Showing posts with label claims. Show all posts
Showing posts with label claims. Show all posts

28 September 2025

Newest Claims Project: Peripheral Neuropathy

 I've drafted a sample VA disability claim for peripheral neuropathy as SECONDARY to diabetes. Vietnam War and C-123 veterans are presumed exposed to Agent Orange and already get service connection for diabetes if diagnosed. The effort here will be to illustrate how a veteran can get service connection by using diabetes type 2 (and other causes) and then peripheral neuropathy as a secondary issue.

Many vets have complained that their peripheral neuropathy claims long after Vietnam are denied due to VA's one year for symptoms requirement – this effort is an alternate approach using peripheral neuropathy as secondary to another illness or injury already recognized by VA as service connected. It’s for anyone, not just Agent Orange folks. Many other ailments are associated with peripheral neuropathy and if you have PN, you'd be wise to investigate.



05 June 2019

Finally Official: Blue Water Navy Veterans Get Agent Orange Benefits!

It is the biggest news since our own C-123 Veterans Association won benefits in
2015, and by far this news eclipses C-123 Veterans in the sheet numbers of veterans affected...perhaps as many as 90,000 Vietnam-era vets can now access vital benefits and health care.
The decision by U.S. Solicitor General Noel Francisco ended months of uncertainty for tens of thousands of former service members or their survivors who may now be eligible for benefits stemming from exposure to Agent Orange. The benefits have been estimated to cost the Department of Veterans Affairs more than $1 billion over 10 years.
 “I am thrilled that the solicitor general has determined not to seek certiorari review,” said Mel Bostwick, a partner at Orrick Henderson & Sutcliffe who represented veteran Alfred Procopio pro bono. “While I have every confidence that the Supreme Court would have upheld the Federal Circuit’s sound decision, the choice by the solicitor and by Secretary [Robert] Wilkie to enforce the court’s ruling now means that deserving Vietnam veterans will not have to endure further delay or uncertainty before obtaining the benefits that they were promised decades ago.”
In January, the so-called “blue water” Navy veterans, who served on ships within the 12-mile territorial sea of the Republic of Vietnam, secured a long-sought victory in the U.S. Court of Appeals for the Federal Circuit. The full court, ruling 9-2, said the Agent Orange Act of 1991 includes those veterans.
Until the ruling by the full Federal Circuit, those veterans had been denied the presumption of Agent Orange exposure during the Vietnam War. The Justice Department, supporting the Department of Veterans Affairs’ interpretation, had argued that the Agent Orange Act covered only those veterans who served on the ground or inland waterways of Vietnam.
This great news almost makes me forget about our new Tesla...finally we are all-electric!

22 May 2017

How VA Obstructed C-123 Agent Orange Claims, 2007-2015


Maybe it was foolish, or maybe too naïve of us to expect that once we had Agent Orange (AO) contamination proof of our C-123s, we would give it to VA and approval of our disability claims would quickly follow.

That foolish expectation of approved claims died a sudden death! As soon VA heard our first inquiries their barriers went up. VHA’s Dr. Terry Walters told the Associated Press, “We have to draw the line somewhere.” This was in addition to VA ignoring its duties under VCAA and the VA’s regulation VAM21-1MR

Those “lines” she spoke of were all firmly set against our claims. VA kept adding to their list of objections to our claims. VA denied every C-123 claim, all while claiming a “case-by-case” evaluation. The Institute of Medicine C-123 report finally moved the VA to do right by us in June 2015!

Let’s look at the many twists and turns VA put us through, the baseless barriers created to block our claims. It only took a small handful of VA opponents …Compensation & Pension in VBA plus Post-Deployment Health in VHA…maybe seven folks at VA who believed it their mission to refuse our claims. 

In the end, only one VA objection threw at us had any merit: they said, as reservists, we weren’t “veterans” and thus weren’t covered for exposure benefits. This point we're still debating in the courts.

VA issued their interim final rule to provide that veteran status and presumptive eligibility in June 2015. That rule finally protected our vets with Agent Orange-recognized illnesses.

VA’s Long List of empty excuses to block our Agent Orange claims:
1. No Agent Orange on C-123s
2. No medical nexus between C-123 residues and our illnesses
3. VA only considers exposure if to liquid Agent Orange, not dust or solid
4. Exposure threat based on only one airplane (“Patches.”)
5. VA studies show insignificant harm to Vietnam Agent Orange spray crews from Agent Orange, so the less-exposed C-123 crews have no basis for claims.
 6. C-123s may have been AO contaminated but was in a form harmless to crews, requiring special chemicals and hard scrubbing to dislodge.
7. No Joint Services Records Research Center exposure event confirmation
Not statutory veterans.
8. VA regulations prohibit acknowledging C-123 exposure claims.
9. VA does not acknowledge C-123 exposures.
10. Post-Deployment redefined “exposure” in a unique way, requiring proof of “bioavailability” of the toxin to acknowledge exposure. They said,  “Exposure = contamination + bioavailability.” “No proof of bioavailability = no exposure.”
11. VBA Compensation and Pension claimed, “most scientists” disagreed with C-123 exposures (“Most” meant Dow, Monsanto, VHA Post-Deployment Health) Opposing them were CDC/ATSDR, NIH, USPHS, NIEHS, Concerned Scientists & Physicians.
12. Post-deployment health already decided veterans were not exposed
13. VA is unable to document which airplanes contaminated & which veterans flew
14. C-123 reservists aren’t veterans (for the period flying C-123s, 1972-1982.)
15. In addition to typical wait of one-two years to decide a claim and five more before a BVA decision, VA opted to not work C-123 claims until IOM report even after JSRRC exposure verifications in 2013 and 2014.
16. Then-Secretary Shinseki “felt non-Vietnam claims shouldn’t be approved.”
17. VA misled Senate Veterans Affairs Committee with error-laden C-123 “Fact Sheets”
18. VBA paid a consultant $600,000 to “investigate allegations” of Agent Orange exposure; that consultant wrote vets claiming Agent Orange exposure were “trash-haulers, freeloaders” for whom he “had no respect.”
19. VHA told Associated Press “a line had to be drawn somewhere” on C-123 Agent Orange claims
20. Per Compensation & Pension Service, VHA had already decided no C-123 vets were exposed and no amount of proof would permit claims to be approved.

…and many more. We had to argue or disprove every one of these and were denied the claims assistance assured us in its Federal Register announcement about non-Vietnam Agent Orange exposures. Their biggest deception:

"VA will assist a veteran in obtaining any relevant information related to a claim for exposure to herbicide agents."
(Federal Register/Vol. 73, No. 74/Wednesday, April 16, 2008)


HEY VA: Your “Assist” Never happened!




11 February 2017

10 things every Veteran should know about Agent Orange

Learn the basics of VA's Agent Orange benefits and care

1. Agent Orange was a herbicide and defoliant used in Vietnam

Agent Orange was a blend of tactical herbicides the U.S. military sprayed from 1962 to 1971 during the Vietnam War to remove the leaves of trees and other dense tropical foliage that provided enemy cover. The U.S. Department of Defense developed tactical herbicides specifically to be used in “combat operations.” They were not commercial grade herbicides purchased from chemical companies and sent to Vietnam.
More than 19 million gallons of various “rainbow” herbicide combinations were sprayed, but Agent Orange was the combination the U.S. military used most often. The name “Agent Orange” came from the orange identifying stripe used on the 55-gallon drums in which it was stored.
Heavily sprayed areas included forests near the demarcation zone, forests at the junction of the borders of Cambodia, Laos, and South Vietnam, and mangroves on the southernmost peninsula of Vietnam and along shipping channels southeast of Saigon.

2. Any Veteran who served anywhere in Vietnam during the war is presumed to have been exposed to Agent Orange.

For the purposes of VA compensation benefits, Veterans who served anywhere in Vietnam between January 9, 1962 and May 7, 1975 are presumed to have been exposed to herbicides, as specified in the Agent Orange Act of 1991.
These Veterans do not need to show that they were exposed to Agent Orange or other herbicides in order to get disability compensation for diseases related to Agent Orange exposure.
Service in Vietnam means service on land in Vietnam or on the inland waterways (“brown water” Veterans) of Vietnam.

3. VA has linked several diseases and health conditions to Agent Orange exposure.

VA has recognized certain cancers and other health problems as presumptive diseases associated with exposure to Agent Orange or other herbicides during military service. Veterans and their survivors may be eligible for compensation benefits.
  • AL Amyloidosis
    A rare disease caused when an abnormal protein, amyloid, enters and collects tissues or organs
  • Chronic B-cell Leukemias
    A type of cancer which affects a specific type of white blood cell
  • Chloracne (or similar acneform disease)
    A skin condition that occurs soon after exposure to chemicals and looks like common forms of acne seen in teenagers. Under VA’s rating regulations, it must be at least 10 percent disabling within one year of exposure to herbicides.
  • Diabetes Mellitus Type 2
    A disease characterized by high blood sugar levels resulting from the body’s inability to produce or respond properly to the hormone insulin
  • Hodgkin’s Disease
    A malignant lymphoma (cancer) characterized by progressive enlargement of the lymph nodes, liver, and spleen, and by progressive anemia
  • Ischemic Heart Disease
    A disease characterized by a reduced supply of blood to the heart, that can lead to chest pain (angina)
  • Multiple Myeloma
    A cancer of plasma cells, a type of white blood cell in bone marrow
  • Non-Hodgkin’s Lymphoma
    A group of cancers that affect the lymph glands and other lymphatic tissue
  • Parkinson’s Disease
    A progressive disorder of the nervous system that affects muscle movement
  • Peripheral Neuropathy, Early-Onset
    A nervous system condition that causes numbness, tingling, and muscle weakness. Under VA’s rating regulations, it must be at least 10 percent disabling within one year of herbicide exposure.
  • Porphyria Cutanea Tarda
    A disorder characterized by liver dysfunction and by thinning and blistering of the skin in sun-exposed areas. Under VA’s rating regulations, it must be at least 10 percent disabling within one year of exposure to herbicides.
  • Prostate Cancer
    Cancer of the prostate; one of the most common cancers among older men
  • Respiratory Cancers (includes lung cancer)
    Cancers of the lung, larynx, trachea, and bronchus
  • Soft Tissue Sarcomas (other than osteosarcoma, chondrosarcoma, Kaposi’s sarcoma, or mesothelioma)
    A specific group of malignant of cancers in body tissues such as muscle, fat, blood and lymph vessels, and connective tissu

4. Veterans who want to be considered for disability compensation must file a claim.

Veterans who want to be considered for disability compensation for health problems related to Agent Orange exposure must file a claim.
During the claims process, VA will check military records to confirm exposure to Agent Orange or qualifying military service. If necessary, VA will set up a separate exam for compensation.

5. VA offers health care benefits for Veterans who may have been exposed to Agent Orange and other herbicides during military service.

Veterans who served in Vietnam between January 9, 1962, and May 7, 1975, are eligible to enroll in VA health care. Visit VA’s Health Benefits Explorer to check your eligibility and learn how to apply.

6. Participating in an Agent Orange Registry health exam helps you, other Veterans and VA.

VA’s Agent Orange Registry health exam alerts Veterans to possible long-term health problems that may be related to Agent Orange exposure during their military service. The registry data helps VA understand and respond to these health problems more effectively.
The exam is free to eligible Veterans and enrollment in VA health care is not necessary. Although the findings of your exam may be used to inform your subsequent care, they may not be used when applying for compensation as a separate exam is required. Contact your local VA Environmental Health Coordinator about getting an Agent Orange Registry health exam.

7. VA recognizes and offers support for the children of Veterans affected by Agent Orange who have birth defects.

VA has recognized that certain birth defects among Veterans’ children are associated with Veterans’ qualifying service in Vietnam or Korea.
The affected child must have been conceived after the Veteran entered Vietnam or the Korean demilitarized zone during the qualifying service period.
Learn more about benefits for Veterans’ children with birth defects. http://www.publichealth.va.gov/exposures/agentorange/benefits/children-birth-defects.asp

8. Vietnam Veterans are not the only Veterans who may have been exposed to Agent Orange.

Agent Orange and other herbicides used in Vietnam were used, tested or stored elsewhere, including some military bases in the United States. Other locations/scenarios in which Veterans were exposed to Agent Orange may include:
Possible exposure of crew members to herbicide residue in C-123 planes flown after the Vietnam War (PRESUMPTIVE EXPOSURE EFF.ECTIVE 06/19/2015))

9. VA continues to conduct research on the long-term health effects of Agent Orange in order to better care for all Veterans.

VA and other Federal government Departments and agencies have conducted, and continue to conduct, extensive research evaluating the health effects of Agent Orange exposure on U.S. Veterans.
An example is the Army Chemical Corps Vietnam-Era Veterans Health Study designed to examine if high blood pressure (hypertension) and chronic obstructive pulmonary disease (COPD) are related to herbicide exposure during the Vietnam War. Researchers have completed data collection and aim to publish initial findings in a scientific journal in 2015.
Learn more about Agent Orange related studies and their outcomes here: http://www.publichealth.va.gov/exposures/agentorange/research-studies.asp

10. VA contracts with an independent, non-governmental organization to review the scientific and medical information on the health effects of Agent Orange.

VA contracts with the Institute of Medicine (IOM) of the National Academy of Sciences every two years to scientifically review evidence on the long-term health effects of Agent Orange and other herbicides on Vietnam Veterans. The IOM uses a team of nationally renowned subject matter experts from around the country to gather all the scientific literature on a topic, identify peer-reviewed reports, and then examine the studies to determine the most rigorous and applicable studies. The IOM looks for the highest quality studies. The IOM then issues its reports, including its conclusions and recommendations to VA, Congress, and the public.

About the author:
Dr. Ralph Erickson is an Army Veteran of the Gulf War (1990-91) and Operation Iraqi Freedom (2003). He retired with 32 + years active-duty service, during which he held a number of leadership positions to include:  Commander of The Walter Reed Army Institute of Research; Command Surgeon, US Central Command; and Director, DoD Global Emerging Infections and Response System (DOD-GEIS). He is a board certified physician in Preventive Medicine and Public Health. He received his medical degree from the Uniformed Services University of the Health Sciences  (USUHS), Masters of Public Health from Harvard University, and Doctorate of Public Health from Johns Hopkins University. Dr. Erickson was instrumental in resolving the C-123 issues.

25 February 2016

VA "Experts" Screw Up Chief Ernest Henley's C-123 Agent Orange Exposure Claim

SNAFU.  Or perhaps FUBAR.  Pick whatever term you'd like to use, the fact is that VA's claims officer and, later, a Decision Review Officer both torpedoed Chief Master Sergeant Ernest Hensley's Agent Orange disability claim and appeal first submitted five years ago. Chief Henley got his DRO decision this month and was shocked to read that every Agent Orange issue was denied!

How could this be? VA approved C-123 veterans like him for presumptive exposure last June, so how could his claim be denied in January with the issue seemingly resolved already by VA?

Answer: either the VA staffers were magnificently ignorant of VA's widely promoted C-123 veterans' program, or they deliberately took action to ruin his claim. Truthfully, it feels like the latter because a VA Decision Review Officer is, in VA's words, "a senior technical expert and has jurisdiction (the authority to hear and decide) of any appeal." In other words, the go-to expert.

But the DRO expert working Ernest's claim really fouled it up! Note also that his claim had all the facts which LtCol Paul Bailey's C-123 claim was approved with back in 2013 on a fact-proven basis! Fortunately, the St Paul VA C-123 team has stepped in to make right Ernest's claim. They, too, cannot understand VA's numerous errors.

 Here are the four areas the DRO torpedoed his claim, quoted from the decision itself:


1. Service connection for ischemic heart disease due to Agent Orange exposure.
You contend that your current ischemic heart disease is due to serving as a maintainer of a C-123 aircraft that was formerly used to spray Agent Orange during the Vietnam War. A review of your service treatment records fails to show this condition manifested during service. Therefore service connection on a direct basis to service is denied. Your private treatment records fail to show this condition began within a year of separation from active duty, so service connection on a presumptive basis to service is denied. Your personnel records do not shows you served in Vietnam during the Vietnam War era. Nor were you stationed near the Korean DMZ. They do confirm that you maintained C-123 aircraft after the Vietnam War era. You submitted an aerospace vehicle inventory that list C-123's and you circled the aircraft you flew on in blue ink However, this document falls to link these aircraft to your charge or that they dispersed Agent Orange or any other herbicide during the Vietnam War. Additionally, an April 27, 2012 U.S. Air Force risk assessment found that exposure to Agent Orange in C-123 airplanes used after the Vietnam War were unlikely to have put aircrews or passengers at risk for future health problems. The VA determined that even if a crewmember was exposed it is unlikely that sufficient amounts of dried Agent Orange residue could have entered the body to have caused harm.
 • Service connection for iseheinie heart disease due to Agent Orange exposure is denied.

2. Service connection for prostate cancer due to Agent Orange exposure.
You contend that your current prostate cancer is due to serving as a maintainer of a C-123 aircraft that was formerly used to spray Agent Orange during the Vietnam War. A review of your service treatment records fails to show this condition manifested during service. Therefore service connection on a direct basis to service is denied. Your personnel records do not shows you served in Vietnam during the Vietnam War era. Nor were you stationed near the Korean DMZ. They do confirm that you maintained C-123 aircraft after the Vietnam War era. You submitted an aerospace vehicle inventory that list C-123's and you circled the aircraft you flew on in blue ink. However, this document fails to link these aircraft to your charge or that they dispersed Agent Orange or any other herbicide during the Vietnam War. Additionally, an April 27, 2012 U.S. Air Force risk assessment found that exposure to Agent Orange in C-123 airplanes used after the Vietnam War were unlikely to have put aircrews or passengers at risk for future health problems. The VA determined that even if a crewmember was exposed it is unlikely that sufficient amounts of dried Agent Orange residue could have entered the body to have caused harm.
• Service connection for prostate cancer due to Agent Orange exposure is denied.

3. Service connection for melanoma cancer due to agent orange exposure.
You contend that your have melanoma cancer and that it is due to serving as a maintainer of a C-123 aircraft that was formerly used to spray Agent Orange during the Vietnam War. A review of your service treatment records fails to show this condition manifested during service. Therefore service connection on a direct basis to service is denied.
Your personnel records do not shows you served in Vietnam during the Vietnam War era, nor were you stationed near the Korean DMZ. They do confirm that you maintained C-123 aircraft after the Vietnam War era. You submitted an aerospace vehicle inventory that list C-123's and you circled the aircraft you flew on in blue ink. 
However, this document fails to link these aircraft to your charge or that they dispersed Agent Orange or any other herbicide during the Vietnam War. Additionally, an April 27, 2012 U.S. Air Force risk assessment found that exposure to Agent Orange in C-123 airplanes used after the Vietnam War were unlikely to have put aircrews or passengers at risk for future health problems. The VA determined that even if a crewmember was exposed it is unlikely that sufficient amounts of dried Agent Orange residue could have entered the body to have caused harm. Service connection for melanoma cancer due to agent orange exposure is denied.
The content of the veteran's claims file as of-the date of this Statement of the Case (SOC) is incorporated herein, by reference. The records in this case have been reviewed and the issues considered under the provisions of VCAA (Public Law 106-475). All indicated development has been undertaken and all reasonable efforts to assist you in pursuing your claim have been exhausted. The evidence of record is sufficient to render a sound merits decision. It is the determination of the Decision Review Officer that the evidence of record does not support any change in the previous determination which is confirmed and continued. This decision is based on a de novo review of the evidence contained in the claims record without deference to the prior determination under authority of 38 CFR 32600. 
The doctrine of reasonable doubt is not for consideration because the preponderance of the evidence is unfavorable. A review of your service treatment records fails to show this condition manifested during service. Therefore service connection on a direct basis to service is denied. Your private treatment records fail to show this condition began within a year of separation from active duty, so service connection on a presumptive basis to service is denied. Your personnel records do not shows you served in Vietnam during the Vietnam War era. Nor were you stationed near the Korean DMZ. They do confirm that you maintained C-123 aircraft after the Vietnam War era. You submitted an aerospace vehicle inventory that list C-123's and you circled the aircraft you flew on in blue ink. However, this document fails to link these aircraft to your charge or that they dispersed Agent Orange or any other herbicide during the Vietnam War. 
Additionally, an April 27, 2012 U.S. Air Force risk assessment found that exposure to Agent Orange in C-123 airplanes used after the Vietnam War were unlikely to have put aircrews or passengers at risk for future health problems. The VA determined that even if a crew member was exposed it is unlikely that sufficient amounts of dried Agent Orange residue could have entered the body to have caused harm.
• Service connection for ischemic heart disease due to Agent Orange exposure is denied.

 4. Service connection for prostate cancer due to Agent Orange exposure.
You contend that your current prostate cancer is due to serving as a maintainer of a C-123 aircraft that was formerly used to spray Agent Orange during the Vietnam War. A review of your service treatment records fails to show this condition manifested during service. Therefore service connection on a direct basis to service is denied. Your personnel records do not shows you served in Vietnam during the Vietnam War era. Nor were you stationed near the Korean DMZ. They do confirm that you maintained C-123 aircraft after the Vietnam War era. You submitted an aerospace vehicle inventory that list C-123's and you circled the aircraft you flew on in blue ink However, this document fails to link these aircraft to your charge or that they dispersed Agent Orange or any other herbicide during the Vietnam War. Additionally, an April 27, 2012 U.S. Air Force risk assessment found that exposure to Agent Orange in C-123 airplanes used after the Vietnam War were unlikely to have put aircrews or passengers at risk for future health problems. The VA determined that even if a crew member was exposed it is unlikely that sufficient amounts of dried Agent Orange residue could have entered the body to have caused harm.
• Service connection for prostate cancer due to Agent Orange exposure is denied.


OUR RESPONSE TO VA'S C-123 CLAIMS PROCESSING CENTER, ST PAUL, MN:

(Re: 317/VSC/APPEALS/KKB)
The C-123 Veterans Association recognizes the determination with which this Veteran’s disability claim was denied by the Newman Veterans Affairs DRO. In each of the areas of the denial and of the appeal, the VA was in error.

Veteran Henley was an experienced Veteran of the 731st TAS C-123 squadron stationed at Westover Air Force Base. The Veterans Affairs has noted throughout its website and other documents that the 731st Tactical Airlift Squadron and associated maintenance and aeromedical squadrons were approved for presumption of Agent Orange exposure.

I join his other crewmates in confirming Veteran Henley was a crew chief on C-123 tail number 362 (Patches) and was subjected to exposure via frequent, regular, professional and hands-on duties aboard our former Agent Orange aircraft.

Via an interim final rule published by the Secretary of Veterans Affairs on June 19 2015 provided that Veterans of C-123 squadrons stationed at Westover Air Force Base, Rickenbacker Air Force Base, and Pittsburgh Air Force Reserve Station are all granted presumptive service connection.

Despite the Veteran’s documentation, his claim was not forwarded to St. Paul regional Veterans Affairs office for processing of C-123 claims as provided by VBA. We are amazed that this denial recognized the Veteran’s C-123 duties however but ignored that VA six months earlier recognized the C-123s as contaminated by Agent Orange. Please see the attached Veterans Affairs documentation. Further, in violation of VAM21-1, the rating officer failed to submit Chief Henley's facts to the Joint Services Records Research Center which would have substantiated the exposure claim immediately. Finally, the American Legion, which advanced the C-123 issue at the highest levels, failed here to properly support the Veteran’s claim with their claims rep's numerous mistakes trying to help Earney.

The Institute of Medicine study and report (NAS #18848) published on January 9, 2015 and accepted by the VA on that date provided recognition of these Veterans’ exposure and medical injury. The IOM report also faulted the Air Force report of 2012 for its failure in scientific and mathematical errors.  Scientists involved in publishing that original report, who opted to refuse to sign it, subsequently published in Environmental Research a more detailed study of the C-123 Agent Orange contamination.

On page 36 of the Statement of the Case, the Veteran is wrongly assured that the VA “applied the benefit of the doubt and liberally and sympathetically reviewed all the submissions in writing from the Veteran as well as all evidence of record.” Rather, the DRO failed to even consider the VA’s own regulations, findings, and documentation. This decision seems to be an effort to deliberately deny the benefits due him by ignoring with profound determination all VA evidence and findings that support his claim.  NONE of the hundreds of C-123 Agent Orange supporting documents in VA's possession was provided to Chief Henley, in clear violation of the Veterans Claims Assistance Act.