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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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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
Buck52
I have a dispute with a 20 year experienced VSO. ON A FAIRLY SIMPLE ISSUE.
When a Veteran is getting IU for say 80% or 90% it is possible for him to be able to work > if he gets his rating up to 100% because that makes his IU Moot and he is considered to have a 100% final degree in his rating and he can work then. (if he wants to) without worry they will take his IU away.
Doing this would usually mean he would need a 50% increase in his 80% or 90% rating to bring his rating up to the scheduler rating ,again this would nullify the IU and set his rating at the 100% schedular. (CORRECT?)
or if his 80% or 90% IU WITH P&T and he files for another separate condition and is awarded a service connected rating at 70% rating for that separate condition then this new separate condition would make his IU moot and he would be considered to have a final scheduler 100% rating and possibly with the SMC -S
THIS IS WHAT i MENTION TO THIS VSO HE SAID I WAS WRONG ONCE A VETERAN IS AWARDED THE IU HE HAS TO STAY AT THAT RATING.....i totally disagree with him on that.
Am I correct in telling this other veteran to file for a increase on his IU Rating or if he has another condition that has come up file for that too or if he has a secondary condition to one of his already service connected conditions that would cause or be related to a secondary condition FROM HIS EXISTING CONDITION and depending on what he is rated at will determined if he meets the 100% schedular rating. ....(is this correct?)
Also if a veteran had the evidence in C-File that would be favorable to his claim but was denied from N.P. C&P Exam he can file a NOD or head straight to the BVA if denied because this N.P FAILED TO READ HIS EVIDENCE in his C-File, HE WOULD NEED A SPECIALIST TO GET A FAVORABLE IMO but this specialist would trump this N,P...if they still deny him and he did use a specialist then its time to call his congressman. (CORRECT?)
this VSO mention that won't work either i ASK HIM DO YOU WORK FOR THE VA? OR THE VETERAN?
THIS KINDA OF STUFF PISSES ME OFF BECAUSE USUALLY A VETERAN WILL LISTEN TO THE VSO OVER US LAY NON CONNECTED TO THE VA TYPE GUYS OR US GUYS THAT HAVE THE CLAIMS EXPERIENCE LIKE broncovet & Ms berta and GB Army and Shrektank1 Pacxman1 Brokensolider244TH and other experience with these VA Claims.
BTW This VSO is a DAV VSO That works at my VAMC AND i WAS VISITING A Veteran at the VBA Office Seeking help with his claim I gave him a hadit card and talk with him a while rather or not he takes my advise is yet to be seen?
well on to get my flu shot.
I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!
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GBArmy
Agree with Shrek 100%. To say once you get TDIU you have to stay at that rating makes no sense at all. What id the veteran had 2 or 3 major new disabilities that would put him over 100% for scheduler.
Buck52
I have a dispute with a 20 year experienced VSO. ON A FAIRLY SIMPLE ISSUE. When a Veteran is getting IU for say 80% or 90% it is possible for him to be able to work > if he gets his ratin
ShrekTheTank
Buck you are correct. He has to fight for the increase and get scheduler to be able to work. There is nothing saying you have to stay at this said rating. If this were true I would have never made
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