UNITED STATES COURT OF APPEALS FOR VETER ANS CLAIM S

No. 16

- 2157

L ARRY M. W ARD , A PPELLANT ,

A ND
N O

. 17

- 1204

G ABRIEL S. N EAL , A PPELLANT ,

V

. R OBERT L. W ILKIE , S ECRETARY OF V ETERANS A FFAIRS , A PPELLEE

. On Appeal from the Board of Veterans ' Appeals ( Argued February 1, 2019 Decided June 1 4 , 201 9 ) Casey Connelly and Laurel Fresquez , of Jamaica Plain, Massachusetts, argued for the appellants. 1 Lavinia A. Derr and Ronen Z. Morris , both of Washington, D.C. , argued for the appellee. Alyce E. Galoski , of Providence , Rhode Island , for appellant Ward

. Emma L. Peterson and Zachary M. Stolz , of Providence, Rhode Island, and Daniel L. Nagin and Elizabeth R. Gwin , of Jamaica Plain, Massachusetts, were on brief for appellant Neal. Meghan Flanz , Interim General Counsel , with whom Mary Ann Flynn , Chief Counsel; James B. Cowden , Deputy Chief Counsel; and Lavinia A. Derr , Appellate Attorney, all of Washington, D.C., were on brief for the appellee in No. 16

- 2157

. James A. Byrne , General Counsel, with whom Mary Ann Flynn , Chief Counsel; Richard Daley , Deputy Chief Counsel; and Stuart Anderson , Appellate Attorney, all of Washington, D.C., were on brief for the appellee in No. 17

- 1204.
Before DAVIS , Chief Judge , and P IETSCH and GREENBERG , Judges

. DAVIS, C

hief Judge , filed the opinion of the Court. GREENBERG, Judge , filed a n opinion concurring in part and dissenting in part

.

1 These students are members of the Veterans Legal Clinic of the Legal Services Center of Harvard Law School, which is co

- counsel for the appellants. The Court expresses its appreciation for their contribution to the Court's consideration of this matter.2

DAVIS , Chief Judge : Both cases in this consolidated appeal involve the correct legal standard for asse ssing an increase in disability of a non

- service

- connected condition "proximately due to or the result of a service

- connected disability" 2 in a secondary

- service

- connection context. The merits issue for panel consideration arises from Board instructions to VA examiners in both cases that " aggravation " of a non

- service

- connected condition required a "permanent wo rsening" of that secondary condition. The Secretary apparently import ed this requirement from law pertaining to the presumption of aggravation for conditions preexisting service. 3 The Secretary has incorporated th e "permanent worsening" requirement in to t he VA Adjudication Procedures Manual , effective November 30, 2017. 4 T he Court concludes that the Secretary's imposition of the "permanent worsening" standard is an i mpermissible attempt to add requirements that appear in neither the enabling statute 5 nor in the implementing regulation 6 for secondary service connection. T he refore, the Court will set aside the Board de cision s in the appeals of both Mr. Ward and Mr. Neal, and remand their secondary

service

- connection claims for additional development and read judication under the proper legal standard. Additionally, there is a motion before the Court to certify a class of "veterans who are or will be subject to the Secretary's unlawful 'permanent worsening' standard for deciding whether a service

- connected disa bility has aggravated a secondary disability

. " 7 Because this is a precedential opinion, which should have full effect throughout VA, the Court will deny the class certification motion at this time

.

I. BACKGROUND U

. S

. Navy veteran Larry M. Ward is service connected for femur and knee disabilities resulting from an in

- service accident. His knee condition eventuated in a total knee replacement.

2 38 C.F.R. § 3.310(b) (2018).

3 See 38 U.S.C. § 1153; 38 C.F.R. § 3.306 (2018).

4 VA A DJUDICATION P ROCEDURES M ANUAL (M21

- 1) , pt. III, subpt. iv, ch. 6, § B(5)(a).

5 See 38 U.S.C. § 1110.

6 See 38 C.F.R. § 3.310.

7 Motion for C lass C ertification at 1.3

He now seeks service connection for a bilateral hip condition that he believes has resulted , at least in part, from stress caused by his service

- connected disabilities

. U

. S

. Army veteran Gabriel S. Neal is service connected for a left knee disability that has resulted in several surgeries, also culminating in a full knee replacement. He now seeks service

co nnection for a low back disability that he believes has result ed from favoring his service

connected left knee. 8 The records in both cases raise an identical issue on appeal. In Mr. Ward's case, a Board remand instructed VA to [o]btain a VA medical opinio n as to whether it is at least as likely as not (50 percent or greater probability) that the [v]eteran's degenerative joint disease of the hips was caused or aggravated (

permanently increased in severity beyond the natural progress of the disorder) by the service

- connected right knee total arthroplasty, left femur fracture residuals and/or right foot nerve damage with loss of motion of the toes with chronic pain. [ 9 ] In Mr. Neal's case the Board asked the examiner: "Is it at least as likely as not (50 percent or greater) that the [v]eteran's right knee disorder and/or low back disorder were aggravated (i.e., permanently made worse beyond the natural progression of the disability) by the [v]eteran's service[

- ]connected left knee disability." 10 At the core of the merits dispute in this consolidated case is a statement from an en banc decision of this Court in Allen v. Brown

. 11 While discussing the law of secondary service connection, the Allen Court said the following: (Note: Unless otherwise indi cated, the Court will use the terms "aggravation" and "aggravated" as general terms referring to any increase in disability

. This is to be distinguished from the more specific form of the term "aggravation" as defined in 38 U.S.C. § 1153 . . . and 38 C.F.R . § 3.306(a) (1994), which authorize compensation for an increase in disability resulting from aggravation during service of an injury or disease that existed before service.) [ 12 ]

8 Mr. Neal initially sought secondary service connection for a right knee condition as well as the lower back condition. Though the record is unclear on this point , Mr. Neal was apparentl y awarded service connection for the right knee disability. A VA exami nation report linked the right knee disability to the left knee disability, and the most recent Board decisions and Supplemental Statements of the Case ( SSOCs ) list only service connection for the lower back condition as an issue.

9 Ward Record (R.) at 98 (restatement of examination request in May 2014 VA examination report) (emphasis added); see also Ward R. at 1297 (Feb. 2014 Board remand containing identical language).

10 Neal R. at 2299

- 2300 (emphasis added).

11 7 Vet.App. 439 (1995) (en banc).

12 Id. at 445 (emphasis added).4

On October 24, 2017, before Mr. Ward's and Mr. Neal's cases were consolidated , the Court issued a supplemental briefing order that read, in relevant part: 1) Do Donnellan [ v. Shinseki , 24 Vet.App. 167 (2010)] and Davis [ v. Principi , 276 F.3d 1341 (Fed. Cir. 2003)] apply to an analysis under § 3.310(b) in view of Allen ? 2) In Hunt v

. Derwinski , 1 Vet.App. 292, 296

- 97 (1991) the Court indicated that 38 U.S.C. § 353, the predecessor statute to section 1153, provided the definition of aggravation for § 3.310, and that this standard required permanent worsening of disability. Is Hunt good law on the definition of aggravation for § 3.310 cases in view of All en ?

3 ) How, if at all, should McClain v. Nicholson , 21 Vet.App. 319, 321 (2007) (disability is compensable if present at filing or at any time during pendency of claim, even if it resolves thereafter) influence the Court's consideration of whether aggrava tion under § 3.310(b) requires a permanent increase in disability? [ 13 ] Because of timing , the Court has a response to the supplemental briefing questions only on behalf of Mr. Ward

. Because he prevails in this matter , however, there is no prejudice in proceeding without related briefing from Mr. Neal

.

II. PARTIES ' ARGUMENTS
A. The appellants argue that the "permanent worsening" standard is inconsistent with the governing statute as construed in Allen and with the implementing regulation
. Both Mr. Ward and Mr. Neal argue that the "permanent worsening" standard is contrary to controlling law. They cite Allen to the effect that a veteran is entitled to compensation for " any additional impairment of earning capacity resulting fro m a service

- connected condition, regardless of whether or not the additional impairment is itself a separate disease or injury caused by the service

- connected condition." 14 They also point to § 3.310(b), the implementing regulation, which
states that " [ a ] ny increase in severity of a non [

- ] service

- connected disease or injury that is

13 W ard v. Shinseki , No. 16

- 2157 (unpublished order at 2) , https// efiling. uscourts. cavc. gov/ cmecf/ servlet/ TransportRoom.

14 Allen , 7 Vet.App. at 448 (emphasis added).5

proximately due to or the result of a service

- connected disease or injury . . . will be service connected." 15 Mr. Ward distinguishes his case from Donnellan and Davis on the basis that th o se cases pertain to service connection for in

- service aggravation of a preexisting injury, whereas § 3.310(b) deals with aggravation of a non

- service

- connected condition by a service

- connected disability, which is necessarily a postservice occurre nce. Mr. Ward further points out that the statutory authority listed for § 3.3 10 (b) is not section 1153 containing the presumption of aggravation , but instead section s 1110 and 1131 , which require compensation for any disability " resulting from personal injury suffered . . . in line of duty." 16 As to the continuing relevance of Hunt , Mr. War d no tes that this case preceded both Allen and a 2006 revision of § 3.310(b)

. Allen added the language distinguishing aggravation in a secondary

- service

- conn ection context from that employed for purposes of section 353, the predecessor to section 1153. The revision to § 3.130(b) added the langu age "any increase in severity

. " Mr. Ward further argues that Hunt primarily concerns additional disability required for aggravation of a condition preexisting service, and reiterates his argument that § 3.310(b) derives from a different statute than the presumption of aggravation. Finally, Mr. Ward argues that the reasoning of McClain , 17 which states that a disability is compensable if it is present at filing or during the pendency of the claim, even if it subsequently resolves, should dictate that the increase in disability of a non

- service

- connected disability under § 3.310 need not be permanent. Essentially, he argue s that the "permanent worsening" standard is inconsistent with the Court's staged

- ratings practice.
B. The Secretary argues from the content of § 3.310(b) that the "permanent worsening" standard is consistent with Allen
. T he Secretary argues that Mr. Ward's argument is based on a "selective and incomplete reading of 38 C.F.R. § 3.310(b)." 18 His argument emphasizes another passage in Allen : [P]ursuant to [section] 1110 and § 3.310(a), when aggravation of a veteran's non
service

- connected condition is proximately due to or the result of a service

-

15 38 C.F.R. § 3.310(b) (2018) (emphasis added).

16 38 U.S.C. § § 1110, 1131 (emphasis added).

17 21 Vet.App. at 321.

18 Secretary's Response to Supplemental Briefing Order at 2.6

connected condition, such veteran shall be compensated for the degree of disability (but only that degree) over and above the degree of disability existing prior to the aggrav ation. [ 19 ] Cf. 38 C.F.R. § 3.322 (1994) (in compensating for aggravation of a preservice disability by active service, it "is necessary to deduct from the present evaluation the degree, if ascertainable, of the disability existing at the time of entrance into active service, in terms of the rating schedule ... "). [ 20 ] At oral argument, the Secretary conceded that the term "permanent worsening" appears neither in section 1110 nor in the implement ing regulation, § 3.310. He nevertheless argued that the "permanent worsening" standard inheres in the requirement that only the incremental increase in disability due to the service

- connected condition is compensable. He asserts that any increase in disability must be measurable to compare it with the baseline severity of the non

- service

connected condition. A t oral argument, the Secretary defined "permanence" as "measurability." 21 The Secretary further argues that the reasoning of Donnellan and Davis applies equally well to the secondary

- service

- conne ction context. The Secretary quotes Davis , to the effect that "[ a] corollary to the Secretary's usage is that an increase in disability must consist of worsening of the enduring disability and not merely a temporary flare

- up of symptoms associated with the condition causing the disability." 22 The Secretary asserts that, like section 1153 and § 3.306 , § 3.310(b) allows compensation only for the incremental disability above an established baseline, concluding that the increased disability must be measurable, and therefore permanent. He also advocates that the term "aggravation" should be consistently construed througho ut all sections of the veterans benefits statute. The Secretary also takes the position that Hunt remains good law. He essentially argues tha t Allen stipulates that compensation may be paid only for the incremental increase in disability of the non

- service

- connected condition, and asserts that this requirement implies an enduring, as opposed to temporary , increase in disability.

19 The Secretary's regulation requires "medical evidence created before the onset of aggravation or by the earliest medical evidenc e created at any time between the onset of aggravation and the receipt of medical evidence establishing the current level of severity of the nonservice

- connected disease or injury." 38 C.F.R. § 3.310(b). The Secretary's briefing makes it clear that he assi gns the burden of production of such evidence, as well as evidence pertaining to the natural progress of the non

- service

- connected condition, to the veteran. The panel takes no position on the validity of these regulatory requirements or the Secretary's as signment of the burden of proof.

20 Allen , 7 Vet.App. at 448.

21 Oral Argument at 34:36, Ward v. Wilkie , U.S. Vet. App. No. 16

- 2157 (consolidated with Neal v. Wilkie ) (oral argument held Feb

. 1, 2019), http://www.uscourts.cavc.gov/oral_arguments_audio.p h p.

22 Davis , 276 F.3d at 1344.7 I II. ANALYSIS A. Cases construing "aggravation" with respect to section 1153 have no relevance in the secondary

- service

- connection context. The Secretary argues that the Court should construe the term "aggravation" in the same manner as it was construed in cases involving different provisions of Chapter 11 of the veterans statute (sections 101(24), 1153), invoking the consistent

- usage canon. The f law in this reasoning is that the term "aggravation" is not contained in the portion s of 38 U.S.C. § § 1110 and 1131 , from which secondary service connection derives. As Allen makes clear, secondary service connection derives , not from section 1153, but from section s 1110 and 1131 , 23 which read , in relevant part: For disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in the line of duty . . . the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter. [ 24 ] The only references to "aggravation" in th ese statute s pertain to a preexisting injury that is aggravated in service under the presumption of aggravation, section 1153. Thus, the statutory phrase to be construed with respect to secondary service connection of non

- service

- connected conditions is not "aggravated" or "aggravation," but "disability resulting from [service

- connected conditions]." Though the Allen Court might have avoided confusion by employ in g another term, it was careful to define a category of " aggravation" that differs from that pertaining to section 1153. The Court stated that it was defin ing a more general meaning encompassing " any increase in disability

. " 25 The Court was clearly construing the statutory phrase "disability resulting from," and concluded that this phrase encompassed "any additional impairment in earning capacity resulting from an already service

- connected condition." 26 This concept is incorporated in to the

23 See Allen , 7 Vet.App. at 446.

24 38 U.S.C. § § 1110, 1131 (emphasis added).

25 See supra n ote 12 and accompanying text.

26 See Allen , 7 Vet.App. at 448.8

implement i ng regulation, § 3.310(b), which provides that "[a]ny increase in severity" of a non

service

- connected injury or disease will be compensated. 27 Though it is settled that "aggravation" for purposes of the presumption of aggravation (section 1153) requires a permanent increase in severity, 28 it does not follow that permanent worsening is a requirement for secondary service connection of a non

- service

- connected injury or disease under section s 1110 and 1131

. The Allen Court decided that compensation was due fo r any in cremental increase in disabilit y

— any additional impairment of earning capacity

— i n non
service

- connected disabilities resulting from service

- connected conditions , above the degree of disability existing before the increase

— r egardless of its permanen ce
. Th us , the Secretary's reliance on cases construing section 1153 is misplaced. B. Providing compensation for only the incremental disability attributable to the service

- connected condition does not require that the increase in disability must be permanent. Here, the Secretary concedes that the phrase "permanent worsening" appears neither in the governing statute s, sections 1110 and 1131, nor in § 3.310 , the implement ing regulation

. As discussed above, sect ions 1110 and 1131 focus primarily on disability resulting from in

- service injuries or diseases, and only secondarily on aggravation of a preexisting injury, which in turn , is governed by section 1153. The Secretary nevertheless defends his impo rtatio n of the "permanent worsening" standard into the secondary

- service

- connection analysis by pointing to language in Allen that c ompensation is "for the degree of disability (but only that degree) over and above the degree of disability existing prior to the aggravation." 29 He reasons that any incremental increase in disability must be measurable, and to be measurable, the incremental disability must be permanent.

27 See 38 C.F.R. § 3.310(b).
28 Unlike section s 1110 and 1131 , s ection 1153 includes the concept of aggravation: A preexisting injury or disease will be considered to have been aggravated by active military, naval, or air service, where there is an increase in disability during such service, unless there is a specific finding that the increase in disability is due to the natural progress of the disease. 38 U.S.C. § 1153 (emphasis added).

29 Allen , 7 Vet.App. at 448.9

The Court notes that the Secretary's regulation , § 3.310, is not an interpretation of a statute; it is based on the Secretary's perception of what this Court required in Allen and Tobin

. 30 Thus, the regulation is not entitled to Chevron deference. 31 Furthermore, because the "permanent worsening" standard admittedly has no basis in the express language of the regulation, the Secretary's interpretation of his regulation to that effect is not entitled to Auer deference. 32 The Secretary may not add restrictions to a regulation where they do not exist, "because, in doing so, the Board imposes a great er burden on a claimant than the law does." 33 Thus, the Court must examine the Secretary's argument that the "permanent worsening" standard logically proceeds from a plain reading of the requirements of Allen

. A s discussed above, Allen i nterpreted the gover ning statutes to provide that " any " increase in disability of a non

- service

- connected condition is compensable. Conditions may wax and wane in severity, but nevertheless be medically ascertainable as an incremental increase in disability , and hence compensable. Allen also defined "disability" as "the impairment of earning capacity due to disease, injury, or defect." 34 Medically determined increases in disability need not be "permanent," in the ordinary sense of being discernible at all tim es. Particularly i n musculoskeletal disabilities, such as those involved in th is consolidated appeal, it is well settled that an examiner must evaluate whether additional dis ability arises during flareups

. 35 Moreover , as illustrated by McClain , a n incremental increase in disability may be medically determin ed before the abatement of that disability if it was present sometime during the adjudication of a claim. The Court concludes that the "permanent worsening" standard has no application in cases involving an incremental increase in disability of a non

- service

- connected condition proximately

30 See generally 71 Fed. Reg. 52,744 et seq. (Sept. 7, 2006).

31 See Chevron U.S.A., In c . v. Nat

. Res

. Def

. Council , 467 U.S. 837 (1984).

32 See Auer v. Robbins , 519 U.S. 452 (1997).

33 English v. Wilke , 30 Vet.App. 347, 353 (2018); see also Ortiz

- Valles v. McDonald , 28 Vet.App. 65, 71 (2016).

34 Allen , 7 Vet.App. at 448.

35 See Sharp v. Shulkin , 29 Vet.App . 26, 34 (2017); Mitchell v. Shinseki , 25 Vet.App. 32, 44 (2011); DeLuca v. Brown , 8 Vet.App. 202 (1995).10

due to or the result of a service

- connected disease or injury. It is worth noting that t he Secretary has admitted as much in several nonprecedential cases. 36 Furthermore, t o the extent that the Secretary employs the word "measurable" in its primary meaning, requiring a numerically quantifiable assessment, that requirement is also not present in the governing statute s or in the implementing regulation

. There are other ways of ascertaining the incremental increase in disability that do not require numerical quantification. The disability ratings schedule is replete with conditions that are not evaluated by any numerical measurement. 37 Cases before this Court have requir ed medical determinations for ascertaining the incremental increase in disability that may not be subject to numerical quantification , but must be evaluated by a qualified medical professional based on the totality of symptoms

. I n El

- Amin v. Shinseki , 38 the Court remanded the case for a determination of whether and to what degree the veteran's service

- connected PTSD may have "aggravated" his alcoholism. Allen itself remanded for VA to determine whether a service

- connected right knee arthritis increased the veteran's disability of arthritis in his left knee and hip. In Tobin v. Derwinski , 39 discussed in the Allen case, 40 the Court remanded a claim for left knee arthritis, in part for the Board to consider whether that disability was increased by the veteran's service

- connected cavus condition of the left foot. On remand from Allen and Tobin , t he medical dete r mination of incremental disability might well have involved incremental disability due to flareups. If an examination is not conducted during a flareup , to ascertain the incremental increase in disability, the examiner must estimate the additional functional loss from the described symptoms of the flareup

. 41 Further, t he increment al disability resulting from flareups or repetitive motion should be expressed, if possible , in additional loss of range of motion. If the additional disability cannot be quantified , however, it is nevertheless compensable. The Secretary suggests no reason that such flare

- ups should be treated differently

36 Bohmer v. Shulkin , U.S Vet. App. No. 17

- 0191 (J oint M otion for P artial R emand Nov. 1, 2017 ) ; Schindel v. Shulkin , U.S. Vet. App. No. 16

- 4201 (J oint M otion for R emand Oct. 24, 2017 ); Mickelson v. Shinseki , No. 16

- 1300, 2017 WL 3224670 (Vet. App. July 31, 2017) (mem

. dec

. )

.

37 See, e.g., 38 C.F.R. § 4.124a, D iagnostic Codes 8510

- 8513 (incomplete paralysis in peripheral nerve injuries evaluated according t o whether it is subjectively " mild, " " moderate, " or " severe " ); see also 38 C.F.R. § 4.130 (2018) (mental disabilities rated according to collective symptoms involving no numerical assessments).

38 26 Vet.App. 136 (2013).

39 2 Vet.App. 34 (1991).

40 Allen , 7 Vet.App. at 443

- 44.

41 Sharp , 29 Vet.App. at 34.11

when they are caused by a service

- connected disease or injury after service, as opposed to an injury or disease incurred in service. Finally , the U.S. Court of Appeals for the Federal Circuit ha s recently held that pain alone can constitute a compensable disability, at least in musculoskeletal claims. 42 So , i ncremental pain might constitute an increase in disability of a non

- service

- connected c ondition, and b y its very nature, pain cannot be objectively measured

. The Court does not regard Hunt as binding authority on the permanent

- worsening issue

. Hunt involved a Board denial of service connection for aggravation of a preexisting knee condition under 38 U.S.C. § 353 (the predecessor to section 1153). The Court stated that the legal issue in the case was whether the Board had properly applied the definit ion of "aggravation" in section 353 (the presumption of aggravation) and its implementing regulation 38 C.F.R. § 3.306. T he Court 's pronouncement that "[t]hese provisions [ section 353 and § 3.306] define 'aggravation in service' for purposes of awarding co mpensation under 38 U.S.C. § 310 (1988) [sic] " 43 is plainly dicta. To the extent that the Hunt Court may have intended a binding interpretation of § 3.310, as it existed at that time, that interpretation was effectively overruled by the en banc Allen decisi on , which set forth a different definition. For reasons d iscussed above, the Court rejects the Secretary's contention that the "permanent worsening" standard inheres in either the language of Allen or in the Secretary's regulation. The Court will therefore set aside the Board decisions of appellants Ward and Neal, and remand the secondary

- service

- connection claims in those cases for readjudication under the appropriate legal standard. However, t he Court will deny the motion for class certifi cation. In denying the class certification motion at this time, the Court expects the VA to take steps to immediately implement this precedential decision throughout the VA system and apply it to all cases pending before VA where the appropriate legal stan dard for assessing the incremental increase in disability of a non

service connected disability resulting from a service connected disability is relevant.

42 Saunders v. Wilkie , 886 F.3d 1356 (2018).

43 Hunt , 1 Vet.App. at 296. Mr. Ward notes that there was no section 310 in the statute until 1991, and that provision relates to chief information officers. It is assumed that the Court's intended reference was to § 3.310. That provision, however, does not discuss "aggravation in service."12 I V
. CONCLUSION On consideration of the foregoing, the April 12 , 2016, Board decision in the appeal of Larry M. Ward, and the March 15, 2017, Board decision in the appeal of Gabriel S. Neal , are SET ASIDE and Mr. Ward's and Mr. Neal's secondary

- service

- connection claims are REMANDED for readjudication consistent with this decision

. The moti on for class certification is denied.

G REENBERG , Judge , concurring in part and dissenting in part : While I concur on the merits of the decision with my esteemed colleagues with regard to the veterans here, I could not agree to leave the countless thousands of veterans in this class to the fate of a Secretary and Department as arbitrary and capricious as these. Congress created this Court decades ago to correct and vitiate unjust actions and policies within our specific jurisdiction. We were wrong to deny class action certification power for 30 years and we are still wrong in refusing to exercise it here. I would have certified the class now. "This petition raises important questions abo ut how the Government carries out its obligations to our veterans." Mathis v. Shulkin , 137 S. Ct. 1994, 1994 (2017) ( Sotomayor , J., dissenting). The issue of systemic VA delay "is of much significance to many today and, respectfully, it is worthy of this Court's attention." Id. at 1995 ( Gorsuch , J., dissenting). Congress intended a prompt decision in all matters either by a single Judge or in panels of no fewer than three Judges. This Court has a special obligation to a class of litigants especially favore d by Congress. We should decide all matters when ready and never decline to do so because similar or even identical issues are pending elsewhere. The parties have their remedies provided by our procedures, Congress, the Federal Circuit, and the Supreme Cou rt . We have been given broad direction to " use class actions to promote efficiency, consistency , and fairness in its decisions" through our authority to issue writs. Monk v. Shulkin , 855 F.3d 1312, 1321 (Fed. Cir. 2017) (Reyna, J.). I have long held the vi ew that we had class, aggregate, or group certification
powers. See Monk v. Wilkie , 30 Vet.App. 167, 200 (Aug. 23, 2018) (Greenberg, J. , dissenting )

. There is no need to wait any longer to certify the class in this case as waiting merely delays the impleme ntation of the Court's holding to a broader class of veterans and goes against the principles the Court is encouraged to promote and protect. While I concur here, I agree with Justice Brennan, that "[d]issent for its own sake has no value . . . . However, where significant and deeply held disagreement exists, members of the Court have a responsibility to articulate it.

. . . Unanimity is not in and of itself a judicial virtue.

. . .13

Judges have no power to declare law. Courts derive legal principles and have a duty to explain why and how a given rule has come to be.

. . . [Judges] are forced by a dissent to reconsider the fundamental questions and rethink the result . . . . In my judgment . . . the unique interpretive role of [our Co urt] with respect to the Constitution [and our authority] demands some flexibility with respect to the call of stare decisis. . . . [We should not be] captive to the anachronistic view of long

gone generations.

. . . The right to dissent is one of the grea t and cherished freedoms by reasons of the excellent accident of our American births." William J. Brennan, In Defense of Dissents , 37 H ASTINGS L.J. 427, 427

- 35 (1985) (emphasis in original). Holding the matter in abeyance now does nothing but delay a dese rving result for veterans. For the foregoing reason, I respectfully

concur.