Simpson and Repatriation Commission (Veterans' entitlements)

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Simpson and Repatriation Commission (Veterans' entitlements) [2018] AATA 343 (28 February 2018)

Division:VETERANS' APPEALS DIVISION

File Number:          2015/4150

Re:James Simpson

APPLICANT

AndRepatriation Commission

RESPONDENT

DECISION

Tribunal:Senior Member Theodore Tavoularis

Date:28 February 2018

Place:Brisbane

The decision under review is affirmed.

……………[sgd]……………………………………

Senior Member Theodore Tavoularis

CATCHWORDS

VETERANS’ ENTITLEMENTS – where Applicant is in receipt of the pension at 100% of the General Rate – where Applicant seeks to claim new conditions – post-traumatic stress disorder – epilepsy – alcohol abuse – where Applicant seeks the pension at the Special Rate or the Intermediate Rate – where Applicant had previously claimed post-traumatic stress disorder – traumatic event – where Applicant relies on a traumatic event not mentioned before – whether Applicant suffers from post-traumatic stress disorder – whether post-traumatic stress disorder causally linked to Applicant’s service – whether Applicant suffers from epilepsy – whether epilepsy causally linked to Applicant’s service – whether Applicant suffers from alcohol abuse – whether alcohol abuse causally linked to Applicant’s service – “alone” test – whether Applicant prevented from undertaking work due to accepted conditions alone – whether ameliorating provisions apply – decision under review affirmed

LEGISLATION

Administrative Appeals Tribunal Act 1975 (Cth), s 33
Veterans’ Entitlements Act 1986
(Cth), ss 5D, 23, 24,70, 151

CASES

Comcare v Mather and Mitchell

(1995) 56 FCR 456
Comcare v PVYW
[2013] HCA 41
Confidential and Commissioner of Taxation
[2013] AATA 382
Re Easton and Repatriation Commission
(1987) 12 ALD 777
Jones v Dunkel (1959) 101 CLR 298


Kumar and Minister for Immigration and Citizenship

[2009] AATA 124


Repatriation Commission v Bawden

[2012] FCAFC 176
Re Repatriation Commission and Delkou (No 2) (1986) 9 ALD 358
Re Repatriation Commission and Falkner (1987) 12 ALD 87
Repatriation Commission v Smith
(1987) FCR 327
Repatriation Commission v Warren (2007) 95 ALD 606


Re Robertson and Repatriation Commission

(1998) 50 ALD 668
Roncevich v Repatriation Commission
(2005) 222 CLR 115
Simpson and Repatriation Commission
[2003] AATA 316


Smith and Repatriation Commission

[2015] AATA 786

SECONDARY MATERIALS

American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders: DSM-V (5th ed, American Psychiatric Publishing, 2013)


JD Heydon, Cross on Evidence (9th ed, 2013)


Statement of Principles concerning Alcohol Use Disorder, No 2 of 2009


Statement of Principles concerning Alcohol Use Disorder, No 30 of 2014


Statement of Principles concerning Epilepsy, No 76 of 2013


Statement of Principles concerning Posttraumatic Stress Disorder, No 83 of 2014

REASONS FOR DECISION

Senior Member Theodore Tavoularis

28 February 2018

INTRODUCTION

  1. Mr James Simpson (“the Applicant”) served in the Royal Australian Navy (“RAN”) from 1970-1980. The Repatriation Commission (“the Respondent”) has already accepted liability for some of the injuries he says have arisen out of his service. The Applicant is in receipt of the pension at 100% of the General Rate for these injuries.

  2. Now, the Applicant seeks to claim he suffers from the conditions of “P.T.S.D & alcohol abuse” and epilepsy, which was “caused by excessive alcohol intake due…

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Details
Case
[2018] AATA 343
Decision Date

CaseChat Overview and Summary

This matter concerned an application by a 64-year-old ex-serviceman, who was in receipt of a disability pension at 100% of the General Rate, seeking an increase to the Special or Intermediate Rate. The applicant sought to claim new conditions, specifically post-traumatic stress disorder (PTSD), epilepsy, and alcohol abuse, and to link these conditions to his service. The applicant had previously claimed PTSD, relying on a traumatic event not previously mentioned in earlier claims. The decision under review was affirmed.

The legal issues before the Tribunal were whether the applicant suffered from PTSD, epilepsy, and alcohol abuse, and whether these conditions were causally linked to his military service. Furthermore, the Tribunal had to determine if the applicant was prevented from undertaking work due to accepted conditions alone, and if any ameliorating provisions applied, in order to assess his entitlement to a disability pension above his current rate.

The Tribunal found that the applicant did not suffer from PTSD, nor was the Respondent liable for such a condition. Similarly, the Tribunal determined that the applicant did not suffer from epilepsy or alcoholism, and the Respondent was not liable for these conditions. Consequently, the Tribunal concluded that the applicant was not entitled to a disability pension above his current rate of 100% of the General Rate. The decision under review was therefore affirmed.

Orders

Orders of the court

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Background

Background to the litigation

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Evidence

Evidence Before The Court

As this is now a point of contention, I must address it as the first of the issues before me.What Is The Medical Evidence? The Applicant is a 64 year-old ex-serviceman who served in the RAN from 10 April 1970 until his elective discharge on 14 April 1980. He saw operational service from 21-26 November 1972. In his claim for “Disability Pension and Medical Treatment”, submitted on 26 May 1994,[13] the Applicant asserted a primary diagnosis of “post-traumatic stress syndrome” via the report of his then-general practitioner, Dr Denis Bergin.[14] The claim included descriptive elements of the primary PTSD condition such as “insomnia, alcohol dependency, depression, irritability, anxiety”.[15] [13] Exhibit 5, T-Documents, T 4, p 13.[14] Ibid, T 4, p 20.[15] Ibid. In particular, the Applicant asserted that his PTSD condition derived from the following incidents/episodes that arose during his time of service:(a)“stressful + other conditions in an operational area by having ship to ship accidents at sea”;[16](b)the vessel upon which he was serving (HMAS Vampire), on at least three occasions, collided with other ships at sea and this was “extremely stressful”;[17] and(c)an incident involving the Applicant finding himself below deck and potentially entombed there and a feeling of panic and fear about not being able to get to the upper deck before all watertight hatches were closed and secured.[18][16] Ibid.[17] Ibid, T 4, p 19.[18] Ibid. Symptoms arising from these events, according to the Applicant’s 1994 claim, first came within the ambit of his knowledge in the 1980s.[19][19] Ibid, T 4, p 20. As will be noted in the course of recounting the Applicant’s symptoms apparently giving rise to his PTSD, there is a gradual evolution from one group of symptomatic causes to another as this matter has taken its course through various decision making processes. I further note that the Applicant’s diagnosis itself has changed. On 25 October 1994, the Applicant’s psychiatric condition was reassessed to “generalised anxiety state”.[20] This claimed condition was, on 28 November 1994, rejected by the Respondent which denied liability for both the generalised anxiety state and other claimed conditions.[21][20] Ibid, T 6, p 26.[21] Ibid, T 7, pp 28-29. According to the Respondent, the Applicant’s generalised anxiety state did not derive from any aspect of his military service. Instead, it had its roots in the Applicant’s personal problems and marital difficulties which, according to the Respondent’s delegate, were not related to his military service. Further, the Respondent’s delegate found no evidence of anxiety-related problems during the Applicant’s eligible service.[22] [22] Ibid, T 7, p 29. This decision was re-considered by the Veterans’ Review Board (“VRB”) on 1 March 1996. This was preceded by a finding in March 1995 by the consultant psychiatrist, Dr John Miller, who made a diagnosis of anxiety disorder but, notably, not one of PTSD.[23] [23] Ibid, T 9, p 31.

Decision

Reasons for decision

The five abovementioned issues before the Tribunal can thus be answered as follows:(a)does the Applicant suffer from PTSD? Answer: No; (b)even if the Tribunal were to find that the Applicant does suffer from PTSD, should the Respondent be liable to the Applicant for this condition? Answer: No; (c)whether the Applicant suffers from alcoholism, and whether the Respondent should be liable to him for that condition? Answer: No to both the diagnosis and the liability of the Respondent;(d)whether the Applicant suffers from epilepsy, and whether the Respondent should be liable to him for that condition?Answer: No to both the diagnosis and the liability of the Respondent; and(e)whether the Applicant is entitled to a disability pension above his current rate of 100% of the general rate?Answer: No.CONCLUSION Accordingly, the decision under review is affirmed.

Ratio Decidendi

Legal Principle Established

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