Ottawa spent $1.4M in court to fight for refugee health cuts

Not surprised at the legal costs in defending the cuts to refugee claimant healthcare but one of the consequences of a bad initial decision:

In November, the government announced to partially restore the service cuts while it appealed the ruling.

“It is unfortunate that the government had chosen not to spend the money on the care of pregnant women and sick children,” said Dr. Meb Rashid of the Canadian Doctors for Refugee Care, one of five groups and individuals who took the government to court. “$1.4 million can buy a lot of vaccinations.”

On Tuesday, the court also heard a motion by the advocates to compel the government to fully reverse the cut. A decision is pending.

“We will continue to appeal the flawed ruling. . . by the Federal Court. Our government is defending the interests of Canadian taxpayers as well as the integrity of our refugee determination system,” said Kevin Menard, spokesman for Immigration Minister Chris Alexander.

Ottawa spent $1.4M in court to fight for refugee health cuts | Toronto Star.

Refugee health-care advocates criticize government inaction

The risks of trying to be too clever in  implementing partially a Federal Court ruling. Will see the Court rules on the motion:

The Canadian Association of Refugee Lawyers and the Canadian Doctors for Refugee Care, however, say the government re-repealed that measure on Nov. 6, 2014, only two days after it was supposed to restore the health coverage.

The advocates first pointed out the return to the repealed measure in December, but the Canadian Medical Association Journal drew attention to it in an article published Wednesday.

Waldman said the Federal Court was clear the government was supposed to restore the pre-2012 coverage. He’s filed a motion to the court asking for a finding that the government has breached the court order.

A spokesman for Immigration Minister Chris Alexander declined an interview request and responded by email. He called the court ruling “flawed.”

“Our government is defending the interests of Canadian taxpayers as well as the integrity of our refugee determination system,” Kevin Menard wrote.

“We have implemented temporary health-care measures as per the Federal Court’s ruling on Nov. 5. Regrettably, the Federal Court’s ruling is costing taxpayers an extra $4 million a year.”

Dr. Philip Berger, one of the founders of Canadian Doctors for Refugee Health, says the government showed contempt for refugee claimants and doctors and is now extending that contempt to the Federal Court.

“There’s nothing the federal government says about refugee health that can be believed,” he said.

“The costs have simply been downloaded to the provinces and to hospitals who must see people in emergency departments and doctors who are prepared to provide coverage for free.”

Refugee health-care advocates criticize government inaction – Politics – CBC News.

Refugee health-cuts ruling appealed by Ottawa – Politics – CBC News

No surprise on the appeal and request for a stay. Will see how it turns out:

Immigration Minister Chris Alexander also filed a motion to stay the judgment of Judge Anne Mactavish, whose ruling meant refugee applicants would once again have access to Canadian health care while they wait for a decision on their cases in Canada.

The government claims 13 grounds for its appeal, including the argument that the judge made several errors of fact. It also says the judge “applied different standards of reliability to the evidence of the applicants and the respondents.”

In an interview with CBC News, the lead lawyer who won the case said the governments months-long delay in filing the appeal, and the motion for a stay of judgment, means his team will have to scramble to prevent serious health problems among refugees from going untreated.

“If the matter is stayed there will be a delay and so there will be thousands of  persons who should be getting coverage as a result of that order who will be denied that coverage for a longer period of time,” said Lorne Waldman, who represents the group Canadian Doctors for Refugee Care.

Refugee health-cuts ruling appealed by Ottawa – Politics – CBC News.

And Erna Paris in a Globe op-ed on a series of related refugee issues:

We did this because we remembered that a meaner Canada had refused entry to a shipload of desperate Jewish refugees from Nazism 40 years before.

That prewar mean-mindedness is back. Canada’s refugee determination system needed updating, but the Harper government has gone much too far. It has been accused of breaching international law, breaching the Constitution, and – just as important – breaching the values Canadians have defined themselves by.

Canadian mean-mindedness is back 

Refugee claimants struggling to find health care after cuts – The Globe and Mail

Contrast between the Government narrative and the human stories behind the impact of the cuts, following the recent court decision striking down the Government’s decision (Federal government to appeal ruling reversing cruel cuts to refugee health):

“We will vigorously defend the interests of Canadian taxpayers and the integrity of our fair and generous refugee determination system,” Alexis Pavlich, press secretary to Citizenship and Immigration Minister Chris Alexander, said in an e-mail.

While the legal battle drags on, some refugees must rely on the help of volunteers or struggle to pay large medical bills.

At Toronto’s FCJ Refugee Centre, one of dozens across Canada, Loly Rico is compiling evidence of how the cuts have affected refugees so it can be used as ammunition against Ottawa’s appeal. “We need to be ready,” says Ms. Rico, an El Salvadorian refugee who founded the centre in 1991 with her husband, Francisco Rico-Martinez.

Since the cuts came into effect, their centre has run a small free clinic for the uninsured every second Saturday. It has seen about 100 patients, many of whom Ms. Rico says were turned away by hospitals and walk-in clinics uninterested in filing complex paperwork that would not guarantee payment.

Refugee claimants struggling to find health care after cuts – The Globe and Mail.

Federal government to appeal ruling reversing cruel cuts to refugee health

No surprise that the Government intends to appeal, what is strong condemnation from the federal judge against the cuts to refugee claimant healthcare and a major victory for refugee advocates, if the decision is upheld by the Federal Court of Appeal and possibly Supreme Court:

Alexander said in a statement that the government “will vigorously defend the interests of taxpayers and … the integrity of our fair and generous refugee determination system.”

The court found the governments treatment of refugees is “cruel and unusual” because it jeopardizes their health and shocks the conscience of Canadians.

Judge Anne Mactavish ruled the federal cabinet has the power to make such changes and that the procedure was fair, but that the people affected by the changes are being subjected to “cruel and unusual” treatment.

“This is particularly, but not exclusively, so as it affects children who have been brought to this country by their parents,” Mactavish wrote in the 268-page decision.

“The 2012 modifications to the [Interim Federal Health Program] potentially jeopardize the health, the safety and indeed the very lives, of these innocent and vulnerable children in a manner that shocks the conscience and outrages Canadian standards of decency. “I have found as a fact that lives are being put at risk.”

Given refugee reform, particularly the safe country provisions, that have resulted in dramatic declines in numbers of refugee claimants (from 20,503 in 2012 to 10,372 in 2013 if my reading of the stats is correct).

Given this decline, and  consequent reductions in health costs, questionable whether the original rationale is as strong as before, Ministerial rhetoric notwithstanding.

Federal government to appeal ruling reversing cruel cuts to refugee health – Politics – CBC News.