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Jamaicans Denville Clarke and Kenroy Williams had been in Canada for mere days in August 2012 when the van carrying them and seven other foreign workers rolled over on the way to a southern Ontario farm.

Another of the seasonal labourers was killed, Mr. Clarke and Mr. Williams suffered serious injuries and the driver was charged. The pair say they required treatment well after they were supposed to return home at the end of harvest season.

An Ontario court has just ruled, however, that their medicare coverage ended when their work visas expired that December, leaving them potentially on the hook for months of health-care costs.