PTSD AT MADIGAN CLINIC

Obviously, when I come into possession of information about Vets, or even soon-to-be-Vets on the cusp of separation, I feel obligated to regurgitate it here. Sometimes what I get is from what need be considered a classified source. This is one of those occasions.

Remember the Col. Dallas Homas Memorial Bent Brain Clinic at The Madigan Home for Wayward Malingerers? Yep. Back in the news again. As some may remember, it appeared there was a Detroit-like assembly line production crew down there cranking out 30 minute, while-you-wait personality disorder diagnoses at a rate of 20 or so a day. This might not be remarkable if it was a joint endeavour by twenty or thirty counselors doing the intake. Try five on good day if nobody had the flu or a new perm scheduled.

After a careful observation conducted by a flyover at 20,000 feet, the assessment was made that no error existed, but… in order to be sure there would be a complete review all the way back to … 2010. Then 2009. Then it went back to 2007. Errors were being discovered and bulldozers for immediate backfill were needed. Col. Homas was temporarily relieved of his duties to prevent any more coercion of counselors. One up and quit anyway.

This was where matters stood until recently. With little fanfare, it was announced that there was no conspiracy to disenfranchise military personnel and give them the “slightly distorted (but not bent) brain syndrome which warrants NOT SERVICE CONNECTED. Troops don’t get it other than in the wallet. And wonder of wonders. A recently chastised and newly reoriented Col. Homas made a surprising reappearance at his old section.

A personality disorder is something you snuck into the service with. Whether its an uninhibited habit of picking your nose in public and digesting the mined product, washing your hands every five minutes, or the really disgusting habit of diving under things whenever a car backfires, the medical etiology always seems to be that it is something that always afflicted you. This means the Presumption of Regularity we all get at our induction physical is malleable. In medical records, it is abbreviated as EPTS (existed prior to service).

The escape hatch, if any of you wondered how that occurred, is located in the last part of 38 CFR §3.303(c)-to wit:

 In the field of mental disorders, personality disorders which are characterized by developmental defects or pathological trends in the personality structure manifested by a lifelong pattern of action or behavior, chronic psychoneurosis of long duration or other psychiatric symptomatology shown to have existed prior to service with the same manifestations during service, which were the basis of the service diagnosis, will be accepted as showing preservice origin. Congenital or developmental defects, refractive error of the eye, personality disorders and mental deficiency as such are not diseases or injuries within the meaning of applicable legislation.

Shrinks, and those minions who work for them in the enlisted ranks, are allowed to type up all manner of personality disorders on short notice and help the soldier get out. This would be fine if it resulted in remuneration down the road at the RO. It doesn’t, they don’t and therein lies the problem. And for the record, 38 CFR §3.303(c) has been around in its present iteration since before WW2.

What we heard from our troops inside the wire is simple. In order to do a proper intake on these poor souls, it’s necessary to sit down and do some serious talking to get inside their heads. You don’t have them fill out a questionnaire that says things like:

1) Where were you when the stressor happened? We’ll need the exact day/date and time. Location in GPS coordinate format is also required.

2) Did you feel any emotions of fear? Revulsion? Sadness?

3) Did you cry? Puke? Clap for joy? Pose for pictures with dead enemy combatants?

4) Did you pick your nose, steal anything, or wash your hands a lot?

5) Have you ever been arrested for theft or shoplifting? If yes, when?

6) Do you have any medical training that would allow you to diagnose yourself with a mental disorder?

7) Who told you you were in a war zone or is that just your subjective interpretation of where you were?

The only way this is accomplished is by one-on-one, down in the bunker examinations noting eye, hand and  vocal distress. You do not accomplish this with eleven subjects a day including two fifteen minute smoke breaks and an hour for lunch. In your dreams, you’d like to see no more than three of these ladies or gentlemen a day. This would give you time to ascertain what they really suffer and a chance to read up on it and write it up properly.

What we’re hearing is that Col. Homas is trying to ramp this up again and turn it into the former “in-by-ten, out-by-1015 with a write up by 1030 hrs. Next?”. Our whisperblower complains of a new attempted workload schedule of eleven soldiers a day being ramrodded through to include writeups of confirmed diagnoses and Triage instructions.  For most, this is their first visit to a mental health counselor who is even remotely capable of diagnosing the person. So much for that comprehensive retro-review back to 2007. If they are still losing twenty or more a month just in the Army, something’s amiss.

Think about that. This is worse than a MASH hospital. Do the math. Eleven brand new subjects divided (at best) by seven hours pencils out to a lot of DSM-IV errors. I envision spin-the-wheel Carnival GAF scores.

” Here we go, Sgt. Fuentes. Ohhhhh, Bummer. 70! Too bad. Some AWOL and petty theft. Shoplifting at the Commissary. Mood and sleeping disorders. Check. Suicidal ideation? I don’t see it. You feel okay, right?  Controlled by medication… hmmm. Looks like we have a little bit of PD here, trooper. How’s about a nice long, General Discharge-type vacation and a free two year pass at the American Lake VAMC for mental health counseling? If it gets worse, vA’ll  reevaluate you.”

This is what we are passing off as meaningful PTSD screening and solid investigative principles. Were this a civilian shrink, they’d demand five sessions @ 45 minutes to even consider a diagnosis and etiology. One for each Axis diagnosis and one for a comprehensive discussion with the soldier to confirm the long-term path to normalcy (if it can even be attained). By saddling counselors with an unmanageable, unrealistic workload,  the Colonel and his merry band in effect have insured no meaningful good can ensue. Mercurial diagnostics, like MRIs, are not available in the mental health field yet. Pretending they are is a disservice to everyone but most of all the patient.

Here’s an example of what they looked like during the Vietnam Boundary Dispute. Same old shit, different day.

I never met any Majors about this. I was stationed in the desert at Edwards AFB. Women were rarer than sidewinder rattlesnakes. Lt. Meyer asked me if maybe it was time to “move on”. He explained that two years in SEA changes your outlook on life. Maybe that military gig wasn’t my cup of tea. What the Hell? I’d punched the clock for three years and six months. Uncle Sam was willing to let bygones be bygones and I’d get a honorable-type discharge. He’d just cook up some innocuous-sounding excuse and I could be on my way. I declined to sign the first one that admitted I was a homosexual. Somehow this sounded better.

Remember, there was no such thing as PTSD until 1982. Now it’s up and disappeared again. Amazing. Now you see it, now you don’t. I hear that happens a lot in war.

BE ALL YOU CAN BE

(MENTALLY)

IF YOU COME UP SHORT

YOU’RE OUTTA HERE

Posted in Gulf War Issues, Medical News, MST, PTSD | Tagged , , , , , , , , , , , , , | 1 Comment

Baltimore VA Vietnam veteran infected

The multi-state David Kwiatkowski  drug diversion/HCV case is complicated.  The Baltimore VA has not released information on the test results of the 168 patients they’ve contacted but we know that one veteran has joined a lawsuit.

What’s alarming is that Kwiatkowski was present at two different procedures on this vet, two years before he worked in Exeter, NH. The VA is taking full responsibility for this veteran’s treatment according to an article in seacoastonline.com.

The veteran is the father of five.  He has been working with sick and elderly people, clueless that he was infected until a few weeks ago.  Will continue to bring updates on this  case as it develops.

Posted in Guest authors, HCV Health, Medical News, vA news | Tagged , , , , , , , , , , | 3 Comments

FOOTLOCKER– SURVIVAL VEST

Part of the neatsy-keen survival vests they gave us in Laos was a knife pictured below. These were manufactured by the Camillus Cutlery Co. and were indestructible. We also had flourescent orange locator beacons with a strobe light on them which was as dumb as tracers. I recall a signal mirror to attract the attention of pilots and some other useless stuff. A silk map with translations of “I’m your BFF”. I kept my knife and pistol on my belt where it would travel with me. I hung my vest over my seat out of the way. The battery in the locator  was almost always dead anyway so that was a farce. I don’t recall any FACs being saved by one.

 

Due to large amounts of spare time, we used the small whetstones included to turn these things into razor blades. I found a case of these leftovers from WW2 at the Air Operations Center at Wattay Airport (L-08) in Vientiane one day waiting for a klong flight up to 20 Alternate. I bagged about a half dozen and gave them to friends.

 

Compass, non-liquid. Model L-1, AF Procurement No. 459601. Don’t leave base and take off without it.

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MENTAL HEALTH CARE PROVIDERS NOWHERE ON THE HORIZON

Five long months ago we were assured that the mental health dilemma was all but over. Sixteen hundred new mental health workers were in the hiring pipeline and would be coming online after suitable training. Not.

Today I find in Tom Philpott’s column that not only are the fabled sixteen hundred not imminently to be employed, but that there is a dearth consisting of fifteen hundred existing  positions currently languishing for lack of experienced, trained personnel. These are jobs. Real jobs with paychecks attached to them. With a national unemployment rate averaging over 8%, I find it unconscionable that vA could allow this to continue.

As with any agency of government, they guard their turf jealously. Relinquishing any power would result in a loss of funding and this is anathema to the vA hierarchy. It’s simply not an option. To add insult to injury, one of our presidential candidates has advocated utilizing TRICARE’s available assets of  5,200 mental health workers to alleviate the backlog. While I consider it an admirable suggestion, it leapfrogs over the common sense question of what is ongoing at the vA. Simply shuffling Vets sideways into the TRICARE system puts a lot of stress on their program and does absolutely nothing long-term to solve the endemic problems and attendant suicide numbers.

I don’t need to tell you how that went over. When apprised of the idea, the general consensus among the grand poohbahs was panic followed by instructions to the PR flacks to put out the fire. With more than 20 Veterans and/or active duty personnel punching out prematurely every day, the obvious repair order is a more nuanced PR effort? Only in America and only at the vA.

The contretemps begins with the VSO/vA consortium. They are often the vA’s biggest fans and support much of the vA agenda for fear of alienating themselves from the process and losing their free office space at ROs everywhere. Can you imagine the head of the DAV pissing on vA’s parade? He and his organization would be persona non grata overnight and thousands of DAV representatives would find themselves on the sidewalk the next day. With 50 plus VSOs  chartered by Congress, office space outside the begging door at ROs is in high demand.  Therefore, looking to VSOs for succor in this mental health epidemic is futile.

Looking to Congress for solutions  seems  just as fruitless. With the deadlock between houses (and parties), virtually nothing can be passed without rancor and bridges to nowhere being attached to it.

The VHA (and our government)has one model to deal with these situations. It’s based on a long term plan. Simply put, gear up the hiring mechanism. Begin advertising and interviewing, Collect resumes and begin investigative processes. Finally, weed out the good from the marginal and reinterview these individuals. When the winnowing process is complete some time in 2013, the prospective candidates are AWOL. They’ve departed to other, guaranteed jobs available now-not some nebulous date in the unknown future. There is no flexibility built in to accommodate temporary phenomena. Hiring aggressively in a short term mode to plug gaps in certain identified problem localities is not in their lexicon. Look no further than the dichotomy of having three vacancies at the CAVC for years and years. No one even bothered to nominate any candidates. When they did get around to it, the Senate dawdled so long that those nominated moved on to other opportunities. Qualified, trained personnel cannot sit around waiting on Congress’ whim in interviewing and affirming them. Imagine leaving a seat or two (or three) vacant at the Supreme Court for several years. It’s inconceivable.

Similarly on the VBA side of the aisle, there is no plan for dealing with the backlog that continues to spiral out of control. New programs with catchy acronyms are all well and fine for their PR program but failing to actually employ them promptly eviscerates their usefulness. Or, after implementation, when it is discovered they are unavailing, excuses and recriminations ensue solving nothing and simply invoking Filner/Hickey confrontations.  The vBA still hasn’t absorbed that one yet. I suspect they have a whole new panoply of  prestigious programs in the wings waiting to be rolled out when the latest batch fail to bear fruit.

QUESTAR–Questioning Under Extreme Senate Torture And Responses

This is a new program that seeks to provide handy excuses tabulated in an alphabetical context as well as cross-referencing by concept. Fifty new brochures which cover virtually all potential conflicts. Test subjects resembling Senator Sneakers responded well to this pablum-based product.

AVATAR–Advanced Veteran Accounting Targeted to Alleviate Retribution

This was a shareholder contribution from an amalgam of VSOs . A former program, similar in all respects, was entitled CYA but has fallen into disfavor due to overuse and acronym pollution. AVATAR was rolled out just before Undersecretary for vA Excuses Allison Hickey was subjected to Representative Robert Filner’s vitriol. Unfortunately she was too busy in Orlando brushing up on bonus technique and was unable to attend that seminar.

VALUE–Veterans Access to Legal Underutilized Entities

This is simply a reaffirmation of the VSO model of legal help that continues to  promulgate Veterans’ access to meaningless, flawed representation. By characterizing this as a free tool to Veterans in their fight for service connection, shareholder VSOs continue the deception that Veterans are being served ably and that introducing lawyers will cause unfair, massive financial ruin to them (Veterans). Left unsaid is the spectre of  rampant unemployment in their ranks should said lawdogs be allowed an equal footing like SSA claims. Also overlooked is the financial ruin currently being visited on Veterans by the interminable delay in adjudications.

PROMO–Promise Remedial Organizational Make Over

This is slated for introduction as soon as the STAR, OIG and “125 day/98% in 2015” programs do a faceplant. vA believes this will be the winning ticket. They will petition for more funding to send it out to subcontractors for initial preparation. Meanwhile the ROs will continue to sit on claims and bog the process down yielding nothing new under the sun. This plan incorporates new bonus programs and training venues in warm places like Hawaii because workload will be absorbed by lower-paid outsourcing in India. Blame can, and will, finally be affixed to those guilty-the subcontractors. This is a win-win for vA and is recognized as such. Coffee mugs and ballpoint pens have already been ordered and are being stored on the sixth floor of the Winston Salem RO in anticipation of a 2016 rollout. Engineers have already calculated the live load on the floor and found it to be safe. vA employees have been briefed in how to safely navigate around the new boxes.

Humor aside, the system is broken. Were it just a matter of claims adjudication in a timely manner, we’d all be much more understanding. However, we’re talking human lives here. Veterans, in desperation, are taking their own lives because the intransigence and intractability of an agency unable or unwilling to change. Look no further than their insane love affair with paper files years after everyone  else in DC went to E files. That, on its face, is indefensible but no one ever called vA on it. So, in “splendid isolation”, as Senator Alan Cranston phrased it during the VJRA legislative hearings in 1988, vA has continued to drag their feet for another twenty four years and refuse to enter the twenty first century.

The chickens have come home to roost. Vets are taking their own lives at alarming rates. vA continues to prevaricate and insist all is well as the bow of the Titanic slips below the waves. Their proposed repair order? More bilge pumps to stay afloat. At what point will they don their scuba gear, go below and patch the hole permanently and properly? It appears  from the arguments that scuba gear is frightfully expensive, in short supply and a dearth of trained scuba folks are the holdup.

IF IT’S BROKE

 WHY FIX IT?

I find it intriguing that vA hasn’t swept up the PTSD broken glass of America’s prior military endeavors in Vietnam. When will our citizens become enraged and demand an accounting of that and the current idiocy? Who wants to be the last casualty or victim of bent brain syndrome to exit and discover they face a two month delay in mental health care because an agency of our government is selfish and wants to husband its power and assets?

My wife had me install one of these at the side door I use exclusively to remind me how I fit in to the scheme of things. You will also find one of these outside the VSO begging door entrances at all 58 ROs . I include the AMC in that number.

 

Posted in Gulf War Issues, Medical News, PTSD, vA news | Tagged , , , , , , , , , , , , , , , | Leave a comment

Internet junk in claims

HCVets.com contains so many terrific resources!  They give the following warning for people planning to print and use information from their site to include in their claims:

“All data printed from this website is under scrutiny by Veterans Affairs Claims Process. It is called internet junk…. So it’s important a copy is obtained from your local library and stamped as such to verify it’s origin. References are provided for each source to obtain the copy.”

When the BVA website was online, I read cases in which judges refer to medical research, on government or academic peer-reviewed sites, included with claims, as Internet papers, i.e. junk.  I wonder how scientists feel about that pejorative allusion for their work?  (Maybe it is “ junk science,” but not merely because the report was posted online.  And the judges aren’t qualified to determine what constitutes good science anyway.)

HCVets.com recommends asking your librarian to obtain the desired research document and having them stamp it to avoid this dismissive behavior.

Perhaps judges are less likely to call librarian-sourced and obtained resources “library junk” out of respect for the profession.  Never mind that the research being sought is probably borrowed from another libraries’ online database to which it has a paid subscription fees. The key is to get the document authenticated by an impartial person.

I add that the higher the status of the library the better it might be received.  That’s how the world works.

Therefore, if you have access to an impressive library nearby, their library stamp might impress a judge more than that of a library stamp of a tiny town that’s only open twice a week.  Go for the highest status library ILL services you can get in your locality.  Specialized libraries at Harvard Medical School,  and other fancy schools like Stanford Medical require an affiliation.  Who do you know with privileges?  Most fancy public libraries do have residency requirements.  Library of Congress, New York Public Library are impressive.   Wherever you are, go to a library a veterans’ judge would think twice before daring to call your research “library junk!”  

In any case, HCVets advice is smart.  It’s worth the wait to get an ILL-obtained authenticated copy, of the desired documents.  Most librarians will be happy to assist you.

For info. on PUBMED articles and open-access, this 13-minute talk is very good.

Posted in Guest authors, HCV Health, Medical News, Nexus Information, Tips and Tricks | Tagged , , , , , , , , , , | 4 Comments

BVA–HOW QUICKLY WE FORGET

I was leisurely strolling (trolling?) through VA.gov when I typed in BVA Decisions into the search bar. Here’s what I found out about it (vA’s BVA adjudications arm, that is) .

Four New Judges Will Speed Veterans’ Appeals

WASHINGTON – Secretary of Veterans Affairs Eric K. Shinseki announced the addition of four new Veterans Law Judges to the Board of Veterans’ Appeals (BVA), which will enable the board to increase the number of cases being decided.

“Veterans have earned the right to prompt, exhaustive and professional review of their claims for benefits,” Secretary Shinseki said. “This expansion of BVA will enable Veterans to receive more expeditious decisions on their appeals.”

Above it was the date… 

 

 

October 21, 2009.

I’m crushed. Four new judges three years ago and the BVA backlog is at 50 K?  I’m at a loss for words. I was lied to. Things are worse for Vets of all walks of life, be they homeless, female, or broke (or all three). All in the name of trying to prevent fraudulent claims. Does the pejorative “control freak” come to mind? Intoxicated with power? When does someone step forward and inform the Emperor that he is naked?

Posted in VA BACKLOG, vA news | Tagged , , , , , , , , | 2 Comments

COVA–FUGO V. BROWN–SHOW ME THE CUE

I should have written this one up several years ago and for that I apologize. Fugo is an interesting case where the Vet attempts to raise CUE but isn’t quite sure what he’s up to. In his bumbling efforts, he compounds his problems with interest and the whole thing ends up at the Court. They sort it out as they always do. Unfortunately for Joe, they untangled what decidedly was the worst legal mish-mash to arrive on their doorstep up to that point.

How this ended up being a panel decision escapes me unless it was just to illuminate how a claim should not be handled. Let’s look at the particulars and sort it out for ourselves. I certainly don’t want to see any of you up at Indiana Ave. pro se in this predicament.

Joseph F. Fugo, a combat Veteran, filed in 1987 for PTSD. I don’t think anyone can dispute whether he was entitled to this. The RO denied and he won on appeal. From the record, unless he was an accomplished actor, it’s patently obvious he was afflicted with severe mental issues. vA  dissembled for a while and finally the Board gave him 70% for it. They stopped short of giving him the whole TDIU enchilada even though he’d burned through about 80 jobs over the years. His personal best was about 3 months before  he hamburgered and went into self-destruct mode.

In June of 1989, Joe requested a Reconsideration of his BVA decision-something we rarely see or succeed in obtaining. Joe lucked out and an expanded Board panel of five heard his plea-or pretended to. Three rambling letters and an informal presentation to “connect the dots” later, he pancaked. The new panel declined to disturb the decision and determined there was no CUE. They used the phrase “no obvious error” which some can say is a way of dancing around the phrase “CUE”. Whether this was a true finding of no CUE is unclear.

Fast forward to 1992 and a reopening for what I surmise was another attempt at TDIU. Joe’s VSO representative, a Mr. Hamer, attempted to couch this in terms of a CUE as well. What is clear from the Court decision is that even Joe’s own VSO was clueless as to what Joe really wanted. I reprint page 4 in its entirety to illustrate Mr. Fugo’s stumbling attempts with little or no assistance from those he entrusted this job. Click on it several times to enlarge it if you are visually challenged.

This is a classic example of VSO help (or was) in that era. If you had one, he generally showed up about 30 minutes before any hearing to discuss the “game plan” with you. If you called him at the office, he was rather vague on procedures and had to get back to you. As you can see here, he actually arrived at the hearing without Joey and merely refers to him in the third person. The fact that Mr. Hamer didn’t have a clue what legal theory Joebob was espousing shows a serious disconnect-somewhat fatal to the case in this instance. It could be that Mr. Hamer was the DC representative of the VSO Joe had given his POA. If that was the case, this means Joe really got the shaft. Once armed with a POA,  VSOs in DC tend to go into the beggar mode. Any semblance of backbone or intestinal fortitude disappears. Since you are not there, your protestations are inaudible.

The Fugo case is classic theatre. The “You guys don’t know what you’re doing and if you did, we wouldn’t be here” was dragged out and found to be untenable. When you argue CUE, it should be a “Motion to Revise” all by itself rather than sandwiched into a TDIU increase claim. Mr. Fugo’s representative seems to have been about two blocks behind Joe and trying desperately to catch up. I find this more often than not where VSOs are concerned. There are many able-minded VSO representatives out there so don’t let this stand as an indictment of all of them. However, no one can argue that what we are reading here is not indicative of a claim heading towards derailment a year or more before it saw the light of day at Indiana Ave. NW.

Nevertheless, in 1993 the BVA did grant 100% TDIU to Joe and gave him his 1990 filing for increase which was equitable. That didn’t sit well with him and he proceeded to file the NOA. It appears he dropped Mr. Hamer off at the VSO HQ on the way since the decision reflects he stood before the Boys pro se. Baaaaaaad idea. Very bad. Vets as a class of human beings are incredible self-starters. We were taught that concept in the service. “Make do with the assets at hand” was a mantra expounded from Day one. Mr. Fugo decided that was the best course of action without doing much research. He obviously had a rudimentary knowledge of Part 3 and 4 of 38 CFR, but that isn’t good enough at the Court.

I fully understand Mr. Fugo’s frustration in retrospect. I have experienced the same sensation when filing NODs, replies to SOCs and F-9s. It would appear that everything you list or enunciate flies in one ear and out the other. Each carefully constructed argument with clear reasoning and evidence is ignored and the RO poobahs take off cross-country like a dog chasing a cat while still chained to the dog house. After fighting twenty three years and finding myself in similar straits, I have decided to employ an attorney and see if he can get a straight answer.  My technique hasn’t worked very well as yet.

My Motion to Revise my back decision was carefully constructed to avoid what Mr. Fugo encountered. Every error I perceived was examined closely and followed by a rational discussion of why it was error, the specific error with respect to CUE law, and how it would have been manifestly different had they not erred. Each reason was ignored and the decision, in essence, was a retread of the 1989 logic. At no time was there any discussion of the errors I pointed out.

Its difficult to have a meaningful conversation where ex parte judicial methods are employed. This is why we have hearings. Unfortunately, if your VLJ or DRO hearing officer is simply whiling away the time and waiting for an end to your passionate entreaty, nothing of substance can ensue. The RO and the BVA are triers of fact. If they cannot or will not listen to your arguments, no meaningful justice is accomplished. You report-they decide. You rebut-they decide. You appeal-they send it to DC and decide. In the end, the CAVC examines it properly and about that time, the vA decides to look in earnest and asks for a Joint Motion to Remand (JMR) to come up with a better denial mousetrap.

Mr. Fugo’s arguments didn’t begin to rise to a meaningful discourse and that is why this ended up on the rocks. It appears he was not on the same page as Mr. Hamer (or vice versa). Let this illustrate further what happens when you send someone off to do your bidding in a legal matter and they have no grasp of what you are arguing. Where CUE is concerned, this is inevitably fatal. The one thing Mr. Fugo should have been able to take away from this was a dismissal without prejudice. This would allow him to refile his CUE claim on the same grounds if he or an interested lawyer wished to. I don’t see anything that would lead me to believe he could prevail, but then again I’m not schooled in this.

Mr. Fugo and his pro se attempt at justice: Fugo_93-407a. Read ’em and weep.

 

 

 

 

Posted in CAVC/COVA Decision, CUE, Veterans Law | Tagged , , , , , , , , , , , , | Leave a comment

CUE AT THE CAVC-YOU HAVE THE RIGHT TO REMAIN STUPID

Presenting a CUE claim to the RO should not have to be as dramatic as Martin Luther nailing his 95 Theses to the front door of the Church in Wittenberg. However, when pursuing a claim of this magnitude, a Vet does need to have a mountain of legal precedence in his or her favor that will carry the day.

Many Vets read about this novel form of adjudication and mistakenly adopt it as the tour de force that will cure their ills. Few understand the magnitude of what they are attempting and are dismayed when they don’t prevail. Take heart. While it may be the most difficult thing you ever attempt, it does have some minor advantages when you do it yourself at the RO or BVA. Pull up a chair.

The Fugo Precedent Fugo_93-407b taught us that you cannot stand up and make accusations of CUE without specifying what it was that specifically constituted it. Shouting “Fire” in a theater must be predicated on some smoke. The mere suspicion that you suspect it bears more examination before you push print.

The Caffrey precedent Caffrey_90-1511 illustrates the mistake we (me, too) of failing to appeal the error to the Court. If you do not exhaust all your legal options, you cannot claim a failure in the duty to assist. That is why this has been taken off the CUE table. Simply put, you cannot equitably argue that you should be given an earlier effective date back to your first claims filing if you weren’t industrious enough to see it through to the end. I think the precedent sucks, quite frankly. It has too many holes in it and I intend to try to make exceptions to it in my CUE before the Court.

Which brings us to the Court after you discover the BVA doesn’t quite see it your way. Let’s assume you began this after doing your own research. You file pro se or possibly with a VSO and lose at the RO. On appeal, you still fail to get traction or any meaningful input from your VSOleaglezoom.com crew. The BVA slaps you with the wet towel and in the process, exposes a new legal vein of gold you had not considered previously. Yep. The old nonadversarial “we love Vets” argument. Thank your lucky stars that those chuckleheads down at 810 Vermont Ave. NW are so dyed in the wool on screwing us. It finally backfired and we are the beneficiaries. It’s still a bitch to win a CUE but we have one more toe in the door than before.

If you had been represented all along by an attorney after your initial RO denial, you would be precluded from introducing  any new facet of CUE when you arrived at Indiana Ave. NW. Whereas if you were a babe in the woods legally speaking, with nothing more than that VSO fig leaf to cover the nakedness of your ignorance at the BVA, the Court tends to take an entirely different approach to your stupidity. This can be your saving grace. Here’s how this complicated thing plays out.

38 CFR § 20.1404(b) on Filing and Pleading Requirements couches it thus:

 (b) Specific allegations required. The motion must set forth clearly and specifically the alleged clear and unmistakable error, or errors, of fact or law in the Board decision, the legal or factual basis for such allegations, and why the result would have been manifestly different but for the alleged error. Non-specific allegations of failure to follow regulations or failure to give due process, or any other general, non-specific allegations of error, are insufficient to satisfy the requirement of the previous sentence. Motions which fail to comply with the requirements set forth in this paragraph shall be dismissed without prejudice to refiling under this subpart.

Dismissed without prejudice simply means you are free to start over with a new theory of how you got screwed. Normally you only get one bite of the apple on a CUE motion. If you lose, that’s all she wrote. If you mangle your CUE theory and it’s obvious you don’t have a clue what you are about, they tend to smile at one another, pat you on the back, and send you home.

On its face, it would appear from § 1404(b) that you cannot go up to the Big House and then say “Ooops. I forgot to discuss __________ at the BVA.” However, in Andrews v. Nicholson, The Federal Circus took a new tack and revised what they had previously sanctioned in Roberson v. Principi. That was, of course, the idea embodied in 1404(b) apropos  specific examples or theories of CUE, clearly enunciated and laid out. Thus you can see that the concept of “ignorance of the law is no defense” can be turned on its head in vAland.

Thus we now have a new gift horse to look at, albeit an inspection of his mouth is not very informative. As in my earlier article on CUE,  I pointed out the incongruous nature of CUE. It does seem that the regulations are written such that CUE can be filed for but winning is virtually impossible. Law Dog Bob put it rather succinctly by saying:

Rule # 1. There is no such thing as CUE

Rule #2.  If CUE is discovered, refer back to Rule #1

The Andrews precedent shined a light on the difference in the quality of legal representation in our little corner of the judicial world. As you know, and I constantly harp about it, we are precluded from any meaningful legal representation until we’ve already lost. What Congress was smoking when that sailed through is water over the bridge now. What we have to do is live with the aftermath. Since the Courts constantly browbeat us with the idea that this is a nonadversarial system, they sometimes get caught in their own web of deceit. This is what Andrews recognized and why you, constitutionally speaking, have the right to remain stupid.

Once you enter the hallowed halls of Indiana Ave. NW, your judge has to do a peculiar dance now. He/she has to sympathetically read your CUE filing for all the possible permutations that apply-whether you did or didn’t- before proceeding to weigh in on the specific allegations you bring up. Thus, upon arrival, you, or more specifically your leagle beagle, is free to come up with all manner of new legal theories you missed or were insufficiently schooled in to raise yourself. This can save your bacon. Or not. Each case is unique.

Always remember that the legal pleading necessary to prove CUE is akin to trying to prove beyond a shadow of a doubt that God exists. Likewise, the older the decision and the amount of retrodollars involved seems to have a chilling effect, too. This isn’t always true but it is in the majority of cases. I see this as an indictment of too many claims being presented as CUE where there are none. CUE exists-don’t get me wrong. It’s just that the vA has artfully conned the Court into a few codicils that have turned the early Akins  (Akins_89-115) and Bentley (Bentley_89-70) COVA CUE precedents upside down. By adding several miles to the tunnel surreptitiously, vA seems to think we’ll overlook their machinations. The older these precedents are, the more entrenched they become. By not calling these defects into question, they gradually become bedrock jurisprudence.

Because law is constantly evolving, blind adherence to a particular precedent is waning. Every legal precept is fraught with a “what if…?” usually a few years later. Thus the concept of “justice delayed is not justice denied” espoused in Caffrey is gradually coming around to “Except when…”

vA constantly tampers with the CFRs. When they insert language into it to cure one ambiguity, they often do not consider the consequences of their actions on another facet of it. Thus we have the appearance of two sets of criteria for bed rest I wrote about back in June. vA eventually has so many balls being juggled simultaneously that the M-21 starts regurgitating multiple answers when queried. Of course the most damning ones become the context for your denial. The opportunity for CUE grows with each revision. Compare it to the intricacies of the tax code. Better yet, hold it up to the light of the old Friday rule. You could drop napalm on Fridays without permission with the reasonable belief that the Air Attache in Vientiane wouldn’t find out until Monday. Things would have cooled down by then and the exigencies of war would, in hindsight, prove that it was a rational choice that accomplished its objective without accidentally frying any Chinese or North Vietnamese “agricultural workers” in the process. The vA has burdened the CFRs over the years with Friday rules often to the point where obtaining a nuanced reading of the M-21 is all but impossible. This, in turn promulgates more CUE- the very same CUE that vA will insist is a veeeery rare occurrence. In fact, its so rare we are hearing about it here on a fairly regular basis. Go figure.

Mark my words. The old saw since 1994 that failure in the duty to assist isn’t CUE is going to eventually have more holes than Swiss cheese. I personally hope to put a large one in it with my own Motion. My favorite analogy is “When are they (the RO chowderheads) going to say they are not required to retrieve your records from the NPRC in St. Louis because the failure in the duty to assist isn’t CUE?” Congress never intended such a tortured revelation.

Posted in CAVC/COVA Decision, CUE, Fed. Cir. & Supreme Ct. | Tagged , , , , , , , , , , , | Leave a comment

AIR CAPITOL HAS 51% ERROR RATE

Wichita Falls, also known as Cowtown, also known as the Air Capitol of the world, has a vA problem. According to Asst. Inspector General Linda A. Halladay, the RO is sorely in need of training. Personnel are also not hitting their mark of 98% accuracy yet. Of course they probably aren’t paperless and hitting 125 day ratings either. So what else is new. Chances are they aren’t doing as poorly as Los Angeles, Wacko, and Oakland but they are still far short of a professional claims outfit. Maybe its time to get rid of the HAL9000 M 21 disaster and bring common sense into the process. If the screw head is stripped, you don’t get out a 28 oz. framing hammer and send it home. vA hasn’t quite absorbed that concept yet. BVA decisions computer on the fritz? Unplug it. Mission accomplished.

Here’s the report card. I say “F” and summer school but its too late for that. Make them repeat the same grade and no bonuses for a year. 36 out of 71 claims wrong? Ouch. That’s a whopping 51% error rate. It’s obvious they aren’t buying their tobacco in Muskogee.

Okay. All you raters. Up against the Wall, pronto.

Posted in vA news | Tagged , , , , , , | 2 Comments

HARVEST TIME IS COMING

Wouldn’t it be nice if vA’s adjudicatory system were as predictable as the seasons? Plant your claims in early March and see them reach fruition by mid-September. Unfortunately that isn’t the case unless you use elephant gestation as the yardstick. Even then, you are not guaranteed results in 21 months. Ah, but I digress on the subject.

At the Nod ranch for wayward Vets, we had a good year. Considering that Global Warming has had an inverse result in the Northwest, generating cold and rain for extended periods into the growing season, we consider ourselves lucky to have any success at all. Given the drought in the Midwest, I should just shut up and be lucky my corn materialized at all.

In all its glory, I present what the bees have wrought and the birds have not rent asunder(yet).

Liberty apples

Italian plums

Red pears. The birds ate the green ones

cantaloupes

the piece de resistance…

The Corn Palace

We spread Grampa’s ashes over the corn this year. He passed 6/10/10. He was in the first wave ashore at Omaha Beach so this can rightfully be said to be Veterans Corn.

Kohl rabi

Butternut squash inextricably intertwined with my fence

Parrot food

Two weeks ago. There’s ten more in there now. These are purely for the Grandkids’ entertainment and and have no food potential.

All in all, a fruitful year for everything but BVA wins. Perhaps next year at the CAVC Olympics. Most of all, no herbicides. I think I can safely say I’ve eaten enough of that to last me a lifetime.

Posted in Food for the soul, HCV Health | Tagged , , , , , | Leave a comment