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| VETS' COURT RULES
THE LESS VA DOES, THE MORE CLAIMS IT CAN DENY
USCAVC decides that VA can deny a
claim for failure to appear at an exam, whether or not VA sent a
notice of exam to the veteran.
by
Larry Scott, VA Watchdog dot Org
-------------------------
This decision by the U.S. Court
of Appeals for Veterans' Claims (USCAVC or CAVC) just astounds me.
Basically the decision states
that VA can deny a claim for failure to appear at an exam, whether
or not VA sent a notice of exam to the veteran ... and, VA does
not have to keep a copy of the notice in their files to prove they
did it, it is just assumed (presumption of regularity) they sent
the veteran a notice of exam.
This is just another example of
the "blame the veteran" mentality we find at the VA ... and now at
the CAVC.
What does this mean for
veterans? An attorney who practices veterans' law provided
the following commentary:
After reading this decision,
the issue that I am trying to get my head around (without
success so far) is how can a constitutional right be determined
by a presumption that the government did not violate that right?
This vet's constitutional right to a fair adjudication of his
benefit claim was denied because VA has "procedures" and VA must
have sent an examination appointment notice. Sure, it happens
most of the time. Not even VA claims it happens correctly every
time. The IRS cannot garnish your wages by going to court and
arguing that they must have sent you a garnishment warning. Cops
cannot get a search warrant because someone must have probable
cause. A mortgage company cannot foreclose on your house because
they must have sent you a foreclosure notice. In each case, the
right in question requires proof that the action contrary to the
individual's protected right actually occurred. But the "veteran
friendly" VA can deny your claim IF THEY ACTUALLY DO NOT DO WHAT
IS REQUIRED.
The
logic that because VA does not keep a copy of the medical exam
schedule notices it benefits and the claimant suffers from the
"presumption of regularity." The logic of the analysis escapes
me. Instead of giving VA the benefit of the doubt because it
does not keep the correct records, why not require VA to keep a
copy of each document THAT HAS THE POTENTIAL TO DETERMINE A
CONSTITUTIONAL ISSUE. The usual excuses that it is an
administrative burden, too much paper, etc. (waaahh "its too
hard"), do not and cannot outweigh a claimant's constitutional
rights. (At least it does no where else that I am aware.) But
what can we expect from an organization that does not even
require a claim file index.
Finally, this is not the same as a vet not sending something in
by certified mail: a veteran who is not mailed something cannot
possibly protect the rights lost because it was not sent.
Backlog, what backlog? A few hours on the computer and every
VARO can legally deny every claim involving a medical
examination simply by asserting that the claimant did not show
up for something, somewhere, sometime. This case has the
potential to take a relatively rare occurrence (unexcused missed
appointments) and turn it into a huge source of denied claims.
Don't think so? Anybody want to bet against "missed"
appointments increasing in the next quarter??? (well assuming we
could get true unvarnished data from VA). Anybody??? Anybody at
all??
The entire decision is
available for viewing or download here ...
------------------------- |
-------------------------
posted by Larry Scott
Founder and Editor
VA Watchdog dot Org
-------------------------
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