Oct 3, 2017

New Social Security Ruling And It's Something Else

     From Social Security Ruling 17-4p to be published in the Federal Register tomorrow:
... We expect individuals to exercise their reasonable good faith judgment about what evidence “relates” to their disability claims. Evidence that may relate to whether or not a claimant is blind or disabled includes objective medical evidence, medical opinion evidence, other medical evidence, and evidence from nonmedical sources. ...
[W]e expect representatives to submit or inform us about written evidence as soon as they obtain or become aware of it. Representatives should not wait until 5 business days before the hearing to submit or inform us about written evidence unless they have compelling reasons for the delay (e.g., it was impractical to submit the evidence earlier because it was difficult to obtain or the representative was not aware of the evidence at an earlier date). In addition, it is only acceptable for a representative to inform us about evidence without submitting it if the representative shows that, despite good faith efforts, he or she could not obtain the evidence. Simply informing us of the existence of evidence without providing it or waiting until 5 days before a hearing to inform us about or provide evidence when it was otherwise available, may cause unreasonable delay to the processing of the claim, without good cause, and may be prejudicial to the fair and orderly conduct of our administrative proceedings. As such, this behavior could be found to violate our rules of conduct and could lead to sanction proceedings against the representative. ...
We will evaluate each circumstance on a case-by-case basis to determine whether to refer a possible violation of our rules to our Office of the General Counsel (OGC) . For example, in accordance with the regulatory interpretation discussed above, we may refer a possible violation of rules to OGC when:
  • a representative informs us about written evidence but refuses, without good cause, to make good faith efforts to obtain and timely submit the evidence;
  • a representative informs us about evidence that relates to a claim instead of acting with reasonable promptness to help obtain and timely submit the evidence to us;
  • the representative waits until 5 days before a hearing to provide or inform us of evidence when the evidence was known to the representative or available to provide to us at an earlier date;
  • the clients of a particular representative have a pattern of informing us about written evidence instead of making good-faith efforts to obtain and timely submit the evidence; or
  • any other occasion when a representative’s actions with regard to the submission of evidence may violate our rules for representative. ...
     I do not know if there is any practical way to notify the Social Security Administration immediately of the existence of new medical evidence. Am I supposed to send Social Security a notice about each visit my client has with a physician? Am I required to separately obtain a report on each physician visit? This appears to impose a duty upon an attorney to obtain every piece of medical evidence concerning a client -- including the hundreds, if not thousands, of pages of records generated by each hospitalization. The Ruling says we can't just inform Social Security of the existence of evidence. We have to obtain it and there is no limit upon this duty. How reasonable is this?
     I know there's some people that Social Security wants to put out of business. They probably deserve to be put out of business but this is over the top. No one will be able to strictly comply with this. No one.

Crime Doesn't Pay, Part Eleventy Million

     From the Worcester, Massachusetts Telegram:
A former Social Security Administration employee from Worcester who pleaded guilty in June to fraudulently disbursing thousands of dollars in government money in return for bribes was sentenced to 15 months in federal prison Friday. 

Julio Klapper, a married father of five who solicited sexual activity from a cooperating government witness while under investigation, told a judge Friday he was ashamed of his conduct and apologized. ... 

On June 10 Mr. Klapper pleaded guilty to a single count of bribery after federal investigators caught him in a 2016 attempt to funnel $8,600 to a claimant in exchange for $2,000. Separately from that offense, the government said, he funneled more than $70,000 to others between 2015 and 2016 in exchange for more than $15,000 in bribes. ...

Oct 2, 2017

Why Should Becoming Disabled Lead To Impoverishment?

     Eric Harwood has written a moving piece for the Washington Post about his struggles as he waited for Social Security to act on his disability claim. Here's an excerpt:
... My wife and I began selling our things. We had to sell our car, and I sold my motorcycle, which I had built from the ground up. It wasn’t anything special, nothing fancy; but it was something I put a lot of time and sweat in to. I sold it to cover living expenses for about four months. We sold our furniture, and my wife took her clothes to a secondhand consignment shop in Las Vegas to sell them, too. I had 23 remote-controlled cars that I had accumulated over many years — one of my hobbies. I had to sell the entire collection to make it by. Kitchen appliances and everything else we could think of to put up for sale went, too.
On Feb. 12, 2016, my wife and I officially became homeless. We decided to leave Nevada for Arizona, where we would move in with my wife’s parents. When we left our home, we rented a 17-foot U-Haul truck, and we didn’t even fill half of it. That was all we had left in our world. We also left behind my wife’s brand new business. But the worst part was leaving behind our grown daughter, the most important thing in both of our lives. We waved goodbye to her, and went to Arizona. ...
     By the way, the author and whoever at the Washington Post edited this piece seem to be confused about the difference between Medicare and Medicaid but there's nothing unusual about that.

Oct 1, 2017

People Worry


From a recent Harris Poll
From a recent Harris Poll

Sep 30, 2017

Social Security Disability Critic Appointed By Trump

     Richard Burkhauser has been appointed to the President's Council of Economic Advisers (CEO). I mention this because Burkhauser  has been a proponent of outlandish ideas for "reforming" Social Security disability benefits, such as forcing employers to pay disability benefits for the first two years and experience rating employers for the disability experience of their workers. These ideas would have devastating effects upon manufacturing,  construction, mining and other fields where there is a high incidence of disability. We need to help U.S. manufacturing, not place unnecessary burdens on it.
     I would not expect Burkhauser's appointment to have any effect upon Social Security. The ideas he has espoused in the past are complete non-starters with both Republicans and Democrats. Even if he had a plan that could conceivably be enacted, the CEO doesn't give him much of a platform for pushing his views on Social Security. It's not likely that the White House chief of staff would want him even trying.

Sep 29, 2017

The Struggle To Work As A Schizophrenic

     Erica Crompton has written a moving piece for the New York Times describing her struggle to work as a schizophrenic -- actually now her diagnosis is schizoaffective disorder but that doesn't affect the story.
     In reading this piece, you may want to say "See, that shows you can work even if you're a schizophrenic." However, her work history has been extremely fragmented. Fragmentation is an inevitable part of schizophrenia, affecting both work and private life. It's part of the disease. By the end of the story, Crompton isn't earning enough to support herself. Maybe most important, Crompton is a talented writer. She has had opportunities that are not open to the vast majority of schizophrenics and she still can't support herself.
     I've said it many times. Social Security ought to just go ahead and approve every last disability claim filed by a person suffering from schizophrenia or schizoaffective disorder. Very few people who suffer from either of these conditions are able to maintain regular employment for extended periods of time. Social Security approves a lot of these claims but not all.

Facing A Long Wait In Nashville

     From a television station in Nashville:
Across the nation 1.1 million Americans who are trying to claim their social security benefits are stuck in a backlog with an average wait of two years just for a hearing. In Tennessee that wait is more than a year long. 
Anita Robinson spent 41 years working as a nurse in middle Tennessee. Now she spends a lot of her time sorting through her manifold of medication. 
"Its just kind of lonely , I'm too young," Robinson said with tears in her eyes. 
Several years ago a doctor visit changed her life, turns out the rash on her foot was much more than it seemed. She was diagnosed with psoriatic arthritis and other immune disorders as well as lymphocytic colitis.  ...
"In 16 months I'll either be worse or dead," said Robinson. ...

Sep 28, 2017

H.R. 2792 Passes House

     From a press release:
On Thursday , September 28 , 2017, the House of Representatives approved by a vote of 224 to 171 an amended version of H.R. 2792 , a bill to cut off Supplemental Security Income (SSI) benefits entirely for certain people with disabilities, as well as seniors. The proposed cut would bar payment of SSI benefits to people with an outstanding arrest warrant for an alleged felony or for an alleged violation of probation or parole. 
H.R. 2792 would revive an old, failed policy that had catastrophic effects for many people with disabilities and seniors, employing procedures that did not withstand judicial scrutiny. This proposal would not help law enforcement secure arrests. The Social Security Act already prohibits payments to people fleeing from law enforcement to avoid prosecution or imprisonment. ...
Based on prior experience with SSA’s failed former policy, the people who would be affected are those whose cases are inactive and whom law enforcement is not pursuing. Most of the warrants in question are decades old and involve minor infractions, including warrants routinely issued when a person was unable to pay a fine or court fee, or a probation supervision fee. Many people are not even aware that a warrant was issued for them, as warrants are often not served on the individual. Some people will be swept up as a result of mistaken identity, or paperwork errors, which can take months or even years to resolve. ...