URGENT......URGENT......URGENT
I am a Canadian Citizen and live in Saskatchewan (SK) Canada and applied for PR application Family Class Sponsorship for my parents who live in Pakistan. My parents got Fairness Letter. My mother medical is passed but my father medical has some issues. Please advice the best option for this case. Any expert advice will be highly appreciate. Thanks.
Below is the COPY of the Fairness Letter.
Dear Applicant
This letter concerns your application for permanent residence in Canada. Based on a review of your file, it appears that you may not meet the requirements for immigration to Canada.
I have determined that your family member, (Name), is a person whose health condition might reasonably be expected to cause excessive demand on social services in Canada. An excessive demand is a demand for which the anticipated costs exceed the average Canadian per capita health and social services costs, which is currently set at $6,387.00 per year. Pursuant to subsection 38(1) [(in the case of a family member) and pursuant to section 42] of the Immigration and Refugee Protection Act, it therefore appears that you may be inadmissible on health grounds.
Your family member has the following medical condition or diagnosis: ischaemic cardiomyopathy. In particular:
This 72 year old applicant has applied for immigration under the family class (FC4) and his intended province of destination is Saskatoon SK. He has ischaemic cardiomyopathy with severe left ventricular dysfunction. An echocardiogram revealed dilated left ventricle with severely depressed left ventricular systolic function with an ejection fraction of 20-25%. This condition is likely to deteriorate over time leading to episodes of heart failure which typically involve visits to emergency departments and admission to hospital. The cardiologist opines that the prognosis is guarded due to reduced left ventricular functions.
The natural course of his cardiac disease is such that his condition is reasonably expected to progress and deteriorate. In the Canadian context, he will require investigation and ongoing specialist management by cardiologists for the implementation of a treatment plan to manage his cardiac condition. Progression and deterioration of his condition leading to congestive heart
failure would reasonably be expected to result in repeated emergency room visits, hospitalization and a requirement for specialized hospital facilities including intensive care units or coronary care units and require invasive investigations. These services are expensive, cost more than the average amount spent on individual health care in Canada, and publicly funded. Many of these services are unable to meet the needs of Canadian individuals and their families in a timely manner.
Based upon my review of the results of this medical examination and all the reports I have received I conclude that this applicant has a medical condition which might reasonably be expected to cause excessive demand on health services. Specifically this condition might reasonably be expected to require services, the costs of which would likely exceed the average Canadian per capita costs over next five to ten years, and would add to existing waiting lists and delay or deny the provision of those services to those in Canada who need and are entitled to them. This applicant is therefore inadmissible under Section 38(1)(c) of the Immigration and Refugee Protection Act.
Date Accessed: Mar 30, 2016
Also has: Ischemic Heart Disease (414), Hypertension (401), Atrial Fibrillation (425)
The expected cost for health related services for this applicant is $37,021over five years. This amount exceeds the average per capita threshold of $6,450.00 annually. Services include: Multiple heart specialist visits, hospital admissions and likely implantable cardioverter-defibrillator (ICD) implantation.
Before I make a final decision, you have the opportunity to submit additional information that addresses any or all of the following:
the medical condition(s) identified;
social services required in Canada for the period indicated above; and
your individualized plan to ensure that no excessive demand will be imposed on Canadian social services for the entire period indicated above and your signed Declaration of Ability and Intent.
You must provide any additional information within 60 days of the date of this letter. If you choose not to respond, I will make my decision based on the information before me, which may result in your application being refused.
In order to demonstrate that your family member will not place an excessive demand on social services, if permitted to immigrate to Canada, you must establish to the satisfaction of the assessing officer that you have a reasonable and workable plan, along with the financial means
and intent to implement this plan, in order to offset the excessive demand that you would otherwise impose on social services, after immigrating to Canada.
The sections of the Immigration and Refugee Protection Regulations that define the meanings of “social services” and “excessive demand” are included for your reference.
Please ensure that you quote the file number indicated at the top of this letter on any information you submit.
Sincerely,
Immigration Officer
Immigration and Medical Services Division
High Commission of Canada
Canada House
London
