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Service Connected Disability |
It angered me greatly to learn that Pop had been receiving only 50% disability pay for his service-connected injuries since 1947, and although he attempted to increase his disability many times over the fifty-years since his honorable discharge, he was continuously denied. With Pop's permission, I began my second mission; getting Pop what he was rightly entitled to as an ex-Prisoner of War. The first thing we did was request a copy of Pop's entire C-File (Claims File) from the VA Regional Office in New Jersey and also sent to St. Louis, Missouri for additional records that could support Pop's claim. I learned through my research at the National Archives and Records Administration (www.nara.gov) that on July 12, 1973, a devastating fire at The National Personnel Records Center in St. Louis, Missouri destroyed between sixteen and eighteen million Official Military Personnel Files. There were no duplicate copies, microfilm copies or indexes created of the destroyed records prior to the fire. The website states eighty percent of Army records were destroyed for military personnel discharged between November 1, 1912 and January 1, 1960. Seventy-five percent of Air Force records were destroyed for military personnel discharged between September 25, 1947 and January 1, 1964. Once I finished reviewing Pop's C-File, I was thoroughly disgusted. What I believed to be inconsistencies throughout his entire C-File, in the end, empowered me to fight harder than I've ever done before. I found it interesting that on November 28, 1945, two days before Pop's discharge, Major Maurice Stamler completed VA Form 38, which is a Report of Physical Examination of Enlisted Personnel Prior to Discharge form. At the time of Pop's discharge, he was awarded 0% service-connected disability compensation for his war-related injuries. I believe the answers that Major Stamler gave to the following questions said it all, but apparently not. |
Question #11: List all significant diseases, wounds, and injuries. State circumstances under which wounds or injuries were incurred and date of onset. Answer: Gunshot wound, left eye, November 1944 in combat in Germany. Hospitalized while a Prisoner of War in Germany; result, impairment of vision. Question #34: Eye abnormalities? Answer: Traumatic cataract, left Question #40: In your opinion, will wound, injury or disease result in disability? Answer: Yes Question #41: In your opinion, was wound, injury, or disease incurred in line of duty? Answer: Yes |
In April 1947, seventeen months after his honorable discharge, Pop actually had to request an Application for Pension or Compensation for Disability form from the VA. This form opened his initial claim for service-connected disability. Pop stated in his 1947 claim, "I've been steadily losing eyesight in the left eye, and my right eye is affected from the strain." Pop's claim was denied by the VA and one document in particular from the rating board read: |
The official records from the service department, together with the other evidence in your claims file, have been carefully considered. It is not shown that you now have a disease or injury incurred in service in the line of duty, or one that has been aggravated thereby, to a 10% or more degree, as required by law before disability pension may be paid. It has become necessary to enter a disallowance of your claim. Service connection has not been established. Further action will be taken on your claim upon receipt of the examination report of which you were previously advised. The requirements for the minimum 10% rating are not met, although service connection is established for left eye condition. |
On June 9, 1947, Pop had his scheduled Physical Examination at the VA Medical Center in Detroit to determine if he's entitled to any compensation for a service-connected injury. The day of his exam, Pop stated in a signed affidavit, "I can only distinguish light from dark out of my left eye and suffer from headaches as a result of this wound." The affidavit further stated, "I suffered from scarlet fever, diphtheria, and dysentery." July 1, 1947, the VA Rating Board determined that Pop should receive 50% service-connected disability compensation for the following: |
Blindness of the left eye, having light perception with traumatic cataract, and traumatic choroiditis (inflammation of the choroids, whose function is to nourish the retina). Rated 30%. Enlarged liver with flagellates (a form of microorganism) and cysts of giardia lamblia (an intestinal parasite that infects people and animals by means of a spore passed into the water supply via feces). Rated by analogy to cirrhosis of the liver, 30%. |
I'm not sure why Pop was only receiving disability compensation pay at a 50% rating, when he was awarded 30% disability for his left eye injury and 30% for his liver condition. Perhaps they didn't have a 60% rating for disability compensation back in 1947. On August 25, 1947, Pop filed a Request for Administrative and Adjudicative Action (VA Form 10-2731) for additional service-connected disability compensation related to dysentery while a Prisoner of War, and that claim was denied. May 1950, Pop again requested additional disability compensation and his claim stated, "Vet claims he is unable to get a job anywhere where a physical is given. Vet is currently employed at the North American Export for three months and earning $1.20 an hour." On May 25, 1950, Pop's claim was again denied by the Ratings Board Specialist, stating, "This will serve to inform you that your compensation claim has been considered upon the basis of your examination of May 12, 1950, and it has been determined that there is no change in the degree of your service connected disabilities." January 27, 1977, Pop applied for additional compensation through the VFW and that claim stated, "The veteran feels that his disabilities have now worsened to an extent where a higher evaluation is warranted." Attached to that claim was a doctor's note diagnosing Pop with heart disease. In February 1977, Pop's claim was once again denied. I learned that Prisoners of War have priority status when it comes to benefit claims, and on August 20, 1999, Pop and I re-opened his claim for additional disability and compensation, asking that he be re-rated for his service-connected disabilities that fall under Public Law 97-37, Former Prisoners of War Benefit Act (August 14, 1981). On the VA Official website (www.va.gov) they described this law as follows: |
In 1981, Congress passed Public Law 97-37 titled, Former Prisoners of War Benefit Act. This law accomplished several things. It established an Advisory Committee on Former Prisoners of War and mandated medical and dental care. It also identified certain diagnoses as presumptive service-connected conditions for former POWs. Other public laws passed since then, and a policy decision by the Secretary of Veterans Affairs in 1993 has added additional diagnoses to the list of presumptive conditions. Today, former POWs who were interned or detained for at least thirty days are generally entitled to a presumption of service-connection for certain diseases if manifested to a degree of ten percent or more after discharge or release from active military, naval, or air service. In the 1981 decision, the following seven diseases were considered presumptive conditions: Psychosis Dysthymic Disorder (depressive neurosis) Post-Traumatic Osteoarthritis Any of the anxiety states Cold Injury (trench foot/frost bite) Stroke and Complications Heart Disease and Complications Added to the presumptive conditions in 1993 are the following diseases: Avitaminosis Chronic Dysentery Helminthiasis Malnutrition, including associated Optic Atrophy Peptic Ulcer Disease Beriberi, including Beriberi Heart Disease Cirrhosis of the Liver Irritable Bowel Syndrome Pellagra and any other nutritional deficiency Peripheral Neuropathy except where directly related to infectious causes Post Traumatic Stress Disorder (PTSD) |
PTSD is an emotional response to violent situations, and its symptoms surface after a person has experienced a dangerous, frightening, and uncontrollable traumatic event. PTSD can be debilitating for soldiers, or anyone who has been exposed to a traumatic event or events in their life, and it's so important to get mental health counseling. It doesn't mean you're crazy. You're a good person with a bad problem. As a means of survival, soldiers tend to shut down their emotions as they bear witness to the horrific atrocities suffered by their friends and foes annihilated by bullets, bombs, and booby traps. The smells of burnt flesh and decaying bodies are permeated in their senses. Survivor's guilt is one of many symptoms of PTSD. Others, not all, include anxiety, substance abuse, exaggerated startle response, and re-living the experiences through intrusive thoughts, nightmares, and flashbacks. The guilt veterans experience is from believing they, the veteran, could have done something differently that perhaps would have changed the outcome of a deadly situation, when in reality they couldn't have changed a thing. Anxiety is an internal alarm that alerts us to danger. In combat, a veteran can experience trembling, shortness of breath, a pounding heart, and muscle tension because their anxiety levels are on overdrive. Certain events such as a specific date or place, a time of day, a noise, a smell, or a situation can trigger anxiety in combat veterans. Many veterans return home and turn to alcohol and drugs as a means of coping with the horrors of war, hoping to numb their emotional pain by self-medicating. Exaggerated startle response includes feeling jumpy, jittery, shaky, being easily startled or, as Pop described, feeling nervous all the time. Pop was also over-sensitive to loud, unexpected noises, stating, "I think it's gunfire for a second and find myself ducking." Intrusive thoughts are uncontrolled thoughts, images, or unpleasant ideas that can be quite upsetting or distressing to an individual because they, in a sense, are re-experiencing the trauma all over again. Nightmares, or night terrors, are usually quite vivid at the time a veteran has them. One veteran described his nightmares as watching a movie in color. The blood and guts are real and so are the people chasing them during these episodes, which would account for their night sweats and rapid heartbeat. In addition, some veterans will thrash, scream, or jump out of bed disoriented during these episodes. Pop also suffered with nightmares, including thrashing about and screaming in his sleep. When he woke, he told me his heart pounded out of his chest, and he would be drenched in sweat. Many veterans experience flashbacks, which are past trauma memories triggered by a certain smell, sound, or even a TV show or movie. Flashbacks are scary and can be emotionally draining, taking the veteran back into the horrors of war, but only in their minds. A great example of this was how Pop reacted to thunderstorms. The loud boom would send his anxiety levels soaring, and his psyche wouldn't allow the reality of the thunder to override the trauma of war, even sixty years after the fact. I did my best to delicately 'interview' Pop and get as much information as I could for his claim, knowing some questions I had for him would be difficult. There were times when Pop struggled to contain his emotions while revisiting his combat and prisoner of war experiences, especially when he spoke of those he knew who were maimed or killed. A good example of this was the day the Nazis blew up Pop's tank. There were times Pop was evasive and vague about his experiences, even becoming irritable when I asked for more details. I had to respect Pop's boundaries and take this process at his pace, not mine. I knew when I needed to stop questioning him and redirect our conversation to happier times. On September 1, 2000, approximately one year after filing the initial claim for increased benefits, Pop received a decision, and this is what the VA determined. "We found the following disability is service-connected. Here is the condition and the percentage of disability. We found your post traumatic stress disorder 10% disabling." That's not a typo on my part. Ten percent is all they awarded Pop for his PTSD. To say I was livid would be an understatement at the least. What happened to presumptive service-connected conditions for all former prisoners of war, especially since Pop was diagnosed with heart disease by the VA in 1977? I took this decision personally and translated it to mean, "A veteran who is tortured, beaten, and starved for months, sometimes longer, does not warrant an increase in disability, prisoner of war or not." I believed the decision severely minimized the hell Pop endured and was an absolute insult to all Prisoners of War and veterans alike who've suffered, and continue to suffer from Post Traumatic Stress Disorder. They further stated in their decision they did not find the following conditions to be service-connected: |
Hypertension Non-insulin dependent diabetes, and Varicosities |
The supervisor at the VA Regional Office in New Jersey stated to me when I called, "Usually people with PTSD don't have friends." Are you kidding me? That's what the VA based Pop's PTSD on? The fact that he had friends? I was speechless, and it clearly indicated the Rating Board Specialist assigned to Pop's case was clueless about PTSD and the debilitating effects it has on an individual. Yes, it's true that veterans might isolate themselves from others, including family, but to base their decision on the fact that Pop stated he had friends was ridiculous. Of course, he had friends. Who doesn't? Pop considered everyone his friend. I decided it was time to get my sister-in-law Jenny involved for a couple of reasons. First, she lives in New Jersey, I live in Florida, and I needed her to assist me with New Jersey phone calls and paperwork to make our next course of action go quicker. Second, Jenny is a fighter, especially when it came to Pop, and I needed her help with writing some letters. In July of 2000, we wrote letters to Senator John McCain, who called Jenny personally and was supportive of Pop's claim and the injustice handed down in the decision. We also wrote Senator Bob Franks, Christine Todd Whitman, who was the Governor of New Jersey at the time, Major General Paul J. Glazer, who was the Adjutant General of the Department of the Military and Veterans' Affairs, Vice President Gore, and President Clinton. On November 16, 2000, a second rating decision was made by the Department of Veterans Affairs Regional Office in New Jersey. This is what they decided: |
Service connection for coronary artery disease with stable angina is granted with an evaluation of 100%. Note: The veteran was a prisoner of war of the German Government from 11-30-44 to 03-18-1945. Reason and Bases: Service connection may be granted for specific diseases or conditions, which are presumed to be caused by service if manifested to a compensable degree following military discharge. Beriberi heart disease is a POW presumptive condition for which service connection can be granted if it is shown to a compensable degree at any time following service. The VA examination shows the veteran with a long-standing history of hypertension, diabetes mellitus, and smoking. |
Finally! Someone listened and if I had to guess, my guess would be it was Senator John McCain. If anyone knows about being held captive and the debilitating affects it has on a soldier, it would be the Honorable Senator McCain. However, I didn't stop there. I wanted Pop to get the retro pay I believed he was entitled to. At the least, I felt the VA should have gone back to the 1981 Public Law 97-37 for his heart issues, if not all the way back to November 30, 1945. I began the process of filing a claim for retroactive pay. Pop received a five-page response on April 1, 2004, which stated in part, "We need evidence showing that the following condition(s) existed from military service to the present time: stomach, scarlet fever, and malaria." The letter then states: |
Any or all of the following listed evidence will help us make our decision: The dates of medical treatment during service. Show the name and exact location of the dispensary, hospital, or other facility where you received treatment for this condition. Also, give us your rank and organization (division, regiment, Battalion Company) at the time of treatment. Medical evidence from hospitals, clinics, and private physicians of treatment since military service. Statements from persons who knew you when you were in service and know of any disability you had while on active duty. These statements should describe how and when they became aware of the condition(s). If the person making the statement was on active duty at the time, he/she should show his/her service number and unit of assignment. |
Can you say 'generic letter,' boys and girls? If I didn't know better, I would swear there is a conveyor belt in the basement of all the VA Regional Offices that moves a veteran's file along until the file reaches a fork in the conveyor belt and the veteran's file is stamped with denied or additional evidence needed. Realistically speaking, I believe the people who make these decisions are overworked and underpaid with deadlines to meet. I know in Pop's case, the Regional Office had the same evidence I did, because they're the people who sent Pop a copy of his C-file, the same file they use to make their decisions. My decision was easy. I returned a Statement in Support of Claim form 21-4138 and went as far as making copies of the VA's own paperwork as proof. I even highlighted the areas in bright yellow to make it easier on them to reference. The outcome of Pop's settlement is in the final chapter of the book. Several organizations can provide information about PTSD. The following are just a few: |
National Center for PTSD www.ncptsd.org National Mental Health Association www.nmha.org Anxiety Disorders Associations of America www.adaa.org International Society for Traumatic Stress Studies www.istss.org |
Widows of former Prisoners of War are entitled to a monthly tax-free benefit from the government called Dependency and Indemnity Compensation (DIC), if the former Prisoner of War falls under the following: |
Was a service member who died on active duty; or Died from service-related disabilities; or Died on or before September 30, 1999 and was continuously rated totally disabled for a service-connected condition, which includes Individual Unemployability (IU), for at least ten years immediately preceding death; or Died after September 30, 1999 and was continuously rated totally disabled for a service-connected condition, including Individual Unemployability, for at least one year immediately preceding death. |
For additional information call the VA Regional Office in the State where you live. The number is the same in every state, 1-800-827-1000, or visit their web site at http://www.va.gov There are Prisoner of War coordinators assigned to every VA Regional Office and Medical Center. The VA's website for additional information is: |
http://www.vba.gov/bln/21/Benefits/POW |
Copyright Kathleen Belfiore Schuman |