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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
free_spirit_etc
Okay..I have been in limbo for quite some time about getting my husband's C-file.
My husband requested it mid-2006. Hadn't recieved it before he died Feb. 2007.
They told me after his death that it was still going to be sent - and I would get it in 30 days...which, of course, only caused a delay of another 30 days - before I called them again and was told I had to RE-REQUEST it.
I requested a copy last year - I sent a request to both view the c-file and obtain a copy. I was allowed to view it last JULY - but was told I had to wait for my copy - and I am still waiting - NINE MONTHS after my initial request.
They tell you it usually takes 6 months to get your copy from Chicago.
When I got the denial - I IRISed them and asked what I would need to do to get a copy of the Doctor's Opinion.
They told me to submit a written request; which I did. I asked that my request for a copy of the Doctor Opinion be expediated (i.e. sent during my lifetime) - as this was a LIMITED REQUEST.
I didn't recieve a response that they got it - so I did another IRIS asking that they give me a copy of the opinion while I was still WAITING for a copy of the C-fie I requested long ago.
They responded and told me that the rquest had been sent to the Privacy officer and that I would get a copy of the opinion FIRST (yippie) and THEN a copy of the C-file (as it is so LARGE).
Sooooooooo - I would sure like to request that they toll any deadlines that they have for anything - adding the amount of time it took for them to send me the information I needed for the claim.
And here is my major question at this point -
When I get the IMO - do I send the C-file to the Dr. - or do I submit a request for the VA to do it.
I know I saw a thread where the VA discounted their IMO stating they had not recieved a request to send the doctor the C-file - and though the doctor stated he viewed the file - he only mentioned things that were on the denial letter.
(Hmmm - how odd that a doctor would only address the issues the VA had stated were important).
Anyway - should I put in a request for THEM to send the doctor a copy of the C-FILE - and if so - does it also take them forever to send it to the doctor - Or do they send those out within the veteran and / or their dependent's lifetime?
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