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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.-
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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
2 Dollar Bill
Just wanted to introduce myself. I was in the Army from '86 to 9/90, when I was chucked out (honorabley) with 5 days notice, a daughter and wife 8 months pregnant, because I injured my knee and both ankles from a 30' fall from an obstacle on the Air assault course in '87. Went 3 years and an overseas tour on a temp profile. Got 10% out of the Army, but that all went back to the Army for years to pay back the $8500 in severance pay I received, which all went to the hospital for the birth of our second daughter. Anyway, I fought with the VA for awhile but they wore me down, I was working full time and going to school full time.
20 some years later, my buddies convinced me to go back to the VA and, after a little prodding from the DAV (I'm a life member), they upped it to 30%. Wow. The thing I'm wondering about is that the VA denied the claims on my ankles from day 1. The initial paperwork on the claim filed in September of 2010 said I was asking for re-evaluation of my knee and an eval of my ankles as injured over time due to my knee. I argued with the first VSO I talked to because I've had the ankle injuries from '87. He told me there was no way the VA would consider that. Well, when I got the decision 2 days ago, the VA states that although I based my claim on my ankles being injured over time due to knee problems, that my ankles were, in fact, injured during the initial fall in '87!!!
This opens up the question: Is there any way the VA would, or could be forced to give me back pay?
Well, I'm rambling on. For the last 20 years, I've suffered thru this, joined the DAV and worked to get the word out to vets and active duty members that the VA is not your friend, no more than the DA. I've worked at Ft. Campbell since '95 and talked to alot of folks coming home and the word seems to out pretty well that you have to cover your butt these days when you get out. I had no such help when I got out and I know alot of you guys didn't either. No matter what your branch of service or where you served, we all wrote a blank check to Uncle Sam when we signed up, but that's no excuse for the way vets are treated by the system.
Best Regards to All,
Bill
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