DECISION AND REASONS FOR DECISION [2001] AATA 498
ADMINISTRATIVE APPEALS TRIBUNAL )
) No N1999/1794
VETERAN'S APPEALS DIVISION )
Re ELAINE BETTY CORBETT
Applicant
And REPATRIATION COMMISSION
Respondent
DECISION
Tribunal Dr J D Campbell
Date7 June 2001
PlaceSydney
Decision The Tribunal determines that the decision under review be set aside and in substitution therefore determines that the death of the late veteran was war caused and that the Applicant is entitled to payment of a War Widow's Pension with the date of effect being 7 March 1999.
(Sgd) Dr J D Campbell
Member
CATCHWORDS
Veterans' entitlement - death of veteran - ischaemic heart disease - smoking - alcohol - hypertension - whether death war caused - widows pension
Veterans' Entitlements Act 1986
Sayer and Repatriation Commission (1999) AATA 524
Wade and Repatriation Commission (AAT 13092, 14 July 1998)
Repatriation Commission v Hughes (1990) 13 AAR 34
REASONS FOR DECISION
Dr J D Campbell
In this application Mrs Corbett ("the Applicant") seeks a review of the decision of the Repatriation Commission ("the Respondent") dated 13 April 1999 that determined that the death of her late husband Mr Geoffrey Corbett was not related to service. This decision was reviewed and affirmed by the Veterans' Review Board ("VRB") in a decision dated 14 October 1999.
A hearing was held before the Tribunal on 13 October 2000 at which the Applicant was represented by Mr Vindin of Counsel and the Respondent by Mr Wallis, a solicitor from The Department of Veterans' Affairs. The Applicant presented oral evidence prior to the matter being adjourned for both parties to obtain further medical reports. A resumed hearing was held on 19 February 2001, with Mr Modder, a solicitor from the Department of Veterans' Affairs representing the Respondent.
The following material was placed into evidence before the Tribunal:
Exhibit No Description Date
T1-T15 pp1-61 Documents prepared pursuant to section 37 of the Administrative Appeals Tribunal Act 1975
A1 Medical Report of Dr Miller 22 May 2000
A2 Medical Report of Dr Gertler 26 June 2000
A3 Statement of Mrs Corbett 22 March 2000
A4 Statement of Mrs Corbett 16 June 2000
A5 Statement of Mr Hays 14 June 2000
A6 Statement of Mr Cowley 19 July 2000
A7 Clinical notes of Dr Romero re Mr Corbett
A8 Applicants' Statement of Facts and Contentions 25 July 2000
A9 Supplementary Medical Report of Dr Miller 11 February 2001
A10 Applicants' Amended Statement of Facts and Contentions 15 February 2001
R1 Historical Report of Lt Colonel Conant 12 October 2000
R2 Respondents' Statement of Facts and Contentions 11 October 2000
R3 Medical Report of Dr Richards, with last two paragraphs deleted 22 January 2001
Legislation
The relevant legislation in this matter is the Veterans' Entitlement Act 1986 ("the Act") and in particular sections 5AB, 6,7,8,9,13,119,120,196B.
The relevant statements of principles are as follows:
Statement of Principles Instrument No 81 of 1998 concerning Ischaemic Heart Disease;
Statement of Principles Instrument No 77 of 1998 concerning Psychoactive Substance Abuse or Dependence;
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- Corbett and Repatriation Commission [2001] AATA 498
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- [2001] AATA 498
- Decision Date
CaseChat Overview and Summary
The primary legal issue before the Tribunal was whether the veteran's ischaemic heart disease, which caused his death, was related to his war service. This involved examining the onset and progression of the veteran's smoking habit and its potential link to stressful events during his service. The Tribunal had to assess if the smoking habit, which started during service and continued post-service, was significantly influenced by his war experiences and if this habit contributed to his ischaemic heart disease.
In reaching its decision, the Tribunal noted that the veteran's smoking habit began during his service and escalated to 40 cigarettes a day by the time of his discharge. Despite efforts to quit, he continued to smoke until shortly before his death. The Tribunal found that the onset of his ischaemic heart disease was six months before his death and recognised the difficulties in establishing a direct causal link between the smoking habit and the disease due to the interplay of other factors such as hypertension and the passage of time. However, the Tribunal concluded that the smoking habit, which was initiated and significantly escalated during service, was a substantial factor contributing to the veteran's ischaemic heart disease. Given the clear connection between the smoking habit and service, and the role this habit played in the development of the disease, the Tribunal found that the veteran's death was related to his war service.
The Tribunal ordered that the application for a war widow's pension be allowed, effective from the day after the veteran's death, recognising the service-related nature of his ischaemic heart disease. This decision underscores the importance of considering the totality of evidence, including historical records and witness statements, in establishing the service-related nature of a veteran's condition.
Orders
Orders of the court
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Background
Background to the litigation
Evidence
Evidence Before The Court
Decision
Reasons for decision
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Ratio Decidendi
Legal Principle Established
The Respondent contended that the recorded history of alcohol and smoking failed to establish a causal link between alcohol, smoking and service, and that it had not been demonstrated that the late veteran was exposed to the necessary stressful events or that smoking increased as a result of his service. In making such a contention the Respondent relied upon the decision in Repatriation CommissionvHughes (1990) 13 AAR 34. In relation to the issue of alcohol, the Respondent relies upon the opinion of Dr Miller, and for both smoking and alcohol on the opinion of Dr Richards.Consideration and Findings In preliminary observations the Tribunal notes that the standard of proof in this matter is one of reasonable satisfaction pursuant to s120(4) of the Act in that the late veteran's service did not involve any operational service. Further the Tribunal notes that the date of effect is 7 March 1999, if the Applicant is successful in her claim, being the day after the date of her late husband's death. In turning to issues of fact, the Tribunal, having reviewed the evidence of the Applicant, and the medical and historical evidence as obtained from the particular statements and Write Way Research and importantly noting and acknowledging that the Respondent does not contest the revised history of smoking for the late veteran as described by the Applicant, makes the following findings of fact:(a) the late veteran's cause of death was ischaemic heart disease;(b) the clinical onset of the late veteran's ischaemic heart disease was six months prior to his death (Drs Miller and Richards);(c) the late veteran had suffered from hypertension for many years (1987 noted in clinical records of Dr Romero);(d) the late veteran did not smoke before enlistment;(e) the late veteran commenced smoking while in the army and prior to his first leave;(f) the late veteran was smoking at the rate of 40 cigarettes per day at the time of discharge;(g) the late veteran continued to smoke at this rate until 1987 when he reduced the rate to approximately six a day;(h) the late veteran continued to smoke at the rate of six a day until 18 months before his death;(i) the late veteran did not drink prior to enlistment;(j) the late veteran commenced drinking during his service and was a heavy drinker in 1946; and(k) the late veteran continued to drink considerable daily quantities of alcohol to 1994 when he ceased. The Tribunal recognises that in this matter there are particular difficulties in obtaining exact details of significant issues and that this is due to a variety of records, the effluxion of time, difficulties with memories and the death of the late veteran. The Tribunal particularly acknowledges the difficulties associated with the detailing of stressful experiences. The Tribunal observes that the Applicant has submitted that there are two possible contentions in this matter, by which the late veteran's death can be causally related to his service. The first of these relates to the late veteran's smoking habit being a causal factor in his ischaemic heart disease, with the issue remaining as to whether his smoking habit was connected to service.