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Totally Confused - Need Someone Who Can Explain What Va Is Doing.
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georgiapapa,
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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.
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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
georgiapapa
BACKGROUND: Filed AO presumptive claim for multiple myeloma and peripheral neuropathy secondary to multiple myeloma in October 2011. Provided complete evidence package to Atlanta VARO via certified mail with return receipt signed by VA employee. On April 5, 2012, Atlanta VARO indicated they had not received any evidence and demanded evidence by May 6, 2012. Another complete evidence package hand delivered to Atlanta VARO on May 1, 2012. In August 2012 Ebenefits finally acknowledged receipt of some of the evidence I provided. The list of evidence they acknowledged receiving included multiple myeloma diagnosis letter from my oncologist (including supporting lab work), IMO letter from neurologist stating my peripheral neuropathy is "more likely than not" secondary to multiple myeloma, military records showing combat service on the ground in Vietnam. On September 12, 2012 I had C&P exam and VA examiner acknowledged that I have multiple myeloma and peripheral neuropathy and she concluded that my peripheral neuropathy is "as likely as not" secondary to multiple myeloma.
On September 24, 2012 I received letter from Atlanta VARO stating they needed some additional evidence from me no later than October 24, 2012. They requested the following: (1) Evidence showiing continuity of disease (multiple myeloma) since I was discharged from USMC in 1970, (2) Evidence of continuity of disease (peripheral neuropathy) since my discharge, (3) Evidence showing that I have a skin disease contracted within one year of my last exposure to agent orange in 1968. (NOTE: Apparently the Atlanta VARO thinks multiple myeloma is a skin disease instead of a blood cancer). (4) Evidence showing my disease (multiple myeloma) was caused by exposure to herbicides in the military.
All evidence required was provided to the Atlanta VARO twice. I typed up a letter explaining this to the Atlanta VARO and hand delivered it to them on October 1, 2012. In the letter I advised that this was an agent orange presumptive claim which did not require the evidence they were requesting and I explained that multiple myeloma was a blood cancer in the bone marrow and not a skin disease but was on the agent orange presumptive list and I was exposed to agent orange in Vietnam. I also hand delivered a VCCA notice to them on October 1, 2012 stating I had no more evidence to submit and to go ahead and decide my case.
This morning I checked my Ebenefits page and the status has changed from gathering evidence to preparation for decision. However, other new entries I read have me totally confused. Perhaps someone on the hadit forum can make sense of it and clue me in.
Estimation date of completion changed from 12/12/2012-03/11/2013 to 02/22/2013-06/21/2013.
NOTE: This doesn't make sense if they are preparing to make a decision.
There was also a new section which appeared titled "Evidence we have not received." It listed the evidence they requested on September 24, 2012 which I did not provide and explained why in my letter I hand delivered to them on October 1, 2012. It also stated my claims were closed as of December 12, 2012.
I am not sure of what to expect since I didn't provide the additional evidence. Does anyone have an idea as to what is going on and what, if anything, I need to do at this point?
NOTE: I recently submitted an informal claim to the Atlanta VARO for agent orange presumptive IHD and chronic adjustment disorder with anxiety & depression secondary to medical conditions (multiple myeloma & IHD). I plan to submit all of my evidence for the new claims before the end of the month.
All suggestions are appreciated.
Georgiapapa...
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