CCPR/C/123/D/2348/2014
2.15 On 30 April 2013, the author became eligible for health-care coverage as a result of
her application for permanent residence based on spousal sponsorship and a confirmation
by Citizenship and Immigration Canada that she met the criteria for spousal sponsorship.
Since then, the author was granted health-care coverage under the provincial Ontario Health
Insurance Plan and has been receiving health care.
2.16 The author claims that she has exhausted all available and effective domestic
remedies and that she has not submitted her communication to any other procedure of
international investigation or settlement.
2.17 The remedy sought by the author is twofold. She requests the State party (a) to
ensure that illegal immigrants have access to IFHP coverage for health care necessary for
the protection of their rights to life and security of person; and (b) to provide her with
compensation for the severe psychological distress, inhuman treatment and exposure to a
risk to life and to long-term negative health consequences as a result of the violation of her
rights.7
The complaint
3.1
The author claims that the State party violated its obligations under articles 2 (1) and
(3) (a), 6, 7, 9 (1) and 26 of the Covenant by denying her access to health care necessary for
the protection of her life and health from 10 July 2009 through 30 April 2013, on the basis
of her irregular immigration status. She submits that she lacked the means to pay for the
care herself.
3.2
The author submits that the exclusion from health-care coverage on the basis of her
particular immigration status constitutes a violation of her rights under articles 2 (1) and 26
of the Covenant. The author asserts that the domestic courts’ findings concerning the denial
of health care on the basis of her immigration status is not an objective, proportionate or
reasonable means of deterring illegal immigration. The author also submits that she did not
migrate to Canada to secure health care; she decided to remain in Canada in order to work.
She claims that excluding her from IFHP coverage on the basis of her immigration status
constituted a discriminatory distinction and that her circumstances, particularly her lifethreatening status, were not taken into consideration.
3.3
The author further claims that the denial of access to health care put her life at risk
and constituted cruel and inhuman treatment, in violation of her rights under articles 6 and
7 of the Covenant. She underscores that the Federal Court and the Federal Court of Appeal
agreed with the fact that her life and health had been placed at significant risk by the State
party’s denial of access to health-care coverage under IFHP and was thus, she claims, a
violation of her rights to life and not to be subjected to cruel, inhuman or degrading
treatment under articles 6 and 7, respectively.
3.4
The author also claims that the denial of such access caused her physical and mental
suffering that may also constitute a violation of article 9 (1). In this regard, the author
requests that the Committee, which has generally restricted the application of article 9 to
issues relating to the administration of justice, extend the scope of the right to security of
person under this article to also cover access to health care, with reference to the practice of
the Canadian courts.
3.5
The author finally claims that the State party has violated article 2 (3) (a) of the
Covenant by failing to provide effective remedies for the discrimination she experienced on
the ground of her immigration status, as well as for the violation of her rights to life and to
security of person. The author submits that the domestic courts should have interpreted and
applied the relevant domestic law in accordance with the Covenant. She adds that she was
denied an effective remedy as the domestic courts had failed to refer to expert evidence
attesting to discriminatory stigmatization of undocumented migrants as a result of denying
them access to health care.
7
4
According to the affidavit of a doctor of internal medicine who testified in favour of the author before
the Federal Court, it appears that she would suffer consequences from the past denial of access to
health care.