Lauderdale ex rel. Lauderdale v. Director, Office of Workers' Compensation Program

940 F.2d 618
CourtCourt of Appeals for the Eleventh Circuit
DecidedAugust 30, 1991
DocketNo. 90-7206
StatusPublished
Cited by1 cases

This text of 940 F.2d 618 (Lauderdale ex rel. Lauderdale v. Director, Office of Workers' Compensation Program) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lauderdale ex rel. Lauderdale v. Director, Office of Workers' Compensation Program, 940 F.2d 618 (11th Cir. 1991).

Opinion

PER CURIAM:

After wending its way through the statutory and regulatory black lung benefits scheme for more than two decades, this claim for benefits is before us on appeal from a decision of the Benefits Review Board (the Board), which reversed a decision of an administrative law judge (ALJ). Because the decision of the AU was not supported by substantial evidence in the record as a whole, we affirm the Board’s decision.

Background

This claim is pressed by Dallas Lauder-dale, the son of the deceased miner, Anderson Lauderdale (Lauderdale), who originally filed the claim. The Department of Labor has already determined that Lauderdale’s family is entitled to benefits for total disability due to pneumoconiosis (black lung); the only question before us is from what date should those benefits be paid. The ALJ decided that Lauderdale’s benefits should be paid from January 1, 1974, the earliest date from which benefits can be paid for Lauderdale’s category of claim. The ALJ found that the medical evidence about the date of onset of Lauder-dale’s total disability was inconclusive, but that when the lay evidence from Lauder-dale’s friends and family was added, the evidence as a whole established that Laud-erdale was totally disabled at some time before January 1, 1974. The ALJ thus awarded benefits from that date until the date of Lauderdale’s death on August 26, 1980.

The Board, however, reversed the AU’s decision. The Board concluded that the ALJ had erred in interpreting the regulation that prescribes the method for determining the date from which benefits should be paid for claims such as Lauderdale’s. That regulation, 20 C.F.R. § 727.302(c)(1), reads as follows:

In the case of a miner whose claim is reviewed and finally approved under § 727.106, benefits shall be payable for all periods of eligibility beginning with the month of onset of total disability due to pneumoconiosis or January 1, 1974, whichever is later. Where the evidence does not establish the month of onset, benefits shall be payable from the month during which the miner elected review under § 727.104.

[620]*620The Board observed that the AU had not been able to determine a specific month of onset for Lauderdale’s total disability, but simply decided that since it was before January 1, 1974, the earliest date from which benefits were allowed, the benefits would be paid from the earliest allowable date. The Board held that such an interpretation was contrary to the plain language of the statute, which required either that the AU find a specific month of onset or that benefits be paid from the month in which Lauderdale elected review of his previously denied claim. Since the AU did not find a specific month of onset, the Board held that Lauderdale’s benefits should be paid from the first day of the month in which Lauderdale elected review, March 1, 1978.

In this appeal, Dallas Lauderdale argues that the Board’s interpretation of the regulation is incorrect, and that therefore the Board erred in reversing the decision of the AU. Representing the Department of Labor, the Director of the Office of Workers’ Compensation Programs (Director) agrees with Dallas Lauderdale that the Board’s interpretation of the regulation is wrong, but argues that we should nonetheless affirm the Board’s decision for a different reason. In the Director’s opinion, the AU erred by relying solely on lay evidence to establish the date of disability of a miner whose record included substantial medical evidence. The Director further argues that even if the AU properly relied on the lay evidence, the lay evidence does not provide substantial evidence, when the record is considered as a whole, for the AU’s finding that Lauderdale was totally disabled before January 1, 1974.

Standard of Review

We recently explained, in Alabama Dry Dock and Shipbuilding Corp. v. Sowell, 933 F.2d 1561 (11th Cir.1991), our approach to reviewing a decision by the Board:

We review the Board’s decisions to determine whether the Board has adhered to its statutory standard of review and whether it has erred in interpreting the law. This court, and the Board, must uphold the factual determinations of the AU if they are supported by substantial evidence in the record as a whole[.] Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Because the Board is essentially an adjudicator, rather than an administrator, its interpretations are entitled to no special deference.

Id. at 1563 (quoting Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971); other citations omitted).

Discussion

The AU considered both medical and lay evidence in making her determination that Lauderdale was totally disabled before January 1, 1974. The medical evidence the AU considered included thirteen x-rays, one of which, dated August 12, 1970, was interpreted, or “read,” by three different doctors. All three doctors were “B-readers”: physicians who have been found specially qualified to assess x-rays for evidence of pneumoconiosis. Their opinions were in conflict: one doctor thought that the x-ray revealed pneumoconiosis, one thought it did not, and the third found the film quality insufficient to offer an opinion. Another x-ray, dated May 15, 1973, was examined by a doctor — not a B-reader — who thought it showed an absence of pneumoconiosis. A third x-ray, dated March 28, 1980, was examined by a B-reader who found it positive for pneumoconiosis. The interpretations of the remaining ten x-rays were discounted by the AU because they did not specifically speak to the presence or absence of pneumoconiosis. The AU concluded, and we agree, that the x-ray evidence is inconclusive about whether Lauderdale was totally disabled due to pneumoconiosis before 1980.

In addition to the x-ray evidence, the medical evidence considered by the AU included a pulmonary study dated August 12, 1970, that showed, in the words of the reporting physician, “no significant alteration in pulmonary function.” The AU found this study to be reliable evidence [621]*621establishing that Lauderdale was not totally disabled on August 12, 1970.1

The AU therefore concluded that “the medical evidence tends to establish that [Lauderdale] did not have a totally disabling respiratory impairment on August 12, 1970. The medical evidence between that time and ... 1980 neither supports nor contradicts total disability due to pneumo-coniosis.” We think there is clearly substantial evidence in the record to support this conclusion.

In light of the inconclusive medical evidence, the AU went on to consider lay evidence in attempting to establish Lauder-dale’s date of onset of total disability. Dallas Lauderdale testified that his father had suffered from shortness of breath, coughing and a generally weak condition for the last thirty years. He also testified that from 1970 on, Lauderdale had only been able to do “little odd jobs” and had been hindered by his weak condition in performing them.

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940 F.2d 618, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lauderdale-ex-rel-lauderdale-v-director-office-of-workers-compensation-ca11-1991.