austlii:cth/FedCFamC2G/2025/1296
General information, not legal advice.
FedCFamC2G
2025-08-14
Original judgment source is linked above.
We are awaiting a reply from the applicant and will let the Court know when we have a response.
Ground 1
The Tribunal's decision should be set aside due to apparent legal error, namely, the Tribunal failed to engage in active intellectual process. Alternatively, it submitted that the second medical opinion sought by the Tribunal is invalid
Ground 2
The Tribunal failed to comply with s 359A of the Migration Act 1958 in respect of information that was to be the reason, or part of the reason, for affirming the decision under review.
Ground 3
The Tribunal failed to consider relevant consideration or information.
Ground 4
The tribunal letter sent to the applicant under s 359A of the Migration Act is invalid.
In preparing this opinion, I have had regard to the information available to date concerning the applicant, including, but not limited to the report of the visa medical examination and assessment of activities of daily living dated 30 October 2018.
30. In Robinson, and in the present case, the specified opinion was not formed by reference to a detailed calculation of the actual cost and consequences for access to services. It seems unlikely that expertise as a medical practitioner would inform or qualify the Medical Officer as to the making of an assessment of that kind. The fact that the formation of the required opinion is entrusted by the legislation to a medical practitioner informs the proper construction of the provision. A medical practitioner may be able to form a view, based upon medical expertise, as to the likely prognosis and consequently the likely extent in general terms of the level of health care and community services that may be required in caring for a person with a particular type of condition over a lifetime. Based on that general assessment, perhaps aided by inquiry, the practitioner will then be able to make an informed judgment as whether the cost of providing that level of services will likely be significant and also whether the services are readily available (such that additional demand might prove difficult to meet without prejudicing access to the same service by an Australian citizen or permanent resident).
31. It would be expected that a medical practitioner forming such an opinion would draw principally upon the likely prognosis and the general level of understanding that a medical practitioner would have of the types of services that the person is likely to require and for how long.
(a) providing clear particulars of the information the Tribunal considered would be the reason or part of the reason for affirming the decision under review, namely that:
(i) it was a requirement for the grant of the visa that each visa applicant (including members of the family unit) meet the health requirements specified in PIC 4005; and
(ii) on 7 September 2020, a RMOC had formed an opinion that the second applicant did not meet the health requirements. The s 359A letter also provided clear particulars of the RMOC Opinion.
(b) explaining to the applicants that the information was relevant to the review because it could lead the Tribunal to find that the second applicant did not meet the health requirements in PIC 4005 and, if relied upon, that the information would mean the applicant did not satisfy a requirement for the grant of the visa, which would be a reason for affirming the decision under review;
(c) inviting the applicants to comment on or respond to the information in writing;
(d) being sent to the applicants at the last email address provided to the Tribunal in connection with the review; and
(e) providing the applicants with the correct prescribed period in which to comment on or respond to the information (by 6 October 2020), namely 14 days after the invitation was received (CB 190 to 193).
13. In my opinion the regulation is not invalid. The criterion in cl4005(c) requires the applicant to be not a person who has a disease or condition of a kind described in para(i) and para(ii). The "person" referred to in (i) is not the applicant but a hypothetical person who suffers from the disease or condition which the applicant has. The criterion requires assessment as to whether or not a disease or condition is such that it would be likely to require health care or community services and that provision of health care or community services would result in a significant cost to the Australian community. The assessment of the likelihood of health care or community services is a qualification or characterisation of the kind of disease or condition in question, just like saying "this is a surgical procedure which usually requires general anaesthetic". It is not a prediction of whether the particular applicant will, in fact, require health care or community services at significant cost to the Australian community. This meaning is rendered, in my view, clear beyond argument by the concluding words beginning with "regardless".
14. The intention behind this regulation is understandable, particularly in the light of reg2.25A. One would expect that a medical officer would be able to assess the nature of a disease or condition and its seriousness in terms of its likely future requirement for health care. On the other hand, one would not expect a medical officer to inquire into the financial circumstances of a particular applicant or any family members or friends or other sources of financial assistance.
I certify that the preceding fifty-two (52) numbered paragraphs are a true copy of the Reasons for Judgment of Judge Given.
Manchandia
Minister for Immigration and Multicultural Affairs [2025] FedCFamC2G 1296
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