Ines ANDRADES, Plaintiff, Appellant, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Defendant, Appellee

790 F.2d 168, 1986 U.S. App. LEXIS 24902, 13 Soc. Serv. Rev. 351
CourtCourt of Appeals for the First Circuit
DecidedMay 7, 1986
Docket85-1804
StatusPublished
Cited by8 cases

This text of 790 F.2d 168 (Ines ANDRADES, Plaintiff, Appellant, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Defendant, Appellee) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ines ANDRADES, Plaintiff, Appellant, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Defendant, Appellee, 790 F.2d 168, 1986 U.S. App. LEXIS 24902, 13 Soc. Serv. Rev. 351 (1st Cir. 1986).

Opinion

LEVIN H. CAMPBELL, Chief Judge.

Ines Andrades appeals from a judgment of the United States District Court for the District of Puerto Rico affirming a decision of the Secretary of Health and Human Services to deny him disability benefits under section 223 of the Social Security Act, 42 U.S.C. § 423 (1982).

Andrades has an eighth grade education plus two years of vocational training in automobile mechanics. He worked for some 36 years, first as a mechanic and later as a motor crane operator. In April 1981, Andrades injured his back in a job-related accident, and he' has been unable to return to work since. On March 8, 1983, he filed an application for disability benefits alleging disability since April 14, 1981 due to nerves, a cardiac condition, allergies and varicose veins.

The administrative law judge determined that Andrades had severe hypertension, myocardiac dysfunction, varicose veins, atypical dermatitis, and a mild anxiety disorder, and found that Andrades’s allegations of pain and shortness of breath were credible and supported by other evidence in the record. He determined that Andrades was unable to perform his past relevant work as a mechanic or crane operator, and did not have any acquired work skills which were transferable to other skilled or semiskilled work. Accordingly, after taking *170 into consideration Andrades’s residual functional capacity, age, education, and work experience, 42 U.S.C. § 423(d)(2)(A) (1982), the ALJ found Andrades to be “disabled.”

The Appeals Council reversed. It found that while Andrades suffered from hypertension, slight anxiety disorder, lumbosacral strain, and atypical chest pain, none of these impairments was “severe” within the meaning of “Step 2” of the sequential disability evaluation procedure promulgated by the Secretary and codified at 20 C.F.R. § 404.1520 (1985).

The “non-severe” inquiry relied upon by the Appeals Council stems from the requirement in section 223(d)(1)(A) of the Social Security Act, 42 U.S.C. § 423(d)(1)(A) (1982), that in order to be considered “disabled,” a claimant must have a “physical or mental impairment.” In the Social Security Amendments of 1967, Congress added to section 223(d)(2)(A) a requirement that a claimant

shall be determined to be under a disability only if his physical or mental impairment or 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 kind of substantial gainful work which exists in the national economy—

42 U.S.C. § 423(d)(2)(A) (1982).

In 1968, the Secretary issued regulations providing that “[m]edical considerations alone may justify a finding that the individual is not under a disability where the only impairment is a slight neurosis, slight impairment of sight or hearing, or other slight abnormality or combination of abnormalities.” 20 C.F.R. § 404.1502(a) (1969), 33 Fed.Reg. 7244 (1968).

In 1978, the Secretary modified his regulations, this time constructing a five-stage inquiry for determining whether a claimant is disabled. A determination of disability or non-disability at any stage precludes further review. Step 2 of the new regulations, as modified in 1980, provides as follows:

(c) You must have a severe impairment. If you do not have any impairment or combination of impairments which significantly limits your physical or mental ability to do basic work activities, we will find that you do not have a severe impairment and are, therefore, not disabled. We will not consider your age, education, and work experience.

20 C.F.R. § 404.1520(c) (1985).

This “Step 2” regulation, promulgated in 1978, has led to considerable controversy. Critics claim that the regulation has unfairly increased the number of claimants who — solely because the Secretary characterizes their impairments as non-severe, and without inquiring into the vocational effect of these impairments — are denied benefits. A House of Representatives report indicates that in 1975, pursuant to the 1968 regulations, only 8.4 percent of applicants for disability benefits were denied benefits on the basis of medical factors alone. In 1982, however, under the new regulation, more than 40 percent of applicants were denied benefits based purely on medical factors, without examination of their age, education, or past relevant work experience. Background Material and Data on Major Programs Within Jurisdiction of the Committee on Ways and Means: Report of the House Committee on Ways and Means, 98th Cong., 1st Sess. 79 (1983); Baeder v. Heckler, 768 F.2d 547, 552 (3d Cir.1985). A number of courts have struck down the regulation, noting that Congress specifically included both medical and vocational factors in its statutory definition of disability, 42 U.S.C. § 423(d)(2)(A), (d)(3), while the regulation permits a finding of disability on medical factors alone. See, e.g., Hansen v. Heckler, 783 F.2d 170, 173-76 (10th Cir.1986); Yuckert v. Heckler, 774 F.2d 1365, 1368-70 (9th Cir.1985); Johnson v. Heckler, 769 F.2d 1202, 1210-13 (7th Cir.1985); see also Baeder v. Heckler, 768 F.2d at 550-53.

Partly in response to these rulings, the Secretary issued in October 1985 a policy statement designed “[t]o clarify the policy *171 for determining when a person’s impairments may be found ‘not severe’ and, thus, the basis for a finding of ‘not disabled’ in the sequential evaluation of disability[.]” Social Security Ruling 85-28. The Secretary has now concluded that the 1978 regulations should be construed as effecting no change in the severity standards established in the 1968 regulations. Specifically, the Secretary has said that a finding that an impairment is “not severe” is only appropriate where,

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790 F.2d 168, 1986 U.S. App. LEXIS 24902, 13 Soc. Serv. Rev. 351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ines-andrades-plaintiff-appellant-v-secretary-of-health-and-human-ca1-1986.