As the Constitution is the supreme law of Canada and any law that is inconsistent with its
provisions is, to the extent of the inconsistency, of no force or effect, it is impossible to interpret
legislation conferring discretion as conferring a power to infringe the Charter, unless, of course,
that power is expressly conferred or necessarily implied. Such an interpretation would require us
to declare the legislation to be of no force or effect, unless it could be justified under s. 1.
Although this Court must not add anything to legislation or delete anything from it in order to
make it consistent with the Charter, there is no doubt in my mind that it should also not interpret
legislation that is open to more than one interpretation so as to make it inconsistent with the
Charter and hence of no force or effect. Legislation conferring an imprecise discretion must
therefore be interpreted as not allowing the Charter rights to be infringed. Accordingly, an
adjudicator exercising delegated powers does not have the power to make an order that would
result in an infringement of the Charter, and he exceeds his jurisdiction if he does so.
23 Following this schema, it is first necessary to decide whether the legislation impugned in the
present appeal can be interpreted in conformity with the Charter. In Slaight, it was clear that the
legislation granted the adjudicator a broad discretion. It was thus easy to conclude that it did not,
either expressly or by necessary implication, confer a power to infringe the Charter. In the present
case the task is more difficult. Indeed, in the court below the argument proceeded on the basis
that the legislation was under-inclusive; that it violated s. 15(1) by failing to include medical
interpreter services for the deaf in the definition of "benefits", in the case of the Medical and
Health Care Services Act, and "general hospital services", in the case of the Hospital Insurance
Act.
24 During the hearing before this Court, however, counsel for the appellants proposed an
alternative argument akin to the framework set out in Slaight. She suggested that both statutes
could be read to conform with s. 15(1). Under this theory, it is not the legislation that is
constitutionally suspect, but rather the actions of delegated decision-makers in applying it. In my
view, this is the correct approach to the Charter application issue in this case. In order to
understand how I reach this conclusion, it is necessary to consider the statutory context of this
appeal in some depth. With the exception of hospitals, which are the responsibility of the
provinces by virtue of s. 92(7) of the Constitution Act, 1867, health is not a matter assigned solely
to one level of government; see Schneider v. The Queen, [1982] 2 S.C.R. 112, at pp. 141-42 (per
Estey J.). It is generally agreed, however, that the hospital insurance and medicare programs in
force in this country come within the exclusive jurisdiction of the provinces under ss. 92(7)
(hospitals), 92(13) (property and civil rights) and 92(16) (matters of a merely local or private
nature); see Hogg, supra, at p. 6-16, and the Canadian Bar Association Task Force on Health
Care, What's Law Got to Do with It? Health Care Reform in Canada (1994), at p. 15.
25 This has not prevented the federal Parliament from playing a leading role in the provision of
free, universal medical care throughout the nation. It has done so by employing its inherent
spending power to set national standards for provincial medicare programs. The Canada Health
Act, R.S.C., 1985, c. C-6, requires the federal government to contribute to the funding of
provincial health insurance programs provided they conform with certain specified criteria. (The
constitutionality of this kind of conditional grant, I note parenthetically, was approved by this Court