BVA- Wrong address? Not final.

Veterans everywhere should be heartened by this decision. This Vet, from Louisville,Kentucky, gets a thumbs up decision on his earlier effective date in spite of the RO’s incessant efforts to quash it. The Vet sells his house and moves. He informs VA of his new address to no avail. Some chowderhead at the RO with an impaired IQ pulls up the old address and mails his SOC for denial of HCV. When he inquires (after a period of time) about the claim, the RO says “You lose”. Failure to file Form 9. Do not pass Go!. But VA does allow as how they’ll reopen it as a new claim. Vet wins and then gets down to the serious business of getting justice for the address fiasco. The RO isn’t buying this, does it’s ostrich imitation and forces him up to the BVA in D.C.

Again, this is a classic teaching moment. Most denials with merit win in D.C. Just because you are subject to inertia, poor logic analysis, and general ineptitude resulting in denied claims at the AOJ doesn’t condemn you chances on Appeal. Several of our moderators can tell you from personal experience that they won at the appellate level because BVA Judges have college degrees and good deductive and inductive logic circuits.

Say I asked you if you would tell me where you were born. A deductive person would surmise I wanted to know what state or city. An inductively oriented person would realize I was asking if he would or wouldn’t tell me (a yes or no answer) where. Judicially speaking, We want to have our cases heard by one with both capabilities. RO “ratings experts” or “VA examiners” work from a book of rules with no flexibility. If A equals B, then proceed to C. If A is less than B, then go to D for deny. Absence of logic and common sense breed poor legal decisions. Vets will be condemned by this legal tangle until the quality and training of our raters increases. With that in mind, be prepared to go to D.C. and win there.

http://www4.va.gov/vetapp10/files3/1029835.txt

Occam’s razor dictates that the simplest explanation is often the most logical based on the known facts. The RO refused to acknowledge that to the Vet’s detriment. It cost him several more years waiting for litigation. How frustrating and avoidable. It’s unfortunate we can’t penalize these miscreants with a monetary fine for failing to use their brainbox.

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BVA– VSO flushes Vet’s Claim

Here’s another one of those decisions that makes your hair stand on end- and it isn’t even Halloween yet. Nope. Not static electricity either.

When you approach a VSO to represent you, you have to assume they are well versed in VA law. Right? I mean, that’s what they do unless they have a Bar/restaurant on site. In that case, justice can get pretty slippery. Witness the poor Vet who gets AMLEG (American Legion ) to represent him on a claim for HCV and HBV. Things start going south before he even gets out of the gate. He’s a Vietnam Vet w/ DM 2 so he’s getting probably 20% for a rating. The rep writes up the claim such that the HCV is claimed SECONDARY to the DM2 or, in the alternative, related to AO exposure. George Jetson’s dog Astro would be saying “Ruh-Oh, Rorge!” about now. For the uninformed, there is a specific list of arcane diseases that are considered “presumptive” as to AO. HCV is not one of them. Any claim for Hep C , secondary to DM2 or AO,  is dead on arrival. Period. Zip. Zero. Nada.  Mr. Service Officer, he of the AMLEG persuasion, would know this if he doesn’t conduct his business in the bar. Winning a claim for HCV requires many things to happen. Proper preparation is paramount for this or any other type of disease /injury. Going off half cocked, or worse yet, failing to load the gun, is inexcusable.

One risk factor for HCV is unprotected sex, high risk sexual practices or having multiple partners. VA actually considers this as a very low percentage of risk- in the neighborhood of 5-10 % while you were in service. Proof of this is required and evidence such as NGU, clap, gonorrhea, or genital warts in your service medical records would be excellent proof— if you get a doctor to write a nexus to that effect. However, if you engage in any of these practices after service, that same risk for HCV via the diseases mentioned, all of a sudden climbs to 51%– as in, “It is more likely than less likely that the Veteran contracted his HCV following service due to unsafe sexual practices”.

The Vet in the following case lost this before the C file ever leftNew Orleans. He certainly didn’t do himself any favors when he denied any contact with prostitutes in Cholon district. You don’t get the clap from dirty toilet seats. And besides, getting hosed by a lady of the night with an expired VD card is not willful misconduct. With a proper nexus letter from a doctor, arranged for by Mr. Knowledgeable VSO Service Officer, this Vet could have won this hands down. He has two different “penile events” that would give him presumptive risk for HCV. All this flies over the head of Mr. Knowitall.

One last observation. The Vet has had the Hep so long, his liver crapped out and he had to get a retread. It appears that one was defective as well. Rotten luck. Everything about this case is rotten. We cannot reiterate this enough to Vets preparing to file a claim. Ask questions. Get involved. Get a second and then a third opinion. If you can afford it, get a knowledgeable attorney that specializes in VA law exclusively. Your claim depends on it.

http://www4.va.gov/vetapp10/files4/1030693.txt

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BVA- HCV, not HBV

We hope this never happens to you. Imagine winning your fight for a Hepatitis rating in 84, Then imagine just normal VA checkups over the years until 2000 and a test for HCV. Here, VA does everything in their power short of cutting the poor Vet off until he finds a doctor to write a nexus saying he probably got B&C at the same time. this is exactly whhat happened to me in 70. I came down with “Hep” (no dx on type) 89 days after a transfusion for a GSW. Medrecs were left in “that neutral country just to the north ofThailand” that we were never in. Fast forward 23 years and VA turned me down cold. Reopened the claim in 07 and bingo- SC.

     VA would have loved to cut this Vet off and rescind his HBV rating if they could have. So, if you have a rating for HBV and actually have active, chronic HCV, be prepared to have VA reopen your case and try to find a reason for denial of compensation. It happens more frequently than you think.

http://www4.va.gov/vetapp10/files1/1008604.txt

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BVA– Where’s My AmLeg Rep?

Mon Dieux, (excuse my French)! This is enough to make a Vet’s blood run cold. The American Legion idiot (excuse me, strike that in favor of Service Officer) representing this Vet doesn’t have a clue what he’s doing. I thought these guys had to study 38 CFR and pass a test proving their competence.

Granted, this fellow happens to have “issues” that tend to cloud the veracity of his testimony. Nevertheless, it’s axiomatic that the Rep make sure the Vet has the “Caluza Triangle”, aka the Hickson elements, to prove his case. For those of you unfamiliar with those references, they are two precedent setting Court cases that specified in very clear English that in order to prevail on one’s claim, it was essential to have 3 elements: A current disease or injury; the same in service or a presumptive risk factor(s) (documented); and a doctor’s nexus letter tying the two events together with clear and concise reasoning after perusing the Vet’s medical and military history (and any post service records available). This has been the case for more than 15 years of VA law. Now, why would an AMLEG Service Officer let this poor Vet patiently invest time and energy into a claim for years and years and let it arrive for adjudication before an Appeals Court Judge in Washington, D.C. without a nexus? This kind of VSO help we can do without.  We have no beef with any individual VSO. We feel a Vet should be represented, not patted on the back and exhorted to “you go get ‘em , Bubba.” or “They so owe you, dude.” That’s not how it’s done if you intend to win. If your claim has a good foundation, you should win at the RO level. Admittedly, that doesn’t always happen, but that is what the courts above them are for.  Regardless, it still requires the basic 3 elements we described above.

As Veterans, you were taught to obey orders and not question authority. Here, you financial (and medical) life is at stake. Never blindly submit to the counsel of an SO from any Veterans Service organization.

Always try to corroborate veracity concerning rules and regs. independently. This poor guy might never win, but he deserves a chance with good legal assistance if it is proffered for free from a VSO.  I’m not an attorney, but this rises tothe level of criminal negligence in my mind. If I were the judge, I’d ask the AMLEG rep. if he was raised by wolves or simply led a sheltered existence in the Wonka chocolate factory.

http://www4.va.gov/vetapp10/files2/1018181.txt

Kind of like a Halloween spooky story, Huh?

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BVA–7 year wait for Justice

It might be said that justice is getting harder to find at the VA. We disagree. It simply is becoming a time alligator. Having to wait 7 years for a decision before the BVA is virtually unconscionable. The Vet did himself no favors by failing to appeal the 03 decision, but he had a valid claim. He just didn’t know how to present it properly or, worse yet, his VSO dropped the ball in the end zone and didn’t tell him he had a year to get it together. I know. I have walked that walk.

Nevertheless, it is gratifying to see him accomplish what he set out to do successfully. We should all thank the great VSOs( and there are a few) for their contribution of time and energy when we see these rare examples.

http://www4.va.gov/vetapp10/files3/1027816.txt

I think a warm Thank You should go out to the VFW  Service Officer in St. Petersburg for his perseverance on behalf of this Vet. and the National Organization that represented him before the The BVA in D.C. Thank you for all you do for VETS.

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BVA-Interferon denial

God, this is disgusting. Well, actually its not. It’s par for the course for the VA to treat Vets this way so I can’t be surprised by it. From the Muskogee (we don’t smoke marywanna) Oklahoma RO  we are treated to this latest legal miscarriage:

Jez, does any of this sound familiar to you Vets who had the guts to go through with IFN Tx? I did one dose of it and almost kicked the bucket. My fever hit 104.6 and stayed there for almost 8 hours. Have you ever done an ice bath? With a fever? I realize this isn’t the norm for this drug, but the eyesight loss and Fibromyalgia I can sympathize with. This Vet is a Poster child for not doing IFN. It’s some pretty skanky stuff. I’ve met Vets that did it 3 times with no success. They must have hair growing on the hair on their chests. No thank you. I prefer to feel mildly miserable and tired rather than the panoply of ailments this gentleman is experiencing.

Let this also be a cheap instructional booklet for what to expect from the VA if you follow their plan. I’m sure somewhere along the line they will hand you a disclaimer that absolves them of any blame for the consequences. As I said, par for the course with them.

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BVA– Keep your story the same

Here is a classic example of a Vet ( a real short timer, mind you) who couldn’t follow his own script. First, his claim was multiple sex partners unprotected during his time in service ( February to September 1970). Then it metamorphosed into just one sex partner.  Then his wife cheated on him and, well, you have to read the book. I don’t want to spoil it.

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BVA–CUE- What is it?

The decision below contains an example of CUE (Clear and Unmistakable Error)- one of very few you will ever see. CUE effectively nullifies a prior decision by either the RO or the BVA. The BVA is the arbiter of this. It never occurs at the CAVC level. The Cout can rule on it, though.  Always remember, the CAVC is not a trier of fact. They are the ones who decide if the BVA violated your rights or the law in coming to their determination.

CUE is so rare and the obstacles to proving it are so monumental that Vets rarely win this fight. We print this decision to enlighten readers as to the stringent requirements needed to succeed and the arcane legal arguments used to describe it. It has most recently been described as an “outcome determinative decision” which can be loosely translated into Dick and Jane speak meaning ” We came to the wrong decision predicated on bogus information or the RO’s failure to read everything about the case. We get to do that, but you don’t.”

http://www.va.gov/vetapp10/Files2/1012182.txt

Think of CUE as a mistake – either on your part by using fraud to obtain benefits or VA’s mistake for either granting or denying a benefit. If and when VA discovers it, they can come after you for it. If it was an erroneous denial on their part and you petition for redress, they will review the prior decision for what they consider to be errors. You must be specific about what the error entails and prove that but for the mistake/error,  a manifestly different outcome (a grant) would have ensued. The error must be one that is obvious on its face. It must be based on only evidence that was a matter of record at the time of the earlier adjudication. The laws and regulations at the time are all you are allowed to cite for precedence-nothing newer that occurred later judicially. The error must have been the deciding factor in the denial such that reasonable minds can see it was undebatable and clearly erroneous. A minor defect in adjudication which would not have changed the outcome is not CUE.

With all that said, the VA is allowed to constantly tamper with it, and already started adding to that long list. In 1992, the Russell decision (en banc) took the benefit of the doubt out of the error column and added the “manifestly different” language. The Fugo decision added one precept. Merely claiming a generic CUE or reciting the word in Court does not make CUE  a fact. The Vet has to be more specific and point to the actual CUE error with some specificity- hell- a lot of specificity. The Caffrey decision took Failure in the Duty to Assist in obtaining private medical records out of the CUE arena. Notice I said “private” and not SMRs. The Schafrath decision was adamant that the VA had to go after any records from service. The Bell decision in 92 set a date stamp on whether records were constructively in the possession of the VA at the time of the decision. Anything before the 11/92 decision does not qualify. There have been other minor tuneups over the years, but for the most part it has been static. The Vet can presumably see from this how daunting the task is to overturn an old  decision. Few motions succeed, but they do occur regularly. The ROs tend to catch most, but not all, defective decisions before they escape the reservation. VAROs are loathe to admit CUE and prone to play Custer by shooting the horses and making a stand. Be prepared to go up the ladder on this.  The regulations are summed up in 38 CFR § 20.1400 – § 20.1411. Here is the link:

http://www.law.cornell.edu/cfr/text/38/20/subpart-O

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BVA– Keeping the foot out of the mouth

This case is an example of the typical male diagnosing himself as being in relatively good health at the expense of his claim. I suspect that the gentleman was in worse shape than he admitted to. I know I made that mistake for a long time- right up until I collapsed. Be honest with yourself when you go to the doctor. Tell him the truth if you’re not hitting on all 8 cylinders. Don’t be macho. Otherwise you will end up fighting to get a rating that’s commensurate with your illness…

http://www.va.gov/vetapp10/Files2/1016048.txt


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BVA–Interferon Rating denial

If this isn’t enough to raise the hair on the back of your neck about Interferon Tx and VA’s refusal to accept responsibility, nothing will.

http://www.va.gov/vetapp09/Files5/0944772.txt

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