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El. knyga: 21st Century System for Evaluating Veterans for Disability Benefits

  • Formatas: 406 pages
  • Išleidimo metai: 30-Aug-2007
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309164429
Kitos knygos pagal šią temą:
  • Formatas: 406 pages
  • Išleidimo metai: 30-Aug-2007
  • Leidėjas: National Academies Press
  • Kalba: eng
  • ISBN-13: 9780309164429
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21st Century System for Evaluating Veterans' Disability Benefits recommends improvements in the medical evaluation and rating of veterans for the benefits provided by the Department of Veterans Affairs (VA) to compensate for illnesses or injuries incurred in or aggravated by military service. Compensation is a monthly cash benefit based on a rating schedule that determines the degree of disability on a scale of 0 to 100. Although a disability rating may also entitle a veteran to ancillary services, such as vocational rehabilitation and employment services, the rating schedule is out of date medically and contains ambiguous criteria and obsolete conditions and language. The current rating schedule emphasizes impairment and limitations or loss of specific body structures and functions which may not predict disability well. 21st Century System for Evaluating Veterans' Disability Benefits recommends that this schedule could be revised to include modern concepts of disability including work disability, nonwork disability, and quality of life.



In addition to the need for an updated rating schedule, this book highlights the need for the Department of Veterans' Affairs to devote additional resources to systematic analysis of how well it is providing services or how much the lives of veterans are being improved, as well as the need for a program of research oriented toward understanding and improving the effectiveness of its benefits programs.





Table of Contents



Front Matter Summary 1 Introduction 2 Veterans with Disabilities in the 21st Century 3 Impairment, Disability, and Quality of Life 4 The Rating Schedule 5 The Medical Examination and Disability Rating Process 6 Medical Criteria for Ancillary Benefits 7 Individual Unemployability 8 Other Diagnostic Classification Systems and Rating Schedules 9 Service Connection on Aggravation and Secondary Bases 10 Conclusion: Into the 21st Century A Biographical Sketches of Committee Members, Consultants, and Staff B Committee Charge C The Relationship Between Impairments and Earnings Losses in Multicondition Studies D The Role of Medical Personnel in Selected Disability Benefit Programs E Diagram: Assessing Impairment and Functional Disability
Abbreviations and Acronyms xxvii
Summary 1(20)
Introduction
21(15)
Project Background
22(4)
Brief Overview of the Veterans Disability Compensation Program
26(8)
References
34(2)
Veterans with Disabilities in the 21st Century
36(33)
The Veteran Population
38(3)
The Population of Veterans with Disabilities
41(9)
Recent Trends
50(5)
Veterans of the Wars in and Around Afghanistan and Iraq
55(4)
Conclusion
59(1)
References
60(4)
Appendix Tables
64(5)
Impairment, Disability, and Quality of Life
69(23)
A Model of Disability and Definitions
69(13)
The Relationships Among the Concepts in the Disability Model
82(3)
Purpose of Service-Connected Disability Compensation
85(2)
Findings and Recommendations
87(3)
References
90(2)
The Rating Schedule
92(47)
History
93(9)
The Current Rating Schedule
102(11)
Findings and Recommendations
113(14)
Implementation and Cost Issues
127(3)
References
130(2)
Appendix Table
132(7)
The Medical Examination and Disability Rating Process
139(62)
Organization of the Veterans Benefits Administration
140(6)
Medical Evaluation Process
146(8)
The Disability Rating Process
154(3)
Appeal Process
157(9)
Disability Claims Process Issues: Timeliness Accuracy and Consistency
166(23)
Findings and Recommendations
189(7)
References
196(5)
Medical Criteria for Ancillary Benefits
201(31)
Introduction
201(5)
Ancillary Benefits
206(18)
Task Force on Returning Global War on Terror Heroes
224(2)
Issues
226(2)
Findings and Recommendations
228(3)
References
231(1)
Individual Unemployability
232(20)
Background
232(1)
Definition of Individual Unemployability
233(2)
Origin and History of Individual Unemployability
235(1)
Procedures for Determining Individual Unemployability
235(3)
VA's Proposal to Revise and Codify the Individual Unemployability Regulations
238(2)
Current Status of Individual Unemployability: Growth and Controversy
240(2)
Consistency in Individual Unemployability Decision Making
242(2)
VA Responses
244(2)
Findings and Recommendations
246(4)
References
250(2)
Other Diagnostic Classification Systems and Rating Schedules
252(20)
Alternative Diagnostic Classification Codes
252(8)
The AMA Guides: An Alternative Rating Schedule?
260(1)
Findings and Conclusions
261(9)
References
270(2)
Service Connection on Aggravation and Secondary Bases
272(15)
Compensation for Aggravation of Preservice Disability Claims
272(6)
Compensation for Secondary Service Connection and for Secondary Service Connection by Aggravation
278(5)
Findings and Recommendations
283(3)
References
286(1)
Conclusion: Into the 21st Century
287(87)
Need for Analysis and Planning
288(1)
Program-Oriented Research
289(1)
Veteran-Centered Services
290(3)
APPENDIXES
A. Biographical Sketches of Committee Members Consultants and Staff
293(9)
B. Committee Charge
302(2)
C. The Relationship Between Impairments and Earnings Losses in Multicondition Studies
304(58)
Conceptual Framework
305(6)
The 1987 Study of the Wisconsin Workers' Compensation Program
311(16)
A Current Study of the California Workers' Compensation Program
327(13)
The 1971 Report on the Economic Validation of the [ VA] Rating Schedule Study
340(13)
Conclusions
353(7)
References
360(2)
D. The Role of Medical Personnel in Selected Disability Benefit Programs
362(12)
Veterans Disability Compensation
362(2)
SSDI and SSI Disability
364(2)
Disability Retirement from the U.S. Military
366(1)
Federal Civilian Disability Retirement Under CSRS or FERS
367(1)
Benefits Under FECA
368(6)
E. Diagram: Assessing Impairment and Functional Disability
374


Committee on Medical Evaluation of Veterans for Disability Compensation, Michael McGeary, Morgan A. Ford, Susan R. McCutchen, and David K. Barnes, Editors, Institute of Medicine