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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
broncovet
I think there is a lot of misinformation out there about attorney fees, and it sometimes causes Vets to make bad choices.
The most important thing for you to know is that you may have little or no attorney fees because:
1. He does not win for you, that is, gets you 0 retro.
2. Even if you win, His fee may be paid by the EAJA if the judges decide that VA was "substantially unjustified" in its position against you. This "bar" is pretty low. If the judge agrees you win, then you almost always get EAJA fees, and those may/may not be enough to cover your attorney fees. You may have to pay fees to the extent that EAJA fees do not cover them all.
3. You may get a Pro Bono attorney, where there is no fee to you. MANY attorney's represent Vets at the CAVC level ONLY for EAJA fees, this means it cost you zero.
In every case, I would recommend a NOVA attorney. You can find a list of Nova Attorney's here:
You need to understand there are more Veterans needing representation than there are lawyers who are trained in Veterans law to help them.
https://vetadvocates.org/welcome/find-an-attorney/
If you have hired an attorney to represent you at CAVC:
1. The CAVC will need to approve payment to your attorney. Any EAJA fees received by the attorney will be deducted from his fee. The attorney provides the number of hours he worked on your case, and the CAVC will decide if those attorney fees are reasonable, and reflect the prevailing hourly rate for attornies in the area.
2. It may be a bit different if you win at the BVA (represented by an attorney), so if someone has paid attorney fees at the BVA level, please chime in.
MOstly, the CAVC, generally, allows attorney fees up to 20% of the retro (minus any EAJA fees received) as "reasonable". Its much harder for the attorney to get 33%. To get 33 percent the attorney would have to
1. Show the court a fee agreement where you agreed to pay that much.
2. Demonstrate the fees are not excessive, and that he has put in work sufficient to justify it at prevailing hourly rates for that area.
3. Show the court that he did not "double dip" with EAJA fees, that is, any EAJA fees would be deducted from the agreed upon fee arangement.
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broncovet
These are some excellent points, very good to have if a Veteran is considering a lawyer. I agree with Texas Marine in that if the lawyer is paying for your IMO/IME necessary to win the claim, then 30
TexasMarine
Once I was denied the first time, at the BVA, I knew that I needed help. I wasn't sure what to do. (at the time I did not know about Hadit.) But soon, I received a bunch of literature in the mail f
FormerMember
Texas Marine, you need to read more articles on B&M. They exclusively represent all appeals of the Vietnam Veterans of America. The law is dispositive on the % charged. There is none. A Vet attorn
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