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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
shadle2001
I have been out of the Army for about a year now. I was going through the Med board process when they discharged me under OTH conditions. I had an officer tell me I couldn't see my children. This went on for 6 months and I couldn't deal with it anymore and saw them. I have a court martial document that states what the judge says about this "This was a cruel and unnecessary order to give any soldier". But they still found be guilty of disobeying an order(this was back in 2011). In 2013 I was ordered by Hawaii courts at one point to start paying allimony to my soon to be ex-wife at the time. Because my civilian attorney told me not to pay it, I never did. (I have a statement from my attorney stating that) They gave me an ART. 15 for it and with that they gave me an OTH discharge for patterns of misconduct, with these two events. Four months later the Hawaii court judge ammended the court order stating that I didn't have to pay allimony.
There is the history, now to what is happening now. I was being medboarded by the Army so all my exams for disability were already done prior to getting out. I filed my claim with the VA the day after I got out (Apr 30, 2013). They had to change it to a Character of Discharge Review. On the 7th of Dec 2013 I recieved a letter from the VA stating that they needed information regarding my discharge and gave me the oppurtunity to give my side of the story. With the help of American Legion, we wrote a document up and supported it with what the Court Martial Judge said and the divorce decree from Hawaii courts. The American legion guy said that this is pretty much an easy decision because of my supporting documentation. We turned in the paperwork on the 10th of December 2013 and I got it time stamped so I had proof that I turned it in.
About 2 weeks ago I got a letter saying they denied my claim because they never recieved any documentation from me regarding my discharge. So I went in to the VA office and talked with the same person who I turned the paperwork into. He looked it up and sure enough it was there. He than help me write another letter asking them to redo it but with my documentation this time.
Ebenifits just added to it, devolpment letter sent.
1. What is a devolpment letter
2. Do I need to file an appeal, or is what I did with the VA guy good enough for them to relook at it.
Thanks for your help.
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