the questions in dispute in this
case involve the interpretation of the Board's enabling statute and have an
application beyond the facts of this dispute. Fifth, the subject-matter of the
dispute is the adjudication of an individual's legal rights.
¶ 18 On the other hand, a
consideration pointing to curial deference is the fact that Parliament probably
entrusted appellate functions to an administrative tribunal, the Pension
Appeals Board, rather than to the Federal Court, to take advantage of the
benefits of economical and expeditious decision-making, and more accessible
process, normally offered by tribunals.
¶ 19 In my view, the balance of the
factors in the pragmatic or functional mix favours affording little deference
to the Board's interpretation of its constitutive legislation, especially in
the absence of any evidence in the record indicating that members of the Board
acquire considerable expertise in the Canada Pension Plan as a result of the
volume of appeals that they hear and decide.
[22]
There is little to distinguish the decision of the Board in Skoric
from the decision of the Board in the present case. In each case, the decision
related to the application of the statutory language of the Plan. None
of the factors in the pragmatic and functional analysis point to a deferential
standard of review in this case. On the contrary, except as relates to questions
of fact, I am of the view that the decision in this case is one which involved
the interpretation and application of the definition of a “severe” disability
within the meaning of subparagraph 42(2)(a)(i) of the Plan. As such, it
should be reviewed on a standard of correctness, at the least deferential end
of the spectrum.
Benefits
for Disabled Persons Under the Plan
[23]
Section 44 of the Plan lists the various benefits that are
payable under that statute. Specifically, that section provides for the
payment of retirement pensions, death benefits, survivor’s pensions, disabled
contributor’s child’s benefits and orphan’s benefits. There is also
provision for a disability
pension. In this connection, it is worth repeating the text of
paragraph 44(1)(b) of the Plan:
44. (1) Subject to this Part,
[...]
(b) a disability pension shall be paid to a contributor who has not
reached sixty‑five years of age, to whom no retirement pension is
payable, who is disabled and who
(i) has made contributions for not less than the
minimum qualifying period,
(ii) is a contributor to whom a disability pension
would have been payable at the time the contributor is deemed to have become
disabled if an application for a disability pension had been received before
the contributor's application for a disability pension was actually received,
or
(iii) is a contributor to whom a disability pension
would have been payable at the time the contributor is deemed to have become
disabled if a division of unadjusted pensionable earnings that was made under
section 55 or 55.1 had not been made;
(iv) [Repealed, 1997, c. 40, s. 69]
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44. (1) Sous réserve des autres dispositions de la
présente partie_:
[...]
b) une pension d'invalidité doit être payée à un
cotisant qui n'a pas atteint l'âge de soixante‑cinq ans, à qui aucune
pension de retraite n'est payable, qui est invalide et qui_:
(i) soit a versé des cotisations pendant
au moins la période minimale d'admissibilité,
(ii)soit est un cotisant à qui une
pension d'invalidité aurait été payable au moment où il est réputé être
devenu invalide, si une demande de pension d'invalidité avait été reçue avant
le moment où elle l'a effectivement été,
(iii) soit est un cotisant à qui une
pension d'invalidité aurait été payable au moment où il est réputé être
devenu invalide, si un partage des gains non ajustés ouvrant droit à pension
n'avait pas été effectué en application des articles 55 et 55.1;
(iv) [Abrogé, 1997, ch. 40, art. 69]
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[24] Not surprisingly, one of the conditions in paragraph 44(1)(b) for
the payment of a disability pension is that the applicant be disabled. The Plan
contains a comprehensive definition of the term “disabled” for the purposes of
determining entitlement to a disability pension. That definition is found in
paragraph 42(2)(a) of the Plan which reads:
42(2) For the purposes of this Act,
(a) a person shall be considered to be disabled only
if he is determined in prescribed manner to have a severe and prolonged
mental or physical disability, and for the purposes of this paragraph,
(i) a disability is severe only if by
reason thereof the person in respect of whom the determination is made is
incapable regularly of pursuing any substantially gainful occupation, and
(ii) a disability is prolonged only if it
is determined in prescribed manner that the disability is likely to be long
continued and of indefinite duration or is likely to result in death; and [emphasis added]
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42(2) Pour l'application de la présente loi_:
a) une personne n'est considérée comme invalide que
si elle est déclarée, de la manière prescrite, atteinte d'une invalidité
physique ou mentale grave et prolongée, et pour l'application du présent
alinéa_:
(i) une invalidité n'est grave que si
elle rend la personne à laquelle se rapporte la déclaration régulièrement
incapable de détenir une occupation véritablement rémunératrice,
(ii) une invalidité n'est prolongée que
si elle est déclarée, de la manière prescrite, devoir vraisemblablement durer
pendant une période longue, continue et indéfinie ou devoir entraîner
vraisemblablement le décès;
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[25] Subsection 42(2) makes it
clear that an applicant’s disability must be both severe and prolonged before a
pension will be payable under paragraph 44(1)(b). There is no issue here as to
whether the applicant’s disability is prolonged. The only issue is whether it
is severe. Of interest in this application is the statutory definition of a
“severe” disability contained in subparagraph 42(2)(a)(i). This Court has not
yet had occasion to comment on that definition. However, the circumstances of
the present case warrant a close analysis of the legal test for determining
whether or not a disability is “severe” within the meaning of the Plan.
(a)
Applicable Principles of Legislative Interpretation
[26] Section 12 of the Interpretation
Act, R.S.C. 1985, c. I-21 reads:
12.
Every enactment is deemed remedial, and shall be given such fair, large and
liberal construction and interpretation as best ensures the attainment of its
objects.
The enactment of this general
principle abolished the traditional distinction between penal and remedial
legislation for the purposes of statutory interpretation (See R. Sullivan, Driedger
on the Construction of Statutes, 3rd ed. (Toronto: Butterworths,
1994) at 356). Under the traditional distinction, penal legislation was
construed strictly while remedial legislation was given a large and liberal
construction. The liberal approach to remedial legislation flows from the
notion that such legislation has a benevolent purpose which courts should be
careful to respect.
[27] In Canada, courts have been
especially careful to apply a liberal construction to so-called “social
legislation”. In Rizzo & Rizzo Shoes Ltd. (Re), [1998] 1 S.C.R. 27
at para. 36, the Supreme Court emphasized that benefits-conferring legislation
ought to be interpreted in a broad and generous manner and that any doubt
arising from the language of such legislation ought to be resolved in favour of
the claimant. This interpretive approach to legislation designed to secure a
social benefit has been adopted in a number of Supreme Court decisions dealing
with the Unemployment Insurance Act, 1971 (see Abrahams v. A.G.
Canada, [1983] 1 S.C.R. 2; Hills v. Canada (A.G.), [1988] 1 S.C.R.
513; Canada (Canada Employment and Immigration Commission) v. Gagnon,
[1988] 2 S.C.R. 29; and Caron v. Canada (Canada Employment and Immigration
Commission), [1991] 1 S.C.R. 48).
[28] It
is evident to me that the Plan is benefits-conferring legislation
analogous to the Unemployment Insurance Act, 1971. The Plan
provides for the payment of disability benefits to claimants who have been
contributors under the scheme. When the Plan was introduced in
the House of Commons as Bill C-136 (26th Parl., 2nd
Session, November 9, 1964, Hansard at 9899), the Minister of National
Health and Welfare referred to the proposed legislation as a
...
comprehensive social insurance measure... which provides help as of right
rather than on a need or a means test, for those who suffer the loss of a loved
breadwinner or those who find themselves disabled and unable to carry on work.
I think hon. members will agree this is a giant step forward in Canada’s social
security program.
The Minister was more specific in
her characterization of the supplementary benefits made available under the
proposed legislation (Hansard, supra at 9923):
In
a sense, therefore, supplementary benefit pensions are more generous,
especially for those in lower income brackets, than the new retirement
pensions. This approach is justified because of the special need of widows,
orphans and disabled contributors, and is certainly warranted on both
humanitarian and economic grounds.
On second reading, the Minister of
National Revenue added his opinion that the Bill was “the most far reaching
piece of social legislation ... proposed in many years” (Hansard at
10140, November 16, 1964).
[29] Accordingly, subparagraph
42(2)(a)(i) of the Plan should be given a generous construction. Of
course, no interpretive approach can read out express limitations in a
statute. The definition of a severe disability in the Plan is clearly a
qualified one which must be contained by the actual language used in
subparagraph 42(2)(a)(i). However, the meaning of the words used in that
provision must be interpreted in a large and liberal manner, and any ambiguity
flowing from the those words should be resolved in favour of a claimant for
disability benefits.
(b) Is the
Disability “Severe”? – The Board’s Approach
[30] The Board has readily
acknowledged that, on its reading of the Plan, the requirements for a
severity finding with respect to an alleged disability are extremely strict
indeed. This was expressed by the Board in the following passage from its
reasons in Marie Atkins v. The Minister of Employment and Immigration,
CP 3408 (February 16, 1996) at 5:
The
intention of the legislation has been found on many occasions to preclude
disability pensions being granted except in cases of total disability,
incapacity to work, in the sense of Section 42(2). This legislation is not
welfare legislation. The fact that many applicants are older, cannot return to
their old jobs, cannot find any part-time or sedentary positions (in which they
could perform) in today’s very difficult work place, is not the question we
must answer. Nor are those facts, in the real world, a reason, sympathetic as
we might be to applicants, to allow a pension.
[31] The position that
subparagraph 42(2)(a)(i) of the Plan does not permit consideration of an
applicant’s age, skills level, education or language proficiency in deciding
whether he or she is incapable regularly of pursuing any substantially gainful
occupation has been repeated in a number of Board decisions (See e.g. Antonio
Macri v. Minister of Employment and Immigration, CP 3079 (January 9, 1996);
Alfred Wilson v. Minister of Employment and Immigration, CP 4109 (May 31,
1996); Surjit Bains v. Minister of Human Resources Development, CP 04153
(January 24, 1997); Minister of Human Resources Development v. Steven W.
Stewart, CP 07942 (September 28, 1999); Patricia J. May v. Minister of
Human Resources Development, CP 06197 (November 22, 1999)).
[32] However, there is another
and earlier line of cases in which the Board has adopted a more liberal
interpretation of the severity definition in subparagraph 42(2)(a)(i) of the Plan.
In these cases, the Board chose to take what it has called a “real world” approach
to the application of the severity requirement. This approach requires the
Board to determine whether an applicant, in the circumstances of his or her
background and medical condition, is capable regularly of pursuing any
substantially gainful occupation.
[33] The “real world” approach
was first adopted by the Board in Edward Leduc v. Minister of National
Health and Welfare, CCH Canadian Employment Benefits and Pension Guide
Reports, Transfer Binder 1986-1992 at ¶ 8546, pp. 6021-6022 (January
29, 1988). In that case, the Board found for the applicant on the following
basis:
The
Board is advised by medical authority that despite the handicaps under which
the Appellant is suffering, there might exist the possibility that he might be
able to pursue some unspecified form of substantially gainful employment. In
an abstract and theoretical sense, this might well be true. However, the
Appellant does not live in an abstract and theoretical world. He lives in a
real world, people [sic] by real employers who are required to face up to the
realities of commercial enterprise. The question is whether it is realistic to
postulate that, given all of the Appellant’s well documented difficulties, any
employer would even remotely consider engaging the Appellant. This Board
cannot envision any circumstances in which such might be the case. In the
Board’s opinion, the Appellant, Edward Leduc, is for all intents and purposes,
unemployable.
[34] The “real world” approach
has been applied in a number of Board decisions since Leduc (See e.g.
Danells v. Minister of National Health and Welfare, CP 2657 (June 18,
1993); Reuben Daly v. Minister of Employment and Immigration, CP 2919
(August 11, 1994); Elaine Gaudreau Morley v. Minister of Employment and
Immigration, CCH Employment Benefits and Pension Guide Reports, Transfer
Binder 1993-1997 at ¶ 8592, pp. 6115-6116 (November 23, 1995); Constance
M. Osachoff v. Minister of Human Resources Development, CP 05635 (July 7,
1997); Appleton v. Minister of Human Resources Development, CP 04619
(November 21, 1997); Paul M. Scott v. Minister of Human Resources
Development, CP 10014 (September 30, 1999).
[35] In fact, the first recorded
disability determination under the Plan of which I am aware took a
generous view of the severity requirement analogous to the Board’s approach in Leduc.
That view, however, was not couched in the “real world” terminology coined by
the Board in Leduc and repeated in subsequent cases. In Minister of
National Health and Welfare v. Jaeger CCH Employment Benefits and
Pension Guide Reports, Transfer Binder 1968-1985 at ¶ 8546, pp.
6066-6068 (August 25, 1971), the Board applied then subparagraph 43(2)(a)(i) in
the following manner:
On
the merits of the case, the medical and other evidence tendered persuades us
that the degenerative arthritis of the respondent, in that it prevents him and
will prevent him from engaging in his normal work or anything remotely
resembling an occupation which is suitable to his peculiar abilities and
aptitudes, must be classified as a severe disability... We find that the
respondent is, as s. 43(2)(a)(i) of the Act puts it, “incapable of regularly
pursuing any substantially gainful occupation”. The words “regularly” and “substantially”
must be given due emphasis in the light of the evidence as to the respondent’s
work record, station in life and future economic prospects. In this case,
there is undoubted incapacity to carry on any sort of gainful occupation in any
line of work for which the respondent is suited.
Similarly, in Minister of
National Health and Welfare v. Raymond G. Russell, CCH Employment Benefits and
Pension Guide Reports, Transfer Binder 1968-1985 at ¶ 8684, pp.
66279-6280 (June 26, 1974), the Board restated its jurisprudence to that time
in the following words:
The
Board has always interpreted the language of the statute to mean exactly what
it says, and in many cases has had to say that the fact that suitable work has
not been available to an applicant is irrelevant to the question of whether or
not he qualifies. However, various circumstances have been held to bear upon
this question, such as age, education and aptitude.
[36] It is evident from a review
of the Board’s disability decisions, particularly its recent case law, that the
Board’s position regarding the severity requirement in subparagraph 42(2)(a)(i)
of the Plan has been applied inconsistently. In the recent cases, there
has been no discernible reason for the change in approach to the definition of
“severe” in the Plan. For this reason, it becomes necessary for this
Court to give direction concerning the proper legal test to be applied in
determining whether an applicant suffers from a “severe” disability within the
meaning of the Plan.
(c) The Appropriate Legal Test for Disability under the Plan
[37] Except for one case, none of
the recent decisions of the Board has analyzed fully the text of subparagraph
42(2)(a)(i) of the Plan. That one occasion was the Board’s relatively
recent decision in Patricia Valerie Barlow v. Minister of Human Resources
Development, CP 07017 (November 22, 1999). It is worth repeating
the central passage of the Board’s decision in that case:
Is
her disability sufficiently severe that it prevents her from regularly pursuing
any substantially gainful occupation?
To
address this question, we deem it appropriate to analyze the above wording to
ascertain the intent of the legislation:
Regular
is defined in the Greater Oxford Dictionary as “usual, standard or
customary”.
Regularly – “at regular intervals or times.”
Substantial
– “having substance, actually existing, not illusory, of real importance or
value, practical.”
Gainful – “lucrative, remunerative paid employment.”
Occupation – “temporary or regular employment,
security of tenure.”
Applying
these definitions to Mrs. Barlow’s physical condition as of December, 1997, it
is difficult, if not impossible, to find that she was at age 57 in a position
to qualify for any usual or customary employment, which actually exists, is not
illusory, and is of real importance.
[38] This analysis of
subparagraph 42(2)(a)(i) strongly suggests a legislative intention to apply the
severity requirement in a “real world” context. Requiring that an applicant be
incapable regularly of pursuing any substantially gainful
occupation is quite different from requiring that an applicant be incapable at
all times of pursuing any conceivable occupation. Each word in the
subparagraph must be given meaning and when read in that way the subparagraph
indicates, in my opinion, that Parliament viewed as severe any disability which
renders an applicant incapable of pursuing with consistent frequency any truly
remunerative occupation. In my view, it follows from this that the
hypothetical occupations which a decision-maker must consider cannot be
divorced from the particular circumstances of the applicant, such as age,
education level, language proficiency and past work and life experience.
[39] I agree with the conclusion
in Barlow, supra and the reasons therefor. The analysis undertaken by
the Board in that case was brief and sound. It demonstrates that, on the plain
meaning of the words in subparagraph 42(2)(a)(i), Parliament must have intended
that the legal test for severity be applied with some degree of reference to
the “real world”. It is difficult to understand what purpose the legislation
would serve if it provided that disability benefits should be paid only to
those applicants who were incapable of pursuing any conceivable form of
occupation no matter how irregular, ungainful or insubstantial. Such an
approach would defeat the obvious objectives of the Plan and result in
an analysis that is not supportable on the plain language of the statute.
[40] I find additional support
for adopting the ordinary meaning of subparagraph 42(2)(a)(i), as interpreted
by the Board in Barlow, in the Canada Pension Plan Regulations,
C.R.C. c. 85. Subsection 68(1) of those Regulations requires that anyone
applying to the Minister for disability
benefits under the Plan must
supply the Minister with particular information. It reads:
68. (1) Where an applicant claims that he or some other person is
disabled within the meaning of the Act, he shall supply the Minister with the
following information in respect of the person whose disability is to be
determined:
(a) a report of any physical or mental impairment including
(i) the nature, extent and prognosis of the
impairment,
(ii) the findings upon which the diagnosis and
prognosis were made,
(iii) any limitation
resulting from the impairment, and
(iv) any other pertinent information, including
recommendations for further diagnostic work or treatment, that may be
relevant;
(b) a statement of that person's occupation and earnings for the
period commencing on the date upon which the applicant alleges that the
disability commenced; and
(c) a statement of that person's education, employment experience and
activities of daily life. [emphasis added]
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68. (1) Quand un requérant allègue que lui‑même
ou une autre personne est invalide au sens de la Loi, il doit fournir au
ministre les renseignements suivants
sur la personne dont l'invalidité est à déterminer :
a) un rapport sur toute détérioration physique ou
mentale indiquant
(i) la nature, l'étendue et le pronostic
de la détérioration,
(ii) les constatations sur lesquelles se
fondent le diagnostic et le pronostic,
(iii) toute incapacité résultant de la
détérioration, et
(iv) tout autre renseignement qui
pourrait être approprié, y compris les recommandations concernant le
traitement ou les examens additionnels;
b) une déclaration indiquant l'emploi et les gains
de cette personne pendant la période commençant à la date à partir de
laquelle le requérant allègue que l'invalidité a commencé; et
c) une déclaration indiquant la formation scolaire,
l'expérience acquise au travail et les activités habituelles de la personne.
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|
On the Board’s
strict interpretation of the severity requirement, the information relating to
an applicant’s education, employment experience and activities of everyday life
which is required to be supplied to the Minister pursuant to paragraph 68(1)(c)
of the Regulations would be completely irrelevant to a disability
determination. Of course, the mandatory requirement that applicants supply the
Minister with information related to their education level, employment
background and daily activities can only indicate that such “real world”
details are indeed relevant to a severity determination made in accordance with
the statutory definition in subparagraph 42(2)(a)(i) of the Plan.
[41] It is also
clear from the minutes of the special joint committee appointed to consider Bill
C-136 that the precise words of subparagraph 42(2)(a)(i) were chosen with
particular care by the drafters of the Plan. During the clause by
clause review of the Bill, the severity requirement was explained in the
following way by the Deputy Minister of Welfare at the time, Dr. Joseph Willard
(See Special Joint Committee of the Senate and House of Commons Appointed to
Consider and Report upon Bill C-136, Minutes of Proceedings and Evidence, No. 2
at 247 (Tuesday, December 1, 1964)):
Mr. Thorson: ...Subclause (2) defines what is meant in
this bill by the expression “disabled”...
Hon. Mr. Croll: How does it vary from the definition
in the disability act at the present time?
Dr. Willard: Mr. Chairman, the disabled persons’
legislation that we have at the present time has the definition of permanent
and total disability, which would be a more severe definition than the one set
out here. You will notice in this Bill that the severity is related to a
person being capable of regularly pursuing any substantially gainful
occupation. It, therefore, brings in an additional concept of employability...
[42] The
explanation by the Deputy Minister of Welfare is unambiguous. The test for
severity is not that a disability be “total”. In order to express the more lenient
test for severity under the Plan, therefore, the drafters introduced the
notion of severity as the inability regularly to pursue any substantially
gainful occupation. The clear wording of the legislation, the companion
provisions in the Regulations, and the clear intent of the drafters all
indicate with equal force that
the crucial phrase
in subparagraph 42(2)(a)(i)’s severity definition cannot be ignored or pared
down.
[43] But this is
precisely what the Board has done in the present case. The Board has adopted
the strict abstract approach to the severity requirement in subparagraph
42(2)(a)(i) without analysing all of the legislative language. For ease of
reference, the Board’s analysis of the severity definition in subparagraph
42(2)(a)(i) is repeated below (See page 10 of the decision):
It is very important to note that the words “regularly
pursuing any substantially gainful occupation...” means just that: any
occupation. It is not, as some insurance policies say, “...any occupation for
which the applicant is reasonably suited...” It is any occupation, even
though the applicant may lack education, special skills, or basic language.
A second factor is availability of work. This is not
a matter that is or can be considered by this Board. So the state of the local
job market is irrelevant: It is legally assumed that work is available to do.
[emphasis in original]
It is evident, to
my mind, that the Board in this case has effectively read out of the severity
definition the words “regularly”, “substantially” and “gainful”. In this way,
the Board has reduced the legal test to the following: is the applicant
incapable of pursuing any occupation? This approximates the “total” disability
test eschewed by the drafters of the Plan. Indeed, the Board’s repeated
emphasis on the word “any” appears to have been a contributing factor in its
misinterpretation of the statutory test for severity.
[44] In my
respectful view, the Board has invoked the wrong legal test for disability
insofar as it relates to the requirement that such disability must be
“severe”. The proper test for severity is the one that treats each word in the
definition as contributing something to the statutory requirement. Those
words, read together, suggest that the severity test involves an aspect of
employability.
[45] Unfortunately
for decision-makers under the Plan, employability is not a concept that
easily lends itself to abstraction. Employability occurs in the context of
commercial realities and the particular circumstances of an applicant. That is
not to say that the Minister, the Review Tribunal or the Board must make
intricate postulations respecting an applicant’s employability in order to
arrive at a severity determination. Furthermore, I wish to express that I
should not be taken as stating that employability is to be determined purely by
reference to an applicant’s chosen occupation. Unlike section 95, paragraph 3
of the Quebec Pension Plan, R.S.Q. c. R-9, which specially provides that
an applicant who is sixty years of age or over will have a severe disability
where he or she is “incapable regularly of carrying on the usual gainful
occupation” that he or she holds at the time of becoming disabled, the federal Plan
makes no provision for a finding of severity where an applicant is merely
disabled from pursuing his or her ordinary occupation as at the onset of the
alleged disability. Rather, the test under the Plan is in relation to any
substantially gainful occupation.
[46] What the
statutory test for severity does require, however, is an air of reality in
assessing whether an applicant is incapable regularly of pursuing any
substantially gainful occupation. Naturally, decision-makers already adopt a
certain measure of practicality in their severity determinations. As an
obvious example, the scope of substantially gainful occupations suitable for a
middle-aged applicant with an elementary school education and limited English
or French language skills would not normally include work as an engineer or
doctor.
[47] In other
cases, however, decision-makers ignore the language of the statute by
concluding, for example, that since an applicant is capable of doing certain
household chores or is, strictly speaking, capable of sitting for short periods
of time, he or she is therefore capable in theory of performing or engaging in
some kind of unspecified sedentary occupation which qualifies as “any”
occupation within the meaning of subparagraph 42(2)(a)(i) of the Plan.
[48] Indeed, the
tendency to speak in terms of vague categories of labour was singled out for
criticism by this Court in Wirachowsky, supra. In that case, the
applicant was only able to sit and stand for short intervals but had been found
by the Board to be capable of semi-sedentary work. On behalf of the Court,
McDonald J.A. noted (at paragraph 7) that the phrase “semi-sedentary work” was,
in his opinion, incapable of conveying any meaning for the purposes of
assessing disability under the Plan. The risk of thinking in terms of
such “occupational” categories is that all reference to a regular, tangible,
and profitable occupation is likely to be forgotten. As a consequence, an
applicant may be deprived of the very protection which the Plan was
designed to provide and for which an applicant has been contributing during
periods of healthy and active employment in the labour force.
[49] Bearing in
mind that the hearing before the Board is in the nature of a hearing de novo,
as long as the decision-maker applies the correct legal test for severity –
that is, applies the ordinary meaning of every word in the statutory definition
of severity in subparagraph 42(2)(a)(i) he or she will be in a position to
judge on the facts whether, in practical terms, an applicant is incapable
regularly of pursuing any substantially gainful occupation. The assessment of
the applicant’s circumstances is a question of judgment with which this Court
will be reluctant to interfere.
[50] This
restatement of the approach to the definition of disability does not mean that
everyone with a health problem who has some difficulty finding and keeping a
job is entitled to a disability pension. Claimants still must be able to demonstrate
that they suffer from a “serious and prolonged disability” that renders them
“incapable regularly of pursuing any substantially gainful occupation”.
Medical evidence will still be needed as will evidence of employment efforts
and possibilities. Cross-examination will, of course, be available to test the
veracity and credibility of the evidence of claimants and others.
[51] In summary, I
am of the opinion that the Board has failed to attribute meaning to the plain
words of subparagraph 42(2)(a)(i) of the Plan. It has preferred to
articulate an abbreviated and decidedly ungenerous version of the statutory
definition of a “severe” disability, thereby subverting the benevolent purposes
of the legislation. Having reached this conclusion, I do not find it necessary
to canvass the many procedural grounds of review which the applicant advanced
in his oral and written argument.
Disposition
[52] Accordingly,
for these reasons, I would allow the application for judicial review with costs
to the applicant, set aside the decision of the Board dated 11 February, 2000,
and remit the matter to the Board for redetermination by a differently
constituted panel in accordance with these reasons and on the basis of the
record as constituted as well as other relevant evidence that the parties may
wish to adduce.
“Julius A.
Isaac”
__________________________________
J.A.
“I agree
A.M. Linden J.A.”
“I agree
B. Malone
J.A.”