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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.
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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
Quint7
Hi All,
I went and got the copy of my C&P for knee and back that was done 10 days ago. The results are unusual. I will start by saying that I claimed an increase for my 0% knee, a claim for my back being secondary to my knee and a reopening that my back alone is SC.
My measurements were:
Knee 0-90 degrees out of 140 degrees.
Back 0-20 degrees forward out of 90 degrees, 0-5 degrees extention out of 30 degrees, 0-20 degrees right lateral flextion out of 30 degrees, left and right rotation is 0-30 degrees out of 30 degrees.
The PA that examined me mentions that I have had therapy for both problems. She also mentions that I had a MRI and that it shows DDD and Stenisis along with disc buldge.
She then states that the "spine condition is less likely as not secondary to his right knee condition. The vet has a lot of other contributing factors to his back condition, including his occupation as a firefighter. The vet's gait was normal on exam today. The MRI findings do not support spinous condition as secondary from the right knee. It is more likely from other causes."
OK, a few things:
I had the actual MRI films with me and I asked the PA to look at them, to which she said "I don't need to, I have the report here".
I have been a firefighter for 11 years. I filed originally for my back upon my end of enlistment in 1994. I also saw a chiropractor in 1998 or 99 (XRays from then show some disc damage already) which is only 1 or 2 years into my firefighting career. She made no mention of this in person or her report yet it claims she reviewed my file.
She claims there are "a lot of other contributing factors" yet other than my job, she does not mention any.
As I posted before, she had 2 huge folders that were my file with her. My exam lasted 20 minutes at most.
Any comments or suggestions?
She states that no further tests are needed.
As I see it, she did not fully review my folder, did not ask my history, automatically took my current career over my explanation that I have had this problem since I was in the service. She did mention that I have had the pain since 1992.
thanks!
jason
I can post any other info from the paperwork I received that might be relavent if I am missing something.
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