DES Outrage of the Week # 1 - DoD Finds Yet Another Way to Deny Benefits for PTSD

maparker

Moderator
PEB Forum Veteran
Registered Member
The key issues in this week’s Outrage are:

1. The PDBR gave a 10% rating for PTSD despite the VA rating for the condition never being below 30% and is currently at 70%. This cost SFC Rindorf his disability retirement.

2. The PDBR is unilaterally making TDRL review decisions and ratings, denying the service member the right to a full and fair hearing as required by 10 USC 1214.

3. DoD continues to exploit a flaw in disability law that allows the separation of a disabled service member from the temporary disability retirement list despite the conditions not being stable for rating purposes.

Three years ago over the President’s Day weekend, The Washington Post and the Army Times released explosive articles about wounded warrior care. A central theme in the initial and subsequent press coverage dealt with DoD and Service practices and policies that denied or curtailed disability benefits to wounded warriors. Many hearings and commissions were held that resulted in Congress passing measures to reform the Defense Disability Evaluation System (DES). While there has been some progress in the past three years to improve the DES, DoD and the Services still have in place numerous techniques and tactics to deny or limit DoD disability benefits to wounded warriors.

I have often stated that DoD and the Services bend over backwards to do the least possible for wounded warriors in terms of disability compensation. I also have stated that there are only two things DoD and the Services will do when it come to the DES: What they want to do and what Congress makes them do. I understand these statements can be construed as inflammatory and pejorative but I stand by them in full. They are based on my extensive experience helping wounded warriors as they process through the DES.

To ensure that the key players involved in DES reform have visibility to continuing DES concerns, I am starting a weekly email that will expose and discuss these concerns. For my inaugural DES Outrage of the Week, I will be discussing issues of the Physical Disability Board of Review (PDBR). The PDBR’s past and current actions will back up my statements above. It will focus on the PDBR experience of Army SFC Michael Rindorf, a OIF veteran with multiple service connected medical conditions, most notably, severe PTSD. In short, the Army screwed him out of disability benefits and the PDBR bent over backwards to followed suit.

In 2006, SFC Rindorf went through a Medical Evaluation Board (MEB) and a Physical Evaluation Board (PEB). His MEB deemed that he had several service connected medical conditions. However, his MEB declared that only three of these conditions failed to meet retention standards; a heart condition requiring a pacemaker, PTSD and a mood disorder. The PEB declared that only the heart condition was unfitting resulting in a DoD disability rating of 10%. The PEB stated his PTSD was not separately unfitting despite the MEB psychiatric position that the PTSD created “significant military impairment”. Based on a 10% DoD disability rating, SFC Rindorf was denied disability retirement and separated with a one-time severance payment. He then applied for benefits from the VA which resulted in a VA rating of 30% for his PTSD effective the date of his discharge from the Army. His PTSD rating from the VA is currently 70%. His severance pay from the Army was offset by his VA disability compensation eliminating the career compensation for his 15 years of military service.

After the initial wounded warrior press coverage, Congress quickly recognized the shenanigans that DoD and the Services were using to deny disability benefits. As a result, the 2008 National Defense Authorization Act (NDAA) included a multitude of DES reform measures. One of these measures included language that reinforced the long standing law requiring PEBs to rate unfitting conditions in strict compliance with the Veterans Administration’s Schedule for Rating Disabilities (VASRD). Another reform measure was the creation of the PDBR, a DOD level board to review DES cases that resulted in DoD disability ratings of less than 30%, the level required to qualify for disability retirement. Congress limited the eligibility window for the PDBR to those separated between 9-11-2001 and 12-31-2009. These two reform measure, and DoD disingenuous application of these measures, directly impacted SFC Rindorf’s situation.

Congress gave DoD authority to establish the operating polices for the PDBR. DoD seized on this opportunity and implemented PDBR policies that would severely limit the PDBR’s ability to grant relief as well as to reduce the amount of the relief granted. DoD established a policy that stated if the PDBR decided to recommend disability retirement, the retirement would not be retroactive to the date of discharge. Rather, the retirement effective date would be the date of the PDBR recommendation. Exposure of this policy to the press and veterans service community resulted in a quick change in the policy that made PDBR retirement recommendations effective the date of discharge.

Other initial PDBR policies also demonstrated DoD’s propensity for enacting and continuing DES policies that do the least possible for wounded warriors. First, DoD stated that the PDBR could only review conditions that the PEB deemed unfitting. Second, DoD stated that if a service member was separated before the enactment of the 2008 NDAA (28 January 2008), the PDBR could still rate the conditions per non VASRD criteria. Fortunately, DoD changed these policies after press exposure and Congressional pressure. The DoD policy change dictated that the PDBR would review all conditions and rate conditions they deemed unfitting in strict compliance with the VASRD. Without these policy changes, the PDBR would have limited SFC Rindorf’s appeal to just his heart condition and, even if the PEB had found his PTSD unfitting, the PDBR would have continued using low-balling, non VASRD PTSD rating criteria. Unfortunately, as you will read further down, his PDBR found a new disingenuous, and potentially illegal, tactic to deny SFC Rindorf’s disability retirement.

To better understand how the PDBR pulled off this stunt requires an understanding of the DoD PTSD rating problem. PTSD is one of many conditions DoD and the Services low-balled by using non VASRD rating criteria and policies. The VASRD has a provision (4.129) that states if PTSD is severe enough to warrant removal from military service, then the initial rating must be at least 50% for the first six months. The provision requires further evaluation after six months to adjust the rating. This provision aligns perfectly with DoD’s Temporary Disability Retirement List (TDRL) process. The TDRL is used specifically for unfitting conditions that are not stable for final rating determinations. Instead, DoD and the Services adopted policies that allowed them to ignore the VASRD minimum 50% PTSD rating policy. This led to thousands of service members receiving artificially low ratings and non retirement separations for PTSD. SFC Rindorf was one of these service members.

The impact of DoD PTSD rating policies became evident in a study conducted by the congressionally chartered Veteran’s Disability Benefits Commission (VDBC). This 2007 study identified 849 cases where service members received ratings for PTSD by DoD PEBs and who were then subsequently rated by the VA for PTSD. The VDBC study identified 849 such PTSD cases rated less than 30% by DoD. Of these 849 PTSD cases, 749 were immediately rated at 30% or more by the VA for PTSD. (The remaining 100 cases rated less than 30% by the VA indicates that many VA raters are not aware of the VASRD’s minimum 50% initial rating requirement for PTSD). Additionally, the study indentified 182 cases rated by DoD of 30% or more. Of these 182 PTSD cases, only seven received lower ratings by the VA. However, an astonishing 141 of these cases received higher ratings by the VA. The VDBC study clearly demonstrated that the fix was in to avoid and lower DoD disability benefits for PTSD.

Even after the enactment of the 2008 NDAA provision that reinforced the requirement for DoD to rate unfitting conditions per the VASRD, the Army adopted yet another policy to ignore the VASRD’s initial minimum 50% rating provision for PTSD. DoD was seriously considering propagating the Army’s new PTSD rating policy DoD wide. Press coverage, Congressional pressure and a DoD legal review forced DoD to reconsider. Finally, in October of 2008, DoD established policy that enforced the use of the VASRD’s 50% minimum rating for PTSD.

In December 2008, the National Veterans Legal Services Program (NVLSP) filed suit to force DoD to fix past PTSD cases that PEBs improperly rated. Recently, DoD reached a agreement and identified over 4,300 such cases going back to December 2002. Those who elect to take part in the settlement will receive a initial 50% DoD PTSD TDRL disability rating for the first six months of separation. DoD will then expedite a review of these cases, presumably by the PDBR, to determine the DoD rating status for the period of time following the initial 50% minimum rating. While this settlement is good news, the tactic the PDBR used to deny SFC Rindorf’s disability retirement for his PTSD does not bode well for the thousands of other victim’s of DoD’s errant PTSD rating policies.

I need to point out that, by law, DoD has the authority to nominate disability cases for review by the PDBR. They could have easily identified past improperly rated PTSD cases, and notified the service members for the option of having the PDBR review their case. Instead, it required a lawsuit to force DoD to identify the service members affected by erroneous PTSD ratings. Even at that, DoD is only going to review the cases of service members that opt into the lawsuit. These members will first have to be located and notified by the NVLSP with a deadline for opting in of July of 2010. This will certainly narrow the number of PTSD cases fixed by DoD. Further, due to statute of limitations, the NVLSP suit only covers PTSD cases back to December 2002. However, the PDBR can review cases going back to 9-11-2001. DoD’s unwillingness to proactively notify all service members affected by erroneous PTSD ratings further illuminates my position that DoD bends over backwards to do the least possible for wounded warriors. DoD prefers to let sleeping dogs lay and leave these wounded warrior’s disability ratings broken. DoD’s lack of action certainly contributes to the increase in the suicide rate and homelessness of service members affected by PTSD.

SFC Rindorf filed with the PDBR to review his case on multiple issues to include his PEB’s determination that his PTSD was not unfitting. The PDBR, following their revised policies, found his PTSD to be unfitting and correctly applied the minimum 50% initial rating as required by the VASRD. Unfortunately, the PDBR’s decision process then went rogue and stated that after this six month’s initial 50% rating period ended, SFC Rindorf’s rating should revert to a 10% rating. The PDBR recommendation puts SFC Rindorf on the TDRL for the first six months after he left service but then separates him again without disability retirement. The PDBR’s recommendation to give SFC Rindorf only six months of retirement via the TDRL and then separate him is flawed on two major fronts.

First, the PDBR lowered SFC Rindorf’s PTSD rating to 10% despite the fact his VA rating for PTSD has never been lower than 30% and is currently at 70%. His 70% VA rating went into effect less than three years after separation. It is clear DoD is continuing to assign disability ratings significantly lower than that of the VA despite the fact the law requires that they both rate per the VASRD.

Second, the PDBR, by unilaterally deciding the outcome of SFC Rindorf’s TDRL review, has denied his right to a full and fair hearing that he is due under law. 10 USC 1214 states, “No member of the armed forces may be retired or separated for physical disability without a full and fair hearing if he demands it.” A full and fair hearing allows the member to present his case in person with the aid of counsel, submit, review and rebut evidence and to call and question witnesses. When a service member is on the TDRL, his case undergoes a new MEB and PEB at least every 18 months for up to five years. The purpose of the review is to determine the current rating for the unfitting conditions and to determine if the condition is stable for rating purposes. If the service member disagrees with the outcome of the TDRL PEB decision, he or she can demand a formal hearing.

The PDBR’s decision to determine the outcome of a TDRL review decision, in lieu of a full MEB and PEB, is preposterous. A PDBR is a record review, not an in person hearing. DoD policy prohibits the PDBR from granting hearings. Further, PDBR law and DoD policy dictate that the outcome of the PDBR process cannot be further reviewed by the Service Board for the Correction of Military Records (BCMR). In effect, the PDBR is making binding and non challengeable TDRL review decisions without the benefit of a refreshed MEB and PEB that specifically focus on the current status and stability of the condition. Again, the PDBR process denies the service member his legal right to a full and fair hearing to challenge a TDRL review decision that leads to separation due to physical disability. What the PDBR should do in cases like SFC Rindorf’s is to grant the initial TDRL rating and return the case to the Service DES element to conduct a full and proper TDRL review to include a MEB,PEB and a formal hearing if demanded by the service member.

It is worth discussing how the PDBR was able to recommend the discharge of SFC Rindorf (without disability retirement) despite the lack of stability his current PTSD rating, which again is currently rated at 70% by the VA. The problem centers on a flaw in disability law that DoD exploited to, once again, do the least possible for the wounded warrior. In essence, disability law only requires placement and retention on the TDRL if the condition is unstable and rated at 30% or more. If the rating ever drops below 30%, the law state the Service may discharge the individual without disability retirement regardless of how unstable the condition is or its future rating. DoD and the Services, by policy and action, have changed the “may” portion of this law to “will”. To take away wounded warrior’s disability retirement, DoD merely has to claim the rating dropped below 30%, regardless of the conflicting evidence such as a VA rating for the condition.

In December 2005, I brought the TDRL ratings stability issue to the attention of Mr. Michael Higgins, a professional staff member of the House Armed Services Committee. Throughout 2006, Mr. Higgins shepherded legislation through the House of Representative’s version of the 2007 NDAA that required rating stability before removal from the TDRL. Unfortunately, the Senate version of the 2007 NDAA did not contain a similar provision and the measure was dropped in conference. The 2007 NDAA did require DoD to conduct a report on the TDRL issue but I am not sure if the report was ever done or released to the public. I am sure that DoD never took action, such as a legislative proposal, to remedy the problem.

It appears the measure to fix the TDRL stability issue lost steam after the revelations of wounded warrior care in the media in 2007. There were many recommendations made by committees investigating these concerns that, if adopted, would have made the TDRL stability issue moot. For instance, the Dole Shalala commission recommended all service members who are found unfit due to a service connected condition be retired regardless of the disability rating; much in the same way that civil servants are treated when they are forced out due to disability. This Dole/Shalala recommendation, if adopted, would have eliminated this and many of the other tactics DoD uses to deny disability retirement. Unfortunately, this and many other necessary reform measures have yet to get serious traction in Congress.

In conclusion, the PDBR tactic used on SFC Rindorf is but one of many continuing DES practices that bend over backwards to do the least possible for our wounded warriors. DoD has proven over and over again that only specific Congressional action will fix the remaining issues. In next week’s DES outrage of the Week, I will focus on how the Army DES is avoiding compensating migraine headaches; a condition that is quite common among the tens of thousands of service members affected by PTSD and traumatic brain injuries.


Michael A. Parker
LTC, USA (Retired)
Wounded Warrior Advocate
 
Tell us what we can do to get the message out, and spur our legislators to come up with fair treatment of our soldiers. Are there proposals for a solution? DoD has proven time and again they are great at war, but stink at taking care of our soldiers. OUR WARRIORS ARE NOT THROW AWAYS!
DoD is incapable of acting with the trust our nation has assigned them in this issue. They know the spirit of the laws enacted yet they fail us over and over. The entire system needs to be taken out of their hands.
Lead us in reform LTC. Parker
 

What the PDBR should do in cases like SFC Rindorf’s is to grant the initial TDRL rating and return the case to the Service DES element to conduct a full and proper TDRL review to include a MEB,PEB and a formal hearing if demanded by the service member.
I believe there is an argument to be made here that the PDBR is overstepping its authority.
However, this issue brings up an interesting question - what if the TDRL does not amount to the meaning of "service" in the language of "no member can be separated from service for disability without a full and fair hearing" (paraphrasing)? This question only applies in the scope of the PDBR, since the member has already been separated by virtue of their eligibility for the PDBR.
This question, I believe, presents a subsequent issue. If the member originally demanded a formal PEB and was then separated between 0%-20%, they were granted a full and fair hearing (notwithstanding the argument regarding the 'fair' part of it). But what if they did not demand a FPEB prior to their separation?
If they appeal to the PDBR and are placed on the PDRL there is no issue (since they cannot be re-evaluated). However, if the PDBR places them on the TDRL as in Mike's article, can the member be summarily separated after a predetermined time period? If so, does it matter if the member originally requested a hearing prior to separation? I'm not sure of the answers here, just thought they were interesting points.
The PDBR as a review board, should only be authorized to review findings of the PEB (as opposed to their own findings). By placing a member on the TDRL and then lowering their rating after 6 months, they are in effect, doing something they cannot do to PEB ratings! 10 USC 1554a clearly states that the PDBR cannot lower any rating that the PEB originally assigned - why can they lower their own ratings?
Once a member is rated over 20%, it is my contention that the PDBR has no authority over the member. The only body authorized to determine the fate of TDRL members are the specific service PEBs making findings upon re-evaluation. I believe regardless of where a member's equal to or greater than 30% rating came from (PDBR, BCMR, PEB), only the PEB can determine what happens from there.
I hope it does not take these cases going to Federal Court for things to change. Hopefully DoD will put a leash on the PDBR and clearly draw legal boundaries for the board to work within.
Great article, Mike.
 
mascabn,

You can get the message out by propagating to other veteran websites or linking it in places like Facebook. Send it to local and national media outlets. Send it to your congressional representative and your two senators. Many websites limit the size of the message in contact/feedback forums so simply include the link to this story on Pebforum along with a brief summary. Further, most of the websites for representatives and senators will reject messages from individuals outside the districts/states they represent.

Yes, I certainly need help spreading this information far and wide. I would like to send this to everyone in Congress. Perhaps you or others could orchestrate a plan to ensure everyone in Congress is getting the word. I will send to the word to my senators (Senators Webb and Warner of Virginia) as well as my representative from the 8th District of Virginia (Representative Moran). How many states and districts can we cover? There is no problem sending this to the Senators and Representatives multiple times. The more the merrier, especially in an election year. The Senate and House of Representatives websites are below. They need to hear from real life wounded warriors affected by these problems.

http://www.senate.gov/

http://www.house.gov/

I am also looking for DES experiences and stories to write about. I have a few weeks’ worth of topics lined up in my head but I can always use topic ideas as well as real life experiences to illuminate the continuing problems.

Carnelli53,

Thanks for the insightful feedback. I agree that the PDBR should only review and recommend corrections to PEB determinations that led to separation w/o disability retirement. Subsequent TDRL reviews require a brand new MEB that covers all conditions with full clinical data as well and PEB adjudication, complete with a formal hearing, if demanded. Service members on the TDRL are in the service. They are part of the reserve structure available for recall, they are in receipt of pay (although often offset by VA compensation) and they are subject to UCMJ. If the PDBR places them on the TDRL they are returned to service. When they are removed from the TDRL they are removed from service.

SFC Rindorf has never had a formal board. Even If he did, I don’t think that should make a difference as it would have only covered the evidence and findings that existed at the time of original separation. He has the right to challenge the evidence and findings that led to his separation from TDRL, a right the PDBR has taken away. He wasn’t even given the chance to appeal the decision via a written appeal let alone a formal board.

I too hope it doesn’t take federal court cases to fix this issue but based on the feedback I have already received, there are plenty of lawyers ready and eager for the fight.

Mike
 
Mike,

After I initially replied to your article, I recalled that there is a case out of the U.S. Court of Appeals for the 10th Circuit (Mason v. Texaco, Inc., 862 F.2d 242) where it was held that servicemembers placed on the TDRL, were for purposes of the Servicemembers Relief Act, still in service. Here is the relevant excerpt:

“The Act (Servicemembers Relief Act) defines "person in the military service" to include those in the Coast Guard. "Military service" means "active duty" under the Act, and "active duty" includes "the period during which a person in military service is absent from duty on account of sickness, wounds, leave or other lawful cause." 50 U.S.C. App. § 511(1) (1982).

…We hold that placement on the "temporary disability retired list" constitutes "absen[ce] from duty on account of sickness" under the Act…”

Just goes to confirm your point, that members on the TDRL are 'in service' (possibly a good support for any other claim that TDRL members are in service). This case is not binding of the Court of Federal Claims (the 10th Circuit has jurisdiction over some midwestern/mountain states) but it is persuasive - Jason will correct me on that if I am wrong.

I don't think the absence of a formal board should make a difference either and wholeheartedly agree that SFC Rindorf should stand before a PEB prior to any action being taken regarding his TDRL status. How this situation is moving forward without any senior DoD personnel putting a stop to it, well, it is beyond my understanding (thus the reason I come up with these hypothetical, devil's advocate-type questions).

SFC Rindorf's situation is such an obvious injustice that these people at DoD and the PDBR must know something that we don't, because I do not see any way they can get away with this. I hope SFC Rindorf receives a favorable outcome to all this - this is a great thing you're doing here!
 
Dear maparker:

I faxed a copy of your DES Outrage of The Week #1 to Thom Hartmann, a nationally syndicated radio talk-show host. Mr. Hartmann operates his live air time right here in my city of Portland, Oregon. I wrote on the fax cover sheet that you could be contacted through this web site and encouraged Thom to use some of his air time to address this issue.

Hope he can find you here as I didn't have a phone number on you to pass along.
 
Originally Posted by mascabn :
Tell us what we can do to get the message out, and spur our legislators to come up with fair treatment of our soldiers. Are there proposals for a solution? DoD has proven time and again they are great at war, but stink at taking care of our soldiers. OUR WARRIORS ARE NOT THROW AWAYS!
DoD is incapable of acting with the trust our nation has assigned them in this issue. They know the spirit of the laws enacted yet they fail us over and over. The entire system needs to be taken out of their hands.
Lead us in reform LTC. Parker
Okay I'm on a roll. I have contacted Congressman Costello, Senator Dick Durbin, everyone I have in my contact list, 60 minutes, my local you paid for it reporter (who is a fearless pitbull), and will follow up with all, and think of more people to contact. Thanks Mike, your the greatest. I think I will contact some University alum, AARP, Military Order of the Purple Heart, VFW, and DAV. OH! AND SOME UNIONS! It's on my facebook! I'll think of some more.

If anyone needs to contact maparker click on his handle.

Hey, it's been awhile since I have chimed in on anything, and what a great article to run in on. You can count on me sending this to my congressmen and senators. However, I will say I am not pleased with how my congressman's staff dealt with the info I sent them on a few things. For instance, I informed them of my case and also how I purposely tried to fail the hearing test. The reason I tried to fail was to see how they actually grade these tests. I have a friend in the National Guard who lost a lot of hearing due to a roadside bomb. His driver lost all his hearing, while my friend has a very hard time hearing. So, the VA tells him it wasn't due to his military service. He had that before the military they told him. So, I purposely tried to fail the hearing test; I missed about 30-40 of the "beeps". Yea, well they told me, "I was good to go". So tell me that is legal. I let my congressman know this (along with other stories similar to that) and his "guy" or Army liason in DC told him (and I got this in a letter) "The Army has the tests account for cheating." I was like you have to be kidding right. So needless to say I am definitely going to my Senator about all of that, and now with this story. Thanks for posting this. It's ashame it happened but it's time for change. And I will make sure that that happens.

Nick Lawless
 
Carnelli53,


Thanks again for your insights and your devil’s advocate positions. They are very helpful in expanding the conversation.

Not knowing the background of the case you cited above, I would be a little concerned that they limited the definition of service to active duty as there are many reserve and guard members who go through the DES and are placed on the TDRL. I liked what they said but reserve and guard members are also in the service and, via the DES, eliminated from that service.

You stated above:
SFC Rindorf's situation is such an obvious injustice that these people at DoD and the PDBR must know something that we don't, because I do not see any way they can get away with this.
I have SFC Rindorf’s PDBR decision. They based the 10% rating on an initial VA rating for PTSD. The VA deemed that rating erroneous (via the VA notice of disagreement process) and granted SFC Rindorf a corrected 30% for PTSD, effective the date he left service. The PDBR based their 10% rating on the erroneous and incomplete VA 10% rating even though they stated in the PDBR findings that the 10% rating have been overturned by the VA and replaced with a 30% rating. SFC Rindorf was later reevaluated by the VA a granted a 70% rating for PTSD. The PDBR latched on to bad information they knew was later corrected by the VA and used that bad information to remove SFC Rindorf from the TDRL. If DoD had other evidence from which to justify his removal from the TDRL, they are required to provide that evidence in the decision rationale. They did not.


Mascabn and Nlaw37,


Thanks for your efforts spreading this info far and wide. It is a tremendous help. The time needed to research and write Outrages of the Week, coupled with a full time job, assistance to wounded warriors and family obligations, caused me to peg out my overwhelmed meter some time ago. Knowing the word is being spread across the county really does take quite few rocks out of my rucksack.


Mike
 
LTC Parker,

Wow, what a wakeup call!! I am one of those who has already opted in to the PTSD Lawsuit. I have a similar situation to SFC Rindorf. I was medically discharged with PTSD in 2006 by the Army, given a 10% rating and disability severance. The VA has subsequently rated me 70% for PTSD as of the day after my date of discharge. I was under the impression that applying for an expedited review under the provisions of the lawsuit that the PDBR would have to follow the VASRD and grant 70% and medical retirement. I see now that they have found yet another "loophole" to screw the soldier with. This sickens me!!! So what should we do if we are a part of the lawsuit? Are we all just going to get screwed AGAIN?!!! I will send this article on to Senators Bennet and Udall here in Colorado as well as Representative Coffman. I will also paste the link onto my FB account. WE ARE WITH YOU MIKE!!! I want to help...not just for myself and my family but for all the veterans out there. PLEASE LET ME KNOW WHAT ELSE I CAN DO FOR YOU MIKE!!!! Don't burn yourself out bro, take care of yourself and let others help you shoulder the load.

Sincerely,
Kevin Ryan (SSG ARNG '01-'07, SGT USMC '89-'93)​
 
Kevin,

If I were you, I would continue with the lawsuit course of action. The PBBR, despite its warts, is probably the best shot for justice in the short run. Your 70% VA rating from the VA from the date of discharge will likely tighten the loop holes that could work against you. I assuming you never files with the PDBR. Had you heard about this option prior to the lawsuit option became available? Did DoD ever notify you that you were eligible for PDBR review?

Thanks for sending this to the Colorado delegation. Colorado (Aurora) is my home of record from the age of eight to my graduation from Colorado State University in 1984. I served in the reserves from 1981-1983 as an infantryman with B Company, 3/87 Infantry out of the Denver Federal Center. After graduation from college, I entered active duty and remained on active duty until retirement in 2006. Here’s hoping you will soon be part of the retirement class of 2006.

Mike
 
Mike,

I knew about the PDBR because I have been following this forum almost since it's inception. I have even spoken with Jason on the phone a couple of times (great guy by the way). It just so happens that I sent my files to the NVLSP as soon as I heard about them and they advised me to hold off on applying to the PDBR. I had been getting regular updates from them regarding the legal negotiations since the start of the lawsuit in 2008. I opted in as soon as they sent me the letter in January informing me of the settlement. (I did tell them that I thought the settlement should have included wording that would have required the Army to use the VASRD strictly and with no deviations. I guess the Army lawyers wouldn't go for that.) I am now waiting for paperwork from the NVLSP that will tell me how to apply for an expedited review by either the PDBR or the BCMR (PDBR being most likely), I am hoping to get that paperwork very soon. To answer your second question, I don't believe I ever received any correspondence from DoD notifying me of the PDBR or that I was eligible for a review. However, I have done so much writing of letters to my Congress-people and such, I MAY have received something and forgotten about it. (Just to be fair and accurate).

Interesting that you are from Colorado. I was with the Marines in Desert Storm and after 09/11 joined the ARNG and was with 169th Field Artillery Brigade (brigade HQ was out of Buckley in Aurora). I am originally from NYC. Interestingly enough I saw you on C-Span a few years ago asking questions at a Congressional hearing about the Wounded Warrior issues. I was impressed with you then and still am. Keep up the good work and let me know if I can do anything else to help and YES I do hope to become pat of the 2006 retirement class!!

Kevin
 
Kevin,

It’s interesting that you mentioned the C-SPAN appearance. That was actually at Walter Reed at a town hall put on by the Independent Review Group (IRG). I had only found out about the meeting earlier in the day but I made a beeline to Walter Reed to hear what they had to say. The IRG was chartered by Secretary Gates to investigate issues with wounded warrior care after the revelations in the Army Times and Washington Post. The IRG included members like General John Jumper, ex Chief of the Staff of the Air Force and ex Secretaries of the Army Togo West and John Marsh. Also on the commission was Mr. Arnold Fisher, founder of Fisher House.

After I made my short presentation, General Jumper and Secretary West invited me down to their headquarters to provide more details which I gladly took them up on. The IRG quickly grasped the issue of PEB’s not complying with the VASRD and their other techniques for low balling ratings below 30%. The final IRG report made the following recommendation:
The Under Secretary of Defense (Personnel & Readiness) should conduct a quality assurance review all (Army, Navy/Marine Corps, and Air Force) Disability Evaluation System decisions of 0, 10, or 20 percent disability and Existed Prior to Service (EPTS) cases since 2001 to ensure consistency, fairness, and compliance with applicable regulations.
The IRG recommendation had DoD reviewing all separations level disability ratings without the service member having to apply for such a review. It also required the review of separations where the PEB deemed the conditions Existed Prior to Service. Bogus EPTS determinations are yet another way PEBs cheat members out of disability benefits.

Unfortunately, DoD never acted on the IRG’s recommendation so Congress passed the PDBR provision which was supposed to look at all PEB determinations, not just the ratings. Rather DoD created rules to dilute the impact of PDBR reviews, many of which I covered in the article above. DoD, however, has also stated they will not review EPTS determination unless the member was rated for another condition that received a rating. Absolutely nonsensical but in keeping with DoD’s practice of bending over backwards to do the least possible for wounded warriors, especially when it comes to disability benefits. Instead of reviewing all cases as recommended by the IRG, DoD is laying back and limiting the review to those who happen to find out about the PDBR and apply for a review.

Buckley Air National Guard base, Now Buckley Air Force Base, is near and dear to me. My father worked there with the golf balls from 1970 to his retirement in the early 90’s. My Boy Scout troop was hosted by Buckley so we were never short of equipment. My first real paying job was as a busboy at the mess hall and my reserve unit drilled there from time to time.

Mike
 
You stated above:
SFC Rindorf's situation is such an obvious injustice that these people at DoD and the PDBR must know something that we don't, because I do not see any way they can get away with this.
I have SFC Rindorf’s PDBR decision. They based the 10% rating on an initial VA rating for PTSD. The VA deemed that rating erroneous (via the VA notice of disagreement process) and granted SFC Rindorf a corrected 30% for PTSD, effective the date he left service. The PDBR based their 10% rating on the erroneous and incomplete VA 10% rating even though they stated in the PDBR findings that the 10% rating have been overturned by the VA and replaced with a 30% rating. SFC Rindorf was later reevaluated by the VA a granted a 70% rating for PTSD. The PDBR latched on to bad information they knew was later corrected by the VA and used that bad information to remove SFC Rindorf from the TDRL. If DoD had other evidence from which to justify his removal from the TDRL, they are required to provide that evidence in the decision rationale. They did not.

Just to clear the water here, while not a good practice of implementing here on the forum those words were intended to carry a sarcastic designation.
 
Mike,

I spent a good deal of my time at Buckley AFB from '02 to '06. We drilled next to what was the old aviation HQ (they now have a beautiful new facility a little further down the road, near where the rapelling tower is). I also worked for four years at the COARNG HQ as the Intel NCO and later as the NCOIC of the Joint Operations Center in Centennial (next to Centennial Airport). I deployed with 169th Fires Brigade in early '06 and my career came to an abrupt end in '07 due to PTSD. I would still be working with COARNG if I could, great bunch of people. I am currently unemployable and have been to a 3 month PTSD treatment program back in late '06 and am waiting to go back into treatment at the Denver VA. I really want to get my life back together and I won't stop trying until I do. Life has really kinda sucked these last three years. I was a Desert Storm combatant and lived with PTSD for years but when I volunteered to head back into a combat environment in '06, things really started to unravel.
Anyway, wanted to tell you a quick story from when I was in medical hold in Fort Sill, OK. I had gotten back from my first appeal at the PEB in Texas and I was a mess. (They GRILLED me for almost two and a half hours, treated me like a criminal, and had me in tears many times.) I saw a Congressional hearing on television with the General in charge of Walter Reed and even though I wasn't one to jump chain-of-command, I decided to find his email address on the army network and sent him an email that day! What a S**TSTORM that set off!!! He emailed basically everyone of the higher ups in my chain of command including the Colonel who chaired the PEB!!!! I got chastisted for it but after that they treated me with "kit gloves". So, the moral to the story for me was: sometimes you just gotta do what you gotta do to make things happen for you!! (Interestingly enough, Jason was at the Texas PEB with Colonel Lovett in Texas for awhile and he seemed to agree with my assessment of his 'tactics'. However, Jason is an officer and a gentleman and never maligned or put down the Colonel.) Anyway, thought you might like to know that you have been influencing Soldiers' lives for the better for quite awhile now, even though you may not have known it!!

Kevin
 
Hey Mike,

Thanks for still fighting the fight for us who were snowballed by the PDBR and the DOD as a whole. I just wanted to let you know your a good man and an honorable officer. Still taking care of his troops after the enlistment. I wish we had more out there like you. Again, thanks Mike.

Jon Williams
Big Will​
 
Mike, What a great article and right on point. The " bending over backwards to do the least possible for wounded warriors" says it all. Thanks for all the work you do for so many.
 
Article from Army Times that addresses the issue addressed in this Outrage .


New disability review board raises concerns


By Kelly Kennedy

[email protected]

When retired Army Sgt. 1st Class Michael Rindorf heard about the new Physical Disability Board of Review, he thought his problems were over.

Diagnosed by the Veterans Affairs Department with chronic post-traumatic stress disorder and given a disability rating of 30 per¬cent, he figured the Pentagon’s new board, which began its work in January 2009, would look at his separate military medical retire¬ment rating of 10 percent and realize it had been a mistake.

“The intent of the new board met exactly what I was going through,” Rindorf said.

The PDBR was created by Con¬gress in the wake of criticism that the services were applying signifi¬cantly different standards to med¬ical retirement ratings.

A Military Times analysis of Pentagon data showed, for exam¬ple, that Air Force officers consis¬tently got the highest disability ratings, while enlisted Marines and soldiers tended to get much lower ratings. VA also gave higher ratings than the Defense Depart¬ment for the same injuries, even though they used the same ratings schedule.

Later reports showed that even though the military is required by law to grant people discharged for PTSD a disability rating of at least 50 percent, as well as time on the temporary disability retirement list to try to recover, most troops were not given that option.

Rindorf had been in the Army since 1991, but while in Iraq in 2004, he had identified and recov¬ered the remains of a close friend killed in a rocket attack. He also held responsibility for 48 military police officers in his platoon who were under constant mortar attack. Almost immediately, he began having problems sleeping. Soon after, memory issues and angry behavior surfaced.

In 2006, his heart stopped beat¬ing because of a sinus condition, and Army doctors fitted him with a pacemaker. As he went through a medical evaluation board, the Army found that he was unfit for service not only because of his heart condition, but also because of PTSD and a depressive disorder.

But his separate Army physical evaluation board ruled that only the heart condition was reason for separation — and rated him at 10 percent and booted him out with only separation pay.

VA initially rated him at 10 per¬cent for his PTSD, but then changed the rating to 30 percent, retroactive to his disability retire¬ment date. Later, VA increased his rating to 70 percent, saying that his condition had not stabilized.

Rindorf figured the new PDRB also would boost his rating to at least 30 percent, the threshold for permanent disability retirement benefits.

Instead, a letter signed by board president Air Force Col. Michael LoGrande informed him that the board had retroactively placed him on the temporary disability retirement list and given him a rating of 60 percent based on his most recent VA examination.

That is not normally cause for alarm; usually, placement on the temporary list means six months of care with full examination at the end of that period, the possibil¬ity of returning to service if the member has recovered, the begin¬ning of a new medical board process and the ability to appeal the findings board if the member disagrees with the rating.

Rindorf ’s retroactive temporary retirement placement, however, was entirely administra¬tive. In the same letter, he learned that the board had in fact raised his per-manent rat¬ing — to only 20 percent, still not enough to qualify for lifetime disability retirement and medical care for him and his family — and had determined he was now “stable” even though VA said he was not.

The new board does not allow veterans any option for further appeal, so Rindorf will not be able to go through the review process again. “I don’t have the right to it,” he said.

“To me, that’s extremely rogue,” said retired Army Col. Mike Park¬er, who spends much of his time advocating for disability rights. “They should kick him back to the [temporary disability retirement list] system. The [new board] takes that all away — you can see how this train just went off the track.” Retired Air Force Col. Mike Hay¬den, deputy director of govern¬ment relations for the Military Officers Association of America, agreed.

“I would say he wasn’t provided due process,” Hayden said.

Board officials did not respond to a request for an interview by press time.

Bart Stichman, co-executive director of the National Veterans Legal Services Program, said Rinsdorf’s case is troubling.

But he also said he has reviewed 15 cases as part of a lawsuit against the Defense Department for service members who were diagnosed with PTSD but did not get the automatic 50 percent rating due them by law, and all received at least a 30 percent rat-ing, qualifying them for disability retirement benefits.

Parker and Hayden raised other concerns about the board. For example, of the 282 cases that have gone through the review process, 61 percent have had their ratings increased, according to an Air Force press release — but it took an average of eight months to process those cases.

“It is taking a long time to adju¬dicate a case,” Hayden said. “I think it’s the amount of resources DoD is putting toward it.” Moreover, more than 70,000 vet¬erans are eligible to have their rat¬ings reviewed, but only 804 people have applied so far. Hayden said he is working on a letter to be signed by 34 advocacy groups urg¬ing the Pentagon to do more to locate those 70,000 people to inform them about the new board.

“There was really no effort that we saw from DoD to get the word out,” Hayden said. “That 60 percent overturn rate shows that, yes, there’s a problem, and here is an avenue to get it fixed.”
 
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