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A Devastating One-Two Punch

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by on June 4th, 2008 at 03:56 PM (3026 Views)
Sec. 1612. MEDICAL EVALUATIONS AND PHYSICAL DISABILITY EVALUATIONS OF RECOVERING SERVICE MEMBERS.

(a) Medical Evaluations of Recovering Service Members.--

(1) In general.-- Not later than July 1, 2008, the Secretary of Defense shall develop a policy on improvements to the processes, procedures, and standards for the conduct by the military departments of medical evaluations of recovering service members.

(2) Elements.-- The policy on improvements to processes, procedures, and standards required under this subsection shall include and address the following:...


(D) Procedures for ensuring that--

(i) upon request of a recovering service member being considered by a medical evaluation board, a physician or other appropriate health care professional who is independent of the medical evaluation board is assigned to the service member; and

(ii) the physician or other health care professional assigned to a recovering service member under clause (i)--

(I) serves as an independent source for review of the findings and recommendations of the medical evaluation board;

(II) provides the service member with advice and counsel regarding the findings and recommendations of the medical evaluation board; and

(III) advises the service member on whether the findings of the medical evaluation board adequately reflect the complete spectrum of injuries and illness of the service member.

110 P.L. 181, 1612

The above passage from the 2008 NDAA presents some powerful possibilities in presenting a case to the Physical Evaluation Board.

The first possibility I see is in using this law to refute the all too common rejection of conditions on the basis of lack of diagnosis or as meeting retention standards. By having an independent physician issue an opinion about the diagnosis or disqualifying nature of a condition, I believe that Medical Evaluation Boards will be forced to include many conditions they previously rejected.

What will act as a "force multiplier" though is the addition of a good advocate to your team. As an attorney, I think it would be especially effective to have an attorney draft questions for your independent physician to answer. By having specific questions answered, the Physical Evaluation Board will be forced to address the points raised. The attorney will be able to more effectively present evidence which in many cases will force the PEB to come to a favorable decision. If they fail to do so, weighing the evidence presented, their decision will be very vulnerable to appeal.

I think that this early use of the resource offered by the 2008 NDAA will only have a positive effect on the outcome of cases. In my view, this has the potential to be a devastating "one-two" punch in the presentation of a case before the PEB.

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  1. Donna S. -
    Donna S.'s Avatar
    Dear Jason,

    I salute you! PEB reform is way overdue. I'm behind you 100%.

    I just happened upon your site looking for concurrent disability and retirement pay info.

    I am a SSgt, USMC retired (disability). I was discharged due to a hip disability in 1998. I had to hire a lawyer to fight for disability retirement. Even though I could not walk after 2 unsuccessful surgeries, the PEB wanted me
    to accept 20% and severance pay. The lawyer was costly (over $2000), but was well worth it. He got me 30% and retirement.

    A few months later, the VA rated me at 90% and then 100% due to unemployability. My question is this:

    WHAT'S WRONG WITH THIS PICTURE?

    Here are some of my comments on having been there/done that. I can only speak from my own experience dealing with Marine Corps and Navy personnel.

    Marine Corps and Navy personnel are only concerned with one thing: combat readiness. If you become disabled on active duty, can't pass a physical fitness test or fill a quota; rifle range, police detail ect., you are considered "sick bay" commando material.

    When I finally got to see an ortho doc, I found out that as an active duty Marine, I had no priority for treatment. I was on the same waiting list for treatment as retirees and dependants. What kind of crap is that!

    Senior enlisted SgtMaj and Commanding Officer were clueless. This I find to be a sin. I was a SNCO, and everything I learned I had to research on my own.

    Having to deal with feeling worthless, being in daily pain, putting up with snide remarks from fellow Marines, long process of waiting for evals, ortho appointments, physical therapy and 2 failed hip surgeries resulted in a....suicide attempt.

    I felt like a defendant in a court martial proceeding during my formal PEB. I had to hire a lawyer to fight for my rights. What about junior enlisted personnel who can't afford a lawyer?

    I read that only 3% of PEBS result in a Marines getting disability retirement. Lower % than other services. Why?
    At the very least, young Marines should have an educated SgtMaj/1stSGT by there side, to support them, question authority, and help them fight for their rights.
    Ideally, a lawyer should be appointed free of charge. If this is not possible, maybe Navy Relief can help junior enlisted with money to get a lawyer.

    I don't think the PEB should be involved in the ratings process. They should just identify patients as fit or non-fit, and let the VA do ratings during the transitioning period.

    Hopefully things have changed for the better over the last 10 years.

    God Bless You for your work. The troops need more people like you.

    We cannot let our troops down in their time of need.
    My heart bleeds for our wounded warriors. They deserve the best.

    Please let me know if there is anything I could do.

    Thanks again,

    Semper Fi!
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