What is the burden of causation against a plaintiff who has not followed a recommended course of medical treatment?

British Columbia, Canada


The following excerpt is from Steinlauf v Deol, 2021 BCSC 1118 (CanLII):

Once causation is established, the burden shifts to the defendant to prove that the plaintiff failed to mitigate some of his loss or injury. If a plaintiff has not pursued a recommended course of medical treatment, the defendant must prove that the plaintiff acted unreasonably in declining the medical treatment and the extent, if any, by which the plaintiff’s damages would have been reduced had he acted reasonably: Chiu v. Chiu, 2002 BCCA 618 at para. 57.

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