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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
ntyler0341
I had filed claims with the VA. Some were new, and some claims were to reopen certain claims. This was almost one year ago. Recently, I received a letter a letter from the VA. It mentions they are still working on my claim, but need more information on GWI.
What do we still need from you?
We need evidence showing that the following conditions existed from military service to present time:
Body rash, joint pains, diarrhea, chest/stomach pains, all due to GWI.
The letter goes on to state.........you have claimed exposure to an environmental hazard based on your service during the GW. We can take no action since you did not claim a specific disability. Tell us your specific disability that resulted from your exposure so we can process your claim.
As you all are aware, this is getting old and very frustrating. I submitted all information I had that listed my symptoms. I was pretty specific filing form 21-4138. I went as far as listing the health effects of my children and how it affects me emotionally.
What else does a guy have to do?
Yes, I had a VSO. She was the one who initially opened this claim. BUT, when I told her I need to file for GWI, I got the deer in the headlights look. Needless to say, I went to this DAV for info on my claim, and was told she quit over a month ago.
I face many obstacles, the biggest being that I live in the most remote place in Western Washington. Im well over 4 hours from a metropolitan area. At this point, I know I need to do what ever needs to be done for this battle.
Any and all thoughts on my next steps will be highly appreciated.
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Guest
When I was awarded 100% schedular P & T, my award stated that my condition was permanent in nature. The VA also granted me CH 35 and sent a VA form 21-8760 ADDITIONAL INFORMATION FOR VETERANS WIT
ntyler0341
I had filed claims with the VA. Some were new, and some claims were to reopen certain claims. This was almost one year ago. Recently, I received a letter a letter from the VA. It mentions they are sti
USMC5811
I spoke to a Gulf War Vet a few weeks ago that said that he received a similar letter from his RO. He could not understand what more they wanted as he submitted medical records that confirmed severa
34 answers to this question
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