Charles v. Califano

464 F. Supp. 1000, 1978 U.S. Dist. LEXIS 7114
CourtDistrict Court, D. Kansas
DecidedDecember 20, 1978
DocketCiv. A. No. 77-2309
StatusPublished

This text of 464 F. Supp. 1000 (Charles v. Califano) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Charles v. Califano, 464 F. Supp. 1000, 1978 U.S. Dist. LEXIS 7114 (D. Kan. 1978).

Opinion

MEMORANDUM AND ORDER

O’CONNOR, District Judge.

This case comes now before the court for determination of defendant’s motion for summary judgment. The proceeding was instituted by plaintiff against the Secretary of Health, Education and Welfare, as authorized by 42 U.S.C. § 405(g). Its purpose is to obtain judicial review of a final decision of the Secretary partially denying plaintiff’s application for disability insurance benefits. The sole question to be resolved is whether the Secretary’s decision that plaintiff was not “disabled” beyond October 13, 1976, as that term is defined in 42 U.S.C. § 423(d)(1), is supported by substantial evidence. See, e. g., Trujillo v. Richardson, 429 F.2d 1149 (10th Cir. 1970).

[1001]*1001Plaintiff’s application for benefits, filed July 23, 1976,. states that he became unable to work in April, 1973 (later amended to 1974) due to problems with his back and right leg and hypertension. Plaintiff has worked as a janitor and as the owner and operator of a barbershop. Plaintiff completed the ninth grade. He took a six-month course in barbering in 1958.

The application received consideration and reconsideration by the Social Security Administration and the claim was denied. At plaintiff’s request, a hearing was held on April 6, 1977, at which he appeared and testified. On July 28,1977, the Administrative Law Judge found that plaintiff was entitled to a period of disability commencing June 1, 1974 and ceasing on October 13, 1976. He further found plaintiff entitled to disability insurance benefits under the Social Security Act, as amended, from June 1, 1974 to December, 1976. On October 19, 1977, the Appeals Council affirmed the decision of the Administrative Law Judge. The decision of the Administrative Law Judge stands as the final decision of the Secretary and plaintiff seeks review thereof under 42 U.S.C. § 405(g).

The medical evidence relevant to plaintiff’s condition as of October 13, 1976 (the point in time plaintiff’s disability ceased to exist in the opinion of the Administrative Law Judge) includes the following. The mid and low back revealed no external deformity. His gluteal crease and pelvis was level. There was no list or scoliosis of the dorsal or lumbar spine. The dorsal kyphosis was normal. The lumbar lordosis was increased. No muscle spasm or atrophy was noted in the lumbar spine. Generalized tenderness was complained of in the lumbar spine region. All motions of the lumbar spine were carried out in flexion, extension, lateral bending to right and left and rotation to right and left with all motions voluntarily limited in all directions. Plaintiff jumped and jerked in a very bizarre manner on testing for Lasegue’s sign and straight leg raising, both of which were found negative. Deep tendon reflexes of the lower extremities, including knee jerks and tendon-Achilles jerks were normal. No abnormal sensory changes or arterial pulsation deficits were noted in the lower extremities and no focal motor weakness or neurologic deficit was found in the low back or lower extremities. X-rays of the lumbar sacral spine revealed no evidence of fracture or dislocation to the bodies or processes of the lumbar vertebra and only mild degenerative changes on the margins of the upper lumbar vertebra were noted. Some mild narrowing of the lumbosacral interspace was found on the left side, but it appeared to be on a congenital basis. There was also a spina bifida oculta of the first sacral segment, an additional congenital anomaly. No evidence was found of intervertebral disc pathology, nerve root irritation or compression, or evidence of any focal motor weakness or neurologic deficit.

In plaintiff’s suggestions in opposition to defendant’s motion for summary judgment several points are raised. The first goes to the information supplied to disability claimants on the need for legal representation at the administrative hearing. Plaintiff contends he relied to his detriment on statements and pamphlets supplied by the Social Security Administration to the effect that legal representation was not required. Copies of the pamphlets are included with plaintiff’s suggestions. We first point out that the pamphlets clearly state that the claimant may be represented by an attorney or any other individual. “A claimant’s lack of counsel in a social security disability benefit case does not require reversal of a decision denying benefits if the claimant had a fair opportunity to be heard, full opportunity to present evidence, and was not prejudiced by the absence of counsel.” Branch v. Finch, 313 F.Supp. 337 (D.Kan. 1970). “[EJven though the administrative law judge’s responsibilities may be enhanced when a claimant is not represented by counsel at the hearing, this lack of counsel would not affect the validity of the hearing unless the claimant demonstrates prejudice or unfairness in the proceeding.” Heisner v. Secretary of Health, Education and Welfare, 538 F.2d 1329 (8th Cir. 1976).

[1002]*1002The transcript of the disability hearing in the case at hand reveals the following at page 20 of the administrative record:

“ADMINISTRATIVE LAW JUDGE: Before we go any further, there are several things I want to take up with you on the record as I did off the record: The first has to do with your being represented by a lawyer or a representative. I notice that you don’t have one with you today, is that correct?
MR. CHARLES: Yes, sir.
ADMINISTRATIVE LAW JUDGE: I must advise you that both under this regular social security law and also under the SSI law you’re entitled to be represented by a lawyer or representative and that the law further provides that a lawyer or representative, for that matter, can be paid out of the past two [sic] benefits in case you are successful in this case.
Now, knowing all that, do you still want to go ahead without being represented by a lawyer or a representative?
MR. CHARLES: I would rather go ahead.”

It is clear that plaintiff was informed that he could be represented by counsel and chose not to be so represented. Lack of counsel does not automatically demonstrate prejudice.

Plaintiff contends prejudice is apparent and that he relied on the representations of the Social Security Administration that his medical evidence would be compiled by the State Disability Determinations Services Office. He states that pertinent information was not included in his file. Furthermore, he did not know he could review his file prior to the hearings so that he might discover that pertinent information was missing.

The burden of proving a continuing disability is on the plaintiff. E. g., Alvarado v. Weinberger, 511 F.2d 1046 (1st Cir. 1975). The state disability determinations services office does, however, compile the claimant’s medical record.

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Bluebook (online)
464 F. Supp. 1000, 1978 U.S. Dist. LEXIS 7114, Counsel Stack Legal Research, https://law.counselstack.com/opinion/charles-v-califano-ksd-1978.