Brown v Repatriation Commission

Case [2003] FCA 1130


FEDERAL COURT OF AUSTRALIA

Brown v Repatriation Commission [2003] FCA 1130

VETERANS AFFAIRS - entitlements - Statement of Principles - inability to obtain appropriate clinical management of sarcoidosis - meaning of ‘inability’

Veterans’ Entitlements Act 1986 (Cth)
Administrative Appeals Tribunal Act 1975 (Cth)

Brew v Repatriation Commission (1999) 56 ALD 403;  (1999) 94 FCR 80

JUDITH MARY BROWN v REPATRIATION COMMISSION
Q175 OF 2002

COOPER J
BRISBANE
17 OCTOBER 2003


IN THE FEDERAL COURT OF AUSTRALIA

QUEENSLAND DISTRICT REGISTRY

Q175 OF 2002

On appeal from the Veterans’ Affairs Division of the Administrative Appeals
Tribunal constituted by Senior Member KL Beddow and Dr P Kennedy

BETWEEN:

JUDITH MARY BROWN
APPLICANT

AND:

REPATRIATION COMMISSION
RESPONDENT

JUDGE:

COOPER J

DATE OF ORDER:

17 OCTOBER 2003

WHERE MADE:

BRISBANE

THE COURT ORDERS THAT:

1.        The application is dismissed.

2.The applicant is to pay the costs of the respondent, to be taxed if not agreed.

Note:Settlement and entry of orders is dealt with in Order 36 of the Federal Court Rules.


IN THE FEDERAL COURT OF AUSTRALIA

QUEENSLAND DISTRICT REGISTRY

Q175 OF 2002

On appeal from the Veterans’ Affairs Division of the Administrative Appeals
Tribunal constituted by Senior Member KL Beddow and Dr P Kennedy

BETWEEN:

JUDITH MARY BROWN
APPLICANT

AND:

REPATRIATION COMMISSION
RESPONDENT

JUDGE:

COOPER J

DATE:

17 OCTOBER 2003

PLACE:

BRISBANE

REASONS FOR JUDGMENT

BACKGROUND

  1. On 22 December 1999, the applicant lodged a claim under the Veterans’ Entitlements Act 1986 (Cth) (‘the Act’) for medical treatment and a pension for incapacity arising from a number of medical conditions which included sarcoidosis. The claims were refused as not being war-caused. The decision to refuse the claim was affirmed by the Veteran’s Review Board and later by the Administrative Appeals Tribunal (‘the AAT’). The applicant now seeks a review of the AAT decision, pursuant to s 44 of the Administrative Appeals Tribunal Act 1975 (Cth). Such an appeal is limited to judicial review to correct legal error. It does not involve merits review of the factual findings made by the AAT.

    THE PROCEEDINGS IN THE AAT

  2. On 18 October 2002, the AAT affirmed the decision to refuse to grant the claim and gave short oral reasons for this decision.  Those reasons were later incorporated in written reasons.  The oral reasons of the AAT, incorporated in par 10 of the written reasons, provided:

    ‘The Tribunal is in a position to give its decision.  The Tribunal’s decision will be to affirm the decision under review.  The Tribunal’s brief reasons for that decision are as follows:  the applicant had eligible war service from 22 February 1943 to 23 June 1945.  She was a WRAN involved in telegraphic listening duties in Australia, principally at HMAS Harman located in the Australian Capital Territory near Queanbeyan.  The applicant worked extensive shift work and was generally confined to the naval facility.  She developed a cough with tiredness which was persistent and eventually caused her petty officer to suggest she seek medical attention.

    The applicant chose not to adopt the petty officer’s suggestion…

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Details
AGLC
Brown v Repatriation Commission [2003] FCA 1130
Case
[2003] FCA 1130
Decision Date

CaseChat Overview and Summary

In the case of Brown v Repatriation Commission, the applicant sought a review of a decision by the Administrative Appeals Tribunal (AAT) concerning the availability of appropriate clinical management during her service in the Women’s Royal Australian Naval Service (WRANS). The primary issue before the court was whether the AAT erred in its application of the relevant legal test, particularly as elucidated in Brew v Repatriation Commission, by failing to consider the full scope of evidence indicating the applicant’s inability to obtain appropriate clinical management for her condition. The applicant argued that the AAT should have considered evidence beyond her failure to follow her Petty Officer's advice, such as the lack of medical practitioners at the sick bay and the nature of her duties, which allegedly impeded access to medical care.

The court examined the evidence presented to the AAT, including a letter from the applicant detailing her reluctance to seek medical help due to the stigma attached to doing so, and a submission from the Returned Services League of Australia that highlighted the inadequate medical facilities and the critical nature of her duties. Despite this, the AAT concluded that the applicant had the means to obtain appropriate clinical management but chose not to. The tribunal found that the applicant’s decision not to seek medical attention, despite her Petty Officer advising her to do so, was a conscious choice, and that she did not suffer from any inability to obtain appropriate clinical management during her service.

The court upheld the AAT's decision, finding that the tribunal had adequately considered the relevant evidence and correctly applied the legal test. The court held that the applicant’s decision not to seek medical treatment was a personal choice and not a result of any systemic barriers or inability to access care. Consequently, the application for review was dismissed, and the applicant was ordered to pay the respondent’s costs.

Orders

Orders of the court

1. The application is dismissed.

2. The applicant is to pay the costs of the respondent, to be taxed if not agreed.

Note:

Background

Background to the litigation

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Evidence

Evidence Before The Court

The applicant contends that the AAT erred in that it failed to apply the test of ‘inability to obtain appropriate clinical management’ as explained by the Full Court in Brew v Repatriation Commission to the whole of the evidence before the AAT. In particular, the applicant submits the AAT limited its consideration of the applicant’s conduct to her failure to follow the advice of her Petty Officer to go to the sick bay to seek treatment for her cough and tiredness. It is contended that the AAT failed to look at any other material or evidence which was available at the time which the applicant submitted contradicted the conclusion that the applicant chose not to obtain appropriate clinical management for her condition. The other material and evidence, the applicant contends, required the AAT to find that:(a)objectively the applicant was unable to obtain appropriate clinical management of her undiagnosed sarcoidosis during her service at HMAS Harman because there was no medical practitioner at the sick bay to make the diagnosis and assess the needs of the applicant as to any treatment (the sick bay attendants being unable to perform such functions); and/or(b)objectively she was unable to obtain medical attention because of the nature and circumstances of her work; and/or(c)subjectively, as a matter of practical reality, the applicant believed that she could not access a doctor during her service at HMAS Harman, because of the nature and circumstances of her work and the fact that there was no doctor at the sick bay.THE EVIDENCE BEFORE THE AAT The papers before the AAT contained a letter written by the applicant to the Department of Veteran’s Affairs on 5 September 1992. In that letter she stated:‘For most of this period of time I was stationed at ‘HMS [sic] Harman’ Canberra engaged in listening to Japanese wireless messages. My health was not very good but it was looked upon as being infra-dig to go to the medical officer ......I developed a very bad cough while in the Wrans that later turned into Sarcoidosis which at first was thought to be very like T.B. ...’The applicant was not questioned on the hearing before the AAT as to this letter, or why she expressed the belief that it was ‘infra-dig’ to go to the medical officer if one was sick. By letter dated 17 March 2000, the Returned Services League of Australia made a submission to the Department of Veterans Affairs on behalf of the applicant. That letter said, in part:‘... She was unable to receive proper clinical treatment or diagnosis, due to the lack of medical facilities. The staggered hours she was on duty, plus the critical nature of her duties was a barrier to her obtaining medical support from another unit. The attitude in those days was if you had chest problems and you are not apparently any worse than any other person, you were obliged to remain at your post. It must be remembered that the attitude towards the female services was more critical then and the senior female officers were under pressure to prove that their members were as capable as male serviceman, [sic] this pressure was also on the lower ranks. [T]herefore taking time off for chest complaints would not be acceptable. Mrs Brown’s medical records do not show one visit to an MO from the time she enlisted to the day she was discharged, it is hard to believe that Mrs Brown did not have a medical problem during that time, but it does show that as Mrs Brown stated she was unable to receive appropriate clinical management for any medical problem.’

Decision

Reasons for decision

COOPER J
A reading of the reasons for decision of the AAT as a whole indicates that the AAT made the following finds of fact:(i)The applicant was born on 17 November 1923.(ii)The applicant rendered eligible war service as a member of the Women’s Royal Australian Nave Service (‘the WRANS’) from 22 February 1943 to 23 June 1945.(iii)The applicant was posted to ‘HMAS Harman’ (‘Harman’) to work in the code room of the naval radio facilities dealing with the interception of radio transmissions by Japanese military forces.(iv)Harman was a land-based naval station in the Australian Capital Territory near Canberra and contiguous with Queanbeyan, in the State of New South Wales.(v)The work performed by the applicant was of a sensitive nature.(vi)The applicant was required to work extensive long shifts.(vii)Generally, the applicant was confined to the naval facility.(viii)There was a sick bay at Harman for those service personnel at the base requiring medical attention.(ix)Until the time of her enlistment the applicant enjoyed good health.(x)The applicant developed a persistent bad cough and experienced tiredness during her time at Harman.(xi)The applicant’s coughing became such that her Petty Officer advised her to go to the sick bay to seek medical attention.(xii)(Inferentially, from the circumstance that her Petty Officer advised the applicant to go to the sick bay to seek medical attention) the sick bay was available to the applicant in the circumstances of her service to attend to seek medical attention for her cough and tiredness.(xiii)The applicant did not then, as her Petty Officer had advised her, or thereafter, attend the sick bay to receive attention for her cough and tiredness.(xiv)The applicant did not follow the Petty Officer’s advice because she believed that too many people were attending the medical facility at Harman, because she did not want to go, and, because she did not realise that she was ill.(xv)The applicant did not attend any private medical practitioner during her time at Harman.(xvi)As a consequence of not attending the sick bay, the applicant did not receive any medical attention for her cough or tiredness.(xvii)The applicant was diagnosed by a specialist as suffering from sarcoidosis in 1958 and was treated with steroids thereafter.(xviii)It is likely that the condition of sarcoidosis from which the applicant suffered began during the time of her service at Harman.(xix)At the time of the applicant’s war service there was not an effective treatment available for sarcoidosis, although there was at that time appropriate clinical management for the condition.(xx)The applicant did not receive appropriate clinical management of the undiagnosed sarcoidosis because she chose, against the suggestion of her superior, not to seek medical treatment.(xxi)There was no inability on the part of the applicant to obtain appropriate clinical management of the undiagnosed sarcoidosis during the period of her service at Harman.CONCLUSION ON APPEAL

Ratio Decidendi

Legal Principle Established

Established by: COOPER J

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