Thank you.
Good afternoon. It is a great pleasure to appear in front of your committee. I am pleased to be able to speak to you this afternoon on behalf of our dominion president of the Royal Canadian Legion, Mr. Gordon Moore, and our over 330,000 members and their families. The Royal Canadian Legion is well situated to provide advice regarding recommendations that could improve the current Veterans Review and Appeal Board.
The Legion is the only veteran service organization that assists veterans and their families with representation to the board. We have been assisting veterans since 1926 through our legislative mandate in both the Pension Act and the new Veterans Charter. Our 22 professional service officers located across the country provide free representation for veterans who are not satisfied with the decisions about their claims for disability benefits from Veterans Affairs. Please note that you do not have to be a Legion member to avail yourself of our services. Our national service officer network provides representation at all three levels of the Veterans Review and Appeal Board: the review, the appeal, and the request for reconsideration. Through the legislation, the Legion has access to service health records and departmental files to provide a comprehensive, yet independent, representation at no cost. Last year, our service officers presented 265 reviews, 85 appeals, and 15 requests for reconsideration. As director of the service bureau, I have sat on about 150 cases before the board.
The Legion believes that the Veterans Review and Appeal Board does have a critical role to play in ensuring that all veterans and their families receive the benefits they are entitled to as related to their injuries attributable to their service to Canada. However, the government does have an obligation to ensure that veterans have access to a fair and transparent adjudication process. Our veterans have been injured in service to our country; they deserve to be treated fairly and with respect, and they must trust the process.
The VRAB provides an independent avenue of appeal for disability benefit decisions made by Veterans Affairs. The fact that half of the cases reviewed at the board's review level and a further one-third at the appeal level are varied in favour of applicants attests to the need for an independent administrative tribunal that the veterans can turn to when they are dissatisfied with decisions. Specifically, in the 2010-11 period, the VRAB issued approximately 3,500 review decisions, about 50% of which were varied, and 974 appeal decisions, about 33% of which were varied. This high ratio of decisions that are varied by the VRAB cannot be looked at in isolation of the department or the first application.
Why is the variance ratio so high? The application process is not complex, but it is not as simple as saying that I was injured during my service. It's an evidence-based system that requires proof that the injury or disability arose out of, or was directly connected to, service, and the onus is on the veteran to show how that the injury or disability is related to their service and the performance of their duties.
The burden of proof is very high. There may be an incomplete diagnosis or an incorrect diagnosis. Medical information such as X-ray reports, CT scans, pulmonary function tests, physical fitness tests, your unit employment record, accident reports, boards of inquiry, witness statements, etc., are all required, especially in complex cases that go before the board. The Legion is concerned that more and more veterans are being encouraged to submit applications online or at Service Canada outlets. I'm not sure that this is going to improve the situation.
How will they be counselled or assisted with ensuring a complete application package? This is not a passport application package in which an error or a piece of missed information simply results in the package being returned. An unfavourable or incomplete decision creates a negative atmosphere and an untrusting environment. The approach or culture that “if you are injured, we will look after you” seems to have disappeared. The burden of proof is too high.
The most misunderstood part of the process is the application of the concept "benefit of the doubt". Section 39 of the VRAB Act regarding rules of evidence granted very liberal rules; however, over time this has become a very legal interpretation. The spirit of the legislation has evolved to a workers' compensation insurance approach rather than a social safety net approach.
The legislation states:
(a) draw from all the circumstances of the case and all the evidence presented to it every reasonable inference in favour of the applicant or appellant; (b) accept any uncontradicted evidence presented to it by the applicant or appellant that it considers to be credible in the circumstances; (c) resolve in favour of the applicant or appellant any doubt, in the weighing of evidence, as to whether the applicant or appellant has established a case.
What was the intended spirit of this legislation? Is it liberally interpreted by the VRAB? What are the evidence requirements? What is meant by “every reasonable inference in favour of the applicant”? What does "uncontradicted" mean? Who determines what credible evidence is? The board's own adjudicative guidelines describe in detail the requirement for medical evidence to be considered credible, relevant, and reasonable. It's very instructive and restrictive. Not only is the burden of proof on the veteran, but the evidence requirements are so complex and so restrictive that many veterans can't obtain the type of evidence that is required. They don't have access to the medical professionals and specialists or can't afford to obtain the necessary reports and, therefore, will decline to proceed to appeal when advised of the evidence requirements. The benefit of the doubt clause needs to be reviewed in the context of its original intent and liberal spirit.
The Legion has advocated for several years the importance of the composition of board members with relevant military and operational experience. It's important that members understand the exigencies of service. There are currently 24 members on the board, and according to section 4 of the VRAB Act, there could be no more than 29 members. There are six with military or RCMP experience.
While the board should be balanced, the composition of the VRAB should accurately represent the experience of our veterans. Should the majority of the VRAB members be non-veterans? Do they have the experiential knowledge to review the evidence of complex cases and render a fair and compassionate decision?
The selection process for the board creates an artificial barrier and limits the selection of board members with the necessary and relevant operational experience. The use of the Simulation for the Selection of Executives screening process or tool, or SELEX, which was designed to assess candidates for entry-level executive positions in the federal public service, is a barrier to many Canadian Forces members and veterans who may not be familiar with the leadership competencies of the federal public service; may not have worked at a strategic level and, therefore, not have the competencies, skills, and knowledge to function at the director level; and may not be able to perform well in a simulated environment.
While it is understood that the board members' pay scale and classification are at the executive level, the duties of the board members are not consistent with those of other executives in the public service. The duties of the board members are unique and distinct. The selection criteria should more accurately assess the relevant experience, skills, knowledge, and competencies necessary to fulfill their duties and responsibilities as a board member.
The Office of the Veterans Ombudsman's March 2012 report, entitled "Veterans' Right to Fair Adjudication", recommended that decision letters must provide sufficient reasons in support of a decision and provide access to all of the relevant evidence considered by the board in making its decision. The report further recommends that the publishing of all decisions would increase the board's transparency and enable veterans who are preparing appeals to be aware of the evidence requirements similar to their own. Posting all decisions is full transparency.
Lastly, the Legion is concerned about moving towards the use of video conferencing technology for VRAB review hearings. At a board review hearing, veterans have the right to bring forward new evidence, tell their story, and be represented by lawyers from the Bureau of Pensions Advocates or Legion service officers. This is the only time that veterans can present their case to the board. The board can look directly into the eyes of the veteran and the veteran can look directly into the eyes of board members. These members are making a decision that will have a lifelong impact on the quality of life of our veterans and that is at the heart of the social contract between the government and the sacrifice our veterans make to this country.
Yes, there is a cost for hearings in person and time delays with scheduling. However, if these hearings reinforce the trust and transparency in the adjudication process, then let's ensure that the board has the necessary resources to continue hearings across the country. This is the only opportunity for a veteran to be face to face with the adjudicator to tell his or her story, and this is important.
In summary, the Veterans Review and Appeal Board does have a critical role to play to ensure that all veterans and their families receive the benefits to which they are entitled. However, the government has an obligation to ensure that veterans have access to a fair and transparent adjudication process. Our veterans have been injured in service to our country. They deserve to be treated fairly and with respect, and they must trust the process.
Thank you.