Rip
T.C.J.:
The
issue
in
this
appeal
by
John
F.
Vantyghem
from
an
income
tax
assessment
for
1996
is
whether
the
installation
of
a
hot
tub
in
the
home
he
shared
with
his
wife,
Karen
Vantyghem,
near
Eden,
Ontario,
can
be
said
to
be
included
as
“renovations
or
alterations
to
a
dwelling”,
within
the
meaning
of
paragraph
118.2[(2)](1.2)
of
the
Income
Tax
Act
(“Act’)
to
enable
Mrs.
Vantyghem,
who
has
a
prolonged
mobility
impairment,
to
be
mobile
or
functional
within
the
dwelling.
The
parties
agree
that
in
1996
Mrs.
Vantyghem
had
a
severe
and
prolonged
mobility
impairment
as
a
result
of
a
fall
from
a
12-foot
high
platform
in
July
1991.
Mrs.
Vantyghem’s
fall
resulted
in
a
fractured
LI
vertebra
with
compression
along
her
upper
spine
and
including
her
skull.
She
also
suffered
other
internal
problems.
After
her
injury
Mrs.
Vantyghem
undertook
various
therapies
in
an
attempt
to
alleviate
her
pain,
including
hydrotherapy
and
physiotherapy.
The
hydrotherapy,
she
testified,
helped
increase
her
mobility
but
any
benefit
was
lost
when
she
left
the
treatment
facility
in
the
cold
weather
to
return
home.
Her
physicians
prescribed
various
analgesics
to
alleviate
the
pain.
Mrs.
Vantyghem
was
treated
by
various
specialists
including
an
orthopaedic
surgeon.
One
of
her
physicians,
Dr.
Brown,
advised
her
that
even
analgesics
eventually
would
not
be
of
help
to
her.
A
Dr.
Vincent
VanHooydonk
recommended
that
she
obtain
a
therapeutic
tub
to
help
with
relief
and
to
reduce
her
dependence
on
analgesics.
Mrs.
Vantyghem
also
testified
that
she
was
having
adverse
reactions
to
taking
analgesics
as
the
dosage
was
being
increased.
Mrs.
Vantyghem
found
that
she
benefited
most
from,
and
had
freer
movement
after,
hydrotherapy.
Before
the
installation
of
the
hot
tub
in
her
home,
Mrs.
Vantyghem
had
difficulty
going
upstairs
in
her
two-storey
home.
With
hot
tub
treatments
she
is
able
to
forego
analgesics
and
be
mo-
bile
within
her
home.
She
states
that
she
can
control
her
pain
with
the
hot
tub
treatments
and
by
limiting
her
activities.
The
Vantyghem
family
live
on
a
farm
and
it
would
take
Mrs.
Vantyghem
almost
an
hour
to
travel
for
the
required
physiotherapy
at
a
London
hospital.
In
1992,
she
was
told
that
physiotherapy
would
no
longer
help
her
and
she
stopped
treatments.
Mr.
Vantyghem
confirmed
that
after
his
wife
was
informed
that
physiotherapy
would
no
longer
be
of
help
to
her,
she
continued
exercising
at
home.
However,
he
said,
she
was
“going
downhill
and
taking
more
pills”.
He
also
said
that
as
the
weather
changed,
she
suffered
more
pain.
Spending
time
in
a
tub,
he
agreed,
permitted
her
to
control
her
pain
and
be
mobile
around
the
house.
He
also
stated
that
there
was
no
therapy
available
for
his
wife
in
the
immediate
area
where
they
lived
and
that
the
hot
tub
was
the
only
therapy
to
offer
her
relief
from
pain
and
offer
her
increased
mobility.
The
parties
agree
that
a
hot
tub
is
not
one
of
the
medical
devices
and
equipment
prescribed
by
section
5700
of
the
regulations
to
the
Act.
The
respondent
relied
upon
a
decision
of
this
Court
in
Craig
v.
R.,
[1996]
3
C.T.C.
2037
(T.C.C.),
in
which
the
taxpayer’s
claim
for
a
tax
credit
for
a
medical
expense,
being
the
installation
of
a
hot
tub
inside
the
family
home
for
his
wife
who
was
suffering
from
a
debilitating
condition
known
as
fibromyalgia,
was
dismissed.
The
wife’s
rheumatologist
recommended,
but
did
not
prescribe,
the
hot
tub.
In
Craig
,
my
colleague,
Judge
Lamarre-Proulx,
J.T.C.C.,
agreed
with
respondent’s
counsel
that
subsection
118.2(2)
of
the
Act
applies
to
modifications
that
assist
an
impaired
person
in
moving
into
a
dwelling.
She
held
the
provision
refers
to
a
technical
or
mechanical
device
oriented
towards
the
transportation
of
a
person
rather
than
towards
a
person’s
physical
wellbeing.
Judge
Lamarre-Proulx
also
referred
to
the
May
1991
Technical
Note
of
Revenue
Canada
and
the
1991
Budget
Supplementary
Information,
respecting
the
amendment
made
to
paragraph
118.2(2)(/.2).
The
technical
note
stated
that
this
provision:
...allows
reasonable
expenses
relating
to
modifications
to
a
dwelling
of
an
individual
who
lacks
normal
physical
development
or
is
confined
to
a
wheelchair
to
qualify
as
medical
expenses.
This
amendment
extends
this
provision
to
all
individuals
who
have
a
severe
and
prolonged
mobility
impairment.
The
Budget
Supplementary
Information
explains
that
the
amendment
expanding
the
list
of
medical
expenses
includes
“modifications
to
the
home
in
order
to
enable
a
person
with
a
severe
and
permanent
mobility
restriction
(e.g.
those
with
multiple
sclerosis
or
cerebral
palsy)
to
gain
access
to
the
home
or
rooms
within
it
to
persons
in
addition
to
those
confined
to
a
wheelchair”.
The
budget
statement
and
technical
notes
above
refer
to
“modifications”
to
the
home.
In
The
Shorter
Oxford
Dictionary
on
Historical
Principles,
1983
(“Shorter
Oxford")
defines
the
verb
“modify”
as
“to
make
partial
changes
in;
to
alter
without
radical
transformation”.
Thus,
a
modification
to
a
home
may
include
a
very
wide
range
of
changes
so
long
as
there
is
no
substantive
change
to
the
home.
The
use
of
a
broad
and
inclusive
term
like
“modification”
in
the
published
budget
statement
and
the
technical
notes
suggest
a
broad
and
inclusive
interpretation
of
the
terms
“alterations”
and
“renovations”
in
paragraph
118.2(2)(/.2).
The
Shorter
Oxford
defines
the
verbs
“alter”
and
“renovate”
in
the
following
manner:
alter:
1.
To
make
otherwise
or
different
in
some
respect,
without
changing
the
thing
itself.
2.
To
become
otherwise,
to
undergo
some
change...
renovate:
I.
To
renew.
2.
To
renew
materially;
to
repair;
to
restore
by
replacing
lost
or
damaged
parts;
to
create
anew.
The
plain
meaning
of
the
word
“alteration”
would
seem
to
include
almost
any
kind
of
change.
Thus,
the
word
“alter”
appears
to
be
broad
enough
to
encompass
installations.
Furthermore,
the
fact
that
the
words
“alterations”
and
“renovations”
are
used
disjunctively
in
paragraph
118.2(2)(/.2)
encourages
reading
the
terms
in
a
manner
that
would
not
make
either
superfluous.
One
may
reasonably
read
“alterations”
to
include
changes
in
addition
to
those
already
covered
by
the
word
“renovation”.
An
installation
may
be
an
“alteration”
that
is
not
simply
a
“renovation”.
The
term
“renovate”
was
considered
judicially
in
Edinburgh
Parish
Council
v.
Edinburgh
Assessor,
43
S.L.R.
442,
per
Lord
Dundas,
who
wrote:
The
expense
of
renovating
buildings,
gas-holders,
mains’,
though
perhaps
ambiguous,
probably
means
‘renewals
by
way
of
repair,
and
not
replacements
involving
the
introduction
of
new
heritable
subjects’.
Both
Shorter
Oxford
and
Edinburgh
indicate
that
a
“renovation”
refers
to
a
renewal
or
restoration
to
what
previously
existed
to
the
exclusion
of
introducing
what
is
significantly
new.
Depending
on
the
circumstances,
the
plain
meaning
of
the
word
“renovation”
may
be
the
opposite
or
may
complement
the
word
“installation”.
The
term
“renovation”
is
often
used
broadly
in
everyday
speech
to
refer
to
changes
to
a
dwelling
which
could
include
installations.
Thus,
the
“renovation”
of
a
bathroom
may
include
the
installation
of
items
that
were
not
found
in
the
bathroom
when
originally
built.
In
Williams
v.
R.
(1997),
[1998]
1
C.T.C.
2813
(T.C.C.)
at
paragraph
9,
it
was
held
that
paragraph
118.2(2)(/.2)
is
not
confined
to
renovations
or
alterations
that
provided
access
to
a
residence.
Instead,
the
provision
could
include
renovations
or
alterations
that
permit
the
disabled
person
“to
be
mobile
or
functional
within
the
dwelling
in
such
manner
that
she
or
he
may
perform
daily
activities
in
the
home”.
The
medical
expense
and
disability
tax
credit
provisions
in
the
Act
should
be
interpreted
in
its
most
equitable
and
liberal
manner
compatible
with
the
attainment
of
the
object
of
those
provisions
and
Parliament’s
intent
in
enacting
the
provisions.*
Every
enactment
should
“be
given
such
a
fair,
large
and
liberal
construction
and
interpretation
as
best
ensures
the
attainment
of
its
objects”.
Where
it
is
not
unreasonable
to
hold,
in
the
particular
circumstances
of
a
case,
that
an
amount
paid
by
a
taxpayer
can
be
described
as
a
medical
expense,
one
should
examine
if
the
amount
so
paid
qualifies
as
a
medical
expense
pursuant
to
subsection
118.2(2)
of
the
Act.
The
word
“alterations”
in
paragraph
118.2(2)(/.2)
includes
“installation”;
this
is
an
interpretation
that
a
typical
person
would
find
to
be
reasonable
having
regard
to
Mrs.
Vantyghem’s
plight.
In
the
appeal
at
bar,
Mr.
Vantyghem
incurred
an
expense
relating
to
an
alteration
to
the
home,
the
installation
of
a
hot
tub,
to
permit
Mrs.
Vantyghem
who
in
1996
had
a
severe
and
prolonged
mobility
impairment
to
be
mobile
within
their
home.
This
was
the
evidence
before
me
and
I
accept
it
as
fact.
The
appeal
is
allowed
with
costs,
if
any.
Appeal
allowed.