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News archive for January 3, 2013

Board told to reinstate the benefits of injured worker

The Yukon Workers’ Compensation Health and Safety Board has been told again it must reinstate the benefits of an injured worker who was cut off from help three years ago.

By Ashley Joannou on January 3, 2013 at 4:09 pm

The Yukon Workers’ Compensation Health and Safety Board has been told again it must reinstate the benefits of an injured worker who was cut off from help three years ago.

The injury happened in 1995 when the man, now 54, was working as a hunting guide and was kicked on the hand by a horse. His name is not being released.

In June 2009, the man’s benefits were cut off after an investigation by the board which included video surveillance.

Three years later, the Workers’ Compensation Appeal Tribunal overturned that decision, ruling that the board investigator was overstepping his authority by beginning surveillance two years after his claim was closed.

But the board asked the committee to review the case again. It claimed it did not consider all the evidence from the investigation and did not provide adequate reasons for its ruling.

But in its latest decision, released this week, the appeals tribunal comes to the same conclusion it did the first time.

It ruled the man, who now lives on a remote farm in northern Alberta, did not knowingly provide false information to the board, that he continues to suffer from a loss of earnings capacity, and that he is entitled to compensation back to 2009.

The 50-page document makes no reference to exactly how much the man is owed.

Representatives for the workers’ compensation board insisted the tribunal did not take into account all of the evidence before making its decision.

They point to activities like using a pitch fork, opening doors, caring for horses and carrying wood as signs the man would be able to return to the type of work he did before his injury.

The tribunal disagrees.

It ruled that the evidence “does not offer proof to us, on the balance of probabilities, the worker can return to his pre-accident employment as a hunting guide,” the decision says.

“The video surveillance does not provide evidence the worker undertook any activities for a sustained length of time.”

The tribunal notes that the heaviest item the man is shown using is a 40-lb. box liner, which he drags, not lifts, for only a few seconds before having to put it down.

The board also argued that the original appeal tribunal showed “potential bias against the investigators.”

In the original decision, appeal committee did not give any weight to the investigator’s statements.

They found that “the investigator did not follow the board’s policy and conduct himself in a professional manner. His report is rife with conjecture, personal opinions and incorrect reporting,” they said at the time.

In the latest decision, the committee admits it could have worded things differently, but says it is within its right to analyze the investigator’s reporting and conclusions.

CommentsAdd a comment

just sayin'

Jan 3, 2013 at 6:05 pm

I agree with the tribunal that just a glimpse of a person’s life does not give the whole picture. At first glance I appear healthy too. All the things that I can do that makes me appear healthy to others comes at a big cost behind the scenes. For example, I can stack and chop wood for maybe 1/2 hour, but then I have to go into the house and rest/sleep for an hour or so. You can’t take those necessary rest breaks at a workplace.
I hope that this gets resolved.

Same-here

Jan 4, 2013 at 3:34 pm

I agree with you, I am in the same boat.  I was injured in an accident and they said there was nothing wrong with me.  Gee, I do not know how they came to that when they never even met me.  I suffer every day and it is now 6 years.  They are suppose to be non-profit and they care about the people, b***-s***.

AJCarter

Jan 4, 2013 at 3:50 pm

I’m glad that the appeal panel recognizes that the medical assumptions of an investigator do not outweigh the conclusions of certified medical doctors. Seems rather frightening to know the board itself was not able to see that an investigator is not a doctor and opinions of a medical nature should come from a doctor. It would be similar to visiting the local RCMP detachment for a medical opinion ( I expect they would not provide one beyond see a doctor ). Three years without pay, must be difficult to maintain and knowing the decision was based upon a summary of an unqualified opinion, wow. I can understand justified investigations but there is a difference between a truth seeker and a story teller.

Jackie Ward

Jan 5, 2013 at 8:46 am

Reading the comments here makes me laugh. The guy was obviously milking the system. Who cares if a doctor said something. Ever watch the Simpsons? Dr Nick Riveria? Lol. It’s easy to convince a doctor about anything. Just repeat the lie over and over and they will eventually get sick and tired and side with the patient. And BTW: I speak that from personal experiences, so just don’t dismiss it as just an opinion. If this guy could not work, he wouldn’t of been caught doing what he was caught doing. Pull this guys benefits and make him repay every dime.

bobby bitman

Jan 5, 2013 at 11:47 am

Kicked in the hand 18 years ago when he was 36 years old, and this person cannot adjust and find work?  WCB is for replacing wages while a person transitions to new employment, or gets well enough to return to their original job.  Just because buddy cannot be a hunting guide anymore does not mean that he can never work again or that WCB owes him wages for the rest of his life.  My own mother received WCB for about 2 years while retraining for a new job after an on the job accident ended her very successful 20 year career as a nurse.  She changed careers in mid-life.  I have no sympathy for this 54 year old man who had 14 years of WCB, 14 years to retrain and find a new career, before he was cut off.

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