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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.- 4 replies
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RichardZ, -
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
jecsb4
JAN 6th 2006
I need some advice on my C&P. I first filed in Feb 2004. Here is my background data: Active Army officer for 6 years (81-87) and I still am in the Army reserve with a total of 25 years. I have a reserve “20 year letter” and three years left before mandatory retirement. I was called to active duty twice for Operation Enduring Freedom (stateside Service), so I have 3 DD-214’s. My Army reserve job is using computer simulated war exercises to various unit command & staff personnel. I live in Houston, which has a VA hospital and a VARO.
I filed in Feb 2004 for the following :Severed ligament on right wrist which was repaired with reduced range of motion, bilateral flat feet, rigid toes and hammer toes – both feet, bunionectomy left foot, migraine headaches, and depression.
I submitted extensive and appropriate civilian and military medical records including a buddy statement and two line of duties. My reserve unit even made copies of my files and mailed it to them. The VA kept asking for more data and I finally had to write them and say there was no more documentation.
During my 2004 -2005 active duty I suffered bilateral inguinal hernias, was discharged and had a civilian doctor perform surgery. I also suffered blood clots and had to take medicine. I further had shortness of breath from Alpha 1 Antitryprin deficiency ( iam am a carrier of the gene) I submitted another claim for these conditions along with a line of duty for the hernias.
Nothing happens until June 2005. I am scheduled for 6 C&P exams: Gen Med, Vas Surgery, Gen Sur, Neurology, Psychiatry & pulmary function. They check to see if I had a hernia! I explained that it was repaired. They never did a test to see if my blood clots in my legs were gone! The shrink was a psychologist and she didn’t think I was depressed.
Now in Dec 2005 I get a letter saying they need another Gen Med exam. I was out of town & missed it. So I walked into the VARO and submitted a written request for another one. I then get a letter form the VA saying they have received my application for benefits and action on my claim may be delayed due to the large volume of claims and there is no reason to contact them! So I called the Texas Veterans Commission (who aren’t a big help) and they found out that my file is in Cleveland Ohio.
I guess I am wondering If I will get another exam, what to do during that exam, what possible rating I may get , how much longer this will take and if needed, the appeals process. I do have a civilian job and still am in the reserves, so I don’t expect a big rating. Also I understand that the C&P monies offsets drill pay, correct? Not sure how that workes. What happens when I turn 60 and draw reserve retired pay? Does the C7P offset it?
Any advice and help would be appreciated.
Thanks.
Joe
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