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Lawyer Laurence Armstrong wins new human-rights hearing about prostate-cancer screening

A B.C. Supreme Court judge has ordered a new human-rights hearing into whether or not the B.C. Medical Services Plan discriminates against men.

In a decision posted on the B.C. Supreme Court Web site this week, Justice Robert Johnston ruled that the B.C. Human Rights Tribunal member Kurt Neuenfeldt erred in dismissing a complaint in 2008 by Victoria lawyer Laurence Armstrong.

In Neuenfeldt's 91-page decision, he determined in 2008 that Armstrong didn’t establish a “prima facie” case of discrimination. The complaint concerned men having to pay for prostate-cancer-screening tests, whereas women not being required to pay for screening tests for breast and cervical cancer.

Johnston’s June 29 decision stated that Neuenfeldt erred by focusing on “medical necessity" and examining "sound epidemiological and public health considerations".

“In doing so, he appears to have leapt from the preliminary stage, where he should have decided whether there was a case for the respondent to meet on the question of sex as a factor in the funding decision, to the ultimate issue to be decided, that is, whether there was discrimination as defined under the Code,” Johnston wrote in his ruling.

Men over 40 must pay $30 for a PSA screening test for prostate cancer. Women do not have to pay a fee for a Papanicolaou test (“Pap test”) for cervical cancer. Women also don't have to pay for mammograms to detect breast cancer between the ages of 40 and 79.

In 2007, the Straight reported that Armstrong couldn’t find a plaintiff to file a discrimination complaint against the B.C. government, so he took the case on his own behalf.

The article noted that approximately 500 men die each year from prostate cancer in B.C.; 700 women die each year from cervical or breast cancer.

Neuenfeldt’s ruling on prima facie discrimination meant that the tribunal did not proceed to the next stage in law, which would have shifted the onus to the Ministry of Health to demonstrate a reasonable justification for not funding PSA screening tests.

As a result of the B.C. Supreme Court decision, the tribunal will now have to address this issue unless the government successfully appeals Johnston's ruling.

Under section 8 of the British Columbia Human Rights Code, a person must not, without a bona fide and reasonable justification, deny a person or a class of persons any accommodation, service, or facility customarily available to the public.

“Governments should have no special status when it comes to human rights complaints,” Johnston wrote. “Where s. 1 of the Code defines discrimination, it does so for government equally as for anyone else.”

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too much time on his hands...
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$30 a year for a prostate exam and you are pissed Mr. Armstrong, well I'm with ya on that one. And while you're there, bitching and costing us taxpayers a ton of money, let 'em know that I am sick of paying for tampons and pads every month, after all, it's not MY fault I bleed. Oh yea, and bras, don't even get me started! Do you know how much a decent bra costs Mr Armstrong? I did'nt ask for boobs ya know. And lastly, we are expected to keep the world population from exploding by using contraceptives, I want those handed out freely, all of them, as both you and I know its women that deal with that issue on a regular basis.
 
AKA
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Although women have to pay for bras, pads, tampons and contraceptives, those things don't save lives. PSA screening tests do! And BC men who can't afford to pay for them may in the future get them paid for by the Province, just like the women in BC who can go and get free mamograms and pap tests. I'm a woman, too, and I think this is a positive accomplishment. Mr. Armstrong put his own time and effort towards helping everyone and should be thanked, not berated for having "too much time on his hands".
 
Denise Sheshka
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Thankyou for speaking up for men. As a woman this has nothing to do with wasting taxpayers dollars but about equality and saving lives, many men avoid doctors and don't go until it's too late. $30.00 is an investment to the quality of life that all humans are entitled to, male and female. If women were charged for mammograms and pap tests, and prostate exams were free I would bet that women would challenge that expense, I would. Cancer doesn't discriminate, nor should we. Human Rights is about acceptance and equality,and creating a better life for everyone. Thank you for challenging the Government as this is a medical must and should not even be a Human Rights issue. Losing a loved one to cancer is painful, I believe in preventative measures. Way to go!
 
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