How Do Other Countries Handle Vocational Factors In Disability Determination?

     The most recent edition of the Social Security Bulletin, the Social Security Administration's scholarly journal, contains an article titled Vocational Factors in Disability Claim Assessment: A Comparative Survey of 11 Countries by David Raines and Tony Notaro. Basically, they find what you might expect -- significant differences among the countries. Here's a table from the piece.

Click on image to view full size. OECD is the Organization for Economic Cooperation and Development.

     Here's the authors' summary of how the U.S. compares to other countries:

...[W]e note the following significant differences between U.S. disability programs and those of most of the other sampled countries:

• U.S. programs do not extend eligibility to claimants with partial and/or temporary disabilities;
• Workers in many other countries receive sickness benefits for 1 year or longer before becoming eligible to claim long-term disability benefits;
• Although SSA assesses residual work capacity in the later stages of the five-step U.S. process, many of the other countries conduct their assessment in the initial determination phase; and
• Several other countries involve the claimant's employer in the assessment process.

We also note the following significant attributes that the U.S. disability programs share with those of other countries:

• The assessment is carried out in sequential steps (although agencies in other countries do not always spell out those steps quite as definitively as does SSA); and
• Medical experts are consulted to confirm diagnoses and evaluate disablement....

 To briefly summarize our findings on each VF [Vocational Factor], we observe that:

Age is not used in the disability determination processes of most of the countries we survey. The use of age as an explicit factor in determining whether certain claimants are disabled (as in step 5 of the U.S. sequential evaluation process) is rare. However, age is considered in determining eligibility for certain sickness and partial- or long-term disability programs. In general, advancing age is thought to increase the likelihood of disablement, and therefore increase the claimant's chance to receive a benefit. Sweden uses age in determining program eligibility and Australia uses age in deciding the frequency of reassessment for disability benefit eligibility.

Education is generally not directly considered during disability determination. The United States is the most notable exception, directly considering education in step 5 of its sequential evaluation process. Likewise, Denmark and the Netherlands consider education in determining the claimant's ability to perform other work in the general economy. In the same way, formal schooling or training may suggest a claimant's ability to undertake available vocational or rehabilitative options or employment opportunities.

Work experience is considered in the disability determination processes in each of the surveyed countries. Work experience is a central factor in assessing a claimant's transferable skills, which in turn constitute a central component of the RFC assessment that drives many disability assessment procedures.