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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
Continue Reading on HadIt.com-
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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
05/28/2008
Thank you for checking on that and thank you for sending me a Copy of my husband’s C-file.
I previously requested a copy of the Medical Opinion dated October 19, 2007 that the Rating Decision dated October 22, 2007 indicates was evidence reviewed in making the decision.
I am not finding a copy of such Opinion in my husband’s C-file.
The closest thing I can find is a Medical Opinion that is written on a Report of Contact (Form 119). However, the copy of the report I received does not indicate the date it was written. The date MAY be on the second page, as the page I DID receive has (Over) written on the bottom.
As I only received a copy of the first page of this report, would it be possible for me to receive a copy of the remainder of this report?
Also, is it possible that the report the October 22, 2007 decision refers to was actually written in October 2007, rather than October 19, 2006?
The partial report I did receive appears that it was written in response to the Request for a Medical Opinion indicated in the file. This form also does not have a date, but the fact that it is asking for an opinion in regard to entitlement for benefits due to the veteran at the time of death would indicate the opinion was requested AFTER my husband’s February 2007 death.
I would like to request to be sent the remainder of the report, as I only received the first page of the report.
I would also like to find out if this is the report the October 22, 2007 decision is referring to. If not, I would still like to receive a copy of the Medical Opinion dated October 19, 2007 that the VA used as evidence in deciding my claim.
06/03/2008 01:31 PM
We have provided all information from Mr. Xxx claim file.
Could you forward a copy of the VAF 119 that you currently
have and we might be able to do further research.
06/08/2008 03:37 PM
I sent a copy of the VAF 119 that looks like the medical opinion the denial letter is referring to. I sent it by certified mail receipt number xxxx on June 6, 2008.
06/16/2008 09:23 AM
With regard to your request for copies of records, we must hve this request over you written signature.
06/16/2008 12:06 PM
Could you tell me if you did find the other side of the doctor opinion letter that was written on the other side of the VAF 119?
I indicated that I did not get the second page to that in the copy of the C-file I received on the 05/28/2008 post on this thread, and you asked me to forward a copy of the report to help with your research.
I would like to know if the second page of the report was located.
If I am required to submit another written signed request to get the second page of the report, I will do so. However, I would like to know if the second page has been located (or actually, as the page I received said “over” at the bottom of the page, it is most likely the back page of that report, rather than a second page of the original). I would additionally like to know if this is the October 16, 2006 medical opinion the adjudicator was referring to in the October 22, 2007 notice.
06/20/2008 10:14 AM
To be able to have someone review the file for that particular VAF119, Please provide us with the date on the VAF119 and we will someone review the file for the back page.
AAAAAAAAAAAGGGGGGGGGGGGGGGGGGGGGHHHHHHHHHHHHHHHHHHHHH!!!!
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