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Robust and Pragmatic

Robust and pragmatic describes the approach Canadian courts take to proving causation in negligence where scientific certainty is unattainable. The phrase comes from the Supreme Court of Canada’s decision in Snell v Farrell, [1990] 2 SCR 311, in which the Court held that a trier of fact may infer causation from the evidence as a whole using ordinary common sense, and need not have positive scientific proof from an expert that the negligence caused the injury.

The principle matters in medical cases because the biological mechanism connecting a breach to an outcome is often uncertain, and the defendant is frequently the party with the better access to the relevant information. A robust and pragmatic inference allows a plaintiff to succeed despite genuine scientific uncertainty, provided the evidence as a whole supports the inference on a balance of probabilities. It does not reverse the burden of proof, and it does not relieve the plaintiff of the need to lead a sufficient evidentiary foundation.

Posts tagged Robust and Pragmatic analyze Ontario decisions applying the Snell approach to causation in medical negligence claims.

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Navy title card reading "Ibrahimova v Cavanagh: The Court of Appeal upholds a causation finding built on inference" from paulcahill.ca

Ibrahimova v Cavanagh: The Court of Appeal Upholds a Causation Finding Built on Inference

The Court of Appeal for Ontario dismisses Dr. Cavanagh’s causation appeal in Ibrahimova v Cavanagh, upholding findings about what would have happened at a tertiary hospital the patient never reached on the relevant day. The decision confirms that a plaintiff can prove a counterfactual treatment path through a specialist from the receiving discipline, without institutional witnesses, and that a defendant who calls no expert in that specialty is unlikely to recast the resulting findings as speculation.

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