BVA- The Small Print in 38 CFR 3.301

God, I love these decisions. The VARO in New Orleans was in such a hurry to shoot this Vet down that they stepped on their necktie and did a face plant. The BVA was so disgusted that they took the time to point out why the VARO screwed up and ALSO awarded the Vet the SC for Hep. Sweet. Too bad VA isn’t this stupid all the time or we’d have a higher success rate. Read the language in 38 CFR 3.301 closely. One of you Vets out there might be able to take advantage of the way its worded. So many think that just because they stuck a needle in the arm once and admitted it, they are sunk on the willful misconduct. Not so! Continue, gentle reader…

http://www.va.gov/vetapp09/Files1/0902697.txt

And they all lived happily ever after. See, VA is obnoxious as hell, but if you poke and dig, ofttimes you will find little nuggets of information that you never expected to find in the King Victor version of the VA Bible.

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BVA–I WAITED TOO LONG TO FILE

This the ultimate tragedy. This poor Vet, like most of us, probably got an earful from his wife to go get a physical because he turned 55. Or he decided to get a flu shot that year. He probably hadn’t been feeling too good for the last 5-10 years anyway, but had a lot of work available and couldn’t stop. His Doc. discovers his ALT is bebopping along at about 150 and his AST isn’t far behind it. After a lot more testing they discover the BIG C and he starts scratching his head and wondering what the hey? About a month later, the Biopsy shows that 75% of his liver has evaporated into thin air. The doc says says “Dude, this thing is like 35 years old!” That’s when Mr. Ex-Doorgunner has the big “epiphany”. Gee, what about all them wounded and dead guys I pulled into the chopper and all the blood…The Clap from that night in Cholon before I went upcountry? Those crazy jetgun innoculators from Boot Camp? Man, I better file a claim with the VA pronto. In fact, I’m gonna get me an attorney to be safe! This is a no brainer. VA will make it right with me, won’t they? A grateful nation and all that?

http://www.va.gov/vetapp09/Files1/0903143.txt

File a claim. Die. End of claim. Pretty harsh, huh? That’s the way a lot of us Vets see it, too. And then along comes the President of the United States- Mr. Supreme Commander of the U.S. Military-who wants you to pay for your PTSD and hearing loss/Tinnitus due to IEDs out of your own pocket with your own private medical insurance. What are these guys smoking? This is insane and I fear it will only get worse. Veterans are such a pesky problem. Every time you have a war, you have all this collateral damage to humans and then they want MONEY. Money we could be spending on welfare and tenement housing. How about bailing out Wall Street? That’s way more important than wasting it on VETS. In fact, many Vets thought that THIS time was “THE TIME”- a VASEC who was Military; the political party who hates wars in charge of all three branches of the GOVT. What could go wrong? I guess its time to go to the back of the bus again and sit down and wait another decade or two for the Economy to improve. Except that there are a lot of us who won’t be here then- just like this poor Vet who cashed in his chips in 11/07. Time to have a little attitude talk with your Congressman and Senators, ladies & gentlemen. This has been going on since the War of Northern Aggression (the Civil War to those of you on the northern side of the Mason-Dixon Line). If it isn’t the Economy, its another War, or Foreign Aid commitments, or putting a man on the Moon, or… (insert government priority here).

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BVA–Big Brother is watching you

This has no pertinent relevance to HCV claims, but I include it here to illustrate that VA does keep track of you and your claim. You would be foolish to think otherwise. This deranged Vet filed in 1946 and received a 70% rating. He had to keep going to exams to keep his rating and started stepping on his necktie. By 1962, they had reduced him down to 30% which I suspect is still more than he deserved. Now he is returning to claim CUE (Clear and Unmistakable Error) in the 1962 decision. CUE is the hardest thing to win in this game. You have to prove VA screwed up. They wrote the rules as to what constitutes CUE and you have to follow them. There is no Benefit of the Doubt with CUE. In addition, you have to go by the law as it was written at the time of the decision. You cannot use legal precedents set after your denial to defend a CUE claim. It makes for a pretty skinny defense unless you can prove they screwed you. Oh, and you have to be very specific on what it is they did to deprive you of your rating. Its a pretty tall order for a law dog, let alone a Vet in the woods.

The other salient point I wanted to illuminate was the fact that should you attempt to defraud the VA, they will mount up a posse and come after you. I guess I don’t have to point out all the assets they have at hand to do this. It’s akin to the FBI coming after a band of inept terrorists. Wiretaps, undercover investigators and investigation of your banking practices are all fair game. Keep that in mind before you start to assume you’re dealing with a bunch of overworked chuckleheads. Trust me. You are not. They may have been born at night, but they were not born last night. They can drive by your house and figure out the jet skis and the fishing boat. They have access to SSA records and know if and where you work. This might sound like a Conspiracy Theory. Should you wish to test the theory and sail into the perfect $hitstorm, be my guest and try it. The VA will do anything to deprive you of a rating if you’re not entitled to it. That’s what they do and I might add, they do it very well. Get used to it.

http://www.va.gov/vetapp08/Files1/0803241.txt

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BVA–1992-2008=PERSEVERANCE=WIN

This Veteran  from Houston, Texas (who happens to be a WOMAN), is a classic example of what it sometimes takes to win your claim. She was injured in service, but had a very hard time proving it. In fact, she resorted to not one, but three different theories in succession to try to make her case. I suspect she had some of that “wonderful help” we always seem to be supplied with by VSOs. How else can you explain the fact that it took a real law dog to win it for her on the fourth appeal. It’s obvious the prior appeals were mishandled- further proof of VSO fingerprints all over them. 16 years later, VICTORY. Continue, gentle reader:

http://www.va.gov/vetapp08/Files2/0815224.txt

Thank you VLJ C. Crawford on a well-reasoned decision. What is scary is that it came down to two Doctors arguing. Only one Doctor took the time to actually see the patient, though. That’s one hell of a pissing match, gentlemen. Nevertheless, it’s payday in Houston, Baby! I try to convince Vets to have patience with the system. This is the proof of same. Veterans should take note of the name of the Law dog- Robert W. Legg (in case you need him). Read them and weep, Peake.

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BVA–TDIU–(Compensation)

Here is a claim that involves, ultimately, a claim for Total Disability due to Individual Unemployability (TDIU). The Veteran’s disabilities combine to cause him to be unable to work and he still lacks a 100% disability rating. If you have one disability at 40% or greater, combined with others to attain 60% or if you have one disability at 70%, you may apply for TDIU and be rated at the total rate. You will have to prove this annually in order to continue your 100% TDIU disability . Ideally, you would like to have one disability rated at 100% which is never going to get better. Then you will eventually qualify for the Permanent and Total rating. When you attain this Holy Grail, you will be excused from any future examinations and also qualify for a host of other benefits from VA.

http://www.va.gov/vetapp08/Files4/0828005.txt

Bravo, VLJ Guido. Adjudication well done.

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BVA– HOW BAD DO YOU WANT TO LOSE?

Okay. Do not show up for the C&P exam. Check. Don’t show up for the Travel Board Hearing. Check. Ignore the Risk Factors Questionnaire they mailed out to you. Check. Tell them you were an IVDU kind of guy. Check. 5 years later tell them you weren’t. Check. Lose your case. Done Deal. Wait a minute! What happened? I want to appeal this thing. Too late. Cognitive brain disorder, maybe?

http://www.va.gov/vetapp08/Files1/0802037.txt

Living proof of people who are terminally braindead. This guy could have won this with some finesse. One thing is for sure, if you do nothing to help win it, you’ll lose it. If you think these cases win themselves, perhaps you haven’t noticed the odds are about 15 out of 100- and that is for cases that actually have a chance of winning. This VET probably deserves SC. Too bad he didn’t do something to help his SO or himself. Look up dumb in the dictionary and there will be a picture of this guy with the quote “Bummer, dude!” under it.

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BVA–RISE FROM THE DEAD, LAZARUS !

As you know, I attempt to help the living in the pursuit of their claims. Here is a Veteran that has risen from the dead to add his voice to our cause. I have been attempting, over the last several months to help a widow with her case but could find nothing that would assist her with a post-mortem claim. I hope this may help her as well as some of you in your quest for justice if you have lost your spouse to this insidious illness. VA smugly tells us that our claims die with us if unadjudicated. This case says otherwise. Best of Luck to all whose spouses gave their all. God Bless you.

http://www.va.gov/vetapp08/Files4/0833395.txt

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BVA–HEP A,B,C OR NONE OF THE ABOVE

These kinds of cases disturb me. I expect we are going to start seeing more like this example(and mine)that were filed under “hepatitis” without a letter after them. Its a backdoor method to 86 an old rating after it has been awarded. If you have an old SC award for hep and you still haven’t converted it into a P&T, it might be time to give it some serious thought if you can.

Also, check out how the VA examiner tries to pawn off the idea that the Vet recently contracted “C” between 2002 and 2007 and that the CFS is related to this new “recent hepatitis event”. They really have a sense of humor in San Diego. What are they gonna do if the Vet is Stage 3? Say its a new, rapid growing variant? We will keep you posted on this one.

http://www.va.gov/vetapp08/Files1/0805999.txt

What disturbs me is the VA denied him in 2002. He appealed it and it went up to BVA. But look at the remand date of Jan. 2007–fully 4 years and 5 months after the denial and apparently the second remand back to the VARO. Obviously this is the third remand and may turn out to be the beginning of the end of the Vet’s Hep claim, not an adjudication of his CFS, secondary to hep. Scary. Justice delayed, gentlemen. Not Justice denied. Watch out for that Justice Bus. Incoming!

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BVA–GO BIG OR GO HOME

This is a great case. Vet joins Army. Vet gets hep right before going to RVN. Goes to RVN and gets hosed when Buddy gets blown away right beside him. Vet gets bad case of PTSD. Vet discovers the joy of Opium and Buds. Vet starts smoking H. Vet comes home with raging habit from PTSD. Vet discovers Hep in 2002. VA immediately starts down the IVDU warpath and blames it all on willful misconduct and infectious hepatitis. Big problem- Vet only has viral hep(B) and the big C. After 5 years of running him around in circles, VA caves in and grants the SC for hep. But by God, do you think they are gonna give him that SC for drug addiction. No way, dude. Absolutely not.

http://www.va.gov/vetapp08/Files2/0811803.txt

I gotta hand it to those boys down at VVA. They have some sharp SOs working for them. I see more hep claims approved statistically by Vietnam Veterans of America than any other VSO outfit defending Vets. If you really must use one, I would suggest them, and only them. But I still would supervise the bejesus out of him/her. Nobody’s perfect at this business and 2 heads are better than one.

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BVA— JUST THE HEP, MAM,JUST THE HEP

Feb. 88- Vet filed and lost a “hepatitis” claim based on hep. in service in March 77. Fast forward to July 08. The vet has a new claim before the BVA on appeal(obviously the local VARO still doesn’t believe him). Notice this time the Oklahoma Dept. Of Veterans Affairs and the Vet filed it slightly differently as a claim for “hepatitis C” instead of just “hepatitis as he did in 88. The VLJ has promptly changed the claim from a reopening of an old hep. claim(88) to an original or “brand new” claim(08). Most Vets, indeed most people, would not see the significance in this. If the Vet found old evidence from the 70s or 80s that he could submit, it would mean an effective date of 88 from the old claim and hundreds of thousands of dollars. Since this is now considered to be a new or original claim, if the Vet wins, the effective date will be the date filed, which is probably Feb. 07. The Vet will get screwed to the tune of the hundreds of thousands mentioned above simply by virtue of one letter-“C”. Be careful what you ask for. HCVets advocates filing for “hepatitis”. That may include A,B,C, AIH (autoimmune hep) or any combination of the 4. It can mean lots of money when done incorrectly as here. Read over your claim very carefully before you push “PRINT”.

http://www.va.gov/vetapp08/Files3/0823535.txt

Chances are we are going to see this become the rule rather than the exception, with or without the permission of the Vet. When that happens, expect to see the success rate sink to about 5 % from the current 15%. Five bucks says this claim is dead in the water now or will be. I hope the Vet takes this up on an NOA to the CAVC. I suspect they might have something to say on the subject of a VLJ tampering with a Vet’s claim.

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