Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

VA avoids reading evidence?

Rate this question


Buck52

Question

  • HadIt.com Elder

What is a veteran to do when he sends in credible probative evidence that would help  with his claim for approved decision & its obviously the VA never read any part of it and the vet is denied.

NOD yes, but if he can't use the evidence he already submitted then if he has to go get ''another IMO'' its just not fair, the only good is the vet will get more retro when he does win but what if the vet needs his claim to help feed his family? ASAP

I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!

Link to comment
Share on other sites

Recommended Posts

  • 0
  • HadIt.com Elder

If it makes anyone feel better, in that they are not alone concerning the VA's evaluation of evidence.

This afternoon, I was finally able to download the results of a recent in person BVA Appeal hearing.

Although there is retro involved, it looks like the judge decided to evade or avoid issues that would significantly raise

the total SC'd percentages that would involve awarding the next higher SMC level. Further, some of the conditions

have existed for more than a decade, and are documented in my medical records and "C" file. It looks like some of the records were ignored

in favor of later C&P results.  Even worse, one condition falls under the "combat veteran" regs, with unchallenged positive information and records,

yet the BVA judge remand orders the VARO to schedule a C&P. ????

 

 

Link to comment
Share on other sites

  • 0

Buck, If the VA completely ignores probative evidence (and you have documented proof they had this evidence when they made the decision), the VA has committed a CUE under 38 CFR 4.6 and you can ask them to CUE themselves within the appellate period.

VA over the last 2 decades ignored probative evidence for most of my claims.

38 CFR 4.1 et all to include 4.6 is one of my favorite regulations.

Or the vet can submit it as N & M support for a Reconsideration request, but they have to do that fast, and they must make sure the VA does not piss away their NOD filing date.

Some vets here have been successful with reconsiderations.

This topic angers me when VA pulls this crap on claimants.

I sent copies of 53 USPS tracking slips to support my House VAC testimony on this crap years ago.

Twelve of them were for submissions of my husband's 6 page autopsy, critical to my claims.

If VA ignores evidence ,after only one receipt of it, that is one thing, (they did that to me last year but reversed a denial in weeks when they acknowledged what they had ignored -under CUE 4.6)

but ignoring  critical evidence 12 times is something else...and that is a deliberate tactic on their part....and should cause the claimant to aggressively get that evidence before the VA, via CUE or Recon.

 

 

 

 

 

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • 0

forgot to add...they also could submit the evidence in an IRIS complaint charging violation of 38 CFR 4.6.

Edited by Berta

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • 0
  • Moderator

Thanks, again, Berta for weighing in on VA hiring illiterate rating specialists.   They will point out the raters are "under the gun" to make quota, and have 2 hours or less to rate your claim.  So, if you have a 2000 page cfile, like mine, or a 10,000 page cfile, like Alex, you can expect your rating specialist to only read the top two or three pages.  "Top sheeting" the claim.  

Even the BVA judge did not read my 2007 medical exam where the Board certified sleep specialist opined my sleep apnea was "the result of" (SC) depression.  You see the doc can say your condition "is" related to service, if he thinks its 100%.  "At least as likely as not" is only used when there is some doubt whether its related to service, but the doctor feels the chances are 51 percent.  

How do I know they did not read it?  Its the VA's "fly in the ointment".  You see, VA has to give a reasons and bases as to why they found evidence which favors the Veteran is not for application.  

In my case, the VA does not have to grant sleep apnea when I have a solid link to depression, but, if they dont, they need to explain why this medical exam was not found to be probative.  

Link to comment
Share on other sites

  • 0

Good topic.

I do feel an "experienced" rater is the better experience.

Raters do misjudge evidence and with experience do a lot better with claims.

I personally would like for the process to be simplified.

Let the veteran know what is needed to approve a claim (medical evidence supporting current disability).

Then put the burden on the veteran and VSO to secure the proper exam to support the disability.

Have a process to vet the medical information by verifiable means.

No more C&P exams.

Link to comment
Share on other sites

  • 0

Officially File a Request for an "Informal Evidence Conference," to discuss Evidence necessary for your DRO Review/Hearing. I did in 01/2014, never had the "IE Conference," but there was a copy of the 01/14 Request in the DRO's File at my 06/14 Hearing.

12/13, I came across the "Informal Evidence Conference," while reviewing the VA M21 DRO Procedures and Best Practices. In the M21, it's used by the DRO prior to the actual Hearing, at their discretion.

I figured, if the DRO can, why can't I. I brought up the Request for the "IEC" with my DRO, just as he was starting the Hearing. He opened a file and acknowledged receipt of my request, said we could do the "IEC" right then "Informally," and go back on the Record (Recorded & Transcribed) after the "IEC." We never went back to the Formal Hearing, as we discussed my New Evidence that I had submitted, he said he was going to Award everything from my 2010 NOD and also address a 2012 IU NOD, Awarded that also.

You've got nothing but time, file for the "IEC," might help.

Semper Fi

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      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”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • 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.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use