Jump to content

Ask Your VA   Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
 Search | View All Forums | Donate | Blogs | New Users | Rules 

  • homepage-banner-2024.png

  • donate-be-a-hero.png

  • 0

Section 1151 Claim

Rate this question


john999

Question

  • Answers 7
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

Are there any yardsticks timewise for a Section 1151 claim to be adjudicated?

<{POST_SNAPBACK}>

Nope- it took mine almost 4 years before it was awarded and during the same month I filed one for a vet friend of mine and his was awarded 100% under Sec 1151 in 3 months-after filing the claim.

same VARO-same VAMC-

I had a lot more evidence than he did to prove 1151 but they wanted to really drag mine out.

But if you meant time limit to file- you can file one 20 years after the fact-that part doesn't matter yet waiting means the chances increase that records will be misplaced or lost. B)

Link to comment
Share on other sites

Nope- it took mine almost 4 years before it was awarded and during the same month I filed one for a vet friend of mine and his was awarded 100% under Sec 1151 in 3 months-after filing the claim.

same VARO-same VAMC-

I had a lot more evidence than he did to prove 1151 but they wanted to really drag mine out.

But if you meant time limit to file- you can file one 20 years after the fact-that part doesn't matter yet waiting means the chances increase that records will be misplaced or lost. :lol:

<{POST_SNAPBACK}>

Berta, I am pondering submitting a 1151 claim for the VA failure to diagnose a paralyzed diaphragm. I went to the VA in several times before my wife got mad and talked to the ER boss and they finally did a chest Xray and found the problem. The first few times, they adjusted BP meds and told me to lose weight. Would thi s be a vaild claim???

Link to comment
Share on other sites

During the time after you first went there (I assume you had pain or trouble breathing) if the paralyzed diaphram caused you additional ratable disability, then I sure would file a Section 1151 claim if I were you.

These claims are based on dcumented negligence that causes further disability.

If VA did neglect to treat you promptly but corrected this problem before it got worse, that really isnt negligence -just their stupidity.

But if you ended up with medically documented breathing problems that

they had to treat due to the initial screw up- then you have something they could rate under Sec. 1151.

Like if you need a breathilizer or oxygen now but you didnt need it when you first went to VA.

VA medical error plus documented additional disability due to it = Sec 1151.

Link to comment
Share on other sites

Berta said it exactly right.

1. Did the VA's failure to (at first) properly diagnose or treat cause further injury or exacerbate your preexisting condition (i.e., can you prove that damage)?

AND (not OR)

2. Did the physician fail to exercise the degree of skill and care ordinarily required of the medical profession (i.e., did he use the same standard of care as other physicians would have)?

--Susan

Link to comment
Share on other sites

Niether you nor myself are medical professionals qualified to come to such a conclusion. If you really wish to win an 1151 case, you really need a doctor to review your progress notes from the VA hospital medical center where the surgery took place (or private if contracted by VA). He/she needs to opine as to whether or not treatment was negligent, careless, the person lacked the proper skill to perform task, there was an error in judgement, or the disability(or degree of disability acquired) was an event not reasonably forseen.

Many times people have a difficult time in obtaining a medical opinion from another doctor who will declare negligence, carelessness, ect. This is why they often drag on. Other reasons include failure to comply with medical advice during hospitalization and after surgery, VA personnel are not always up to date on regulations, are rushed to do thier work, and they work on many frivolous claims(or claims without a medical opinion), they have service officers looking over thier shoulder, and this discourages and frustrates them. Many frivoulous claims (or claims without a medical opinion) are caused by a lack of understanding or lack of acceptance of the law. And as always, please remember each case is unique, and often times cannot be compared to another with the same condition, caused by different circumstances.

Merry Christmas!

Edited by WeAre#1
Link to comment
Share on other sites

Also, a tort claim should be considered depending on the circumstances. Remember, the reasonable doubt doctrine cannot be used on 1151 claims...............

Edited by WeAre#1
Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • RICHKAY earned a badge
      One Month Later
    • pacmanx1 earned a badge
      Great Content
    • czqiang1079 earned a badge
      First Post
    • Vicdamon12 earned a badge
      Week One Done
    • Panther8151 earned a badge
      One Year In
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      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”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • 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.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use