THIRD ADDENDUM TO
RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-1998-01124
INDEX CODE: 108.01,
108.02
XXXXXXX COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
In the applicant’s appeal for reconsideration, he requests his 1975
honorable discharge from Basic Military Training (BMT) for
disqualifying mild sustained hypertension be changed to a 100% rating
for service-connected schizophrenia, post traumatic stress disorder
(PTSD), costochondritis, and low back pain, presumably with medical
retirement.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant entered active duty on 29 Oct 75. On 10 Nov 75, he
presented to the clinic with complaints of chest pain subsequently
diagnosed as costochondritis. He was prescribed Valium for anxiety.
On a follow-up visit on 20 Nov 75, an elevated blood pressure was
noted. Of the 20 blood pressure measurements, 15 showed abnormally
elevated results. The applicant was referred for internal medicine
evaluation; electrocardiogram, chest x-ray, and urinalysis were
normal. The 26 Nov 75 Medical Evaluation Board (MEB) narrative
summary diagnosed mild sustained hypertension that existed prior to
service (EPTS) and was disqualifying for military service. Service
medical records also document complaints of back pain, ankle pain, and
blisters on his hands and feet. Service medical documents make no
reference to a specific trauma associated with the applicant’s chest
or back pain. After one month and seven days of active service, the
applicant was honorably discharged from basic military training (BMT)
on 5 Dec 75 for disqualifying mild sustained hypertension, a condition
determined to have EPTS and not aggravated by service.
In his original 1998 appeal to the AFBCMR, the applicant requested his
honorable discharge be changed to a medical disability discharge. He
contended the medical problems that disqualified him for continued
service and the physical and mental conditions he suffers from today
were the result of beatings he allegedly received from his BMT drill
instructor. He included newspaper clippings indicating he had been
convicted of killing an 82-year old jeweler in 1977. An FBI
investigative report obtained by the AFBCMR Staff confirmed that in
1978 the applicant was convicted and imprisoned for burglary and
murder. Military medical records available to the Board contained no
reference to or treatment of traumatic injuries or abuse. On 16 Mar
99, the Board considered and denied his appeal due to lack of
evidence.
For an accounting of the facts and circumstances surrounding the
applicant’s separation and the rationale of the original decision by
the Board, see the Record of Proceedings (ROP) at Exhibit H.
The applicant requested reconsideration in Apr and May 99, submitting
numerous letters to various government officials and agencies, as well
as statements from other individuals. One of the statements was from
an individual (Mr. E---) who asserted he saw a drill instructor
assault the applicant and "signed a police report on this matter in
1975 for the airforce [sic] police." However, the Air Force Office of
Special Investigations (AFOSI) advised the AFBCMR Staff there was no
record of the incident and, if there had been an investigation, the
report would no longer exist as files of this nature are routinely
destroyed after 15 years. On 17 Jun 99, the Board again denied the
applicant's request because he had not provided sufficient evidence to
support his allegations.
For an accounting of the facts and the rationale of the Board’s
decision, see the Addendum to the ROP (AROP) at Exhibit J.
The applicant again requested reconsideration and submitted, among
other things, a letter from an attorney who assisted the defense
lawyer during the applicant’s 1978 trial for murder. A doctor with
the Rhode Island Department of Veterans Affairs (DVA) Medical Center
advised the applicant had been diagnosed with chronic schizo-affective
disorder. The applicant’s stepmother also submitted a letter. In a
separate submission, the applicant provided an unsigned May 2001
letter to the DVA written, at his request, by a Rhode Island US
Magistrate Judge who represented him in his murder trial. The judge
indicated he had no recollection he saw or was even aware of the 1978
letters the applicant provided regarding his schizophrenia. The judge
included copies of these letters. The Board again denied the
applicant’s appeal on 12 June 2002.
For an accounting of the facts and the rationale of the Board’s
decision, see the 2nd AROP at Exhibit L.
On 8 Jul 04, the DVA granted the applicant service connection for
schizophrenia, rated 100% effective 2 Oct 99, the date he first filed
his DVA claim. The decision noted the treatment for anxiety in the
service and the 22 May 04 opinion of a DVA
examination that concluded the applicant suffered from schizophrenia
either during his military service or, more likely, in the year
following military service in 1976.
In a DD Form 149 dated 2 Sep 04, the applicant requested
reconsideration, and submitted his 100% DVA rating for service-
connected schizophrenia, 24 years after his discharge from the Air
Force. A 22 Jun 04 evaluation, provided with the rating, questioned
the accuracy of the applicant’s military medical records, particularly
regarding the hypertension issue. Further, while the military records
did not indicate his medical problems were caused by physical trauma,
examinations by another physician and psychiatrist found the
applicant’s allegations credible. The evaluation concluded it was as
likely as not the applicant suffered from schizophrenia, either during
his military service or, more likely, one year following the discharge
and continuing to the present.
A complete copy of the applicant’s application, with attachments, is
at Exhibit M.
The applicant continued to submit letters and/or duplicates of
documents already submitted. Copies of these submissions are at
Exhibit N.
_________________________________________________________________
AFBCMR MEDICAL CONSULTANT EVALUATION:
Pursuant to a request by the AFBCMR Staff, the AFBCMR Medical
Consultant provided an evaluation recommending denial. The Consultant
provided additional medical details regarding the applicant’s
condition and advises the Military Disability Evaluation System (MDES)
and the DVA operate under separate laws. The Consultant explains the
differences between the MDES, which operates under Title 10, and the
DVA, which operates under Title 38. In order to establish “service
connection,” there only need be some link or nexus of the particular
condition with the veteran’s military service. This differs
substantially from the requirement that the condition be unfitting at
the time for military disability compensation. The mere fact that the
DVA may grant service connected compensation ratings does not
establish eligibility for similar action from the Air Force. By law,
payment of DVA disability compensation and military disability pay for
the same medical condition or disability is prohibited. The applicant
was discharged due to the finding of disqualifying elevated blood
pressures after less than one month of service, determined to have
EPTS. Although he experienced a variety of other symptoms, none were
considered disqualifying for continued military service at the time
and therefore would not qualify for consideration by an MEB. The
applicant reported a pre-service history of chest pain attributed to
nerves, was prescribed Valium for anxiety associated with pain, a
common symptom in basic trainees who successfully complete training.
His medical service records do not reflect evidence of schizophrenia
while in the Air Force. The DVA psychiatric evaluation in May 04
concluded the applicant most likely manifested schizophrenia during
the year following his separation from military service, and that
manifestation of schizophrenia while in the service was less likely.
No change in the applicant’s records is warranted.
The AFBCMR Medical Consultant evaluation is at Exhibit O.
_________________________________________________________________
APPLICANT'S REVIEW OF EVALUATION:
The AFBCMR Medical Consultant’s evaluation was forwarded to the
applicant on 31 Mar 05 (Exhibit P) for review and comment within 30
days. In letters dated 30 Mar 05 and 1, 4, 5, and 6 Apr 05 (Exhibit
Q), the applicant responded to the advisory opinion and requested his
case be temporarily withdrawn. The AFBCMR Staff advised the applicant
by letter dated 14 Apr 05 (Exhibit R) that, per his request, his case
had been temporarily closed.
In a DD Form 149 dated 16 Jun 06, the applicant requested his case be
reconsidered for 100% service-connected disability. He reiterated his
claims that his drill instructor verbally, physically, and sexually
assaulted him and caused his medical problems. The applicant provided
additional documents that were received on 27 Jun and 6 Jul 06. He
also appeared to be dissatisfied with the medication prescribed by the
DVA, contending it caused his diabetes.
The DD Form 149 and other submissions, with attachments, are at
Exhibit S.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
After carefully reviewing the extensive documentation pertaining to
this appeal, we are not persuaded relief is warranted. In Jul 04,
nearly 29 years after his discharge, the DVA granted the applicant
service connection for schizophrenia, rated 100%, effective 2 Oct 99,
the date he first filed his DVA claim. The applicant requests a
similar rating from the Air Force. However, he was discharged from
service due to the finding of disqualifying hypertension after less
than one month of service, which was determined to have existed prior
to service. His other symptoms were not considered disqualifying for
continued military service at the time and therefore did not qualify
for consideration by an MEB. The applicant’s available military
medical records do not reflect evidence of schizophrenia or the
traumatic injuries he alleged occurred while in the Air Force. The
DVA psychiatric evaluation in May 04 concluded the applicant most
likely manifested schizophrenia during the year following his
separation from military service, and that manifestation of
schizophrenia while in the service was less likely. The MDES and the
DVA operate under two different systems. The MDES, governed by Title
10, USC, Chapter 61, can only offer compensation for those service
incurred diseases or injuries which specifically rendered a member
unfit for continued active service, were the cause for termination of
their career, and then only for the degree of impairment present at
the time of separation. The mere presence of a medical condition does
not qualify a member for disability evaluation. For an individual to
be considered unfit for military service, there must be a medical
condition that prevents performance of any work commensurate with rank
and experience. Once an individual has been declared unfit, the
Service Secretaries are required by law to rate the condition based on
the degree of disability at the time of permanent disposition and not
on future events. In the applicant’s case, only his hypertension was
disqualifying for military service at that time and not his other
symptoms. Because the hypertension was determined to have existed
prior to service, it was non-compensable under the rules of the MDES.
However, Congress recognized that a person could 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. Title 38, USC, which governs the DVA system,
allows awarding compensation for acquired and altered conditions that
were not unfitting for military service but could affect a person’s
life style and future employability. The DVA may increase or decrease
a member’s disability rating based on the seriousness of the medical
condition throughout his/her life span. The mere fact that the DVA may
grant service connected compensation ratings does not establish
eligibility for similar action from the Air Force. Further, by law,
payment of DVA disability compensation and military disability pay for
the same medical condition or disability is prohibited. We therefore
agree with the AFBCMR Medical Consultant’s evaluation and
recommendation, as well as with the decisions rendered by the previous
Boards. Absent persuasive evidence to the contrary, we find the
applicant has not been the victim of either an error or injustice and
his appeal should again be denied.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of 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 and 15 September 2006, under the provisions of
AFI 36-2603:
Mr. Michael J. Maglio, Panel Chair
Mr. Richard A. Peterson, Member
Mr. Gary G. Sauner, Member
The following documentary evidence relating to AFBCMR Docket Number BC-
1998-01124 was considered:
Exhibit L. 2nd AROP, dated 27 Jun 02
Exhibit M. DD Form 149, dated 2 Sep 04, w/atchs.
Exhibit N. Applicant’s Submissions, dated/received 8 Sep 04,
19 Jan 05, 22 Jan 05, 24 Jan 05,
25 Jan 05,
26 Jan 05 w/24 Nov 04 DVA Ltr,
27 Jan 05,
30 Jan 05, 14 Feb 05, 17 Feb 05
w/30 Jul 04 DVA
Ltr, 8 Mar 05 w/Congressional 22 Feb
05 Ltr,
w/atchs.
Exhibit O. AFBCMR Medical Consultant’s Ltr, dated 30 Mar 05.
Exhibit P. AFBCMR Letter, dated 31 Mar 05.
Exhibit Q. Applicant’s Letters, 30 Mar 05; and 1, 3, 4, 5,
and 6 Apr 05, w/atchs.
Exhibit R. AFBCMR Letter, dated 14 Apr 05.
Exhibit S. DD Form 149, dated 16 Jun 06, w/atchs; and
Additional Correspondence
received 27 Jun
and 6 Jul 06.
MICHAEL J. MAGLIO
Panel Chair
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