RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2010-04392 COUNSEL: NONE HEARING DESIRED: NO ________________________________________________________________ APPLICANT REQUESTS THAT: 1. Her disability rating be increased to 50 percent. 2. She be given a disability retirement in lieu of her disability separation with severance pay. ________________________________________________________________ APPLICANT CONTENDS THAT: She should be given a medical retirement. She was originally separated for asthma, but is now rated as service connected by the Department of Veterans Affairs (DVA) as 50 percent disabled. In support of her request, the applicant provides a copy of her DVA rating decision and what appears to be a screen shot indicating the ratings for her various service-connected disabilities. The applicant’s complete submission, with attachments, is at Exhibit A. ________________________________________________________________ STATEMENT OF FACTS: The applicant’s military personnel records indicate that she served in the Regular Air Force in the grade of staff sergeant (E-5), effective and with a date of rank of 1 Dec 01. On 7 Dec 07, the applicant was found unfit for military service due to her diagnosis of asthma by the Informal Physical Evaluation Board (IPEB) and was recommended for discharge with separation pay with a combined compensable rating of ten percent. She appealed the ruling to the Formal Physical Evaluation Board (FPEB) which, after considering all the facts and evidence, upheld the IPEB recommendation for a disability discharge with a compensable rating of ten percent for asthma. On 4 Feb 08, officials within the Office of the Secretary of the Air Force determined the applicant was physically unfit for continued military service and directed her honorable discharge with severance pay, effective 17 Mar 08. On 10 Mar 08, the applicant’s physical evaluation board case was reviewed in accordance with the provisions of the 2008 National Defense Authorization Act (NDAA) and her rating was determined to be accurate and in accordance with the Veteran’s Administration Schedule for Rating Disabilities (VASRD). On 17 Mar 08, the applicant was honorably discharged from the Air Force for physical disability, with a disability rating of ten percent, and was credited with 12 years, 1 month, and ten days of total active service. The remaining relevant facts pertaining to this application are contained in the letters prepared by the appropriate offices of the Air Force which are attached at Exhibits C and E. ________________________________________________________________ AIR FORCE EVALUATION: AFPC/DPSD recommends denial indicating the preponderance of evidence indicates that no error or injustice occurred during the applicant’s disability processing. The Department of Defense (DoD) and Department of Veterans Affairs (DVA) disability evaluation systems operate under separate laws and serve two separate and distinct purposes. Under Title 10, United States Code (USC), Physical Evaluation Boards must determine if a member’s condition renders them unfit for continued military service relating to their office, grade, rank, or rating. The fact that a person may have a medical condition does not mean the condition is unfitting for continued military service. To be unfitting, the condition must be such that it alone precludes the member from fulfilling their military duties. If the Board renders a finding of unfit, the law provides appropriate compensation due to the premature termination of their career. Further, it must be noted that USAF disability boards must rate disabilities based on a member’s condition at the time of evaluation; in essence a snapshot of their condition at that time. On the other hand, it is the charge of the DVA, to pick up where the Air Force must, by law, leave off. Under Title 38, USC, the DVA may rate any service-connected condition, regardless of its impact on the member’s ability to perform their military duties, based upon future employability or reevaluate based on changes in the severity of a condition. This often results in different ratings by the two agencies. In the applicant’s case, the DVA originally gave her a 30 percent rating for sleep apnea with asthma, but later increased the rating for this condition to 50 percent. However, the member was not processed through the military disability evaluation system for the condition of sleep apnea, nor did it cause the premature termination of her career. A complete copy of the AFPC/DPSD evaluation is at Exhibit C. ________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: A copy of the Air Force evaluation was forwarded to the applicant on 23 Dec 10 for review and comment within 30 days. As of this date, no response has been received by this office (Exhibit D). ________________________________________________________________ ADDITIONAL AIR FORCE EVALUATION: The AFBCMR Medical Consultant recommends denial, indicating the applicant has not met the burden of proof of an error or injustice. The evidence of record indicates that her compensable disability rating of ten percent for asthma was appropriate to the circumstances and consistent with her symptoms of exercise induced asthma at the time of her separation. It is important to note the DVA is authorized to offer compensation for any medical condition determined to be service incurred or aggravated, regardless of its impact upon a service member’s fitness to serve, the reason for separation, or the intervening period between the discharge and the DVA’s examination and determination. That is to say, any symptom or set of symptoms that can be attributed to a veteran’s military service, whether or not they are clinically significant or unfitting for service, may later be determined service incurred and compensation provided by the DVA. Unlike the determinations conducted by a military department under Title 10, USC which are a snapshot in time, the DVA operates under Title 38, USC, which authorizes periodic re-evaluations for the purpose of adjusting the disability rating(s) awarded as the severity of a given medical condition may vary (improve or worsen) over the lifetime of the veteran. This explains the common occurrence of a new clinical diagnosis, obstructive sleep apnea (OSA) in this case, made sometimes months or years after military service, but one which a DVA examiner has attributed to a set of symptoms displayed during military service. There is also no evidence provided showing the applicant suffered from OSA during her military service or that it interfered with her ability to perform her duties to the extent to cause her release from military service. In the end, the source of the applicant’s unfitness for service, and cause of her disability separation, was her asthma, and not her bronchitis or OSA. A complete copy of the AFBCMR Medical Consultant’s evaluation is at Exhibit E. ________________________________________________________________ APPLICANT'S REVIEW OF ADDITIONAL AIR FORCE EVALUATION: A copy of the additional Air Force evaluation was forwarded to the applicant on 28 Mar 11 for review and comment within 30 days. As of this date, no response has been received by this office (Exhibit F). ________________________________________________________________ THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was timely filed. 3. Insufficient relevant evidence has been presented to demonstrate the existence of an error or injustice. We took notice of the applicant’s complete submission in judging the merits of the case; however, we agree with the opinions and recommendations of the Air Force office of primary responsibility and AFBCMR Medical Consultant and adopt their rationale as the basis for our conclusion the applicant has not been the victim of an error or injustice. Therefore, in the absence of evidence to the contrary, we find no basis to recommend granting the relief sought in this application. ________________________________________________________________ THE BOARD DETERMINES THAT: The applicant be notified the evidence presented did not demonstrate the existence of material error or injustice; the application was denied without a personal appearance; and the application will only be reconsidered upon the submission of newly discovered relevant evidence not considered with this application. ________________________________________________________________ The following members of the Board considered AFBCMR Docket Number BC-2010-04392 in Executive Session on 26 Jul 11, under the provisions of AFI 36-2603: , Panel Chair , Member , Member The following documentary evidence pertaining to AFBCMR Docket Number BC-2010-04392 was considered: Exhibit A. DD Form 149, dated 17 Nov 10, w/atchs. Exhibit B. Applicant's Master Personnel Records. Exhibit C. Letter, AFPC/DPSD, dated 2 Dec 10. Exhibit D. Letter, SAF/MRBR, dated 23 Dec 10. Exhibit E. Letter, AFBCMR Medical Consultant, dated 22 Mar 11. Exhibit F. Letter, SAF/MRBR, dated 28 Mar 11. Panel Chair