Martin v. Ribicoff

196 F. Supp. 547, 1961 U.S. Dist. LEXIS 3570
CourtDistrict Court, D. Montana
DecidedJuly 24, 1961
DocketNo. 797
StatusPublished
Cited by4 cases

This text of 196 F. Supp. 547 (Martin v. Ribicoff) 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
Martin v. Ribicoff, 196 F. Supp. 547, 1961 U.S. Dist. LEXIS 3570 (D. Mont. 1961).

Opinion

MURRAY, Chief Judge.

Plaintiff brings this action under the provisions of 42 U.S.C.A. § 405(g) to review a final decision of the Secretary of Health, Education and Welfare denying plaintiff disability insurance benefits under the Social Security Act, 42 U.S. C.A. § 423(a), and denying plaintiff the establishment of a period of disability under 42 U.S.C.A. § 416(i).

Plaintiff filed his application for disability insurance benefits and his application to establish a period of disability on June 16, 1958, alleging that he first became unable to engage in substantial work in October, 1954, at age 46, because of tuberculosis. When his applications were denied, plaintiff requested and was granted a hearing before a hearing examiner and the hearing examiner rendered a decision adverse to plaintiff, dated April 7, 1960. Plaintiff made a request for a review of the hearing examiner’s decision by the Appeals Council of the Social Security Administration, which request was denied under date of September 20, 1960, and, therefore, the decision of the hearing examiner represents the final decision of the Secretary, and this action is brought to review that 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 physical 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 applications for a period of disability and disability insurance benefits, and at a time when plaintiff met the “quarters of coverage” requirements of the Act set forth in 42 U.S.C.A. § 416 (i) (3) and 423(c) (1).

Under both the statute and the cases, 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); Dowell v. Folsom, D.C., 157 F.Supp. 46; Corn v. Flemming, D.C., 184 F.Supp. 490. 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; Aaron v. Flemming, D.C., 168 F.Supp. 291, 294.

It is conceded that plaintiff meets the “quarters of coverage” requirements of the Act, so the only question before the hearing examiner was whether or not the plaintiff, at or prior to the time he filed his applications, was unable to engage in any substantial gainful activity by reason of a medically determinable physical or mental impairment which can be expected to result in death or to be of long continued and indefinite duration. The examiner decided this question adversely to plaintiff. However, the Court is of the opinion, after examining the record, that there is no substantial evidence, as that term is defined above, to support the examiner’s decision, and that such decision was arrived at on the basis of conjecture, suspicion and speculation.

The medical evidence in the record shows without dispute that at least since January 24, 1957, the plaintiff has been [550]*550suffering from pulmonary emphysema and far advanced pulmonary tuberculosis, inactive. These conditions were diagnosed both by x-ray and by vital capacity tests. There is some evidence that the condition of pulmonary tuberculosis existed since prior to May of 1942, when plaintiff was inducted into the Army, for the Veterans Administration advised plaintiff in a letter' in May, 1957, “Your condition of pulmonary tuberculosis shown on your induction chest x-ray film pre-existed service and the evidence of record does not establish service aggravation for this condition”. At any rate, regardless of the duration of the disease, by January 24, 1957, when plaintiff was admitted to Montana State Tuberculosis Sanitarium, it had reached the stage where it was diagnosed as pulmonary emphysema and far advanced pulmonary tuberculosis. At that time plaintiff’s vital lung capacity was less than 50% of normal, and he suffered dyspnea on slight exertion. At the time he was discharged from the hospital the tuberculosis had become inactive as a result of treatment and plaintiff was advised to avoid exertion and exposure, have routine checkups with family physician and to have routine rest periods. Thereafter, from time to time, plaintiff was hospitalized and was examined and tested, and the diagnosis was the same except that his vital lung capacity reached a high of 66 plus percent and his maximal breathing capacity on one test was found to be 58.16 percent of normal. On several occasions Dr. John C. Murphy of the Montana State Tuberculosis Sanitarium expressed the opinion that plaintiff was totally and permanently disabled and that his condition was progressive.

On May 24, 1957, plaintiff, in response to his application for veterans disability benefits, was found by the Veterans Administration to be totally disabled, but was denied the benefits because the Veterans Administration expected that he would recover and be able to return to work. However, later and on June 10, 1959, plaintiff was awarded a Veterans disability pension of $66.15, commencing April 10, 1959, on the ground that the “evidence of record reveals that your disability prevents you from following substantial gainful employment”. There is no evidence that plaintiff’s condition at that time was any different than it was in May, 1957, when he had been denied a pension, except that the expectation that he would recover and be able to return to work apparently was gone. The reason the pension was made effective April 10,1959, was because that was the date plaintiff’s second application was received by the Veterans Administration. Under § 521, Title 38 U.S.C.A., a pension in the amount of $66.15 is provided for qualified veterans who are permanently and totally disabled from non-service-connected disability.

While the finding of total permanent non-service-connected disability by the Veterans Administration is, of course, not binding or controlling on the Secretary under the Social Security Act, it should have some probative value in view of the similarity in the definitions of “disability” in the Veterans Act and in the Social Security Act. In the Social Security Act disability is defined as “inability to engage in any substantial gainful activity by reason of a medically determinable physical or mental impairment which can be expected to result in death or to be of long continued and indefinite duration”. 42 U.S.C.A. §§ 416 (i) (1) and 423(c) (2). In the Veterans Act disability is defined as “any disability which is sufficient to render it impossible for the average person to follow a substantially gainful occupation, but only if it is reasonably certain that such disability will continue throughout the life of the disabled person”. 38 U.S. C.A. § 502. See Kerner v. Flemming, 2 Cir., 283 F.2d 916, 920.

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Bluebook (online)
196 F. Supp. 547, 1961 U.S. Dist. LEXIS 3570, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martin-v-ribicoff-mtd-1961.