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Anne Hill v. Carolyn Colvin
807 F.3d 862
7th Cir.
2015
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Background

  • Anne Hill, 56, stopped heavy factory work (13+ years) and applied for DIB and SSI alleging multiple musculoskeletal impairments, including total left hip replacement and left shoulder osteoarthritis, with onset June 2011.
  • Medical records show left hip replacement (May 2011), shoulder tendinopathy/tears, intermittent neck/back complaints, limited conservative treatment (no ongoing narcotics, limited specialist care) and state-agency examiners who found capacity for a limited range of light work.
  • Hill testified she can sit/stand only ~10–15 minutes without breaks, lift 10–15 pounds with right arm (much less with left), and has significant shoulder/neck pain; friend corroborated limited ambulation.
  • ALJ found severe impairments (left hip replacement, left shoulder osteoarthritis), discounted Hill’s complaints about neck/back pain and overall credibility, adopted a Residual Functional Capacity (RFC) allowing light or sedentary unskilled work, and denied benefits; Appeals Council and district court affirmed.
  • Seventh Circuit reversed and remanded, concluding the ALJ’s credibility analysis was flawed and the vocational expert (VE) testimony was unreliable.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether ALJ properly assessed Hill’s credibility about limits from neck/back pain Hill: ALJ ignored plausible explanations for conservative treatment (cost, doctor’s concern about addiction) and improperly discounted testimony absent specialist visits Commissioner: Lack of corroborating medical evidence and limited treatment supports adverse credibility finding Reversed — ALJ erred by ignoring explanations for sparse treatment, "playing doctor," and misusing work history to discredit claimant; errors not harmless
Whether ALJ impermissibly ‘‘played doctor’’ by requiring specific diagnoses (nerve root compression, stenosis) to credit pain Hill: ALJ improperly relied on absence of certain diagnoses to reject reported limitations Commissioner: Argues objective records lack those findings, supporting ALJ’s skepticism Reversed — court holds ALJ improperly speculated beyond the medical record; cannot demand specific diagnostic findings to reject subjective pain testimony
Whether claimant’s desire or prior ability to work undermines credibility of current disability claim Hill: Prior work and wish to work are consistent with disability and long work record supports credibility Commissioner: Continued past work suggests long-standing condition and ability to work Reversed — court rejects treating work history/desire to work as evidence of exaggeration; degenerative conditions may worsen over time
Whether vocational expert testimony supported denial (job availability and limitations re: left extremity) Hill: VE relied on unspecified personal experience, misapplied DOT, and gave unreliable job numbers for occupations claimant could perform Commissioner: VE testimony establishes significant numbers of suitable jobs Reversed (in part) — court (and concurring judge) expressed serious doubts about VE’s methodology and job-number data; VE testimony was unreliable and should be better substantiated on remand

Key Cases Cited

  • Pepper v. Colvin, 712 F.3d 351 (7th Cir. 2013) (ALJ decision becomes Commissioner’s final decision when Appeals Council denies review)
  • Bjornson v. Astrue, 671 F.3d 640 (7th Cir. 2012) (warning against equating daily activities with ability to work full-time)
  • Engstrand v. Colvin, 788 F.3d 655 (7th Cir. 2015) (ALJ may not "play doctor" by making medical findings beyond the record)
  • Goins v. Colvin, 764 F.3d 677 (7th Cir. 2014) (criticizing ALJ medical speculation)
  • Beardsley v. Colvin, 758 F.3d 834 (7th Cir. 2014) (requirement to consider claimant explanations for limited medical treatment)
  • Craft v. Astrue, 539 F.3d 668 (7th Cir. 2008) (ALJ must consider inability to afford treatment when evaluating conservative care)
  • Hall v. Colvin, 778 F.3d 688 (7th Cir. 2015) (claimant’s testimony about symptoms cannot be disregarded merely due to lack of medical corroboration)
  • McKinzey v. Astrue, 641 F.3d 884 (7th Cir. 2011) (harmless-error standard for ALJ mistakes requires confidence ALJ would reach same result on remand)
  • Herrmann v. Colvin, 772 F.3d 1110 (7th Cir. 2014) (VE must explain basis of experience relied upon; unexplained reliance is inadequate)
  • Browning v. Colvin, 766 F.3d 702 (7th Cir. 2014) (criticizing speculative VE testimony and methodology)
Read the full case

Case Details

Case Name: Anne Hill v. Carolyn Colvin
Court Name: Court of Appeals for the Seventh Circuit
Date Published: Dec 3, 2015
Citation: 807 F.3d 862
Docket Number: 15-1230
Court Abbreviation: 7th Cir.