Youngnickel v Repatriation Commission
[2004] FCA 1691
At a glance
Source factsCourt
Federal Court of Australia
Decision date
2004-12-20
Before
Bennett J
Source
Original judgment source is linked above.
Judgment (6 paragraphs)
The application by the Tribunal of the relevant SoP 21 This ground of appeal has raised a number of issues: · Did the Tribunal err in law in finding that there was no material to support clinical onset of alcohol abuse/dependence within the two year period? · Does the Tribunal's finding that there was no reasonable hypothesis involve an error of law? · Is the determination of whether there is or is not a reasonable hypothesis a question of law or of fact?
Material to support clinical onset and the finding of no reasonable hypothesis 22 The applicant submits that it was not open to the Tribunal to make a finding that there was no material supporting the claim that clinical onset occurred within two years of the severe stressor. 23 The applicant contends that there was material before the Tribunal which pointed to clinical onset of alcohol abuse/dependence within the two year period after the fish on board incident. 24 Counsel for the respondent, Ms Henderson, submits that the basis of the applicant's criticism of the Tribunal is not that it made a finding for which there was no evidence (an error of law) but that there was some material capable of supporting a different conclusion. She characterised the applicant's case as a complaint that the decision was against the weight of the evidence. Ms Henderson contends that the Tribunal was correct in its conclusion that there was no material which pointed to clinical onset. 25 In order to determine whether the hypothesis that the Tribunal found to have been raised is consistent with the template of the relevant SoP, the Tribunal was required to consider whether the fish on board incident occurred within the two years immediately before the clinical onset of alcohol dependence or alcohol abuse. 26 The meaning of clinical onset was addressed in Cornelius. In Cornelius at [26], Branson J accepted the meaning of clinical onset as follows: '…there is a clinical onset of a disease, either when a person becomes aware of some feature or symptom which enables a doctor to say the disease was present at that time, or when a finding is made on investigation which is indicative to a doctor of the disease being present…' (emphasis added). 27 As submitted by counsel for the respondent, this means that the disorder itself must be present at the specified time. If the disorder was not present at the specified time, then the hypothesis is not consistent with the relevant SoP and therefore, by reason of s 120A(3), the hypothesis is not a reasonable hypothesis for the purposes of s 120(3) of the Act. 28 In Cornelius, as here, there was no material before the Tribunal which suggested that any medical practitioner had in fact said that a feature or symptom reported by the veteran within the specified time period enabled him to say that he had the disease at that time. The question then was whether material before the Tribunal did so by inference. 29 Her Honour observed at [28] that without the material which pointed to the veteran becoming aware within the relevant time of some feature or symptom which enables a medical practitioner to say that he had the disease at that time, it cannot be said that the hypothesis fits the template of the SoP. 30 In Lees v Repatriation Commission (2002) 125 FCR 331 ('Lees'), the Full Court considered the meaning of "clinical onset". One of the questions in that appeal was whether "clinical onset" means "suffer from" or "commenced the process by which the clinical diagnosis subsequently occurred". The Court said at [16]: '[w]hile it is true that the Statements of Principles are directed to causation, the means of establishing the necessary link in SoP1 between disease and war service is to require that the symptoms (or features) of the disease are, in a case such as the present, revealed within two years of the veteran experiencing a severe psychosocial stressor…'. 31 Accordingly, in that case, the Tribunal did not err in basing its decision upon the premise that all of the symptoms of the disease had to be shown within the two year period. 32 The material relied upon by Mr Youngnickel to establish clinical onset of alcohol abuse/dependence is not unequivocal. Dr Brown, in a written report dated 21 February 2003, said that Mr Youngnickel's history as stated to her was that he had not begun to drink alcohol heavily until after the fish on board incident. The report also referred to 'escalating levels of alcohol consumption' and 'ongoing heavy usage of alcohol over the many year period subsequent'. Dr Brown found that Mr Youngnickel would qualify for an SoP diagnosis of alcohol dependence. She then added: 'In terms of whether a reasonable hypothesis can be raised connecting his Alcohol Abuse and Dependence with his military service, the fish on board incident would qualify as a stressor occurring within two years prior to the clinical onset of Alcohol Abuse and Dependence. As noted, some reservations about the objective level of severity of the stressor have been recorded. However, if Mr Youngnickel's account is accurate he did perceive himself to be at risk and without feeling able to access support he appears to have withdrawn from others and dealt with his emotional response by excessive use of alcohol.' (emphasis added) Part of Mr Youngnickel's history was that he had not started to drink alcohol heavily until after the fish on board incident. 33 Dr Brown and Dr Lewin gave joint evidence and, during cross-examination, Dr Brown, in response to a question asking '[w]hat sort of things would we see within 2 years' replied: 'Probably, as Dr Lewin said, yes, you wouldn't see the symptoms and signs of alcohol dependence that developed many years later, but what we would see is a pattern of behaviour of drinking consumption which was excessive, perhaps compared to peers… …This man's history, if he is accurate in his recall, indicated that he had some minor disciplinary problems, he became disinhibited, he said that he would say things that were out of turn and inappropriate, and that certainly could be consistent with someone who is starting to drink excessively and it was affecting their behaviour. It doesn't necessarily indicate that somebody is developing a disorder, it means they're drinking excessively and it's affecting their behaviour, but it is a warning sign. I guess then it goes back to the reliability of this man's history about when he can recall his drinking behaviour starting…So if his history is accurate, there was an escalation of drinking behaviour in the years afterwards and some early warning signs that his behaviour was maladaptive. In terms of his drinking behaviour through his subsequent service, he said, apart from sometimes speaking out of turn, there were no major disciplinary problems or absences during the latter years of his service. So there's only that possible marker of his behaviour becoming somewhat inappropriate.' (emphasis added) 34 The applicant submits that this evidence was evidence supporting clinical onset of alcohol dependence within two years, as required by the relevant SoP. As there was no fact-finding at this stage of the Tribunal's deliberations, it was submitted that the Tribunal erred as a matter of law in concluding that there was no evidence of clinical onset within two years of the fish on board incident. This amounts to a submission that Dr Brown's evidence constituted material that established such clinical onset and fitted with the template of the relevant SoP. 35 The medical evidence advanced by both the applicant and the respondent was that the applicant did at the time of medical examinations in 2002 and 2003 exhibit clinical features of alcohol abuse and alcohol dependence. In determining whether there was a fit with the relevant SoP, the Tribunal referred to the material before it including the material now relied upon by the applicant. The Tribunal referred to Mr Youngnickel's evidence of his drinking history and the medical reports, including that of Dr Brown, as well as Mr Youngnickel's naval record and concluded that 'there is no material pointing to clinical onset of alcohol abuse or alcohol dependence by August 1968', the agreed relevant date. 36 The way in which the Tribunal assessed the report and cross-examination of Dr Brown as against the need on the part of the applicant to point to clinical onset of disease within two years cannot be said to demonstrate that the Tribunal did not consider that material or that the Tribunal disregarded the material upon which the applicant relies and so failed to discharge the obligations imposed by s 120(3). The totality of that material did not necessitate a finding that the material was consistent with the relevant SoP. The weight which the Tribunal gave to the bare assertion in one part of Dr Brown's report in the context of the rest of her report and cross-examination was a matter for the Tribunal. There was no impermissible fact-finding at this stage of the Tribunal's decision. 37 Section 120(3) of the Act provides: 'In applying subsection (1) or (2) in respect of the incapacity of a person from injury or disease, or in respect of the death of a person, related to service rendered by the person, the Commission shall be satisfied, beyond reasonable doubt, that there is no sufficient ground for determining: (a) that the injury was a war-caused injury or a defence-caused injury; (b) that the disease was a war-caused disease or a defence-caused disease; or (c) that the death was war-caused or defence-caused; as the case may be, if the Commission, after consideration of the whole of the material before it, is of the opinion that the material before it does not raise a reasonable hypothesis connecting the injury, disease or death with the circumstances of the particular service rendered by the person.' 38 Section 120(3) of the Act requires consideration of the whole of the material to determine whether the material does not raise a reasonable hypothesis. By s 120A(3), the hypothesis is reasonable only if the relevant SoP upholds the hypothesis; that is, whether the hypothesis fits or is consistent with the template of the relevant SoP (Deledio). As the Full Court pointed out in Deledio, if the hypothesis fails to fit the template, it will be deemed not to be reasonable. 39 Having found that a hypothesis was raised, the task of the Tribunal was to determine whether the material raised a reasonable hypothesis. 40 In Hardman v Repatriation Commission [2004] FCA 1174 ('Hardman') the question was whether, for the purposes of the third step referred to in Deledio, the Tribunal is confined in its consideration only to the matters favourable to the claimant to determine whether there is a reasonable hypothesis or whether the Tribunal must consider at step three the whole of the material, whether adverse to or favourable to the claimant. 41 Hill J noted that s 120 requires that all relevant facts before the decision maker be looked at and that the reasonable hypothesis has to emerge from all of those facts. After a detailed consideration of the authorities, his Honour concluded at [39] that: 'the Tribunal is required, in determining whether the material before it raises a reasonable hypothesis, to consider all of the relevant material before it,whether or not that material is favourable or not to the hypothesis. Secondly, it is clear that the Tribunal is not to determine the correctness or otherwise of facts raised whether those facts are in favour of or contrary to the hypothesis. Thirdly, in determining whether an hypothesis is reasonable the Tribunal makes a finding of fact which this Court may not overrule unless the finding is so unreasonable that it could not properly be made.' 42 In Bushell v Repatriation Commission (1992) 175 CLR 408 ('Bushell'), the High Court said at 414: 'The material will raise a reasonable hypothesis within the meaning of s 120(3) if the material points to some fact or facts ("the raised facts") which support the hypothesis and if the hypothesis can be regarded as reasonable if the raised facts are true…' And further at 414: 'However, a hypothesis cannot be reasonable if it is "contrary to proved scientific facts or to the known phenomena of nature". Nor can it be reasonable if it is "obviously fanciful, impossible, incredible or not tenable or too remote or too tenuous"'. 43 Each element of the hypothesis is to be raised by the material. However, the elements of the hypothesis may be raised 'so slightly that the entire hypothesis was not to be viewed as reasonable' (Bull v Repatriation Commission (2001) 188 ALR 756 ('Bull') at [5] per Moore J). 44 As Moore J observed at [5], it is not sufficient that the material raises a hypothesis, the hypothesis must also be one to which the material, as a whole, points. Emmett and Allsop JJ pointed out in Bull at [18] that a hypothesis that was not obviously fanciful or not impossible or not incredible or tenable or not too remote or not too tenuous, was not therefore necessarily reasonable. 45 In Connors v Repatriation Commission [2000] FCA 783 ('Connors'), Kenny J observed at [14]: 'If an essential element in a hypothesis is not raised (or pointed to) by the material before the decision-maker, then that hypothesis is not raised by that material…If the material does raise the hypothesis, then the decision-maker must determine whether it is reasonable.' 46 In Bushell, the High Court pointed out that a hypothesis, based on the raised facts, will generally be reasonable when put forward by a relevantly skilled medical practitioner, even if in conflict with other medical opinions. It is appropriate, for the purposes of s 120(3), to have regard to opposed medical or other material for the purpose of examining the validity of the reasoning which supports the claimed connection. The hypothesis may still be reasonable although it is against the weight of the evidence. 47 Accordingly, the hypothesis is reasonable only if the relevant SoP upholds the hypothesis. Byrnes v Repatriation Commission (1993) 177 CLR 564 ('Byrnes'), Bushell and Repatriation Commission v Bey (1997) 79 CLR 364 ('Bey') may support the proposition that, in some cases, a hypothesis may assume the occurrence of certain facts and the making of assumptions without rendering the hypothesis unreasonable. However, as pointed out in Connors at [18], this does not apply after the introduction of s 120A in 1994. Section 196B(2) provides that, where there is a SoP, the factors there set out must exist "as a minimum". 48 The opinion to be formed is whether the hypothesis is consistent with the template. It is at this stage that the element of "reasonableness" still has work to do. This is consistent with the distinction drawn in Byrnes at 569-570 between the necessity for the material to raise some fact or facts which give rise to the hypothesis and the determination of whether the hypothesis is reasonable. As made clear by the Full Court in Bey at 372, a reasonable hypothesis involves more than a mere possibility. It must point to and not merely leave open a hypothesis (East v Repatriation Commission (1987) 16 FCR 517 at 532-3 ('East')). 49 In East, it was pointed out that the hypothesis may be theoretical, in the sense that it may postulate a known medical fact but in circumstances not known to have definitely existed in the instant case, or it may postulate a medical principle not yet definitively proven.In Bey the evidence went no further than to say that the suggested cause of disease was a possibility. This entitled the Tribunal to conclude that the material did not raise a reasonable hypothesis. 50 In Bull, the hypothesis was that the veteran's excess drinking was connected to his service in Vietnam. There was a body of material which related to the drinking but none bore directly on the link between war service and drinking. The primary judge had observed that the Tribunal could have found the hypothesis reasonable but it was open to it to find to the contrary. Emmett and Allsop JJ noted at [40] that 'it could hardly be denied that an hypothesis of the kind referred to in [38] above was by no means fanciful or impossible or incredible or untenable' but that this is not sufficient for the purposes of s120(3) (at [41]). The finding that the material did not point to or raise a connecting hypothesis was 'very much a matter of debate' (at [45]) but it was a factual question for the Tribunal. In coming to its conclusion, the Tribunal, in considering the whole of the material, is bound to have regard to both supporting and opposing material for the purpose of examining the validity of the reasoning which supports the claimed connection. The hypothesis may however be unproved and opposed to the weight of informed opinion and still be reasonable (Bushell at 415). 51 It is of interest that, in Cornelius, Branson J noted that an acknowledgment that it was not possible to exclude the presence of the relevant syndrome did not assist the veteran. It was not relevant to the issue of whether the hypothesis advanced was a reasonable one and, to the extent that it was relied upon by the Tribunal in that case at the third step identified in Deledio, the Tribunal was in error. 52 As submitted by Mr Vincent, counsel for Mr Youngnickel, a purely abstract hypothesis is not sufficient; there must be some fact or facts pointing to it, even if the fact is assumed. The hypothesis must be grounded in fact. 53 Mr Vincent submits that one of the two experts stated 'in no uncertain terms' that there was clinical onset within the time frame. This is simply not the case, as is apparent from the evidence of Dr Brown referred to above.