The Appellant's health
24 Although the Appellant did not raise any issue in this Court about the difficulties which would face him in terms of access to medicine if returned to Bangladesh, however, it struck me as the most troubling part of the case from his perspective. The Tribunal considered the issue at [41]-[45] with its conclusion at [58] (which is extracted at [3] above but reproduced here):
Based on the evidence before it, the Tribunal finds that the inadequacies of the Bangladeshi health care system that the applicant may face on his return to Bangladesh do not amount to significant harm. It does not constitute the carrying out of the death penalty or torture or arbitrary deprivation of life. The country information indicates that any failure to provide the applicant with health care treatment or support will be due to the Bangladeshi economy rather than any intentional act or omission. Therefore, it is not cruel or inhuman treatment or punishment or degrading treatment or punishment as defined by the Act. The Tribunal also finds that the risk of harm due to inadequate health care services in Bangladesh is one faced by the population of Bangladesh generally and not faced by the applicant personally. Therefore, it is not a real risk that the applicant will suffer significant harm in Bangladesh pursuant to s.36(2B)(c) of the Act.
25 In this case, the question for the Tribunal was to apply the complementary protection regime erected by s 36(2)(aa). The kinds of harm which need to be established are in s 36(2A):
36 Protection visas - criteria provided for by this Act
…
(2A) A non-citizen will suffer significant harm if:
(a) the non-citizen will be arbitrarily deprived of his or her life; or
(b) the death penalty will be carried out on the non-citizen; or
(c) the non-citizen will be subjected to torture; or
(d) the non-citizen will be subjected to cruel or inhuman treatment or punishment; or
(e) the non-citizen will be subjected to degrading treatment or punishment.
26 The forms of harm described in s 36(2A) broadly reflect Australia's obligations under Art 7 of the International Covenant on Civil and Political Rights, opened for signature 16 December 1996, 999 UNTS 171 (entered into force 23 March 1976) ('ICCPR'), which provides that:
No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment. In particular, no one shall be subjected without his free consent to medical or scientific experimentation.
27 The High Court has warned against attaching particular significance to the ICCPR and its attendant jurisprudence in interpreting sections of the Act which incorporate ICCPR obligations: SZTAL v Minister for Immigration and Border Protection [2017] HCA 34; 262 CLR 362 at 366 [4] and 369 [16]-[17] per Kiefel CJ, Nettle and Gordon JJ; see also Minister for Immigration and Border Protection v BBS16 [2017] FCAFC 176; 257 FCR 111 at 131-132 [45] per Kenny, Tracey and Griffiths JJ. That is because, inter alia, the definitions of 'cruel or inhuman treatment or punishment' and 'degrading treatment or punishment' contained in s 5(1) of the Act include a requirement that the treatment or punishment be intentional, whereas no such requirement exists under the ICCPR.
28 Nonetheless, decisions of international bodies interpreting Art 7 in the context of withheld or inadequate healthcare may be of assistance in determining when an obligation might arise in the context of deportation.
29 There are decisions of the United Nations Human Rights Committee ('HRC') such as C v Australia (CCPR/C/76/D/900/1999) ('C v Australia') which may lend credence to the idea that the return of a person to a country where the state of the health system is such that they will be denied treatment with potentially fatal consequences means that a non-refoulement obligation arises under Art 7. In C v Australia, the relevant breach of Art 7 was articulated at [8.5]:
In circumstances where the State party has recognized a protection obligation towards the author, the Committee considers that deportation of the author to a country where it is unlikely that he would receive the treatment necessary for the illness caused, in whole or in part, because of the State party's violation of the author's rights would amount to a violation of article 7 of the Covenant.
30 There, however, the relevant breach in returning the applicant to a country with inadequate healthcare arose because the applicant's health issue was caused by Australia's conduct in placing him in immigration detention (which itself was found to be a breach of the ICCPR). In the present case, there is no indication that the Appellant's health issues were caused by the Minister, whether through a breach of international obligations or otherwise. Consequently, there is little assistance to be found in C v Australia.
31 In other instances, the HRC has taken a narrow approach to the withdrawal or denial of healthcare as a basis for a claim under Art 7. It would seem that the unavailability or denial of healthcare will only constitute a breach of Art 7 if it is the result of State interference or denial based on characteristics particular to the applicant: see, for example, Llantoy-Huamán v Peru (CCPR/C/85/D/1153/2003), where State authorities denied a woman a therapeutic abortion on the basis of her age, or LNP v Argentina (CCPR/C/102/D/1610/2007), where a sexual assault victim was denied medical attention on the basis of her Indigenous ethnicity.
32 These decisions are each consistent with the High Court's decision in SZTAL and support the conclusion that the denial or unavailability of healthcare in a receiving country will only engage s 36(2A) where it is in some way personal to the person being returned. That conclusion appears to have been reached by Rares J in ENU18 v Minister for Home Affairs [2019] FCA 1391 at [41]:
The Authority's findings about the availability of healthcare and medication in Iraq do not evince any suggestion that the health system in that country (or the ability to access it) involved any systematic and discriminatory conduct against persons with diabetes or other diseases or medical conditions.
33 I therefore regret that I can see no error in the Tribunal's conclusion that the inadequate healthcare system in Bangladesh, under which the Appellant will almost certainly suffer, does not give rise to 'significant harm' within the meaning of s 36(2A) on the basis that the standard of healthcare is 'one faced by the population of Bangladesh generally and not faced by the applicant personally'.
34 I note for completeness that this issue was not put as a ground of appeal, and was not the subject of submissions by the parties. In light of the observations above, it need be taken no further.
35 The appeal will be dismissed with costs.
I certify that the preceding thirty-five (35) numbered paragraphs are a true copy of the Reasons for Judgment herein of the Honourable Justice Perram.