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Doctor refused PR Visa because his son has Downs

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Old 04-11-2008, 02:02 AM   #1 (permalink)
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Doctor refused PR Visa because his son has Downs

I am sure a lot of you are aware of the case that is currently being fought in Victoria at the moment about the German Doctor who is here on a temp visa and has just been refused PR and told he has to leave Australia in 2010 because his son with Downs will be a drain on the health service. There is an uproar at the minute over here and he is hoping to get the decision overturned. For those that don't know anything about the case take a look at this article (I have cut and pasted from the Herald Sun) if he wins it could open up the doors to other families who have also been refused visas because of health costs.



A MIGRANT doctor and his family are being forced to leave Australia, and the Victorian town that desperately needs him, because his son has Down syndrome.
Dr Bernhard Moeller answered a call from the Federal Government and the Horsham community two years ago, and moved from Germany to become the town's only permanent specialist physician.
But the Department of Immigration and Citizenship this week rejected an application from Dr Moeller and his family for permanent residency because his 13-year-old son, Lukas, has Down syndrome and does not fit the bureaucracy's health criteria.
On advice from a government doctor, the department wrote to Dr Moeller saying his son had been assessed as a burden on Australian taxpayers and could not be granted permanent residency.
A copy of the decision said care for Lukas was "likely to result in significant costs to the Australian community in health care and community services".
Angry? Send Immigation Minister Chris Evans an email about this decision.
But Dr Moeller said his son would always be cared for by family and his needs at school were not prohibitive. "I have the means to look after him and I will look after him," he said.
Horsham, with a population of 20,000, is enraged at the prospect of losing its only internal medicine specialist and residents rallied outside Dr Moeller's practice yesterday, demanding the decision be overturned.
As well as his private practice, Dr Moeller fills a key role at the Wimmera Base Hospital, which serves 50,000 people in the region.
"We are desperate for doctors in the country and the Government says we must get skilled labour from overseas," said Business Horsham's Andrea Cross.
"The decision to reject residency is crazy. He has a disabled child but we've got great support for him here."
Dr Moeller said he was hurt by the rejection, but thanked the community for its support.
"We feel rejected, not welcome any more, by the Australian Government," Dr Moeller said.
"But we've had huge support here in the community."
Dr Moeller is in Australia on a 457 temporary working visa that expires in 2010.
He and his family searched for the best place to raise a family and his wife, Isabella, said Australia was the preferred choice because of the support it offered disabled children.
Lukas attends a mainstream primary school and has an integration aide and speech therapy.
He plays football, cricket, golf and table tennis, and his parents say he has no difficulties coping.
Ms Moeller said Down syndrome was graded from zero to 100, with zero representing a fully dependent sufferer and 100 the mildest affliction. Lukas was rated close to 100.
"It's the worst thing that's happened to me – worse even than when they told me Lukas had Down syndrome," she said. "We fought for years against discrimination in Germany against Lukas.
"We wanted to make sure he got the best quality of life, and when we looked all over the world we decided Australia was the right place to live.
"We came to Australia in April 2006 on a temporary residency visa, and we told everybody then we wanted to stay in Australia as permanent residents, but they didn't mention anything like this even possibly happening.
"Now we have to start fighting all over again against discrimination."
Down Syndrome Victoria yesterday slammed the Federal Government's decision.
"This decision is disgraceful and discriminatory," Down Syndrome Victoria executive officer Catherine McAlpine said.
"The department are not looking at Lukas as an individual or seeing his potential.
"Instead, they are making assumptions based on their outmoded understanding of intellectual disability."
Ms McAlpine said the case was one of a number where people with Down syndrome were refused residency automatically because they were judged to be a drain on Australian resources.
"It is outrageous that in the same year the Australian Government ratified the UN Convention on the Rights of People with Disabilities, it is effectively stripping this young man of his human rights," Ms McAlpine said.
Immigration Minister Chris Evans's office referred questions regarding the Moeller case to his department.
A departmental spokesman said officials were legally bound to reject an application if a Commonwealth medical officer deemed the applicant posed a significant cost burden.
"It is long-standing government policy that high-cost medical conditions are a consideration in visa decisions," the spokesman said, adding that the family could appeal against the decision to the Migration Review Tribunal and, failing that, to the minister.
Dr Moeller said the family would appeal.
Horsham hospital Wimmera Health Group chief executive Chris Scott said he was very disappointed at the decision to refuse Dr Moeller's family permanent residency.
Mr Scott said Dr Moeller's was the only permanent position at the hospital, and two other vacancies were unfilled.
"We recruited him specifically from Germany," Mr Scott said.
"We think it's very disappointing that such a decision can be made when rural Victoria is crying out for senior medical appointments."
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Old 04-11-2008, 03:22 AM   #2 (permalink)
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Hiya

This topic has already been debated at some length on this thread:

http://www.pomsinoz.com/forum/news-g...australia.html

My personal view is that the media are whipping up an emotional frenzy which is misguided.

The law is a game of chess. Dr Moeller's lawyers may be playing a tactical game with the Minister via the media attention. Since I am sure that he will not be using a run-of-the-mill migration agent who simply acts as a scribe for one visa application after another but will be using the best solicitors in Melbourne - or possibly even in Sydney - I imagine that Dr Moeller's legal team could be behind the media attention.

Alternatively it could simply be that the local rags are short of other stories at present because the media are the most cynical mob on the planet in my experience.

Dr Downes is in an identical situation to Dr Moeller. Dr Downes has made no public statements at all.

Two different legal teams, two different approaches, I strongly suspect.

Best wishes

Gill
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Old 04-11-2008, 03:35 AM   #3 (permalink)
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Oops it just shows there are sooooo many posts on PIO you just can't keep up with them. Gill please can you delete my post as I don't want to duplicate.
Kate
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Old 04-11-2008, 04:40 AM   #4 (permalink)
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Hi Kate

I will delete your thread if you insist but my instinct is to leave it running for the time being because the other one was in a different section of the forum. People who actually know the area that Dr Moeller lives and works in may have quite a bit to say, I reckon.

I'd love to know the truth about whether this is the legal team using the media for tactical purposes - in which case, they must have their reasons and far be it from me to comment.

Or is it the ruddy media exploiting the child for the sake of a tear-jerking story that will sell copy when the media can find out in five minutes flat that the case has to go to the MRT and then to the Court, to the Minister, or both?

My suspicion is that the media rats know full well that they are not reporting the case accurately.

But I'd like to leave the thread open and see what others think if that is OK with you?

Best wishes

Gill
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Old 05-11-2008, 10:10 AM   #5 (permalink)
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Originally Posted by Gollywobbler View Post
Hi Kate

I will delete your thread if you insist but my instinct is to leave it running for the time being because the other one was in a different section of the forum. People who actually know the area that Dr Moeller lives and works in may have quite a bit to say, I reckon.

I'd love to know the truth about whether this is the legal team using the media for tactical purposes - in which case, they must have their reasons and far be it from me to comment.

Or is it the ruddy media exploiting the child for the sake of a tear-jerking story that will sell copy when the media can find out in five minutes flat that the case has to go to the MRT and then to the Court, to the Minister, or both?

My suspicion is that the media rats know full well that they are not reporting the case accurately.

But I'd like to leave the thread open and see what others think if that is OK with you?

Best wishes

Gill

Hi Gill
That's fine, just didn't want to replicate the post. Unfortunately, like yourself I have a feeling it is the media exploiting the child for a good story, but then that's the media for you.
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Old 10-11-2008, 12:42 PM   #6 (permalink)
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id be interested in this post / update on the story as it unfolds as my mum and dad would love to come over here permanently but have always felt that there were too many issues surrounding my brother who has downs to be warranted / follow up there interest to come over.
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Old 17-11-2008, 12:11 AM   #7 (permalink)
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Originally Posted by Tom Fleming View Post
id be interested in this post / update on the story as it unfolds as my mum and dad would love to come over here permanently but have always felt that there were too many issues surrounding my brother who has downs to be warranted / follow up there interest to come over.

This is the latest update reported in the Herald Sun. It looks like there has been a similar case in Perth and the ruling has been over turned.

A MIGRANT doctor desperate to stay in Australia has been asked to allow his 13-year-old Down syndrome son to submit to another medical exam.
But Horsham GP Bernhard Moeller angrily refused the request last week, despite fearing it could affect the outcome of his visa review.
"Lukas has Down syndrome. That's not going to change," Dr Moeller said. "It makes me angry. We've done the medicals twice. It's just more bureaucracy."
Dr Moeller answered a call from the Federal Government and the local community two years ago when he moved from Germany to become the town's only specialist physician. His family were medically examined twice as part of that process. The records remain available to the department.
His visa is due to expire in March 2010, but he warned it would be difficult to stay without Medicare cover, which ends next March.
"I'm working under the system, yet won't have access to the cover myself. I don't even have the words to explain that," Dr Moeller said.
"Six months is the most I can wait. If there is still no decision, I will actively look for work and somewhere for the family to live in Germany."
The Moeller family received messages of support from around Australia when their plight emerged last month.
But Dr Moeller said: "I'm worried. Some nights I can't sleep. Everyone keeps saying it will work out OK, but you can't be certain. We want to plan for the future."
Immigration Minister Chris Evans last week overturned a ruling against a midwife in Western Australia, whose son also has Down syndrome, who was in a similar predicament.
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Old 17-11-2008, 12:31 AM   #8 (permalink)
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Hi Kate & Tom

There are some further developments which are highly significant for anybody concerned with possible migration to Oz with a Down Syndrome child in particular but also with a range of other problems.

Please see this thread on the Go Matilda forum.

Down family breaks visa barrier on immigration - Topic Powered by eve community

This thread is relevant as well:

Doctor to fight visa refusal over Down Syndrome son - Topic Powered by eve community

Alan Collett of Go Matilda is obviously taking an interest in this issue and lobbying by people like Alan can and does help to get the law changed sometimes.

I think it is an immense comfort that the Minister realises that something needs to be done about these cases and that leaving families in turmoil for six years is absolutely not on.

Best wishes

Gill
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Old 17-11-2008, 01:27 AM   #9 (permalink)
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Thanks for the update....id be interested to hear anything else in the continued Dr's story.
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Old 17-11-2008, 01:57 AM   #10 (permalink)
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Hi Tom

Be in no doubt. Potentially the issues facing your parents would be immense because it takes a long time to break the barriers down in cases like these.

The background to all this, in simple terms, is as follows:

Because of the way the Aussie migration legislation is worded, for many years solicitors in Oz believed that is was not possible to challenge the Opinion of the Medical Officer of the Commonwealth about whether or not someone meets the Health Requirement for migration to Oz. It was believed that there was no legal machinery via which the MOC could be challenged, in effect.

The Health Requirement which causes all the hassle is Public Interest Criterion 4005 in the Migration Regulations 1994. I won't quote it at length here because it is quite lengthy and one is limited to 8,000 characters in a post.

In 2001 there was litigation against the Minister for Immi in a case called Blair. The child at the centre of the case was a boy of about 10 with Down Syndrome. I'm a lawyer (but not Australian qualified) so I am used to reading reports of Court cases. The litigation in Blair was a hopeless attempt, in my view, because the wording of PIC 4005 never has supported what they were trying to say. However, the family were immensely wealthy and so they made what I think was a futile application to the Court.

I'm not a medic so I have no idea about the medical evidence in Blair. From the sound of it, the child was actually pretty severely disabled by Down Syndrome. It was common ground between the parties that the child would never be able to lead a normal life when he grew up. Therefore if he had been allowed to migrate permanently he would undoubtedly have become eligible for the top whack, I suspect, of Australia's Disability Support Pension:

Disability Support Pension

The family tried to argue that a large Trust fund had been set up for the child so he would never need to work anyway, plus he would be so wealthy that he would not qualify for DSP because it is means-tested in Oz (unlike in the UK) unless the applicant is "permanently blind" which the Blair child was not. Therefore they tried to say that potential eligibility for DSP and all the ancillary Benefits that would flow from it were irrelevant because they would never be claimed. They argued that there would be no cost to Medicare either, because they could plainly afford the finest medical attention that money can buy.

I think the family's argument was specious because that is not how PIC 4005 works. 4005 brings it down to the lowest common denominator: the visa applicant has no money and therefore would need the help of the State one way or another, to a degree which would be a "significant cost" to the Aussie tax-payer. Permanent Residency in Oz is a package deal: with it comes an automatic right to Medicare and an automatic right to be given State Benefits if necessary. The Australian Govt has always maintained the stance that if you migrate to Oz then you get the full package and it is not possible to contract out of bits and pieces of it because that would create a two tier society. It would enable positive discrimination in favour of the wealthy and I completely agree that that is not on. Hence I am convinced that it was futile litigation.

After Blair there followed a string of Court cases, all trying to argue different bits of the coin. Some of the legal fictions invented by the Judges in some of them were just plain strange, too, but they are now largely irrelevant because of Robinson in 2005.

I think the DIAC legal team and the MOC between them completely misunderstood the ratio decidendi in Blair. They appear to have thought that Blair had provided a legal authority for the proposition that medical cases can be decided on the basis of generic information about the condition itself (often 20 years out of date information at that) rather than deciding them on the basis of the specific medical condition of the specific visa applicant in question. Nothing in the Blair judgement even mentions the notion so I simply fail to understand how DIAC & the MOC could have misunderstood the judgement so completely - but they appear to have managed to do so.

Therefore the MOC appears to have thought that a case of Down Syndrome would automatically lead to a visa refusal because of the decision in Blair, when this is not what Blair decided at all. Not by any stretch of the imagination. I think Blair probably was correctly decided on its own facts because it does seem that the child was severely affected by Downs.

FFWD to 2004 & 2005 and the Robinson case. Again, it concerned a boy who was about 10 when the Court dealt with it in November 2005. Mrs Robinson is a midwife in Perth. The crux of Robinson and the reason why it has become the new milestone is that the child is not severely affected by Downs. Master Robinson only has a mild degree of disability and therefore there is no reason to suppose that he will not be able to lead a normal life once he grows up. The litigation forced the Minister for Immi to accept that every single one of the cases involving a medical condition must be determined on its own facts alone and not according to any vague, generic criteria about the condition.

That said, the MOC doctors continue to make unforgiveable mistakes, as happened to one of our PiO members earlier this year. They are overworked, underpaid GPs employed by the civil service and why on earth any of them prefer to spend all day long pushing a pen instead of prodding a patient is completely beyond me. I simply cannot understand why one would go to all the hassle of becoming a doctor if one does not want to help a sick person. I thought that was the whole purpose of Medicine, but still....

I don't think it is possible to say that Dr Moeller's case will have the same outcome as Robinson has now (finally) had. The whole world knows that Dr Moeller's son has Down Syndrome but there has been no publicity about the severity of the child's condition. Similarly Dr Downes in Sydney has revealed nothing publlcly about the severity of his own child's condition, which I am pretty sure is an austistic spectrum disorder completely unrelated to Down Syndrome, but the principles established in Robinson apply regardless of what the actual medical condition might be.

And "permanent blindness" will always be the exception to the rule anyway because of the fact that that condition is the only one which gives an automatic entitlement to the full rate of Disability Support Pension without any sort of means-testing. Nobody should be in any doubt about this.

I think it is brilliant that Senator Evans has enough commonsense to realise that the situation with these cases cannot continue to lurch along as it currently does. (Personally I think that he is the best thing that has ever happened to the Australian Immigration system, but doubtless many people would disgree with my view.)

However I do think that any significant changes are likely to be a long time in coming. I also think that the child cases which also involve parents in the medical profession will lead the change because the doctors like Dr Downes and Dr Moeller - regardless of the sorts of conditions that they treat in their own working lives - will undoubtedly see to it that the MOC is prevented from relying from vague assumptions - often hopelessly out of date ones - about specific medical conditions in the future. And I would hope that both doctors will give the Minister severe earache. Plus both doctors have hospitals etc backing them to the hilt about the medical details. Mrs Robinson has had that as well.

So I think the medical profession will lead the way in getting the present muddle resolved but I do think it will take time. I reckon 5 - 10 years, probably.

Best wishes

Gill

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