Elizabeth Rapier v. Secretary of Health and Human Services

808 F.2d 456, 1986 U.S. App. LEXIS 36343
CourtCourt of Appeals for the Sixth Circuit
DecidedDecember 30, 1986
Docket85-6115
StatusPublished
Cited by4 cases

This text of 808 F.2d 456 (Elizabeth Rapier v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Elizabeth Rapier v. Secretary of Health and Human Services, 808 F.2d 456, 1986 U.S. App. LEXIS 36343 (6th Cir. 1986).

Opinion

PER CURIAM.

On February 16, 1971, appellant filed an application for survivor’s black lung benefits under Title IV of the Federal Coal Mine Health and Safety Act of 1969 as amended by the Black Lung Benefits Act of 1972, 30 U.S.C. § 901 (1982). The Social Security Administration denied the application. An Administrative Law Judge (“AU”) next considered the case de novo and on May 24, 1974, found appellant not to be entitled to benefits. The Appeals Council approved the decision of the ALJ on January 16, 1975. The case was remanded to the Secretary of Health and Human Services for further administrative proceedings by order of the Magistrate’s Report and Recommendation dated July 22, 1980. In a Recommended Decision dated March 20, 1984, the ALJ adopted a previous Recommended Decision dated July 21, 1982, and determined that appellant was not entitled to black lung benefits. The Appeals Council adopted the AU’s Recommended Decision on October 13, 1984. On October 7, 1985, the district court affirmed the denial of benefits. For the reasons set forth below, we vacate the judgment of the district court and remand the case to the district court with instructions to remand to the Secretary to make a determination consistent with this Court’s holding.

Appellant is the widow of the deceased miner William C. Rapier, who died August 28, 1951, at the age of 35 due to a head injury caused by a falling rock in a mine shaft. The evidence in the record established that appellant’s deceased spouse was an underground coal miner for a period in excess of 10 years, and that he had no other employment during his lifetime.

Testimony by appellant at trial described the miner’s condition during approximately the three years prior to his death. Appellant stated that her husband had chest pains and developed a cough that produced black, bloody phlegm. He had difficulty breathing and had frequent smothering spells which would allow him only a few hours sleep per night. During the last year of his life, he lost 50 pounds and was a sickly looking man. Appellant also testified that during this time, he only made it to work when he was able, and would often miss at least two days of work per week.

Testimony by co-workers and acquaintances described the miner as a sickly looking man who coughed frequently and complained of pain in his chest and lungs. With the exception of the testimony of Ray Walters, the statements of the acquaintances corroborated those advanced by appellant.

No medical evidence was available at trial to establish that the miner had a severe lung disease. No x-rays were ever taken and no autopsy was performed at death. Thus, the only evidence available as to the miner’s respiratory ailments was provided through the testimony of appellant, coworkers and friends.

The Federal Coal Mine Health and Safety Act of 1969, 30 U.S.C. § 901 (1982), provides benefits to coal miners who are totally disabled due to pneumoconiosis and their surviving dependents. The term “pneumoconiosis” means a chronic dust disease of the lung and its sequelae, including respiratory and pulmonary impairments, arising out of coal mine employment. 30 U.S.C. § 902(b) (1982).

In the present case, appellant would be entitled to widow’s benefits if she establishes that she (1) is the widow of a miner; (2) is not married, or for the months prior to May 1972, had not remarried since the miner’s death; (3) had filed a claim for benefits in accordance with the provisions of the Act; (4) was dependent on the miner at the time of his death; and either (5) that the miner was entitled to benefits at the time of his death; or (6) that the miner died before January 1, 1974, and was totally disabled due to pneumoconiosis. 30 U.S.C. §§ 902(e), 921(a) and 922(a)(2) (1982); 20 C.F.R. § 410.210 (1986). The only factor at issue here is (6) and, in that regard, the Secretary concluded that appellant did not *458 show that the deceased miner was totally disabled due to pneumoconiosis at the time of his death, or that his death was due to pneumoconiosis. The district court held that the findings of the Secretary were supported by substantial evidence.

The Secretary’s recommended decision noted that the lay testimony was supportive of the fact that the miner did have a lung problem which was symptomatic. However, the Secretary held that without any medical documentation of the miner’s physical condition, the lay testimony alone could not support the burden of proof to establish eligibility. The district court held that the Secretary’s conclusion that lay evidence alone was insufficient in and of itself to establish the existence of pneumoconiosis for the Section 410.414(b) presumptions to apply was correct. We disagree.

Pursuant to 30 U.S.C. § 921(b) and (c) (1982), the Secretary has prescribed standards for determining a miner’s death or total disability due to pneumoconiosis. See also 20 C.F.R. § 420.401 (1986). Because the plaintiff’s husband died before January 1, 1974, she is entitled to the benefit of the interim adjudicatory rules. 20 C.F.R. § 410.490 (1986). Four alternative tests have been developed. Under the first test, a rebuttable presumption of death or total disability arises where (a) an x-ray, biopsy or autopsy confirms the existence of pneumoconiosis, or (b) the miner worked at least ten years in the mines and ventilatory function studies show the presence of a chronic respiratory or pulmonary disease. 20 C.F.R. § 410.490 (1986). The second test establishes an irrebutable presumption if the evidence demonstrates the existence of “complicated” pneumoconiosis by x-ray, biopsy, autopsy or when such diagnosis is established by other acceptable means. 20 C.F.R. §§ 410.418 and 410.458 (1986); 30 U.S.C. § 921(c)(3) (1982). The third test creates a rebuttable presumption if the miner worked more than ten years in the mines and death is medically ascribed to a respiratory disease. 20 C.F.R. §§ 410.456 and 410.462 (1986); 30 U.S.C.

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Bluebook (online)
808 F.2d 456, 1986 U.S. App. LEXIS 36343, Counsel Stack Legal Research, https://law.counselstack.com/opinion/elizabeth-rapier-v-secretary-of-health-and-human-services-ca6-1986.