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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
. The VA "interpreted" "Thou Shall not Steal" to mean "Stealing is not recommended 12% of the time". Remember, this is where VA is spending our benefit/health care dollars...on US Supreme Court lawyers to fight Vets. I thought VA was supposed to care for Vets, not fight them?? My solution is to fire 75% of the lawyers who work for VA and hire doctors to cut the wait time, instead.
On Thursday, the Supreme Court unanimously agreed that the federal government had violated the so-called “Rule of Two” when the VA awarded a contract for an emergency notification system to a company not owned by a veteran.
The provision is part of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which stipulates that only small veteran-owned businesses “shall be” considered when two or more are likely to submit reasonable bids for a major contract.
“The surrounding subsections of §8127 [section of the law] confirm that Congress used the word ‘shall’ in §8127(d) as a command,” the Supreme Court ruled. “The word ‘shall’ usually connotes a requirement, unlike the word ‘may,’ which implies discretion,” Justice Clarence Thomas wrote.
The VA’s decision to award the contract to an outsider was challenged in a 2012 lawsuit, Kingdomware Technologies v. US, which was filed by a permanently disabled US Army veteran. The complaint accused the government of thwarting the law, as the VA did not restrict competition using the “Rule of Two.”
The veteran petitioner had lost twice before, when two lower courts, the Court of Federal Claims and the US Court of Appeals for the Federal Circuit, ruled in favor of the VA.
In both cases, the judges ruled that the department was not required to use the “Rule of Two” in all contracting. The federal appeals court said that the VA did not have to comply with the rule if it awarded between 7 and 12 percent of all contracts to companies owned by disabled veterans.
READ MORE: Over 125,000 veterans denied benefits by the VA – report
The Supreme Court weighed in and reversed the decision.
“The Act does not allow the Department to evade the Rule of Two on the ground that it has already met its contracting goals or on the ground that the Department has placed an order through the FSS [federal supply schedule],” Justice Thomas wrote.
The Supreme Court noted that Congress provided two exceptions to the “Rule of Two,” both of which allow the department to use non-competitive and sole-source contracts for contracts below specific dollar thresholds, but ruled that neither of them applied in this case.
It has also rejected the department’s argument that requiring it to apply the “Rule of Two” whenever it buys anything would “hamper mundane purchases like ‘griddles or food slicers.’”
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broncovet 2 posts
Andyman73 1 post
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broncovet
. The VA "interpreted" "Thou Shall not Steal" to mean "Stealing is not recommended 12% of the time". Remember, this is where VA is spending our benefit/health care dollars...on US Supreme Court lawy
broncovet
Agree, Andyman. The VA hides behind the "Auer" defense, also known as "Chevron deference", and its high time the US Supreme Court put a stop to that. In Chevron, the US Supreme Court deci
Andyman73
Now if we could only get the Supreme Court to rule in favor of all Vets' claims for compensation, on the grounds that the initial claim denial rate of 85% is unreasonable, and unlikely that 85% of all
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