PART C -Decision under Appeal The decision under appeal is the February 4, 2014 reconsideration decision of the Ministry of Social Development and Social Innovation (the "ministry"), in which the ministry determined that the appellant was not eligible for a monthly nutritional supplement as provided in Section 67 of the Employment and Assistance for Persons with Disabilities Regulation (the "EAPWDR") and Schedule C, (7)(a). In particular, the ministry found that: • There was insufficient information provided in the appellant's application and Request for Reconsideration (RFR) to establish that a medical practitioner had confirmed that the appellant required additional nutritional items as part of a caloric supplementation to a regular dietary intake for the purposes of alleviating a specific symptom, as required by Section 67 (1.1) (c); and • There was insufficient information provided by the appellant's medical practitioner to confirm that failure to obtain a nutritional item as part of a caloric supplementation to a regular dietary intake, will result in imminent danger to the appellant's life, as required by Section 67 (1.1) (d). PART D -Relevant Legislation EAPWDR Section 67; EAPWDR Schedule C, Section 7 •· � --���-------�--------•-.. -------•-•---•--• -•-· -----• -,c-• -•-•-,. --•--•-••�-----· -EAAT003(10/06/01)
PART E -Summary of Facts The appellant is designated as a person with disabilities, and is a recipient of disability assistance. The appellant applied for the monthly nutritional supplement on October 4, 2013. On December 9, 2013 the appellant was advised by the ministry that she was ineligible for the supplement, and she requested reconsideration of that decision on January 21, 2014. The inf o rmation before the ministry at the time of reconsideration included the following: • An Application for Monthly Nutritional Supplement, dated October 2, 2013, completed by the appellant's physician. The physician states that the appellant is being treated for lupus, a thyroid disorder, and allergies and requires immune boosters and a high quality diet. He noted that she is 5'8" tall and weighs 240lbs. When asked how the nutritional items will alleviate one or more of the appellant's symptoms and provide supplementation to the regular diet, the physician wrote, "strengthen immune system, reduce inflammation". He also wrote, "Yes, see above," when asked if the appellant has a medical condition that results in an inability to absorb sufficient calories to satisfy daily requirements through a regular dietary intake. Additionally, the physician wrote, "see above," when asked how the nutritional items he indicated would prevent imminent danger to the appellant's life. • A laboratory report, dated December 30, 2011, showing the appellant's blood chemistry and hematology results. Results which were outside of normal range included: High Lipase, TSH, WBC, Eosinophils and Basophils; Low Creatinine, MCH and Ferritin (with a note indicating the value was considered "borderline iron deficiency"). • A laboratory report, dated July 12, 2013, showing the appellant's blood chemistry and hematology results. Results which were outside of normal range included: High Eosinophils and Low Ferritin (with a note indicating the value was considered "iron deficiency"). • Diagnostic imaging report, dated December 5, 2013, indicating the presence of thyroid nodules. • A laboratory report, dated December 5, 2013, showing the appellant's blood chemistry and hematology results. Results which were outside of normal range included: High Prolactin TSH, AM Cortisol and Eosinophils; Low Ferritin (with a note indicating the value was considered "borderline iron deficiency"). • A laboratory report, dated December 17, 2013, showing the appellant's blood chemistry and hematology results. Results which were outside of normal range included: Low AM Cortisol. • Twenty-eight receipts from the appellant's Naturopathic Doctor for the period of March 15, 2013 to January 8, 2014 for services, assessments and supplements provided by the office. During this period, payments for services, assessments and supplements totaled $2689.59. • A handwritten list of the sixteen supplements recommended to the appellant by her Naturopathic Doctor. e Copies of pharmacy receipts from March 2013 to Januarv 2014 for the appellant's .·. EAA T003( 10/06/01)
p r e s c r i p t i o n s a n d s u p p l i e s t o t a l i n g $ 7 2 8 . 8 9 . • A c o p y o f t h e a p p e l l a n t ' s M u l t i F o o d A l l e r g y • H a n d w r i t t e n d o c u m e n t s t i t l e d " S u p p l e m e n t N o v e m b e r 1 5 , 2 0 1 3 a n d a d o c u m e n t t i t l e d " • A l e t t e r f r o m t h e a p p e l l a n t ' s N a t u r o p a t h i c D t h e a p p e l l a n t ' s t r e a t m e n t p l a n w i t h n u t r i t i o n a s t a t e s t h a t s h e h a s e x p e r i e n c e d s i g n i f i c a n t s e e i n g h e r i n M a r c h 2 0 1 3 . 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S h e r o b l e m s a n d t h a t t h i s e x t r a s u p p l e m e n t w o u l d b e S h e c o n c l u d e s t h a t s h e h a s n o t i c e d " h u g e n s e e i n g h e r N a t u r o p a t h i c D o c t o r . h e a p p e l l a n t s t a t e s t h a t s h e d i s a g r e e s w i t h t h e s m a n y h e a l t h p r o b l e m s a n d c a n n o t a f f o r d t h e s r e q u i r e d b e c a u s e o f h e r a l l e r g i e s a n d l u p u s . i t i s e x p e n s i v e . e f o l l o w i n g i n f o r m a t i o n : e a l t h i s s u e s s i n c e s h e w a s a n i n f a n t a n d m o s t a l l e r g i e s a n d e c z e m a . S h e s t a t e s t h a t h e r h e a l t h a y l i f e , l i m i t i n g h e r s o c i a l a c t i v i t i e s a n d c a u s i n g e r a p p e a r a n c e . t o m a n y f o o d s s o i s v e r y c a r e f u l a b o u t w h a t s h e t t h e b r e a k d o w n o f f o o d . 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• T h e a p p e l l a n t s t a t e s t h a t s h e i s c e r t i f i e d a s b u t d u e t o h e r a p p e a r a n c e a n d i n a b i l i t y t o r i n t h e p r o f e s s i o n a n d c u r r e n t l y w o r k s a s a h t r e a t m e n t s . S h e a d d s t h a t t h e c o s t o f t r e a t m p a r e n t s a f t e r m o r e t h a n 1 5 y e a r s o f l i v i n g i n c o m p l e t e l y s u p p o r t i v e . • T h e a p p e l l a n t i s m a k i n g e v e r y e ff o r t s h e c a w o r k i n g w i t h h e r n a t u r o p a t h i c d o c t o r s h e h a e v e n t h o u g h i t i s a s l o w p r o c e s s . H e r n a t u r f i n a n c i a l m e a n s b y r e s p o n d i n g t o h e r t e l e p h f r e q u e n t o ff i c e v i s i t s , a n d p r o v i d i n g h e r w i t h • T h e a p p e l l a n t s t a t e s t h a t s h e i s a w a r e t h a t A p p l i c a t i o n f o r M o n t h l y N u t r i t i o n a l S u p p o r t a a n d a c k n o w l e d g e s t h a t s h e s h o u l d h a v e g o c u r r e n t n u t r i t i o n a l n e e d s . S h e h o p e s t h a t b y d o c t o r a n d r e c e i p t s t o i l l u s t r a t e t h e c o s t o f h i l l u s t r a t e h e r n e e d f o r a m o n t h l y n u t r i t i o n a l s t h a t s h e i s n o t r e c e i v i n g e n c o u r a g e m e n t f r o r e g i m e n s p r e s c r i b e d b y h e r n a t u r o p a t h i c d o • T h e a p p e l l a n t s t a t e s t h a t d u e t o h e r e x t r e m e f o o d s , t h e r e a r e f e w f o o d s t h a t s h e i s a b l e t o s u c c e s s w i t h s o m e f o o d s , t h i n g s c h a n g e w i t a n d i l l n e s s . S h e s t a t e s t h a t i n o r d e r t o p u r c h h i g h q u a l i t y , s h e h a s t o b e v e r y c a r e f u l w h e r p r i c e s t o r e s o r g e t i t e m s o n s a l e . S h e s t a t e r e q u i r e h e r t o t a k e i n e x c e s s o f e i g h t B e n a d r • T h e a p p e l l a n t s t a t e s t h a t i t i s v e r y e x p e n s i v e N a t u r o p a t h i c D o c t o r a n d t h a t a n y a m o u n t o f v e r y h e l p f u l t o c o v e r h e r o n g o i n g m e d i c a l b i l T h e m i n i s t r y r e l i e d p r i m a r i l y o n i t s r e c o n s i d e r a t i o n d r e c e i v i n g t h e m o n t h l y s u p p l e m e n t f o r v i t a m i n s a n d E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )a h o l i s t i c p r a c t i t i o n e r i n m a n y t h e r a p e u t i c a r e a s , e s o l v e h e r o w n h e a l t h i s s u e s s h e i s n o t p r a c t i c i n g o u s e c l e a n e r t o m a k e s o m e m o n e y t o f u n d h e r e n t s h a s f o r c e d h e r t o m o v e b a c k i n w i t h h e r d e p e n d e n t l y a n d t h a t h e r p a r e n t s a r e n o t n t o b e c o m e h e a l t h y . S h e h a s f o u n d t h a t b y s n o t i c e d t r e m e n d o u s i m p r o v e m e n t s i n h e r h e a l t h , o p a t h i c d o c t o r h a s t r i e d t o w o r k w i t h i n h e r l i m i t e d o n e c a l l s , r a t h e r t h a n r e q u i r i n g h e r t o p a y f o r d e t a i l e d l e t t e r s o f s u p p o r t . h e r m e d i c a l p h y s i c i a n d i d n o t c o m p l e t e t h e s c l e a r l y a n d t h o r o u g h l y a s s h e w o u l d h a v e l i k e d n e b a c k t o h i m f o r a m o r e c o m p l e t e r e p o r t o f h e r p r o v i d i n g t h e i n f o r m a t i o n f r o m h e r n a t u r o p a t h i c e r t r e a t m e n t s a n d s u p p l e m e n t s , s h e c o u l d c l e a r l y u p p l e m e n t . S h e a d d e d t h a t s h e i s d i s a p p o i n t e d m h e r m e d i c a l p h y s i c i a n f o r p u r s u i n g t r e a t m e n t c t o r . f o o d a l l e r g i e s a n d e x t e n s i v e c r o s s r e a c t i v i t y o f e a t . S h e a d d s t h a t e v e n w h e n s h e h a s h a d h i n h e r b o d y a n d s h e d e v e l o p s n e w s e n s i t i v i t i e s a s e t h e s p e c i f i c f o o d s s h e n e e d s , o r g a n i c a n d e s h e g e t s t h e m a n d c a n n o t a l w a y s s h o p a t l o w s t h a t h e r e x t r e m e a l l e r g i e s a n d s e n s i t i v i t i e s o f t e n y l p e r d a y t o m a n a g e h e r r e a c t i v e s y m p t o m s . t o m a i n t a i n t h e r e g i m e n s p r e s c r i b e d b y h e r m o n e y s h e c o u l d r e c e i v e a s s u p p o r t w o u l d b e l s . e c i s i o n a n d c o n f i r m e d t h a t t h e a p p e l l a n t i s m i n e r a l s .
PA RT F -Reas ons f or Panel D e c i sion T he i ss u e on ap peal i s t he reaso n ab l eness of the decisio n i n whic h t he minis try det er mined t hat t he supp le ment for addi tional nu triti onal item s as p rov ided T he rel ev ant legislation is as fo llows: E APWDR Nutri ti onal s u p pleme n t 67 (1) Th e minis ter may p rovide a nutr itio nal s u p ple m e n t in accor of Sche du le C to or f or a per son with disab ilities i n a f amily u ( a ) s ect i on 2 [monthl y s upport all owanc e], 4 [ month or 9 [peo ple i n eme rgency s h e lters and t r ansi t i on house { b) sect i on 8 [pe o p le r e ce i vin g s p ecial ca re] o f S c h e d tre atment c enter, if the min is ter i s s atisfi ed th a t ( c) ba s ed on t he i nfo rma t i on conta i n e d in th e form r su b section {1 .1 ) (a) to { d ) are met in re spect of t he per (d) t he p e rso n i s not receiving a s u pp l eme nt under s (e) the pers on is not receiving a suppleme nt unde r su ( f ) the perso n co m plie s wi th any re quire ment of t he (g ) th e p e rso n' s family uni t d o es no t have any re source w hich the s uppl e ment may be p rovid ed. { 1.1) In ord er f o r a person wi th disa bi l i tie s t o receive a n utriti r eceive a r eques t , in t he f o rm speci fied by the mini ster , co mp w h ich the practitioner h as confirmed a ll of the f o llow ing : (a) the pe rs on wi t h di s ab i liti es to whom t h e r equ est r pr ogr ess ive dete rio ratio n o f h eal th on ac co u n t o f a se (b) as a direc t re sult of t he chro nic, pr ogre ss ive d e teri following sympt o m s : (i) malnutrition; (ii) underweight status; (iii) significant weight loss; ( iv) s ignificant muscle mass loss; (v) significant neurological degeneration; (v i) si gnificant deterioration of a vital organ; (vii) moderate to sever e immune suppression; (c) for the purpose of alleviating a symptom referred to in pa items set out in section 7 of Schedule C and specified in the request; (d) failure to obtain the items referred to in paragraph (c) will result in imminent danger to the person's life. (B. C . Reg.68/ 2010) EAPW DR Schedule C Heal th Supplements 7 The amount of a nutritional supplement that may he provided under section 67 {nutritio EAA T003(10/06/01) ministry's F ebrua ry 4 , 2 0 14 r econs iderat i on a ppellant w as n ot elig ible for a mont h l y nut ritiona l in Sect ion 67 of t he EAPW DR. dance wit h sect ion 7 [mo n thly nut r it i onal s upplement] n i t wh o re cei v e s disab ility ass is tan c e under ly shelt er al lowanc e], 6 [pe ople rece iv i n g room a nd b oard] s] of Schedule A, or ule A, if t he spe ci al care faci lity i s a n alcoho l o r drug equir ed under subse c t ion {1.1) , th e req uirements se t out in son wi t h d i sabi lities , ect i on 2 ( 3) [ gene ral health s u pplemen t ] o f Schedule C, bs ection (3) or secti on 66 [die t supplemen ts], min iste r unde r s availa ble to p ay the co st of o r t o obtain t he item s fo r _ on al su p pleme nt u nd er this se ction , t he mi nis ter mu s t lete d by a medica l p r ac tition er or nurse p r act i t i one r, in ela te s is bein g t reate d by the p r actition er for a chro nic, v er e med ic al condition; or atio n of he al th, th e p er son displays tw o o r m ore of t he r a graph (b), th e person requires one or more of the nal supplement] o t h iL._. J • . . . . . . I
r e g u l a t i o n i s t h e s u m o f t h e a m o u n t s f o r t h o s e o f t h e f o l l o w 6 7 ( 1 ) ( c ) : ( a ) f o r a d d i t i o n a l n u t r i t i o n a l i t e m s t h a t a r e p a r t o f a $ 1 6 5 e a c h m o n t h ; ( B . C . R e g . 6 8 / 2 0 1 0 ) ( b ) R e p e a l e d ( B . C . R e g . 6 8 / 2 0 1 0 ) ( c ) f o r v i t a m i n s a n d m i n e r a l s , u p t o $ 4 0 e a c h m o n t h * W h e t h e r t h e a p p e ll a n t i s b e i n g t r e a t e d f o r a c h ro n i T h e a p p e l l a n t ' s m e d i c a l p r a c t i t i o n e r c o n f i r m e d t h a t o f h e a l t h f r o m l u p u s , t h e a p p e l l a n t i s d i s p l a y i n g s y m s u p p r e s s i o n a s w e l l a s s i g n i f i c a n t d e t e r i o r a t i o n o f a T h e m i n i s t r y i s s a t i s f i e d t h a t t h e i n f o r m a t i o n p r o v i d t h a t s h e i s b e i n g t r e a t e d f o r a c h r o n i c d e t e r i o r a t i o n E A P W D R ( S e c t i o n 6 7 ( 1 . 1 ) ( a ) ) . W h e t h e r t h e a p p e l l a n t i s d i s p l a yi n g a t l e a s t t w o o f T h e a p p e l l a n t ' s m e d i c a l p r a c t i t i o n e r r e p o r t e d t h a t t s e v e r e i m m u n e s u p p r e s s i o n a s w e l l a s s i g n i f i c a n t d T h e m i n i s t r y i s s a t i s f i e d t h a t t h e i n f o r m a t i o n p r o v i d e t h a t s h e i s d i s p l a y i n g a t l e a s t t w o o f t h e s y m p t o m s ( S e c t i o n 6 7 ( 1 . 1 ) ( b ) ) . W h e t h e r t h e n u t r i t i o n a l i t e m s a r e p a rt o f a c a l o r i c s a l l e v i a t e s y m p t o m s o f h e r c h r o n i c p r o g r e s s i v e d e t e T h e a p p e l l a n t a r g u e s t h a t t h e d i e t a r y r e q u i r e m e n t s o n g o i n g h e a l t h c h a l l e n g e s a n d s e v e r e f o o d a l l e r g i e s e l e c t i v e a b o u t w h i c h f o o d s s h e c h o o s e s t o p u r c h a s h e c a n c o n f i r m q u a l i t y a n d c o n t e n t . S h e a d d s t h a r e c o m m e n d e d a s p a r t o f h e r r e g i m e n f r o m h e r n a t u u n a b l e t o m a i n t a i n h e r c u r r e n t r e g i m e n , s h e w i l l c e r d e c l i n e i n h e r h e a l t h o v e r a l l . T h e m i n i s t r y d e t e r m i n e d t h a t t h e i n f o r m a t i o n p r o v i d i n w h a t w a y ( s ) t h e a p p e l l a n t ' s m e d i c a l c o n d i t i o n s r e d a i l y r e q u i r e m e n t s t h r o u g h r e g u l a r d i e t a r y i n t a k e , n o n e o r m o r e o f t h e s y m p t o m s i d e n t i f i e d o r p r e v e n t i m a p p e l l a n t ' s . h e i Q h t , . w e i g b t a n d B M L d o . n o t . i n d i c a t e t E AA T 0 0 3 ( 1 0 / 0 6 / 0 1 )i n g i t e m s s p e c i f i e d a s r e q u i r e d i n t h e r e q u e s t u n d e r s e c t i o n c a l o r i c s u p p l e m e n t a t i o n t o a r e g u l a r d i e t a r y i n t a k e , u p t o . ( B . C . R e g . 6 8 / 2 0 1 0 ) * * c d e t e r i o r a t i o n o f h e a l t h ( S e c t i o n 6 7 ( 1 . 1 ) ( a ) ) a s a r e s u l t o f a c h r o n i c , p r o g r e s s i v e d e t e r i o r a t i o n p t o m s o f m o d e r a t e t o s e v e r e i m m u n e v i t a l o r g a n . e d b y t h e a p p e l l a n t ' s p h y s i c i a n h a s e s t a b l i s h e d o f h e a l t h a n d h a s m e t t h e e l i g i b i l i t y c r i t e r i a f o r t h e s y m p t o m s s e t o u t i n S e c t i o n 6 7 ( 1 . 1 ) ( b ) h e a p p e l l a n t d i s p l a y s s y m p t o m s o f m o d e r a t e t o e t e r i o r a t i o n o f a v i t a l o r g a n . d b y t h e a p p e l l a n t ' s p h y s i c i a n h a s e s t a b l i s h e d a n d h a s m e t t h e s t a t u t o r y c r i t e r i a f o r E A P W D R u p p l e m e n t a t i o n t o a r e g u l a r d i e t a ry i n t a k e t o r i o r a t i o n o f h e a l t h ( S e c t i o n 6 7 ( 1 . 1 I ( c ) ) n e e d e d f o r h e r t o a p p r o p r i a t e l y m a n a g e h e r s a r e u n a ff o r d a b l e t o h e r . S h e h a s t o b e v e r y s e a n d f r o m w h e r e t h e y a r e p u r c h a s e d , s o t h a t t h e r s u p p l e m e n t s a n d p r e s c r i p t i o n s r o p a t h i c d o c t o r a r e v e r y e x p e n s i v e a n d i f s h e i s t a i n l y e x p e r i e n c e s e r i o u s s y m p t o m s a n d a s e v e r e e d b y t h e m e d i c a l p r a c t i t i o n e r d o e s n o t e s t a b l i s h s u l t i n a n i n a b i l i t y t o a b s o r b c a l o r i e s t o s a t i s f y h e r o r h o w t h e n u t r i t i o n a l i t e m s r e q u e s t e d w i l l a l l e v i a t e m i n e n t d a n g e r t o h e r l i f e . A d d i t i o n a l l y , t h e h e n e e d f o r c q l o r i c s u p p l l;l m e n t a J i 2 n , il D d � h e r � � � ·
m e d i c a l p r a c t i t i o n e r d o e s n o t i n d i c a t e t h a t t h e a p p s i g n i f i c a n t w e i g h t l o s s . T h e a p p e l l a n t , t h e r e f o r e , h ( S e c t i o n 6 7 ( 1 . 1 ) ( c ) ) . T h e p a n e l f i n d s t h a t t h e m i n i s t r y r e a s o n a b l y d e t e r m d e m o n s t r a t e t h a t t h e n u t r i t i o n a l i t e m s a r e a r e q u i r e d i e t a r y i n t a k e t o a l l e v i a t e s y m p t o m s o f h e r c h r o n i c 6 7 ( 1 . 1 ) , t o g e t h e r w i t h S e c t i o n 7 o f S c h e d u l e C , s t i d e s i g n e d t o b e p a r t o f a s u p p l e m e n t o f c a l o r i e s b e r e g u l a r d i e t . F u r t h e r m o r e , a s a r g u e d b y t h e m i n i s t i n d i c a t e t h e n e e d fo r c a l o r i c s u p p l e m e n t a t i o n a n d t a p p e l l a n t i s u n d e r w e i g h t , m a l n o u r i s h e d o r h a d s i g n t h e m i n i s t r y ' s d e c i s i o n , t h a t t h e a p p e l l a n t ' s r e q u e s t a m e d i c a l p r a c t i t i o n e r t o b e p a r t o f c a l o r i c s u p p l e m E A P W D R s e c t i o n 6 7 ( 1 . 1 ) ( c ) , w a s r e a s o n a b l e . W h e t h e r t h e f a i l u r e t o o b t a i n t h e n u t r i t i o n a l i t e m s w ( S e c t i o n 6 7 ( 1 . 1 ) ( d ) ) T h e a p p e l l a n t a r g u e d t h a t w i t h o u t t h e n u t r i t i o n a l s u f o o d s , t r e a t m e n t s a n d s u p p l e m e n t s n e e d e d t o a p p T h e a p p e l l a n t a d d e d t h a t s h e f e l t t h a t h e r h e a l t h w r e q u i r e d t o m a n a g e h e r s e v e r e f o o d a l l e r g i e s a n d t f o o d s c o u l d c a u s e a n a p h y l a c t i c r e a c t i o n . T h e m i n i s t r y d e t e r m i n e d t h a t , i n t h e o p i n i o n o f t h e m p r a c t i t i o n e r i n t h e a p p l i c a t i o n o r b y t h e N a t u r o p a t h i f a i l u r e t o p r o v i d e t h e i t e m s r e q u e s t e d w i l l r e s u l t i n i t h e r e f o r e , s h e h a s n o t m e t t h e s t a t u t o r y c r i t e r i a f o r T h e p a n e l f i n d s t h a t t h e m i n i s t r y r e a s o n a b l y d e t e r m p r a c t i t i o n e r d i d n o t d e m o n s t r a t e t h a t a f a i l u r e t o p r o d a n g e r t o t h e a p p e l l a n t ' s l i f e . W h e n a s k e d i n t h e M d e s c r i b e h o w t h e n u t r i t i o n a l i t e m s r e q u e s t e d w i l l p r m e d i c a l p r a c t i t i o n e r w r o t e " S e e a b o v e , " r e f e r r i n g t o i n f l a m m a t i o n . " A l t h o u g h t h e a p p e l l a n t d e s c r i b e s p o h e r c u r r e n t h e a l t h p r o b l e m s , t h e m e d i c a l p r a c t i t i o n e i m m i n e n t d a n g e r , a s r e q u i r e d b y t h e l e g i s l a t i o n . T h e p a n e l f i n d s t h a t t h e m i n i s t r y r e a s o n a b l y i n t e r p r e 6 7 ( 1 . 1 ) ( d ) t o r e f e r t o a n i m m e d i a c y s u c h t h a t t h e d a t h e p a n e l f i n d s t h a t t h e m i n i s t ry ' s d e c i s i o n , t h a t t h e d i d n o t e s t a b l i s h t h a t a m e d i c a l p r a c t i t i o n e r c o n f i r m s r e q u e s t e d w i l l r e s u l t i n i m m i n e n t d a n a e r t o h e r l i f e a . , -' . , . _ . . • -. ---· E AA T 0 0 3 ( 1 0 1 0 6 1 0 1 )e l l a n t i s u n d e r w e i g h t , m a l n o u r i s h e d o r h a d a s n o t m e t t h e s t a t u t o r y c r i t e r i a f o r E A P W D R i n e d t h a t t h e i n f o r m a t i o n p r o v i d e d d i d n o t d p a r t o f a c a l o r i c s u p p l e m e n t a t i o n t o a r e g u l a r p r o g r e s s i v e d e t e r i o r a t i o n o f h e a l t h . S e c t i o n p u l a t e s t h a t a d d i t i o n a l n u t r i t i o n a l i t e m s a r e y o n d t h o s e f o o d s a l r e a d y b e i n g c o n s u m e d i n t h e r y , t h e a p p e l l a n t ' s h e i g h t , w e i g h t a n d B M I d o n o t h e m e d i c a l p r a c t i t i o n e r d o e s n o t i n d i c a t e t h a t t h e i f i c a n t w e i g h t l o s s . T h e r e f o r e , t h e p a n e l f i n d s t h a t f o r a n u t r i t i o n a l s u p p l e m e n t w a s n o t c o n f i r m e d b y e n t a t i o n t o a r e g u l a r d i e t a r y i n t a k e a s r e q u i r e d b y i l l r e s u l t i n i m m i n e n t d a n g e r t o t h e a p p e ll a n t ' s l i f e p p l e m e n t s h e w i l l b e u n a b l e t o a f f o r d t h e t y p e s o f r o p r i a t e l y m a n a g e h e r o n g o i n g h e a l t h p r o b l e m s . a s i n i m m i n e n t d a n g e r d u e t o t h e d e g r e e o f c a r e h a t t h e c o n s e q u e n c e s o f i n g e s t i n g t h e w r o n g i n i s t e r , t h e i n f o r m a t i o n p r o v i d e d b y t h e m e d i c a l c D o c t o r i n h i s l e t t e r s , d o e s n o t d e m o n s t r a t e t h a t a m m i n e n t d a n g e r t o t h e a p p e l l a n t ' s l i f e a n d E A P W D R ( S e c t i o n 6 7 ( 1 . 1 ) ( d ) ) . i n e d t h a t t h e i n f o r m a t i o n p r o v i d e d b y t h e m e d i c a l v i d e t h e i t e m s r e q u e s t e d w i l l r e s u l t i n i m m i n e n t o n t h l y N u t r i t i o n a l S u p p l e m e n t a p p l i c a t i o n t o e v e n t i m m i n e n t d a n g e r t o t h e a p p e l l a n t ' s l i f e , t h e , " s t r e n g t h e n i m m u n e s y s t e m , r e d u c e o r o u t c o m e s a s s o c i a t e d w i t h m i s m a n a g e m e n t o f r d i d n o t c o n f i r m t h a t t h e a p p e l l a n t ' s l i f e w i l l b e i n t e d t h e u s e o f t h e w o r d " i m m i n e n t " i n S e c t i o n n g e r t o l i f e i s l i k e l y t o h a p p e n s o o n . T h e r e f o r e , a p p e l l a n t ' s r e q u e s t f o r a n u t r i t i o n a l s u p p l e m e n t t h a t f a i l u r e t o o b t a i n t h e n u t r i t i o n a l i t e m s s r e q u i r e d b v E A P W D R s e c t i o n 6 7 / 1 . 1 ) ( d ) , w a s . -, _ _ _ , . . . . . . . . ---;-- ---:-- . ; ; . · ------• · · -· • -· · · _ , _ -_ � I !
r easonable. Conclusio n The pan el finds that the appellant is m ak i ng significant her ongoin g regimen with her naturopathic doctor, for her to maintai n. Howeve r, wi thin the eligibil ity criteria, as outlined in the legisl reaso ns detai led abo ve, the p anel finds that the ministry dec leg i s lation in the circumstances o f the app ellant. Accordin . . ----•--' . .. --. -------___ ,-EAA T003( 10/06/01) e f for ts to bet ter her hea lth an d accep t s that although somewhat succ essful, is very ex p ensi ve ation and for the i s i o n w as a reasonable application of the g ly, the ministry decision is co nfirmed . PAGE 9 of 10 I
You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.