I had filed for a reopening of my denied TDIU claim. Along with that request to reopen I included what I and my VSO felt was "new and material" evidence.
A denial of VRE benefits due to the severity of my service connected disabilities and a statement by my then VA PCP stating that I'm unemployable.
The claim followed the standard path. It was over a month late getting out of the "Review of Evidence" phase and past the earliest date it was supposed to be complete. Again par for the course.
The claim went to Prep for Decision and I had hope. A couple of days later it was back to Gathering of Evidence. The expected dates of completion had been moved to 7/2014 to 1/2015. Originally it was supposed to be finished no later than 4/2014.
A development letter was sent. I received the letter and it stated that I needed to submit "new and material" evidence or the claim would be closed. There was NO mention of the evidence I had submitted.
I headed down to my VSO's office the next day. She looked at her files and found where the request and the evidence had been submitted. I asked her if she felt that the evidence was sufficient (my old VSO had received a promotion and moved out of this office) she stated that it was more than sufficient. She prepared a letter and sent it on to the RO.
So far nothing has changed in regards to my claim.
I was going to hold off on filing any additional claims till my IU claim was settled. But I decided to go ahead and ask for a increase in my depression and radiculopathy. I also filed for my right shoulder which has been causing me a lot of problems due to use of a cane, constipation due to daily use of narcotics and sleep apnea due to weight gain from medication and from inability to exercise due to my lower back.
I've gained 50 lbs the last four years. Most of it during the first two years while I was still working and walking 10 miles per day.
Member of the Church of the Enlighten Pistolero.
I may be out-manned but I'll never be outgunned.
Shoot to stop the threat or till the magazine is empty.
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
StreetWalker
I had filed for a reopening of my denied TDIU claim. Along with that request to reopen I included what I and my VSO felt was "new and material" evidence. A denial of VRE benefits due to the severity of my service connected disabilities and a statement by my then VA PCP stating that I'm unemployable. The claim followed the standard path. It was over a month late getting out of the "Review of Evidence" phase and past the earliest date it was supposed to be complete. Again par for the course. The claim went to Prep for Decision and I had hope. A couple of days later it was back to Gathering of Evidence. The expected dates of completion had been moved to 7/2014 to 1/2015. Originally it was supposed to be finished no later than 4/2014. A development letter was sent. I received the letter and it stated that I needed to submit "new and material" evidence or the claim would be closed. There was NO mention of the evidence I had submitted. I headed down to my VSO's office the next day. She looked at her files and found where the request and the evidence had been submitted. I asked her if she felt that the evidence was sufficient (my old VSO had received a promotion and moved out of this office) she stated that it was more than sufficient. She prepared a letter and sent it on to the RO. So far nothing has changed in regards to my claim. I was going to hold off on filing any additional claims till my IU claim was settled. But I decided to go ahead and ask for a increase in my depression and radiculopathy. I also filed for my right shoulder which has been causing me a lot of problems due to use of a cane, constipation due to daily use of narcotics and sleep apnea due to weight gain from medication and from inability to exercise due to my lower back. I've gained 50 lbs the last four years. Most of it during the first two years while I was still working and walking 10 miles per day.
Member of the Church of the Enlighten Pistolero.
I may be out-manned but I'll never be outgunned.
Shoot to stop the threat or till the magazine is empty.
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