Social Security disability was set up under the Social Security Act to provide income for workers who became disabled before reaching retirement age. The program is complex, difficult and confusing. There are too many obstacles placed in the way. No wonder it's called "the Ordeal."
Here are a few of the obstacles you must overcome to win benefits:
Obstacle: The Application for Benefits. A
typical Social Security benefit application package contains at least
38 pages of forms, questionnaires and documents. Many people simply
cannot complete all these forms in a way that allows benefits to be
paid. Social Security will use some of these forms, such as the
Function Report, to deny claims.
Obstacle: The Consultative Examination. In
some cases, Social Security will order you to attend a "consultative
examination" with the doctor of their choice. This doctor typically
spends about 15 minutes with you and performs no lab tests, X-rays or
other diagnostic procedures. In 90 percent of cases, the doctor will
find no significant abnormality and will, in effect, pronounce you fit
to work. He will report that you are able to get on and off the exam
table without assistance, have limbs that appear normal, have breath
sounds that seem OK and that you are "in no apparent distress." Good to
go. Here comes your denial.
Obstacle: The Single Decision Maker. A
single decision maker at the Disability Determination Service, who is
not a doctor, will review your medical records and make a decision that
you may not be able to perform any of your past work but that there is
some other work that you could do.
Obstacle: The Burden of Proof. You are assumed to be able to work until you can prove otherwise. If you are under the age of 50, it isn't enough to prove that you cannot perform any of your past work (called 'past relevant work'). You must also prove that there does not exist any other job in
the United States economy that you are able to perform. This is a very
high burden of proof. Social Security will often argue, for example,
that you could do the work of an inspector, garment tagger, ticket
taker, egg washer, assembler or hand packager... They will even argue
that you can perform these jobs sitting down and that you can change
from sitting to standing any time you need to.
Obstacle: Interpretation. Social
Security will interpret medical and vocational evidence as it suits
them. If you look out the window and say it's raining, they will say,
"Where do you find that in the medical evidence?" If your doctor gives
you a letter stating, "Mr. So-and-So is not able to work," Social
Security will say, "The doctor is not allowed to make that decision."
This is why a huge industry has grown up around Social Security disability.
At least 70 percent of all claims get denied before they are approved.
The appeal process is long, complicated and technical. Unless you understand Social Security regulations, it can be a maize of terms, processes, interpretations and requirements that you have no hope of understanding.
The Forsythe Firm helps claimants in Alabama and Tennessee overcome the obstacles and win their disability benefits. Free consultations - and you will never pay us a fee unless your successful case results in past due benefits. If we lose, you don't pay. (256) 799-0297.
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