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VA Disability Claims: 5 Game-Changing Precedential Decisions You Need to Know
Tbird posted a record in VA Claims and Benefits Information,
These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.
Service Connection
Frost v. Shulkin (2017)
This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected.
Saunders v. Wilkie (2018)
The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.
Effective Dates
Martinez v. McDonough (2023)
This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.
Rating Issues
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Tbird, -
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Are all military medical records on file at the VA?
RichardZ posted a topic in How to's on filing a Claim,
I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful. We decided I should submit a few new claims which we did. He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims. He said that the VA now has entire military medical record on file and would find the record(s) in their own file. It seemed odd to me as my service dates back to 1981 and spans 34 years through my retirement in 2015. It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me. He didn't want my copies. Anyone have any information on this. Much thanks in advance.-
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RichardZ, -
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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability ratingPicked By
yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.Picked By
Lemuel, -
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Question
Berta
This topic was moved and I could not find it to reply directly to it-
A Writ of Mandamus is a petition to the US Court of Veterans Appeals -usually to have them take action to get your claim decided faster.
BUT- you have to have exhausted every potential thing you could do- to get action on your claim.
I filed a Writ of Mandamus many years ago that was denied by the Court- but I sent to RO a copy of it and
at the same time I was actively pressuring the RO to read my medical evidence.I did receive those awards but I have no idea if the mandamus helped at all.
I am preparing another Writ of MAndamus- their are quidelines at the CAVC web site that must be followed in preparing this legal document.
Make sure you ask them to waive the filing fees-they usually always do that-
I have a better standing for a writ now then I did 10 years ago-
Maybe this will show what I mean--
I filed a claim involving a legal issue in January 2003.
The legal issue grew out of the recent Bonny V. Principi decision.Then the VA developed regs on this widow's claim that forgot an allowance for consideration of Sec 1151 widows under the Bonny regs.
I challenged that.
The Buffalo RO VSM stated in mail twice since 2003 that I would receive an administrative decision.
I never received a VCAA letter on this and no decision ever came.
I wrote to General Counsel asking them to opine on this as a legal question.
They wrote back that without any direction from the RO and without my receipt of any decision at all-they had no jurisdiction.
This claim is among my other claims that a rater has now.
They said a decision is pending on all of them.
If the decision again fails to include this claim re: Bonny V Principi- I will file a Writ of Mandamus as this would show that over 4 years have passed and the VA has failled to decide the claim at all.
I can show the court that I took steps to get the OGC to decide the legal aspect and they couldnt. Also I can show the court a copy of letter I sent to the VA -Regulations Division-
asking that this reg be amended to include all Section 1151 widows and widowers.
I dont know the outcome of that yet.
My long point is -a Writ of Mandamus has nothing to do with merits of a claim or evidence.
Writs can compel to VA to take steps that the claimant has exhausted in attempting to get a decision.
(Snyder V Gober, Bates V. Nicholson.)
Writs can also force VA to comply with expeditious treatment .(Vargas V Gonzales V Principi)
The format at the CAVC web site must be followed in preparing a writ.
You must tell the court what steps you have taken to rectify the problem.
Your argument must be "compelling" Erspamer V. Derwinski
Your argument must be based on establlished VA case law- (Bates V. Nicholson -forcing the RO to issue a SOC)
You must have exhausted all other avenues of rectifying the situation and be able to prove to the court what steps you have taken.
The writ should be short and to the point.
I suggest to anyone considering this action to purchase the VBM and read carefully their info on Writs.
Or go to the CAVC web site and read Writs there.
99 % of these writs fails- yet if they are preared properly they can get the RO to move.
Send a copy of the writ to the RO also.
GRADUATE ! Nov 2nd 2007 American Military University !
When thousands of Americans faced annihilation in the 1800s Chief
Osceola's response to his people, the Seminoles, was
simply "They(the US Army)have guns, but so do we."
Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.
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