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15 April 2006

Double-Crossing Boarders

The Emergency Medical Treatment and Active Labor Act , (EMTALA), also known as the patient anti-dumping law, plus the non-enforcement of legal immigration law, is literally draining the life out of Social Security disability beneficiaries, as well as taxpayers, making them sacrificial animals to the state.

EMTALA dictates that emergency room staff must treat patients who show up on their doorsteps, regardless of their ability to pay. Enacted in 1985, this edict is an unfunded mandate, meaning no federal or state taxes are allocated to compensate medical centers for their expertise and time expended on treating those who are not able to pay for those services. Heavy fines are imposed on medical organizations who do not comply.

As evidenced by the 60 California hospital bankruptcies between 1993 and 2003, any medical treatment facility offering emergency treatment enters into a suicide pact with the state because of the huge impact of between 8.7 and 11 million illegal aliens who have been allowed to cross our borders, set up housekeeping, and have babies. 24 more hospitals were on the verge of closing their doors after 2003.

The Los Angeles County Trauma Care Network consisted of 22 hospitals, state-of-the-art equipment, superior emergency physicians, surgeons, specialists, nurses, and technicians. It offered 365-day, round-the-clock emergency care for people suffering life-threatening car crashes, industrial accidents, urban crime, natural disasters such as earthquake and wildfire, or terrorism. Now, most trauma hospitals have left the network, and so have many emergency physicians and surgeons. EMTALA ontributed to the Trauma Care Network’s loss of focus and loss of money.

The Federation for American Immigration Reform (FAIR) estimates that between 287,000 and 363,000 children are born to illegal aliens each year. In 1994, California paid for 74,987 deliveries to illegal alien mothers, at a total cost of $215.2 million (an average of $2,842 per delivery). Illegal alien mothers accounted for 36 percent of all MediCal funded births in California that year.

Madeleine Pelner Cosman, Ph.D., Esq., a medical lawyer who has taught medical students at the City University of New York, cites in her piece, “Illegal Aliens and American Medicine”, the Silverio family, receives benefits for 2 anchor babies, Flor and Christian. In 2003, they were paid $12,000. Flor gets $600 per month for her asthma; Christian gets $400. Christobal and Felipa earn $18,000 a year picking fruit. This family of illegal aliens has a total income of over $30,000.

Anchor babies are those children born to illegal aliens through a misinterpretation of immigration law, which anoints those babies American citizens. FAIR explains, “Each year, thousands of women enter the United States illegally to give birth, knowing that their child will thus have U.S. citizenship. Their children immediately qualify for a slew of federal, state, and local benefit programs. In addition, when the children turn 21, they can sponsor the immigration of other relatives, becoming ‘anchor babies’ for an entire clan.”
Says Cosman: “When the Fourteenth Amendment was ratified, its purpose was to assure rights of freedom and citizenship to newly emancipated Negro citizens. American Indians, however, were excluded from American citizenship because of their tribal jurisdiction. Also not subject to American jurisdiction were foreign visitors, ambassadors, consuls, and their babies born here. For citizenship, the person was required to submit to complete, exclusive American jurisdiction, owing allegiance to no other nation.
“Long ago the Supreme Court correctly confirmed this restricted interpretation of citizenship in the so-called .Slaughter-House cases. [83 US 36 (1873)] and in Elk v. Wilkins [112 US 94 (1884)]. In Slaughter-House the phrase ’subject to its jurisdiction’ excluded from its operation children of ministers, consuls, and citizens of foreign states born within the United States.. In Elk, the American Indian claimant was born in America, but considered not an American citizen because the law required him to be .not merely subject in some respect or degree to the jurisdiction of the United States, but completely subject to their political jurisdiction and owing them direct and immediate allegiance. To obtain citizenship, an American Indian had to separate from his tribe and be accepted by the United States as a citizen. A special act of Congress was needed to grant full citizenship to American Indians.
“The Citizens Act of 1924, codified in 8USCS§1401, provides that: The following shall be nationals and citizens of the United States at birth:
(a) a person born in the United States and subject to the jurisdiction thereof;
(b) a person born in the United States to a member of an Indian, Eskimo, Aleutian, or other aboriginal tribe.
“Congress, by legislation, has the right to create uniform rules on naturalization, and to create dual citizenship and similar variations upon jurisdiction. We must be vigilant against congressmen voting to extend the list of those born here to include illegal aliens or other lawbreakers, conferring American citizenship and its generous social and medical benefits on babies born to criminals. It is irrelevant that some lawbreakers are hard-working women willing to do hard jobs for low pay, or that they are wives, daughters, cousins, lovers, or concubines of men willing to do America’s hard work. Gravid wombs should not guarantee free medical care and instant infant citizenship in America. We must reestablish the original limits on citizenship, and remove incentives for indigent Mexicans and others to break America’s immigration law. Proud legal immigrants applaud order, reason, and law.”

The result of this misinterpretation of immigration law is that the finest medical care in the world is denied Social Security disability recipients (those who have a solid work record and have paid FICA taxes) and SSI (disability benefits paid out of the general fund of taxpayer revenue to those who have not paid FICA taxes, are basically broke and suffer from medical conditions which are so severe they preclude all work in a competitive job market.).

Says Cosman, “Immigrants on SSI, including legal aliens, refugees, and illegals with fraudulent Social Security cards, numbered a mere 127,900 aliens (3.3 percent of recipients) in 1982. By 1992 the numbers expanded to 601,430 entitled (10.9 percent of recipients). In 2003, this figure was several million (about 25 percent of recipients).”

By law, Social Security disability and SSI beneficiaries are evaluated every 2 years to determine if they continue to suffer from medical conditions which would make it impossible for them to perform any work in the economy.

On average, 150,000 disability recipients are terminated because of death every year, 300,000 are converted from disability status to retirement status, and 400,000 are terminated because they recovered enough to be able to work.

After 1995, there has been a noticeable decline in the death rate, especially among males, due to the rapidly diminishing impact of HIV-related impairments and the elimination of drug-addiction and alcoholism as material causes for disability. However, major reviews of the disability rolls were initiated during the Reagan administration, which found that a “large number of cases in which it was determined that recovery had occurred.”

What Cosman does not mention is that an inability to speak and write English radically diminishes the work capacity of a disability claimant under SSA disability law. Thus, two claimants with the same impairment and age – one who has been educated in America, the other who was educated in Mexico, get radically different outcomes: The English-speaking patient is denied, and the Spanish speaking patient is paid disability benefits. Legal representatives of those who claim disability, and are not able to speak English have built huge practices based on invoking this SSA disability rule.

What Cosman does point out is that many illegal aliens who pass our borders carry with them fatal diseases which are unknown to American citizens, or have been largely eradicated by our superior medical technology. They include drug-resistant tuberculosis, malaria, leprosy, plague, polio, dengue, and Chagas disease.

Dr. Cosman explains, “The National Immigration Law Center (NILC) proudly announced that it garnered for immigrants expensive cancer treatments, prenatal care, and critical health services by means of its litigation. Sometimes NILC worked in collaboration with lawyers from the American Civil Liberties Union and the Mexican American Legal Defense and Education Fund. Though the 1996 Welfare Reform Legislation reduced all welfare payments to all recipients nationwide, NILC cleverly managed to restore to its constituency of legal and illegal immigrants: $12 billion in Supplemental Security Income, and more than $800 million in food stamps. For many illegal aliens, America is land of the victim and home of the entitled.”

This entitlement injustice is being accomplished with the point of a gun at the taxpayer’s head. The failure to enforce federal immigration law, plus enforced medical treatment rules, are simultaneously draining the life out of Social Security disability patients who might recover with the application of our top notch medical technology, and become productive again.

All American taxpayers have been turned into sacrificial lambs at the hands of the federal government, whose primary responsibility and duty is to protect us from foreign invaders. The fact that these invaders carry no guns makes them no less a threat to our security since economic strength is a major component of a nation’s ability to protect its citizens through control of its borders.

The facts lead to the inescapable conclusion that we must close our borders, grant no new amnesties, and rescind citizenship to those who have not complied with immigration law after giving them sufficient time to do so, and punish those who have aided and abetted those who choose not to comply with our immigration laws.

14 February 2006

Announcing a Quick Quiz to Discover Your Chances of Winning Social Security Disability Claim

For the first time, patients can take a quick quiz to learn how successful they might be in a potential or current Social Security disability claim. The quiz was developed by culling results of over 1,000 cases, and detailed psychological testing by a licensed psychologist and vocational expert who testifies for the Social Security Administration, as well as for advocate representatives.

Authored by a practicing advocate representative who has handled over 1,000 patients trying to get Social Security disability benefits, this short quiz helps the claimant determine the crucial issues the Administration considers in making its disability determinations at the hearing level.

The questions and answers strip away the extraneous and get down to the key issues the Administration considers in making its disability determinations, whether the medical problems are physical or mental.

With the exception of 2 of the 27 quiz questions, there are no wrong answers. The closer your answers get to 100%, the greater your chances of being awarded benefits. You will need to get a score of at least 65.38% to be reasonably certain you will be granted benefits. The author cautions the quiz taker against taking the answers out of context, and emphasizes that medical professionals must have named the issues involved, and affirm that the symptoms and effects are accurate with a reasonable degree of medical certainty. The link to the quiz is http://www.socialsecuritydisablty.com/ssdisabilityevaluator.htm.


Frederick A. Johnson, who is also author of “How To Apply For & Win Social Security Disability Benefits,” published with updates since 1994, happened into the unique situation of arguing his cases before an Administrative Law Judge in the Baltimore Office of Hearings & Appeals who held “court” by inviting 4 and 5 representatives into his chambers at the same time. Those who were privy to this hands-on laboratory were able to experience transparent adjudication where all legal pitfalls were named and resolved on the spot. If medical substantiation was insufficient, then the ALJ permitted a continuation of the “hearing” which would allow the representative enough time to get the documents needed to prove disability.

Johnson also brings to the expertise mix his medical training and experience as a Hospital Corpsman in the Navy, where he cared for patients in the intensive care unit, ER, recovery room, surgical wards, and psychiatric wards at the National Naval Medical Center in Bethesda, Maryland.

01 October 2005

Katrina Casualties Could Speed Bankruptcy of Social Security Disability Programs As Soon As 2008

If past studies of disaster survivors are valid, as many as seventy-four
percent of the 1.3 million Katrina survivors could develop long-term
depression and posttraumatic stress disorder (PTSD), making them eligible
for Social Security disability benefits.

Two devastating earthquakes hit Turkey in 1999. The first quake left
17,000 people dead and tens of thousands homeless. The second killed
hundreds more. (BBC News, 11/24/99)

Two studies of the long-term psychological effects of survivors have been published; one in the Journal of Traumatic Stress (August 2002), the other
in The Journal of Nervous and Mental Disease (March 2003). The first study
of 1,000 survivors found that the rates of PTSD and depression were 43% and
31% respectively. The second ,with a group of 500 individuals, found rates
of 39% and 18%, respectively.

Both studies found that the most severe occurrences of depression and PTSD
were those who were female, of advanced age, had participated in rescue work,
lost a family member, had past psychiatric illness, and lower education.

Lorraine Sherr, a consultant clinical psychologist at the Royal Free Hospital
of London, said after the Turkey earthquakes, “The most difficult things to
cope with after a tragedy are the feelings generated because you have survived
while others have not. Also, there has to be a realization that life will
never be the same again.”

Dr. Peter Hodgkinson from the Centre For Crisis Psychology in North Yorkshire said, “Death in war can be given some meaning if there is a feeling that the
victim was fighting for a cause. But, with a natural disaster on this scale,
there is a sense of hopelessness, of being totally overwhelmed by the force of nature.” (BBC News, August 23, 1999)

In a statement released in 2003, the Social Security Administration
reported that as of August of that year, monthly benefits were being paid
to 498 individuals disabled by the terrorist attacks of 9/11, and 81 of their
dependent spouses or children for a total of $3 million per month. The
Administration received 5,629 individual benefit claims from 2,281 families.
The official number killed is 2,948. Benefits are being paid to 2,375 surviving
children and surviving spouses—an average of $28,210 per person. One-time
payments were made to 1,800 members of victims’ families. As of August 2003,
nearly $67 million in benefits had been paid to people affected
by the September 11th tragedies.

If the 18% of victims paid for disability as a result of 9/11 holds true to the Katrina disaster, then 234,000 survivors would receive Social Security disability benefits. But, if the lower percentages of victims revealed in the 2nd study of Turkey earthquake survivors is used, then 57% --741,000 -- of the Katrina victims would qualify for Social Security disability benefits on the basis of depression
and PTSD. If the higher percentages uncovered in the first Turkey earthquake are used, then as many as 962,000 could qualify for the long-term effects of PTSD and depression.

Cultural differences between Izmir, Turkey and the United States’ deep south, however, could change the percentages significantly. Peter Wilson, Public
Relations Manager for the American Psychological Association, suggested that
a more valid benchmark would be the 9-11 tragedy. But, those for whom
depression and PTSD would be the most severe would remain the same as those identified in the Turkey studies: female, advanced age, participation in rescue work, death of a family member, past psychiatric illness, and lower education.

Between 8% and 15% of the population in the U.S. has latent depression, just waiting for an event to bring it to the point where it becomes incapacitating. 2000 census data provides us with additional relevant data. To wit: 2 out of every 5 disabled individuals live in the South. This is a higher incidence than anywhere else in the U.S. Education levels for the states of Alabama, Louisiana, and Mississippi are among the lowest in the country with those states obtaining a rank of 40, 42, and 48, respectively among persons 25+ years old with a bachelor’s degree or more.

The Social Security Administration declined to offer any projection, saying, “We don’t do projections; we wait until the numbers come in.” I hold that that policy succinctly names why the Social Security Administration is in so much trouble now.

At the rate of $3 million per month for every 498 individuals, the Administration is on the hook for $1.4 billion per month -- $16.8 billion per year-- in disability benefits. If the higher percentages are used, then $5.8 million per month –$69.6 billion per year in disability benefits will be paid to the survivors. Using the lower numbers, this would increase SSA’s payout by 16% in one year.

Or, if we use SSA’s $67,000,000 per 24 months per 3,000 victims, the picture becomes even darker: a $149.3 billion increase in one year – one and one-half times the current payout. The Administration now sends $100 billion a year to 10 million people. Add to this the 15 million (20%)out of 76 million baby boomers who will become disabled over the next 10 years, then the inescapable conclusion is that the Administration will run out of enough workers to pay for the disabled and retiring at least 4 years sooner than the 2012 year previously forecast by the Government Accounting Office (GAO).



Frederick A. Johnson has been helping the disabled get Social Security disability benefits since 1989. He is author of, “How To Apply For & Win Social Security Disability Benefits” published with yearly updates since 1994.
(ISBN: 1-888752-28-9) www.socialsecuritydisablty.com


Copyright 2005, March 3rd Books. All rights reserved. Reproduction in whole
or in part is prohibited. If you are interested in any of this material, please
contact us with the details to request permission. Thank you. ssdwin@comcast.net

21 August 2005

Deception, Fraud in Social Security Administration

An audit of the Social Security Administration by the Office of the Inspector General (OIG) two years ago uncovered some very disturbing and damning facts.

Among them are:
·Hundreds of pieces of unopened mail;

·Over a thousand disability cases not recorded in the
Hearing Office Tracking System;

·Significant processing delays, including an average of
336 days to process claims at the Hearing level.

For the first time, the OIG monitored individual disability cases, which included a man in Houston who was awarded disability benefits based on his mental impairments. OIG found that the individual’s impairments were cloaked by his mother who concealed that her son was an honors student with a Bachelor’s degree, honored cum laude.

Other instances of fraud and deception are: a woman in Chicago who claimed statutory blindness, claiming she could not dress herself, brush her hair, or raise her arms above her head. An anonymous call revealed that she was working.

In St. Louis, SSI disability checks were being cashed by a woman’s former husband, despite the fact that she had been murdered. The man arranged that her checks be held at the Post Office, where he forged her signature, and deposited them in his second wife’s checking account. The man was convicted of capital murder, sentenced to life without the possibility of parole.

In Nashville, a woman feigned mental impairments, stating she was confused and unable to concentrate, work, or leave her home. DDS suspected the woman was exaggerating her disability and referred the matter for investigation. Her claim was denied.

OIG found that several of the fraudulent SSI claims began in the ‘70’s and ‘80’s, and resulted in 35 arrests, 24 felony convictions, and court-ordered restitutions, forfeitures, and judgments. Many of those convicted were also incarcerated.

OIG is working in conjunction with SSA’s Office of Disability Cooperative Disability Investigations, or CDI. According to OIG, CDI efforts have resulted in over $268 million in projected savings to SSA Title II and Title XVI disability programs and over $146 million in projected savings to non-SSA programs. In fiscal year 2003, the CDI units saved around $268 million in projected savings to SSA, and over $146 million in projected saving to non-SSA programs. CDI claims it saved about $100 million by identifying fraud and abuse in the disability program.

In fiscal year 2002, SSA processed over 2.3 million initial disability claims with an average processing time of 336 days. As a result of concerns about the timeliness and quality of service, SSA has tested several improvements in the disability claims process, but none of them have been proven to accomplish their goal.

In fiscal year 2002, SSA issued $483 billion in benefit payments to 53.1 million beneficiaries.

Whatever the deception and fraud committed by the disabled, however, I submit the greater amount of deception is being conducted by SSA, causing even more destitution than would be brought upon those too sick to work, than what a privatized system would provide.

Ask Bob Docket (not his real name). "My wife Anna first applied for disability back in '1985. And, her claim was denied time and time again. Because of long delays and repeated denials by the Social Security Administration for disability benefits, we experienced severe financial problems.
“The first thing to go was our savings in our attempt to hold onto our little part of the ‘American Dream,’ our home in Glyndon, Maryland. Then we lost our car, then our credit, then our home. We were forced to sell our home at a considerable loss.
“The medical bills kept coming, as did all the other bills as well as law suits by creditors for their money. We were eventually forced into bankruptcy. In the meantime, Social Security kept denying Anna’s claim.
“While I never told my wife or let on how I really felt, I had considered suicide. How could our country do this to our family? I even drove up on the main span of Key Bridge, parked my car and went over to the rail and stared out into the cold midnight water.”

All of this suffering simply because incompetent or devious SSA workers continually told him to reapply instead of appeal. The obscenity is that this gross injustice is being meted out with the claimants' own legally expropriated money.

Originally sold to the public as "insurance" by Franklin D. Roosevelt, Social Security was touted as the cure for destitution in old age, and in the event of a working adult becoming so disabled that he or she is not able to work. As with most all government “protection" programs, they become the cause of the problems they are intended to solve.


For more information, contact Frederick A. Johnson: ssdwin@comcast.net or 1-877-9 DISABILITY. Web Site: http://www.socialsecuritydisablty.com. The author is a practicing legal representative for the Social Security Disability claimant who has handled over 1,000 cases over the past 15 years. He also has medical training and experience, which makes it possible for him to integrate both areas of knowledge into a document which is easy to understand on both levels.

10 August 2005

The Good, The Bad & The Ugly


3 Classifications Of
Administrative Law Judges In
Social Security Disability Cases

(This is an adaptation of a dialogue I wrote on a private talk list forum for Social Security disability representatives.)

Over many years I have seen a lot of representatives ask questions about the numbers of jobs vocational experts (VEs) testify to under a set of limitations the ALJ accepts.

However, the latest dialogue among representatives has confirmed for me that those who depend on winning a case based on tearing apart a VE's testimony are, in the words of an ALJ I appeared before 10 years ago, trying to dance too many fairies on the head of a pin.

The fundamental issue is functionality, functionality, functionality.

A representative’s job is to shut down the VE. That means you provide substantial evidence which renders the VE pointless and irrelevant. Since the ALJ is not qualified to make medical judgments, the doc's testimony through a residual functional capacity assessment reigns.

Shutting down the VE is accomplished by getting the treating physician to state that (1) his or her patient is not able to think and concentrate for at least 20% of the time due to pain, and/or a reduction of mental acuity due to the side effects of prescribed medications -- with a commensurate loss of productivity. (2) The patient suffers from pain at least a 6 level on a scale of 1 to 10, (3) If your client were placed in a work situation, then he or she would need to take frequent and unscheduled breaks lasting 10 minutes each time; (4) your client is unable to use his or her arms for frequent reaching; or he or she is not able to use his or her hands for grasping and/or fingering; your client would be absent from work as a result of his or her symptoms more than 3 times a month; (5) your client needs to take naps during the day to relieve pain and discomfort.

It's also critical to keep in mind that a patient client would be looking for a job in a competitive, able-bodied marketplace.

If your ALJ is intellectually honest, then he or she will pay you based on the residual functional capacity assessment which is backed by the medical evidence.

If all of the above is accomplished, and the ALJ turns to the VE to answer a hypothetical patient who does not include all the clear limitations you have, then you're probably dealing with a hanging judge. In which case, you can't do much else than you've already done.

However, if you're with an intellectually honest judge, he or she will usually go through the motions of asking the VE hypothetical questions which will obviously elicit a response of "no jobs."

My point is that if your representative gets into a pissing match with the VE over how many jobs there are in the economy that a patient can do, then you need to take a very hard look at the merits of your case.

The third category of ALJs are those who are intellectually dishonest and deny everyone – in which case you'll have to take your case to the Appeals Council.



About The Author: Frederick A. Johnson is author of “How To Apply For & Win Social Security Disability Benefits,” published with updates every year since 1994. He has handled over 1000 Social Security disability cases since 1990 and has won over 96% of them.

09 August 2005

Doing The Math Exposes Fatal Fallacy Of A Government-Run Social Security System

For the purpose of constructing a model which excludes the fact that the number of workers (who pay the bill) is less than the number of retirees (who collect via SSA from the workers), consider the following:

Start with an eighteen-year old entering the workforce today earning a $10,712 annual minimum wage until retirement at age sixty-seven. 10.6% of his wages would be paid into payroll taxes for the retirement portion of Social Security ($1,135/year).

If 100% of his previously forced payments were instead paid into a private account at a 6% constant-dollar rate of return (which is below the historical norm) then this yields a $359,406 retirement fund.

If we apply the government's Thrift Savings Plan calculator http://www.tsp.gov/) with its historically low 4.25% annuity interest rate, the fund can buy a lifetime annuity paying $2,073/month, with COLA, which is more than twice what the worker earned while working.

On the other hand, Social Security promises about $590/month, 72% less than the private example. This individual would only get $413 per month – 20% of the private annuity.

So, Social Security is actually detrimental to the very people it purports to help. The Social Security Act was made a law on the basis that it would provide a safety net to those who are too old or too sick to work. But, as demonstrated above, the opposite is true; it cripples the very people it is supposed to help.

07 August 2005

Backlog At Near-Crisis Levels Despite 10% Increase In Output

The Social Security Administration has just released ALJ disability case output figures over the last 5 years.

Allowance (paid) and denial numbers have stayed within 4% over the last 5 years. Allowances have increased from 57% in 2000 to 61% in 2004, while denials have decreased from 29% to 25% between 2000 and 2004.

The total number of cases handled over the last 5 years has increased 10%, from 451,342 in 2000 to 497,379 in 2004.

The number of dismissals over that period have increased 13.5% between 2000 to 2004, from 56,630 to 64,294.

Since November of 2000, SSA has been testing a program which is intended to streamline the disability process. As conceived, the program is supposed to designate a single claims manager to oversee and decide the merits of a case, eliminate the Reconsideration step, and put into effect a system at the hearing level which would expedite case handling.

The hearing processing improvement test has demonstrated that instead of speeding up the decision process, it has slowed processing time from 336 days to 440 days. The backlog of cases “is rapidly approaching crisis levels,” according to a the latest Government Accounting Office (GAO) report.

Decision-making has slowed 26% (485,228 cases), increasing the number of pending cases between 2003 and 2004 to a 41% increase. Over this same period, the receipt of new cases was only 5.7%.

The GAO lays the blame for failure to implementing large-scale changes too quickly without resolving known problems that surfaced, poorly timed and insufficient staff training, and the
lack of crucial automated functions.

According to the GAO, a major problem is not enough trained people are assigned to pulling files for discovery of those cases which could be awarded benefits without a hearing. The immediate “fix” for this problem is to hire private subcontractors to pull files.

What the GAO is cloaking is the fact that incompetent government employees cannot be fired. The incompetence is rife. From those on the front lines at the universal 800 number to those on the front lines at the field offices, they are lacking in knowledge and impose their ignorance on severely ill patients who are trying to access the relief the Social Security Act has promised.

23 July 2005

SSA Causing Destitution, Not Preventing It

If Social Security Is a Safety Net,
Then RoseanneBarr Can Sing The Star Spangled Banner



CHEWELAH, WA. David Michaelis felt the symptomsof a rare neuromuscular disease in October of ’02. The condition causes involuntary movements of the head and neck,which destroys the ability to coordinate eye-hand movements. Considerable pain accompanies this disorder,and pain, plus muscle spasms reduce the individual’s energy and ability tofunction as a day wears on. Patientsfind that the best thing to do is lie down several times during the day to easethe pain and fatigue, and sometimes, the involuntary twisting. The best treatment is Botox injectionsdirectly into the affected neck muscles, which, to widely-varying degrees,reduces some of the pain and involuntary twisting of the head and neck. The treatments cost between $1200 and $1800,and must be repeated every 3 months.



Because the condition affects only 3 people outof 10,000, doctors are slow to recognize the symptoms as those belonging to thedisorder – spasmodic torticollis (ST). So, Mr. Michaelis shuffled from doctor to doctor, and evaluation afterevaluation until one of them identified it correctly 9 months after the onsetof symptoms.



But it took only 5 months after onset for thepain, fatigue, and involuntary movements to bring the 44 year old to theinescapable conclusion that he could not work at his job as a cabinetmaker. He left his job for good onMarch 10th, ’03.



Three months later, he filed for Social Securitydisability benefits. His first denialcame quickly -- only one monthlater. He appealed and was denied againon October 24th. Anotherappeal was filed on November 12th, asking that his case be heard by an Administrative Law Judge.



In the meantime, he and his wife were living offof credit cards. His wife worked parttime at a consignment store part time.



At this point, the previous efficiency of SocialSecurity review and evaluation ended. Month after month went by with the only communication from SSA being aletter reporting that the hearing office had received his file. Calls by his representative to the hearing office yielded little clue abouthow soon his case would be scheduled to be heard.



A year went by without anyone at the hearingoffice revealing when a hearing would take place. Mr. Michaelis was at the end of his financial rope, at risk of losing his home. He was left with the only alternative toprotect what was left: bankruptcy.



In the meantime, on January 7th ’05,his representative asked the hearing office to classify his case as criticalbased on impending bankruptcy, hoping to speed up the process.



Additionally, he asked for a favorable decisionwithout holding a hearing. It was clearfrom the medical reports that Mr. Michaelis’ medical problems fell into acategory that SSA recognizes as being severe enough to allow benefits to bepaid. No response.



Not until May did the hearing office schedule ahearing for July 6th. Remarkably, Mr.Michaelis got his 5 page favorable decision 4 days later. This means the hearing office had written thedecision before the hearing; Judge Mary B. Reed had decided in Mr. Michaelis’favor long before the hearing, but sat on it despite labeling the case ascritical.



SSA’s stated policy is to classify a case ascritical for 4 reasons: impendingdeath, imminent foreclosure or eviction, imminent bankruptcy, or excessivedelay of adjudication. Additionally,SSA’s much-touted policy states, we want to pay everyone right away who meetsor equals our standards for disability.



The facts point to the opposite.


According to an AP report early in 2004, a woman from Pemberville, Ohio,south of Toledo, wrote U.S. Sen. George Voinovich in desperation while waitingfor her case to be processed after she lost her job, her house, and most of hersavings after suffering a brain stem stroke in 2002.


AP reports, “In ’04, the average national wait to resolve a disabilityappeal was a year. In Ohio, the wait is even longer. Those who appeal inCleveland are now waiting 18 months to resolve their claims. In Columbus andCincinnati the wait is 13 to 15 months, Voinovich said.


" ‘The disability process should be so efficient that members ofCongress don't have to intervene on behalf of people who are not satisfied,’said Voinovich, a Cleveland Republican.


“About 8.6 million disabled workers and their dependents and survivorsreceived more than $85 billion in disability benefits last year.


“SSA Commissioner Jo Anne Barnhart said she's taking several measures tospeed up the process of appealing the claim, including an electronic filingsystem that will be in Ohio by June [of ‘04], reducing the wait by 25 percent.


“Barnhart has been working on the backlog since she became commissionerin late 2001. An assessment made shortly after she began showed the time froman initial claim through a final appeal was more than three years.”


But, since that time, backlogs have increased. The agency which was created to provide a safety net for thosewho are too old and too sick to work, is now causing destitution.


Noris this the first time SSA has attempted to move to an electronic, paperless system. The ReengineeredDisability System, which the SSA began in 1992, was abandoned after seven yearsand an investment of about $71 million. In 2000, SSA took up the effort againunder an accelerated schedule. SSAbegan implementing the Accelerated Electronic Disability System in Jackson,Miss.


An‘04 GAO report (GAO-04-466)stated that SSA has not completed adequate pilot testing to be sure a paperlesssystem is ready and did not conduct end-to-end testing. A total of 38 examinersin three states participated in pilot-testing the system. The report also notedthat SSA has not resolved all the technical glitches the tests revealed -including screen lockups, slow retrieval of medical evidence, poor scanningquality and other problems.


GAOconcluded that unforeseen problems with the Accelerated Electronic DisabilitySystem could derail Barnhart's efforts to improve the disability process."Without resolution of critical problems and full testing, SSA cannot beassured that interrelated components will work together," the reportstated.


AboutThe Author: Frederick A. Johnson is author of “How To Apply For & Win Social Security Disability Benefits,”published with updates every year since 1994.He has handled over 1000 Social Security disability cases since 1990 and has won over 96% of them.


http://www.socialsecuritydisablty.com

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