Brown v. BrownBrown v. Brown
The appellant, veteran Kevin A. Brown, appeals a November 13, 1991, Board of Veterans’ Appeals (BVA or Board) decision affirming a reduction, from 30% to 10%, in the veteran’s service-connected disability rating for asthma. Kevin A. Brown, BVA 91-36782 (Nov. 13,1991). After the parties had filed separate motions for summary disposition, the Court on October 30, 1992, denied those motions and ordered the parties to file briefs addressing, inter alia, the applicability of
I. Background
The veteran served on active duty from December 20, 1982, to February 27, 1986. R. at 2. In May 1986, a Veterans’ Administration (now Department of Veterans Affairs) (VA) regional office (RO) awarded the veteran service connection for asthma, rated at 10% disabling effective February
A February 1987 VA X ray showed “hy-perlucency of the lungs”, but that “the lung fields are unremarkable”. R. at 3. The report of a February 1987 VA special cardiopulmonary examination stated, under “history”, that the veteran’s asthma “was not improved”; that the veteran had wheezed at night intermittently (about once a week) in winter and consistently in summer; that he was taking several types of medication, including two different inhalers; that his wheezing attacks were “not as severe as before he came to Milwaukee” (the previous summer); that he was limited in making fast movement or running and did not play sports; that he would get tired from walking two blocks or climbing two flights of stairs; that he smoked half a pack of cigarettes a day; and that he had not missed any time from work in the last three months. R. at 7. On the report of the physical examination at that time, the VA examining physician found “no respiratory distress”, “no wheezing, rhonchi, or rales at both lungs”, and good air exchange, and diagnosed “bronchial asthma, allergies to inhalants, under treatment, periodically symptomatic”. R. at 8.
In an April 1987 decision, the VARO increased the veteran’s rating to 30%, retroactive to February 28, 1986. R. at 9-10. Based on the February 1987 VA cardiopulmonary examination, the RO concluded: “Considering the amount of medication necessary to control bronchial asthma and continuous outpatient treatment, [the] veteran’s service connected bronchial asthma warrants a 30% evaluation and is considered to be of this severity from the [date of the] original entitlement.” R. at 10.
A March 28, 1988, VA cardiopulmonary examination stated that the veteran reported having asthma attacks daily during the summer. The report of the physical examination at that time states: “Auscultation of the lungs reveals shortened expiratory phase and diminished intensity of breath sounds with a hyperresonant percussion note.” R. at 11. In an April 1988 decision, the RO denied a rating higher than 30% for the veteran’s asthma. R. at 13. A July 1990 VA X-ray report stated that the veteran’s lung fields were unremarkable. R. at 15. A July 23, 1990, VA cardiopulmonary examination stated that the veteran continued to use several medications and to suffer asthma attacks, which sometimes woke him up at night. R. at 18. On the report of the physical examination, the VA examining physician found: “The lungs are entirely clear to auscultation and percussion. There are no wheezes, rales, or rhonchi.” Ibid.
On July 31, 1990, the RO issued a decision proposing, pursuant to
Symptoms and findings related to service-connected bronchial asthma are shown as no more than mild with history of asthmatic type breathing, high[-]pitched expiratory wheezing and dyspnea, occurring several times a year with no clinical findings between attacks. Veteran’s asthma was essentially asymptomatic on most recent VA examination..
R. at 22. The RO informed the veteran that he had 60 days in which to submit evidence showing why the rating should not be reduced. The veteran in September 1990 wrote to the RO and requested a hearing. R. at 25. On October 19, 1990, he appeared at a personal hearing before the RO and testified under oath that he suffered from wheezing almost every day, sometimes waking him up at night; that he had taken about 300 hours of leave without pay due to his asthma in the prior year; that he had previously gone to the emergency room approximately four times due to asthma attacks, but had not been to the emergency room in the prior year; that he was then receiving outpatient treatment at a VA facility approximately once every six
The report of a December 3, 1990, VA special cardiopulmonary examination stated that the veteran reported having more trouble breathing during the previous couple of years; that he could walk six blocks (but sometimes less) without problem; that his asthma woke him up at night two or three times a week; and that he continued to take medication and smoke half a pack of cigarettes a day. R. at 38. Physical examination at that time revealed “no acute distress”; “clear breath sounds except minimum wheeze on forced expiration”; a pulmonary system that was normal to percussion; and pulmonary testing that was normal “other than a minimally elevated residual volume”. The diagnoses were “1. Probable mild asthma with some increased problems in the early AM” and “2. Smoker contributing to Problems in # 1”. R. at 39.
In a December 28, 1990, decision, the VA hearing officer upheld the proposed rating reduction, stating that “the findings of two VA examinations did not reveal moderate asthma consisting of rather frequent asthmatic attacks with moderate dyspnea on exertion between attacks to warrant a 30% evaluation.”. R. at 43-44. In a January 3, 1991, decision, the RO reduced the asthma rating to 10%, effective April 1, 1991. R. at 45-46. The veteran thereafter submitted an undated letter from his U.S. Postal Service supervisor, stating that a severe asthma attack at work on April 3, 1991, had required the veteran to be rushed to the medical unit and placed on oxygen for 15 minutes, and also that the veteran had in the past called in sick to work due to asthma. R. at 59.
In the adverse November 1991 decision here on appeal, the BVA recited and discussed most of the evidence, although it did not mention the recent, undated statement from the veteran’s Postal Service supervisor. The Board concluded:
The veteran has complained of frequent asthma attacks, and he apparently takes daily medication for bronchial asthma. However, physical examinations of his lungs, pulmonary function tests, and chest X-rays revealed minimal pathology, in fact most findings were normal. Moreover, it has been reported that the veteran continues to smoke, which has been related to his respiratory complaints. Additionally, he has reported that at times he is able to walk six or more blocks without trouble. Moderate dyspnea on exertion is not demonstrated by the findings. In conclusion, the Board finds that the veteran’s disability picture does not more nearly approximate the criteria for moderate bronchial asthma, and reinstatement of the 30 percent evaluation is not indicated by a preponderance of the evidence.
Brown, BVA 91-36782, at 5.
II. Analysis
A. Applicability of Regulations Governing Rating Reductions
i.
It is essential that the entire record of examinations and the medical-industrial history be reviewed to ascertain whether the recent examination is full and complete, including all special examinations indicated as a result of general examination and the entire case history_ Examinations less full and complete than those on which payments were authorized or continued will not be used as a basis of reduction. Ratings on account of diseases subject to temporary and episodic improvement, e.g., ... asthma ..., will not be reduced on any one examination, except in those instances where all the evidence of record clearly warrants the conclusion that sustained improvement has been demonstrated_ Moreover, though material improvement in*417 the physical or mental condition is clearly reflected, the rating agency will be considered [sic] whether the evidence makes it reasonably certain that the improvement will be maintained under the ordinary conditions of life.
On appeal to this Court, the appellant asserts, inter alia, that his 30% disability rating for asthma had been in effect for more than five years, thus requiring the Board to apply the provisions of
The determination whether the veteran’s 30% asthma rating had been in effect for five years or more requires the Court to identify the relevant beginning and ending dates for measuring the duration of that rating for purposes of applying
In his brief and at oral argument, the Secretary asserted that the five-year requirement may not be satisfied because, although the effective date of the 30% rating was February 28, 1986, that rating and effective date were first assigned (retroactively) in an April 14, 1987, RO decision (R. at 10) and, hence, the rating was actually in effect only from April 14, 1987, to April 1, 1991, which is less than four years.
The Secretary’s argument, however, must fail. The applicable words of
Neither party has suggested that the ending date of the veteran’s 30% rating for purposes of determining the duration of that rating should be any date other than April 1, 1991, the date on which the RO
The effect of
One result of considering the effective date of a rating reduction as the applicable benchmark date in all cases for purposes of applying
Although the Court finds these concerns — especially the latter one — significant, the express language of
Therefore, the Court concludes that the veteran’s 30% rating in the instant case, made effective as of February 28, 1986, and continuing in effect until March 31, 1991, satisfied the five-year requirement of
it
The Secretary asserts that the BVA decision complied with the requirements of
The Board in this case failed to comply with each of those requirements. First, although the Board concluded that “the rating examination ■ which was performed prior to reducing the veteran’s evaluation from a 30 to 10 percent evaluation, was full and complete” (Brown, BVA 91-36782, at 4), the Board did not base that conclusion upon review of “the entire record of examinations and the medical-industrial history” as required by
Second, under
Third, the Board failed to discuss whether “material improvement in the physical or mental condition is clearly reflected” and whether “the evidence makes it reasonably certain that the improvement will be maintained under the ordinary conditions of life”. In its statement of the reasons or bases for its decision, the Board discussed only the evidence from the July and December 1990 VA examinations and the veteran’s testimony at his October 1990 VA hearing, and concluded that, based upon that evidence, a rating reduction was warranted. The Board did not make any specific finding that the veteran’s condition had actually improved, let alone the finding required by
With respect to the remaining requirement of
iii. General regulatory requirements: Additionally, the Board failed to comply with several general VA regulations applicable to all rating reductions regardless of whether the rating has been in effect for five years or more as required by
Pursuant to these provisions, the RO and Board are required in any rating-reduction case to ascertain, based upon review of the entire recorded history of the condition, whether the evidence reflects an actual change in the disability and whether the examination reports reflecting such change are based upon thorough examinations. See Schafrath, supra (“these requirements for evaluation of the complete medical history of the claimant’s condition operate to protect claimants against adverse decisions based on a single, incomplete or inaccurate report and to enable VA to make a more precise evaluation of the level of disability and of any changes in the condition.”). Finally,
B. Burden of Proof
In its decision affirming the reduction in the veteran’s rating, the Board found: “After a review of the evidentiary data of record, the Board finds that the preponderance of the evidence is not in the veteran’s favor for reinstatement of a 30 percent evaluation for asthma.” Brown, BYA 91-36782, at 5 (emphasis added). Citing
The quoted statements by the Board constitute serious errors in the allocation of the burden of proof. Statutory
When, after consideration of all evidence and material of record ..., there is an approximate balance of positive and negative evidence regarding the merits of an issue material to the determination of the matter, the benefit of the doubt in resolving each such issue shall be given to the claimant.
Because the issue in this case is whether the RO was justified in reducing the veteran’s 30% rating, rather than whether the veteran was entitled to “reinstatement” of the 30% rating, the Board was required to establish, by a preponderance of evidence and in compliance with
III. Conclusion
Where, as here, the Board has reduced a veteran’s rating without observance of applicable law and regulation, such a rating is void ab initio and the Court will set it aside as “not in accordance with law”.
REVERSED AND REMANDED.