Sorry in advance for spelling I can't cut and past in this forum. Many people state the VA is out to get them and people think they are nuts. I am a realist and know the VA seems to be for the most part againist all of us. I have worn out my welcome at my VARO. I am seriously considering moving to another state because of the BS.
I do admit at times they have given me some good things. Then again my evidence is so strong I guess they need to make it look like they are not totally againist me. Here is the latest:
In March of 2009 after a failed 3 level fusion in my back I recieved TDIU. One would say finally! Believe me I understand that getting TDIU was a blessing and I'd be screwed without it because I can't work. Always strings attached with me. The VARO rated me P&T and gave me total + 60% based on the fact I have 10 service connections (I'm 90% by schedule) and I worked until I just could not sit or stand for the day anymore. My service officer calls me with the news. I was overjoyed. Not only did I finally not have to appeal something I was getting an extra $300 or so and of course medical for my wife and small children. I feel guilty all the time because I feel like I'm not a real dad or husband based on all I can't do.
Here comes the kicker. I finally recieve the true paperwork on my decision. No P&T, no SMC (s). I call my SO and ask him what is going on. He looks at his paperwork and says it shows P&T and SMC (s). He says let me go up and talk to the VARO manager. The VARO manager tells him after the rating board reviewed my case they decided my 13 year two failed surgery back could possibly get better so they took away P&T and I don't rate SMC because I am TDIU and not a single 100%. Then my SO says he has had this back injury for 13 years, he done over 10 nerve blocks, he has muscle wasting and atrophy of all the muscle groups in his legs, he has had two surgeries that failed including the latest L3-S1 fusion, he is rated 50% for mental and 30% for asthma in addtiona to the 50% back and all the other service connections. My SO says well we are going to appeal this. The DRO (sorry it was a DRO not a manager) tells my SO I'm going to have to deny it because I have to deal with the raters everyday. If I rate againist them there will be trouble.
So I appeal anyway and ask for P&T and an explanation of why they cannot award it if they deny me again, I ask for A&A because of all the drugs I am on and the problems they cause, I also ask for SMC (s) back (terminated after the temp 100% for the surgery) based on the CAVC's decision in Bradley vs Peake which stated if a Veteran has TDIU and a service connection can cause TDIU (my back) and has other service connections totaling 60% or more and are seperate and distinct from the TDIU aliment (mental and asthma 50% + 30%). So I submit all my evidence and get scheduled for an A&A exam. The results were suprising favorable. The APRN stating that I needed 24/7 supervision from my wife to protect me from the hazards of my environment based on extremly large doses of narcartics and tranqilizers. She also stated that the Veteran is housebound and only leaves the hosue for medical appointments based on his severe pain and panic attacks. She further went on to say that my back caused moderate to severe functional impairment (my TDIU exam in 2009 stated mild to moderate impairment).
Seems like a lock for A&A and SMC (s). I get my decision yesterday. It did not address P&T at all. It just regeritated my temp 100% rating for my surgery. It denied my SMC (s) stating my TDIU was based on multiple service connections. I guess they never heard of bradley vs peake or took the time to look it up after I pointed them to it. The biggest hit of all was they did not address my filing for A&A. The A&A exam / housebound stated right in it I needed 24/7 supervision.
I believe I have worn out my welcome at my VARO. I have gone from 10% in 96 to 90% in 2008 and then TDIU in 2009. I appeal items that I feel based on VA law that I deserve. I was told several times by VARO employees that my case file is so big no one wants to work on it.
Now the final kicker. I have had 4 SCs on appeal since 2000. An intial 20% rating for my back, a 10% rating for a broken right foot with Pes Cavus and ankle equinus, a broken left foot with Pes Cavus and ankle equinus, and a 0% chronic right testicle pain. These issue took 7 years to leave the VARO before going to the BVA. The BVA ignored a ton of evidence and denied me on all issues, although they did give me 10% for lower extremity weakness from my back which is in both legs. At minimum they could have given me 10% for each as they are supposed to. Then finally in December 2009 I get a joint remand at the CAVC on all issues stating my exams were inadaute and they buried a ton of evidence that was never considered. So my file makes it back to the VARO in Feburary and guess what? There are instructions in my folder to do something but since the VARO hasn't even opened my folder (straight out of a reps mouth in person at the VARO) I have no idea where my case stands.
Now my newest denials will head to the BVA where I'm sure they will be denied. My wife hopes I live long enough to collect the back pay.
"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
Sorry in advance for spelling I can't cut and past in this forum. Many people state the VA is out to get them and people think they are nuts. I am a realist and know the VA seems to be for the most part againist all of us. I have worn out my welcome at my VARO. I am seriously considering moving to another state because of the BS.
I do admit at times they have given me some good things. Then again my evidence is so strong I guess they need to make it look like they are not totally againist me. Here is the latest:
In March of 2009 after a failed 3 level fusion in my back I recieved TDIU. One would say finally! Believe me I understand that getting TDIU was a blessing and I'd be screwed without it because I can't work. Always strings attached with me. The VARO rated me P&T and gave me total + 60% based on the fact I have 10 service connections (I'm 90% by schedule) and I worked until I just could not sit or stand for the day anymore. My service officer calls me with the news. I was overjoyed. Not only did I finally not have to appeal something I was getting an extra $300 or so and of course medical for my wife and small children. I feel guilty all the time because I feel like I'm not a real dad or husband based on all I can't do.
Here comes the kicker. I finally recieve the true paperwork on my decision. No P&T, no SMC (s). I call my SO and ask him what is going on. He looks at his paperwork and says it shows P&T and SMC (s). He says let me go up and talk to the VARO manager. The VARO manager tells him after the rating board reviewed my case they decided my 13 year two failed surgery back could possibly get better so they took away P&T and I don't rate SMC because I am TDIU and not a single 100%. Then my SO says he has had this back injury for 13 years, he done over 10 nerve blocks, he has muscle wasting and atrophy of all the muscle groups in his legs, he has had two surgeries that failed including the latest L3-S1 fusion, he is rated 50% for mental and 30% for asthma in addtiona to the 50% back and all the other service connections. My SO says well we are going to appeal this. The DRO (sorry it was a DRO not a manager) tells my SO I'm going to have to deny it because I have to deal with the raters everyday. If I rate againist them there will be trouble.
So I appeal anyway and ask for P&T and an explanation of why they cannot award it if they deny me again, I ask for A&A because of all the drugs I am on and the problems they cause, I also ask for SMC (s) back (terminated after the temp 100% for the surgery) based on the CAVC's decision in Bradley vs Peake which stated if a Veteran has TDIU and a service connection can cause TDIU (my back) and has other service connections totaling 60% or more and are seperate and distinct from the TDIU aliment (mental and asthma 50% + 30%). So I submit all my evidence and get scheduled for an A&A exam. The results were suprising favorable. The APRN stating that I needed 24/7 supervision from my wife to protect me from the hazards of my environment based on extremly large doses of narcartics and tranqilizers. She also stated that the Veteran is housebound and only leaves the hosue for medical appointments based on his severe pain and panic attacks. She further went on to say that my back caused moderate to severe functional impairment (my TDIU exam in 2009 stated mild to moderate impairment).
Seems like a lock for A&A and SMC (s). I get my decision yesterday. It did not address P&T at all. It just regeritated my temp 100% rating for my surgery. It denied my SMC (s) stating my TDIU was based on multiple service connections. I guess they never heard of bradley vs peake or took the time to look it up after I pointed them to it. The biggest hit of all was they did not address my filing for A&A. The A&A exam / housebound stated right in it I needed 24/7 supervision.
I believe I have worn out my welcome at my VARO. I have gone from 10% in 96 to 90% in 2008 and then TDIU in 2009. I appeal items that I feel based on VA law that I deserve. I was told several times by VARO employees that my case file is so big no one wants to work on it.
Now the final kicker. I have had 4 SCs on appeal since 2000. An intial 20% rating for my back, a 10% rating for a broken right foot with Pes Cavus and ankle equinus, a broken left foot with Pes Cavus and ankle equinus, and a 0% chronic right testicle pain. These issue took 7 years to leave the VARO before going to the BVA. The BVA ignored a ton of evidence and denied me on all issues, although they did give me 10% for lower extremity weakness from my back which is in both legs. At minimum they could have given me 10% for each as they are supposed to. Then finally in December 2009 I get a joint remand at the CAVC on all issues stating my exams were inadaute and they buried a ton of evidence that was never considered. So my file makes it back to the VARO in Feburary and guess what? There are instructions in my folder to do something but since the VARO hasn't even opened my folder (straight out of a reps mouth in person at the VARO) I have no idea where my case stands.
Now my newest denials will head to the BVA where I'm sure they will be denied. My wife hopes I live long enough to collect the back pay.
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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