Cruz v. Secretary of Health & Human Services

588 F. Supp. 1262, 1984 U.S. Dist. LEXIS 15088
CourtDistrict Court, D. Puerto Rico
DecidedJuly 10, 1984
DocketCiv. No. 83-2720(PG)
StatusPublished

This text of 588 F. Supp. 1262 (Cruz v. Secretary of Health & Human Services) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cruz v. Secretary of Health & Human Services, 588 F. Supp. 1262, 1984 U.S. Dist. LEXIS 15088 (prd 1984).

Opinion

OPINION AND ORDER

PEREZ-GIMENEZ, District Judge.

Plaintiff brought this action under Section 205(g) of the Social Security Act (the Act), as amended, 42 U.S.C. § 405(g), to obtain judicial review of a “final decision” of the Secretary of Health and Human Services (the Secretary) terminating plaintiff’s disability insurance benefits.

Plaintiff is a 49-year-old female (Tr. 23) with a high school education and a one-year nursing course. Her relevant work experience was as a practical nurse in Puerto Rico from 1962 to 1969 (Tr. 24-25, 50) and as a factory worker in a children’s clothes factory in New York for some time thereafter (Tr. 25). It appears that plaintiff ceased working sometime during 1969 or 1970 (Tr. 91, 102).

Plaintiff filed an application for a period of disability and disability insurance benefits and thereafter was granted a period of [1264]*1264disability and disability insurance benefits commencing August 30, 1972, due to a nervous condition (Tr. 80). Upon reconsideration of plaintiffs condition, the Social Security Administration determined that her disability ceased as of June 1982. Consequently, plaintiff was advised that her entitlement to disability benefits terminated as of the last day of August 1982 (Tr. 39-45). Plaintiff sought reconsideration of this termination (Tr. 46), but her claim was denied (Tr. 47). Plaintiff requested a hearing (Tr. 48) and her request was granted. The Administrative Law Judge (ALJ) reviewed the case de novo and found that plaintiff’s disability ceased on June 29, 1982 (Tr. 11-14). The ALJ’s decision became the final decision of the Secretary when the Appeals Council approved it on August 29, 1983 (Tr. 2-4). Plaintiff appealed this decision to this Court.

It is clear that the Secretary may terminate disability benefits whenever she obtains evidence that a claimant’s disability has ceased. 42 U.S.C. § 425; 20 C.F.R. 404.1590(a) and 404.1594(a). See also, Simpson v. Schweiker, 691 F.2d 966 (11th Cir.1982). However, it is also certain that “[o]nce evidence has been presented which supports a finding that a given condition exists it is presumed in absence of proof to the contrary that the condition has remained unchanged.” Rivas v. Weinberger, 475 F.2d 255, 258 (5th Cir.1973). In other words, the prior finding of disability gives rise to a presumption that the disability still exists until the contrary is shown. See, Brown v. Heckler, 713 F.2d 441, 442 (9th Cir.1983); Hall v. Celebrezze, 314 F.2d 686 (6th Cir.1963).

Despite the existence of the presumption of continued disability in her favor, the claimant still bears the burden of proving the existence of a disability. Alvarado v. Weinberger, 511 F.2d 1046, 1049 (1st Cir.1975); Simpson, supra, 691 F.2d at 969. All the presumption does is impose on the Secretary a burden of coming forward with evidence that the claimant’s condition has changed. Brown, supra, 713 F.2d at 442, citing Patti v. Schweiker, 669 F.2d 582, 587 (9th Cir.1982). To meet his burden, the Secretary may present “current evidence showing that [the] claimant has improved to the point of being able to engage in substantial gainful activity ... [or] that claimant’s condition is not as serious as was first supposed.” Miranda v. Secretary of Health, Education and Welfare, 514 F.2d 996, 998 (1st Cir.1975).

In reviewing the appeal of a termination of benefits case our duty is to “ascertain whether the Secretary’s finding of improvement to the point of no disability is supported by substantial evidence.” Simpson, supra, 691 F.2d at 969. See also, Gonzalez v. Harris, 631 F.2d 143, 145 (9th Cir.1980), (“[o]n review of an agency determination that disability has ceased, the question is whether the finding of the agency is supported by substantial evidence.”). Thus, the question now before us is whether the Secretary’s determination that plaintiff’s disability ended on June 29, 1982, is supported by substantial evidence.

The relevant evidence in this case can be summarized as follows. At the hearing before the AU plaintiff testified that she had to stop working because she was very nervous and depressed and because of her vertigo (Tr. 32). She stated that her nervous condition, arthritis and other “complaints” not mentioned by name force her to stay home under treatment (Tr. 32). Upon a question posed by the AJL, she stated that she has pain in the articulations and in her arms and legs, and that the pain, together with tension, do not let her sleep well (Tr. 35). Plaintiff also mentioned that she suffers from nasal and skin allergies (Tr. 36-37).

Plaintiff was examined by Dr. William Matos, a specialist in rheumatology and internal medicine. In a report dated June 2, 1982, (Tr. 94-97) Dr. Matos noted that plaintiff was in no distress. Although she appeared somewhat anxious, she was well oriented and cooperative. Dr. Matos found no evidence of joints effusions or enlargment. Regarding plaintiff’s joints, the doctor found no swelling, tenderness or heat. The range of motion was normal without [1265]*1265difficulty to bend, kneel, grasp, pinch, push, pull or walk. X-rays taken of the cervical spine and of the right hand produced negative results. Plaintiff exhibited normal motor and sensitive reflexes. Dr. Matos’ diagnostic impression was of anxiety reaction and arthralgias.

In addition, plaintiff’s residual functional capacity evaluation (Tr. 96) revealed that plaintiff could stand or walk for seven (7) hours; sit for eight (8) hours; lift a maximum of 50 lbs; and frequently lift or carry 25 lbs. Plaintiff could use both hands for repetitive action such as grasping and pushing and/or pulling, and both feet for repetitive movements such as operating foot controls. Moreover, plaintiff could bend, squat, crawl, climb and reach above shoulder level frequently. Finally, Dr. Matos saw no need to impose any environmental restrictions on plaintiff’s activities.

We agree with the AU that the medical evidence shows no severe physical impairment. Plaintiff presented no additional evidence other than her own allegations of pain and allergies that would contradict Dr. Matos’ medical findings.

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Bluebook (online)
588 F. Supp. 1262, 1984 U.S. Dist. LEXIS 15088, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cruz-v-secretary-of-health-human-services-prd-1984.