Flores v. Department of Health, Education & Welfare

465 F. Supp. 317, 1978 U.S. Dist. LEXIS 13875
District Court, S.D. New York·Decided December 12, 1978·No. 77 Civ. 3515 (WCC)·Published·Cited by 22 cases

Opinion

OPINION AND ORDER

CONNER, District Judge:

This is an action under Section 205(g) of the Social Security Act (the “Act”), 42 U.S.C. § 405(g), to review the decision of the Secretary of Health, Education and Welfare (“Secretary”) denying plaintiff Henry Flores (“Flores”) disability insurance benefits. Both parties have moved for judgment on the pleadings.

The Facts

Flores was born in New York City in 1929. He attended school through the ninth grade. When he was 15 or 16, he sustained a gunshot wound in his left leg which resulted in a fracture of the femur. He was treated initially at Harlem Hospital and later at various other hospitals in New York City. Flores underwent several operations on his left leg, including the installation of a metallic plate in his left femur. A sympathectomy was performed to sever nerves leading to his leg so as to relieve the severe pain in 1971. The operation does not appear to have been effective. In 1975, Flores was referred by Lincoln Hospital to the Foot Clinics of New York for treatment by podiatrists there. He was a patient at the clinic from June 1975 to February 1976 when he expressed dissatisfaction with his progress there and again became an outpatient at Lincoln Hospital.-

During most of this period, Flores was gainfully employed. After recovering from the gunshot wound, Flores went to work as a packer for Real Blouse. In 1963, he became a shipping clerk for Ocean Side Wire Company (“Ocean Side”) and remained with the company until it laid him off due to a general slowdown in business in October of 1975.

After being laid off, Flores applied for unemployment compensation. He received his first payment on January 12, 1976. On February 10, 1976, Flores applied for disability benefits. His application was refused and the decision reaffirmed on reconsideration. A hearing was held. The Administrative Law Judge’s (“ALJ”) denial of the claim was affirmed by the Appeals Council, making it the final decision of the Secretary. Flores brought suit in this Court seeking review of the agency decision.

Discussion

In order for an individual to be entitled to disability insurance benefits, he must demonstrate that he is disabled within the meaning of Section 223(d)(1), 42 U.S.C. § 423(d)(1), of the Act. 1 An individual is disabled if his “impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work . . .” Section 223(d)(2)(A), 42 U.S.C. § 423(d)(2)(A).

The ultimate burden of persuasion is on the individual seeking disability benefits. Both parties agree, and by now the law is well-settled, that to meet this burden a claimant must prove that he is unable to *320 work at his former employment due to his impairment. If he does so, the burden of going forward shifts to the Secretary who must then demonstrate the existence of available employment compatible with the claimant’s impairment. See, e. g., Stark v. Weinberger, 497 F.2d 1092 (7th Cir. 1974); Grable v. Secretary of H. E. W., 442 F.Supp. 465 (W.D.N.Y.1977); Talifero v. Califano, 426 F.Supp. 1380 (W.D.Mo.1977); Robinson v. Richardson, 360 F.Supp. 243 (E.D.N.Y.1973). If the Secretary meets the requirement, the plaintiff bears the burden of proving that he is unable to engage in any substantial gainful employment.

In assessing a disability claim, the factors to be taken into account are (1) the objective medical facts; (2) diagnoses or medical opinions based on these facts; (3) subjective evidence of pain and disability testified to by the claimant and family or others; and (4) the claimant’s educational background, age and work experience. Gold v. Secretary of H. E. W., 463 F.2d 38, 41 n.2 (2d Cir. 1972).

Under Section 205(g) of the Act, the Secretary is given the initial responsibility for making findings of fact and decisions regarding the merits of a claim of disability. It is within his province as trier of fact to weigh all the evidence and resolve any material conflicts. See Richardson v. Perales, 402 U.S. 389, 399-400, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971); Thomas v. Celebrezze, 331 F.2d 541, 543 (4th Cir. 1964). Federal courts must accept as conclusive any finding of fact made by the Secretary, if supported by substantial evidence. Substantial evidence has been defined as “ ‘such relevant evidence as a reasonable mind might accept as adequate to support a conclusion’.” Richardson v. Perales, supra, 402 U.S. at 401, 91 S.Ct. at 1427, citing Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 83 L.Ed. 126 (1938). “However, it ‘must do more than create a suspicion of the existence of the fact to be established’.” Kenny v. Weinberger, 417 F.Supp. 393, 397 (E.D.N.Y.1976), citing NLRB v. Columbian Enameling & Stamping Co., 306 U.S. 292, 300, 59 S.Ct. 501, 83 L.Ed.2d 660 (1939). The court is bound to “scrutinize the whole record to determine whether the Secretary’s findings have rational support in the evidence relied upon, and if reliance is placed on one portion of the record in disregard of overbalancing evidence to the contrary, the court may then interfere with the Secretary’s conclusion.” Hofacker v. Weinberger, 382 F.Supp. 572, 576 (S.D.N.Y.1974). See Talifero v. Califano, supra, 426 F.Supp. at 1387. Cf. Celebrezze v. Maxwell, 315 F.2d 727, 730 (5th Cir. 1963). 2

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Flores v. Department of Health, Education & Welfare, 465 F. Supp. 317, 1978 U.S. Dist. LEXIS 13875 (S.D.N.Y. 1978).

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