Factual BACKGROUND
5 Mr Kowalski was called up for service in the Australian Army in 1967. He was concerned and stressed by the prospect of having to serve in Vietnam and undertook further study to avoid that consequence. On 18 August 1971 the then Prime Minister announced in Parliament that the Government had decided to withdraw all remaining combat forces from Vietnam and that most of the forces would be withdrawn by Christmas 1971. On 20 April 1972 Mr Kowalski joined the Australian Military Forces. He served until 19 October 1973. He did not serve outside Australia. For the first three months of his service, Mr Kowalski received basic training and trade training. He then served as a regimental and mechanical draftsman in the Electrical Mechanical Engineer Workshop. Mr Kowalski was required to work extremely hard, especially after the Commonwealth Government ended conscription in December 1972. On 14 June 1973 a medical officer recorded that Mr Kowalski was "pushed with job".
6 On 1 August 1973 Mr Kowalski was diagnosed with a duodenal ulcer. The symptoms had commenced in May 1973. On 7 August 1973 Major Fenton, Mr Kowalski's Commanding Officer, recorded that Mr Kowalski had "been placed under great stress & over employed since December 1972". On 20 August 1973, following the diagnosis of the duodenal ulcer, a medical officer, Flight Lieutenant Wilson, recorded that Mr Kowalski was "under stress at work". On that day Mr Kowalski was prescribed the drug "Librax", which he took for the remainder of his service in the Army and after his service had concluded. Librax was a drug which contained properties for the treatment of stress and thus, as it was then thought, for peptic or duodenal ulcer. Mr Kowalski suffered from the effects of his duodenal ulcer between 1974 and 1981. As noted earlier, on 4 April 1974, a delegate of the Commissioner for Employees' Compensation determined that there was a liability under the 1971 Act for Mr Kowalski's duodenal ulcer. Between 1974 and 1981 Mr Kowalski claimed, and was paid, benefits under the 1971 Act for periods he was unable to work, and for the medical expenses he incurred, as a result of his ulcer.
7 Following his discharge from the Army, Mr Kowalski worked with Chrysler Australia Pty Ltd and Mitsubishi Motors Australia Limited. On 24 August 1984, he was diagnosed as suffering from hypertension, for which he was prescribed medication. In 1989 Mr Kowalski ceased taking his medication on his own initiative. On 9 May 1989, whilst working at Mitsubishi, Mr Kowalski slipped in a pool of oil and suffered a back injury. He returned to work but shortly after claimed that he was unable to continue working. Mr Kowalski brought a claim for compensation under the Workers Rehabilitation and Compensation Act 1986 (SA).
8 On 16 August 1991, there was an incident at Mitsubishi and Mr Kowalski was threatened with dismissal. He broke down in front of his accusers. The incident caused Mr Kowalski to have a significant psychiatric reaction. He did not work at Mitsubishi again. On 26 December 1997 Mr Kowalski suffered a heart attack. In January 1998 he underwent major open heart surgery. Subsequently, Mr Kowalski suffered from obesity and Type 2 diabetes.
9 Between 1989 and 2004 Mr Kowalski brought numerous claims against Mitsubishi at common law and pursuant to the relevant legislation. On 27 October 1998, he entered into a Heads of Agreement with Mitsubishi, pursuant to which he agreed not to institute any further legal proceedings against Mitsubishi and received $200,000 from the company in final settlement of any claims he may have had against it. Despite the settlement Mr Kowalski brought further claims against Mitsubishi. By June 2004 all of Mr Kowalski's claims against Mitsubishi had been dismissed. On 19 April 2005 Mr Kowalski was declared to be a vexatious litigant: see Mitsubishi Motors Australia Ltd v Kowalski [2005] SASC 154.
10 Between 1989 and 2004, Mr Kowalski consulted a number of medical practitioners. Following the incident on 16 August 1991 he consulted Dr Jagermann, a psychiatrist. He saw Dr Jagermann regularly until 1998. In 1991, at the request of Mitsubishi, he was assessed by Dr Scanlon, who was also a psychiatrist. Dr Cheung, his general practitioner, saw Mr Kowalski in 1995 and, again, from 1998 to 2005. In 1998 Mr Kowalski was seen by Dr Sangster and Dr Aylward, who are both cardiologists. In August 1998 Professor McFarlane interviewed Mr Kowalski for the purpose of providing a medico-legal report. On 7 May 1999 Dr Hetzel, a gastroenterologist, conducted an endoscopy on Mr Kowalski. From 2003 to 2005, Mr Kowalski consulted Dr Thompkins, a psychiatrist. Mr Kowalski saw Dr Thompkins on approximately 50 occasions.
11 On 27 April 2004, Mr Kowalski filed a claim for Rehabilitation and Compensation with the MCRS. The claim form asked a number of questions. In answer to the questions concerning his injury, disease or illness Mr Kowalski gave the following responses:
"For what injury, disease or illness are you claiming?
"MAJOR DEPRESSION, GENERALISED ANXIETY & HEART ATTACK & OPEN HEART SURGERY"
What part of your body is affected? E.g., left arm, neck, lower back
"MIND AND HEART"
When did the injury happen or when did you first notice the disease or illness?
"16/8/91"
On what date did you first receive medical treatment for this injury, disease or illness?
"16/8/91"
…
Have you ever suffered a similar injury, disease or illness in the past?
No "ü"
Have you ever claimed compensation before for a similar injury, disease or illness?
Yes "ü"
Where did the injury happen?
"ü" At work - working in a normal workplace
…
"ü" Other - please specify
"AT A PLACE TO SEEK OR TO RECEIVE COMPENSATION FOR AN ACCEPTED COMPENSABLE INJURY(IES) (SEE ALSO S 30(3)(e) OF THE WRCA 1986 (SA) WORKERS REHABILITATION AND COMPENSATION ACT"
What task was being performed when you sustained the injury?
e.g., jacking up a Land Rover to change a tyre, cleaning a rifle, playing sport.
"PREPARING WRITTEN SUBMISSIONS IN RESPECT OF MY CLAIMS FOR COMPENSATION"
How did the injury occur?
e.g., the jack slipped on loose gravel causing the Land Rover to fall on my leg; the rifle discharged and injured my right big toe.
"STRESS & GENERALISED ANXIETY & HIGH BLOOD PRESSURE OVER A LONG PERIOD OF TIME SINCE AT LEAST 1982."
…
What aspects of your employment do you think contributed to your disease or illness? (Please attach separate statement if necessary).
"DEFENCE CAUSED - STAFF SHORTAGES, STRESS, PRESSURE OF WORK, UNREASONABLE TIMES ALLOCATED TO COMPLETE TASKS AT WORK, STRESS OF BEING CALLED UP FOR NATIONAL SERVICE, STRESS OF THINKING ABOUT BEING SENT TO VIETNAM, STRESS OF BEING CHARGED FOR GOING HOME TO SEE MY WIFE WHO WAS SICK, STRESS THAT CAUSE MY DUODENAL ULCER, STRESS OF BEING THREATENED WITH DISMISSAL FOR BEING ABSENT FROM WORK AT THE WORKCOVER REVIEW PANEL, HIGH BLOOD PRESSURE"…".
12 Mr Kowalski's claims for compensation were assessed by the Commission pursuant to the Safety Rehabilitation and Compensation Act 1988 (Cth) ("SRC Act"). Section 62 of the SRC Act provides that the Commission may cause a determination to be reconsidered. Where a determination is reconsidered it may be affirmed, revoked or varied.
13 Four reviewable decisions were made in relation to Mr Kowalski's claims for compensation:
· On 10 December 2004, the Commission disallowed Mr Kowalski's claim for compensation for "major depression and generalised anxiety, heart attack and open heart surgery" and "obesity and Type 2 diabetes". This primary decision was affirmed by the Commission on 22 April 2005 ("the first decision");
· On 22 June 2005, the Commission determined that Mr Kowalski was not entitled to receive incapacity benefits in respect of the duodenal ulcer. This primary decision was affirmed by the Commission on 11 November 2005 ("the second decision");
· On 6 May 2005, the Commission determined that Mr Kowalski was not entitled to compensation for permanent impairment caused by his duodenal ulcer. This primary decision was affirmed by the Commission on 11 November 2005 ("the third decision"); and
· On 22 May 2006, the Commission denied Mr Kowalski's claim for medical expenses, incapacity payments, permanent impairment and non-economic loss for psychological and/or psychiatric illness. On 30 June 2006, a reviewing officer revoked the Commission's determination and determined that a decision on Mr Kowalski's claim should be delayed until such time as liability to pay compensation under s 14 of the SRC Act in respect of the claim, which was the subject of the first decision, was accepted, ("the fourth decision").
14 Mr Kowalski applied to the Tribunal for a merits review of each of the four decisions.