Well just when you think you can stop stressing the VA makes you stress again. I'm not sure how many of you so my posts within the last month but here is the deal.
My American legion rep goes up to the VARO and signs off on a September 16, 2009 decision granting a few things including TDIU and dependents educational assistance (DEA). Under the grant of DEA it states a Veteran is eligible for DEA when he or she is discharged under other than dishonorable conditions and has a permanent and total service connected disability.
I receive a grant letter dated September 18, 2009 with all the above minus the DEA award.
I call my SO and he says no your P&T.
I go to the VARO in the next couple of days and ask for a copy of my latest rating decision. I get a copy of the September 16, 2009 decision showing the grant of DEA. However, the rep won't tell me if I am P&T. He says I can tell you is that you are TDIU and have DEA benefits and he underlined them. I go down to my American Legion rep and he says by establishing DEA they have rated you P&T and you are eligible for champva. The only way you can get DEA is though P&T. I said why doesn't it say P&T directly on the letter. He says this is how they have been awarded P&T now. They used to actually spell out P&T.
Then since I filled out a release that day a few days later I get the September 18, 2009 rating decision again without the DEA.
So I'm cool and happy and file my CHAMPVA application. Then I call this morning and find out its denied because they say I'm not P&T.
I called my AL rep and leave a message. He tells me he went up to the RO and saw the September 18th decision without the DEA grant. However the code that was on the sheet he signed off on was P&T. He pleaded my case and we are waiting to hear back. WTF!!!!!!!!!!!!!!!!!!
"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."
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.
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.
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”
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.
Question
dav_marine72
Well just when you think you can stop stressing the VA makes you stress again. I'm not sure how many of you so my posts within the last month but here is the deal.
My American legion rep goes up to the VARO and signs off on a September 16, 2009 decision granting a few things including TDIU and dependents educational assistance (DEA). Under the grant of DEA it states a Veteran is eligible for DEA when he or she is discharged under other than dishonorable conditions and has a permanent and total service connected disability.
I receive a grant letter dated September 18, 2009 with all the above minus the DEA award.
I call my SO and he says no your P&T.
I go to the VARO in the next couple of days and ask for a copy of my latest rating decision. I get a copy of the September 16, 2009 decision showing the grant of DEA. However, the rep won't tell me if I am P&T. He says I can tell you is that you are TDIU and have DEA benefits and he underlined them. I go down to my American Legion rep and he says by establishing DEA they have rated you P&T and you are eligible for champva. The only way you can get DEA is though P&T. I said why doesn't it say P&T directly on the letter. He says this is how they have been awarded P&T now. They used to actually spell out P&T.
Then since I filled out a release that day a few days later I get the September 18, 2009 rating decision again without the DEA.
So I'm cool and happy and file my CHAMPVA application. Then I call this morning and find out its denied because they say I'm not P&T.
I called my AL rep and leave a message. He tells me he went up to the RO and saw the September 18th decision without the DEA grant. However the code that was on the sheet he signed off on was P&T. He pleaded my case and we are waiting to hear back. WTF!!!!!!!!!!!!!!!!!!
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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