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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
Im asking this question especially for Meddac, as many, many Vets have an unsolved glitch in their benefit claim.
A great example is what to do about an unreasonable delay, where little or nothing is happening on your claim for an extended period. Some possible optiions, for example, if your claim is more than a year old and never adjuticated:
POSSIBLE WAYS YOU CAN SOLVE A PROBLEM AT VA:
1. IRIS email. Ask status of your claim, and inquire why, when Alison Hickey resolved to get one and two year old claims completed, yours has not been completed. Be respectful and dont "attack".
2. Send a 21-4138 asking for status of claim.
3. Contact your VSO. (This is not easily done, as many simply do not return Vets calls).
4. Call your RO. Again this is often an exercise in futility. "Calling Peggy"..the 1-800 number is so useless I dont even have the number anymore.
5. Check ebenefits. Make sure you dont even think that ebenefits is accurate or reliable.
6. Email Bob, or the undersecretary who filled in Allison Hickeys position.
7. Contact your congress critter. Most Vets advocates say this rarely works.
8. Berta has a list of many phone/fax numbers for various RO's.
9. I personally have the email of my RO director, referred to by Allison. For me, it was pretty much ineffective. He did push some things along, but pretty much nothing positive came of it. It mostly resulted in denials, but it was at least finally went to the Board. Even a denial is better than endless delay..at least you can appeal, and get somewhere.
10. Go to your RO. This was also largely ineffective for me, but others have gotten things at least moving by showing up.
11. File a Writ of mandamus at the CAVC. This drastic measure should only happen if everything else is tried and fails.
12. Something else not listed above.
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john999
Do all the above and then start over and do it again! There is no way to fix anything at the VA except to be a thorn in their side. Just keep bothering them until it is easier to deal with you tha
Meddac
You've listed a number of options for dealing with unreasonable delays at VA. 1. Being respectful and not attacking is a good one because so many different hands (or eyes) touch a claim nowadays
broncovet
Im asking this question especially for Meddac, as many, many Vets have an unsolved glitch in their benefit claim. A great example is what to do about an unreasonable delay, where little or noth
19 answers to this question
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