What Does "Relate To" Mean?

     From a section just added to Social Security's HALLEX Manual:

Last Update: 4/15/15 (Transmittal I-2-139)Before closing the hearing, the administrative law judge (ALJ) will remind the claimant that he or she must inform the ALJ about or submit, in its entirety, all evidence known to him or her that relates to whether he or she is blind or disabled. See 20 CFR 404.1512 and 416.912. If the claimant has a representative, then the ALJ will remind the representative that he or she must help the claimant obtain the information that the claimant must submit. See 20 CFR 404.1512, 404.1740, 416.912, and 416.1540. The ALJ must ask the claimant and the representative if they are aware of any additional evidence that relates to whether the claimant is blind or disabled.

25% Who Try To Use Social Security's Online Sytem Are Unable To Access Their Accounts

     At the end of a boring article about Acting Commissioner Colvin's visit to some Social Security offices in Utah, the Salt Lake Tribune relates a nugget of information. Social Security's online system "is so complicated and security so tight that about 25 percent of users who attempt to log on are not able to successfully access their accounts."

New Hematological Listings

     The Social Security Administration has adopted new Listings for hematological disorders.

USA! USA!

     The Guardian Newspaper of the United Kingdom decided to rank countries on their benefits for the unemployed and disabled. The U.S. came in last, after Russia and South Africa. Here are a couple of excerpts:

The US system of benefits for disabled people could be used as a cautionary tale for anyone who wants to know what happens when state financial support for citizens with physical or mental impairments is paired (sic) down to the minimum. ...

According to the OECD [Organization for Economic Cooperation and Development], SSDI payments average $1,140 per month (£777) and are much less than the benefits paid by most other advanced nations placing the US 30th out of 34 countries in international rankings. The US is also hovering towards the bottom of the league tables (27th) on the percentage of its GDP that goes on disability benefits (just 0.8% in 2009 compared to the UK’s 2.4%  ...

Intellectual Disability Diagnosis Standards Much Tougher In U.S. Than In Canada

     From The Star Phoenix of Saskatoon, Saskatchewan:

If you lived in Niagara Falls, Ont., and got benefits for an intellectual disability, then moved across the Canada-U.S. border to Niagara Falls, N.Y., you wouldn't get them.

Psychologists can use two different yardsticks to determine your IQ, which, in turn, determines whether you are considered to have a disability, which, in turn, determines whether you get a disability cheque in the mail every month.

One yardstick is Canadian, the other American. And research by Dr. Allyson Harrison, who heads the Regional Assessment and Resource Centre at Queen's University in Kingston, Ont., finds that five times more people are diagnosed with a disability when the Canadian yardstick, or standard, is used in tests than when the U.S. standard is used. ...

In a research study, Harrison administered the Wechsler Adult Intelligence Scale, Fourth Edition, (WAIS-IV) test to Ontario university students who had been referred to her by a doctor.

But because of how the test works - it's standardized, like SATs - their answers don't mean anything unless they are measured against a standard derived from test results of people in their own demographic as determined by gender, age and educational level. ...

Of Harrison's sample, 21.2 per cent qualify for disability cheques when they're scored using Canadian standards. Only 4.2 per cent qualify using the American standards. That number - 4.2 per cent - is what you'd expect in the population of college and university students she studied.

Every Candidate Needs To Take A Stand On Social Security

     You may not have noticed or cared but Chris Christie is running for President. As a lower tier candidate, Christie feels a need to be bold. He's decided to demonstrate his boldness by campaigning on cutting Social Security by means testing benefits, cutting the cost of living adjustment and raising the retirement age. Michael Hiltzik, at the LA Times finds Christie's plan offensive. So do I, but I'm also delighted that Christie is raising these issues. It will be good to see other candidates reacting to Christie's ideas. The Republican debates in Iowa and New Hampshire should be interesting. Any plan to cut Social Security turns off about 75% of voters. The 25% who favor Social Security cuts are pretty much the Republican base.

SRRT Jobs Disappearing

     From the Wall Street Journal:

The American labor market and middle class was once built on the routine job–workers showed up at factories and offices, took their places on the assembly line or the paper-pushing chain, did the same task over and over, and then went home.

New research from Henry Siu at the University of British Columbia and Nir Jaimovich from Duke University shows just how much the world of routine work has collapsed. The economists released a paper today, published by the centrist Democratic think tank Third Way, showing that over the course of the last two recessions and recoveries, a period beginning in 2001, the economy’s job growth has come entirely from nonroutine work. ... 

In the late 1980s, routine cognitive jobs were held by about 17% of the population and routine manual jobs by about 16%. Today, that’s declined to about 13.5% and 12%.

     What does this have to do with Social Security? A high percentage of people applying for Social Security disability benefits have low cognitive abilities as well as other physical or mental impairments. Often, these people are denied Social Security disability benefits based up a finding that work involving only "simple, routine, repetitive tasks" or SRRT is available that they can do. The SRRT category is also often used to deny people who have normal cognitive abilities but who have psychiatric problems. I've always thought that questionable since psychiatric problems mostly affect the ability to show up for work, get along with other people and concentrate upon the job at hand, all of which have little to do with the complexity of the work being performed but, rightly or wrongly, SRRT is used as a catchall category for many people with psychiatric problems. However, as this study shows, the SRRT jobs are disappearing. You can't "cure" low cognitive abilities in adults with education or training. It's a fixed limitation. If SRRT jobs are disappearing, Social Security ought to be approving more people limited to SRRT.

Validity Testing Recommended

     From Science Daily:

Broader use of standardized psychological testing for applicants submitting disability claims to the U.S. Social Security Administration (SSA) should improve the accuracy and consistency of disability determinations, says a new report from the Institute of Medicine. Some proponents of mandatory psychological testing, in particular validity testing, for SSA disability applicants argue that it would result in a significant reduction of individuals allowed onto the benefits rolls and a substantial cost savings. The committee that conducted the study and wrote the report said the data necessary to accurately assess the effects on the rolls or calculate financial costs and benefits are limited, and estimates based on available data are subject to considerable error.  ...

Cognitive psychological tests are performance-based and have people answer questions and solve problems as well as they possibly can. Non-cognitive psychological tests are measures of typical behavior -- such as personality, interests, values, and attitudes. Validity tests can be used in conjunction with these standardized psychological tests to assess whether a test-taker is exerting sufficient effort to perform well, responding to the best of his or her capability, or providing an accurate report of his or her symptoms. ...

The committee recommended that under specified conditions, SSA should require standardized, non-cognitive psychological testing for all applicants whose allegation of non-cognitive functional impairment relates to a mental disorder unaccompanied by cognitive complaints or to a disorder with physical symptoms that are disproportionate to the medical findings. Testing should be required when the allegation is based primarily on the applicant's self-reporting of symptoms and is not accompanied by objective medical evidence or longitudinal medical records sufficient to make a disability determination. In addition, the SSA should require standardized cognitive testing be included in the case record for all applicants whose allegation of cognitive impairment is not accompanied by objective medical evidence. ...