Hebert v. Celebrezze

222 F. Supp. 533, 1963 U.S. Dist. LEXIS 7257
CourtDistrict Court, D. Montana
DecidedOctober 3, 1963
DocketDocket No. 760
StatusPublished
Cited by1 cases

This text of 222 F. Supp. 533 (Hebert v. Celebrezze) is published on Counsel Stack Legal Research, covering District Court, D. Montana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hebert v. Celebrezze, 222 F. Supp. 533, 1963 U.S. Dist. LEXIS 7257 (D. Mont. 1963).

Opinion

MURRAY, Chief Judge

This action is brought under the provisions of Title 42 U.S.C.A. § 405(g) to review a final decision of the Secretary-of Health, Education and Welfare denying plaintiff’s application for disability insurance benefits and a period of disability under the Social Security Act (42 U.S.C.A. §§ 423(a) and 416(i).

Plaintiff filed his application on December 13, 1957, at which time he con-cededly met the quarters of coverage requirements of the Act. In his application, he stated he became unable to work on May 13, 1957, because of rheumatoid: arthritis and a nervous disorder. When his application was denied, plaintiff requested a hearing, which request was granted and the hearing held on June 23,. 1959. The Referee or Hearing Examiner-rendered his decision on August 26,1959, denying plaintiff’s application, and upon the denial by the Appeals Council of plaintiff’s request for review of the Hearing Examiner’s decision, this action was commenced in this court on April 14, 1960, to review the final decision of the Secretary.

Prior to filing his answer, the defendant made a motion to remand the case to the Secretary for further administrative action. The motion was granted and the case remanded. Upon remand the action of the Appeals Council of December 18, 1959, denying plaintiff’s request for review of the Hearing Examiner’s-decision was vacated, additional evidence was gathered by the Appeals Council, and the Appeals Council rendered its decision on September 28, 1962, denying-plaintiff’s application for a period of disability and disability insurance benefits, and affirming the decision of the Hearing Examiner. The decision by the Appeals Council became the final decision of the Secretary, and the case is back once again in this court for review of that final decision.

In order to be eligible for a period of disability under 42 U.S.C.A. §' 416 (i) and for disability insurance benefits under 42 U.S.C.A. § 423, the plaintiff must establish that he is unable to engage in any substantial gainful activity by reason of a medically determinable-[535]*535physical or mental impairment which can be expected to result in death or to be of long continued and indefinite duration and that such disability had its onset prior to the filing of the application and at a time when plaintiff met the “quarters of coverage” requirements set forth in 42 U.S.C.A. §§ 416(i) (3) and 423 ■(c) (1).

Under the statute, the burden rested on the plaintiff to prove that he met the conditions of eligibility fixed by the Act before he would be entitled to the benefits for which he applied. 42 U.S.C.A. § 416(i) (1), 42 U.S.C.A. § 423 (c) (2). Furthermore, in this proceeding before the court, the decision of the Secretary, if supported by substantial evidence, is conclusive and must be affirmed. 42 U.S.C.A. § 405(g). “Substantial evidence” is more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Consolidated Edison Co. of New York v. National Labor Relations Board, 305 U. S. 197, 229, 59 S.Ct. 206, 217, 83 L.Ed. 126; N. L. R. B. v. Columbian Enameling & Stamping Co., 306 U.S. 292, 59 S. Ct. 501, 83 L.Ed. 660; Aaron v. Fleming, D.C., 168 F.Supp. 291, 294. The question of what amounts to substantial evidence is a matter of law for the reviewing court to determine upon a considered evaluation of the whole record. Hayes v. Celebrezze (C.A. 5, 1963) 311 F.2d 648, 651.

The requirement that applicant’s disability arises from a physical or mental impairment which had its onset prior to the filing of the application is impor- • tant in this case because the record herein shows that in August, 1959, approximately 20 months subsequent to the filing of his application under the Social Security Act, the plaintiff was found to have silicosis of sufficient severity to entitle him to silicosis benefits under Montana law. Silicosis is a disease that generally develops over a long period of time, and it is, therefore, likely that plaintiff must have been somewhat afflicted thereby on December 13, 1957, when he filed his application for benefits under the Social Security Act. However, it is clear from all the evidence that any disability from which plaintiff may have been suffering at the time he filed his application was not in any way associated with his silicosis. At that time he neither displayed nor complained of any symptoms, such as shortness of breath, productive cough or tightness and pain in the chest, which are expected with disabling silicosis. Moreover, as late as 1961, pulmonary function tests and blood gas studies to determine the extent of any pulmonary impairment were performed on plaintiff and found to be essentially within normal limits. Therefore, insofar as the Appeals Council’s decision finds no disability within the meaning of the Act caused or contributed to by silicosis as of the time of the filing of the application, it is supported by substantial evidence.

The conditions or impairments which plaintiff listed on his application as causing his disability, as noted before, were rheumatoid arthritis and a nervous disorder. There is abundant evidence in the record to establish that plaintiff does in fact suffer with these afflictions, and the Appeals Council so concluded. With respect to the rheumatoid arthritis, the Appeals Council’s conclusion was as follows:

“The Appeals Council must conclude that although the claimant does have rheumatoid arthritis, productive of some pain and discomfort, the evidence does not show that it has effected the musculoskel-etal functions to the point where he is unable t.o walk, stand, bend, stoop or use his arms, hands, and fingers. It appears that he not only has almost complete use of all of the joints of the body but employment in this case might very well be beneficial.”

Its conclusion with respect to the nervous condition is as follows:

“From the foregoing, the Appeals Council concludes that, on or before [536]*536December 13, 1957, or even currently, the claimant did not have a nervous condition severe enough to preclude him from engaging in substantial gainful activity. The evidence shows that the only manifestation of the alleged nervous disorder is the tendency to magnify his complaints. Considering the length to which he has gone to establish entitlement to the benefits herein sought, including having himself confined in a tuberculosis sanitarium, it would not be unreasonable to conclude that his tendency to exaggerate his complaints have been motivated to a vfery great extent by the desire to obtain these benefits.”

With reference to plaintiff’s symptoms, the Appeals Council had this to say:

“All this is not meant to exclude from consideration the subjective symptoms of the individual. However, these must be evaluated in light of the extent to which they are substantiated by the objective evidence, as well as the overall credibility of the claimant, keeping in mind that in a claim for monetary benefits exaggeration of complaints and symptoms is a distinct possibility.
“In the instant case the claimant’s subjective symptoms have at times been severe.

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Related

Hanna v. Celebrezze
233 F. Supp. 239 (W.D. Arkansas, 1964)

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Bluebook (online)
222 F. Supp. 533, 1963 U.S. Dist. LEXIS 7257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hebert-v-celebrezze-mtd-1963.