Case Comment: The Public Trustee of the Province of British Columbia v. Dorothy Stewart Batiuk 1996 CanLII 2097 (BC SC)
Batiuk is a case that is as fascinating for its facts, and the attempts by both sides to prove those facts, as it is for its holding.
Dorothy Stewart Batiuk was an elderly woman who had suffered a stroke, and who lived with and was cared for by her husband until his death on May 6th, 1994, at which time she became the subject of a very heated committeeship application by the Public Trustee.
Shortly after Mr. Batiuk’s death, his sister and his niece arrived from Calgary to assist with funeral arrangements. They testified that they found Mrs. Batiuk living in appalling living conditions, and they immediately fired the housekeeper and discharged Mrs. Batiuk’s doctor of 14 years. The niece moved in and remained in Mrs. Batiuk’s home permanently.
The executor of Mr. Batiuk’s estate was Harry Rankin. He came to Mrs. Batiuk’s house on two separate occasions to interview her, and on two separate occasions he was denied access. The niece then informed Mr. Rankin that Mrs. Batiuk had executed a Power of Attorney in her favour, which caused Mr. Rankin to contact the Public Trustee, and the Public Trustee in turn contacted the niece, questioned her care and advised her that Mrs. Batiuk was mentally incompetent.
At this time, less than two months after the death of her husband, and before any judicial decisions had been rendered on the question of Mrs. Batiuk’s competence, the Public Trustee advised Royal Trust that Mrs. Batiuk’s Power of Attorney was invalid and caused her bank accounts to be frozen. The Public Trustee also placed a caveat on Mrs. Batiuk’s home preventing her from mortgaging or selling it.
In order to successfully argue that he should become Mrs. Batiuk’s committee, the Public Trustee is required to produce two medical affidavits (under the former provisions of s.2 in the old Patients Property Act, now contained within s. 3 of the Patients Property Act, RSBC 1996, c 349 “PPA”) setting out that, in the opinion of the affiant, the subject of the application (here, Mrs. Batiuk) is incapable of managing him or herself because of “mental infirmity arising from disease, age or otherwise” or the misuse of recreational drugs.
Battle of Medical Affidavit Evidence
As Madam Justice Allan put it in her decision, most committeeship applications are supported by medical affidavits that are “brief and desultory.” Not in this case: no fewer than seven medical experts became involved and numerous medical affidavits were filed with the court as evidence.
The descriptions of Mrs. Batiuk in those medical affidavits ranged from: “mental infirmity due to chronic paranoid schizophrenia” and “[Mrs. Batiuk has] cerebrovascular brain disease particularly evidenced by cognitive impairment including impaired orientation, attention, memory and language” all the way to “[Mrs. Batiuk] definitely knows what she wants, is mentally competent…is quite capable of mentally making the decision to appoint [the niece] to manage her financial affairs...” and “no indication of chronic paranoid schizophrenia…”
The judge addressed the question of the threshold of proof required to establish, as required by the PPA, that Mrs. Batiuk was incapable of managing her affairs. She commented as follows (at paragraph 58):
While the threshold appears to be a low one, in the sense that s.2(4) only requires the “opinion” of 2 medical practitioners…the Court must be “satisfied” [by those affidavits]…Drs. Horricks. James and Donnelly have expressed their “opinion” that Mrs. Batiuk lacks capacity [but] I am not “satisfied” with that conclusion. Each of their opinions is outdated, incomplete and flawed…”
In the result, Madam Justice Allan found Mrs. Batiuk to be capable of managing her own affairs. In the battle of the affidavits, she found that the affidavit evidence that supported Mrs. Batiuk’s competencies were more current, and were sworn by medical experts who had spent more time with her. She further suggested that some of the conclusions drawn by the medical experts in the affidavit evidence which she rejected were based on collateral evidence; in other words, those doctors had formed opinions based on information supplied to them by third parties rather than exclusively by direct examination and observation. The context of the medical interviews was also important. For example, it was established at trial that Mrs. Batiuk herself was aware, when being interviewed by doctors working with the Public Trustee, that she could be declared legally incapable if she “failed” the interview. It was accepted by the judge that this caused Mrs. Batiuk extreme stress and caused her performance to deteriorate.
Importance of Context-Sensitive Assessments
I think this case confirms that it is important, legally, to ensure that clients are given the opportunity to perform as well as they can during medical examinations, and that the context of a medical examination can very significantly alter the weight given to any affidavit evidence sworn as a result of the interview. This is what is meant by a “context-sensitive assessment”, a term used, but not really described, in my previous post, The Capability Continuum.