"So the only question is whether the smoking was a habit which he
acquired during war service; is that right? The only real
question, the only real issue; is that right?
MR PALMA: Well, Mr Hill has not canvassed the other issue that is
raised by Professor (Kune) and that is the longterm immuno
suppressive effects of the cortico steriods that he was taking for
his accepted disability. Professor (Kune) raises that as a
theoretical consideration at this stage. There is no evidence - and
both doctors agree on this - that the longterm administration of
those cortico steriods can lead to carcinoma of the pancreas.
HON. MR PERRIGNON: Yes, so what you say is that the - you say the
real issue is whether the smoking was a war-caused habit?
MR PALMA: I think we would both agree that that has been narrowed
down to that issue, yes.
HON. MR PERRIGNON: Well, I do not know. We might hear from Mr
Hill about that later.
MR PALMA: Because if there are any other issues, if that is not the
case I can make submissions on the other issues.
HON. MR PERRIGNON: Well, all right. Well, we will just - I think
we had better hear from Mr Hill after you finish now - - -
...
MR PALMA: Yes, Basically, my submission is - I mean, you do not
require me to give submissions on what constitutes a reasonable
hypothesis do you, sir?
HON. MR PERRIGNON: I do not want to restrict you at all in your - - -
MR PALMA: No. I think it has been well established in this - - -
HON. MR PERRIGNON: - - - submissions. You make such submissions to
me - to us - as you see fit.
MR PALMA: I think it has been well established in this tribunal
what constitutes a reasonable hypothesis - - -
HON. MR PERRIGNON: Yes.
MR PALMA: - - - and the only decision that I will mention that I
would like the tribunal to take note of is the decision in Gilbert - - -
HON. MR PERRIGNON: Gilbert?
MR PALMA: Yes.
HON. MR PERRIGNON: What is the reference to that?
MR PALMA: I am getting to that. It is, I believe at this stage
still - it is a decision of Justice Hill in the Federal Court.
HON. MR PERRIGNON: Yes....
MR RUSSELL: This is all about reasonable hypothesis; that is the
point you are making, not any other aspect?
MR PALMA: No, that is correct, Mr Russell.
HON. MR PERRIGNON: You say there is no reasonable hypothesis - - -
MR PALMA: Well - - -
HON. MR PERRIGNON: - - - connecting the smoking with the war service?
MR PALMA: No. That is not correct, sir. I am saying that on the
basis of that there is no reasonable hypothesis connecting the
cortico steriods with the carcinoma of the head of the pancreas.
HON. MR PERRIGNON: Yes.
MR PALMA: There is, of course, a hypothesis - a reasonable
hypothesis - that the cause of death - the carcinoma of the head of
the pancreas, one of the risk factors is the smoking.
HON. MR PERRIGNON: Yes.
MR PALMA: Of course, the only question left open now is the
influence of the war service on the veterans smoking habit.
HON. MR PERRIGNON: You say that is the only question; the
only real issue in the appeal?
MR PALMA: Yes.
HON. MR PERRIGNON: Is that right?
MR PALMA: That is right. I think that the other part of it can be
ruled out. It is only a theoretical consideration at this stage and
it can be totally ruled out, and that is the only issue left open.
And I would say that the paucity in the evidence leaves it open for
the tribunal to find that the veteran commenced smoking before
service and there is no evidence of what actually happened on
service in regard to his smoking habit, and then from the late 40s
to 1969 the evidence from Mrs Hughes is that he was smoking two
ounces of tobacco a week, and two ounces, I guess, depending on how
you roll cigarettes, can be anywhere from 50 to 100 cigarettes a
week, and that did not change.
So, there is a gap in the evidence, and my submission is that it is
open to the tribunal to say that the smoking habit commenced prior
to service..."