Bailey and Repatriation Commission (Veterans' entitlements) [2017] AATA 1909 (25 October 2017)
Division:VETERANS' APPEALS DIVISION
File Number(s): 2016/6386
Re:James Bailey
APPLICANT
AndRepatriation Commission
RESPONDENT
DECISION
Tribunal:Senior Member A. Nikolic AM CSC
Date:25 October 2017
Place:Melbourne
The decision under review is affirmed
....................[sgd]....................................................
Senior Member A. NikolicVETERANS’ AFFAIRS – application for increase of pension – claim for cirrhosis of liver –– no reasonable hypothesis established – decision affirmed.
Legislation
Veterans’ Entitlement Act 1986Administrative Appeals Tribunal Act 1975
Cases
Borrett v Repatriation Commission [2000] FCA 1829
Bushell v Repatriation Commission [1992] HCA 47
Byrnes v Repatriation Commission [1993] HCA 51
Bull v Repatriation Commission [2001] FCA 1832
East v Repatriation Commission [1987] 16 FCR 517
Forrester v Repatriation Commission [2013] FCA 898
Kattenburg v Repatriation Commission [2002] FCA 412
Meehan v Repatriation Commission [2001] FCA 597
Repatriation Commission v Bey [1997] 79 FCR 364
Repatriation Commission v Codd [2007] FCA 877
Repatriation Commission v Deledio [1998] 83 FCR 82
Repatriation Commission v Owens [1996] HCATrans 215
Repatriation Commission v Smith [1987] 15 FCR 327
Repatriation Commission v Tuite [1993] FCA 43
Secondary Materials
Statement of Principles Concerning Cirrhosis of the Liver (Reasonable Hypothesis) (No. 1 of 2017), dated 20 December 2016.
REASONS FOR DECISION
25 October 2017
INTRODUCTION
Mr James Bailey has asked the Tribunal to review a decision by the Veterans’ Review Board (VRB) made on 27 September 2016,[1] affirming the Repatriation Commission’s (the Commission) decision of 9 October 2015,[2] that Mr Bailey’s cirrhosis of the liver was not related to his operational service. His application for an increase in disability pension from its current ‘general rate’ was also declined.
[1] T-documents dated 29 December 2016, numbering 71 pages (hereafter referred to as Exhibit R1), pp.B2-B8.
[2] Exhibit R1, pp.51-57.
The hearing was conducted on 19 July 2017. Mr Bailey was represented by Mr Adrian Hoel of counsel, instructed by Williams Winter Solicitors. The Commission was represented by Mr Ken Rudge, a departmental advocate.
Mr Bailey gave evidence at the hearing and was cross-examined. In addition to the T-documents, Mr Bailey’s Statement,[3] a bundle of Medical Records,[4] extracts from his Record of Service,[5] a transcript of his VRB hearing,[6] and a synopsis of the Indonesian Confrontation[7] were tendered into evidence. Leave was granted at the hearing for historical extracts to be provided by the Respondent, and for written submissions by the parties relating to the historical material.[8]
[3] Statement of James Alexander Bailey dated 21 November 2016, hereafter referred to as Exhibit A1.
[4] Medical Records: R93052 J.A. Bailey, numbering 36 pages, hereafter referred to as Exhibit R2.
[5] Record of Service: R93052 J.A. Bailey, numbering 9 pages, hereafter referred to as Exhibit R3.
[6] Transcript of Proceedings, VRB Hearing dated 27 September 2016, hereafter referred to as Exhibit R4.
[7] Perryman J., Indonesian Confrontation, Royal Australian Navy, accessed on 18 July 2017, hereafter referred to as Exhibit R5.
[8] The Respondent…
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- [2017] AATA 1909
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CaseChat Overview and Summary
The legal issues before the court were whether Mr Bailey's cirrhosis arose out of or was attributable to his eligible war service, and if so, whether he qualified for an increased disability pension. This involved considering the definitions of "operational service" and "war-caused disease" under the *Veterans' Entitlements Act 1986* (the Act), as well as the criteria for pension rates under sections 23 (Intermediate Rate), 24 (Special Rate), and 22(4) (Extreme Disablement Adjustment). Crucially, the court had to apply the standard of proof set out in sections 120(1) and 120(3) of the Act, which requires a determination in favour of the veteran unless satisfied beyond reasonable doubt that no sufficient ground exists for making such a determination.
The court affirmed the decision under review, finding that the material before it did not point to a reasonable hypothesis connecting Mr Bailey's cirrhosis to his operational service. While Mr Bailey provided evidence of increased alcohol consumption during his service, particularly on shore leave, the court noted that this behaviour was not necessarily attributable to his service. Drawing on established case law, the court emphasised that a reasonable hypothesis must be "pointed to" by the facts, not merely left open or explained by other possibilities. The court found that Mr Bailey's increased drinking could be explained by social practices or a personal liking for alcohol, rather than being a direct consequence of stressors or experiences during his operational service. Therefore, the standard of proof under section 120(3) was not met.
Orders
Orders of the court
Full text does not contain this section.
Background
Background to the litigation
Evidence
Evidence Before The Court
Decision
Reasons for decision
Ratio Decidendi
Legal Principle Established
Operational Service. The expression ‘operational service’ is defined at sections 6 to 6F of the Act. Under section 6C, a person renders operational service if they, inter alia, are allotted for duty in an operational area. War-Caused Injuries or Diseases. Section 9 of the Act provides, amongst other things, that: (1)Subject to this section and section 9A, for the purposes of this Act, an injury suffered by a veteran shall be taken to be a war-caused injury, or a disease contracted by a veteran shall be taken to be a war-caused disease, if: (a)the injury suffered, or disease contracted, by the veteran resulted from an occurrence that happened while the veteran was rendering operational service; (b)the injury suffered, or disease contracted, by the veteran arose out of, or was attributable to, any eligible war service rendered by the veteran;… Special Rate. The relevant legislation for Special Rate of pension is contained in section 24 of the Act, which states in part:24 Special rate of pension(1) This section applies to a veteran if:(aa)the veteran has made a claim under section 14 for a pension, or an application under section 15 for an increase in the rate of the pension that he or she is receiving; and(aab)the veteran had not yet turned 65 when the claim or application was made; and(a)... Intermediate Rate. Eligibility for a pension payable at the Intermediate Rate is provided for at section 23 of the Act, which has the same eligibility criteria as section 24, except that the veteran has a capacity for more than eight but no more than 20 hours work per week. As required by section 23(1)(d), however, it is necessary to consider eligibility for the Special Rate first, before turning to the Intermediate Rate. In effect, Section 23 only applies if section 24 or 25 does not apply to the veteran. Extreme Disablement Adjustment (EDA). Section 22(4) of the Act provides for the payment of EDA as follows:22 General rate of pension and extreme disablement adjustment…(1) This section applies to a veteran who is being paid, or is eligible to be paid, a pension under this Part, other than a veteran to whom section 23, 24 or 25 applies.…(4) Where:(a)either:(i) the degree of incapacity of a veteran from war-caused injury or war-caused disease, or both, is determined under section 21A to be 100% or has been so determined by a determination that is in force;….(b)the veteran has attained the age of 65;(c)the veteran has an impairment rating of at least 70 points and a lifestyle rating of at least 6 points, each determined in accordance with the approved Guide to the Assessment of Rates of Veterans’ Pensions; and(d)the veteran is not receiving a pension at a rate provided for by section 23, 24 or 25. Standard of Proof. As Mr Bailey’s claim for cirrhosis relates to operational service, the applicable standard of proof is defined in section 120(1) and section 120(3) of the Act:(1)Where a claim under Part II for a pension in respect of the incapacity from injury or disease of a veteran, or of the death of a veteran, relates to the operational service rendered by the veteran, the Commission shall determine that the injury was a war-caused injury, that the disease was a war-caused disease or that the death of the veteran was war-caused, as the case may be, unless it is satisfied, beyond reasonable doubt, that there is no sufficient ground for making that determination.Note: This subsection is affected by section 120A.(2)...(3)In applying subsection (1) or (2) in respect of the incapacity of a person from injury or disease, or in respect of the death of a person, related to service rendered by the person, the Commission shall be satisfied, beyond reasonable doubt, that there is no sufficient ground for determining:(a)that the injury was a war-caused injury or a defence-caused injury;(b)that the disease was a war-caused disease or a defence-caused disease; or(c)that the death was war-caused or defence-caused;as the case may be, if the Commission, after consideration of the whole of the material before it, is of the opinion that the material before it does not raise a reasonable hypothesis connecting the injury, disease or death with the circumstances of the particular service rendered by the person.Note: This subsection is affected by section 120A.