This sure seems different than having a doctor state their opinion and give medical sound reasoning for that opinion. It appears that the VA directs clinicians to NOT state opinions - but just discuss objective findings - which leaves the VA free to decide what the VA examiner's actual opinion was. Then, if the VA exam was in your favor - they can deny claims because the examiner's opinion was only implied, or weak.
C&P Service Clinician’s Guide
"1.15 Should opinions of merit or percentage of disability be given by the examiner?
The examining clinician must avoid expressing an opinion regarding the merits of any claim or the percentage evaluation that should be assigned for a disability. An opinion should not be given to the claimant regarding insurability, degree of disability, incurrence or aggravation by military service, or the character and sufficiency of treatment during military service or subsequently thereto. When asked about employability, the examiner should not state that an individual veteran is or is not individually unemployable, but should describe in full the effects of the conditions being examined on functioning, and how that relates to employment.
1.16 How do I give an opinion for nexus (relationship to a military incident?
When asked to give an opinion as to whether a condition is related to a specific incident during military service, the opinion should be expressed as follows:
1. “is due to” (100% sure)
2. “more likely than not” (greater than 50%)
3. “at least as likely as not” (equal to or greater than 50%)
4. “not at least as likely as not” (less than 50%)
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free_spirit_etc
This sure seems different than having a doctor state their opinion and give medical sound reasoning for that opinion. It appears that the VA directs clinicians to NOT state opinions - but just discuss objective findings - which leaves the VA free to decide what the VA examiner's actual opinion was. Then, if the VA exam was in your favor - they can deny claims because the examiner's opinion was only implied, or weak.
C&P Service Clinician’s Guide
"1.15 Should opinions of merit or percentage of disability be given by the examiner?
The examining clinician must avoid expressing an opinion regarding the merits of any claim or the percentage evaluation that should be assigned for a disability. An opinion should not be given to the claimant regarding insurability, degree of disability, incurrence or aggravation by military service, or the character and sufficiency of treatment during military service or subsequently thereto. When asked about employability, the examiner should not state that an individual veteran is or is not individually unemployable, but should describe in full the effects of the conditions being examined on functioning, and how that relates to employment.
1.16 How do I give an opinion for nexus (relationship to a military incident?
When asked to give an opinion as to whether a condition is related to a specific incident during military service, the opinion should be expressed as follows:
1. “is due to” (100% sure)
2. “more likely than not” (greater than 50%)
3. “at least as likely as not” (equal to or greater than 50%)
4. “not at least as likely as not” (less than 50%)
5. “is not due to” (0%)"
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