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AF | BCMR | CY2001 | 0002223
Original file (0002223.doc) Auto-classification: Denied

                            RECORD OF PROCEEDINGS
             AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS


IN THE MATTER OF:      DOCKET NUMBER:  00-02223

            COUNSEL:  NONE

            HEARING DESIRED:  NO



APPLICANT REQUESTS THAT:

His records be corrected to show that he was permanently retired  by  reason
of physical disability, rather than retired for length of service.


APPLICANT CONTENDS THAT:

At the time of his retirement, the Air Force should have diagnosed him  with
diverticulitis.

The applicant states that diverticulitis is a debilitating disease that  can
be life threatening in its acute stages.  Without medications and  treatment
it can lead to death.  While on active duty he had five serious episodes  of
diverticulitis.  However, his condition  was  never  diagnosed  by  the  Air
Force.  As a result, calamitous injury was done to him  when  his  condition
was not diagnosed and  he  was  not  given  proper  care,  medications,  and
instructions regarding the necessary changes in his diet  and  lifestyle  to
control the condition.   Based  on  the  Air  Force’s  misdiagnosis  of  his
condition, in 1985, the Veterans Administration (VA) incorrectly  determined
his Predominant Disability Picture (PDP) was  hiatal  hernia  first,  rather
than diverticulitis with colon resection and irritable bowel syndrome.

In support of his appeal, applicant submits copies of his  medical  records,
literature regarding his conditions,  and  VA  and  Department  of  Veterans
Affairs (DVA) rating decisions.

The applicant’s complete submission is attached at Exhibit A.


STATEMENT OF FACTS:

On 6 January 1965, the applicant reenlisted in the Regular Air Force  for  a
period of 3 years.

The applicant underwent a retirement physical on 26 September 1967  and  was
found qualified for service or retirement.

Based on applicant’s  complaint  of  stomach  pain,  fluoroscopic  and  film
studies of his upper gastrointestinal tract were taken  on  10 October  1967
which revealed a hiatal hernia.

On 8 November 1967, the applicant underwent another retirement physical  and
was again found qualified for service or retirement.

A  Medical  Evaluation  Board  (MEB)  convened  on  12  January   1968   and
recommended the applicant be returned to duty  based  on  the  diagnosis  of
hiatus hernia, symptomatic, with probable reflux.

The hospital commander approved the recommendation of the MEB on  18 January
1968.

On 22 January 1968, the Surgeon General’s office approved the applicant  for
retirement.

On 1 June 1968, the applicant was voluntarily retired for length of  service
in the grade of chief master sergeant (E-9). He completed 24  years  and  17
days of active service.

On 9 December 1968, the  Veterans  Affairs  (VA)  awarded  the  applicant  a
combined service-connected disability rating of 10%  for  a  hiatal  hernia,
Veterans Administration Schedule for Rating Disabilities (VASRD) 7346.   The
VA also  found  the  applicant  suffered  from  hemorrhoids;  however,  they
assigned a 0% rating for the condition.

On 3 July 1985,  VA  awarded  the  applicant  a  combined  service-connected
disability rating of 30% for  a  hiatal  hernia  (10%)  and  diverticulitis,
colon resection (20%), VASRD 7327-7329.  The VA  also  found  the  applicant
suffered from osteoarthritis, right  shoulder,  hemorrhoids  and  refractive
error (congenital or  developmental  abnormality);  however,  they  assigned
these conditions a 0% rating.



AIR FORCE EVALUATIONS:

The BCMR Medical Consultant reviewed the application  and  states  that  the
reason why the applicant could be declared fit for  duty  or  retirement  by
the Air Force and later granted a service-connected disability  by  the  DVA
lies in understanding the differences between Title 10, USC  and  Title  38,
USC.  Title  10  USC  is  the  federal  statute  that  charges  the  service
secretaries with maintaining a fit and vital force.  For  an  individual  to
be considered unfit for military service, there must be a medical  condition
so severe that it prevents performance of any work  commensurate  with  rank
and  experience.   Once  this  determination  is  made,  namely   that   the
individual  is  unfit,  disability  rating  percentage  is  based  upon  the
member’s condition at the  time  of  permanent  disposition,  and  not  upon
possible future events.  As seen in the  applicant’s  records,  he  was  not
incapacitated for duty by virtue of his GI symptoms,  and,  therefore,  fit.
Congress, very  wisely,  recognized  that  a  person  can  acquire  physical
conditions that, although not unfitting  at  the  time  of  separation,  may
later progress in severity and alter the individual’s lifestyle  and  future
employability.  With this in mind, Title  38,  USC  which  governs  the  DVA
compensation system was written to allow awarding compensation  ratings  for
conditions that are not unfitting for military service.  This is the  reason
why an individual can be considered fit for duty, and  yet  soon  thereafter
receive a compensation rating from the  DVA  for  a  service-connected,  but
militarily non-unfitting condition.  Therefore, the Medical  Consultant  for
the AFBCMR recommends the application be denied.

A complete copy of the evaluation is at Exhibit C.

The  Chief,  Special  Actions/BCMR  Advisories,  AFPC/DPPD,   reviewed   the
application and states that there  are  no  errors  or  irregularities  that
would justify a change to the applicant’s records.  The  applicant  has  not
provided any evidence that he was unfit due to a physical disability at  the
time of his voluntary retirement.  Prior his voluntary  retirement,  he  was
medically approved for retirement by the USAF Surgeon General’s office.   In
addition, his performance reports indicate nothing but outstanding  comments
concerning his job performance.  They are unable to find any  evidence  that
he was incapable of performing his military duties right up until  the  time
of his voluntary retirement.  Under military  disability  laws  and  policy,
USAF disability boards can only  rate  medical  conditions  based  upon  the
member’s situation at the time of his or her evaluation.   Service-connected
medical conditions incurred, but not found while on  active  duty,  are  not
compensated.  However, the DVA may  compensate  prior  service  members  for
these conditions. Therefore, they recommend denial of his request.

A complete copy of the evaluation is at Exhibit D.


APPLICANT'S REVIEW OF AIR FORCE EVALUATIONS:

The applicant reviewed the evaluation and states that since the  MEB  failed
to recognize his five episodes of diverticulitis, the issue  of  an  MEB  is
moot.  While he was able to perform his duties until his retirement, he  was
not given medical treatments, bed-rest or medicines to  preclude  his  later
incapacitation in civilian life from August 1970 to his colon  resection  in
1974 and between his civilian employment (June 1968  to  1974).   Concerning
his timely filing, the applicant states that he did not discover  the  error
until 1997 when he began a diligent review of his  entire  medical  history.
In addition, he began his appeal in the United States Court of  Appeals  for
Veterans Claims and did not receive a  final  decision  until  August  2000.
After he received the decision, he  filed  his  application.   As  such,  he
believes he has filed a timely request.

Applicant’s complete response is at Exhibit F.


THE BOARD CONCLUDES THAT:

1.  The applicant has exhausted all remedies provided  by  existing  law  or
regulations.

2.  The application was not timely filed; however, it is in the interest  of
justice to excuse the failure to timely file.

3.  Insufficient relevant evidence has been  presented  to  demonstrate  the
existence  of  probable  error  or  injustice  warranting  the   applicant's
retirement by reason of physical disability.   The applicant  contends  that
at the time of his retirement for length of service,  he  should  have  been
diagnosed with diverticulitis.  However, we find insufficient evidence  that
he was unfit for continued military service at the  time  of  his  voluntary
retirement.  To the contrary, prior to  his  voluntary  retirement,  he  was
medically approved for retirement by the USAF Surgeon General’s  office  and
his performance reports indicate outstanding performance.   It  appears  the
applicant believes the DVA's decision to award him  a  combined  compensable
disability rating of 30% substantiates that he should  have  been  medically
retired by the Air Force.  However, we note that although the Air  Force  is
required to rate disabilities in accordance with the VA Schedule for  Rating
Disabilities, the DVA operates  under  a  totally  separate  system  with  a
different statutory basis.  In this respect, we note that the DVA rates  for
any and all service connected conditions, to the degree they interfere  with
future employability, without consideration of  fitness.   Whereas  the  Air
Force rates a member's disability at the time of separation.  Therefore,  in
the absence of evidence to the contrary, we  find  no  compelling  basis  to
recommend granting the relief sought in this application.

_________________________________________________________________

THE BOARD DETERMINES THAT:

The applicant be notified that the evidence presented  did  not  demonstrate
the existence of probable material error or injustice; that the  application
was denied without a personal appearance;  and  that  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 this application in  Executive
Session on 13 February 2001, under the provisions of AFI 36-2603:

                       Mr. Thomas S. Markiewicz, Vice Chair
                       Ms. Carolyn J. Watkins, Member
                       Mr. E. David Hoard, Member

The following documentary evidence was considered:

    Exhibit A.  DD Form 149, dated 14 Aug 00, w/atchs.
    Exhibit B.  Applicant's Master Personnel Records.
    Exhibit C.  Letter, BCMR Medical Consultant, dated 26 Oct 00.
    Exhibit D.  Letter, AFPC/DPPD, dated 16 Nov 00.
      Exhibit E.  Letter, SAF/MIBR, dated 1 Dec 00.
      Exhibit F.  Letter, Applicant, dated 26 Dec 00.




                                   THOMAS S. MARKIEWICZ
                                   Vice Chair

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