Questão jurídica principal
Whether the psychiatric and medical evidence required further investigation or showed a deterioration in health.
Decisão extraída
No further medical inquiry was required; the court upheld the finding that the health status, especially the psychiatric condition, had not materially worsened.
Fundamentação extraída
The later reports did not show a new deterioration compared with the comprehensive expert opinion of January 2004. The lower court's anticipatory assessment of evidence was not arbitrary.