Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

MY BELIEFS

Rate this question


Jamezam

Question

I very much appreciate the Hadit Forums. It is an excellent resource of all Veteran's.

What I want to talk about is my experience with the Veteran's Administration. I served in the military from 1985 until 1988. Immediately after beginning basic training, I began having major back pain. However, I soldiered through it. Once I was in Berlin, it was discovered that I have Scheuermann's Kyphosis in my lumbar spine, spondylosis, and scoliosis.

I was sent to Frankfurt where they took lots of x-rays and built a back brace for me. For three long years I was in and out of aide stations and hospitals. Somewhere around four or five army physicians recommended over and over that my MOS be reclassified or that I be medically discharged. I was kept in my same MOS 11H (Heavy Anti-Armor Weapons Infantryman) for my entire active duty service

When I got close to ETSing, I was instructed to file a claim for my back issues with the VA. So like a naive good soldier I did. In May 1988, I had a medical exam and they took 23 x-tays. The conclusion (what for it). The VA see's no medical issues with your claimed back disability. CLAIM DENIED. Thus began my lovely journey with the VA and my local VARO. Over to past 28 years I've had a tremendous education about the VA, the VARO, and Title 38.

Why is it that we once had a sense of tremendous pride (which I still do) in serving our country and yet we all kind of lay down and take it when it comes to the VA? I know we all fight the good fight. My point is that we all need to fight the good fight on our terms, not the VA's. I believe we all believe that we have a sense of accomplishment when we file a claim that gets denied then we file an appeal, etc. etc... However, the same process the VA uses to fight against us is the same process we use to fight back.

I don't know about you, but that's not what I was taught or learned in basic training or during the rest of my service. In fighting an enemy, if they shoot at us we shoot back at them and both sides end up with many casualties. Sometimes them more than us. In the context of the VA, however, it's not as simple as just shooting back with appeals, quoting Title 38 or submitting citations with examples where the VA has approved others for the same claim that we are denied for.

I learned in basic training, that we must work as a team, we must support each other and Hadit helps us do that. What I believe MUST happen now, is that we must change our strategy. We must stop focusing on how long the claims or appeal process is and somehow get Congress to begin forcing the VA to do the right thing by us Veteran's. The how is the biggest battle as those of us who have communicated with our Congress person(s) are familiar with the "Thank you for your service" standard line and how much they "CARE" about Veteran's issues. We are all wise enough to know that they are just blowing smoke up our *sses. Look at the bigger picture here. Primaries, media, statements from Congressional members about the outrage of how the VA is treating its Veteran's. What has really changed?

Long story short (that's what we say after ALREADY telling a long story :unsure:) Anyway, what I want to say is that while the Hadit Forums are incredibly helpful, the MUCH bigger issue is that nothing in the VA is going change, until every Veteran actually declares war on the VA. I'm not talking about a physical war I'm talking about a legal war and a congressional war. Reading a feel good story about how the VA is changing this or that isn't helping us. Reading the Monday reports is just more smoke and mirrors. Remember everything we were taught in basic, remember all of the comradely we felt with our fellow soldiers, and if you fought in a real war, remember how much you relied on your team to have your back. And, let's figure out this thing (VA) as a team and come up with REAL solutions for every single Veteran.

Lets make "Leave No One Behind, Not on a Desert Trail, Not on a Jungle Trail, Not on a Paper Trail.™" a reality...

Thanks for listening and for having my back because I have yours too!

 

Link to comment
Share on other sites

Recommended Posts

  • 0

Sorry you got the short end of the stick while serving in the army.

Filing a claim with the VA starts a different type of "war".

They are VERY adversarial although they say veterans are given the benefit of the doubt with claims.

The VA can talk the talk, but they seldom walk the walk.

MONEY to fight the the VA because the deck is stacked against veterans which often requires hiring medical experts to dispute the outrageous assertions/arguments VAROs use when denying obviously legitimate, well-documented claims.

This is how I see it.

Edited by 63Charlie
Link to comment
Share on other sites

  • 0

Thanks 63Charlie,

At least I finally got one of my claims approved after 26 years. Of course now I'm fighting the VA on backpay and CUE's.

I know right? Have you ever experienced a more adversarial organization than the VA? The benefit of the doubt is bogus. I believe the VA is told by the Secretary and our Congress, to do absolutely everything in their power to avoid paying claims. The money is specifically for Veteran's, yet they still fight us. And, what a huge SLAP in the face when they can spend $4 trillion to $6 trillion dollars of taxpayers money on wars, but would vote for an $8 billion dollar budget increase for us Veteran's.

There has to be a way for us to fight the VA. Yes, with money and there must be something that would really get their attention. I'm not an attorney, but I successfully sued five companies in the past (credit report issues) and won. So, there is something we Veteran's just haven't figured out yet, that will help all of us to win our battle(s) with the VA.

Obviously the media helps, can you say Phoenix VA Health Care System? And, then after the attention goes away, the VA goes right back to business as usual. I gave one suggestion (see below) to three of my congressional members, you can see one of their replies below. The other Senator wrote me back about gun control and the other one who used to spam call me all the time about how great he is, never got back to me.

That's my two and half cents, adjusted for inflation... LOL Have a great day...

Quote

We the people believe it is time the Veterans Affairs (VA) federal regulations be changed to force reasonable claim and appeal processing times. There is currently no established deadline for claims or appeals, and thus no accountability or penalty in taking years to process claims. U.S. Code: Title 38 - Veterans’ Benefits should be paid as workers' compensation pays medical benefits, as well as wage-replacement and pension benefits. If a veteran is/was hurt in service, and medical evidence is established as such, a veteran(s) should be compensated immediately.

Here is the response from Senator Murray:

Dear Mr. Murphy:

I want to express my heartfelt gratitude for your service. When brave individuals like yourself sign up to serve our country, we agree to take care of you. You have kept your end of the bargain and we must keep ours.

I understand the service and sacrifice our veterans have made on our behalf. As a member of the Senate Veterans' Affairs Committee, I believe our country owes a huge debt to the millions of veterans across the nation who have stepped up to serve our country and who deserve the highest quality care, benefits, and treatment in return. Whether the issue is expanding access to quality, timely health care, modernizing the benefits claims system, improving care for female and homeless veterans, or increasing employment assistance for veterans during this time of economic uncertainty, there are many challenges we have to address to support our veterans. 

As the daughter of a disabled WWII veteran and a former intern at the Seattle VA, veterans issues have always had a deep personal importance to me. It is no accident that I am the first woman to serve on the Committee as well as its first woman chairman. I sought this assignment to work on behalf of veterans across the nation.

I am proud to serve America's 22 million veterans and their families and I appreciate hearing from you. I encourage you to continue to share your thoughts with me as they help me be your voice in the U.S. Senate. With your help, I will be working to ensure that we are holding the Department of Veterans Affairs accountable and that we are providing our veterans with the care and benefits they deserve. 

Please know that I will keep your thoughts and concerns in mind. If you would like to know more about my work on the Committee, please feel free to visit our Website at www.veterans.senate.gov. Through the Website you may subscribe to a Veterans' Affairs Committee newsletter, which will provide periodic updates on our work for veterans. Also, please know that each Committee hearing is streamed live online and available for viewing anytime following completion of the hearing.  Again, thank you for taking the time to contact me. Please keep in touch.

Sincerely,

Patty Murray
United States Senator

  

Link to comment
Share on other sites

  • 0

File an 1151 claim and you find out that the VA rules won't allow an attorney to receive payment until the denial of benefits reaches CAVC level.

That leaves the veteran having to go it alone against the VA army of experienced attorneys unless you are fortunate enough to find an attorney who agrees to represent you pro bono..

The VA does allow the option for the veteran to trust a total stranger in a VSO, with little or no interest in putting forth much effort.

BTW...VSO staff are NOT attorneys.

Veteran v. VA in an 1151 claim ....... equates to a veteran having a knife at a gun fight.

 

 

Edited by 63Charlie
Link to comment
Share on other sites

  • 0

This is incorrect:

 

"File an 1151 claim and you find out that the VA rules won't allow a veteran to hire an attorney until the denial of benefits reaches CAVC level."

There are many 1151 claims at the BVA with attorney representation.

An attorney can be hired for just about anything after a NOD has been filed.

If you search 'Section 1151 attorney' at the BVA you will find many claims there with lawyers representing the claimant , all who hopefully understand the 1151 regs.

If you narrow down the search to your VARO, you surely will find some lawyers in your area who could help.

You do not need a lawyer for 1151s as much as you need a strong IMO.

Neither my husband or I ever had a lawyer for his, and then my 1151 claim ( and FTCA case-wrongful death)

It is solid medical evidence that makes 1151 claims and/or FTCA issues succeed....

 

 

 

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • 0
4 minutes ago, Berta said:

This is incorrect:

 

"You do not need a lawyer for 1151s as much as you need a strong IMO.

It is solid medical evidence that makes 1151 claims and/or FTCA issues succeed...."

 

 

 

Thanks for the reply Berta,

And, congratulations on all of your victories with/against the VA.

I've been playing the VA game for 28 years now. I've gone through one VSO and one Claims Agent. The VSO was basically chosen for me when I filed my first claim in 1988. Unfortunately, the claims agent, as absolutely nice, friendly and helpful as he was. After leaving two messages on his phone and emailing him twice and him not once getting back to me, I've determined that I can do EVERYTHING on my own (which I have so far), unless I seek legal advice at the BVA level.

You are 100% correct that IMO's are the absolute best ammunition in our battle against the VA. It's funny, I had a QTC exam and the physician was actually very much on my side, imagine that. Anyway, the VA then challenged his medical opinion when he ruled in complete favor of my disability being caused by my military service. And, I also had a strong Nexus letter from a physician, whom I had to convince to say "more likely than not", because he was actually afraid of having to answer to the VA.

My advice to my fellow Veteran's is to be very, very, very, incredibly patient. Remember when we were active duty, and there was a lot of hurry up and wait times? Same thing with the VA, except 100 times worse. I know some of you have very press ion medical issues or are aging rather quickly. Unfortunately there is no real way to speed things up. You could ask the President to intervene on your behalf and I believe you'd still wait just as long. LOL You can speed things up using the "Ask VA to Decide Your Claim", after that however, it's hurry up and wait again.

So, when you file a claim, have Nexus letters, IMO's, DBQ's and all the medical evidence you can find to support your claim. I know it sucks, especially when you feel so wronged by an organization that's was created to serve you, and it's sometimes challenging to get our physicians to help us.

Like I said, I had to convince one physician that the VA isn't going to do anything to him. And, my primary physician didn't want to help me with my DBQ's (three of them). So I completely filled them out using the ICD codes and language from all of my medical evidence, and then took them to him and said "here are my medical records, the DBQ's are completely filled out, all you need to do is sign them if you agree that the DBQ's match what my medical records state."

Also, do your research and look for BVA citations that can help your claim. I do keyword searches all the time and not just on my condition/disabilities. The VA always says to me, "Not service connected nothing in military medical records". So I searched that term and than found like 17 citations stating that a condition doesn't have to be in your military medical records for it to be service connected or secondary to a disability. So, do your searches for every keyword the VA throughs out at you, and when you find a citation, the very first thing you MUST do that will save you time, is jump to the bottom of the citation to see if the BVA awarded the claim, or rating increase, or if they sent it back to the VARO. If the awarded the claim or an increase I'll word my NOD with what the BVA stated and quote some Title 38, if it's referenced. If they remand it back to the VARO, I might scan the citation, but generally I skip those.

Anyway, keep up the good fight, it's definitely a battle, but you have more ammunition on your side than you think...

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • kidva earned a badge
      First Post
    • kidva earned a badge
      Conversation Starter
    • Lebro earned a badge
      Week One Done
    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
  • Our picks

    • 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

      Continue Reading on HadIt.com
      • 0 replies
    • 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.  
      • 4 replies
    • Caluza Triangle defines what is necessary for service connection
      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”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use