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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
dav_marine72
Hi Everyone,
I filed for loss of use of a creative organ about six months ago based on the Zoloft I take and my service connected back and testicle issues. The VARO came back and denied it based on no nexus letter. Fair enough I'm going to the health center today to get the nexus letter my shrink is good to go with that stuff.
Here is my question. I understand I didn't file for the SMC until six months ago but there have been many documents of it in my VA medical records. The VARO admitted this in their denial. My question is that I had a hearing with a DRO back in December 2004. The hearing was not for loss of a special organ or ed. However, when talking about my sc back and testicle the loss of use came up.
Just to give you some background on my sexual dysfunctions I was diagnosed with OCD in the beginning of my mental treatment because I was addicted to masturbation based on trying to relieve my back and leg pains. By 2004 I was unable to masterbate because if I did I would be in extreme pain in my back and testicle. Here is the testimony.
This part of the hearing was based on my going after service connection for a mental disorder which as granted by the DRO at a later date.
Veteran: Yup. I was seeing them (VA shrink) for a whole bunch of issues, and one of them was off in the sexual realm. And I can't really ---I was talking with Dr. Va about this the other day, he said, well, how are you doing in that realm? And I said, Well, I don't have any problems with it because I can't do it.
DRO: Right
Veteran: Because one of the problems was chronic masturbation and it was all kinds of sexual type of stuff. I can't do anymore.
DRO: Because of your back?
Veteran: Yeah
DRO: And your testicle ---
Veteran: I do have sex
DRO: pain?
Veteran: on occasion with my live in girlfriend.
DRO: Uh-huh
Veteran: But I can't masturbate. If I masturbate, my back is totally ---
DRO: It just kills you.
Veteran: Freaked out.
DRO: Yeah
Veteran: So on that piece of it, thats pretty much all throughout ----
DRO: So your finally ----
Veteran: my
DRO: physically cured of that without having to worry about ------
Veteran: Right
DRO: The psychiatric end ---------
Veteran: In a strange way of a ------
DRO: --- of all the ------
Veteran: bad back and testicle thing
DRO: yeah
Veteran: took care of that. Because I just --------
DRO: That's not a good way to take care of things.
Veteran: No it's not.
DAV REP: It's extremely painful.
DRO: Yeah
Now in my current case I am claiming loss of use a of creative organ based on 200mg of Zoloft a day which doesn't allow you to climax, sometimes I can't get an erection from the back, and of course if I was able to have occasional sex as in 2004 I would be in extreme pain after doing it.
My question is shouldn't the DRO has raised the issue that the use of my creative organ at the time was limited / lost based on not being able to masturbate and being extremely painful when I could have sex. Or does it mean nothing except maybe to help my back and testicle ratings which are coming back to the BVA to be re-evaluated back to 2000?
Thanks.
USMC 1st Battalion 1st Marines 1st Marine Division 91-95
100% P&T
"The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive the Veterans of earlier wars were treated and appreciated by their nation."
George Washington
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