Mapping the growth of disability claims in America

Displaced Bama Fan

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Bamabuzzard

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I know of a case close to me of an ongoing application due to fibromyalgia. Google that one if you like. The diagnosis is almost completely reliant on patient testimony - it's the holy grail of disability.

Somewhere, somehow, this needs to get fixed. As in neutered. Spayed. Made non-reproductive.
Yep, worked with a lady for six years who had this. Amazing at the timing of when it would "flair up".
 

cuda.1973

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It desperately needs to be overhauled but there are very few in DC who have the political kahunas to even attempt it.

I think the way to fix it is to get rid of it. I have thought about ways to fix it, as I was on it, for quite a few years. But, with the benefit of more time to ponder it, the only solution is to totally get rid of it.

Let me tell you 'bout my experiences.................. (this will probably rival one of Selma's posts, so you are warned.)

OK, get cancer, go to hospital, things go horribly wrong, go on disability, somehow survive, yet things are still (and will be, until I assume room temperature) horribly wrong.

Employer sends letter demanding I file for Socialist Insecurity Disability.

"Why? What did the gubbament have to do with any of this?" Ignore letter.

Get another one. Ignore it. Then, an official one arrives, informing me that if I do not file, within the next x number of days, that I will be terminated, and lose all benefits.

Humorless fascist money-grubbing twits.

So, file, and the gubbament agrees I am disabled. Start to receive monthly checks. Big deal.

Here is why my employer was so adamant about it: they reduce my disability stipend by the amount the gubbament sends to me. Big incentive to dump me off on someone else. Wrong, on so many levels. But, anyway..............

Five years go by. Still disabled, and still going to rehab/physical therapy three times a week. (With little progress. And the medical insurance folks are not amused.) Gubbament sends me a letter, stating it is that time for a review, and I am most likely no longer disabled.

So, I wind up talking to some claim reviewer. It was on a Friday, and right before lunch, and I guess he was looking forward to cutting out early, and was in a talkative mood.

"Well, here is what it looks like. It looks like you are severely impaired, and that affects your ability to do your job. But, there is a difference between 'severely impaired', and having trouble doing your job and being 'disabled' and unable to perform your job."

(Like being in the hospital, getting sliced open, poisoned and who knows what else they did to me. Yes, at that time I really was unable to do ANYTHING. Except kvetch. Did lots of that.)

"And on top of that....................look here.................see this red stamp, at the top of your claim? Where it says 'improvement expected'. Let me tell you what that means, and it isn't hard to understand. You had cancer. We decided that made you disabled. But, that was 5 years ago. In 5 years, you are either cured or dead. You clearly are not dead, so we are going to conclude that you are no longer disabled. It stinks, I know, because you are 'severely impaired', and probably always will be. That is just how the system works."

Square peg, square hole. Round peg, round hole. Octagonal hole...............screw it, throw it away. Pretty much how they, and the insurance companies, work. Unusual case fall in a crack, and get tossed away.

Eventually, I end up in front of an administrative law judge. First words out of his mouth were "I see your doctor is so-and-so. That is disappointing. I see too many of his patients."

"Maybe that is because he gets all the patients the other doctors have given up on."

Yeah, the outcome of this was predetermined.

Next step is Federal court, and my employer was not willing to pay for legal representation, so end of my days on the gubbament dole. And they get stuck paying me the full amount, due under the disability insurance policy.

No skin off of my back, right?

WRONG!

Found out, many years later, that by kicking me off of gubbament disability, that screws me if I live long enough to file for retirement benefits. (I have, but have not filed.)

Here is what they do to screw you:

All the years that you are disabled do not count into figuring your retirement benefit. Unless you are receiving gubbament disability. It is if they never existed. None of my disability stipends count towards retirement, as there were no FICA deductions. So, essentially, I have been unemployed, the last x number of years. Which means I will get diddly-squat, when I try to get retirement benefits.

Good thing I don't count of the gubbament for anything, and am used to being poor. Because that is my future.

So, several problems, that need to be addressed:

1.) Employers have a strong incentive to dump folks off on the gubbament. Saves them $$$$.
2.) Disabled workers have a strong incentive (even though I bet none of them know this) that if you really are "disabled", and can not work, unless the gubbament concurs, you are basically unemployed, and you will get diddly-squat, if you live to retirement.

Two possible remedies:

1.) If you have disability, through your employer, you can not file for gubbament disability. Problem is no employer will offer disability insurance, and everyone sponges off of the gubbament. Bad idea.
2.) Do away with gubbament disability. Find some way to address the issue of problem of being disabled, without the gubbament having to certify you as such. Would probably mean FICA deductions, from disability stipends. Which means a new tax, and who wants to support that one, on the poor disabled? Yeah, that probably won't happen. Oh well.

Next up: actually going to the Socialist Insecurity office, and dealing with gubbament drones!
 

cuda.1973

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The problem is that the qualifying process is non-adversarial. The applicant can have a lawyer the government can not. The Judge has to remain impartial.
See my post..................

Many lawyers making a living off disability claims. Some doctors too. Legal aide lady told me one time that just about everybody is approved on the third go round.
Yes, it has turned into quite a nice little industry. Squeak long enough, and loud enough, eventually they cave.

If you hire the right shill.

Someone who is 100% disabled can still make an extra $14000 a year without penalty. Gotta be a way to weed out the deadbeats while still helping the truly disabled.
See my next post.......................
 

cuda.1973

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OK, let's take a trip to the Socialist Insecurity office, and deal with the mindless gubbament drones.

First off, I sit next to some guy, who looks like a Nam vet. (OK, he could have bought the field jacket at some surplus/Goodwill store.) Anyway, this guy clearly has issues. What kind? No idea. But he clearly has some.

"You know, man, the only job I can get is telephone solicitor. Know how much fun that is? Who wants someone to call you when you are eating dinner. It stinks, as a job, and the pay stinks. I hate it.

And then you have to talk to these guys. The last one I saw said 'Well, Mr. so-and-so, I see where we have given you $200k, over the last 20 years. What have you done with all that money?'

Hey, man, that is only $10k a year! Have you ever tried to live on $10k a year, man? You can't. And this guy wants to lecture me about how much money they have given me. Can't work, and can't live on what they give me. Do they really think I want to live like this?"

The rest of the rant isn't any different, and he gets called in, to face the music.

Eventually, it is my turn.

"How are you doing, today?"
"Well, I am still alive, so that is progress."
"So, do you have any dependents?"
"HUH?"
"I see here where you have not indicated how many dependents that you have."
"Seriously?"
"Yes, it is very important that we know that. If you have dependents, then they are entitled to benefits. We have to know if we need to calculate their benefits."
"Did you actually read my file? Have you seen what I have been doing, the last year? I'm trying to stay alive, and recover to where I can safely walk across a parking lot, without falling over and breaking my neck. How am I supposed to find time to find some gal to marry, and make kids with. As if I can actually make kids..................."
"Well, this is very important, depending on who your dependents are. And their relationship to you, and what that relationship might be, upon your becoming disabled. It could lead to a lot of paperwork to make sure they get all of their proper and full benefits"


Has this guy listened to a single word that I said?

The rest of the "review" is a lot more stupid questions. Don't remember many that might be germane. Like "is your cancer in remission?" or "how is your physical therapy going" or "what do they say about your long-term prospects". I think he may have asked if I was looking forward to going back to my job. Maybe...............that was so long ago that I have forgotten any mundane comments he may have made.

Typical gubbament drone: more concerned he will not have all the right boxes checked, on the forms, and hoping he will not have to do a ton more paperwork. Because his job is sooooooo difficult.

The guy sitting off to my right is finished with his review. He has a big smile, on his face, and walks away.

Not looking forward to the next time I have to talk to these ninnies.
 

Tidewater

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The problem is that the qualifying process is non-adversarial. The applicant can have a lawyer the government can not. The Judge has to remain impartial. Many lawyers making a living off disability claims. Some doctors too. Legal aide lady told me one time that just about everybody is approved on the third go round.

Someone who is 100% disabled can still make an extra $14000 a year without penalty. Gotta be a way to weed out the deadbeats while still helping the truly disabled.
One of three laws of social programs.

1. The Law of Imperfect Selection. Any objective rule that defines eligibility for a social transfer program will irrationally exclude some persons.

This law accounts for the reason that programs like Food Stamps and the Supplemental Security Income program constantly expand. Whenever the people who administer the programs run into a case of a genuinely needy person who has been excluded under a current rule, they tend to redefine the rule or otherwise alter the program’s administration to be more inclusive, which in turn brings more people who don’t need the social transfer under its umbrella.
 

Tidewater

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Careful. Calling a thief a thief runs you the risk of being labeled a Randian .... which is supposedly a very bad label ... 'cause thievery is really economic equality.
People who take social safety net payments when they know they are capable of providing for themselves will be sad when the checks start to bounce.
The people who really need that money because they cannot provide for themselves are going to be in for a shock.
All of us are going to say, "We should have done something to keep the system solvent while we still could."
 

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