WCB Critic Suggests Changes to the Office of the Appeals
Advisor
". . . these people work directly for WCB and are either
afraid to make waves or they have been instructed to only go so far to make it
look like they are helping when in fact they are not . . . over 70% of workers
surveyed had no trust or confidence in the Office of the Appeals Advisor.
"
The Government and WCB make workers believe that the system is there to
help them when they are injured. This is a lie. According to the Government and
WCB if a claimant does not understand the process, they can request the
assistance of the Office of the Appeals Advisor. This is a lie as these people
work directly for WCB and are either afraid to make waves or they have been
instructed to only go so far to make it look like they are helping when in fact
they are not.
I cannot remember whether it was the Doerkson report or
the Friedman report that found that over 70% of workers surveyed had no trust
or confidence in the Office of the Appeals Advisor. As you can see by the
organizational structure the Office of the Appeals Advisor is under G. Kerr and
under G. Kerr is Douglas Mah. Under Douglas Mah is the Office of the Appeals
Advisor. http://www.wcb.ab.ca/pdfs/org_chart.pdf The Office of the Appeals
Advisor is thus not independent from the "Board" and does exactly what they are
told to do. In other words, WCB is representing a claimant against themselves.
I have been requested by a disabled worker if I would help him after
being abandoned by the Office of the Appeals Advisor. I first met the Advisor
about 4 years ago at the home of the disabled worker. The Advisor seemed like a
person that was willing to help the disabled worker who was requesting total or
partial loss of earnings from 1992 to the present and beyond. Needless to say,
the Advisor spent 4 years either doing nothing or does not understand the
process. The Advisor never went beyond Customer Services in supposedly trying
to get a pension due to an earning loss. A month ago he informed the disabled
worker that he had done all he could and there was nothing more that he could
do. Any one who knows the system, knows that when a claim is denied at Customer
Services, you have the right to appeal and if that appeal fails, you have the
right to appeal further. The disabled worker was not told this. He also was not
told that there is a statute of limitations on filing an appeal. Of course with
a grade 8 education, it would be virtually impossible for someone like him to
navigate through the convolutive and ambiguous legal processes required to
pursue a claim.
Further to this, the disabled worker applied for CPP
disability benefits in 1992 and was accepted due to the fact that he no longer
was capable of performing any work. He also was accepted on a Provincial
disability plan called AISH( Assured Income for the Severely Handicapped).
Despite this, WCB believes that he is capable of working. He has attempted to
work by lying about his work restrictions or failing to inform the employer as
to his work restrictions. A Case Manager told him that he must not let an
employer know that he has work restrictions. In attempting to perform work that
was clearly beyond what he was capable of doing, he reinjured himself on
several occasions which required hospitalizations due broken ribs and internal
injuries after falling. The last fall late last year resulted in
hospitalization for internal injuries, neck and upper extremity injuries which
WCB refuse to pay any compensation for. His attending doctor who was
instrumental in getting him on CPP disability and AISH has on numerous
occasions wrote and called WCB stating that the claimant is and never was
capable of doing any work since 1992 onwards. His phone calls and letters were
ignored. There are also 3 other doctors who have also stated to WCB that it is
highly unlikely that the claimant is capable of any work. There is no
documentary evidence on file from any WCB contracted doctors who dispute this.
The only one that suggests he can work is a Case Manager although he has never
been assessed as to what sort of work the Case Manager believes he is capable
of performing.
Several week he requested that I help him. I was
reluctant at the time because I am simply getting too damn old and worn out
from fighting these scumbags. After some thought I decided that I could not
stand by and let the scum bags hurt another human being like they have hurt
others. What sort of individual would stand by and do nothing I asked myself.
Unlike our elected MLA's who pretend to be concerned but continue to turn a
blind eye to the injustice of a system that robs injured and disabled workers
from the help that was supposed to be guaranteed in exchange for not suing the
employer, I decided I must do the right thing and agreed to represent him. This
pathetic mess has been caused by MLA's who refuse to believe the dire
circumstances a claimant finds themselves in after an injury.
Most
injured workers do not have the ability to become experts in understanding the
WCA, Workers Compensation Regulations, WCB Policies and how to interpret each
of them. A claimant cannot fight a claim unless they have the financial ability
to pay for expert medical opinions, pay for experts who understand the WCA, WCB
Regulations and WCB policies which even most lawyers as well as the courts do
not understand. Why should a claimant have to pay for these services any way if
the system does not rely on the ignorance of claimants to enable them to
defraud the claimant. The system is clearly confrontational and uses their own
legal services to fight claimants as well as pay WCB friendly doctors to
prostitute themselves for personal gain.
The Office of the Appeals
Advisor must be completely separate from WCB. The Office of the Appeals Advisor
must also employ real lawyers who specialize in all aspects of workers
compensation law. The Office of the Appeals Advisor must also have their own
network of medical experts rather than forcing a claimant to use WCB's biased
and incompetent medical doctors.