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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
Jessele.edwards
Hello. I am new to this site and I hope someone can shed some light about my va retro funds. I got out of the Army back in April of 2013 with 60% perm disability. I was getting paid 10% from Army and 50% from VA. Then later that year VA sent me a letter to re evaluate my rating and was found 100% VA disabled temporary and still am today. Effective May 1 2014 I was started at my new rating and was awarded 3017.60 but funds were being withheld because of proposed incompetency. From May 1 to dec 1 of 2014, $1721.60 was withheld than adjusted cost of living bumped my entitlement to 3068.90 and 1759.90 was being withheld until February 1, 2015. I got a letter from the VA hub in sept of 2015 stating that I was appointed as the fiduciary under supervised direct pay and a portion of my withheld funds would be released and the rest is still being held due to my receipt of military pay. I got about half of it and at the time on ebenefits my fiduciary adjustment claim was open and recently closed in March this year. I have called the VA hub, VA,and DFAS and no one can tell me anything about the rest of my retro funds. The hub tells me to call DFAS and DFAS tells me they don't know anything and the last time they did anything with me was back in 2014. (I figured DFAS was doing something about it because the letter from the hub said they were waiting on military receipt, whatever that means). I call the VA and they told me the hub needs to update there info about me being the fiduciary. I call the hub and they it is. I ask them about what is going on with the rest of my funds and they told me different things every time. They told me supervisor Karol was going to process it or get the ball rolling. I call a week later and then was told there was no supervisor by that name so I ask them did the rest just disappear or what is or can be done to figure out where the rest of my funds are, the lady told me its lost. I hung up and called again then a different lady said there is a supervisor Karol and she made notes in the system and she told me that DFAS was going to pay me. I call DFAS and they said there is nothing in the system and to call the hub. In short each department tells me to call the other throwing me in an endless loop. Can someone please shed some light about the retro fund process or direct me where to go to find out information. Or should I just give up and call it a loss.
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broncovet
This is classic VA run around, typcial of the way VA does stuff. First, you need to rely "only" upon what is in writing, and that is why I communicate via email and not the phone, as the phone
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