Source: https://veteranclaims.net/2009/10/26/what-all-pertinent-evidence-means-benefit-of-doubt-and-material-issues/
Timestamp: 2019-04-25 16:37:54+00:00

Document:
Making sure that the VA obtains all pertinent records is something that you want to check. You also want to make sure that all pertinent records that were before the RO are before the Board, especially given the extent of the recent shredding and removal of records that was identified within the VA, see shredding, amnesty posts.
The FedCir analysis here of the benefit of doubt has some interesting comments which we have highlighted. One of the more interesting is that the benefit of doubt is to be given to each material issue.
Does this mean that each material issue will have its own benefit of doubt adjudication, then they will be lined up for and against the claim as a whole and a final benefit of the doubt adjudication will occur?
In determining whether a veteran has sufficiently supported a claim for benefits, and similarly whether the benefit of the doubt doctrine applies, statutes and regulations require consideration of “the entire evidence of record,” 38 C.F.R. 3.303(a), including “all pertinent medical and lay evidence,” id., and “all procurable and assembled data,” 38 C.F.R. 3.102. See generally 38 U.S.C. § 5107(b). We have repeatedly emphasized that all pertinent evidence must be considered. See, e.g., Hogan, 544 F.3d at 1298 (“A determination regarding service connection requires consideration of ‘all pertinent medical and lay evidence,’ including medical opinions that do not state definitively when a particular disorder or condition began.” (citation omitted)); Capellan v. Peake, 539 F.3d 1373, 1382 (Fed. Cir. 2008) (explaining that 38 U.S.C. § 5107(b) and 38 C.F.R. § 3.102 “explicitly require the consideration of all evidence”); Groves v. Peake, 524 F.3d 1306, 1309 (Fed. Cir. 2008) (determining service connection requires review of the entire evidence of record, including all pertinent medical and lay evidence); Jandreau v. Nicholson, 492 F.3d 1372, 1376-77 & n.4 (Fed. Cir. 2007) (ruling that lay evidence, by itself, may be “competent and sufficient” in some circumstances to establish the presence of a condition).
by statute and regulation, the veteran is given the “benefit of the doubt” “regarding any issue material” to the veteran’s claim “when there is an approximate balance of positive and negative evidence.” 38 U.S.C. § 5107(b).
It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case. ,b>When, after careful consideration of all procurable and assembled data, a reasonable doubt arises regarding service origin, the degree of disability, or any other point, such doubt will be resolved in favor of the claimant. By reasonable doubt is meant one which exists because of an approximate balance of positive and negative evidence which does not satisfactorily prove or disprove the claim. It is a substantial doubt and one within the range of probability as distinguished from pure speculation or remote possibility. It is not a means of reconciling actual conflict or a contradiction in the evidence. Mere suspicion or doubt as to the truth of any statements submitted, as distinguished from impeachment or contradiction by evidence or known facts, is not justifiable basis for denying the application of the reasonable doubt doctrine if the entire, complete record otherwise warrants invoking this doctrine. The reasonable doubt doctrine is also applicable even in the absence of official records, particularly if the basic incident allegedly arose under combat, or similarly strenuous conditions, and is consistent with the probable results of such known hardships.
Kathleen A. Daley, Finnegan, Henderson, Farabow, Garrett & Dunner, L.L.P., of Washington, DC, argued for claimant-appellant. With her on the brief was J. Michael Jakes.
Jane W. Vanneman, Senior Trial Counsel, Commercial Litigation Branch, Civil Division, United States Department of Justice, of Washington, DC, argued for respondent-appellee. With her on the brief were Jeanne E. Davidson, Director, and Martin F. Hockey, Jr., Assistant Director. Of counsel on the brief were David J. Barrans, Deputy Assistant General Counsel, and Martin J. Sendek, Attorney, Office of the General Counsel, United States Department of Veterans Affairs, of Washington, DC.
No. 06-1327, Judge Mary J. Schoelen.
Before MICHEL, Chief Judge, SCHALL and LINN, Circuit Judges.
examiner’s report as “evidence.” Because the Veterans Court did not misinterpret § 5107(b), we affirm.
Mr. Fagan served on active duty in the U.S. Marine Corps from September 1968 to August 1970. Prior to entering service, he was exposed to loud noise from recreational hunting. Upon entering service, Mr. Fagan was given two audiogram tests, both of which revealed that he had “moderately severe” hearing loss in his left ear.1 During his service in Vietnam, Mr. Fagan was further exposed to loud noise, specifically, from explosions, airplanes, helicopters, and wind. There is no evidence, however, that Mr. Fagan complained of hearing problems or requested treatment for hearing loss during service. Upon exiting service, Mr. Fagan was not administered another audiometric hearing test because an audiometer was not available. Rather, he was administered a “whispered voice” test, which indicated that he did not suffer from hearing loss in either ear, even though his pre-service audiogram test indicated preexisting left ear hearing loss.
1 Because Mr. Fagan’s entrance examination noted hearing loss, it is undisputed that he is not entitled to a presumption of sound condition pursuant to 38 U.S.C. § 1111.
1971 or 1972. There is no further evidence of this hearing test, however, despite the Veterans’ Administration (“VA”) Regional Office’s (“RO”) attempts to recover the relevant records from the Connecticut Adjutant General’s Office and the National Personnel Records Center. Mr. Fagan further testified that he was tested a second time and was subsequently admitted to the Connecticut Army National Guard. There is no evidence of private treatment records related to Mr. Fagan’s hearing loss. Except for lay statements made in 2004 from friends and relatives about their past recollection of Mr. Fagan’s hearing ability, there is no other evidence related to his hearing loss until 2002, when he underwent a medical examination.
[d]ue to the veteran’s history of post-military noise exposure, and without audiometric information obtained at the time of his release from service or shortly thereafter, it is not possible to determine if the further decrease in high frequencies for the left ear and the high frequency hearing loss in the right ear is related to military service.
On December 17, 2003, the VA denied Mr. Fagan’s claim, determining that his further hearing loss was not service connected.
Mr. Fagan appealed to the Board in February 2004. On January 5, 2006, the Board denied his claim for service connection. Fagan v. Peake, Docket No. 04-34 385 (Bd. Vet. App. Jan. 5, 2006) (“Board Decision”). In its decision, the Board explicitly considered the testimony from Mr. Fagan’s relatives, the occurrences of loud noise exposure during service, and Mr. Fagan’s testimony about failing a Connecticut Army National Guard hearing test shortly after leaving the service. Id., slip op. at 7-8. The Board also took into account, however, (i) that “there is no medical evidence from either his period of service or shortly thereafter showing that [Mr. Fagan] sustained any loss of hearing acuity in service,” (ii) the fact that the earliest post-service record of hearing loss was thirty years after Mr. Fagan’s discharge, and (iii) that Mr. Fagan “had not previously sought treatment for his hearing loss with either the VA or a private medical provider” until 2002. Id. at 8. Ultimately, the Board concluded that, “after considering all the evidence[,] . . . the preponderance of the evidence [was] against [Mr. Fagan’s] claim” and that “the greater weight of the evidence [was] against the conclusion that the criteria to establish service connection [were] met.” Id. at 9.
establishing “a nexus between his current hearing disability and an injury, event, or disease in service.” Id. at *2. In that regard, the court stated that “[t]his appeal presents a single question-the interpretation and application of the benefit of the doubt doctrine codified at 38 U.S.C. § 5107(b).” Id. at *1. The court then enumerated the pertinent evidence, such as Mr. Fagan’s pre- and post-service hearing tests, his pre- and post-service exposure to noise, and the VA medical examiner’s report. Id. at *1-2. Regarding the VA medical examiner’s statements about being unable to determine whether Mr. Fagan’s further hearing loss was related to military service, the court stated that “the examiner did not render an opinion and her remarks constitute what may be characterized as ‘non-evidence.’” Id. at *3 (internal quotations marks omitted) (quoting Perman v. Brown, 5 Vet. App. 237, 241 (1993)). Thus, the Veterans Court did not find sufficient evidence linking Mr. Fagan’s further bilateral hearing loss to service and, consequently, ruled that the evidence regarding a nexus was not in equipoise. Veterans Court Decision, 2008 WL 2130166, at *3. Accordingly, the court held that the benefit-of-the-doubt doctrine was inapplicable. Id.
the benefit-of-the-doubt doctrine was not applicable because the evidence for and against Mr. Fagan was not in equipoise.
Pursuant to 38 U.S.C. § 7292(c), we have limited jurisdiction to review decisions of the Veterans Court. Boggs v. Peake, 520 F.3d 1330, 1333 (Fed. Cir. 2008). Specifically, we possess “exclusive jurisdiction to review and decide any challenge to the validity of any statute or regulation or any interpretation thereof . . . and to interpret constitutional and statutory provisions, to the extent presented and necessary to a decision.” 38 U.S.C. § 7292(c). We also have jurisdiction to review decisions of the Veterans Court on issues of law. Jordan v. Nicholson, 401 F.3d 1296, 1297 (Fed. Cir. 2005). However, “[e]xcept to the extent that an appeal . . . presents a constitutional issue, [we] may not review (A) a challenge to a factual determination, or (B) a challenge to a law or regulation as applied to the facts of a particular case.” 38 U.S.C. § 7292(d)(2). Thus, we only have jurisdiction over Mr. Fagan’s appeal to the extent that it raises issues of law. To the extent that his appeal raises issues of fact or issues of law applied to fact, we do not have jurisdiction to consider his claims.
In considering any issues of law properly raised on appeal, we review de novo the decision of the Veterans Court. See Boggs, 520 F.3d at 1334; Summers v. Gober, 225 F.3d 1293, 1295 (Fed. Cir. 2000). We set aside the Veterans Court’s interpretations of a regulation if they are found to be “(a) arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with law; (b) contrary to constitutional right, power, privilege, or immunity; (c) in excess of statutory jurisdiction, authority, or limitations, or in violation of a statutory right; or (d) without observance of procedure required by law.” 38 U.S.C. § 7292(d)(1).
This appeal does not simply present a challenge to factual findings or to the law as applied to the facts. Rather, at least in part, it challenges the Veterans Court’s interpretation of a statutory provision, 38 U.S.C. § 5107(b). Indeed, the Veterans Court itself acknowledged that “[t]his appeal presents a single question-the interpretation and application of the benefit of the doubt doctrine codified at 38 U.S.C. § 5107(b).” Veterans Court Decision, 2008 WL 2130166, at *1 (emphasis added). Thus, we have jurisdiction to hear Mr. Fagan’s appeal.
evidence.” 38 C.F.R. § 3.102.2 In addition, the “benefit of the doubt” doctrine has “no application where the Board determines that the preponderance of the evidence weighs against the veteran’s claim” or when the evidence is not in “equipoise.” Ortiz v. Principi, 274 F.3d 1361, 1366 (Fed. Cir. 2001); see, e.g., Ferguson v. Principi, 273 F.3d 1072, 1075 (Fed. Cir. 2001) (“Thus the evidence was not in equipoise but rather preponderated against [the veteran’s] claim. Therefore, the benefit-of-the-doubt doctrine was not applicable.”). Rather, it applies when the evidence is in “approximate balance” or “almost exactly equal.” Ortiz, 274 F.3d at 1364 (“[E]vidence is in ‘approximate balance’ when the evidence in favor of and opposing the veteran’s claim is found to be ‘almost exact[ly or] nearly’ equal.” (alteration in original)).
require consideration of “the entire evidence of record,” 38 C.F.R. 3.303(a), including “all pertinent medical and lay evidence,” id., and “all procurable and assembled data,” 38 C.F.R. 3.102. See generally 38 U.S.C. § 5107(b). We have repeatedly emphasized that all pertinent evidence must be considered. See, e.g., Hogan, 544 F.3d at 1298 (“A determination regarding service connection requires consideration of ‘all pertinent medical and lay evidence,’ including medical opinions that do not state definitively when a particular disorder or condition began.” (citation omitted)); Capellan v. Peake, 539 F.3d 1373, 1382 (Fed. Cir. 2008) (explaining that 38 U.S.C. § 5107(b) and 38 C.F.R. § 3.102 “explicitly require the consideration of all evidence”); Groves v. Peake, 524 F.3d 1306, 1309 (Fed. Cir. 2008) (determining service connection requires review of the entire evidence of record, including all pertinent medical and lay evidence); Jandreau v. Nicholson, 492 F.3d 1372, 1376-77 & n.4 (Fed. Cir. 2007) (ruling that lay evidence, by itself, may be “competent and sufficient” in some circumstances to establish the presence of a condition).
interpretation of § 5107(b) by failing to consider any of the evidence he submitted that was discussed in the medical examiner’s report, such as occurrences of in-service noise exposure. Mr. Fagan suggests that, if the Veterans Court had considered the remarks and evidence noted in the examiner’s report, the evidence would have been in “equipoise” and he would have been entitled to veteran’s benefits because § 5107(b) would have applied.
finding that a ‘preponderance of the evidence’ leads to a determination . . . is quite different from the situation in which the contrary evidence is ‘nearly equal’ or ‘too close to call.’”).
Subsequently, in affirming the Board’s decision declining to apply § 5107(b), the Veterans Court took into account the entirety of the evidence submitted by Mr. Fagan. Doing so, it properly decided that Mr. Fagan could not benefit from § 5107(b) because the preponderance of evidence weighed against a nexus. See, e.g., Ferguson, 273 F.3d at 1076 (finding no erroneous interpretation of § 5107(b) where the Veterans Court affirmed the Board, which “considered all the evidence, then determined that the requirement that there be ‘an approximate balance of positive and negative evidence’ was not met”). Tellingly, in its opinion the Veterans Court cited the same evidence upon which the Board relied. That evidence included Mr. Fagan’s hearing tests, his pre- and post-service exposure to noise, and the examiner’s inability to render a decision regarding service connection. See Veterans Court Decision, 2008 WL 2130166, at *1-2. In fact, the court recited all of this evidence despite the fact that it explicitly explained that “the facts [were] undisputed and need only be summarized briefly.” Id. at *1. Thus, although the Veterans Court characterized the VA medical examiner’s remarks as “non-evidence,” it did not fail to consider any relevant evidence on the question of nexus.
4 However, we note-as we did in Hogan-that it is “troubling” to refer to statements as “non-evidence.” Hogan, 544 F.3d at 1297 (“the opinion of the Veterans Court contains some troubling language”). Reiterating what we said in Hogan, “[a] determination regarding service connection requires consideration of ‘all pertinent medical and lay evidence.’” Id. at 1298 (quoting 38 C.F.R. § 3.303(a)). Regardless of whether an ultimate opinion is offered in a medical examiner’s report, that report, as well as the facts discussed therein, “regarding the etiology of a claimant’s [disability] must be considered as ‘evidence’ of whether the [disability] was incurred in service.” Id. As explained above, in this case, the Veterans Court neither adopted a restricted view of “evidence” in § 5107(b) nor failed to consider any pertinent evidence.
positive nor negative support for service connection. See 38 U.S.C. § 5107(b) (balancing “positive and negative evidence”). Therefore, it is not pertinent evidence, one way or the other, regarding service connection. Indeed, we considered, and rejected, a similar contention in Hogan. There, the veteran argued that it was error to refer to a medical examiner’s report, which was unable to conclusively provide a medical opinion regarding service connection, as “non-evidence.” 544 F.3d at 1297. We concluded, however, that the Veterans Court did not disregard any pertinent evidence of record when it referred to the medical examiner’s report as “non-evidence.” Id. at 1297-98. Instead, because the report did not state that the veteran’s disability was likely service connected, and because “there was substantial evidence showing that [the veteran’s disability] did not begin until after he left military service,” we stated that the report was “insufficient to establish service connection.”4 Id. at 1298.
For the foregoing reasons, we find no error in the Veterans Court’s interpretation of 38 U.S.C. § 5107(b). To the extent Mr. Fagan argues that there is insufficient evidence supporting the denial of his claim, he presents an issue beyond our jurisdiction. See, e.g., Maxson, 230 F.3d at 1333 (“The weighing of this evidence is not within our appellate jurisdiction.”). The decision of the Veterans Court is affirmed.

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