BVA-FORT FUMBLE, VIRGINIA–SMC=SMALL MENTAL CAPACITY

As a foreword, I wish to let my friends know I no longer use FacePlant™ for social purposes-or any other for that matter. I saw an illuminating show about how the good folks at the FB establishment exploit your data and enrich themselves at your expense. I didn’t use it much to begin with but I only publish these articles here on asknod now. My private page est mort.

I had a BVA  video hearing before (A)VLJ Martin Peters yesterday for my Multiple Sclerosis Veteran. Judge Peters is an “Acting” Judge. That means he’ll probably be a full-fledged VLJ one of these days. He’s been acting for a while. I do hope he gets his wings. He’s a keeper.  It’s taken us a gazillion years to get there (the hearing) due to this unplannedemic. Never have I been so thoroughly pleased with my experience. We were scheduled to be in front of another VLJ gal weeks ago. For reasons I’d rather not say, I’m a little gunshy of women VLJs. They tend to be a wee bit more skittish or judgemental around my women Vets for some reason. That’s not to be seen as misogynistic or a woman hater. Perish the thought. It’s just that I’ve had mixed success with them. Women are from Venus and we men are from Mars. I get that but I don’t always perceive right off what it is the Venus people require to grant. Funny thing is I have same problem with Cupcake. It’s a man thing. We will never understand.

While doing my last dumpster dive into all the evidence for this hearing, I finally found the root of the problem-SMC-or more succinctly, the mental incapacity to understand SMC. As I’ve pointed out to any who will listen, SMC is more convoluted than the Mississippi River. It has no rhyme, rhythm or cadence. Just when you think you have it intellectually mastered, it turns around and drops you like a jilted lover. I’m referring to VA raters’  SMC comprehension, not me. I laugh when I talk to VA raters and they point to the SMC calculator like a HAL 9000 with AI. The device is useless if all you do is load M 21 garbage into the front end. Naturally, it’ll regurgitate garbage out the rear chute. That’s been scientifically proven. The mathematical formula is GI=GO.

When doing CUE claims in the past, I always used to gloss over the authority for an action. I guess I figured VA knew how to apply the regs and they wouldn’t baldly cheat and leave behind written evidence of their misfeasance. Boy howdy was I wet all over. I’m adroit at finding the error but rarely do they (VA pukes) cobble together two halves of  disparate regulations and conjoin them into one with a straight face. SMC is so complicated because the higher levels are rarely attained by most Vets-hence the lack of experience yields such inaccurate outcomes. Oddly, every SMC mistake I’ve seen errs in that it deprives the Vet of a higher SMC rating-never an overpayment. Since this is my favorite swimming hole, a misquoted SMC regulation sticks out like a Mount Vesuvius zit erupting on your nose. It would be like being up at bat and the umpire behind you yells “Strike 2! You’re out!” Say what?

So imagine if they awarded you SMC at the (l) rate for the need of the aid and attendance of another under §3.350(b)(3) but you noticed they’d tagged on “while not hospitalized at government expense.” Seriously. I’ve heard of mission creep but regulation creep? That’s against the law in 56 ROs but they get away with it.

Read it here on page 5 in the Narrative and page 4 on the code sheet.

redact 6-19-2015 CUE

redact code sheet 6-19-2015

VA uses a little trick I should share with you. When they decide to give you Aid and Attendance, they’ll try to sweep up every hemorrhoid, every pes planus and every tinnitus ear ring into it. Pretty soon your a&a award has every reason and every 0% disability including the kitchen sink as the predicate. To beat them at this game, you have to control what goes into the maw of the A&A Kitchenaid®.

My MS Vet Suzi (not her real name) has a bunch of things which have no connection to her MS like headaches, IBS and MDD. All these are what we call independently ratable. They come into play when you want to segregate your symptoms into one pile for the A&A and another pile for anything that you can “build onto” for a higher SMC rating.  Suzi started out with loss of use of her right foot but VA “accidentally forgot” to give her the accompanying SMC K . This is important because, well, to begin with, it pays you another Benjamin Franklin coupon every month. $1200 a year extra isn’t chump change- it ‘ll buy you about 12 bottles of Dom Perignon.

But then Suzi’s 3-card VA monte game began in earnest. In 2014, a few years after the loss of foot, which they forgot to rate as SMC K, she  came down with a nasty case of loss of hand in addition to the foot which gave her a second SMC L §3.350(b)(1). Even though the loss of use of the hand/foot was due to MS, the loss is a “condition” as described in §3.350(e)(1)(ii),(3) like arthritis. There are only four conditions that will get you into the SMC Big House-LOU of the feet/hands or a combo of them, bedridden, the need for A&A and blindness.  From there on out, it’s merely how much of each extremity you lose (hand; elbow; armpit) or a combo of LOU and being blind or the need for A&A.

VA makes no distinction about losing the use of, or the actual loss of an extremity, until you get to SMC N. Then it (loss of lower extremities) becomes mandatory. The maximum rate, unbeknownst to most, is actually SMC at the O rate. R(1) and R(2) are merely an enhanced a&a entitlement added on to SMC O. For most of us, the only way to get there is not losing more and more of each extremity plus your buttocks, but to obtain two SMCs between the rates of L and N. Suzi had a new SMC L for LOU of hand and foot plus an earlier award for SMC L for a&a. Bingo. Advance to SMC O and thence to SMC R(1). VA hornswoggled her into thinking if she kept her a&a, she’d lose out and have to pay any time she had to be admitted to a hospital-VA or otherwise. Hogwash. Once you go over 50%, VA give you free medical for everything-even shit that isn’t SC. If you are awarded SMC R(1) and you have to be hospitalized at govt. expense, your award drops to SMC O until you are discharged.

Worse, these little chowderheads in Roanoke urged her to “amend” her own rating. I shit you not. In law, we call this Estoppel. The VA encouraged her to relinquish a high-$ entitlement which would harm her. Assuming arguendo, they convinced you to do it, it would still be illegal even if you agreed to it. Simply put, the actual CUE was to say you’d lose a&a if you had to be hospitalized at a VAMC.

The little rascals also “pre-screwed” Suzi. While they suggested she ought to shitcan the a&a in favor of LOU, the code sheet shows they already had done so.  On page 4 of 5 it says she had a&a from 1/9/2012 up to 9/23/2014 whereupon she “amended” her SMC to LOU of hand and foot forever after. Shoo doggies. She wouldn’t even received the Big Brown Envelope for another five days…

Remember, campers, once VA gives you a rating, it cannot be rescinded unless you cheated to get it or VA stepped on their regulatory necktie and awarded it to you in error. Here, in Suzi’s case, they essentially substituted her SMC L for LOU of hand and foot in lieu of her existing SMC L for Aid and Attendance. Welcome to VA 3-card Monte. Now you see it. Now you don’t.

Judge Peters is a novitiate in SMC and I realized that in the hearing when he asked if we were seeking SMC L for a&a in 2012 or SMC K. He understood it to mean you could not have two SMCs of any flavor simultaneously. Half the hearing was squandered on teaching him how it works-or, more appropriately, how it’s supposed to work. I decided to hold off on submitting my amended brief for the hearing in case they switched back to a Venus person. I had a modified brief in my back pocket just in case. Mostly, I want this 16-page Gutenberg Bible to land on his desk with a big thud.

I find it intriguing to read other attorneys’ ramblings in their briefs. Many experts in VA law teach us to KISS (keep it simple, stupid). Others advocate doing it in as few pages as possible. I disagree. I never went to law school. I don’t have attorney brain. Nobody ever told me what I can and cannot do. If it takes 16 pages to explain why there is no intelligent life at the Roanoke Puzzle Palace, so be it.

redact amended brief

The best part was a stab in the dark at getting Suzi advanced on the docket. Sensing we had this fellow’s sympathy for her dire, never-ending plight, I mentioned she was flashed at the RO for terminally ill. I timidly asked if he would even consider giving us AOD. His rejoinder was “Are you formally putting a motion for AOD before me? My rejoinder was Hell, yeah but I need to file it, right? He  said that wouldn’t be necessary and that he was granting forthwith.

I never try to read a VLJ’s intentions and get all giddy about how it went but if I was a betting man- and boy howdy am I- I’d say the Judge already has made a decision. The last time one said ” You understand I can’t grant your claim today but I’ll look into it extensively”, I won. Oddly, it, too, was for R(1).

Financially, this thing disgusts me. Suzi should have been awarded SMC K in 2012. That error was only $3 K’s worth to September 2014. The rest- 78 months  of R(1) – or about $312 K (after  deducting her prior SMC M payola) leaves me embarrassed for VA’s taking so long. 20% of that is a lot of  baksheesh even if I did spend four years on it. I would have done it for far less and if VA had their shit together, it would have been far less.

And that’s all I’m gonna say about that.

NOD was here

Posted in CUE, Lawyering Up, R1/R2, SMC, Tips and Tricks, VA Agents, VA Attorneys, Veterans Law, Women Vets | Tagged , , , , , , , , , , , , | 2 Comments

Homeless Veterans and the HUD-VASH program

Posted 4/29/21 to VAntage

HUD VASH will not help with housing voucher in West Haven, Ct. Due to I have not been homeless for three years. I came up to help mom from Florida, but she passed. Thus my West Palm Beach Housing Authority Voucher was cancelled. Now six months living in a garage,no heat . Don’t know how long I can hold out.” (Link to comments)

This veteran is in a life & death situation in CT yet West Haven VA sends him away?

I hate the MSM expression “the homeless” because it completely dehumanizes people who are homeless. Consider LA. Over 66,000 unhoused people. One human person without proper shelter is a disgrace to our society but 66K is beyond the beyond. A heroic judge, THE HONORABLE DAVID O. CARTER, JUDGE, has given LA until Oct. 1 to get everyone housed.

His statement is not a dull read, especially if you like history texts, the law and common decency, expressed so well.

LINK to injunction–110 page pdf.

UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
CIVIL MINUTES – GENERAL
Case No. LA CV 20-02291-DOC-(KESx) Date: April 20, 2021
Title: LA ALLIANCE FOR HUMAN RIGHTS, et al. v. CITY OF LOS ANGELES, et

Discussion, p. 60 >

This Court cannot idly bear witness to preventable deaths. This ever worsening public health and safety emergency demands immediate, life-saving
action. The City and County of Los Angeles have shown themselves to be unable
or unwilling to devise effective solutions to L.A.’s homelessness crisis. For the
reasons discussed below, the Court must now do so.

Specific Actions, dates, etc…begin on pg. 109.

The issues in LA, while massive, are similar to other locations. In the “old” days, towns set up “poor farms” or alms houses. Today, I think it is worse.

This comprehensive injunction can serve as guidance, adapted, for other court challenges to get people sheltered and housed.

HUD-VASH is the VA program. Each state receives a limited number of vouchers. For the veteran posting from an unheated garage in CT (quote above), I suspect he was given misinformation. I hope he will get other opinions:

National Call Center for Homeless Veterans at 1-877-4AID-VET

https://www.va.gov/homeless/hud-vash.asp

Criteria is not provided. Vets must call. Case management is a requirement–probably a very good thing if there is proper staffing.

https://www.va.gov/homeless/hud-vash_eligibility.asp

https://www.hud.gov/program_offices/public_indian_housing/programs/hcv/vash

El Paso. Photo story w/8 pictures. (Link) Here is a caption for one.

Homelessness can happen to anyone. I have I have a College degree from Colorado and a history of 10 years in the military. After I left the military, I ended up doing a lot of minimum wage jobs and ended up being homeless. I stayed in hotels in Ciudad Juarez, outside the bus station, at restaurants until I found the Opportunity Center through the internet. These minimum wage jobs were eating my life little by little. I am now working and living at the Veterans Transition Living Center (VTLC). I have a son and he is my motivation. I want to save some money and to go back to school and I want to take care of my son. Don’t be afraid of us. We are not bad people. With direction, support services and guidance we can overcome homelessness (Stephen).

Housing programs for veterans vary by state. Washington appears to offer some aid (Link). Iowa? Have to go searching on the state website (Link).

Congress funded the HUD-VASH program during the “Great Recession” in 2008/09…and then cut the funds substantially for the last four years–including for 2021. Meanwhile, Covid-related evictions are inevitable. Animal shelters in big cities have had to take in formerly homed dogs due to Covid, job loss, and homelessness. No kill shelters have become kill shelters in places like NYC and Corpus Christi. For humans, the streets are kill streets.

Judge Carter spells it out. There is no defense for everyone who has mismanaged their localities, funding and made lousy policies that helped to contribute to this crisis for years.

Laura (Guest author)

Update: Progressives Jimmy Dore and Ron Placone add information about this situation; they make good observations on the financial and ethical factors and praise Judge Carter’s boldness. (No kind words at the end for Wall Street or Dems if you are sensitive about such things.)

Posted in All about Veterans, Complaints Department, Congressional Influence, Corona pandemic, Future Veterans, General Messages, Guest authors, hepatitis A (HAV), HOMELESS VETERANS, Lawyering Up, Legislation, Military Madness, Uncategorized, VA Secretaries | Tagged , | 4 Comments

ANOTHER PLEASANT VALLEY SUNDAY

I’ve been reading a lot of birth announcements on FacePlace™ recently. It must be Circadian rhythm that brings forth this Spring phenomenon. I’m a product of this with my birthday as well. But how about a Prequel? Indeed, a picture of your new granddaughter, Penelope Rose Graham before her expected 6/18/21 splashdown. I was ecstatic to be so rewarded this weekend. Too bad we didn’t have prenatal TV when we had our broods. I think she favors my side of the family. She has high cheekbones like my Oklahoma Cherokee ancestors…

Check out the ICU2TV:

But that’s not why I started this blog a week or more ago. For some unknown reason, VA went into an introspective state. Nothing of consequence was accomplished across our fruited plains. BVA decisions which were cut-and-paste wins became remands for the most idiotic of reasons. As we all know, every man jack who was drafted back in “our war” still carried a duty to serve another 2 years after separation should the need arise. This is not to say it could ever be mischaracterized as Nasty Guard or Reserve. It was a guillotine hanging over your head which was essentially meaningless.  Now imagine a shiny new FNG acting Veterans Law Judge who remands back and notes the the DD 214 indicated the Veteran had additional duty in the Reserves and the record is incomplete. She wants to see these Reserve STRs to determine if the injury might have arisen during an ACDUTRA or INACDUTRA period of service.

 

Or a denial of a Legacy Appeal on it’s [sic] second SSOC trip back up to the Board and an acting VLJ denies saying she doesn’t have the authority to revise the effective date of a prior grant of injury in a Fenderson staged rating appeal. Gez Louise. What part of original Legacy appeal did you miss in law school, ma’am?

 

Intelligent VA life forms are becoming rare sightings like Unicorns these days. I guess I never saw it happening at the BVA. I can remember the good ol’ days where every rater was a Veteran and familiar with the trials and tribulations that service entailed. Nowadays, you go to AlState© Automobile Insurer rater’s school for 8 weeks and then cross train into a GS-10 VA claims- Examining (VSR) on the VA’s dime to get your wings. In about 10 years, assuming you can survive watching Veterans being hornswoggled and inveigled out of anything resembling due process, you get your Pilot’s star and an RVSR. If you hang around another 5, you might get your Command Pilot wings and promoted to Asst. Coach. You have to be a special kind of team player and willing to climb over your fellow employees by now in your quest for the VA hierarchy. Nothing is beneath you in terms of backstabbing or lying in your journey to the top.

I discussed a case with a prospective client last week. Contrary to popular belief, I’m not above taking on new clients if s/he has a poignant tale of perfidy. This gal was tossing out Clemmons and AB v Brown so she didn’t need me for anything more than vindication she was on the right path to an appeal win. The kicker was the VA’s denial of her MST claim. Imagine reading this in the current era of Womens’ rights after all the trials for the Harvey Weinstein’s of the world.

“Thank you for your service. Unfortunately, we are unable to grant your claim. Your Major Sexual Trauma claim is based on an assault that occurred while you were away from active duty on leave. The individual convicted of this crime was also not a servicemember. Therefore we cannot grant the claim. Had you been on active duty and documented in your STRs, the claim would have been considered service-connected.  However, you are eligible to file for a pension claim as a nonservice connected disease or injury.”

Now, tell my how you pull this chestnut out of your ass? I can’t find any support for it in the M 21 and, of course the 38 CFR regulation tries to couch it in §3.103 as a willful misconduct issue. Won’t fly. It’s ripe for a CUE but she doesn’t need me to carry the water. I’d love to see the VLJ take a gander at the RD and say  Hmmm, there must be something I’m not getting here… I think the thing that disturbs me most is that this denial didn’t occur in 1974 but 2014.

You always see these gems occur with the most godawful cut-and paste semantic errors. Dangling participles, the wrong tense, plural usage where singular was applicable and more are par for the course. If this doesn’t convince you you’re dealing with sub par IQ, nothing will. One presumes these folks proofread their work because they all require two-or in some cases- three signatures. I could even see it if they were working at the Anchorage VA Regional Office and smoking some bodacious Mantanuska Funderthuck on break. When it occurs nationwide, you have to rule out mental aberration or lack of anything higher than an eight grade education.

Really, I don’t mean to dump on VA employees. I’ve met some real gems at the local level who respect and try their damnedest to fix a wrong. But then there are the heel-draggers. Imagine a squid over 75 and dying. He should get the top drawer treatment but my local Fort Fumble hierarchy (the lowest GS working it was a 13) have conspired- and I do not use that word lightly- to fence him out of any meaningful retro pay. I’ve whacked them for $28 K, $8 K and $112 K but they haven’t paid out a dime yet. I have yet another 10182 NOD in the chute to relieve them of another $100 K and they stand like deer in the headlights. They’ve never seen this level of what they consider unbridled avarice and gross adjudicatory aggressiveness.

 

I can’t tell you how many Veterans who recite to me an i-fking-dentical story of how their VSO admonished them to accept a 0% for tinnitus back in 1999 and to come back in 10 years for the 10% “just so you don’t look greedy, see?” Cupcake was out working with a new client in real estate who was rated at 90%. He was thinking of going for TDIU and they discussed that. He was totally unaware-and his VSO had categorically denied-there was any more money after IU/P&T… like, perhaps SMC? Either they are unschooled in the higher ratings for SMC or they are purposefully deprived of the knowledge by National Service Officers so as to not spill the beans to greedy Vets or put ideas in their Walmarket®-addled heads.

 

Due to this malfeasance in properly adjudicating claims, VA is purposefully driving good litigators away from this style of legal practice. The VA generally takes 60 day alone for a holdback on fees and another 30-40 days to release them after they are due and owing. Sometimes, they decide you are not entitled to anything- period- for your work. Sometimes… well, I could go on but the end result is a feeling that traditional law is more rewarding and honest with higher financial rewards. Veterans then become more disadvantaged when it comes to attaining justice. Someone called VA law a target-rich environment. I agree. The problem is getting an equitable decision. If everyone you deal with is permitted to ignore you and purposefully misconstrue what it is you are claiming, you cannot make any headway. You lose that joie de vivre for this practice and move on to greener pastures. That is why I’ll be doing this until the day I kiss the keyboard.

I hope all of you are staying safe and doing whatever you feel is adequate to accomplish same. Some are adamant they will not be seeking a vaccination. I will make no call on that. Everyone marches to the beat of a different drummer. That’s what makes this the greatest country on earth. Never confuse freedom from… with freedom to… It’s a narrow concept-like trying to stand on a razor blade.

Posted in All about Veterans, Blue Water Navy, Complaints Department, Duty to Assist, Legacy Claims, Tips and Tricks, VA Agents, VA Conspiracies, Veterans Law, VSOs | Tagged , , , , , , , , , , | 7 Comments

The People Vs. Agent Orange (2020)

VA Secretary Denis McDonough is responsible for implementing H.R. 6395, P.L.116-283–the FY 2021 NDAA, which contains the Tester/Harder Amendment. It was passed into law on Jan. 1, 2021. I have not yet seen any updates on the VA website to reflect that parkinsonism, bladder cancer, and hypothyroidism are now presumptive service connection diseases for Agent Orange exposure in Vietnam. (Section 1116(a)(2) of title 38, United States Code). McDonough said that he considered this matter “urgent” yet it appears, not too urgent. Not even urgent enough to release the new information on March 29, the National Vietnam War Veterans Day. (Signed by Obama in 2012, it’s such a non-event that I don’t see it mentioned on VVA’s website front page.)

Meanwhile, Agent Orange is an on-going catastrophe for people exposed to it and other herbicides. I have watched this film as an online screening and recommend it. More evidence of generational damage from several points of view.

The People Vs. Agent Orange (2020) Official Trailer HD Environmental Documentary Film

It appears as if this doc will air on PBS in June. The comments on the PBS website provide more examples of suffering from these toxic agents. Sec. McDonough, get the “rules” and AO VA website and outreach efforts, as per law, published. Don’t drag it out until the last possible minute.

Laura (Guest Author)

Posted in Agent Orange, All about Veterans, AO, Complaints Department, Congressional Influence, Food for the soul, Food for thought, General Messages, Guest authors, History, Military Madness, research, Uncategorized, VA Health Care, vA news, Vietnam Disease Issues, Vietnam War history | 8 Comments

PLANNING AHEAD FOR CUE

I often preach about CUE as the hardest thing to win. It can be challenging and dicey to eke out a win. Here’s a daisy. My Bluewater Vet got a rotten 19 year Fenderson look back. I knew he would. VA screwed him out of all his retro $ because they kept him below 50% and CRDP until he got his 100%  and DEA for P&T. So… how to fix it became my fixation. 

I cheated. I kept his MDD filing in 2002 on ice when I reopened this to see if they would give it to him without another filing. Fat Chance. They swatted him down with a new effective date of 12/2020 when I filed the CUE. In fact, they refused to call it a CUE and converted it into a request for a reopen of the 2002 denial. Shoo doggies, a Gook couldn’t have built a better a punji pit in my war. The DRO fell right into it.

Paying it forward for your bro.

Now, there weren’t a lot of medical records but I lucked out and got a bunch of old Cardio stuff which got him 100% back to 2014 but this (the MDD)  was the 2002 icing on the cake I wanted to ensure. It makes for a good read. Ol’ Judge Parker was pretty polite in not actually querying the RVSR as to whether he was raised by wolves nor whether he had a like IQ to go with it.

Happy homecoming to all you V Vets. I see yesterday was the only day available to designate as Vietnam Olly-olly income free. What about 5/07/1975 when they were having the “how many Hueys can you toss over the side” contests on all the flattops off Saigon? Or 1/30/1968 on the cusp of Tet offensive? What in Sam Hill does March 29th have to do with anything that happened in the war?  I guess we don’t get “equity” even 50 years later.

Kick back. Pop a cold one and enjoy some good, old-fashioned premeditated justice. I just love it when a plan comes together. I’m evil.

Redacted CUE filed 12-2-2020

redact CUE RD 2-25-2021 MDD

redact filed 10182 EED MDD 3.4.2021

redact 3.29.2021 BVA grant MDD 2002

Here’s a copy of the most recent Code sheet. I’m waiting to see how (and if) they are going to rate at 0% in spite of a  2002 c&p that says 30%.

Redact Code rating sheet before 3.29.21 BVA EED

So, the teaching moment here is simple. Expect perfidy when you deal with VA. Expect to find a hollowed-out loaf of  bread when you get your rating. If they gave you 10%, chances are you were due 50%. In this day and age, I expect my clients to get short-sheeted so I’m upping my game to stay abreast of the tomfoolery.

Posted in Agent Orange, All about Veterans, AO, Appeals Modernization Act, Blue Water Navy, BvA and VARO CUE DECISIONS, BvA Decisions, CUE, NOVA Attorneys, Tips and Tricks, VA Agents, VBMS Tricks, Veterans Law | Tagged , , , , , , , , , , | 1 Comment

EXPOSED VET RADIO SHOW–THURSDAY APRIL FOOLS’ DAY

Mr. Stacy and Mr. Cook have cordially invited me to this week’s radio show conjunctively with my fellow VA Agent-Bethanie Spangenberg. Ms. Bethanie and I have discussed VA law in the context of SMC professionally on occasion so we are not strangers to one another. More importantly, we are both members of NOVA-the National Organization of Veterans Advocates. 

More about that. NOVA began in 1992 when three attorneys Ken Carpenter, Hugh Cox and Keith Snyder) got together in a Baltimore motel room and incorporated for the benefit of us all. Think about this. Since 1865, if you defended a Veteran and won, the maximum you could collect was $10. That didn’t attract a lot of attorneys for obvious economical reasons. This didn’t change until June 14, 2007 when Congress relented and let us charge for representation in spite the vociferous opposition put up by the Big VSO outfits. Imagine ignorant folks wearing funny hats insisting their free representation and grasp of law was on a par or higher than that of an attorney. That’s like suggesting week-old  7-11 sushi is on a par with a Japanese restaurant’s specialty sushi bar wares.

One thing I hope to discuss on the show will be the new VA proclivity under the AMA to bifurcate, segregate, separate and then ignore or cancel your claims. I can’t think of a greater violation of due process. The days of the “well-grounded” claim ended in 2001 with the advent of the VCAA.  Once you file a claim in this day and age, you are entitled to an up or down decision regardless of whether it’s legitimate, marginally viable, just plain hooey or totally far-fetched. I can’t count the times in recent memory since this confounded pandemic nonsense began last year that a VA “technician” (liberally employing the term)) unilaterally cancelled (PCAN’d in VAspeak) a legitimate CUE or other claim filing. Boy howdy. That’s against the law in 56 VAROs-57 if you count the AMC, AOC, ARC OAR. They must have sign painters on speed dial at 810 Vermin Ave. NW for all the changes on the office doors. Oh, and OAR stands for Office of Administrative Review. That’s the Ghostbusters number we call when VA screws something up so badly that Hogan’s famous goat can’t figure out which end to chew on first.

In my last show several weeks ago, I had hoped to dive into the intricacies of SMC. When to file for an SMC is often as important as what to file for and how to phrase it.  If you don’t have your claims file or an advocate with access to VBMS, you may fall into a nasty punji pit. Let me give you an example.

When VA grants you aid and attendance of another for your disabilities, they list the exact ones that provoke the need on the Rating Decision “code sheet”. A Veteran never sees this unless he gets a copy of his claims file. They use a dust pan and a broom and sweep up everything you’re service connected for and call all of them the predicate for your A&A. So, using that as the yardstick, let’s say you filed for A&A due to your service connected Diabetes and IHD with a heapin’ helpin’ of PTSD because you forget to bathe, shoot up insulin and take your Paxil®. You need your wife/significant other to remind you to eat your Entresto® so you don’t have another myocardial infarction, to inject the Glipizide™ to avoid going into diabetic shock or try to kill the neighbor’s dog for shitting in your back yard every day because you’re overdue for your Happy pill. Without her, you’d be screwed.

Wait for it…

One day your peripheral neuropathy gets so bad they have to start amputating toes due to lack of circulation and gangrene. You can’t walk without falling down. You file for SMC L for loss of use of your lower extremities and VA says hold the phone, Ramone. You’re already getting paid for that in you A&A. Stay with me here; your PN is secondary to your Diabetes and you’re already getting A&A for Diabetes with PN so it’s covered. Got it?

VSOs, if they even understand the fact that you can actually get paid above and beyond 100% schedular or IU, are not taught the precedential “condition” holding in Breniser v. Shinseki. This info is a prerequisite on how to play high-stakes SMC poker with VA. In almost every case, the VA will default to the lesser award of SMC P using §3.350(f)(3),(4) and give you a bump up to L 1/2 for a 50% rating or  SMC M for a 100% rating which isn’t included in the reason for the A&A award. Hence my discussion about the timing of the award for multiple SMCs leading to the Holy Grail of SMC R1 and R2.

Trying to untie an old A&A award that has everything but the kitchen sink listed is often a major claim unto itself before you can even proceed to R1. I’ve been repping a gal we’ll call Susie with Multiple Sclerosis (MS) since 2017. We’re trying to get her A&A up to SMC O and R1. Her 2007 A&A award was for MDD, neurogenic bladder and upper/lower body weakness/dressing/cooking/ bathing but- and this is a capital BUT- she didn’t have an award of SMC L loss of use of her upper or lower extremities. One day her PCP noted she was dragging her right foot (foot drop-aka loss of use of peroneal nerve). Sorry, kid. No SMC K for Loss of Use (LOU) of foot. Then her right hand went out. shortly thereafter, her right leg went totally south above the knee. VA finally read this as a case of LOU of hand and foot but it was just a “progression” of the MS-and besides, the LOU of the extremities is really just a part and parcel of the MS, right?  Ergo, here’s your brand new SMC at the M rate, sugar. Sorry, no SMC O or R1. Next? Who’s next, please? Now serving numbah 251.

I am careful to prearrange the filing for R1 to encompass and isolate each “condition” that is the predicate for SMC L. There are only four conditions and the counting of the number of conditions shall be no more than four and no less than 4. Five is right out.

§3.350(b)

  1. Loss of use of both lower extremities, or both upper extremities or one hand and one foot.
  2. Totally blind in both eyes with 5/200 or less bilaterally.
  3. So helpless as to be in need of the A&A of another
  4. Permanently bedridden.

To get to SMC O, the portal and entry to SMC R1, you need two of the above “conditions”. I’m not going to explain how you can get to SMC N 1/2 with a SMC K to get to SMC R1. I teach the most logical path. If one of your two SMC Ls is for A&A, only then can you get promoted from SMC O to R1. The VA has insidiously inserted a codicil saying only they can make the medical pronuncement that you have lost the use of your lower or upper extremities. To get around that, you rope-a-dope them and let them deny you can’t walk or eat peas with a spoon. Then you go out and get your private IMO saying you’d be just as equally screwed trying to perambulate if they sawed off your legs at the ankles and strapped on prostheses. Or, conversely, you cannot insert your catheter with either hand as they don’t grasp much of anything anymore. Point out that buttoning things like blouses and employing toilet paper in a sanitary manner are also insurmountable problems.

We also see this prohibition of using your own private docs for IMOs at the VA now with PTSD. I file a claim for bent brain. My Vet goes in for a c&p and they say he has a shit ton of personality disorders but fortunately has no psychoses that qualify as PTSD or anything else. I get an IMO from a dynamite psych doctor saying the opposite and refile my supplemental claim. VA sends the Vet out for yet another new c&p (illegally) and denies again. They add that I’m not allowed to use a private psych because only VA”s hired psychs can make that call. This is clearly error. The only way to fix it is to go to the BVA and get a Veterans Law Judge to point out I can legally use my private psych, and, oh yeah, by the way service connection is granted for Bent Brain Syndrome.

Winning the big banana of R1 is getting to be an art form. Often, I have to deconstruct the claims to rearrange them properly. It can’t always be done. Your client has to come down with a separate distinct illness (read condition) requiring either a LOU determination or say, permanently bedridden. In Susie’s case above, it’s less clear cut. My argument is that she was awarded A&A for a subset of defined disabilities-none of which involved loss of use. The decision to grant A&A did not involve the condition of loss of use. Thus, the increase in disability of LOU of a hand and a foot was not covered in the A&A. It’s one thing to have a rating under §4.124a DC 8520 70% for PN of your right leg and a 70% under DC 8515 for your right hand. It’s another thing entirely to have a rating for §4.71a DC 5111 for LOU of hand and foot. The key to the conundrum is the definition of “condition” and “no condition counted twice”.  With conditions like arthritis or Multiple Sclerosis, you can always fall back on §3.350(e)(3), too. Remember, the law says VA has to “to render a decision which grants every benefit that can be supported in law while protecting the interests of the Government.” VA tries to rephrase that as “Relax. We’re gonna give you everything you got coming, Bubba”.

If you get an award of A&A for the need of another due to being helpless, any new “condition” such as LOU of extremities on top of the A&A award can only be seen as entitlement to a new condition-i.e., one of the four specifically mentioned in §3.350(b). Think outside the box. If you come down with a bodacious case of Parkinson’s and suddenly start falling up the stairs like our illustrious President did last week, chances are you have lost the “effective” use of your lower  extremities. You, yourself, might not think so but when you fall down (or up) a lot, you break things. That is a danger and you can no longer perambulate safely without risk. VA will deny LOU and say walk more slowly and stay away from stairs. You fix this by getting a private IMO from a neurologist that says you’re going to end up with a concussion and you have LOU by medical default.

Conversely, you can have an award of SMC L for LOU of  your lower extremities but can still drive the car with the adaptive devices.  Then you have a bodacious myocardial infarction that leaves you with an ejection fraction of less than 20%. When that Bat Signal appears in the sky, you can’t make it to the Batroom without someone helping you. You can’t cook or do dishes. You can’t fart or hiccup without arrhythmia or angina. You need A&A now where you didn’t before. VA is going to have a hard time saying your MI/IHD is related to the DM II with PN of the lower extremities causing loss of use. Don’t misunderstand me. VA will use that when they deny R1. It just won’t stick at the BVA if you argue it using Breniser.

Arguing SMC at the higher levels requires a hearing in most cases and an appeal. It’s not so much that VA raters don’t want to grant but they don’t know how to. Well, that and I’d allow as no one wants an R1 award on their ratings resume come promotion time. Actually, the M 21 is the culprit. It’s logic circuits all lead to 70% and 60% ratings under DCs 8515 and 8520. The argument against will also say you have been awarded the highest ratings available and they sure wished like all get out they could do more.

Thursday, we’ll be happy to talk about it. The show starts at 1900 Hrs on the East Coast and 1600 on the Leftmost side of our fruited plains. The Mayor has declared rioting in downtown Portland, Oregon will be postponed until after the show in case you’re worried about a scheduling conflict.

Call us to listen in at

(515) 605-9764

Or click on this fancy dancy link:

https://www.blogtalkradio.com/jbasser/11916336/connect/af2df65f4b173eb619590a72979051e003eb74d0

Posted in Exposed Veteran Radio Show, Exposed Vets Radio Show, Humor, SMC, VA Agents, VA Attorneys, VA Medical Mysteries Explained | Tagged , , , , , , , , , , , , | 4 Comments

BEGINNERS’ LAW

I keep getting really basic questions about law now from Vets who are filing Extraordinary Writs up at the Court or “CAV-ICK” (CAVC) as Chairman of the Board of Appeals pronounced it yesterday at the Spring NOVA conference. I liked the old, pre-1995 COVA (Court of Appeals for Veterans Claims) if you have to sound it out Phonics™-style It comes across as  vaguely dismissive to address an Article I Federal Court approved by Congress this way. Especially coming from a SES approved only by the President. I won’t dwell on that. It’s not what I wanted to impart today.  

Like a lot of you, I didn’t feel like, nor did I have, a lot of folding money back in the day to pay $59 a minute for Westlaw© for that killer cite for one of my pro se pleadings. For a while I got a free ride off my son who had access to it via work. But, being innovative and a Veteran, I eventually developed a great workaround. I speak of the BVA decision site which is on my Widget bar up above. It has a Booean search engine which is suboptimal but works after a fashion. https://asknod.org/38-usc-and-38-cfr-links/

If you want to get anal for a certain precedential Fed. Circus or CAVICK COVA cite, put quotes around the name or phrase. Don’t inundate the search feature by trying to look at all 28 years. Try to keep it down to the last 2-3 years unless you want to diddle around for days. I’ve found the COVA search engine, while breaking down for panel or single judge, and chronological order of decisions, is too broad and sweeps up a lot of  decisions I can’t easily copy, are not on point, or not what I need.

If I’m doing a case on Camp LeJeune cancer due to contaminated water, I type it in with quotes and it kicks out all the recent decisions I need to read to get a feel for how to fight the appeal and win.  So scroll back up to the top and click on the BVA Decisions Search Site. Now, erase Hepatitis C and type in “Camp Lejeune water”. Hit the SEARCH button in the lower right. Give it a minute. Hell, you can even use VA’s abbreviation of CLCW(Camp LeJeune Contaminated Water) too. Makes you wonder if Veterans Law Judges pronounce it “CLICKWUH” claims. VA calls their senior raters DROs. Not D-R-Os. DRO like drove into town. I guess that makes VSRs Veezers or Veesirs? So much to learn. So little time. So about a 1 on my give-a-shit meter regarding VA employee pronunciation proclivities.

You get 110 hits on CLCW just in 2020. Even though we’re a good three months into 2021, they haven’t added the new year yet. It sometimes takes three months for you to see your decisions here. I use it for all kinds of things. If I draw a certain BVA VLJ for a hearing, I like to go look at his/her decisions and get a feel for who I’m going to be trying to convince. If you draw some antique like Ursula “the Unmerciful” Powell who’s been there since 1994, then you better have some most excellent Juju going for you. She will not brook an undeveloped brief or slipshod attorneys/agents/VSOs. I read a hearing transcript of a good ol’ boy Georgia Dept. Of Vet. Affairs  VSO rep. where he was telling Judge Powell how-and I quote from the transcript- “f****d up the Vet’s c&p exam was”. She didn’t cotton to the expletive and said so. Sayonara to that one.

Let’s dive in to #1. Let’s say you want to see which diseases are on VA’s list. You’ll spot §3.309(f) as the regulation with the CLCW list. So you go back to my basket of widgets up at the top and click on 38USC /38CFR Links. It takes you to the link for 38 CFR  (https://www.law.cornell.edu/cfr/text/38/chapter-I). Then you click on Part 3 Adjudications and it takes you Part A or B. Choose Part A. Scroll down to 3.309 and click. Scroll down to (f) and Bingo. The magic 14 diseases are listed. Now, what a VSO would never tell you is that you can get dang near any cancer tied to CLCW if you can get a nexus saying so from a reputable oncologist. I did one with a glioblastoma of the brain and won-in front of… guess who? Ursula  the Unmerciful. VA threw two IMEs at me and we still won.

WHAT AM I?

Let’s sort out who you are legally while we’re at it here. At the AOJ (Agency of Jurisdiction/Veterans Service Center/VARO/Fort Fumble), you are known as the Veteran or claimant. I prefer victim or hostage. When you get your polite denial and file a request for a higher level of review (HLR), you are still a claimant/victim. You have not left the local yokel level yet. If you die while fighting them, you are still the Veteran. Your wife becomes the claimant.

Car 54- can you give me a 10-36?

If (more like when) you decide to seek real justice, you file a VAF 10182. VA folks haven’t figured out a new term for this in the AMA yet so they use the old term (Notice of Disagreement or NOD pronounced just like Nod of the head). This is where asknod comes from. Ask + NOD. I didn’t pick that. I wanted WWVD-What would a Veteran Do? Cupcake felt that VD thing might irritate the Woke folks. VA folks call this new AMA form a 10-182 as in two different numbers. There must be a lot of old Car 54 or Adam 12 TV buffs at the BVA. At the BVA (Puzzle Palace/Oracle at Delphi) you graduate to become  an “Appellant” with a capital A.  The VLJ is called the Board or the Trier of Fact. If you file a Notice of Appeal to the Court, you are still an Appellant. The Secretary of Veterans Affairs is the Appellee. Ditto the Fed. Circus or the Supreme Court.

If you are filing a CUE claim aka a Motion to Revise, be it of an old AOJ or BVA decision,  you are legally the Movant. I’m not sure if that makes VA the Movee…

Likewise, at Court when you file an Extraordinary Writ of Mandamus (Ex. Writ), you become a Petitioner rather than an Appellant. The VA Secretary is the Respondent.  You are asking the Court (petitioning it) to make the Secretary fix some gross error in order to proceed legally as a claimant or Appellant in order to get your claim/appeal problem decided. The Secretary is given 30 days to answer the Court and explain the mystery of the holdup. Most Ex. Writs are dismissed or denied but they sure force the Secretary to get his poop in a group and they almost always fix the problem-but not always necessarily in your favor.

Not ready for Primetime Commandos

Legal Cites and §

I’m sure you all have seen regulations quoted in your 45-page SOCs or your 3-page Supplemental claim denials. They have the Section symbol (§) in front of the regulation. In most cases, you will see references to regulations in Part 3 adjudications or Part 4 (medical).  If you want to put a § in your brief, use ALT +Insert 21.But what about them legal cites to a precedential case? Okay follow me.

At the Court (CAVC) a cite will state the name of the Appellant versus (v.) the reigning Secretary of VA at the time. Any decision right now would be Doe v. McDonough. When I do briefs, I like to bold and italicize these for the law clerk who reads my BVA legal brief.  You’re required to at the CAVC if you use them in the body of the brief but not at the BVA. Perhaps bold/italics is not required on CAVC briefs if relegating them to footnotes at the bottom but do not quote me on that one.

Not a Blonde Joke

So let’s look at a cite I use a lot. Layno v. Brown. Benito Layno was a slippery dude and lost. Nobody called him a liar outright. They’re too polite and polished to be that rude up at the Big House. Judges say things like “the records fail to show…” rather than “Layno’s full of shit it’s coming out his ears”. He lost but he did do us all a wonderful service. Now we can say we have a headache and how bad it is on a scale of 1-10 without an MD after our name. The cite will look like this:

Layno v. Brown, 6 Vet. App. 465, 470 (1994)

6 Vet App. stands for 6 Veterans Appeal. It  identifies the court (CAVC or COVA back then in 1994) and Volume 6 of the Veterans Appeals, starting on page 465. The pertinent cite you choose- in this case the prime reason for citing it- is the Court’s holding on page 470:

a Veteran is competent to report on that of which he or she has personal knowledge.

The CAVC/COVA was created by Congress in 1989. Thus, 1989 is Volume 1 of the CAVC tome of Appeals. 1990 was 2 Vet. App.; 1991 was 3 Vet. App. etc.

The page number, in this case 465, is where you will find the beginning of the decision if you look it up on Westlaw. Page 470 will contain the actual phrase you are going to quote from or cite to as “held that a Veteran is competent to report on that of which he or she has personal knowledge.

Sleepless in Seattle or a KrispyKreme™ Pandemic sales ploy?

A Federal Circuit Decision is written differently. Let’s look at Jandreau v. Nicholson which pretty much said the same thing as Mr. Layno’s disaster. The Court of Appeals for Federal Claims (CAFC), to which you would file a Notice of Appeal if you didn’t agree with the CAVC decision, is abbreviated thusly”

Jandreau vNicholson, 492 F.3d 1372, 1376-77 (Fed. Cir. 2007)

Once again,  Jandreau identifies the name of the appellant which is not necessarily always the Veteran. If the VA secretary disagrees with the CAVC ‘s decision, he can appeal it up to the Federal Circuit and fight it up to the Supreme Court. In that case, the names would reverse and it would have become Nicholson v. Jandreau at the Fed. Circuit or the Supreme Court.  492 identifies the volume of the decision and F.3d identifies the location as recorded by the legal reporters who do this. Page 1372 is the beginning page of the Decision in Volume 492. Pages 1376-1377 are where you will find the desired notation to cite ((noting general competence of laypersons to testify as to symptoms but not medical diagnoses). I hear of a lot of attorneys (and probably agents too) who mis-cite. Remember, a cite has not only the starting page number to help you find it in the proper legal volume, but also the actual page(s) where the on-point cite is located. Thus Rice vShinseki, 22 Vet. App. 447 (2009) is incomplete and would be kicked out at the CAVC and require a do over and a resubmit for legal insufficiency. The meat you want to cite to is on page 453.

I know a lot of you are taught by various Vet’s Help websites to cite to the M 21-1MR or the M 21-5. Some teach using 38 CFR exclusively. At the Court, you want the cites. The regulations are there to be disputed or supportive. Here’s what I know from my own limited 30 years of experience. Any really contentious case-as most of mine are- never are won at the AOJ. VA fights me to the BVA and sometimes beyond. Nobody wants a CUE payout back to 2002 on their resume when it comes time for the RVSR upgrade. So, your legal argument is going to fall on deaf ears. Or is it? You have to think of this as a house. You start building the foundation long before you frame it. Your legal arguments are going to pile up and accumulate. Eventually, a person, usually a staff attorney with a JD, is going to pick it up and say “Well, duh. Layno applies.”  And they grant. Those cites were wasted on a VSR or DRO who can only speak M 21. But if you go up to the BVA with a mouthful of M21, they refuse to listen. Either you explain it to the VLJ speaking of 38 CFRese or 38 USC. Take your pick.  The  Court case you cite for support is simply your legal authority for why you believe you are right and the Secretary is wrong. M 21 is no more than the equivalent of the assembly instructions for an IKEA® bookshelf or couch.  M 21 is right out. It might fly up at a HLR but you’ll get skunked at the BVA or the Courts above.

I have a folder of go-to cites I cut and paste from to cover the major subjects I argue such as SMC or CUE. If I see a new cite I really take a shine to, I copy and paste it into my Killer Cites folder for future use. You can pull these verbatim from CAVC published decisions because they aren’t .pdfs.

Male Chauvinist Pigs

So, you find something used in a BVA decision applicable to your circumstances and cut and paste it (your CAVC/CAFC cite) into your argument. But let’s say you also see something further into the Jandreau decision on a later page and want to cite to it, too. If it’s in the same paragraph of your legal brief, and there are no interim cites in between, use Id. at 1379. That means you are referring to Jandreau above on page 1379

When you file for a batch of diseases but are only appealing two or three-say, for example IHD, prostate cancer and DM II due to Agent Orange- you might discuss it as:

On 9/23/2002, Appellant filed for, inter alia, IHD, prostate Cancer and DM II. This way, you don’t have to list pes planus, patellofemoral dislocation, a liver disorder, and a shit ton of other items they either granted or you gave up on.

Inter alia  is legal for “among other things”. It’s a Latin word so I italicize them. Pro se means you’re on your own.  Void ab initio means a decision, conclusion of law or finding of fact was in error and therefore it never happened. Supra is used after a legal cite name of the Appellant if you are referring back to it in an earlier cite as in:

Thus, Appellant’s testimony  on his  VAF 21-4138 as to the severity of his headaches is credible, admissible and was ignored by the Board. Layno supra. 

I like to use legal cites. Everybody is getting lazy these days in the litigation world. If my cite fits, I find the staff attorneys up at the BVA  frequently just copy and paste it right back into my grant.

Spring 2021 NOVA Conference 

We had our third-and I pray last-remote ZOOM NOVA conference this last week (10-12 March). It’s just like the Public School system. We still have to pay top dollar for our Continuing Legal Education (CLE) credits to maintain our accreditation but don’t get to hobnob with our friends and fellow litigators. It’s like an ice creme cone with no ice creme. You just have to “virtually” pretend you’re there. That’s like having a virtual TNT (Tanqueray® ‘n Tonic). Sorry. No new pictures of the Three Internet Amigos (Attig/Krause/Graham). No CAVC Judges to get a photo op with. No new cities to visit and scratch off my bucket list.  Basically, it’s a long list of Nos. But, blessedly that includes no Corona Virus. Cupcake and I received our second vaccinations last Saturday.  Whew. Just in time for the Equinox. Wait for it… TOGA PARTY next Saturday the 20th!!! Cocktail service begins at 1800 Hrs. Pool heater is set to 88°(maillot de bain optionelle pour les femmes). BYOB. Formal Toga Dress only. Scotch Pong begins at 1900 HRS sharp. RVSP only. Valet parking.

Posted in 2021 Spring NOVA, Appeals Modernization Act, Electronic Filing of Evidence, Extraordinary Writs of Mandamus, Fed. Cir. & Supreme Ct., Introduction-Read these first, Lawyering Up, Tips and Tricks, VA Agents, VA Secretaries, Veterans Law | Tagged , , , , , , , , , , | 6 Comments

FORT FUMBLE (DROC SEATTLE)–19TH NERVOUS BREAKDOWN

Folks, I have to tell you. Very rarely have I spent more time in a one-year period trying to ride herd on a bunch of VA cats.  I had them squirting off left and right and cancelling claims like they used to back in 1994. Back then it took a while to sink in-like maybe a couple of years to recognize that you hadn’t heard from Fred at VFW or been asked to fill out some form or send some information in. Shoot, by then Fred had moved on to a new career at Lonnie’s Used Cars and the VFW  “service officers” didn’t even know who you were. It was painful to start all over. Some of us beat our heads against that wall several times before we noticed the mental bruising.

Lookin’ out my back door….

Jimbo wasn’t that compulsive. He trucked with VA once in 2002 when he started getting sick from 20 yrs of asbestos and two tours of Agent Orange. He got the usual red carpet denials and tore up his VA medical card. Sayonara, baby. What the hey. He had TRICARE. I’m sure, being a retired Chief Petty Officer, he figured it out after his first BDA over the claims target.

When you consider how the Nehmer rules work ( §3.816(c)(2)(i)), if you were some kind of lucky to put in for Diabetes Melitus II or IHD back in the ’90s, you’d be incredibly rich if you had the smarts to refile in say… 3/2020. Call this a pandemic work project. Something for the bucket list. We filed about then for what I was told was his first filing ever. Not so. Memories fade and so did Jim’s. He forgot the 2002 filing for SHAD. He put in for a lot of serious shit including cancer (Myelodysplastic Syndrome), asbestosis, Diabetes II, IHD, bent brain  and back issues. He lost them all. What? You thought I was going say he won? Shoo doggies. We’re talking VA here. You’d have a better chance of buying the correct numbers on a Power Ball Ticket with the $10 Million Enhancer option for an extra buck.

Fate works in strange ways. Jimbo’s daughter came to work for Cupcake back in 20-someteen as an admin asst. and progressed up to RE agent over time. Her dad made me a keen box with the Air Force seal carved into the lid in 2014. About then the IHD and the PN started to take him down. One day last spring I asked Pumpkin what Christine’s dad was up to. I’d remembered two things (apparently) that prove I haven’t lost my mind yet. I knew he’d been on a destroyer or two close enough to land for eyes-on artillery support in Vietnam and wondered if he had anything he could file for. After a few spits and wheezes, we got a POA together and filed.

Well, shit everything blew up. Here we are in the new VBMS and you send in a 526 only to have them say sorry Jim. Wrong form. No. You refile on a 995 and there’s still a 50 % chance they’ll tell you that one’s wrong. That’s where having access to the VA Regional Office’s Change Management Agent is essential. She can get it sorted in two days and everything settles back down. It’s about then you go rooting around in his VBMS e-claims file and discover he filed for the IHD and DM II waaaaaaaaaaaaaaaaay back in 9/2002. This is like having a Delorean and being able to go back to 2002 and bet  $100 across to WPS on a 6-1 horse that isn’t even going to run until 2020. Of course, then you have to survive a few myocardial infarctions and dang near lose the use of the lower extremities to cash it in.

And, to add ice creme, boom chocolaka-laka and sprinkles, he forgot he also filed for mental depression secondary to the IHD. So, Procopio vs. Wilkie comes out and he’s some kind of big CRDP chicken dinner winner. Right? Not. Big chicken dinner winners are Vets VA doesn’t want  to pay. I mean seriously-and in this case to the point of cancelling claims and shitcanning evidence or misidentifying it as a document it isn’t. In fact, they spent 9 months trying to prove he wasn’t inside the 12-mile limit. His STRS had been uploaded into the claims file back in 2003 which probably saved them from the Friday the 13th conflagration at the NPRC in St. Louis back in 1973. VA could have looked at them and seen he’d been inside the 12-mile limit.

VA gerrymandered his staged rating like a Philadelphia congressional district. He had enough for 70% in 2003 (until his heart got better temporarily) and they reduced it to 30% (in 2006). Oh, and the 10% bilateral Peripheral neuropathy of the feet which improved? It, too bilaterally went down to 0%. All of a sudden he was rated at 44% ( rounded down to 40%) and missed being able to collect both the Navy retirement and the VA disability comp. Screwed him they did. Yeeeeeeeeeeeeeeeeeeeeeeees.

But….  that MDD as a secondary would hamburger the staged rating all the way back in 2003.  Jimbo would be entitled to that bodacious CRDP. VA decided it had to be cancelled. It was not CUE according to the VA Puzzle Palace Nehmer expert because a MDD isn’t on the disease list in §3.309(e). Right, it wasn’t CUE but nevertheless VA graciously begins a brand new claim with no 995 or 526 whatsoever and belatedly grants Jim 50% for MDD— but only to the date of filing (12/2020). That one was launched on appeal up to the big house this morning. But that’s not the end of the matter.

On 12/29/2020, having way too much time on my hands and fistfuls of medrecs that said Jimbo’s EF was below 30% waaaaaaay back in 2014, I filed a new 995. VA denied it 7 days later (including the National Holiday) on the 6th. No explanation. No favorable findings of fact. It was like I was blind and didn’t know how to read Braille. I had to call up my CMA Allison and have her call up Cris the CMA in Albuquerque to ask their Coach why in Sam Hill they denied. It took two days to get back to me with the reason.

Apparently our good cardiodoc did what every cardiodoc has done for decades. He stated the Left Ventricular  Ejection Fraction (LVEF) of the Heart as “EF”. Mind you, every VA Bastion of Ignorance across our fruited plains employs a medical specialist- at least an ARNP usually. S/he is familiar with medical terms and would instantly be able to interpolate EF and understand it. But noooooooooooooooooooooo. S/he denied because they were unsure if it was the left or… wait for it….the right ventricle. Since you a) need to do an MRI to figure out what that right EF number is and b) know the Vet you are dealing with has a rating for a “left” ventricle, you can be almost 100% sure any reference to an EF would be… wait for it…  to the left…except in Albuquerque. Sort of speaks volumes about the medical booth bitch in Albuquerque, huh?

Now, keep in mind the Secretary’s very own wording in his regulation, §4.104 DC 7005 says in haec verba

left ventricular dysfunction with an ejection fraction of less than X percent

So, undaunted, I reloaded on 2/11 with another 995 containing a signed letter from the good doctor and all the Jimster’s cardio records clean back to 2014. About then I discovered his EF would actually result in a much earlier 100% rating… well, everywhere but Seattle. Yep. The raters, with heels dug in, disconnected my legal brief from the claim and, in a fit of spite, ignored all the new supportive medrecs. Denied. Coincidence, you say? Whatever. Fortunately, I’m not easily deterred. I went the NOVA route and enlisted them to pester someone in Washington DC with an IQ higher than room temperature.

Faster than you can say lickityspit, the whole DROC came alive the next day like a yellow jacket nest on fire. Smokin’! I watched like a fly on the wall as it unfolded in VBMS. Every Ceslee, Kathryn and Song Yong from the Assistant Veterans Service Manager all the way down to Coaches, Assistant Coaches, Quality Control SRVSRs-shit oh dear all the King’s men were hard at it. More claims were opened, cancelled, reopened, administratively reviewed with three signatures than you could hit a cowpie with. And what should my wondering eyes behold come Tuesday morning? Why, a new screwed up decision but at least one that can be worked on up at the BVA. It gets a substantial amount of Baksheesh into the Vet’s bank account pronto which is what I’ve been working on for a year.

I’ve had it with these morons. I applied for TDIU in the 3/2020 filing. VA didn’t even mention it. Imagine granting  60% for IHD, then a 100% for three years, and then back to a 60% for 12 months before finally granting 100% P&T. And the Vet has been unemployed since the last big myocardial event back in 2005? What did they expect him to be capable of?  Selling vacuum cleaners door-to-door?  This, ladies and gentlemen, is what is called a Fenderson staged rating where they cast dem bones and read dem tea leaves and figure out how little they can give you back to when the old claim started. Frankly, it’s insulting.

Here’s the redacted docs. I did get him SMC S for two back months and forever into the future. What VA hasn’t even seen coming yet is to have to pay him about 70-80% all the way back to 2003. Kinda reminds me of Leggos. You just keep on building and building like a Progressive Slot down in Vegas. It pays out about the same, too when it hits.

redact CUE RD 2-25-2021 MDD

Redact snod CUE 3.3.21

redactSnod Code St 3.3.21

Folks, I gotta tell you no matter how much caterwauling I do, this is more fun than fishing with hand grenades and a supersized Tanqueray and Tonic. If someone had showed me this gig in 2007 and turned me lose, I could have helped a gazillion more Vets.

In Jimbo’s case, I’m doing the frequent filer program for new claims and appeals just in case he punches out. Mrs. Jimbo can’t get anything on accrued unless it’s filed before he saddles up. I also like to file my clients for A&A these days the moment they catch a cold. That way, if it goes south and it’s discovered he has a SC cause, we get them a few extra shekels for the short period of the Hospice. Remember, you can’t file after they hit room temp. If I sound like some kind of VA ambulance chaser, it’s because they (VA) have been so rude and abusive to my Vets. What goes around comes around. Very few litigators are brave enough to call these jackwads out.

Posted in Agent Orange, All about Veterans, Appeals Modernization Act, Blue Water Navy, CUE, FACE HUMOR, Tips and Tricks, VA Agents, VBMS, VBMS Tricks | Tagged , , , , , , , , , , , | 2 Comments

EXPOSED VET RADIO SHOW THURSDAY 2/25/2021

If you are otherwise unoccupied tomorrow evening 2/25/2021 at 1600 HRS on the Left Coast, tune in for some interesting discussions on the recent about face of the Veterans Administration on equitably deciding claims. This process, since shortly before the election, has been turned on its head. It’s so bad, you could get your hand blown off by a B 40 with 20 platoon members witnessing it, be awarded a PH and a CIB and still lose your VA claim. Folks, you may think I’ve been smoking some killer Mantanuska Funderthuck but I have the proof.

Better yet, in the same vein, I’m seeing a nefarious process where a Vet finally wins a claim back to 2002 and the VA Examiner carefully make sure he’ll somehow just barely miss being over 50% in order to be able to collect both his retirement pay as well as a VA disability compensation (CRDP). Or, how about finally acknowledging the Vet is entitled to SC back to 2004 but give him a 0% even though he couldn’t walk without a cane and a knee brace. I could go on and on but I’ll save it for the show.

SSgt. Famous Amos Weeks (KHA 8/1971 near Tango 11) guarding our incoming Vitamin B

I’ll give you all some tips on how to build your very own personalized punji pits for the VA raters to fall into when you get to the end of your claims fights. If I didn’t know any better, I’d think the Under Secretary for Benefits (USB) sent out an email saying “Holy shit. We’re out of money. Deny everything until further notice. Quit answering the phones. Turn off VBMS.” They didn’t send out any email that said it explicitly. They just lost that loving feeling.

I’m waiting for them to start putting blurbs in their denial letters like

“Please take a moment to share the denial with the Veteran and let him know we strive for equity in all our endeavors. Our motto to our frontline raters remains Grant if you can. Deny if you must. We encourage the claimant to refile in the future when he or she has further evidence that might support his claims.  Please also thank him or her for their service.”


Here’s the link to online version:

https://www.blogtalkradio.com/jbasser/11900753/connect/203bc446eb00678f33add01f57a1e0ecf0020462

 

Unless I’m mistaken, the telephone  number to reach this gig is

(515) 605-9764

 

If you just intend to listen, do not dial one to share your dog barking at the Amazon Delivery guy. Dial one only if you desire to talk to the person to whom you wish to speak.

1900HRS on the East Coast.

Radio Documents for Discussion of VA’s New Adversarial Adjudications Posture.

 

Redact Korea 10% Vet is 10% for residuals of encephalitis from 1953 to 2009 and then  100% for s/p encephalitis but VA says he he has nothing wrong with him. Okay. Then why give him the 10% from 53? the 100% from 2009? But not 80% from 1953  for 50%/DC 8100 headaches, 30% DC 9411 and 10% DC 6204 as individual ratings under §4.124a?

redact RD 2-10-21 Vet wins knee back to 2003 at 10% and then 20% from 1/2020 but he needed a knee brace and a cane to walk in 2003. So why the refusal to grant his initial claim at 30% under DC 5257 (2004) and 10% DC 5260 (DeLuca pain) back to 2003? SMC S from 2003 is a big chunk of change VA is not going to cough up without a fight.

redact RD 9-29-20

This is a redo for a Blue Water Vet. He filed in 2003 for IHD, DM II and PN due to Shipboard Hazard and Defense (Shad) but lost. I refile in 2020 under Blue Water and it’s now retirement pay PLUS VA comp (concurrent receipt). VA gives him a Fenderson staged rating and dang if he missed that 50% by thaaaaaaaaaaaaaaaat much. But, VA forgot about the 2003 C&P where they connected his depression to the Coronary Artery Disease (CAD) but denied the CAD.

redact RD 2-19-21 Here I submitted 12 pages of medrecs showing a Ejection fraction of <20%= 100% for IHD. VA tosses the medrecs and says I submitted a §5103 saying I had nothing more to submit and dated it 2/11/2021-the day I filed it. They had to go find a §5103 dated 1/06//2021 and stick it into a claim filed 36 days later on 2/11. So how do you file a 995 with no N&R Evidence?

redact CUE 2-25-2021

I refile the depressive disorder as a CUE of the redo on the 2003 §3.816 look back and they cancelled it twice. I called… well, I called someone in DC I know and today bingo- they reinstate a cancelled claim and grant it but not as a CUE. They feel it was raised on 12/02/2020-the day I filed the CUE. Make your own rules up if you want to. Any old rules that you think will do.

§3.310:

(a) General. Except as provided in § 3.300(c), disability which is proximately due to or the result of a service-connected disease or injury shall be service connected. When service connection is thus established for a secondary condition, the secondary condition shall be considered a part of the original condition.

Here, we’re dealing with Harris v. Derwinski and inextricably intertwined claims. If they deny a claim in 2003 and then grant it due to AO updates, anything that was part of it then is part of it now. When you grant a CUE, you have to put the Veteran in the same position he was in before they committed the CUE. VA contends this isn’t a CUE but granted it without my filing a 995 or 526 to reopen it. Ergo, it’s a CUE grant with the wrong effective date.

VA is not only screwing up at a record pace. They are purposefully denying or granting in such a way as to give the Vet the very least they can and then see if he objects. They grandly state “This is a complete grant of the benefit sought.” Yeah, well percentage-wise but not effective date-wise. Granted, as the comments below imply, VA has always screwed up our claims. But why now, suddenly when a lot of Vets are in deep doo doo with the Coronacrap and lost jobs, decide to be extra speshull assholes? What internal memo was circulated? What FAST letter was dispatched to all HHCs for immediate dissemination? You have to have a very high SES rating to be instituting this level of havoc.

redact g code sheet 2-10-21

P.S. recent Pickles entertainment with her Wingman Widget.

 

 

 

Posted in All about Veterans, Appeals Modernization Act, Complaints Department, Exposed Veteran Radio Show, Pickles, Tips and Tricks, VA Agents | Tagged , , , , , , , , , | 7 Comments

Is VA spitting in the faces of CAVC Judges and Veterans with this Proposed Rule?: Definition for Aggravation (09/11/2020)

On February 1, 2019, the U.S. Court of Appeals for Veterans Claims (CAVC) heard a consolidated appeal, Ward (No. 16-2157), Neal NO. 17-1204 v. Wilkie, and decided it on Jun 14, 2019.

DAVIS, Chief Judge:

Both cases in this consolidated appeal involve the correct legal standard for
assessing an increase in disability of a non-service-connected condition “proximately due to or the result of a service-connected disability” 2

The merits issue for panel consideration arises from Board instructions to VA examiners in both cases that “aggravation” of a non-service-connected
condition required a “permanent worsening” of that secondary condition.

The Secretary apparently imported this requirement from law pertaining to the presumption of aggravation for conditions preexisting service.3
The Secretary has incorporated the “permanent worsening” requirement into the VA Adjudication Procedures Manual, effective November 30, 2017.4

The Court concludes that the Secretary’s imposition of the “permanent worsening” standard is an impermissible attempt to add requirements that appear in neither the enabling statute 5nor in the implementing regulation for secondary service connection.

Footnotes

2. See 38 C.F.R. § 3.310(b) (2018). Disabilities that are proximately due to, or aggravated by, service-connected disease or injury.

3. See 38 U.S.C. § 1153; Aggravation

38 C.F.R. § 3.306 (2018). Aggravation of pre-service disability

4. VA ADJUDICATION PROCEDURES MANUAL (M21-1), pt. III, subpt. iv, ch. 6, § B(5)(a).

5. See 38 U.S.C. § 1110. Basic entitlement

6. See 38 C.F.R. § 3.310. Disabilities that are proximately due to, or aggravated by, service-connected disease or injury.

It appears that VA wants to serve up some rule-revenge to the CAVC and Veterans for their ruling. They boldly say they want the rule to supercede the CAVA’s decision in Ward. Cancel culture–VBA canceling CAVC.

“The Ward case, which the VA attempts to overturn through this proposed rule, provides a case law. The decision also makes clear that the recitation of the history and application of the relevant provisions and language VA seeks
to impose is not anchored in statute, thus it is unclear that these rules could survive a challenge under the Supreme Court’s recent clarifications on deference to agencies.”

Carl Blake
Executive Director, Paralyzed Veterans of America

Online Regulations.gov: LONG https://www.regulations.gov/document?D=VA-2020-VBA-0021-0001. See: Part II, 6th paragraph

“…VA did not intend this divergence, and its proposed revisions to realign the two standards of “aggravation” will supersede the effect of the Veterans Court’s recent holding in Ward v. Wilkie based on a change in the underlying regulatory text.

Question: Is VA intentionally and publicly refusing to implement CAVC’s decisions?

There are about 32 comments in Response to RIN 2900-AQ80, Aggravation Definition, with excellent responses from NOVA, Paralyzed Veterans of America, Veterans of Foreign Wars, Legal Services Center of Harvard Law School & Chisholm Chisholm & Kilpatrick LTD, Disabled American Veterans, Fulton County Veterans Service Agency, National Law School Veterans Clinic Consortium and others. Find links to letters here:

The Impact Statement is appalling. Can it be true that they want this rule to save 68 million, over 5 years.

VA was forced to add Ward, Neal v. Wilke to the raters guidance book: VA ADJUDICATION PROCEDURES MANUAL (M21-1), pt. III, subpt. iv, ch. 6, § B(5)(a).

Additional information

In paper FR: Federal Register 85 FR 56189

Regulation Identification Number (RIN) 2900-AQ80

Hadit.com posted the proposed rule in the Federal Register.

Ward, Neal v. Wilkie, Jun 14, 2019, 31 Vet.App. 233 (2019)
Article ID: 554400000121972

http://www.uscourts.cavc.gov/documents/WardLM_16-2157%20(3).pdf

https://www.va.gov/ORPM/FY_2020_Published_VA_Regulations.asp

A 21st Century System for Evaluating Veterans for Disability Benefits
(2007)
Consensus Study Report

Read chapter 11 free online (register): https://www.nap.edu/read/11885/chapter/11

VA must withdraw this insult to the Court. I would urge you email your Congress and state veterans agency. A comment can be posted to Sec. Denis McDonough:

https://blogs.va.gov/VAntage/category/secretarys-blog/

Laura (Guest author)

Posted in All about Veterans, CAVC Knowledge, CAVC ruling, CAVC/COVA Decision, Food for thought, Future Veterans, General Messages, Guest authors, Important CAVC/COVA Ruling, M-21 info, research, Uncategorized, VA Secretaries | Leave a comment