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Meta
BVA-Roadmap to nowhere
Ladies and Gentlemen Vets, this is a classic example of a frivolous filing. This Veteran has unfortunately had some problems in the past with drugs. It is unfortunate that he suffers. I think any caring person would have sympathy for his plight. The rules for compensation are rather cut and dried on the subject of remuneration for willful misconduct. I hope this sheds some light on filing claims when your case file, both VA and Military, is riddled with evidence of a negative nature. This Vet was represented by the DAV and I believe he should have been given an honest assessment of his chances of winning prior to wasting his, the VA’s, and the DAV’s time. Not to mention how many trees they had to cut down to manufacture the paper for this insanity. Simply put, I believe everyone should have their day in court with the caveat that their claim has merit. We all wait patiently in a line for our turn at the gold ring. Some claims turn on a subjective interpretation of regulations, events, and medical proof. This contains none of the above and simply clogs the system.
Posted in Frivolous Filings
Tagged HCV, Help with vA Claims, Service Connection, VA claims
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BVA– Hep A,B,C,D,E,F,G,H,IVDU,J….
This is the first in a series of “Frivolous Filings” series. It represents what can happen when the lip box beneath the nose opens and things that sound like intelligence emanate from within. Be very careful what you say. It will follow you forever.
http://www.va.gov/vetapp08/Files2/0817935.txt
This gentleman from Oakland is quite possibly beyond the pale. He has a lot of theories in the air at once. Unfortunately, VA will consider them inherently incredible along with him and assign the reason for the hep to drug abuse. It’s tragicomic in a lot of respects but amply illustrates what happens when one gets diarrhea of the mouth.
Posted in Frivolous Filings
Tagged HCV, Help with vA Claims, Service Connection, VA claims
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CAVC-Evans v. Shinseki (2011) Post Hoc Rationalizations-
Once again, using literary license, we take pen to paper to illustrate the VA Secretary’s attempts to make an elephant disappear up its own asshole. He rarely succeeds when he gets to the Court and this is a fresh example. I rarely resort to scatalogical terms so I apologize. It is a literary term that best describes what has ensued here.
Mr. James I. Evans comes before the Court, with counsel, to object to what the VA has been doing for years and often getting away with. Occasionally a Veteran will call them on this and it arrives at Indiana Ave. NW for a fresh inspection that reveals this same, seminal defect. This time the Court cut down a few more trees and the decision runs to 18 pages, not including Mr. Evans’ attached Form 9 as evidence. This is a first for the Court as they never publish the documents involved. You will love the rich, controlled language that flows from the decision and the subtle jabs at the Secretary’s vain attempts at post hoc rationalizations (PHRs) for why they tried to railroad James’ claims. The term “post hoc rationalization” has been around for aeons, but has gained notoriety in print in recent years due to the VA’s attempts to employ it so frequently. It’s their latest default setting when explaining what transpired decades ago. Hell, the raters have retired and there are no notes on why they screwed the guy. VA is just attempting to reconstruct the rationale for denial. Absent anything else they bring in the designated apologist. The Court, just as eager to please, has been more than happy to keep telling the Secretary he cannot do this. Perhaps a wet, smoky fire with green Madrona wood and an equally wet blanket to send smoke signals down toVermont Ave. NW to that effect would be in order. Maybe a wet blanket alone? He just doesn’t get it. God can get away with this. He can say He created Eve to keep Adam company and we have to take that as Gospel. The Secretary cannot decide 3K years later that the reason God did this was that a) He was bored; b) had some extra clay lying around and c) was only a couple of ribs shy of a chick, so what the hey? Try this one on for size:
The Secretary further argues that the appellant “explicitly abandoned” the issues of asbestos exposure, hepatitis B, and hepatitis C during his January 2008 hearing before the Board. Secretary’s Br.at 13-14. However, it is the Board that is required to provide a complete statement of reasons or bases, and the Secretary cannot make up for its failure to do so. See Martin v. Occupational Safety & Health Review Comm’n, 499 U.S. 144, 156 (1991) (” ‘[L]itigating positions’ are not entitled to deference when they are merely appellant counsel’s ‘post hoc rationalizations’ for agency action, advanced for the first time in the reviewing court.”). The Board does not discuss the January 2008 hearing in its decision. There is simply no indication that any statements that the appellant or his representative made at that January 2008 hearing influenced the Board’s decision. The Secretary cannot support the Board’s determination by providing reasons for the Board’s decision that were not stated by the Board. Evans v. Shinseki (2011)
In years past, the term for this was “fabricating a new interpretation out of whole cloth”. Recent Presidents have been known to dissemble with meaningless phrases like “Well, shucks fellers. That all depends on what the meaning of ‘is’ is. Ya know?” Presidents can do this. Accountants do the elephant trick all the time. VA needs to take lessons as they haven’t quite got the hang of this yet.
Here, we have a Vet who appealed 6 claims but was verbally challenged and accidentally ended up only appealing three according to VA poohbahs. Instead of just sitting down and saying “Gee, Jimbo. Something’s wrong here. Did you mean to do this? Are you sure?”; true to form they took the path of least resistance, took out their magic 8-ball and construed what the poor man really meant. VA does this all the time. How many decisions have I read where the BVA says something along the lines of “It was felt that he was trying to… or- The claim was construed to be for…” or my favorite “The VA examiners extrapolated…”. Any time you see the word construe, interpreted or extrapolated, it usually spells disaster for the Vet’s claim. In ex parte justice this is all too common and unconscionable. The Vet finds out about 2 years later and goes postal. It certainly didn’t help James to have a VSO. His service officer glossed right over this and probably was sitting in his little VSO office telling the Jimster what to write. This is a small excerpt from the case, but it says it all:
As noted above, VA has a multitude of avenues available to clarify the issues on appeal that are consistent with pro-veteran, claimant-friendly claim development. The entire veterans claims adjudication process reflects the clear congressional intent to create an Agency environment in which VA is actually engaged in a continuing dialog with claimants in a paternalistic, collaborative effort to provide every benefit to which the claimant is entitled. In accordance with the Secretary’s asserted position, VA not only does not engage in such a dialog, but rather need not even communicate to a veteran that he has not perfected an appeal as to certain issues he might otherwise believe are on appeal to the Board until the veteran receives that message many years later in a final Board decision. Evans v. Shinseki supra.
The Evans case will offer us endless ammunition to counteract the proclivity of VA to deny and then years later come back and try to reconstruct the denial reason anew with their latest PHR technique. Even I have been the unwitting recipient of one of these expeditions into the past. And oddly enough, after much brow-beating and chest-pounding (not to mention a DRO review of all the evidence), it was determined that Mr. Nod had inadvertently failed to obey the rules and filed his F 9 incorrectly, thus depriving himself of the right to appeal within 60 days. What is apparent is that they can’t do it with a straight face and are forced to inform you in writing. Hence the ex parte justice. If they had to stand up in court and regurgitate this nonsense, everyone would look at them as if they were blaming it on alien abduction, or God forbid, George Bush.
At any rate, if you like a good Grimm’s faery tale, the Secretary’s version of how this went down is very entertaining. If he’d had a beer summit with the Vet, I’m sure this could have been ironed out and global warming would have been averted or reduced greatly. Once again, this is proof of a governmental agency run amok spending hundreds of thousands of dollars trying to defend the indefensible. It is also proof of why Congress felt the need to bridle the VA with the Veterans Judicial Reform Act (VJRA) of 1988. Perhaps the Secretary should get a bumper sticker that says “If you’re gonna ride my case, have the decency to saddle me first”. Granted, he would look silly wearing a saddle all the time.
Get out the popcorn and a cold IPA for this one. It’s a good read. At the end, Judge Moorman files his dissent and advocates for a much harsher remand than the mild-mannered response of his brethren. These gentlemen are becoming more than fed up with the Secretary and it’s starting to show.
http://www.uscourts.cavc.gov/documents/Evans_08-2133_published_opinion_4-4-2011.pdf
P.S. Below is a classic example of Post Hoc Rationalization. I hope it doesn’t have to go all the way up to the Court. It’s sitting in D.C. right now advanced on the docket because my shelf life sticker is expiring soon.
Attached is a post hoc rationalization made 14 years after a denial. On the blue-hoo sheet (#1) it states”The service record shows history of treatment for hepatitis in 1971 during his duty in Indochina.Treatment for hepatitis is not shown in the available service record.” This puzzled me for a while until I remembered some of my military career was spent working for AirAm. That was where I was when I came down with hep. My military SMRs have no record of it. I mentioned it in my separation exam and that is the “history of treatment” they mention. Since I had a copy of my off road medical records, I sent one in (#2). And since they said I wasn’t in Vietnam, I also sent them a copy of TDY orders showing I was. I got an SOC in January of 95 (3) that said “Roger on the records. We’ll get back to you.” Like a jilted lover, I waited, but that was the last I heard.
I refiled in 07 and won in 08. I filed for the 1994 date in my 2008 NOD and the 09 SOC (DRO review, no less) shows the revised post hoc rationalization (4). All of a sudden, records sent in with the 12/94 NOD are moved to appear to have been sent in with the 3/ 94 claim. Now the rationale for the 11/94 denial shifts to”However, the 1994 claim was denied on the basis that the hepatitis noted in service left no chronic residuals”. No mention of “history” or “treatment” now. The reader will notice that the PCT issue is no longer associated with the hepatitis as in “residuals of hepatitis”. It has been sidelined and thrown out as in “you were never in Vietnam, Mr. Nod.”. Bingo. No more residuals. As usual, my good buddy at the VSO never mentioned getting a nexus from the skin specialist who identified it (the PCT). Actually, that nexus requirement didn’t become mandatory until a year later in the Caluza v. Brown decision. All in all, VA did a bang up job of rearranging the furniture and moving the documents around to fit the picture. Police call this staging a crime scene. VA calls it a probative analysis of the available information. One little problem. When you submit new documents, they have to redo the decision from scratch [38 CFR 3.156(b)]. Absent a do over, the Vet cannot file his appeal (Form 9). That is why they said “we will notify you as soon as our decision is reached”. There’s no regulation that says you have to file the F-9 to get a do over. The DRO danced around the fact that they never called me back. That’s where it sat for 14 years. Now, ladies and gentlemen-watch closely. The typewriter is faster than the eye. Approximately a year later on the PCT DRO review, they finally address that pesky #4 document. This time VA opts for a novel PHR (#5) “The narrative portion also noted that the above TDY orders were received and that you would be further notified of a decision. This subsequent decision would have been a SSOC issued subsequent to your filing a timely VA Form 9.” No mention of the simultaneous submission of the off road hep. medrecs. Just a failure to submit the F-9 in order to receive my SSOC denial. VA eats 38 CFR for breakfast every morning and they damn sure don’t cotton to the idea of having to pay a shitton of bucks out for their screwup. It’s easier to employ the PHR technique and reconstruct history to comport with a “revised” version. Since the new PHR version reveals I never appealed, the claim is DOA. Pretty fancy footwork, huh? These guys would be naturals for Dancing with the Stars.
COVA–Espiritu v. Derwinski- No Lay Doctors
In almost all decisions you will read, be they Court or BVA, you will run across two cases over and over again. Gilbert v. Derwinski is the most quoted, but hard on its heels is Espiritu v. Derwinski (1992). The major reason these two surface so frequently is what they stand for. Gilbert had multiple holdings that are salient to Vets which we have discussed in another post. Espiritu focuses on one narrow idea- that unless you are a doctor, you have no business talking like one.
While Layno v. Brown (1994) espoused the holding that a Veteran, or anyone testifying in his/her behalf, could only opine on what came to them via their five senses, Espiritu held very narrowly that if you have no medical training you cannot make statements, diagnoses or pronouncements of a medical nature. That domain belongs exclusively to medically trained personnel.
Jovita M. Espiritu filed for DIC in August of 1971 shortly after the death of her husband, a Philippines Army soldier in the Second World War. She was denied based on the death certificate not agreeing with the medical records associated with his service-connected injuries.
Mrs. Espiritu suffered in silence for 18 years and decided to reopen her claim. She submitted some very controversial evidence to bolster her argument. The first item raised a few eyebrows. It was a different death certificate that said the same exact thing as the original. Item number 2 was a contemporary letter from Mr. Espiritu’s family doctor dated a month prior to his demise which listed numerous medical complaints, but not the one listed as the cause on the death certificate. Item number 3 was a lay statement from the next door neighbor saying that Mr. Espiritu died from TB, asthma and septicemia which (oddly) partially mirrored the death certificate’s findings. Item number 4 really made everyone sit up. This was a statement from a nurse named Pilar Nacionales that said Jose did not die from his service- connected injuries. Last but not least, Item number 5 was a joint affidavit dated a year prior to this reopening from two neighbors who claimed to be present and who stated that Jose’s new adventure in the afterlife was a direct result of septicemia and “buttock abscesses”. It was an eclectic bunch of evidence but failed to move the Manila RO.
No to be outdone, Jovita filed to appeal the adverse decision, perhaps hoping this time to receive a sympathetic hearing of the facts. The 1990 BVA was no more availing than the RO in 1971, so she decided to take this to the top. Keep in mind here she’s doing all this pro se.
The Court didn’t waste any time with this. They could have (and I might have) impugned her testimony and evidence as contrived and fabricated but they didn’t. Instead, they addressed the obvious problem. Jose’s next door neighbor was not a doctor nor were the two gomers she dug up to swear they were present for the Extreme Unction ceremony. Let’s face it. The evidence was shaky and Pilar’s contribution was extraneous. Hell, for that matter the Doctor’s letter didn’t even blame it on the SC condition. Having two dissimilar death certificates was rather fishy, too, but everyone politely overlooked the possibility of a forgery. I suppose the rest of the evidence was so damning that no one felt good about piling on the poor widow woman. At this point it was obvious to everyone but the blind that she was desperately grasping at straws.
That is the long and the short of José Espiritu’s demise and Jovita’s fruitless pursuit of DIC. She probably didn’t live happily ever after either. Jose, on the other hand, will be ensconced in the VA legal Hall Of Fame for centuries to come if we continue to have collateral damage associated with wars.
Meet Jovita Espiritu… Espiritu_90-452 
Posted in Important CAVC/COVA Ruling
Tagged Help with vA Claims, Service Connection, VA claims
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COVA–Gilbert v. Derwinski (1990) –The Dawn of the Court
At the dawn of time (as far as modern review of Veterans’ claims goes) pursuant to the passage of the Veterans Judicial Review Act (VJRA) of 1988, the Court Of Veterans Appeals (COVA) was created. Its stated purpose was to review appealed decisions of the Board of Veterans Appeals (BVA). Now, in order to do so, the new Court had to create a voluminous amount of precedent case law in a very short period of time. The reason being was that VA law was unique to Veterans. Many concepts of boilerplate U.S. law did not apply to our circumstances. Thus our new judges were tasked with picking through endless prior decisions from the Supreme Court as well as the Fed. Circuit to quote precedence- virtually none of which involved Veterans. More about this later.
In order to create new Veteran-specific precedents, the COVA (now known as the Court of Appeals for Veterans Claims [CAVC]or the Court) went into high gear throughout 89, 90 and 91 to produce an enormous amount of case law. This accelerated pace continued all the way into 1995 before it slowed down somewhat. Much of this is still cited today in Court and BVA decisions. Some has been overturned at the Federal circuit level on appeal or superseded by new or more nuanced reading of existing law.
However, one precedential case Veterans will see over and over is Gilbert v. Derwinski, decided October 12th, 1990. Norman (NMI) Gilbert was a groundpounder serving in Korea in 1956 when he had the misfortune of tripping and falling while carrying an M-2 .50 calibre machine gun. If you have ever been saddled with carrying one of these beasts, you can appreciate what happened to him. As was the usual case, he filed for SC and was denied. Following in the footsteps of a lot of us, he failed to appeal. After reapplying, he was denied yet again. Fortunately this was the point at which he could avail himself of the appeal procedures of the Court, which he did. The Court, in fine form, looked at his defective BVA decision and noticed the absence of any discussion regarding the positive evidence in his favor. All discussion centered on the negative evidence with a conclusion that the benefit of the doubt rule was not applicable.
When the VJRA was passed in 88, one of the new requirements was that within the “Reasons and Bases” section of a BVA decision there must be a complete and coherent explanation for the decision that included a discussion of the positive and negative evidence to facilitate review in the event of an appeal. This explanation was also a platform for the Board to state whether the positive evidence was enough to prove the case or if the negative evidence against the claim was enough to deny it. The third alternative, the benefit of the doubt, enshrined in more than a century of VA case law since the end of the War of Northern Aggression in 1865, was for consideration when the positive and the negative evidence were in equipoise- that is, equally balancing one another so as to allow two permissible interpretations, both of which were plausible. In the event of equipoise, the benefit of the doubt doctrine, now enshrined in VA law as 38 USC § 3007 (subsequently renumbered as § 5107) was to be applied. This reading of law digressed from civil law which demands “clear and convincing evidence” in order to prevail.
One observation I feel needs to be illuminated is the prevalence (and propensity) of the BVA to come down, often through semantic gerrymandering, on the wrong side of said benefit of the doubt. This is what occurred to Mr. Gilbert and what prompted his Notice of Appeal to the Court. The Court spotted the discrepancy and decided to use this case as a vehicle for enunciating the right of Veterans to this important entitlement. The fact that it continues to be abused or simply paid lip service in the stampede to deny Veterans their claims requires the Court to dust off this precedent and take the VA Secretary to task on a fairly regular basis.
In the wake of this ruling, many other important decisions were handed down that further cemented Veterans rights. Almost all of them were the result of egregious errors on the part of the Secretary and his administrative law cohorts in determining how to interpret 38 USC. Ultimately, Mr. Gilbert did not prevail in his claim after remand. However, his name will live on for aeons in the annals of VA Law.
38 USC is simply the laws as enumerated by the Congress. 38 CFR, however, are regulations promulgated by the Secretary to implement that law. Quite frequently the Court strikes down all or portions of 38 CFR that conflict with 38 USC. Even more frequently, we are now starting to see what is known in military parlance as “Mission Creep”. This occurs when our Exalted Leader takes out the legal scissors and proceeds to manufacture new interpretations of old laws from whole cloth. The fabric of 38 USC is fairly sturdy and has withstood the test of time for the most part. The same cannot be said of 38 CFR.
The mere fact that the VA General Counsel’s office constantly has to clarify the meaning of regulations contained in the CFR (VAOPGCPRECs) for Regional Office personnel indicates there is ambiguity in them. What isn’t there is wiggle room. There are not two permissible views of how to interpret the law, nor is there implied permission to read new meanings into old regulations. Once we cure the predilection of the BVA and the Secretary to detect these new “revelations”(which you and I are certainly not allowed to do), we can proceed to a more amicable form of justice instead of the antagonistic format we now endure. What we are seeing nowadays at the Court is the Secretary getting caught with his proverbial legal pants down all too frequently. This is often followed by a defective, tortured and poorly reasoned explanation to anyone who will listen as to how he arrived at this new legal epiphany. We at AskNOD have abrogated a Yahoo term and now refer to this as “Shutdown Corner”. The frequency of this bad habit is becoming frighteningly redundant and makes the Secretary resemble the ex -general he is and not the accomplished legal scholar he purports and aspires to be. We certainly had high hopes for him upon his appointment in 2009.
When you know you have been denied by the BVA for erroneous reasons and seek redress at the Court, looking through these old decisions is like being a contestant on Supermarket Sweep or being the first one to dive into a large Whitman’s sampler box. You will invariably find ample precedent to remand, vacate or reverse your decision. The Court has a voluminous amount of VA law under its belt now and precedent abounds. New interpretations are still being uncovered on laws that have never been addressed minutely. Every time Congress adds to 38 USC, it provokes another round of misinterpretations by the VA on what, exactly, is permissible. I guess it doesn’t take Karnak the All-Knowing to illuminate how they will interpret it.
Remember, in VA law, you politely present your side and sit down for several years. VA then proceeds to demolish your case. They start by questioning your morals, impugn the memory and reliability of you and your witnesses and denigrate your evidence as immaterial. All this without any rebuttal or cross examination on your part. You then attempt to rebut their insinuations, correct their misconceptions and try to refine your theory. They, in turn, claim you have now changed your story and cannot corroborate your claim. Then they cite all these cases we have been examining and use them against you. This is known as ex parte justice
It’s time to turn the tables and utilize the same technique to your advantage. Mastery of reading comprehension is almost a prerequisite for this. If you find yourself challenged in this regard, we strongly recommend seeking out a lawyer rather than a VSO. VSOs are several steps below legalzoomdotcom and were raised by wolves in our estimation.
Ladies and Gentlemen Vets, meet one of your forebears who inadvertently immortalized his name in case law- Mr. Norman (No Middle Initial) Gilbert attached below as a PDF.
P.S. In the attached picture below, the fifth gentleman from the left (standing) is 1st Lieutenant Harold “Weird Harold” Mesaris (USAF). He is holding a M-2 .50 calibre machinegun like the one Mr. Gilbert tripped and fell with. You will notice Weird Harold’s left leg is resting on a .50 cal. ammo box in an effort to support the weight of the gun. All these gentlemen were in uniform at the time (1970). We weren’t allowed to wear our military uniforms in Laos because a) we weren’t there legally in a military capacity and b) we were ostensibly civilians on vacation or USAID workers. Every one of these officers were volunteers for the Steve Canyon program. Their call sign was Raven. From left to right (standing) Craig Duerhing, Bill Lutz, Park Bunker (KIA/BNR 12/30/70), Chuck Engle (KIA 2/21/71), Harold Mesaris, Ray DeArrigunaga, (kneeling) Jeff Thompson(atop the T-28) A.D. Holt. Braver men never posed for a photo.
Posted in Important CAVC/COVA Ruling, Tips and Tricks, Vietnam War history
Tagged ASKNOD BOOK, asknod@wordpress.com, CAvC/COvA Decisions, Disabled Veteran, DIY vA Claims, Gulf War Vets Help, Help with vA Claims, Helping Veterans, Korean War Vets Help, Service Connection, VA claims, Veterans Benefits, Veterans claims help, Vietnam Veterans Claims Help., war mementos
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Deciphering CAVC (cont.) Part 3
This is Part 3 of a 3 part analysis of a Court decision. To read the whole decision, please access the CAVC Forum and click on Part 1 followed by Part 2.
C. Prejudice
The Court must next consider whether the appellant was prejudiced by the Board’s errors. See 38 U.S.C. § 7261(b)(2);Shinseki v. Sanders, 129 S. Ct. 1696, 1704 (2009). In his brief, the Secretary argues that the notice letters provided to the appellant under section 5103(a) eliminate any potential prejudice that might have been caused by the Board member’s failure to explain the issues because they sufficiently explained the need for the appellant to submit medical evidence. Secretary’sBr. at 13-14. However, section 5103(a) serves a different purpose in the statutory scheme than § 3.103(c)(2). See Wilson, supra. Further, the Court already has held that a hearing officer has the duty to suggest the submission of evidence even when the claimant has been provided a letter notifying him of the need to submit such evidence. See Cuevas, supra. Not only is this precedential opinion binding, see Bethea v. Derwinski, 2 Vet.App. 252, 254 (1992) (panel decisions constitute “binding precedent” unless overturned by en banc opinion of this Court or decision of the Federal Circuit or U.S. Supreme Court), to hold that the failure of a hearing officer to suggest the submission of evidence that might have been overlooked is rendered nonprejudicial simply because the claimant had been provided preadjudicatory notice of what was needed to substantiate the claim essentially would eviscerate the duty imposed by the Secretary in § 3.103(c)(2). There is no basis for rendering such a holding. Rather, the assessment of prejudice generally is case specific, demonstrated by the appellant and based on the record. See Shinseki, supra (appellant generally bears burden of demonstrating prejudicial error on appeal); Marciniak v. Brown, 10 Vet.App. 198, 201 (1997) (remand unnecessary “[i]n the absence of demonstrated prejudice”); see also Mlechick v. Mansfield, 503 F.3d 1340, 1346 (Fed. Cir. 2007) (Court must review the record to take due account of the rule of prejudicial error).
1. Frostbite, Hearing Loss, and Tinnitus
With regard to the appellant’s claim for benefits for frostbite, hearing loss, and tinnitus, although the Board hearing officer did not explicitly lay out the material issues of medical nexus and current disability, the record reflects that they were developed by the Secretary – to include medical examination reports on each of these disabilities and any nexus to service – and there was no indication that the represented appellant had any additional information to submit. Accordingly, the “clarity and completeness of the hearing record” was intact with respect to these disabilities and the purpose of § 3.103(c)(2) was fulfilled. See Thomas and Marcinak, both supra; see also Caluza v. Brown, 7 Vet.App. 498, 506 (1995), aff’d per curiam, 78 F.3d 604 (Fed. Cir. 1996) (service connection generally requires, inter alia, medical nexus).
Our dissenting colleague’s reliance on Moore v. Shinseki, 555 F.3d 1369, 1374-75 (Fed. Cir. 2009) for finding prejudice is misplaced. Moore confirmed and clarified the statutory duty of the Secretary to secure potentially relevant evidence when reasonably identified by a claimant, see 38 U.S.C. § 5103A, and is inapposite to the regulatory duties imposed on a hearing officer under § 3.103(c)(2); there is no suggestion that Mr. Bryant identified relevant evidence that was not obtained by the Secretary. Our colleague’s focus on the fact that a purpose of the hearing is to permit a claimant to submit evidence also is misplaced; there is no suggestion that Mr. Bryant was denied an opportunity to submit evidence. Rather, the prejudice identified by our dissenting colleague arises from a duty not imposed by regulation or statute; i.e., a duty to weigh conflicting evidence or otherwise preadjudicate the claim and advise the claimant of those areas where the evidence weighs against his claim. Congress or the Secretary might create such a duty, but as noted in our discussion above, they have not yet done so.Cf. Locklear, supra.
2. Squamous Cell Carcinoma
In contrast to the above, the failure to explicitly lay out the material issues with regard to squamous cell carcinoma was combined with a failure to suggest to the appellant that he should secure and submit medical evidence on the key issue of nexus to service – evidence that was lacking at the time of the hearing, and that remained lacking through final Board decision. Had the appellant been notified that evidence may have been overlooked on this issue, he could have requested such
an examination from the Secretary or secured one on his own. Although it is not known whether the appellant can secure a favorable medical report, his prejudice arises from the failure of the hearing officer to assure the “clarity and completeness of the hearing record,” Thomas, 423 F.3d at1285 , and the lost additional opportunity to try and submit such evidence before his claim finally was adjudicated, which is one of the prima facie purposes of the regulatory requirement that the Board hearing officer suggest the submission of material evidence that the appellant may have overlooked. 38 C.F.R. § 3.103(c)(2);see also Parker v. Brown, 9 Vet.App. 476, 481 (1996) (stating that “‘[p]rejudice … means injury to an interest that the statute, regulation, or rule in question was designed to protect'” (quoting Intercargo Ins. Co. v. United States, 83 F.3d 391, 396 (Fed. Cir. 1996))); cf. Shinseki, 129 S. Ct. at 1708 (indicating as a factor for determining notice-error prejudice, the identification of evidence that might have been obtained or sought if proper notification had been given); Wagner v. United States, 365 F.3d 1358, 1365 (Fed. Cir. 2004) (holding that “[w]here the effect of an error on the outcome of a proceeding is unquantifiable . . . , we will not speculate as to
what the outcome might have been had the error not occurred”).
So, the Court finds all the things wrong with the BVA decision and excoriates the Judge for his ineptness. As Judges never write in DickandJanespeak, this two or three paragraph screed has been turned into a Guttenberg Bible and several old growth trees had to be sacrificed for their long winded diatribe.
III. CONCLUSION
On consideration of the foregoing, that part of the Board’s October 6, 2008, decision denying benefits for frostbite, hearing loss, and tinnitus is AFFIRMED, and that part denying benefits for squamous cell carcinoma is VACATED and the matter REMANDED for further adjudication consistent with this opinion.
The opinion of the Court is per curiam. LANCE, Judge, filed an opinion concurring in part and dissenting in part.
Finally, the men say Taa-Daa! They did at the beginning, but it took so long to get here they have to remind you what the outcome was again.
LANCE, Judge, concurring in part and dissenting in part: I believe that the majority does an excellent job in many respects in clarifying our previously disjointed caselaw on 38 C.F.R. § 3.103(c)(2) (2009). However, I think the opinion suffers from two serious problems.
First, I believe that the majority fails to sufficiently explain the distinction between its holding that the regulation does not require a preadjuication of the claim or weighing of the evidence and its requirement that the hearing officer must review the entire record to fully explain the issues on appeal. Reviewing the record to determine what issues it raises necessarily requires some evaluation of the evidence and some judgment about which issues are reasonably in dispute.
Determining that there is no favorable evidence in the record will often require making a decision about the nature or meaning of ambiguous documents or reports in the claims file. Hence, it is not
clear to me how these two conclusions coexist. More importantly, it is not clear how the Court provide a full explanation of the issues.
In my view, a better standard would be one that is similar to the one used in Kent v. Nicholson, 20 Vet.App. 1 (2006), to avoid requiring the preadjudication of claims. In Kent, the Court concluded that proper 38 U.S.C. § 5103(a) notice as to an attempt to reopen a previously denied claim requires the Secretary to look at the basis of the prior denial and tailor the notice to any findings of fact that would affect the type of evidence that the claimant must submit. 20 Vet.App.at 10. By analogy, 38 C.F.R. § 3.103(c)(2) should require the Board to look at the most recent RO decision—which may be the most recent Supplemental Statement of the Case considering additional evidence—and clearly explain to the appellant what element or elements of the claim were found deficient by that decision and what types of evidence would help the appellant prevail as to those issues. If the RO addressed multiple theories as to a claim, the Board would have to explain the issues related to each theory.
I believe that such a standard would be vastly easier for the Board to apply and for the Court to review. While there are certainly cases where the Board may ultimately spot an issue that was completely overlooked by the RO, the Court has recently held that the Secretary’s regulations prevent the Board from considering new legal theories in the first instance.Hickson v. Shinseki, 23 Vet.App. 394, 400-03 (2010). Thus, even if the Board later determines that the RO decision overlooked an issue, the claimant must receive notice of the issue and the opportunity to have it remanded to the RO. Id.Accordingly, even if a bright-line, Kent-style rule does not perfectly capture every issue,claimants are still protected from being blindsided by a Board decision that raises a new issue.
My second—and more serious—concern is that the majority’s prejudicial error analysis effectively guts the requirement to fully explain the issues in many cases. In this case, the opinion concludes that the 38 C.F.R. § 3.103(c)(2) error was harmless because the negative medical evidence of record proves that the appellant was not prejudiced. To do so, the opinion mistakenly frames the prejudicial error question as whether the error affected “the ‘clarity and completeness of the hearing
record.'” Ante at 12 (quoting 38 C.F.R. § 3.103(c)(2)). However, I believe that is the standard that should be used for the second prong of the regulation: the duty to suggest the submission of overlooked evidence. As to the first prong, the duty to fully explain the issues, the first sentence of 38 C.F.R. § 3.103(c)(2) explicitly states that the purpose of a hearing is to provide the claimant with an opportunity to submit favorable evidence. The duty to fully explain the issues exists to make that opportunity meaningful by ensuring that the appellant understands what issues most likely require the submission of favorable evidence before there is a reasonable possibility of prevailing on the claim. Where there is substantial negative evidence in the record on an issue, it is even more
important that the Board member explain the need for favorable evidence in order for the claimant to have a realistic opportunity to prevail on the claim. See Moore v. Shinseki, 555 F.3d 1369, 1374-75 (Fed. Cir. 2009) (concluding that failure to obtain potentially favorable, circumstantial evidence was prejudicial even though the record contained copious direct evidence against the claim).
In this regard, the majority opinion expresses confusion about my positions and presents a flawed rebuttal by unnecessarily mixing my two concerns together. First, I do not believe that I can be any clearer that preadjudication of claims by the Board is not required. Instead, I believe that the scope of the duty to fully inform should be defined by the findings of the actual adjudication done at the RO level prior to the Board hearing. Second, the opportunity to submit evidence is more than just a window of time in which new evidence will be received. When the issue in dispute requires expert evidence because it is beyond the common knowledge of lay persons, there is little reason to believe that such favorable evidence will actually be submitted unless the appellant understands the types of evidence needed to have a chance of prevailing. Indeed, my essential point is that the majority fails to acknowledge the possibility that the reason Mr. Bryant never identified any additional medical evidence in support of his claim was because he did not understand that he needed to do so. The fact that he did not submit such evidence earlier tends to suggest that is the case. In my view, there does not appear to be any explanation for creating the duty “to explain fully the issues” except to neutralize the inference that the failure to submit evidence was the product of ignorance. Under the totality of the circumstances in this case, it appears that Mr. Bryant’s failure to submit favorable medical evidence may be the product of ignorance and, therefore, he was potentially prejudiced by the violation of the duty directly targeted at avoiding such a situation.
I suppose there is some threshold where the negative evidence of record is so overwhelming or incontrovertible that denying a claimant the opportunity to rebut it would be harmless. However, in summary, I believe that the regulation exists to help claimants rebut negative evidence and, therefore, the existence of some negative evidence reinforces, rather than cures, the prejudice of not explaining the issue. Accordingly, I would remand all of the appellant’s claims based upon the Court’s conclusion that the Board erred so that the appellant would have a meaningful opportunity to present rebuttal evidence on the key issues in his claims.
So, in a more perfect world, we would have received this from on High. With all due respect to his Honor, this is basically a case of “Could of, would of, and should of.” It does nothing to change the decision. It supplants the decision of the panel with a discourse on how he would have decided it based on what he perceives as the truth. The decision would stand without this rejoinder, but then some law clerk on our nickel was paid to type it to make his Honor look more illustrious. Kind of like the Emperor’s new clothes. In the end its Lions 5, Christians 0. Mr. Bryant loses on all counts and gets a do over on the squamous cell carcinoma. I wonder how his do over will turn out? Any bets?
Deciphering A CAVC Decision (cont.) Part 2
(This is Part 2 of 3 parts. To access Part 1, go to the CAVC forum listing all cases and click on Part 1)
b. Secretary’s Limited View of Duty To Suggest the Submission of Evidence
Similarly, nothing in the regulation limits the Secretary’s duties to advise the claimant to submit evidence only to those situations when the existence of such evidence is raised at the hearing. Given the duty to fully explain the issues, there is no dispute that a hearing officer necessarily must review the record. Having done so, however, he cannot ignore a lack of evidence in the record on a material issue and not suggest its submission, unless the record (or the claimant at hearing) clearly shows that such evidence is not available. To do so would ignore the regulatory mandate to advise the claimant to submit evidence that might have been overlooked. See Martin at 150-51 (“In situations in which the meaning of [regulatory] language is not free from doubt, the reviewing court should give effect to the agency’s interpretation so long as it is reasonable, that is, so long as the interpretation sensibly conforms to the purpose and wording of the regulations” (internal quotations and citations omitted)). Moreover, applicable caselaw shows that such inaction is not permissible.
2. Applicable Caselaw
In considering the issue at hand, we look to several decisions of the Court and to a decision of the U.S. Court of Appeals for the Federal Circuit. In Douglas v. Derwinski, 2 Vet.App. 103, 105 (1992), the appellant applied for service connection for skin cancer and testified extensively about treatment he received to remove growths from his skin. Nonetheless, the record did “not contain any medical records pertinent to these assertions.” Id. The Court denied the Secretary’s motion for summary affirmance of the Board decision and concluded that the veteran’s testimony raised the issue of direct service connection for his cancer and that the Board member should have suggested
the submission of evidence “necessary to establish that claim.” Id. at 110. The Secretary filed a motion for reconsideration arguing that the Court’s panel decision was incorrect because the regulation did not apply to the Board. Douglas v. Derwinski,2 Vet.App. 435, 437 (1992) (en banc).
The Court rejected the Secretary’s argument and stated that the Board “was obliged to have fully explained to the veteran that his exposure to the sun during service, his later development of basal-cell carcinoma, and his physician’s statement about his sun-damaged skin raised the issue of direct service connection for his illness,” as well as obligated “to have suggested to him the submission of additional evidence he may have overlooked that would have helped his case.” Id. at 442.
In Proscelle v. Derwinski, 2 Vet.App. 629 (1992), the appellant applied for an increased rating for his maxillary condition.Id. at 631. During the course of his hearing, the appellant asserted that his disability had gotten worse since his last examination. The Court held that the hearing
officer should have suggested the submission of “medical evidence of the then-current level of his service-connected disability.” Id. at 633. The Court also determined that the Board’s statement of reasons or bases was inadequate because it failed to address the appellant’s assertions during his hearing that his maxillary condition had caused his “nervous condition,” and, further, determined that the Board member should have suggested at the hearing that the appellant “submit medical evidence
supporting his claim.” Id.
In Cuevas v. Principi, 3 Vet.App. 542 (1992), a veteran whose service medical records had been destroyed by fire testified at a hearing in 1990 that he had undergone a hearing test in 1985 or 1986 that confirmed his hearing loss. Noting that § 3.103(c)(2) requires the Secretary to fully explain the issues and suggest the submission of overlooked evidence, the Court held that
VA’s statutory duty to assist includes, in cases such as this, having the Hearing Officer tell the veteran that, at a minimum, he should submit a doctor’s report or statement confirming the existence of current hearing loss, especially since the veteran had testified that a hearing test in 1985 or 1986 had confirmed a hearing loss. Id. at 548.
Although VA had sent Mr. Cuevas a notice letter informing him of the need to submit such evidence, the Court held that the hearing officer was nonetheless required to reiterate this concept.
In Costantino v. West, 12 Vet.App. 517 (1999), a veteran’s widow sought to obtain disability and indemnity compensation. The widow argued that the veteran’s service-connected mental condition caused him to refuse medication for illnesses, and that this refusal resulted in his death.
At a hearing, the widow’s representative contended that the veteran’s service-connected mental condition hastened his death. The Board noted that the record did not contain clinical documentation of the veteran’s final hospitalization or a medical opinion demonstrating a nexus to service. TheCourt stated:
[The Board erred] in failing to find error in the hearing officer’s failure to suggest to the appellant that she submit medical evidence regarding any relationship between the veteran’s service-connected condition and his refusal of treatment and any relationship between such refusal and his death, as well as any additional records concerning the veteran’s death. Id. at 520.
In Sizemore v. Principi, 18 Vet.App. 264 (2004), a veteran seeking service connection for post-traumatic stress disorder described at a hearing his experiences in Vietnam. Id. at 274. TheCourt stated that the appellant was not advised adequately by VA as to the types of information that may help to verify his claimed in-service stressors. In particular, at the May 1996 hearing, VA failed to advise the appellant that he could submit corroboration in the form of “buddy statements” as to some of the occurrences that he alleged were in-service stressors.
Id. Although the potential evidence was not yet in existence or obtained in Sizemore, the claimant’s testimony suggested that it might be obtained to corroborate the incident described.
In Prickett v. Nicholson, 20 Vet.App. 370 (2006), a widow of a veteran sought service connection for the cause of her husband’s death. The widow sought to establish that the cause of his death – heart disease – was due to his service-connected psychosis. At the hearing, the decision review officer “repeatedly informed Mrs. Prickett that medical evidence, in particular, a medical opinion demonstrating a nexus between the veteran’s service and the cause of death, was critical to the disposition of her claim and asked her to submit such evidence.” Id. at 373. Mrs. Prickett stated that there was no medical evidence to submit at that time. The Court found that the hearing officer did not violate his duties under § 3.103(c)(2) to fully explain the issues and suggest the submission of overlooked evidence because he informed the widow that (1) the most probative information with regard to determining her claim was “statements from medical types”; (2) she needed to have medical evidence related to nexus; and (3) she should submit any evidence she possessed, particularly medical evidence in support of her claim. Id. at 382.
In addition to the Court’s caselaw, the U.S. Court of Appeals for the Federal Circuit (Federal Circuit) also has issued an opinion addressing 38 C.F.R. § 3.103(c)(2). In Thomas v. Nicholson, 423 F.3d 1279 (Fed. Cir. 2005), the veteran was injured after he failed to respond to three orders from a sergeant who instructed him to leave a barracks. The veteran filed a claim for service connection for the injuries and testified at a hearing regarding the claim. His claim was denied, as the Board determined that his injuries were due to alcohol consumption. The Board reconsidered and found his injuries were due to his disobedience of a lawful order. The veteran argued that the hearing officer was required to ask him about the amount of time he had to respond to the sergeant’s orders, which could have shown that his actions were not willful. The Federal Circuit agreed with this Court that Mr. Thomas failed to demonstrate that the hearing officer was required to question the appellant on any particular theory in support of his claim. Specifically, the Federal Circuit held that the question was not necessary because it was not needed “to assure clarity and completeness of the hearing record” as required under § 3.103(c)(2). “Instead, we find the hearing officer fulfilled his duty in evaluating the record and that the evidence in the record adequately established the nature of Thomas’s conduct.” Id. at 1285.
3. Scope of Duties To Explain Issues Fully and Suggest Submission of Overlooked Evidence.
As previously stated, the relevant caselaw provides no support for finding a duty that the hearing officer preadjudicate the claim or that the hearing officer’s duty to explain the issues and suggest the submission of evidence is as limited as the Secretary suggests. Rather, the caselaw amply supports a finding that the hearing officer has a duty to fully explain the issues still outstanding that are relevant and material to substantiating the claim.3 See, e.g., Prickett, Cuevas, and Proscelle, all supra. Thus, when an element of the claim is not an issue in an appellant’s case, there is no need for the hearing officer to discuss it. For example, when veteran status or current disability is established, there is no reason for a hearing officer to discuss those issues. On the other hand, when the RO has denied a disability claim because there is no current disability, no nexus to service, or no incident in service, etc., then the Board hearing officer should explain that the claim can be substantiated only when the claimed disability is shown to exist and shown to be caused by an injury or disease in service, and the Board hearing officer’s explanation and discussion should be centered on these issues.
The caselaw also amply supports a finding that the hearing officer must suggest that a claimant submit evidence on an issue material to substantiating the claim when the record is missing any evidence on that issue or when the testimony at the hearing raises an issue for which there is no evidence in the record. See, e.g., Procelle, Cuevas, and Sizemore, all supra. Because there is no requirement to preadjudicate an issue or weigh the evidence, the hearing officer’s review of the record in preparation for the hearing is one that should focus on the issues that remain outstanding, and whether evidence has been gathered as to those issues. If a claim has been denied for lack of evidence of a current disability, and no medical examination has been provided by the Secretary or medical evidence submitted by the appellant, then this lack of evidence gives rise to the duty of the Board hearing officer to suggest submission of this evidence. The hearing officer therefore must not
only be familiar with the claims file but also be engaged in the hearing process. The hearing officer also must suggest the submission of evidence when testimony during the hearing indicates that it exists (or could be reduced to writing) but is not of record. Moreover, VA’s issuance of a notice letter that complies with 38 U.S.C. § 5103(a) has no bearing on the duty to suggest the submission of evidence that may have been overlooked. See Cuevas, supra; see also Section C, infra.
To the extent the above scope of the duties to fully explain the issues and suggest the submission of evidence may not have been stated or held explicitly in prior cases, we so state and hold today.
3 The RO’s rating decision and Statement of the Case, which a hearing officer sho uld have encountered in his review of the record, will likely assist the hearing officer in identifying the outstanding issues.
Here, in the analysis section, the Court analyzes all the contentions put forth by the appellant and counterarguments from the VASEC. It analyzes past rulings and decisions to ascertain how laws in the past were promulgated and what precedence, if any, was forthcoming.
B. Application of Law to the Present Case
1. Duty To Fully Explain the Issues
In this case, the Board member began the hearing by stating: “The issues I have for appeal today are four. They are (1) entitlement to service connection for bilateral hearing loss, (2) entitlement to service connection for tinnitus, (3) entitlement to service connection for squamous cell carcinoma, and (4) entitlement to service connection for frostbite of both feet.” R. at 22. Although this statement explained the issues in terms of the scope of the claim for benefits, it did not “explain fully” the outstanding issues material to substantiating the claim, which in this instance were current disability and medical nexus. Even though the hearing officer made inquiries during the hearing regarding whether any doctor had ever related the appellant’s claimed disabilities to service and the basis for asserting a disability (R. at 25-31), at no point did the Board member explain that these issues were material to substantiating the claim – i.e., that they were the reasons the appellant’s claims were denied by the RO. Accordingly, the Board member erred as to the first duty – to fully explain the issues – under § 3.103(c)(2).
2. Duty To Suggest the Submission of Evidence Possibly Overlooked
As to the duty to suggest evidence that may have been overlooked, responses were elicited from the appellant as to frostbite, hearing loss, and tinnitus, as well as his basis for believing these claimed disabilities were related to service. At the time of the hearing, the record already contained VA medical examination reports stating that the appellant currently did not have frostbite, and that, although he had hearing loss and tinnitus, these disabilities were not caused by his service. Moreover, the hearing discussion did not reveal any evidence that might be available that had not been submitted. Under these circumstances, nothing gave rise to the possibility that evidence had been overlooked with regard to the appellant’s claim for benefits for frostbite, hearing loss, and tinnitus.
With regard to squamous cell carcinoma, the appellant’s representative at the hearing elicited information from the appellant about this claimed disability, and the appellant did not reveal any unsubmitted evidence that might be available. In contrast to the above circumstances, however, at the time of the hearing, there was no VA or other examination report addressing nexus, although the record on appeal contained VA treatment records for skin cancer and Bowen’s Disease, a type of squamous cell carcinoma.3 Under these circumstances, the lack of medical evidence in the record addressing a nexus between the appellant’s diagnosed squamous cell carcinoma and an in-service event or injury gave rise to the possibility that evidence had been overlooked, and the Board hearing officer should have suggested that the appellant secure and submit this evidence if he could; the hearing officer’s failure to do so was error.4See Sizemore, Costantino, and Cuevas, all supra.
4 The Board stated that there was no evidence of a current diagnosisfor squamous cell carcinoma. R. at 12. However, a careful review of the appellant’s VA medical records indicates that on October 16, 2003, the appellant underwent a biopsy of an “8mm erythematous papule mid upper back/neck area.” R. at 302-03. A November 25, 2003, medical record states: “[P]athology came back as [B]owen’s with incomplete margins.” R. at 296; see also R. at 287. Bowen’s Disease is a type of squamous cell carcinoma. See DORLAND’S ILLUSTRATED MEDICAL DICTIONARY 536 (31sted. 2007).
5 Our dissenting colleague’s view that reviewing the record to identify the issues on appeal and assess whether evidence may have been overlooked equates to an evaluation of the evidence, post at 1, fails to recognize that the issues on appeal are readily identifiable in the RO’s decision and the statement of the case, and further fails to recognize that neither the identification of the issues nor the observation that there is no evidence on one of those issues (thus indicating that its submission may have been overlooked) requires any weighing or evaluation of the evidence.
End of Part 2. Proceed to Part three for final conclusion and synopsis
Deciphering a CAVC ruling — Part 1
Oftimes a Vet will set out to defend himself before the abortion we refer to as the Veteran friendly VA adjudicatory system. He/she soon discovers the “do as I say and not as I do” nature of the system with codicils inserted that relieve the VA of certain legal requirements while imposing them on the Vet. It certainly isn’t perfect, but it’s what we’re saddled with. Rather than complain, our suggestion is to make lemonade with the lemons. Afterwards, go out and find the guy who is making Vodka out of potatoes. Towards that end, we present a short “how to” course here to help the novitiate navigate the corridors of Appellate Justice at the CAVC level. You will find a similar road map for BVA decisions in that forum.
One thing that is paramount is that you, the Veteran, file your Notice of Appeal (NOA) within 120 days of a denial by the BVA. You do have the option of asking for a reconsideration of the BVA decision prior to filing the NOA, but this scenario is not going to be dealt with here. This will deal only with the CAVC to avoid confusion between the two legal bodies.
Once you file your notice of intent to contest the adverse ruling, you will file a brief with the Court (they are absolutely anal and love it when you capitalize the word Court) laying out the terms of your disagreement based on VA law. You obviously can’t say they “dissed” you and didn’t “give you no respect”. Those aren’t legal concepts that qualify as law. No, what you will need is actual violations of VA law such as a failure to address evidence that was favorable to you or a failure to explain their denial in the “Reasons and Bases” portion of their decision. BVA judges are required to examine all the evidence both pro and con in you case and weigh that at the end. In the event of a “tie” or equipoise, the tie goes to the runner. However, sometimes the VARO “forgets” to include important documents pertaining to your appeal or denies you a medical C&P exam when one is clearly warranted. If the BVA pulls a stunt like this and you don’t ask for reconsideration, your last recourse is to petition the CAVC judge(s) to right the wrong. As they are very exalted Grand Poobah types, and the sun rises over their shoulders, they feel that BVA judges are generally uncouth and love to find fault with their legal reasoning. Hell, that’s what they do for a living. Fortunately for you, the Vet, this works in your favor.
There are three forms of appeal at the CAVC level. Your case will normally be assigned to a single judge for a ruling. This sets no precedence, but affords you a favorable platform for your appeal. Should the judge deny your claim and affirm the BVA decision, you may petition for a panel decision based on some facet of VA law that needs clarifying and a precedent setting decision. Or, in the alternative, if the decision is so sensitive that it will change VA law or be appealed to the Federal Circuit Court, your request for an en banc (full Court of 7) ruling may be entertained. Full court rulings are few and far between and panel decisions are generally reserved for case law that is destined to change existing law and needs to be decided in a precedent setting environment. The Court has several different options before it based on the evidence presented. They may choose to leave the adverse BVA decision in place (affirmation), set the decision aside and remand it with instructions on why it is defective and have the BVA or RO readjudicate it again (remand), or reverse the finding in favor of the Vet requiring the RO to sharpen it’s collective pencil and figure out how much %/$ they now owe you after holding up justice for 10 years. Additionally, you will find that some decisions are an amalgam of the above- i.e. Item A is affirmed, Item B is remanded and Item C is reversed and returned for a decision based on the Court’s findings.
You as the Vet, regardless of whether you represent yourself pro se or have a lawyer representing you, must lay out what you object to specifically, not generally. Each and every contention you make contesting your appeal must be laid out in advance. After you get to Court, you can’t change your legal arguments in mid stream based on what the VA Secretary and his minions pull out of their hat. You have to be prescient and prepared for these types of legal maneuvers. I suggest a broad brush or a 12 ga. that hits everything and then let the VASEC squirm as he tries to wiggle out of a tight spot addressing each of your contentions. It’s often better to raise specious arguments that have no rational legal basis than not raise them at all. Best of all, the Court affords great deference to those of us who choose to go it alone pro se.
We will pick a random panel decision now and disect it into its component parts with interjections in bold type so as not to confuse the reader into thinking our musings are part of the ruling. After searching, we found a recent decision from this year’s calendar that includes two of the three motions discussed above. Ladies and Gentlemen, allow me to introduce Mr. Walter E. Bryant, a Veteran of the war to end all wars. As he is quite far along in years, the Court has advanced his claim on the calendar to give him a ruling before he ends up on the wrong side of the grass.
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS
NO. 08-4080
WALTER A. BRYANT, APPELLANT,
v
.
ERIC K. SHINSEKI,
SECRETARY OF VETERANS AFFAIRS, APPELLEE.
On Appeal from the Board of Veterans’ Appeals
(Argued March 10, 2010 Decided July 1, 2010)
Kenneth M. Carpenter, of Topeka, Kansas, with whom Peter J. Meadows, of Ft. Lauderdale, Florida, was on the brief for the appellant.
These (above) are the attorneys for Mr. Bryant (the appellant)
Penny C. Kahn, with whom Will A. Gunn, General Counsel; R. Randall Campbell, Assistant General Counsel; Edward V. Cassidy, Jr., Deputy Assistant General Counsel, were on the brief, all of Washington, D.C., for the appellee.
These are the hired law dogs for VASEC (Eric Shinseki, our exalted leader)
Before KASOLD, LANCE, and DAVIS, Judges.
(3 judges= a panel decision = precedence setting. However, there is nothing earthshaking about this decision.)
The opinion of the Court is per curiam.
per curiam (adjective) is Latin for “by the court,” defining a decision of an appeals court as a whole in which no judge is identified as the specific author.
LANCE, Judge, filed an opinion concurring in part and dissenting in part.
Any judge has a right to put in his two cents worth and wave his own flag as does Judge Lance at the end of this decision. Why, I have no idea. It won’t change the outcome. It’s just a convenient way to use up paper.
PER CURIAM: The appellant, Walter A. Bryant, through counsel, appeals an October 6, 2008, Board of Veterans’ Appeals (Board) decision denying his claims for service connection for bilateral hearing loss, tinnitus, squamous cell carcinoma, and frostbite residuals of both feet. Record R.) at 3-14. On December 9, 2009, the Court granted the appellant’s motion for expedited consideration of this appeal. This Court has jurisdiction to review the Board’s decision pursuant to 38 U.S.C. §§ 7252(a) and 7266(a). See Frankel v. Derwinski, 1 Vet.App. 23, 25-26 (1990). For the reasons discussed below, the Board’s October 6, 2008, decision will be affirmed in part, and vacated in part and the matters remanded for further proceedings consistent with this decision.
This is the synopsis in a nutshell. Like the BVA decisions, the Court likes to tell you up front what is going to transpire. I bet their friends hate them if they ask a judge whether he’s seen a particular movie (“Yeah and you’re not going to believe the ending. The guy shoots his girlfriend and then…. etc.)
I. FACTUAL BACKGROUND
The appellant served in the U.S. Army from May 1943 to April 1946, and from September 1950 to October 1951. R. at 387, 394.
In February 2005, he filed a formal application for compensation benefits. R. at 357-68. During the development of his claim, the Secretary sent the appellant multiple letters explaining what evidence might be required to prove his claims. R. at 146, 250, 334-47. In June 2005, the Waco, Texas, regional office (RO) issued a rating decision denying the appellant’s claims to entitlement for bilateral hearing loss, for tinnitus, for squamous cell carcinoma, and for frostbite residuals in both feet. R. at 243-49. As to the appellant’s claims for bilateral hearing loss, for tinnitus, and for frostbite, the RO concluded that the record failed to show medical diagnoses for these conditions. R. at 246-47. As for the claim for service connection for squamous cell carcinoma, the RO explained the medical evidence showed “several areas of treatment” for this condition, but did not show this condition occurred in or was caused by service. R. at 244.
The appellant appealed this decision and a hearing was held before a Board member on August 28, 2008. R. at 21-33. In the October 6, 2008, decision on appeal, the Board, relying on VA medical opinions, issued a decision denying the appellant’s claim for benefits for frostbite because the appellant did not currently have this disability, and denying his claim for benefits for hearing loss and tinnitus because these disabilities were not related to service. The Board also denied benefits for squamous cell carcinoma because there was no evidence the appellant had this disability, although there was no VA (or other) medical opinion to this effect. R. at 4.
The central question to be resolved in this case is the extent of the Board hearing officer’s duty under 38 C.F.R. § 3.103(c)(2)(2009), see also 38 C.F.R. § 20.1304 (2009) (procedures to obtain a hearing at the Board), to explain fully the issues and suggest the submission of evidence that the claimant may have overlooked. 1 The hearing officer’s duties are established in 38 C.F.R. 1 § 3.103(c)(2) and a hearing may be requested duringthe initial adjudication of the claim or while the claim is on administrative appeal. See also 38 C.F.R. § 20.1304 (2009)(procedures for obtaining a hearing at the Board). Although the duties at either hearing are established by § 3.103(c)(2), this opinion generally addresses them in the context of a Board hearing.
As you can see, this area sums up what has transpired to date, the appeals history and how it arrived at the CAVC’s corral.
The Parties’ Arguments
The appellant’s main argument is that the Board hearing officer failed to explain to him that additional medical evidence was needed to support his claims. He asserts that the hearing officer did not fulfill the responsibilities ascribed to him under 38 C.F.R. § 3.103(c)(2) (2009). The appellant argues that it was error for the Board hearing officer to fail to suggest that he submit medical evidence, to include diagnoses for his claimed disorders as well as the etiology of such conditions. At argument, appellant’s counsel elaborated that he was arguing that the duty to fully discuss the issues and suggest the submission of overlooked evidence was “broad and totally encompassing” (Oral Argument at 11:35-43), so as to require the Board hearing officer to review the entire claims file prior to a hearing and make a preliminary decision so that the Board hearing officer can then explain at the hearing any deficiencies in the evidence that the appellant would need to overcome to receive a favorable decision (Oral Argument at 12:18-43).
The Secretary argues in his brief to the Court that the regulation applies to overlooked evidence, and “in light of the notification letters sent to Appellant . . . there simply was no overlooked evidence.” Secretary’s Brief (Br.) at 16 (emphasis in original). At oral argument, the Secretary detailed his argument, stating that “the Court has found that the hearing officer’s section 3.103(c)(2) obligation arises in a narrow set of circumstances in which the hearing officer, having been placed on notice of the existence of evidence that would help prove a claim, failed to suggest the submission of such evidence.” Oral Argument at 28:14-31.
The Secretary also argued that even if the hearing officer had a duty to inform the appellant that medical evidence was needed to substantiate his claim, failure to meet this duty resulted in no prejudice because the appellant had been so informed through the preadjudciatory notice he was provided pursuant to 38 U.S.C. § 5103(a).
As you can see, here Mr. Bryant and Mr. Shinseki cross swords and lay out the meat of their arguments. As usual, Mr. VASEC will say “yeah, We stepped on our necktie but it didn’t hurt Mr. Bryant. But if Mr. Bryant were to step on HIS necktie and do a face plant, Mr. Shinseki would be all over his ass like white on rice.
II. ANALYSIS
A. Hearing Officer’s Duties Under 38 C.F.R. §3.103(c)(2)(2009)
As the Court has observed, “a functioning system of laws must give primacy to the plain language of authorities.” Tropf v. Nicholson, 20 Vet.App. 317, 322 n.1 (2006). The language of the regulation is the necessary starting point because “[w]ithout standard word meanings and rules of construction, neither Congress nor the Secretary can know how to write authorities in a way that conveys their intent and no practitioner or—more importantly—veteran can rely on a statute or regulation to mean what it appears to say.” Id.; see also Hickson v. Shinseki, 23 Vet.App. 394, 401 (2010) (concluding that Secretary’s interpretation of the regulation at issue was in conflict with the plain language used).
Section 3.103(c)(2) imposes, inter alia, two distinct duties on the hearing officer at issue in this case: The duty to explain fully the issues and the duty to suggest the submission of evidence that may have been overlooked. The regulation at issue reads:
The purpose of a hearing is to permit the claimant to introduce into the record, in person, any available evidence which he or she considers material and any arguments or contentions with respect to the facts and applicable law which he or she may consider pertinent. All testimony will be under oath or affirmation. The claimant is entitled to produce witnesses, but the claimant and witnesses are expected to be present. The Veterans Benefits Administration will not normally schedule a hearing for the sole purpose of receiving argument from a representative. It is the responsibility of the employee or employees conducting the hearings to explain fully the issues and suggest the submission of evidence which the claimant may haveoverlooked and which would be of advantage to the claimant’s position. To assure clarity and completeness of the hearing record, questions which are directed to the claimant and to witnesses are to be framed to explore fully the basis for claimed entitlement rather than with an intent to refute evidence or to discredit testimony. In cases in which the nature, origin, or degree of disability is in issue, the claimant may request visual examination by a physician designated by VA and the physician’s observations will be read into the record.
38 C.F.R. § 3.103(c)(2) (emphasis added).
Although the hearing officer’s duties to “explain fully the issues and suggest the submission of evidence which the claimant may have overlooked” are not further detailed in the regulation,2 the appellant’s argument that these duties necessarily involve the preadjudication of his claim is not supported by the language of the regulation, or its prior interpretation and application. Similarly, the Secretary’s view that his duties are limited to suggesting the submission of only that evidence that is already in existence, and only when the possible existence of such evidence is triggered at the hearing, has no basis in the plain language of the regulation, or its prior interpretation and application.
2 Although 38 U.S.C. § 7107(d) provides the right to a hearing, 2 it does not prescribe the duties imposed on the hearing officer discussed herein, which are imposed solely by regulation. No argument has been made that the duties imposed by the Secretary exceed his authority or are otherwise inconsistent with statute, and we perceive no such conflict. See Auer v. Robbins, 519 U.S. 452, 461 (1997) (“[The Secretary] is free to write the regulations as broadly as he wishes, subject only to the limits imposed by the statute.”).
1. Plain Language
a. Appellant’s Call for Preadjudication
Nothing in § 3.103(c)(2) supports the appellant’s contention that the regulation requires a hearing officer to preadjudicate or otherwise weigh conflicting evidence prior to or at the hearing. See Tropf, supra. Moreover, such preadjudication is not required to explain to the claimant that – for a disability compensation claim – the issues are status as a veteran, injury or disease in service, current disability, and nexus between the current disability and the injury or disease in service. See Caluza v. Brown, 7 Vet.App. 498, 506 (1995) aff’d per curiam, 78 F.3d 604 (Fed. Cir.1996) (table) (proving service connection requires (1) medical evidence of a current disability, (2) medical evidence or, in certain circumstances, lay testimony of in-service incurrence or aggravation of an injury or disease, and (3) medical evidence of a nexus between the current disability and th in-service disease or injury).
Preadjudication or the weighing of conflicting evidence also is not required for a hearing officer to determine that evidence is not in the record with regard to a particular, material element of a claim. And, preadjudication or weighing evidence is not required in order to advise a claimant of the need to submit evidence on a material issue for which there is no evidence in the record. Moreover, the evidence does not have to be weighed or the claim adjudicated “to assure clarity and completeness of the hearing record,” which is one of the implicit duties imposed by § 3.103(c)(2). See Thomas v. Nicholson,423 F.3d 1279 (Fed. Cir. 2005) (discussed further, infra at 9); see also 38 U.S.C. §.7107(a) and (f)(1)-(2) (permitting “the screening of cases for purposes of determining the adequacy of the record for decisional purposes; or the development, or attempted development, of a record found to be inadequate for decisional purposes” even when a claim is not up for
consideration in the regular docket order). Accordingly, we find no basis for writing into the Secretary’s regulation a requirement that a hearing officer weigh the evidence in the record or otherwise preadjudicate the claim prior to or at the hearing. See Martin v. Occupational Safety and Health Review Comm’n, 499 U.S. 144, 150 (1991) (“it is well established that an agency’s interpretation of its own regulation is entitled to substantial deference”).
(Part one of three parts)
Fed. Cir. –Groves v. Peake—2008– Our Holy Grail
This is a wonderful case of what we call “precedence”. This is the Holy Grail of Court Rulings for Hepatitis C sufferers. In order to understand this in the context of our continuing battle, substitute the phrase “Paranoid schizophrenia” from the Groves decision with the word “Hepatitis”. 38 CFR §3.303(a)(b) had always been the Vet’s path to SC for hepatitis if he/she had it documented in their records. Vets still needed a nexus letter because one couldn’t get any traction without one regardless of whether you legally needed it or not. Remember, VA always supplies one if you don’t. We don’t even need to tell Vets what they invariably will conclude. This has provoked an appeal nine times out of ten which is time-consuming.
Within the last 18 years (1992) a disturbing trend started to surface. Veterans were coming down in increasing numbers with a new, chronic, persistent form of hepatitis. The disease came to be known as Hepatitis C and the VA had to put their thumb in the dike, as more and more Vets began filing and winning. To staunch the flow, they resorted to various ruses, the foremost being IVDU or some other form of willful misconduct. Certainly, there were a number of cases that fell into the BAD BOYS category. However , there were a disturbingly larger number that didn’t. VA examiners started finding new ways to deny and the latest one became the: “Gee, buddy. You’re absolutely right. You did have documented Hepatitis in service-but hold the phone- the hep you had was Type A or B, not C. Our VA examiners got together and OPINED that it must have been A or B even though the Doctors never checked to see what type it was-sorry but you lose.”
Smart Vets started proving via nexus letters that they didn’t have A or B in service or if they did, that the C was a hitchhiker on one of the other two. That poked a hole in this VA method of denial. In the last decade, scientists have started using RNA PCR techniques to determine what, if any, types of Hep. we have had or been exposed to. This further narrowed VA’s ability to deny based on bogus logic. One facet it hasn’t dimmed is VA’s proclivity to say there’s no evidence of HCV in your 197os-era medical records. Well, duh? That would be akin to searching high and low in a junkyard for a 67 Mustang 2+2 in 1946 and coming up empty-handed. Who would have thunk it?
Here, we have a case that was appealed all the way up to the Federal Circuit Court that deals with our problem indirectly. It returns to the old argument that if the hep you had in the service was not documented as being A or B via testing(and they had no tests or a clue about C then), then the hepatitis “could” have been C or a combination of several including C. Then the benefit of the doubt doctrine kicks in and you don’t even need a Doctor’s nexus to state that “its more likely than not” to win. The Groves decision clearly states that no nexus is required assuming you had hep in service. VA is fond of using what you say against you to denigrate your facts and hence, your credibility. Your medical records don’t lie and they cannot be manipulated to arrive at a preconceived conclusion. VA has been doing this for so long that the Groves decision is going to rock them back on their heels for quite some time. I suspect VA examiners won’t get the “White Paper” on the update for a while. This will mean a lot more appeals until everyone is on board.
To look at this decision, you will need to click on the attachment at the bottom(Groves v. Peake). It’s too cool for school and will go a long way towards helping all of you who had hep in service win your case without resorting to flow charts, jetguns, and alien abduction theories. Vets have waited a long time for this decision. It won’t give you closure-just SC and perhaps some small measure of financial peace of mind in your sunset years.
Posted in Fed. Cir. & Supreme Ct.
Tagged Help with vA Claims, Service Connection, VA claims
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COVA- Caffrey v. Brown–Duty to Assist?
When filing for Clear and Unmistakable Error (CUE), one case seems to get a lot of attention where failure in the duty to assist is claimed. This is understandable because, like a cattle drive, VA counsel will push the Veteran in that direction. The seminal case on this quoted most frequently is Caffrey v. Brown (1994). While it appears on point on the subject, a closer examination is warranted.
Thomas A. Caffrey, a Veteran on the cusp of the new war brewing inSoutheast Asia, filed for psychiatric difficulties after his 1962 separation. He did what so many of us were guilty of and failed to appeal losses in 1964, 1975, 1977, 1978 and 1979. On his sixth foray in 1988, he finally obtained private hospital evidence that was available in 1962 to document his contentions and was granted SC. Dissatisfied with the effective date, he pursued a new legal odyssey on appeal. After pursuing a higher rating for his schizophrenia and winning, he went after VA’s perceived failure in its duty to assist with respect to medical records he had identified and asked the VA to obtain in 1964. They had failed to do this and it cost him dearly for 24 years.
The Court had been created in 1988 to review BVA decisions and this is where Tombo’s case landed after a loss below. Certain CUE precepts had been ensconced in the years following the Court’s inception. One, in this same vein, Porter v. Brown (1993) held that CUE could not attach to a decision where medical records developed after the decision were introduced. However, that Court panel left open the possibility that CUE could be found in a failure in the duty to assist. Enter Mr. Caffrey.
The finding was that CUE couldn’t be considered a factor based on the principle that an incomplete record was not an incorrect record. It was a very disheartening ruling for many of us on its face, but let us examine this more closely. At no point in this decision was the term “service medical records” introduced. This was all about private medical records generated subsequent to Mr. Caffrey’s separation. This is an important difference.
While I hate to introduce myself personally into any of these posts about law, I will make an exception to illustrate a point. I currently have a CUE motion filed for a similar situation. I filed for back and hip problems in 1989 and some of my records were at a civilian hospital inThailand. The government contracted with them to provide care for us since we were in a very remote/isolated location hundreds of kilometers from the nearestU.S.military installation (Takhli RTAFB). The only way in or out was by small aircraft on what appeared to be an even smaller airstrip.. I was unaware that the AF had not retrieved these records and made them part of my military medical records. When I filed in 1989, I discovered there was no record of my injuries. I identified the location and nature of the records but the VA steadfastly refused to obtain them. I called the hospital long distance and got some, but not all, of the records I needed. I filed these with the VA and they thanked me but did little else to rectify the problem. In my BVA decision the Judges acknowledged my contention that the records were incomplete but proceeded to adjudication much like Mr. Caffrey. I guess it should not come as a surprise that I lost. There is a major difference here though. Even if my records were “private” as in non-military, the mere fact that they were generated and paid for by the U.S. Government made them quasi-military. This is where Mr. Caffrey’s and my circumstances depart in two decidedly different directions.
The Caffrey decision was very limited and most attorneys do not recognize this. A proper defense today should never permit this injustice. If you petition the VA to obtain records from your time in service, the VA is required to move Heaven and Earth to locate them. This was the precedence promulgated in Schafrath v. Derwinski (1 Vet.App. 589, 593-94 (1991):
In claims for disability compensation, such as is the case here, all of the veteran’s relevant service medical records (SMRs) must be obtained. See 38 U.S.C. § 5103A(c)(1). However, records of relevant VA-provided or VA-paid-for medical treatment and other relevant records pertaining to a claimant’s service and maintained by a governmental entity must be obtained only if the claimant provides sufficient information to the Secretary to enable him to locate those records. See 38 U.S.C. § 5103A(c)(1)-(2). Similarly, the Secretary is obligated to attempt to obtain any other relevant records held by a Federal department or agency that the claimant adequately identifies and authorizes the Secretary to obtain. See 38 U.S.C. § 5103A(c)(3). The Secretary’s efforts to obtain Federal records must continue until the records are obtained or until it is reasonably certain that the records do not exist or that further efforts to obtain the documents would be futile. (emphasis mine)
The Court was adamant that this was mandatory, not optional. VA has become lackadaisical about the requirements over the intervening years and now routinely cites to Caffrey without realizing the narrow scope of its ruling. Schafrath stated otherwise and dictates a different , more forceful approach. Keep this in mind when constructing your case for CUE. All is not as it seems in VA law. Narrow exceptions can be carved out of what appears to be immutable law.
I characterize myself as an”Impossiblist”. When apprised of the situation and told it is not possible to get from A to B, I immediately examine the parameters of why this is. It has been said there is more than one way to skin a cat. Likewise, a legal precedent often embodies a narrow concept, no matter how it is characterized. A viable exception can be derived if you are willing to anally examine the precept and find the thread that will unravel it for you. Accepting it at face value condemns you to the fate all others are doomed to. Don’t settle for this.
CUE law is narrow and immutable. New concepts for denial have not been added for years so it is fairly static. One venue I do not think has been developed and should be is the concept of Clearly Erroneous. This was discussed in Gilbert v. Derwinski:
Congress has provided that this Court . . . to the extent necessary to its decision and when presented, shall . . . in the case of a finding of material fact made in reaching a decision in a case before the [Department of Veterans Affairs] with respect to benefits under laws administered by the [Department of Veterans Affairs], hold unlawful and set aside such finding if the finding is clearly erroneous. 38 U.S.C. § 4061(a)(4) (1988).
A “[m]aterial fact is one upon which [the] outcome of litigation depends.” Black’s Law Dictionary, 881 (5th ed. 1979). Under § 4061(a)(4), in order for a finding of material fact made by the BVA to be set aside, this Court must conclude that the finding is “clearly erroneous.” The Supreme Court has defined the “clearly erroneous” standard as follows: “A finding is ‘clearly erroneous’ when although there is evidence to support it, the reviewing court on the entire evidence is left with the definite and firm conviction that a mistake has been committed.” United States v.United States Gypsum Co., 333 U.S.364, 395 (1948). Gilbert v. Derwinski (1990).
Most attorneys who venture into the CUE arena are cognizant of the pitfalls that await them. I do not believe most VSOs are as well-versed in the nuances of it, though. VA has opened a unique window that allows us to revisit past decisions and seek redress. Simultaneously, they have erected fences to corral the permissible boundaries. Obviously, using law and regulations extant at the time of the prior decision is prudent. Similarly, the codicil that no new evidence can be introduced that wasn’t a matter of record is legitimate as well. The duty to assist holding in Caffrey, while odious in nature, is also legitimate even though it seems incongruous to find it in a non-adversarial judicial setting such as ours. We are not allowed to parse the evidence and insinuate that something was not given enough weight. The determination to reverse and revise a prior decision based on CUE has to be a violation so egregious that it changed the outcome, hence the term “outcome determinative”.
I diverge from the pack when I advocate for a lower standard than Russell concerning a showing of a manifestly different outcome. When statutes or regulations are ignored or disobeyed, the Veteran is the one made to pay. True justice can only ensue when a wrong is righted and a new de novo adjudication is applied. I understand why it is otherwise but I do not agree with it. If a decision is clearly erroneous on its face and reasonable minds can agree to as much, it stands to reason that a higher duty to the Veteran must lodge rather than the en banc Russell precedent. The benefit of the doubt is also removed from the equation. Either an error exists or it doesn’t. There certainly isn’t any grey area here. If you had a bone to pick with VA about the outcome at the time, the correct procedure was appeal. We are always Monday morning quarterbacks 30 years later.
So, in spite of what you may have been told what proposition Caffrey stands for, things are not always what they seem. The admonition of the right hand mirror on your automobile is similar- objects are closer than they appear.
Find the Thomster’s Adventures in Justiceland below (attached).





