VA Denies Vet's Disability Claim; Cites VoteVets Membership

by: Brandon Friedman

Thu Jun 12, 2008 at 19:42:14 PM EDT


The VA rejected an Afghanistan veteran's disability claim for PTSD last month, citing his membership in VoteVets.org as a reason for the denial.

Staff Sergeant Will King retired from the Army in late 2003, after serving in both the first Gulf War and the war in Afghanistan.  As one of the first troops into the Afghan theater after 9/11, Will had been awarded a Bronze Star after participating in fierce fighting in the Shah-e-Kot Valley  in March 2002.  I know, because I was there with him.

As the months turned to years after his retirement, however, Will started having problems as the Iraq War dragged on.  Depressed and unable to sleep, he thought it might be PTSD.  Because, as those who study PTSD know, this is perfectly normal: The symptoms of PTSD frequently have a delayed onset that can take months or years to fully materialize.  That's why, in April 2007, Will filed a claim with the VA for combat-related PTSD.  The VA eventually agreed with Will and diagnosed him with mild PTSD.  But Will felt like his condition was worse than that.  And to boot, he thought it was getting worse.  So Will appealed, and filed another disability claim with the VA in November 2007: He felt his symptoms were serious enough to warrant an increase in his disability rating from "mild" to "moderate."*

Unfortunately for Will, the VA denied his claim six months later, in May 2008.  And while I won't challenge the VA's ultimate decision (I'm not a doctor), I find it repulsive that they cited Will's membership in VoteVets.org as a reason to deny his claim.

This is what the VA told Will in his denial letter:

The examiner states your PTSD symptoms are still present but you do not report symptoms at a degree or level which appears to suggest more severity.  The examiner concurred with the previous diagnosis and assigned Global Assessment of Functioning Score of 52, stating you have occasional suicidal ideation but are able to cope with these symptoms and continue to function.  The treatment reports from Memphis show you are currently involved with VoteVets.org, an advocacy group for veterans of the Iraq and Afghanistan conflicts.  You indicated involvement with this advocacy group makes you feel coping with your symptoms is worthwhile.  The treatment note of March 10, 2008, indicates no homicidal or suicidal ideation and no thought disorder.
::
::
The medical evidence of record does not show you meet the scheduler requirements for unemployability, nor does the evidence show we could consider extraschedular entitlement based on your being incapable of substantially gainful employment due to your service-connected disabilities.  Although you sent letters from your mother and the person who owns the property on which you live indicating you are not currently employed in farming, but are engaged in normal household gardening and chores, the treatment reports from the VA Medical Center show you are currently involved with a veteran's advocacy group and have traveled to Washington, D.C., to meet with and lobby members of Congress on behalf of this organization.  While you are not, strictly speaking, employed by this organization, you are actively involved and able to control and manage your symptoms sufficiently to engage in activities required by your involvement.  Further, evidence shows you were enrolled in school as recently as Spring 2007 and, although you encountered some difficulty and received failing grades, your overall grades were in the average range, indicating  you were attempting to establish credentials which may have led to better employment prospects; therefore, entitlement to individual unemployability is denied.

So to distill the relevant quotes, here's what the VA acknowledged and said to Will:

"you have occasional suicidal ideation"

"you are not currently employed"

"you . . . received failing grades" in school

Faced with the fact that Will was unemployed, occasionally suicidal, and failing out of school, the VA had to come up with a reason to deny Will's claim that his PTSD was worthy of a higher disability rating.  To do that, they minimized each of the above "troubles."  Then, they brought up his membership in VoteVets.org:  

"you are currently involved with VoteVets.org"

"you are currently involved with a veteran's advocacy group and have traveled to Washington, D.C., to meet with and lobby members of Congress on behalf of this organization"

The VA then used his membership with VoteVets.org to tell Will:

" you are actively involved and able to control and manage your symptoms sufficiently to engage in activities required by your involvement."

They told him that

the evidence of record does not show your condition meets the requirements for a higher evaluation.

::
Given that VoteVets.org has been highly critical of both the Bush administration and the VA in the past, this is troubling, to say the least.  

In fact, Will spent a total of only 48 hours in Washington, D.C. with VoteVets.org in March--hardly enough time to determine whether or not he is consistently able to "control and manage" his symptoms.  But more importantly, why is Will's association with a veteran's organization even being brought up?  This claim on the part of the VA is acutely disingenuous: VoteVets.org has a number of members whose disability ratings for PTSD are higher than Will's--as do other veterans' organizations.  So does this mean that no combat veteran with moderate to severe PTSD can participate in a veterans' organization and expect to be compensated by the VA?  This makes no sense at all.

Either the VA should have left the references to VoteVets.org completely out of their decision, or they should back up their claim and apply it to all veterans.  As it stands now, however, the VA has made a decision that reeks of partisan politics.  And, as we all know, partisan politics have no place in how combat veterans are rated for disabilities concerning PTSD--or anything else for that matter.

So the question must be answered now: Did the VA deny Staff Sergeant King's claim for a higher disability rating because of his association with a political group?  
::
::
* = For the layperson, I'm defining VA PTSD disability ratings of 0% - 30% as "mild," 30% - 80% as "moderate," and 80% - 100% as "severe."  If any physicians or therapists disagree, please let me know and I'll change it.  I'm not a doctor.  UPDATE: Okay, see this comment for some clarification on this.

Brandon Friedman :: VA Denies Vet's Disability Claim; Cites VoteVets Membership
Tags: , , , , , (All Tags)
Print Friendly View Send As Email

I am in total disbelief (4.00 / 2)
This is completely absurd and I hope the news agencies pick up on this.  I have never heard of such a thing.  I'm still waiting for my rating, I can just assume I'll be flat out denied because I found a way to keep myself from sinking deeper into a hole by trying to help others. Sick. Disgusting.

Keep track of every little thing. (4.00 / 1)
Write down stuff that you do, time of day, how much time on what, your hours every day, and eventually demand that what you're doing be compared in all aspects to a full-time job.  And, a full-time job with no psychological benefits such as what you're experiencing from helping others.

Being "denied"--does that mean no treatment AND no financial support?


[ Parent ]
Repellent (4.00 / 5)
That is unbelievable.

I'm not a veteran, I read this site b/c I care deeply about the way our government is not caring for the people who serve it and in the seemingly endless barrage of offenses, this one might be the cake-taker.

Coping with any affliction by means of helping others cope with it is a long tradition that defies employability and often is the bedrock of what can be a meaningful and useful life for the employable and unemployable life - Alcoholics Anonymous, arguably the most effective social movement of any era, is based entirely on the notions that 1) a sufferer of an affliction can help another in a way that no one else can, 2) no matter how severe the affliction, he can ALWAYS be helpful.

Vets helping vets through VoteVets and other advocacy groups is an experience that people should not be punished for, and the very idea of "if you're functional enough to help people than you're employable" is just gross. Ugh.


Supporting the troops (0.00 / 0)
Thank you for taking the time to read a site like this to learn about the issues.

Sean Hannity "supports the troops" by having an advertiser give away coffee when you buy so much.

Rush Limbaugh supports the troops by asking others to buy gift subscriptions to his newsletters that he sends to the troops.

You on the other hand want to understand the nitty gritty of life in the fish bowl and at least try to understand that. I sincerely commend you for that and say thank you. You my friend, are supporting the troops by this small action.  


[ Parent ]
This is horrifying. (4.00 / 2)
This is one of the most appalling things I've seen in a long, long time. I don't care what organizations Will is involved with. The fact is that he served his country with honor, and now he needs their help. The fact that his political inclinations or his organizational affiliations even entered into the equation is contrary to everything that soldiers have been fighting for throughout the history of this country. It shouldn't make a damn bit of difference if a veteran in need is a member of VoteVets, the Communist Party, or the Muppet Show fan club. This is an issue that needs to be resolved yesterday, and everyone involved with sending Will's letter needs to be out on their asses. I have a lot more to say, but I'm going to call my congressman right now.

Keep up the fight, Will--you've got a whole lot of people behind you.

Casey  


One more thing (4.00 / 2)
I learned from the VA that there are at least two types of PTSD, one is low functioning (what most people assume it is), one is super high-functioning.  They told me I was the high functioning one.  This means you are hyper-active, that you have to constantly being doing something to keep yourself from thinking about what's what.  I certainly have my low functioning moments, but I am generally always busy.  So, their argument that active involvement means you must not have PTSD, or at least only a low rating, is BS, as it was the VA that told me about the differences!  Plus, I think most PTSD people do flip-flop into both categories.

Thank you (0.00 / 0)
That information helps me immensely.

I am not saying this is good or bad but many/most Reservists, especially the more senior Officers and NCOs, do their absolute best to avoid the delays of out processing when they get home. You want to get back to your family and your job. If you are self employed that means getting back to work the minute the plane lands and let the Army be damned, you need to restore your income and that means getting out of uniform as quickly as possible. This means that sometimes important information falls through the cracks.

Today, you helped fill a crack. Thank you.


[ Parent ]
Will needs to file a formal Congressional complaint ASAP (4.00 / 2)
Hopefully there is at least one senator or a congressman in his state who can force the VA to justify, and hopefully overturn, this outrageous rejection. I've seen a lot of VA disability determinations (unlike Brandon, I actually am a doctor), and I have never seen anything that comes close to this as a lame excuse.
What's next? You go to church so you can't have a disability?

I agree wholeheartedly... (0.00 / 0)
If ever there was a reason to file a congressional, this is it.   Since when does meeting with congress mean that someone isn't entitled to VA benefits?  Who came up with this directive?  We need to kick these anti-veteran SOBs out of office.  

[ Parent ]
Diagnosis for PTSD (4.00 / 2)
Just some thoughts..............

My thinking is that in his second appeal or disability claim submission, his emphasis should be on how his PTSD symptoms have interfered with his ability to function.

Right or wrong... the "Moderate Symptoms" GAF score of 52 may not be low enough to warrant an increase in his disability rating.

(See link to the GAF Scale)
http://en.wikipedia.org/wiki/G...

Here's the link to the VBA 38 CFR for Mental Disorders
http://www.warms.vba.va.gov/bo...

The Schedule of ratings-mental disorders rates on levels:
100%,  70%,  50%,  30%,  10%,   0%

The DSM IV diagnostic criteria for PTSD has three symptom clusters:

http://pn.psychiatryonline.org...

Persistent Re-experiencing
Persistent Avoidance
Persistent symptoms of increased arousal

He may have to present a REDICULOUS amount of evidence indicating that his level of functioning is impaired a greater level then the VA indicates as it relates to those three symptom clusters.
For example: Not just unemployed but lists of jobs and employment lost or unobtainable despite his qualifications.

Try college again and (sadly) get more evidence that his pretrauma baseline has changed (ie lower grades, failure, or withdrawal).

AND see a NON-VA licensed therapist, psychologist or psychiatrist for expert assessments, evaluations, and treatment.
AND DOCUMENT ~ DOCUMENT ~ DOCUMENT!!!!
It's normal for PTSD symptoms to come in waves. The key is to prove that his baseline doesn't return to the unimpaired pre-combat state to warrent the higher disability rating.

If I'm babbling on about what you already know or about what he has already done.... I apologize.
Oh.. and I am a licensed mental health care professional.
Just my thoughts.


This will Replying (4.00 / 2)
Two VA doctors here in TN created a Gaf chart that outlines Gaf score to disability and symptoms. A 52 Gaf equals a 50% disability. some of my other symptoms actually fall in 70% disability range. Trust me, me and the state va people when thru the Regs to make sure we were right. I was already 60% disabled before i was rate for ptsd. The VA had already diagonse me with it so they could not change the diagonses, but if they gave me anything higher the 30% the Va would have to give me IU which means i would recieve 100% disability. Thank you for the info    

[ Parent ]
Keep Fighting Sandrat (0.00 / 0)
I believe you when you say you meet the rating criteria.

I recently attended a Veterans' Resource Seminar.
One of the advocates for VA Service Connected Disabilities Claims said...............


"Here is the list of VA Benefits available to you.
Do you know how many of these benfits they will give you?

NONE!

YOU HAVE TO TAKE THEM!"


and he is right.

[ Parent ]
Also Sandrat.... (0.00 / 0)
You have already met the criteria needed for a diagnosis of PTSD.  
In documenting how it is interfering with your ability to function ~ that will ALWAYS be subjective and individualized.

For example: Difficulty relating to family, co-workers and clients might not be problematic for a person working for the forestry service in Montana but it will be a HUGE problem if you are in sales, health care or real estate and such.

Like wise: being unable to focus on your academic endeavors is a HUGE problem if your goal was to get your college degree.  It might not be a problem for one who already has their degree or is a skilled craftsman/woman.

The subjectivity is yours to define ~ not the VA's.  
But if you want to win your appeal you will have to present the evidence to support YOUR argument.  

DISABILITY has never meant INABILITY.  

It means you will have to fight and work harder to obtain your goals. And with service connected disabilities it means the VA is responsible and beholden to you in reaching your life long goals whatever they may be.


[ Parent ]
Curioius... (0.00 / 0)
Who was the examiner? Who wrote this letter? Do they hold any type of 'professional' licenses?

What a crock.



Thx for posting this letter from the VA... (0.00 / 0)
Just having it out may help some of the 'pain' that Will mentioned in his last diary. This letter hits me as even worse than I had imagined from  Will's other diary.

I would definitely go for 'gardening' as a therapy and/or an avoidance behavior.

How many other "Wills" are there out there? "Shhhh". Too many to count is my thought.


Joining up to lend a hand (0.00 / 0)
We will cross-post our Veteran's issues content and do whatever we can to help out--this is one of the worst travesties I have ever heard of. I can't think of a more egregious example...I'm just so outraged.

We want to give you support and encouragement and do whatever we can to help out and publicize these issues and get people like SSG King the help they need.

EVERYONE needs to join Vote Vets and then DARE the VA to do something about it.

http://bluegirlredmissouri.blo...


Bassackwards---but not unusual for an "invisible" disability. (4.00 / 1)
That's the kind with hideous physiological and mental pain that is hard to describe, especially when one hears ("Well, you LOOK great!" )

There is absolutely no correlation between what he does in VoteVets and holding down a job that he has to report to every day, day in and out, no matter what.  And the others in VoteVets know and understand what he's dealing with; how often would that happen in an ordinary workplace?

The raters or whatever they call themselves in the VA should have some kind of system--form--to evaluate what someone does as a volunteer with VoteVets and compare it to a regular job.  That's all it would take.   Sounds like a completely subjective, unsubstantiated, politically-motivated opinion that left him swinging slowly in the wind.


[ Parent ]
I'm a member of... (0.00 / 0)
VoteVets, American Legion, VFW and the Democratic Party - FOUR outfits that have been known to advocate for better treatment of our vets over the years.

 Does this mean that I'm going to get a negative rating and now have to pay the VA every month?

 Will, you need to be on the horn with your Congressman and Senators, as well as the VA chief (GEN Peake). This is utterly ridiculous.

 Does one have to pass the Republican loyalty test in order to secure benefits? I suggest the good folks at the VA need to show that particular requirement in writing. This needs to get into the news. It's scandalous.

 Things like this will keep happening until there is a change at the very top - and McCain is not what is meant by change.

 Please keep us posted, Brandon and Will.  


This is will replying (4.00 / 2)
Congressman Tanner, got a complete copy of my claim, needless say he did not help at all. Right now i am waiting for the VA to give me a copy of my c&p for the second claim on my Ptsd. FYI Congressman Tanner is a Dem, Also Three Sen. stood not 5 feet from me in D.C when Jon read my whole story to the media, as soon as i get the hard copy of C&P i plan giving all of my elected officals and GEN Peake a ear full. right now i am enjoying my garden, if i dwell on the VA i will go completely crazy.        

[ Parent ]
Hang in there, Man. n/t (0.00 / 0)
 
 

[ Parent ]
And.... (0.00 / 0)
What about the DAV ~ Disabled American Veterans
~ where we must have a disability rating to be a member!

[ Parent ]
What if Freedom Watch? (4.00 / 2)
What if this fellow soldier had been a volunteer with Freedom Watch (I think thats the name) or some other "Hannity Brigade?"

Would they have mentioned that?


You know that... (0.00 / 0)
...FauxNews would be righteously indignant right now if that were the case.  

[ Parent ]
Here's one of the best reactions to this story I've seen: (0.00 / 0)
http://vetvoice.com/showDiary....

Bravo! WarrenStreet!


It's overdue and I apologize (4.00 / 2)
for not getting involved sooner.

[ Parent ]
don't apologize! (4.00 / 1)
i saw gage's comment and followed you right along.
best thing i've done in a long time. so thanks!

[ Parent ]
Welcome aboard to you as well, Greenbird. N/T (0.00 / 0)


[ Parent ]
a lawyer who's done veterans' VA claims for decades had this to say: (4.00 / 1)
This is a perfect example of the boneheaded "logic" used by VA claims raters to deny benefits.   I wish this came as a total surprise but in fact, we've fought examples like this hundreds of times, if not thousands over the years.

It's interesting to see how many people are completely amazed and almost blindsided by this but remember, this is the type of crap veterans have been fighting, for generations.

Those interested in the sociological history of this fight will find Wilbur J. Scott's (professor and former platoon leader in Vietnam) "The Politics of Readjustment: Vietnam Veterans Since the War" useful in understanding today's situation.

You can read it online btw:
http://books.google.com/books?...


i carry within me the title of another book, (0.00 / 0)
and doing a google search for it just now was numbing:
http://www.google.com/search?q...

...for generations upon generations, ernie.


[ Parent ]
followed the link ... (0.00 / 0)
and clicked around but still not sure exactly what you're referring to.

[ Parent ]
Unfortunately, this is nothing new under the sun (4.00 / 1)
I agree with that lawyer.  I've lived my entire life around the military (Army) and served myself when I came of age (Marines).  Later in my life, I worked as a Federal civilian employee for the DOD.  Everyone I knew growing up was either a military dependant,  in the military, has been in the military or was going be in the military.  We dealt with the VA and other Government agencies many, many times in the past and this particular story really didn't come as a shocker to me.  I know it comes as a big surprise to many but for those of us that felt we have been given the short end of the stick many times before by the VA know that this is not new.

"Armed forces abroad are of little value unless there is prudent counsel at home."

Marcus Tullius Cicero 106 BC-43 BC


[ Parent ]
Nothing new for all social services. (4.00 / 1)
Be they State or Federal, Veterans Affairs, Medicaid, Medicare, Senior Citizen Services, Department of Mental Retardation, Psychiatric services, Homeless services, Disabled housing facilities.............

It is cost effective to make the system ~ the bureaucracy ~ damn near impossible to navigate.

Those in need of benefits and services fall away as they are unable to follow through with appeal after appeal after appeal.

Homeless ~ no address ~ no phone.
In and out of emergency rooms, psychiatric hospitals, substance abuse treatment facilities and jails.

This new generation of veterans will have to come to their own realization that it isn't EVER going to be ethical or humane.....

The VA is not going to come to some epiphany and
change their modus operandi.
Hell! Veterans and advocates have been trying to change the system for decades!

It has been thus since
the Gulf War...
the Vietnam War...
the Korean War...
WWII...
WWI...
and on and on and on........

I'm not says we should give up on changing the bureaucracy.
I'm saying this is a WAR of VA social services with many battles to be fought on many fronts.

It isn't right. It isn't fair. It isn't ethical.
And you have to fight for YOUR benefits nonetheless.

Then I hope you do join stay in the fight to change the bureaucracy!
WE need the help!

And it's okay to take care of your own needs first.



[ Parent ]
On it. (0.00 / 0)
Prepare for some righteous indignation from IVAW-side as well. We've had one vet say flat out he will not kill himself because it would hurt IVAW too much and he believes in it, but he was planning to before.

I guess he's not really disabled, because he's pretty active!

Please insert an incoherent stream of cursing here. I'll be passing this on, definitely.  


"Support Our Troops" should not be empty rhetoric! (0.00 / 0)
I'm not a Vet, just an ordinary citizen who read (at Crooks & Liars) about this offensive attempt by the military to search for excuses to avoid supporting our brave veterans.

If only our government proved that they truly cared about our veterans instead of just talked about it whenever it suited their political agenda.  They don't support our military under the Bush admin. & McCain has made it crystal clear that he'll continue with all the failed policies of the Bush agenda.

THANK YOU to all our vets & to their families for the many personal sacrifices they endure. True heroes in every way.


VetVoice on Social Media
Follow rockrichard on Twitter

VoteVets.org on Facebook
  • VetVoice Recommends

    "The War I Always Wanted,"
    By Brandon Friedman

    "The welcome mat for memoirs by veterans of operations Iraqi Freedom and Enduring Freedom might never wear out so long as they write with the savvy of Brandon Friedman . . . Friedman's take is vivid, frank, precise and dramatic." --Military Times

    "Add Brandon Friedman's The War I Always Wanted to the ranks of outstanding non-fiction produced by officers from elite combat units in the Iraq and Afghanistan wars. Always truthful, often excruciatingly so, The War I Always Wanted rises at numerous points to the level of literature." --Steven Pressfield, author of Gates of Fire

    Buy The War I Always Wanted here.

    "A Time To Lead,"
    By General (Ret.) Wesley K. Clark

    "A Time To Lead confirms the rewarding benefits of military service at a time when such service is experiencing considerable strain. It also includes a comprehensive description of America's current national imperatives, which deserve serious consideration." --General Alexander M. Haig, Jr., former Secretary of State

    "This is a primer on leadership forged in battle and by decades of experience. . .This isn't just a book; it's a manual for leading people and living a good life." --Barry McCaffrey, General, USA (ret.)

    Buy A Time to Lead here.

    "Love My Rifle More Than You,"
    By Kayla Williams

    "Whip smart, sassy, with a mouth as foul as a sailor's, 28-year-old Sergeant Kayla Williams. . .tells what it's like to be a female soldier in Iraq." --Booklist

    ". . .echoes military memoirists from Julius Caesar to Ernie Pyle." --Publishers Weekly

    ". . .a shocking, on-the-ground view of one military woman's experience in Iraq." --Bookmarks Magazine

    Buy Love My Rifle More Than You here.

    "How to Break a Terrorist,"
    By Matthew Alexander

    "...a riveting, fast-paced account that reads like a first-rate thriller." --Publisher's Weekly

    " ...an absorbing behind-the-scenes look at the secret intelligence war within a war." --Military.com

    Buy How to Break a Terrorist here.

    Search

    Advanced Search

    RSS Feed Links

    Subscribe to VetVoice in a feed reader!

    Subscribe to VetVoice by Email!

    Diaries and comments at VetVoice do not necessarily represent the views of VoteVets.org. VetVoice will strive to remove any illegal material as soon as it is flagged. Similarly, VetVoice will use its discretion in determining whether to remove exceedingly offensive material. However, between posting and removal, any offensive or illegal material does not reflect the condoning or endorsing of said material by VoteVets.org or VetVoice.
    Similarly, the views expressed on this website are those of the authors alone. Opinions on this website do not necessarily represent the views of the Department of Defense or any of its components.
    Menu

    Front Page Writers
    PTSD Resources
    TBI Resources
    IRR Information
    Casualty Reports
    VA Information
    Support the Troops
    Veteran Candidates We Support
    Congressional Committees
    Contact Your Elected Leaders
    Sites We Like

    Paid for VoteVets Political Action Committee. Not authorized by any candidate or candidate's committee. VoteVets Action Fund is a 501(c)(4) organization which primarily focuses on nonpartisan education and advocacy on behalf veterans and their families. VoteVets Political Action Committee is a federal political committee which primarily helps elect Iraq and Afghanistan war veteran candidates and educates about veterans and military issues aimed at influencing the outcome of the next election.

    Site Design: Articulated Man

    VoteVets Political Action and Vote Vets Action Fund are separate organizations.

    Powered by: SoapBlox