Adjourned debate on second reading.
The Hon. M.J. ELLIOTT: I must say that I have something of a sense
of deja vu in handling this legislation, and I certainly see some parallels
with the way the Government initially set about handling workers compensation.
We begin with a claim that costs are getting out of control and then, without
debating too much the substance of that to start off with, the next assumption
is, `Well, we have to straight away reduce benefits.' I really think that
that is an incredibly simplistic approach to take. It does not beg the
question as to whether or not levels of compensation are reasonable: it
just simply says, `Well, it's getting a bit expensive; we'll have to reduce
it.' It appears to me that there should first be argument about the levels
of compensation and, if that compensation is at reasonable levels, it could
then be the case that, in fact, levies might have to be raised. As with
workers compensa-tion, the situation is far more complex than that.
I note, for instance, that there seems to be little evidence
that the Motor Accident Commission is involved in issues such as accident
analysis, and that seems to be happening quite separately of the MAC; yet
it should have a lively interest in those sorts of issues. Just as with
workers compensation, our first goal should be reduction of accidents and
reduction of the severity of accidents. Indeed, that is the approach we
should be taking, even with something like this. I can find no evidence
that the MAC has any interest in those sorts of matters.
I understand that 10 per cent of all road deaths in South Australia
are directly attributable to not wearing seat belts. Whilst the legislation
seeks to reduce the compensation to people who fail to wear seat belts,
where is the vigorous campaign to ensureó
Members interjecting:
The PRESIDENT: Order! There is too much conversation on my right.
The Hon. M.J. ELLIOTT: Where is the campaign to ensure that compliance
with wearing seat belts improves? We have to tackle this problem from all
directions. It is also worth noting that, under workers compensation, the
WorkCover Corporation itself has quite detailed analysis of treatments
and those sorts of issues. SGIC, which acts on behalf of the MAC, carries
out none of the detailed analysis that is conducted under WorkCover. I
will return to those themes later.
I have spoken with a number of people about the actuarial considerations,
people who are in a position to know and to understand, and it is fair
to say that the actuaries have been highly conservative, noting that some
actuaries have been increasingly liable to action in the courts, so that
might be understandable. My advice is that, in almost every regard, they
have been highly conservative and it is most likely that the position of
the MAC is nowhere near as bad as is being presented to Parliament at this
time. I am not suggesting for a moment that there are no problems, but
I am saying that it is overstated at this time.
Many stakeholders have expressed concern at the total absence
of any consultation with interest groups about the proposals for change
now before us. I raised this with representatives of the MAC, and their
response was, `Well, we consulted after it was brought into Parliament.
We put it there so people could consult on it.' My view is that, with something
as important as this, with as many contentious issues and, I would argue,
with more than one solution available, at the very least a draft Bill should
be consulted on outside Parliament before legislation is brought in. That
simply has not happened and I believe it is a touch of gross arrogance.
There is concern that the Motor Accident Commission and SGIC
do not seem to have undertaken the sort of analysis and evaluation of service
provision that is done by WorkCover to make sensible decisions on their
operations. The Australian Physiotherapists Association (APA) considers
that the proposed changes are a knee-jerk reaction from a monopoly that
has not reviewed its own administrative systems or adequately consulted
with service providers to effect any perceived required changes or savings.
The APA has been advised by SGIC that it has never sent any material about
the scheme or the expectation of SGIC and the MAC to physio-therapy service
providers.
It is intriguing that the MAC has had legislation introduced
with draconian clauses in relation to service fees, yet until this point
there has been no communication between SGIC on behalf of the MAC with
physiotherapists of the type that has been going on in more recent times
between WorkCover and practitioners.
It is worth noting that WorkCover was pretty awful until probably
the past two years or so, when it realised that it is much better to work
in cooperation with groups than to attack them head-on. One must bear in
mind that it is the service providers and not the Motor Accident Commission
adminis-tration which assists motor accident victims to get back on their
feet. I would encourage the Motor Accident Commission to undertake measures
similar to those employed by WorkCover to educate providers about how to
provide better service to their clients and to the system. I am not suggesting
that WorkCover has got it all right, but at least it is starting to move
in the right direction in this area.
The Law Society, the Plaintiff Lawyers Association and others
have said, and I agree, that the Bill will impact in a serious way on motorists
of the State, and they describe it as `mean spirited'. Over the past two
months the Law Society, the Plaintiff Lawyers Association and groups such
as the AMA have met with many members of Parliament to alert them to the
strength of concern and the very serious implica-tions of this Bill. Their
major concern is that this Bill threatens to deny over 80 per cent of those
injured in motor vehicle accidents any entitlement to compensation for
pain and suffering for which compulsory third party insurance was designed.
Those groups say that it will particularly hurt the less fortunate
in this community: the aged, the unemployed, the infirm, children, pensioners
and superannuants. In a submis-sion on this Bill, the Law Society says
that the Bill will impact adversely on rural residents injured in motor
vehicle accidents as a high proportion of motor vehicle accidents occur
in rural areas and involve rural residents. These communities do not have
easy access to appropriate services.
The Law Society argues that the community has a right to expect
that a fair and equitable compulsory third party bodily insurance scheme
should provide to injured persons (a) an amount for economic loss, for
example, loss of wages or salary; (b) an amount for pain and suffering
and loss of amenity, that is, recognising non-economic loss; (c) an amount
recognising the cost of medical and like expenses, including ongoing treatment
incurred by the injured person; (d) an amount recognising that others,
such as spouses or other family members, may be directly or indirectly
affected as a result of the injuries suffered by the injured person; and
(e) access to a fair, open and unbiased system to determine appropriate
amounts of compensation.
The Law Society believes that this Bill threatens seriously to
diminish or abolish many of those expectations or rights. The Law Society
has no quarrel with some aspects of the Bill, such as the proposal to cap
economic loss at $2 million, or to impose penalties on entitlements for
failure to wear seat belts or helmets, or in cases involving alcohol. However,
it says that no sound case has been made for the abolition of the current
entitlements for non-economic loss, which are currently capped at $91 200.
It is worth noting that that amount is significantly less than in a number
of other States. I believe that Western Australia has a limit of $209 000;
New South Wales, $247 000; Victoria, $330 000; and Queensland, Tasmania
and the ACT have unlimited entitlements.
The Law Society says that the amendments will result in a loss
of benefits for matters such as nervous shock and loss of consortium which,
it says, shows a callous and economic rationalist approach to situations
where compassion and understanding are required. It also states that the
claim that the fund's solvency is under threat is not soundly based and
cannot be used to rationalise the severity of this legislation. I certainly
agree with that contention. It may be that the fund's financial investment
performance can be improved, but that question of fund management can be
addressed without implementation of this draconian legislation.
The Law Society supplied several illustrations detailing examples
of how people's benefits would be limited or non-existent under those changes.
The Hon. Carmel Zollo read into the record a couple of those examples.
In fact, some 10 examples were provided to me and, if members are interested
in more, I would certainly make them available rather than reading them
into Hansard now.
The Brain Injury Network of South Australia has also raised concerns
with me about this Bill. That community-based organisation provides information,
informal support and advocacy for people with disability as a result of
brain injury, their relatives and associates. The network is con-cerned
about the reduced or removed entitlement for claims by parents, children
or spouse due to the proposed changes to the Wrongs Act. It states that
allowing the courts to be involved in deciding the amount of reduction
to damages caused by a failure to wear seat belts, helmets and the like
has the potential for increased litigation and associated legal costs.
Concerns have also been raised by the group about the six month
threshold required for serious impairment to be entitled to pain and suffering.
It states that the Government's changes will cause increased stress due
to increased litigation costs and time to settle claims. It also states
that there is no statistical evidence to reliably estimate the impact of
the proposed changes, which will reduce claims at a time when compulsory
third party premiums are being increased.
The Brain Injury Network believes that the proposed changes are
likely to mean that some claimants with severe disability and long-term
high support needs will have insufficient funds for their long-term care
and that families and/or the community disability service sector will be
expected to pick up the tab or provide the care. The result is a cost shift
to families and/or the disability sector. The network supports a flat 25
per cent reduction in claims (non-accumulative) and the removal of the
`or as determined by a court' provision, thus reducing the potential for
lengthy, stressful and costly litigation. Concern has also been raised
about the introduction of measures to turn a no fault-based scheme (namely,
WorkCover) into a fault-based scheme, which the Motor Accident Commission
is.
The Australian Physiotherapy Association believes it is extraordinary
that the Motor Accident Commission is equating a motor accident victim
with a workers' compensa-tion victim, when the nature of the injury and
the parties involved are completely different. The element of liability
of the injured party is not a consideration under the workers' compensation
scheme. It states that the introduction of the proposed changes will severely
impact on the motor accident scheme. Service providers already treat motor
accident victims at financial risk, as the treatment often occurs prior
to the establishment of a claim with SGIC. The APA states that service
providers may be deterred from treating motor accident victims if there
is no clarity as to whether their fees will be paid or if there is the
spectre of being challenged at a later date.
I now wish to refer to specific concerns in relation to the Bill.
In relation to clause 9, an amendment to section 124AC of the Act, the
Government seeks to amend this clause to enable the Motor Accident Commission
to deduct from a person's entitlement to damages any debt due to the Motor
Accident Commission arising out of another accident. There is concern that
this could also be used to reduce, and even extinguish, the right of a
motorist who has infringed policy conditions (including a motorist who
has overlooked renewing their driver's licence) to recover damages for
injuries by off-setting against such damages amounts payable to others
in the same accident. My amendment seeks to address this by adding the
words `in relation to another accident'.
Clause 11, page 5, after line 13 is an amendment to ensure a
new subclause to allow any problems arising out of service charges which
are deemed excessive to be solved through consultation if possible. We
should try to ensure that problems are solved through negotiation, not
litigation, so that the cost and time of court action can be avoided. In
relation to clause 11, page 5, after line 18, I will be moving an amendment
to introduce a sunset clause in relation to the whole of this clause.
It seems to me that some of the problems that arise out of clause
11 are very difficult to fix through legislation. There is clearly a great
need for a lot more consultation between the MAC and the representatives
of the various health providers, and we need to put systems in place that
work effectively. I had many proposals put before me for amendments, some
of which I picked up but some of which I do not really believe that legislation
per se will fix. My amendment inserts a sunset clause into the whole of
this clause, and the sunset will be 1 October next year.
The message that I hope to give to the MAC is to fix up the problems
here, to negotiate with the AMA, the APA and the chiropractors, etc., and
implement systems that work. If we have systems that work I will have no
problem whatso-ever, in a little over a year, in allowing the clause to
continue. However, if the systems cannot be fixed up, all bets are off.
It seems to me that this might focus the MAC's mind more than it has been
so far and challenge what I see as the very arrogant attitude which led
to a Bill coming into Parliament prior to any of the representatives of
affected groups knowing that it was coming or indeed knowing of its contents.
As to clause 12, page 5, lines 25 to 27, an amendment to the
Wrongs Act to limit the availability of this section, the Plaintiff Lawyers
are strenuously opposed to the Govern-ment's amendment. They say that the
Motor Accident Commission itself acknowledges that 83 per cent of claimants
will not receive a non-economic loss component of their claims for pain
and suffering as a result of this amendment. They are concerned that even
claimants with major injuries could suffer a reduction in damages and only
those who sustain catastrophic injuries would not have their entitlement
to pain and suffering reduced.
The Society of Labor Lawyers has also raised concerns about this
measure, saying that the current entitlements are already pathetic by interstate
comparison, as I have already noted. The society is also concerned that
the proposed changes will have the unintended result of an increase in
litigation due to the exclusion of non-economic loss provi-sions. The society
says that more people would then be likely to claim on an economic loss
basis for disruption to family life and the like and that this would give
rise to costly and unnecessary litigation. With a tightening of journey
claims provisions in the Workers Rehabilitation and Compensation Act the
society states:
These latest proposals simply further erode the legal rights
of South Australians.
The six months time frame was also raised as a matter of concern. The
Australian Physiotherapists Association suggested that this extended period
of time may delay rehabilitation of some injured people and raised concerns
about over servicing. The RAA also expressed concern about this measure,
and I quote from its correspondence, as follows:
Under proposed changes the person's ability to lead a normal
life must now be seriously and significantly impaired for at least six
months. The medical expense minimum has been increased $2 500 and is to
be indexed after 1999. While the RAA accepts that there is a need to review
the current parameters for non-economic loss and that some change leading
to a more stringent threshold for claims of this nature is justified, it
is our view that the proposed amendments could in some circumstances be
too restrictive. We are particularly concerned for the effect the proposed
changes would have on those who sustain injuries of a permanent nature.
Whilst the new param-eters may be accepted where a person recovers fully
and suffers no lasting injury, instances may arise where there is some
permanent disability, yet it is held that the ability to lead a normal
life is not seriously and significantly impaired. By way of example, should
a person lose a finger, this would presumably not qualify as eligible under
new legislation. The ability to lead a normal life may not be seen to be
seriously and significantly impaired, yet this person has suffered a permanent
disability caused by another's negligence. It seems unfair that a permanent
disability towards the lower end of the severity scale should not attract
a payment for non-economic loss.
My amendment is in line with the Plaintiff Lawyers recommendation that
an injured person's ability to lead a normal life was significantly impaired
by the injury for a period of at least 21 days. The RAA supports this measure.
I understand that was the original recommendation of SGIC, so how the MAC
then fixed upon six months I do not know, unless it is just one giant ambit
claim.
As to clause 12, page 5, lines 28 to 35, there is a great deal
of concern about this element of the Bill, which limits a claim for nervous
shock to a person who is a parent, child or spouse who is either at the
scene of the accident or who arrives at the scene of the accident shortly
after it occurred. It wipes out the entitlement of a parent, child or spouse
who suffers nervous shock as a result of seeing a grievously injured motor
vehicle accident victim other than at the accident scene.
There is concern that, if this law is passed, a mother who is
called to hospital to assist a grievously injured child and who suffers
a nervous breakdown from what she sees will not be entitled to claim for
damages. She would succeed in a damages claim only if she was either at
the scene of the accident or arrived at the accident scene soon after it
occur-red. My amendment deletes the Government provision in paragraph (B).
I now refer to clause 12, page 6, lines 1 to 5. This proposal
is seen as unworkable by practitioners in the field. They say it creates
a standard of proof that does not exist in the common law. There is a strong
belief that it will engender unnecessary litigation and cause unnecessary
stress to motor vehicle accident victims. By way of example, they raise
the case of a 45 year old woman who is forced to give up work to look after
her sick husband. If she is injured, she would be forced to argue that
there is at least a 25 per cent likelihood that her husband will die, and
she will be forced back on to the open labour market. My amendment leaves
out para-graph (c).
As to clause 12, page 6, lines 10 and 11, I understand that the
Treasurer has stated that this clause will correct an anomaly in relation
to a spouse receiving an award of damages for loss of consortium in excess
of the injured person's entitlement to non-economic loss. There is concern
that the Government's attempts to rectify this anomaly is draconian, and
the plaintiff lawyers have suggested overcom-ing the problem by tying the
spouse's entitlement to consor-tium to the same scale on which the victim's
own entitlement to pain and suffering is based. My amendment makes the
assessment of damages awarded for loss of consortium to occur in the same
way as damages for non-economic loss are assessed.
I now refer to clause 12, pages 6 and 7. These amend-ments to
section 35A(1)(j)(ja) and (jc) of the Wrongs Act follow concern that allowing
the court to increase the amount deducted from the damages to be awarded
would cause unnecessary litigation and legal costs. The Australian Plaintiff
Lawyers Association says it does not oppose the suggested increase in apportionment
against motor vehicle accident victims for alcohol or being under the influence
of alcohol and the non-wearing of seat belts and helmets, but it does oppose
the retention of the argument that the circumstances of the accident and
the injury should cause a court to increase such apportionment. My amendment
will remove the words `or such greater percentage as the court thinks are
just and reasonable, having regard to the extent to which the accident
was attributable to the person's negligence'.
As to clause 12, page 8, line 29, it appears that this was a
simple error. This amendment seeks to clarify an internal inconsistency
by removing the reference to paragraph (jb) which, if left in, would contradict
that paragraph. I have one further amendment in relation to section 127A(2),
which I missed previously. It would have the effect of ensuring that the
Minister would consult prior to excluding specific services. My amendment
will require that the exclusion of specific services would have to happen
by way of regulation. Again, I am tackling that issue of having due consultation
before changes are made, and clearly the MAC needs to be pushed in that
direction.
I note in the contribution of the Hon. Angus Redford that the
Treasurer was asked various questions and several other concerns were raised.
These included issues such as expected savings to the Motor Accident Commission
from the introduction of any of these tougher measurers and the average
cost per claim per year being the lowest on record diminished every year
and he was asked why there was pressure from the Motor Accident Commission
for these changes. I also will be waiting for the Treasurer's response
on those issues.
The Society of Labor Lawyers has suggested that the Parliament
also consider increasing the fixed amounts of solatium prescribed by sections
23A and 23B of the Wrongs Act. In 1974, the entitlements for solatium were
fixed at $4 200 for a deceased spouse and $3 000 for a deceased child.
These amounts have not been increased for 24 years, and the society believes
they deserve amendment. I invite the Treasurer, in closing the second reading
debate, to address this issue. At this stage, I do not have an amendment
drafted, and whether I do will depend on the Treasurer's response. With
a great deal of qualification, I support the second reading of the Bill.
The Hon. J.S.L. DAWKINS secured the adjournment of the debate.
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