CCPR/C/123/D/2348/2014
author alleges that she was denied access to health care necessary for the protection of her
life and long-term health, not that she is under threat of such denial. The author submits,
however, that her allegation is analogous to the elements of the communication in
Dranichnikov v. Australia, which the Committee found to be admissible. Although in
Dranichnikov the author was no longer subject to the procedures before the refugee tribunal
and her family had been granted a permanent protection visa, the author had been subject to
those procedures in the past and the allegation with respect to tribunal procedures was
found to be admissible. In the present case, the author notes that, similarly, the allegation
that her rights under the Covenant were violated in the past is not rendered moot by the fact
that changes in her circumstances mean that the impugned policy is no longer applicable to
her.
9.4
With regard to the State party’s comments on the case A.P.L.-v.d.M. v. Netherlands,
the author recalls that the Committee’s decision relied on the particular fact of the case, in
which an impugned restriction on benefits had been abolished, with retroactive effect. In
the present case, the author notes that the exclusion of undocumented migrants from access
to health care has not been abolished and the violation of her rights under the Covenant has
not been remedied.
9.5
The author also rejects the State party’s observation that her submission amounts to
an actio popularis. The author recalls that the Committee held, in the case Jazairi v.
Canada, that an “individual must be personally and directly affected by the violations
claimed” and that the allegations with respect to the “scheme as a whole” reached “beyond
the circumstances of the author’s own case”.28 In the present case, the author maintains that
she challenges her exclusion from IFHP, which personally and directly affects her. The
author also submits that the discretion provided to the Minister of Health to grant access to
the Program for individuals without lawful status in Canada was not in effect at the time
she was denied. The author further submits that the State party has not indicated that the
discretion is exercised according to any criterion related to the protection of life and longterm health. Furthermore, the author notes that the two cases in which discretion has been
granted suggest that rare exceptions have been made based on particular immigration
circumstances rather than on the basis of the need for health care under article 6 of the
Covenant.
9.6
The author further rejects the State party’s observation that her submission is not
compatible with articles 6, 7 and 9 of the Covenant. The author maintains that she does not
argue that the Covenant includes “a right to publicly funded and primary health care” but
alleges a deprivation of her right to life which, in her circumstances, required access to a
programme that provided coverage of emergency and essential health care. The author thus
submits that the main question regarding the State party’s compliance with article 6 which
the State party does not address is the finding of the domestic courts that a violation of the
right to life is not arbitrary because it was justified as a measure to promote compliance
with immigration law.
9.7
As to the State party’s comments on the alleged violation of article 26, the author
notes that in the case Danning v. Netherlands,29 the differentiation at issue was with respect
to differential insurance rates for married and unmarried individuals, which the Committee
found to be based on reasonable and objective criteria. The author finds that such
distinction is not analogous to a refusal of emergency and essential health care on the basis
of immigration status, both because the right to life and personal security are at stake and
because the ground of the distinction at issue in the present case is recognized as a basis for
widespread discrimination and stigmatization in many countries. Although the State party,
relying on the case Oulajin and Kaiss v. Netherlands, argues that such a differentiation is
not intended to stigmatize, the author submits that the distinction at issue in that case,
28
29
See Jazairi v. Canada, para. 7.6.
See communication No. 180/1984, Danning v. Netherlands (CCPR/C/29/D/180/1984), paras. 12.4–
12.5.
11