Court Opinion

ID: 9349216
Source: CourtListenerOpinion
Date Created: 2022-12-21 15:00:53.481259+00
Date Added: 2024-06-11T16:46:24.098095
License: Public Domain

Case: 21-1974    Document: 38    Page: 1   Filed: 12/21/2022

   United States Court of Appeals
       for the Federal Circuit
                  ______________________

                CLIFFORD T. HANSER,
                  Claimant-Appellant

                            v.

       DENIS MCDONOUGH, SECRETARY OF
              VETERANS AFFAIRS,
               Respondent-Appellee
              ______________________

                        2021-1974
                  ______________________

    Appeal from the United States Court of Appeals for
 Veterans Claims in No. 19-5382, Senior Judge William A.
 Moorman.
                 ______________________

                Decided: December 21, 2022
                  ______________________

    KENNETH M. CARPENTER, Law Offices of Carpenter
 Chartered, Topeka, KS, argued for claimant-appellant.

     ELIZABETH MARIE PULLIN, Commercial Litigation
 Branch, Civil Division, United States Department of Jus-
 tice, Washington, DC, argued for respondent-appellee.
 Also represented by BRIAN M. BOYNTON, PATRICIA M.
 MCCARTHY, LOREN MISHA PREHEIM; Y. KEN LEE,
 SAMANTHA ANN SYVERSON, Office of General Counsel,
 United States Department of Veterans Affairs, Washing-
 ton, DC.
Case: 21-1974     Document: 38     Page: 2    Filed: 12/21/2022

 2                                     HANSER   v. MCDONOUGH

                   ______________________

     Before MOORE, Chief Judge, LOURIE and STARK, Circuit
                           Judges.
      Opinion for the court filed by Circuit Judge STARK.
        Opinion dissenting filed by Chief Judge MOORE.
 STARK, Circuit Judge.
     Clifford T. Hanser seeks review of the decision of the
 United States Court of Appeals for Veterans Claims (“Vet-
 erans Court”) affirming the Board of Veterans’ Appeals’
 (“Board”) denial of Hanser’s challenge to the reduction of
 his disability rating. The Veterans Court, like the Board,
 determined that Hanser’s rating reduction was not subject
 to 38 C.F.R. § 3.344, which sets out procedural require-
 ments that must be followed before certain longstanding
 disability ratings are reduced. We, too, conclude that
 § 3.344(c) makes the procedures of §§ 3.344(a) and (b) ap-
 plicable only to disability ratings which have continued at
 the same level for five years or more. Because Hanser’s
 ratings do not satisfy this condition, we agree with the Vet-
 erans Court that § 3.344(c) does not apply to him, and,
 thus, we affirm.
                               I
      Hanser served in the U.S. Army from October 1979 to
 October 1999. In April 2012, he was assigned 20% service-
 connected disability ratings, effective July 26, 2011, for his
 left leg radiculopathy and his bilateral arm radiculopathy.
 Thereafter, in March 2014 and November 2015, lumbar
 and cervical spine examinations showed improvement in
 his conditions. Consequently, Hanser’s Department of Vet-
 erans Affairs (“VA”) regional office proposed reducing his
 disability ratings. On March 7, 2016, the VA reduced his
 disability ratings to 0% for both his left leg and bilateral
 arm radiculopathy, effective June 1, 2016.
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 HANSER   v. MCDONOUGH                                        3

     Hanser timely filed a notice of disagreement. Follow-
 ing examinations in October 2017, the VA issued a state-
 ment of the case, confirming the disability ratings
 reductions on December 6, 2017. Hanser subsequently ap-
 pealed to the Board, which concluded that the procedural
 protections of 38 C.F.R. § 3.344 did not apply to Hanser
 and, therefore, affirmed the VA’s ratings reductions on
 April 16, 2019. His subsequent appeal to the Veterans
 Court ended with a Memorandum Decision affirming the
 Board’s decision on February 23, 2021.
     Hanser then timely appealed to our Court. We have
 jurisdiction pursuant to 38 U.S.C. § 7292(c).
                               II
      We have exclusive, but limited, jurisdiction to review
 decisions of the Veterans Court. See 38 U.S.C. § 7292(c);
 Sullivan v. McDonald, 815 F.3d 786, 788-89 (Fed. Cir.
 2016). “We may review legal questions, including the va-
 lidity of any statute or regulation or any interpretation
 thereof.” Sullivan, 815 F.3d at 788-89. Such legal deter-
 minations are reviewed de novo. See Cushman v. Shinseki,
 576 F.3d 1290, 1296 (Fed. Cir. 2009). We may not, how-
 ever, review (1) “a challenge to a factual determination” or
 (2) “a challenge to a law or regulation as applied to the facts
 of a particular case,” unless the challenge presents a con-
 stitutional issue. 38 U.S.C. § 7292(d)(2).
      “We may set aside any regulation or interpretation
 thereof if we find it: (1) arbitrary, capricious, an abuse of
 discretion, or otherwise not in accordance with law; (2) con-
 trary to constitutional right, power, privilege, or immunity;
 (3) in excess of statutory jurisdiction, authority, or limita-
 tions, or in violation of a statutory right; or (4) without ob-
 servance of procedure required by law.” Sullivan, 815 F.3d
 at 789 (citing 38 U.S.C. § 7292(d)(1)).
    “When construing a regulation, it is appropriate first to
 examine the regulatory language itself to determine its
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 4                                     HANSER   v. MCDONOUGH

 plain meaning.” Goodman v. Shulkin, 870 F.3d 1383, 1386
 (Fed. Cir. 2017). Regulatory interpretation, like statutory
 interpretation, “is a holistic endeavor that requires consid-
 eration of a [regulatory] scheme in its entirety.” Meeks v.
 West, 216 F.3d 1363, 1366 (Fed. Cir. 2000) (citing U.S. Nat’l
 Bank of Or. v. Indep. Ins. Agents of Am., Inc., 508 U.S. 439,
 454-55 (1993)); Boeing Co. v. Sec’y of Air Force, 983 F.3d
 1321, 1327 (Fed. Cir. 2020) (applying same interpretive
 rules to regulations and statutes). “[W]e attempt to give
 full effect to all words contained within [a] statute or regu-
 lation, thereby rendering superfluous as little of the statu-
 tory or regulatory language as possible.” Glover v. West,
 185 F.3d 1328, 1332 (Fed. Cir. 1999). “If the regulatory
 language is clear and unambiguous, the inquiry ends with
 the plain meaning.” Goodman, 870 F.3d at 1386.
                              III
                               A
     Hanser’s contentions require us to examine 38 C.F.R.
 § 3.344(c), which identifies the circumstances under which
 the procedural requirements of §§ 3.344(a) and (b) apply.
 Therefore, we set out the pertinent portions of these para-
 graphs:
       (a) Examination reports indicating im-
       provement. Rating agencies will handle cases
       affected by change of medical findings or di-
       agnosis, so as to produce the greatest degree
       of stability of disability evaluations consistent
       with the laws and Department of Veterans Af-
       fairs regulations governing disability compen-
       sation and pension. . . . Examinations less full
       and complete than those on which payments
       were authorized or continued will not be used
       as a basis of reduction. . . . Rating boards en-
       countering a change of diagnosis will exercise
       caution in the determination as to whether a
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 HANSER   v. MCDONOUGH                                       5

       change in diagnosis represents no more than
       a progression of an earlier diagnosis, an error
       in prior diagnosis or possibly a disease entity
       independent of the service-connected disabil-
       ity. . . .

       (b) Doubtful cases. If doubt remains, after
       according due consideration to all the evi-
       dence developed by the several items dis-
       cussed in paragraph (a) of this section, the
       rating agency will continue the rating in effect
       ....

       (c) Disabilities which are likely to improve.
       The provisions of paragraphs (a) and (b) of
       this section apply to ratings which have con-
       tinued for long periods at the same level (5
       years or more). They do not apply to disabili-
       ties which have not become stabilized and are
       likely to improve. Reexaminations disclosing
       improvement, physical or mental, in these
       disabilities will warrant reduction in rating.
                               B
      Resolution of this appeal turns on the first sentence of
 § 3.344(c): “The provisions of paragraphs (a) and (b) of this
 section apply to ratings which have continued for long pe-
 riods at the same level (5 years or more).” The parties are
 in agreement that § 3.344(c) is unambiguous. They disa-
 gree, of course, as to the substance of that unambiguous
 meaning. Hanser contends that the provision’s parenthe-
 tical reference to “5 years or more” is not a definition but
 is, instead, merely a guideline, so a disability rating may
 qualify as having been unchanged for a “long period” even
 if it has persisted for less than five years. See Appellant
 Br. at 16. The Secretary, by contrast, argues that the par-
 enthetical is a definition, so for purposes of this regulation
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 6                                     HANSER   v. MCDONOUGH

 a “long period” means five years or more. See Appellee Br.
 at 10-12.
     We agree with the parties that § 3.344(c) is unambigu-
 ous. 1 We further agree with the Secretary that the paren-
 thetical here is definitional, so the requirements of
 paragraphs (a) and (b) only apply to ratings that are un-
 changed for at least five years.
      There is no general rule or presumption that a paren-
 thetical is always definitional. Instead, as in many areas
 of law (and life), context is crucial. Hence, to determine
 whether a particular parenthetical provides a definition or
 is “merely an illustrative example,” Novacor Chems., Inc.
 v. United States, 171 F.3d 1376, 1381 (Fed. Cir. 1999), we
 must consider the specific language at issue in the statu-
 tory or regulatory context in which it appears and then
 draw the most sensible conclusion about its meaning. See,
 e.g., Becerra v. Empire Health Found., 142 S. Ct. 2354,
 2362 (2022) (construing parenthetical contained in Medi-
 care payment provision by considering “[t]he text and con-
 text”); Boechler, P.C. v. Comm’r of Internal Revenue, 142 S.
 Ct. 1493, 1498 (2022) (construing parenthetical in tax code
 by considering “the provision’s text [and] structure” and

     1    The Veterans Court’s inconsistent statements as to
 whether the parenthetical is a definition do not render the
 regulation ambiguous. Compare Simon v. Wilkie, 30 Vet.
 App. 403, 410 (2018) (“[A] rating becomes entitled to
 heightened procedural protections under § 3.344(c) only
 when it has existed at the exact same percentage for at
 least 5 years.”) with Lehman v. Derwinski, 1 Vet. App. 339,
 342 (1991) (describing § 3.344(c) in a case in which the rat-
 ing had been in effect for five years – counting leap days –
 as a “guideline”). We are not bound by the Veterans Court’s
 decisions. See Harris v. West, 203 F.3d 1347, 1350 (Fed.
 Cir. 2000).
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 HANSER   v. MCDONOUGH                                          7

 “the broader statutory context”); Chickasaw Nation v.
 United States, 534 U.S. 84, 90 (2001) (noting that tax ex-
 emptions are ordinarily enacted explicitly, not suggestively
 in parentheticals).
     We followed this same approach in Novacor, 171 F.3d
 at 1380-81. After describing the parties’ competing posi-
 tions – that the parenthetical at issue was a definition or
 just an example – we noted that “general principles of con-
 struction support the view that a parenthetical is the defi-
 nition of the term which it follows” and then considered the
 specific regulatory language involved. Recognizing that
 context is key, in Novacor we rejected the view that the
 specific parenthetical was definitional, concluding that the
 “argument that the parenthetical is merely an illustrative
 example makes sense.” Id. at 1381; see also United States
 v. Monjaras-Castaneda, 190 F.3d 326, 330 (5th Cir. 1999)
 (“We read the parenthetical descriptively based on the gen-
 eral context and structure . . . .”).
     We do not read our statement in Novacor as establish-
 ing a presumption that parentheticals are definitions or
 that a party arguing for a contrary outcome bears a burden
 greater than that of a party on the other side of the dispute.
 Again, there is no such presumption. 2 Courts often, but far

     2    Nor, we would add, is there a presumption that
 parentheticals are not definitional, notwithstanding Su-
 preme Court cases that have found particular parentheti-
 cals, in particular contexts, to be not definitional. See
 Becerra, 142 S. Ct. at 2365 (concluding that where statute
 employed “consistent meaning” for term “entitled to bene-
 fits,” Congress would have not changed that meaning
 “simply by adding ‘(for such days)’”); Boechler, 142 S. Ct. at
 1499 (construing whether provision was jurisdictional and
 thus applying “the clear-statement rule,” imposing extra
 burden on party seeking definitional reading of parenthe-
 tical to show its position is “not only better, but also clear”);
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 8                                       HANSER   v. MCDONOUGH

 from always, determine that a specific parenthetical pro-
 vides a definition. See, e.g., Pinellas Ice & Cold Storage Co.
 v. Commissioner, 287 U.S. 462, 469-70 (1933) (concluding
 that parenthetical “expand[s]” meaning of “merger” and
 “consolidation” beyond their ordinary meaning); Parkway
 1046, LLC v. U.S. Home Corp., 961 F.3d 301, 314 (4th Cir.
 2020) (concluding that parenthetical served “a defining
 function”). On other occasions, courts that concluded the
 parenthetical they were evaluating was not definitional
 still recognized the principle that parentheticals often do
 provide definitions. See, e.g., Telecare Corp. v. Leavitt, 409
 F.3d 1345, 1353 (Fed. Cir. 2005) (“Statutes frequently de-
 fine words in a manner that diverges from ordinary mean-
 ing. And this can be done through a parenthetical as well
 as a specific definitional provision . . . .”); United States v.
 Coscia, 866 F.3d 782, 792 (7th Cir. 2017) (“The Supreme
 Court has read parenthetical language like the language
 before us today as definitional instead of illustrative.”) (cit-
 ing Lopez v. Gonzales, 549 U.S. 47, 52-53 (2006)); see also
 B. Garner, Modern English Usage 752 (4th ed. 2016) (ex-
 plaining that “parentheses are used in four ways,” one of
 which is to “specify, in one’s own running text, an author-
 ity, definition, explanation, reference, or translation”) (em-
 phasis added). The key point, supported by all these
 authorities, is that a parenthetical sometimes, but not al-
 ways, supplies a definition, and discerning the effect of any
 parenthetical requires an assessment of the specific lan-
 guage in context, an analysis we turn to now with respect
 to § 3.344(c).
                                C

 Chickasaw Nation, 534 U.S. at 95 (construing parenthe-
 tical in context of tax exemption, which “must be unambig-
 uously proved”) (internal quotation marks omitted).
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 HANSER   v. MCDONOUGH                                       9

     We conclude that the parenthetical contained in
 § 3.344(c) is definitional. Again, the language we are con-
 sidering is: “The provisions of paragraphs (a) and (b) of this
 section apply to ratings which have continued for long pe-
 riods at the same level (5 years or more).” Read in context,
 we conclude that this provision directs the VA to accord the
 procedural protections of paragraphs (a) and (b) to any vet-
 eran whose disability rating has lasted for a “long period[],”
 which the regulation precisely defines as “(5 years or
 more).” For a veteran to be entitled to the protections of (a)
 and (b), the veteran’s disability rating must have continued
 at the same level for five years or more.
     Section 3.344(c) guides the VA’s determinations as to
 whether procedures that make it more difficult to reduce a
 rating need to be followed, and it provides that such proce-
 dures apply when a rating has been in place, unchanged,
 for a long period; when these circumstances are present,
 the regulation makes it harder for the VA to disrupt the
 veteran’s expectations. 3 Without the parenthetical defini-
 tion, the VA would have to evaluate, on a case by case basis,
 how long a rating must persist before a veteran is to be

     3    The premise that longstanding ratings should be
 harder to disturb than more recently-determined ratings is
 itself longstanding. The regulatory provision that is now
 § 3.344(c) appeared as early as in 38 C.F.R. § 2.1172(c)
 (1946), and provided, in part, as follows:
         The above provisions apply to permanent rat-
         ings or to those which on account of their long
         continuance at the same level (five years or
         more) are on a parity with permanent ratings.
         Such provisions of regulations and procedure
         are not for application in the cases of veterans
         so recently discharged from the service that
         their disability has not been stabilized.
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 10                                    HANSER   v. MCDONOUGH

 accorded the procedural benefits of (a) and (b). This total-
 ity of the circumstances approach may require it to con-
 sider, for example, whether “long” is determined in relation
 to the age of the veteran, the amount of time the disability
 has persisted, its prognosis, or some combination of these
 (and perhaps other) factors. Our nation benefits from the
 service of millions of veterans, who (like the civilian popu-
 lation) suffer from all manner of disabilities, arising in
 countless, dynamic combinations. By clearly defining the
 length of time a disability rating must persist before the
 procedures of (a) and (b) apply, the Secretary has provided
 a simple rule for VA regional offices to implement in the
 vast array of circumstances they encounter. For a veteran
 to be guaranteed the heightened protections of paragraphs
 (a) and (b), he or she must have a disability rating that re-
 mains at the same level for at least five years.
     The parenthetical in § 3.344(c) does not include the
 term “e.g.” or “for example” or any other indication that it
 is merely illustrative. Moreover, unlike the situation we
 confronted in Novacor, the remaining language of § 3.344
 does not limit or alter what constitutes a “long period.” Nor
 has Hanser identified any reason why the Secretary would
 have included the parenthetical in the regulation as merely
 a guideline – especially when “long periods” is already a
 guideline – and we have been unable to conceive of any
 such reason ourselves.
      Contrary to the dissent’s contention, Dissent at 6-7, our
 conclusion that “5 years or more” is definitional does not
 render any portion of the first sentence of § 3.344(c) super-
 fluous. “Long periods,” although not strictly necessary, is
 not superfluous. Its presence gives further context to what
 the regulation is accomplishing: making it more difficult
 for the VA to reduce disability ratings that have persisted
 for what the Secretary has deemed to be a sufficient length
 of time. On this point, we agree with the Secretary: “the
 regulation uses parentheticals to add precision, i.e., ‘long
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 HANSER   v. MCDONOUGH                                      11

 periods at the same level’ is parenthetically and more fully
 explained as five years or more.” Appellee Br. at 12. 4
     We agree with Hanser that the regulation could have
 been written more clearly. See Appellant Br. at 16-17. Be-
 cause “5 years or more” is the definition of a “long period”
 for purposes of § 3.344(c), it would have been preferable if
 the drafters had simply stated: “The provisions of para-
 graphs (a) and (b) of this section apply to ratings which
 have continued for 5 years or more.” But the law does not
 require regulations to be written perfectly and deviations
 from the ideal do not render them ambiguous. See Caraco
 Pharma. Labs., Ltd. v. Novo Nordisk A/S, 566 U.S. 399, 416
 (2012) (“[T]he mere possibility of clearer phrasing cannot
 defeat the most natural reading of a statute; if it could
 (with all due respect to Congress), we would interpret a
 great many statutes differently than we do.”).
     Here, the unambiguous meaning of § 3.344(c) is that
 the requirements of paragraphs (a) and (b) only apply when
 a disability rating has continued at the same level for five
 years or more.
                               D
     Hanser contends, and the dissent agrees, that our con-
 clusion that a “long period” is “five years or more” renders
 the second sentence of § 3.344(c) superfluous. Appellant
 Br. at 20-22; Dissent at 7-8. This second sentence provides
 that paragraphs (a) and (b) “do not apply to disabilities
 which have not become stabilized and are likely to im-
 prove.” In Hanser’s view, if a disability rating that is un-
 changed for five years always guarantees a veteran the
 protections of paragraphs (a) and (b), while a disability rat-
 ing that has persisted for less than five years never gives
 rise to these protections, the further directive that (a) and

    4    Neither party argues that the parenthetical con-
 tained in § 3.344(c) is a mere afterthought or aside.
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 12                                    HANSER   v. MCDONOUGH

 (b) do not apply to disabilities that are not stabilized and
 are likely to improve will never determine the applicability
 of (a) and (b). This reality, he insists, must mean that our
 understanding of the first sentence of § 3.344(c) is incor-
 rect.
      We are unpersuaded. Whereas the first sentence of
 § 3.344(c) is concerned with disability ratings, the second
 sentence addresses disabilities. Disability ratings are the
 rating agency’s assessments of the degree to which a vet-
 eran suffers from a particular disability. See 38 C.F.R.
 § 4.1 (“The percentage ratings represent as far as can prac-
 ticably be determined the average impairment in earning
 capacity resulting from such diseases and injuries and
 their residual conditions in civil occupations.”). Disabili-
 ties “result[] from all types of diseases and injuries encoun-
 tered as a result of or incident to military service.” Id.
 Together, then, the first two sentences of paragraph (c) pro-
 vide that the procedures of (a) and (b) apply when ratings
 have continued unchanged for five years or more but do not
 apply to disabilities that are not stable and are likely im-
 prove.
     There may well be ambiguity as to what a rating
 agency should do if a veteran presents with a continuous
 rating of five years or more but also a disability that is not
 stable and is likely to improve. 5 This case does not require

      5  In Simon, 30 Vet. App. at 410, the Veterans Court
 stated that the second sentence clarifies that the height-
 ened protections of paragraphs (a) and (b) are not applica-
 ble to “disabilities where slight improvement is shown, or
 expected in the future, but when such improvement does
 not reach a level that warrants a lower rating in terms of a
 percentage on the rating scale.” On this view, without the
 second sentence, the heightened protections of paragraphs
 (a) and (b) would still apply to disabilities that may im-
 prove slightly but have not yet resulted in a lower rating.
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 HANSER   v. MCDONOUGH                                      13

 us to dictate to the VA how to resolve such a conflict, should
 it arise, because Mr. Hanser’s disability rating did not per-
 sist unchanged for five years. 6 Nor was the issue presented
 or briefed. It is enough for our purposes to observe that in
 the absence of the second sentence there would not even be
 an arguable conflict between the first and second sen-
 tences, which tells us that the second sentence is doing
 something and is not superfluous. Again, we conclude that
 the first sentence of § 3.344(c) has the unambiguous mean-
 ing we have explained above.
     The dissent faults our construction for being less pro-
 veteran than its own. Dissent at 8-9. Our reading of the
 VA’s regulation means that a veteran whose disability rat-
 ing has been unchanged for five years or more, and whose
 disability is also stable and not likely to improve, is guar-
 anteed the procedural protections of (a) and (b) before his
 or her rating can be reduced. Were the dissent’s view to
 prevail, by contrast, veterans with disability ratings that
 have continued at the same level for five years or more

 See id. Such a view would seem to gain support from the
 third sentence of § 3.344(c), which provides that reexami-
 nations disclosing improvement in unstable disabilities
 “will warrant reduction in rating,” while if the provisions
 of paragraph (a) applied in such circumstances “[e]xamina-
 tions less full and complete than those in which payments
 were authorized or continued” could not be used to reduce
 a rating.

     6    At oral argument, counsel for the Secretary as-
 serted that if such a scenario were to arise, paragraphs (a)
 and (b) would apply. Oral Arg. at 27:12-29:24. She did not
 elaborate on her reasoning. Nothing in our decision today
 should be understood as precluding the VA from adhering
 to this position and providing the benefits of (a) and (b) to
 such veterans.
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 14                                      HANSER   v. MCDONOUGH

 could still be found by the VA to have a disability rating
 that has not “continued for long periods” and, hence, would
 not obtain the benefits of (a) and (b). The dissent would
 require all veterans to await the VA’s case-by-case review
 before knowing whether (a) and (b) will be deemed applica-
 ble. On our view, the only veterans who lack certainty as
 to whether (a) and (b) apply are those who have both an
 unchanged rating for five years and also a disability which
 has not become stabilized and is likely to improve. We do
 not think it obvious which result, ours or the dissent’s, is
 more or less favorable to veterans. Moreover, as already
 noted, we are leaving it open for the VA to determine
 whether the protections of (a) and (b) apply to veterans who
 have both a stable rating for five or more years and also a
 disability that is not stable and is likely to improve – if such
 a veteran presents this issue, as Hanser’s case does not.
 The “anti-veteran” position, which we do not endorse,
 would be to direct the VA that, under the current regula-
 tion, it may not apply (a) and (b) to such a veteran.
                                E
      We can easily dispose of Hanser’s remaining argu-
 ments. He contends that our interpretation of § 3.344 con-
 flicts with 38 C.F.R. § 3.103(a), which requires the VA to
 “render a decision which grants [the veteran] every benefit
 that can be supported in law while protecting the interests
 of the Government.” Appellant Br. at 17-18. This state-
 ment of policy cannot contradict the plain meaning of a reg-
 ulation. See generally First Interstate Bank v. United
 States, 61 F.3d 876, 879 (Fed. Cir. 1995) (“The govern-
 ment’s policy argument, however, cannot override the plain
 language of the agreement and the implementing regula-
 tions.”). As we have held, there are no ambiguities here to
 be resolved in anyone’s favor. Hanser also argues that the
 second sentence of § 3.344(c) is arbitrary and capricious be-
 cause it does not provide a standard for determining when
 a disability is “stabilized” or “likely to improve.” Appellant
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 HANSER   v. MCDONOUGH                                     15

 Br. at 18-22. Hanser forfeited this argument by not raising
 it with the Board or Veterans Court. See Emenaker v.
 Peake, 551 F.3d 1332, 1337 (Fed. Cir. 2008). Finally, the
 Veterans Court did not defer to the Board’s interpretation
 of § 3.344(c), which Hanser unpersuasively accused it of do-
 ing before seemingly abandoning this contention in his re-
 ply brief. See Reply Br. at 17, 26.
    We have considered Hanser’s additional arguments
 and find they lack merit.
                              IV

     It is undisputed that none of Hanser’s disability ratings
 continued unchanged for “5 years or more.” App. 4. Thus,
 Hanser does not meet the required minimum period pursu-
 ant to § 3.344(c) and is not subject to the provisions of §
 3.344(a) and (b). For the foregoing reasons, we affirm the
 Veterans Court’s decision.
                         AFFIRMED
                            COSTS
 No costs.
Case: 21-1974   Document: 38      Page: 16   Filed: 12/21/2022

    United States Court of Appeals
        for the Federal Circuit
                  ______________________

                CLIFFORD T. HANSER,
                  Claimant-Appellant

                             v.

        DENIS MCDONOUGH, SECRETARY OF
               VETERANS AFFAIRS,
                Respondent-Appellee
               ______________________

                        2021-1974
                  ______________________

    Appeal from the United States Court of Appeals for
 Veterans Claims in No. 19-5382, Senior Judge William A.
 Moorman.
                 ______________________

 MOORE, Chief Judge, dissenting.
     The majority interprets § 3.344(c)’s parenthetical as
 unambiguously definitional. As the government concedes,
 however, that interpretation renders much of the regula-
 tion’s language superfluous. That cannot be right. Con-
 sistent with the language of the regulation and general
 principles of construction, “(5 years or more)” is an exam-
 ple, not a definition. I respectfully dissent.
     The majority’s regulatory interpretation begins with a
 flawed premise that “general principles of construction
 support the view that a parenthetical is the definition of
 the term which it follows.” Maj. at 7 (quoting Novacor
 Chems., Inc. v. United States, 171 F.3d 1376, 1381 (Fed.
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 2                                     HANSER   v. MCDONOUGH

 Cir. 1999)). Although the majority purports to recognize
 that “there is no presumption” that parentheticals are def-
 initional, Maj. at 7, and that context is crucial—to which I
 am in violent agreement—its analysis of the regulation at
 issue makes clear the majority’s undeniable starting posi-
 tion is nevertheless that parentheticals are presumptively
 definitional. Lest there was any doubt as to the majority’s
 approach to this canon of construction, the majority con-
 cludes that the parenthetical is definitional because “The
 parenthetical does not include the terms ‘e.g.’ or ‘for exam-
 ple’ or any other indication that it is merely illustrative.”
 Maj. at 10. Then, it faults Mr. Hanser for failing to “iden-
 tif[y] any reason why the Secretary would have included
 the parenthetical in the regulation as merely a guideline.”
 Id.
      This is a beautifully simple case of construction, and
 the majority is in error as to principles of construction. It
 is important to note that there are literally thousands of
 parentheticals in the U.S. Code—so the majority’s inter-
 pretative approach, in which the person asserting a paren-
 thetical is not definitional bears the burden, is a profoundly
 broad and flawed method of statutory/regulatory construc-
 tion which would impact every conceivable area of law. The
 majority’s starting point was clearly that the parenthetical
 was definitional—there is no such general principle. The
 majority claims it has not imposed any burden on Mr.
 Hanser. Maj. at 7. But in faulting Mr. Hanser for failing
 to identify affirmative indications the parenthetical is not
 definitional, the majority has placed the burden upon him.
 And in concluding the parenthetical is a definition despite
 the absence of any textual support for that interpretation,
 the majority gives its unstated presumption dispositive ef-
 fect. The majority’s claim that there is no presumption
 feels a lot like Obi-Wan’s claim, “These aren’t the droids
 you’re looking for.” And I am no Stormtrooper.
     Novacor, the only case cited by the majority for its gen-
 eral principle that parentheticals are definitional, cites no
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 HANSER   v. MCDONOUGH                                      3

 authority for that proposition and actually held the paren-
 thetical at issue was “merely an illustrative example.” 171
 F.3d at 1381. That dicta, uttered 20 years ago in a single
 case, has not been followed. 1 And recently, two Supreme
 Court cases have made clear that “a parenthetical is typi-
 cally used to convey an aside or afterthought,” not a bind-
 ing definition. Becerra v. Empire Health Found., for Valley
 Hosp. Med. Ctr., 142 S. Ct. 2354, 2365 (2022). After noting
 that parentheticals are usually an “aside or afterthought,”
 the Supreme Court concluded “nothing about the ‘(for such
 days)’ parenthetical signals anything different.” Id. The
 Supreme Court did not begin, as the majority has, from the
 proposition that there exists a general principle applicable
 to parentheticals that requires treating them as

     1    The only other cases cited by the majority do not
 assert a general rule, but rather conclude, based on other
 language in the statute and context, that the parentheti-
 cals in those statutes were definitional. See Parkway 1046,
 LLC v. U. S. Home Corp., 961 F.3d 301, 314 (4th Cir. 2020)
 (interpreting a contractual parenthetical to be definitional
 where the parenthetical included “i.e.” and “substantial
 other textual evidence” supported the same conclusion);
 United States v. Coscia, 866 F.3d 782, 792–93 (7th Cir.
 2017) (holding statute which stated “commonly known to
 the trade as, ‘spoofing’ (bidding or offering with the intent
 to cancel the bid before execution)” was defining the word
 spoofing); Telecare Corp. v. Leavitt, 409 F.3d 1345, 1353–
 54 (Fed. Cir. 2005) (holding that where the parenthetical
 actually gives the statutory term a broader meaning than
 it would ordinarily have, then the term should be under-
 stood to include that broader meaning); Pinellas Ice & Cold
 Storage Co. v. Comm’r, 287 U.S. 462, 469 (1933) (holding a
 parenthetical was definitional where it expanded the
 meaning of the preceding terms “beyond the[ir] ordinary
 and commonly accepted” meanings).
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 4                                     HANSER   v. MCDONOUGH

 definitional. And importantly, no other court in the coun-
 try has done so either.
     The Supreme Court, again in 2022, confronted a par-
 enthetical and again faced the question of whether it was
 definitional or merely illustrative. In Boechler, P.C. v.
 Commissioner of Internal Revenue, the Supreme Court be-
 gan with the proposition that “a parenthetical . . . is typi-
 cally used to convey an ‘aside’ or ‘afterthought’.” 142 S. Ct.
 1493, 1498 (2022) (citing B. Garner, Modern English Usage
 1020 (4th ed. 2016)). 2 After acknowledging this premise,
 the Supreme Court analyzed the remainder of the text and
 held that “the broader statutory context confirms the lack
 of any clear statement.” Id. At a minimum, these cases
 confirm that there is no general principle of construction
 that parentheticals are presumed to be definitional. It was

     2     Though nothing is better than two recent Supreme
 Court decisions, these are not the first decisions which in-
 dicated that parentheticals are not generally definitional.
 See, e.g., Chickasaw Nation v. United States, 534 U.S. 84,
 89 (2001) (“The use of parentheses emphasizes the fact that
 that which is within is meant simply to be illustrative,
 hence redundant—a circumstance underscored by the lack
 of any suggestion that Congress intended the illustrative
 list to be complete.”); Cabell Huntington Hosp., Inc. v.
 Shalala, 101 F.3d 984, 990 (4th Cir. 1996) (“A parenthe-
 tical is, after all, a parenthetical, and it cannot be used to
 overcome the operative terms of the statute.”). The govern-
 ment has itself argued that parentheticals are not nor-
 mally definitional. See Reply Br. of Plaintiff-Appellant,
 United States v. Kassouf, No. 96-4381, 1997 WL 34609476,
 at *18–19 (6th Cir. 1997) (arguing that “if Congress had
 wanted to override the usual non-restrictive effect of a
 phrase set off in parentheses, it could have used [different]
 words”).
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 HANSER   v. MCDONOUGH                                        5

 therefore error for the majority’s analysis to begin with
 such a presumption.
      To determine whether a parenthetical is definitional or
 illustrative, context matters: we look to the provision’s text
 and structure to ascertain the meaning of the parenthe-
 tical. Here, the structure and text of the regulation affords
 only one conclusion: that “(5 years or more)” is illustrative,
 not definitional. Indeed, as the Veterans Court recognized
 in Lehman v. Derwinski, “the regulation is devoid of any
 language which could be construed as intended to establish
 an inflexible mandatory minimum time period.” 1 Vet.
 App. 339, 342 (1991). 3 And it would have been so easy for
 the VA to include such language. For example, it could
 have simply used the abbreviation “i.e.” in the parenthe-
 tical. 4 It did not use i.e. or e.g., but the related text and
 structure of the regulation advance the case for the paren-
 thetical being merely illustrative or exemplary. The regu-
 latory section at issue provides:
         (c) Disabilities which are likely to im-
         prove. The provisions of paragraphs (a) and
         (b) of this section apply to ratings which have

     3   I agree with the majority that the Veterans Court
 has made inconsistent statements over time about whether
 this parenthetical is definitional and that we are not bound
 by these statements. Maj. at 6 n.1.

     4    The majority relies upon the failure to use “e.g.” or
 “for example” as its basis for concluding that the VA didn’t
 mean this to be an example, but the VA could have just as
 easily used “i.e.” if it intended the parenthetical to be defi-
 nitional. This was raised by the parties, but the majority
 never addresses it because it begins from the faulty prem-
 ise that parentheticals are definitional, and it merely needs
 to determine whether the VA clearly indicated they should
 be treated otherwise.
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 6                                      HANSER   v. MCDONOUGH

       continued for long periods at the same level (5
       years or more). They do not apply to disabili-
       ties which have not become stabilized and are
       likely to improve. Reexaminations disclosing
       improvement, physical or mental, in these
       disabilities will warrant reduction in rating.
     Our first context clue is that the parenthetical follows
 the phrase “long periods.” According to the government
 and the majority, the parenthetical defines that phrase.
 The government concedes, however, that such an interpre-
 tation renders “long periods” superfluous. Oral Arg. at
 23:06–52. “The [majority’s] reading is thus at odds with
 one of the most basic interpretive canons, that a statute
 should be construed so that effect is given to all its provi-
 sions, so that no part will be inoperative or superfluous,
 void or insignificant.” Corley v. United States, 556 U.S.
 303, 314 (2009) (emphasis added).
     Unlike the government, the majority claims that “long
 periods” is not superfluous because “although not strictly
 necessary” it provides context, namely that in the Secre-
 tary’s view five years or more is a long period. Maj. at 10–
 11. With all due respect, this just makes no sense. If the
 government said five years or more, there is no need to let
 the world know, “oh and by the way, we think five years is
 long.” It adds absolutely nothing; it is unnecessary and en-
 tirely extra, the very definition of superfluous. The major-
 ity cites no regulatory text or context supporting its
 interpretation and is content to find against the veteran on
 this issue of construction because it is defaulting to its gen-
 eral principle: a parenthetical is a definition unless proven
 otherwise.
     The textual clues do not stop there. The second sen-
 tence of § 3.344(c) explains that whether a rating period
 qualifies as a “long period” is impacted by other factors
 such as whether the disability has “stabilized” or is “likely
 to improve.” That clarification is meaningful only if “(5
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 HANSER   v. MCDONOUGH                                         7

 years or more)” is exemplary. Indeed, the government
 readily admits that, if the parenthetical is a definition, the
 entire second sentence of this regulation is “entirely super-
 fluous,” “irrelevant,” and has “absolutely no impact.” Oral
 Arg. at 28:41–29:19 (Q: “So, if I’m not mistaken, then what
 you’re saying is, if we interpret the ‘long period’ as five
 years or more, that is absolute, it decides the question, and
 the entire next sentence about ‘[t]hey do not apply to disa-
 bilities which do not become stabilized and are likely to im-
 prove’ is entirely superfluous? It has absolutely no impact
 on whether the heightened scrutiny applies? That five
 years is it and all the other language in [§ 3.344(c)] is irrel-
 evant? Is that what you’re arguing?” A: “I think so, yes,
 Your Honor.”). Again, this offends one of our “most basic
 interpretive canons.” Corley, 556 U.S. at 314.
     The majority concludes that the second sentence is not
 superfluous because it deals with disabilities rather than
 disability ratings. According to the majority, the second
 sentence requires that the procedures of (a) and (b) do not
 apply to disabilities that are not stable and are likely to
 improve. Maj. at 12. As the majority all but concedes, its
 interpretation would create situations in which the regula-
 tion is internally inconsistent. Maj. at 12 (“There may well
 be ambiguity [under our construction] as to what a rating
 agency should do if a veteran presents with a continuous
 rating of five years or more but also a disability that is not
 stable and is likely to improve.”).
      What is the VA to do if a veteran presents with a con-
 tinuous disability rating of five or more years, but a disa-
 bility that is not stable and likely to improve? According to
 the majority, the first sentence of § 3.344(c) unambiguously
 entitles the veteran to the procedures of § 3.344(a)–(b),
 while the second would unambiguously take them away.
 We ought not adopt a construction which would render the
 regulation internally inconsistent and potentially unwork-
 able, especially where there is a reasonable alternative.
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 8                                     HANSER   v. MCDONOUGH

      As to the relationship between the two sentences, the
 government itself argued that if the rating is in place for 5
 years or more, the veteran gets the heightened procedures
 of (a) and (b) and that the second sentence of (c) (relating
 to stability and improvement) has no impact. Oral Arg. at
 26:32–27:44; see also Oral Arg. at 27:45–28:40. The major-
 ity contends that its contrary construction of this second
 sentence does not preclude the VA from adhering to its po-
 sition and extending the protections of sections (a) and (b)
 to a veteran with a disability that has not stabilized or is
 likely to improve. Maj. at 13 n.6. In doing so, the majority
 effectively disavows its only argument that the second sen-
 tence is not superfluous. The majority also contests
 whether its construction is anti-veteran, arguing its con-
 struction provides more certainty for some veterans while
 construing the term as exemplary would require a case-by-
 case determination. Maj. at 13–14. The majority’s inter-
 pretation may indeed provide more certainty, but certainty
 that fewer veterans are eligible for the protections of (a)
 and (b) is hardly a more pro-veteran approach. My con-
 struction would extend eligibility for these minimal proce-
 dural protections to all veterans, 5 enabling the VA to
 determine whether an individual veteran’s circumstances
 meet the regulatory criteria. The majority’s interpretation

     5   The heightened procedures of (a) simply require
 that a rating in place for a long period shall not be reduced
 without looking at the medical history and that medical ex-
 aminations which are relied upon to reduce a rating should
 be as complete as those that justified the rating. 38 C.F.R.
 § 3.344(a). The heightened procedure of (b) simply provides
 that in “doubtful cases” the higher rating shall be left in
 place. 38 C.F.R. § 3.344(b). These procedures, which the
 majority strips from this veteran, are quite minimal pro-
 tections for a veteran already adjudicated to have been ren-
 dered disabled by his military service.
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 HANSER   v. MCDONOUGH                                       9

 results in denying all veterans procedural protections if
 their ratings have been in effect less than 5 years (includ-
 ing Mr. Hanser at 4 years and 10 months), and possibly
 denying claims even when the ratings have been in effect
 longer than five years if the disabilities have not stabilized
 or are likely to improve. There is simply no question—the
 majority’s construction of these two sentences and how
 they work together is more anti-veteran than my construc-
 tion or the government’s proffered construction.
      Logical, consistent meaning for the entire regulation
 requires the VA to consider the totality of the circum-
 stances to determine, case by case, whether a veteran’s dis-
 ability is likely to improve or has stabilized. The first
 sentence sets out the standard: (a) and (b) apply to ratings
 in place for “long periods.” The second sentence gives con-
 text: to determine whether a rating has been in place for a
 sufficiently long period, take into account the nature of the
 disability, namely whether the disability has stabilized and
 is likely to improve. There is good reason to believe that
 the VA purposefully adopted the vaguer “long periods”
 standard so that it had the flexibility to look at conditions
 such as whether the disease has stabilized or is likely to
 improve in determining whether the procedures of (a) and
 (b) ought to attach—considerations expressly mentioned in
 the regulation and something the VA is well equipped to
 do. In the vast array of veterans’ disabilities, no doubt
 there are some that stabilize much sooner than five years
 and some that will likely improve after five years.
     The majority’s interpretation of § 3.344(c) leaves no
 room for the VA to consider those circumstances if a rating
 decision has, like Mr. Hanser’s, been in place for four years
 and 10 months. Under the majority’s construction, if the
 disability rating has been in place for less than five years,
 the veteran is not entitled to the protections and if the rat-
 ing has been in place for five years or more the veteran is
 also not entitled to the protections if the VA then deter-
 mines (after a multifactor analysis) that the disability is
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 10                                     HANSER   v. MCDONOUGH

 likely to improve or has not stabilized. Given the diverse
 spectrum of veterans’ disabilities, that approach is bad pol-
 icy. And it is inconsistent with the plain language of the
 regulation.
     Though the majority cites nothing in the text to sup-
 port its conclusion that five years or more is definitional, it
 is no doubt drawn to the simplicity of the rule it adopts—
 unless the rating has been in place for five years or more,
 no procedural protections apply. The only justification of-
 fered by the majority is administrative ease of enforce-
 ment; there is no text or context which supports its
 interpretation. But it is important to note that even under
 the majority’s construction five years does not become a
 bright line rule. The majority interprets the second sen-
 tence as requiring that the government determine whether
 the disease has stabilized or is likely to improve anytime a
 rating has been in place for five years or more. Thus, under
 the majority’s construction there would be no case-by-case
 analysis for ratings in place less than five years (all such
 veterans lose the procedural protections), but there would
 be exactly this sort of case-by-case analysis for any rating
 in place five years or more. Under the majority’s interpre-
 tation, there is still a multi-factor analysis anytime a rat-
 ing has been in place for five years or more. And
 importantly, the majority’s policy-based ease of admin-
 istration approach is not a substitute for textual analysis
 of the regulation.
     I dissent from the majority’s regulatory interpretation.
 Mr. Hanser had a consistent, stable rating for his disability
 for more than 4 years and 10 months; I would vacate and
 remand for the VA to consider whether the heightened pro-
 cedures of (a) and (b) apply to Mr. Hanser after considering
 the factors in 38 C.F.R. § 3.344(c). The text of the regula-
 tion affords only one construction: five years is not a
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 HANSER   v. MCDONOUGH                                     11

 definitional per se bar 6 and, importantly, there is no pre-
 sumption that parentheticals are definitional. The major-
 ity’s approach to parentheticals—starting from its general
 principle that they should be treated as definitional and re-
 quiring that the veteran prove otherwise—is simply at
 odds with how any other court has approached this canon
 of statutory/regulatory interpretation. This is not a good
 place for us to be—and the consequences are far reaching.

     6   If the VA prefers a one-time-fits-all period, it can
 modify its own regulation at any time to make that clear.
 It would need only insert the letters “i.e.” into the paren-
 thetical and modify the second sentence such that the pro-
 vision as a whole would not be internally consistent.