Mind Reading and the Art of Drafting Medical Opinions in Veterans Benefits Claims
James D. Ridgway, The George Washington University Law School
Psychological Injury and Law Download available at SSRN: http://ssrn.com/abstract=1967508
"The
purpose of this article is to assist those involved in VA’s currently
sub-optimal evidence gathering system in producing better results under
the current regime." James Ridgway
Abstract:
Once
upon a time, deciding veterans benefits claims was simple and logical,
although not perfect. Prior to the institution of judicial review, when a
veteran filed a disability claim, the relevant records would be
gathered and given to a panel of medical and legal experts. The experts
would each bring their own specialized knowledge to the discussion and
issue a decision that applied medical science and applicable law to the
facts of the case. Such decisions may well have been correct as to the
science and the law, but they were impossible to verify in the absence
of any stated rationale. In practice, there were substantial doubts
about whether the decision-making process was living up to its ideal,
and Congress ultimately responded to political pressure by passing the
Veterans Judicial Review Act.
Once judicial review was instituted, it was necessary to disband these
panels of experts in order to separate the evidence in a case from the
application of the law to it. Unfortunately, this necessity was not
foreseen by Congress and the re-engineering of the system caused by the
disbandings occurred through ad hoc responses to decisions of the U.S.
Court of Appeals for the Federal Circuit and the U.S. Court of Appeals
for Veterans Claims (CAVC). This has produced a disjointed system that
unnecessarily fragments the evidence-gathering system in a way that is
both inefficient and prone to error.
The outcome is a system in which the most common errors are due to inadequate medical evidence.
Unfortunately, there is no reform on the horizon that would replace the
current system. Until reform is enacted, producing a high-quality
medical opinion that is adequate for making a final decision on a
veterans benefits claim will often require a bit of mind reading on the
part of the examiner to anticipate all the information that an
adjudicator might need.
The Season of Giving Could Lead to a Court Martial - Washington, D.C.
Most gift giving frowned upon and punishable in the military
The
exchange of gifts is a favorite holiday tradition for many. A less
popular and less known holiday tradition, however, involves the
punishment of service members who stray from military rules by giving
their superiors a Christmas or Hanukkah gift. This holiday season,
service members who attempt to give official superiors even moderately
priced gifts could be charged with disobeying a lawful regulation in
violation of Article 92 of the Uniform Code of Military Justice and face
court martial.
For
military personnel, giving during the Christmas and Hanukkah season is
considered “occasional basis” giving. Subordinates are allowed to
occasionally give gifts with a market value up to $10 to an official
superior. Subordinates are also allowed to give superiors food or drinks
that are offered to other personnel or personal hospitality, such as an
inexpensive bottle of wine offered at their home. These giving limits
often paint the military with Grinch like holiday cheer, but these
policies are in place to protect subordinates against favoritism.
“The
military is very strict about these policies. The reasoning is it
prevents someone from buying a really lavish gift for their superior in
return for more favorable evaluations, orders and overall treatment,”
said Lisa M. Windsor a retired Army colonel and JAG Attorney who is of
counsel to Tully Rinckey PLLC.
The strict
giving restrictions do not apply on gifts given by superiors to
subordinates but it should be recognized that all Department of Defense
employees cannot accept or seek “anything of value to influence any
official act.” The giving rules for the military can be found in the
Joint Ethics Regulation (JER, DODD 5500.7-R). Federal employees are in
the same boat as service members when it comes to gift giving. The JER
transfers much of the same language on gift giving restrictions from the
Code of Federal Regulation (C.F.R. Parts 2635.201-2635.304)
“The
message is beware even of your best intentions. The best gift any
superior can receive is a model subordinate that obeys orders and can be
counted on,” said Ms. Windsor
For more information please contact Randy Simons at (518) 755-2789 or via email at rsimons@fedattorney.com