The key to making a convincing argument is to have a study, based on a large enough sample to make the conclusions of the study reliable. In addition the rules of the study must be sound and reproducible. One cannot simply state that because the number of people on Social Security Disability has increased in the past 6 years, that there is fraud in the system. If I, for instance, who has 25 years of experience representing claimants before the Social Security Administration, say that I can only remember a handful of claimants that I believed was attempting to defraud the system, that that then means that very few people are trying to defraud the system. My experience may or may not be average, but it cannot be used to state that there is no fraud in the system
Likewise, the Senator who was interviewed cannot state with any degree of certainty that because his research turned up what he termed fraud in a high percentage of the cases he reviewed that there is a high percentage of fraud in the system. The 60 Minutes story intimated that the Senator’s sample was small. We have no idea upon what basis the Senator’s staffers (Presumably persons with no medical training or experience with disability claims) conclude that any of the claims they reviewed were fraudulent. The Senator, and 60 Minutes for that matter, would have us believe that just because they say so, their assumptions are correct.
The 60 Minutes story on Social Security Disability is provocative. I am glad that our leaders are doing all they can to make sure that the system serves those who need assistance. However, the story itself did very little to convince me that we are in a crisis. In fact the only thing of which it convinced me, something I already know, is that big government programs need to be kept under scrutiny at all times.
When reviewing a social security application, the Commissioner of the Social Security Administration, by and through her employees, uses a five step process to determine whether an individual is disabled. The last step in the process seeks to determine the claimants residual functional capacity and then determine whether that person can do any work. The Social Security Administration is concerned whether the applicant can still perform the job they used to perform. If the applicant can perform the physical requirements of their former work, then they will not be found disabled. Not surprisingly, applicants generally are not capable of performing their past job. This does not mean, however, that the applicant is disabled. The Social Security Administration will have to decide whether there is any other work the applicant can perform. If not, the applicant will be found to be disabled. If so, the applicant will be found not to be disabled.
First one files and application. It generally takes three to four months to process the application. If the application is denied, the applicant must appeal that decision by filing a Request for reconsideration. It takes, again, about three to four months to process this appeal. If the Request for Reconsideration is denied, the applicant must file a second appeal known as the Request for hearing Before Administrative Law Judge. It generally takes 10-14 months to process this appeal to the point of having a hearing. If the Judge denies the appeal, the applicant must file an appeal to the Appeals Council. This process takes anywhere from a couple months to 14 months to complete. If this appeal is denied, the applicant must file an appeal in the Federal District Court. This process can take 4-8 months. If this appeal is denied, the applicant can file an appeal to the 7th Circuit Court of Appeals.
Can You Get Medical Disability Benefits?
The Short answer is no. First, your disability does not have to be permanent to receive Social Security Disability Benefits. The standard used by the Social Security Administration to determine one’s eligibility for Disability Benefits is whether the disabling condition is likely to last more than 12 months. If your condition is expected to last more than 12 months, but may resolve at a later date, then I suggest that you file at your earliest possible opportunity.
The recent AP article(s) (House investigators: Social Security lax in judging disability claims; fund nearing insolvency; and/or Judges: Social Security pushes approval of claims, Associated Press, June 24 and/or June 27
I just got off the phone with one of my
One of the most repeated comments I hear from people making claim for Title II Social Security Disability Benefits is that the Social Security Administration Application and Appeals process takes so long the administration must think it is the governments money. I fully understand their frustration. Title II Social Security Disability Benefits (SSDI) are earned by the American worker. Each week tax, in the form of the FICA tax, is withheld from every paycheck. For those who are self employed the money is with held through the Self Employment tax. The government does not ask the worker if they want to contribute, they simply force the contribution. Most workers do not begrudge the withholding because they know they are supporting the generation that did so much for us. However, it is frustrating when I hear pundits and talking heads on radio programs refer to SSDI as an entitlement. It is the money of the worker, earned through sweat of the brow. They earned every penny and are owed that money. It is not a gift. It is not welfare. It is their money.
You meet your burden of proving that you have one of the listed medical conditions, and that it is severe by providing medical documentation. The idea is that if you are that sick, you will be seeing a doctor, and your records will confirm the diagnosis and severity. On the other hand, if you claim to be disabled, but you have not seen a doctor, you are unlikely to meet your burden of proving that you are disabled.
First, the rules which cover eligibility for a child on the parent’s earnings history are found in 20 CFR parts 400-499. More specifically the rules are found at 20 CFR Section 404.350. Generally to be eligible under these provisions you must be the child of a covered individual who has either died or is currently receiving SSDI or retirement benefits. You must be either under 18, or you are 18 or older and your disability began before you turned 22 or you are 18 or older and qualify as a full time student under section404.367. Of course you also have to apply under the parents social security number. Other rules do apply, but a complete description in the blog would take several pages.
You have a disease or injury or illness. You realize you can no longer work. You know you have to file for Social Security Disability, but you are not sure of the first step. Most people assume that the first step is to actually file for the
If you or a loved one has suffered a Brain injury, the law provides two potential remedies for the injury. The first remedy depends on whether the injury was the result of a negligent act of another person. Examples of negligent actions which might cause a brain injury a auto mobile collisions, motor cycle crashes, drunk driving accidents, semi tractor-trailer collisions, slips and falls, and many more. We have been representing Hoosiers coping with brain injury for more than 25 years. 