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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
harleydude54
March 2014 I filed a claim for increase of depression and IU
June 2014 It was closed in "Error" Has since been reopened as an "administrative review"
9/03/14 I received an email response from IRIS stating "records show that your file was forwarded to the supervisor of the team that processed your claim. Please allow sufficient time to process it"
October 2015 I noticed (after weeks of the claim showing as "Preparation for Notification") I noticed that a development letter was sent. I did a VA Chat since I never got the letter and was told that it was it had to do with the electronic development process and a letter had not been sent by VA.
November 2015 contacted my Congressman (I was getting nowhere on my own and my VSO wasn’t a help) and he received an email stating that "we made a decision on xxxx claim on 09/29/15 and it is currently pending finalization"
April 19th sent email to IRIS April 19th
VA "Chat" April 25, 2016 on a different issue but also asked about the claim and got the canned response.
May 2 received a reply stating “claim was complete on April 26, 2016. VA has made a decision on your claim and a packet of detailed information explaining your decision will be sent.
Today (May 11th) I contacted the VA via chat since I was still showing in e-benefits to be in the pending decision approval phase. At the end of the chat the VA representative wrote "I understand and I am sorry, We have already appropriately responded to you other requests for the same information. Therefore, we must discontinue any further response to you regarding this issue. If you have questions specific to your benefits you can review your premium eBenefits account" then the rep immediately signed off.
Was this too many times to contact VA for an update on my claim?
I just checked e-benefits (8 hours after chat session) and my claim is now showing Prep for Notification and I am getting extremely nervous and I hope the session today won’t affect my decision in any way.
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harleydude54
UPDATE Sorry I didn't post earlier. I was out of town. I rode my trike with other VFW members to DC for Rolling Thunder. I found out right before I left that everything was approved. My r
R762
I think you are fine. Someone (all of us really) have to keep them in check.
wablackwell
Remember the VA is here for you, you are not here for the VA. This is your claim and you have the right to check on it as many times as you want if your not satisfy with the answers you are getting. B
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