tag:blogger.com,1999:blog-19246708.post8882133743486703609..comments2024-03-29T07:01:55.138-04:00Comments on Social Security News: Skepticism Towards Recipients Of Government Assistance Clouds Judgment On DisabilityUnknownnoreply@blogger.comBlogger13125tag:blogger.com,1999:blog-19246708.post-63233364049394096192015-01-24T12:06:20.187-05:002015-01-24T12:06:20.187-05:00@8:09
I agree that the issue of "genuine cho...@8:09<br /><br />I agree that the issue of "genuine choice" forms the crux of the disagreement here. And since it wouldn't be productive to argue it further given our perspectives, let's tie this back to the original point of this post: public skepticism on the receipt of disability benefits. Is there any situation more damaging to public perceptions of disability than the (arguably overstated) contradiction of people with respiratory impairments claiming disability while still smoking? Whose perspective is Joe Taxpayer more likely to have when he sees his supposedly disabled neighbor constantly lighting them up?<br /><br />Millions of Americans depend on this program for their basic needs, without any even arguable means of recovering enough to be able to work. The more we as advocates try to strecth that definition to encompass even more marginal cases, the more we jeopardize the integrity of the entire program, which is constantly under attack from certain groups for purely political purposes. At least IMO, this smoking/COPD is one place i'd draw the line. Anonymoushttps://www.blogger.com/profile/16749657789192685274noreply@blogger.comtag:blogger.com,1999:blog-19246708.post-85088546766096295972015-01-24T08:09:08.464-05:002015-01-24T08:09:08.464-05:0011:45 here again
I would agree with you but for t...11:45 here again<br /><br />I would agree with you but for the fact that nicotine addiction is a compulsion for many. Some people truly cannot stop and yes, would even do without proper food or medicine due to the strength of the compulsion. The smoker with COPD example is especially sad; the person knows for a fact it is killing them but still cannot stop, leaving little doubt that the compulsion is so strong they no longer have much choice.<br /><br />An essential link in the logical chain of your argument is that the addicted smoker has a genuine choice between buying tobacco and getting proper food and medicine. By definition, that choice does not exist for a true addict. Their addiction compels them to get the tobacco.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-60373882626363844022015-01-24T07:30:02.225-05:002015-01-24T07:30:02.225-05:005:02 here
you're in "denied due to failu...5:02 here<br /><br />you're in "denied due to failure to follow..." mode still. The last part of my comment implied that using smoking, etc. as credibility factors is totally appropriate. The biggest way I see it used is when a claimant alleges he or she cannot afford their medications or treatment as an excuse for their lack of treatment or med compliance. <br /><br />When I see all their meds are on the $4 list and that they smoke a pack a day (a purchase that, at least without an illegal interim act, cannot be done with assistance benefits like SNAP), I question the veracity of their allegation of inability to pay. <br /><br />Also, while denying outright solely because they continue to smoke against Dr's orders is a bridge too far, I think it is fair game to say their continued smoking exacerbates their symptoms and limitations more than they would be with compliance. I make that same argument for med noncompliance and failure to follow up (when no good reason is offered for the noncomp or failure).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-5347710898110420922015-01-23T23:45:47.544-05:002015-01-23T23:45:47.544-05:00I have to respectfully disagree with Dan and Anon ...I have to respectfully disagree with Dan and Anon 5:02, even though I am against smoking and tobacco companies.<br /><br />People with disabilities have the right to spend on what they want, just like everyone else, as long as what they are buying is legal. <br />When an adjudicator starts thinking, "I'm gonna deny so he can't buy cigarettes," he has strayed from the question of whether the person is disabled, and infringed on a fundamental American right, e.g. to choose how we handle our own affairs and spend our money (even if the choice in question is a bad one). <br /><br />Many long-term smokers are addicted and cannot quit. Finding someone not credible for failing to stop something they are not able to stop is, to put it bluntly, cruel and illogical. <br /><br />It's also ineffective. If you think that denying a nicotine addict disability benefits is going to keep them from smoking, you don't understand addiction. Ironically, by denying their claims, you will often deprive them of access to healthcare providers whose help they would need to quit smoking. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-5926229262447990592015-01-23T17:02:53.783-05:002015-01-23T17:02:53.783-05:00@ 2:48
Oh wow, a what appears to be unpublished d...@ 2:48<br /><br />Oh wow, a what appears to be unpublished decision from a lowly magistrate in a circuit far, far away from me. Yawn.<br /><br />Also, that case applied to the very tenuous and never used denial due (solely!) to failure to follow Rx'd Tx. Are you really trying to say that case implies using smoking as a credibility factor period is improper??Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-50861884923112838822015-01-23T15:45:26.180-05:002015-01-23T15:45:26.180-05:00Thoughts on this Charles?
http://www.pbs.org/news...Thoughts on this Charles?<br /><br />http://www.pbs.org/newshour/making-sense/social-securitys-christmas-present-benefit-cuts-for-millions-of-disabled-workers/Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-71451152803845889912015-01-23T14:58:07.512-05:002015-01-23T14:58:07.512-05:00Unimpressed without an acquiescence rulingUnimpressed without an acquiescence rulingAnonymoushttps://www.blogger.com/profile/16749657789192685274noreply@blogger.comtag:blogger.com,1999:blog-19246708.post-57363891894549124692015-01-23T14:48:03.408-05:002015-01-23T14:48:03.408-05:00Mr. Smith,
I believe you are quite wrong.
There ...Mr. Smith, <br /><br />I believe you are quite wrong.<br />There is law indeed <br /><br />http://www.empirejustice.org/issue-areas/disability-benefits/litigation-legal-updates/court-decisions/where-theres-smoke.html<br /><br /> and it clearly supports claimants who may be addicted to nicotine with severe or end stage COPD and any other disease. Failure to follow prescribed treatment is a rare and legally tenuous way for an ALJ to deny an appeal, or assert his bias for that matter. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-66873544905464461542015-01-23T14:08:55.322-05:002015-01-23T14:08:55.322-05:00@12:06
Don't obfuscate the COPD/smoking quest...@12:06<br /><br />Don't obfuscate the COPD/smoking question by pretending that such cases are disposed of based on "the ALJ's personal biases...instead of the law". There's obviously at least some "law" behind such considerations: namely SSR 82-59.<br /><br />Sympathetic to claimants' predicaments though I may be, i know i'm not the only claimant rep that doesnt want to see the rolls of this disability program filled with individuals engaging in actions that only exacerbate their disability, let alone using their benefits to subsidize that very behaviour.Anonymoushttps://www.blogger.com/profile/16749657789192685274noreply@blogger.comtag:blogger.com,1999:blog-19246708.post-59303641899357061532015-01-23T12:06:27.801-05:002015-01-23T12:06:27.801-05:00@11:13
It's an interesting question. Should A...@11:13<br /><br />It's an interesting question. Should ALJ's be entitled to find claimants not credible because of what might be either a long-term lifestyle choice or legal addiction (e.g. over-eating or smoking) contributed to their disability? If so, where do you draw the line? How about a person who worked too hard in stressful situations which exacerbated a heart condition or other medical impairment? <br /><br />My opinion is that engaging in that kind of credibility determination is a bad idea because it bases findings on ALJ's personal biases about particular activities instead of the law. COPD is an especially bad example because it is an incurable disease. Stopping smoking only slows its progress and smoking is often a powerful addiction. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-23820475980727471592015-01-23T11:37:10.024-05:002015-01-23T11:37:10.024-05:00"Give a scenario and then ask "Do you th..."Give a scenario and then ask "Do you think this person is disabled, meaning that they are unable to do ANY job?""<br /><br />Except for the problem that's "any job" not the definition of disability even for people with COPD and obesity.<br /><br /><br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-64609178493890725842015-01-23T11:19:23.464-05:002015-01-23T11:19:23.464-05:00There is a fundamental problem with the survey/que...There is a fundamental problem with the survey/question. <br /><br />Yes, I agree that we all tend to have bias. But let's phrase the survey differently...<br /><br />Give a scenario and then ask "Do you think this person is disabled, meaning that they are unable to do ANY job?"<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-19246708.post-15574295692284204232015-01-23T11:13:48.796-05:002015-01-23T11:13:48.796-05:00Well, in the case of smokers/COPD and obesity...ev...Well, in the case of smokers/COPD and obesity...even the most favorable ALJ's have a problem with that combo.Anonymousnoreply@blogger.com