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AF | BCMR | CY2006 | BC-2005-01143
Original file (BC-2005-01143.doc) Auto-classification: Approved

                       RECORD OF PROCEEDINGS
         AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS


IN THE MATTER OF:      DOCKET NUMBER:  BC-2005-01143
            INDEX CODE:

            COUNSEL:  NONE

            HEARING DESIRED:  NO

MANDATORY CASE COMPLETION DATE:  6 October 2006

_________________________________________________________________

APPLICANT REQUESTS THAT:

Her late son’s disability rating be increased from 40 percent  to  100
percent.

_________________________________________________________________

APPLICANT CONTENDS THAT:

The Physical Evaluation Board (PEB)  made  its  decision  without  the
benefit of having all the  facts.   The  problem  is  the  18  Mar  03
decision  was  arrived  at  before  subsequent  major  surgeries   and
treatments/intensive care at *****  Medical  Center  and  five  months
prior to his release from active duty.

In support of the appeal, applicant submits a copy  of  AF  Form  356,
Findings and  Recommended  Disposition  of  USAF  Physical  Evaluation
Board, dated 18 Mar 03, a copy of the Operation Report, and a copy  of
Department of Veterans Affairs (DVA) Rating Decision.

Applicant's complete submission, with attachments, is at Exhibit A.

_________________________________________________________________

STATEMENT OF FACTS:

The member enlisted in the Regular Air Force on 7 Jun  00.   Based  on
complaints of low back pain, the member was  presented  to  a  Medical
Evaluation Board (MEB).

On 4 Mar 03, the  MEB  recommended  he  be  referred  to  an  informal
Physical Evaluation Board (IPEB).

On 18 Mar 03, the IPEB found him unfit and recommended he be placed on
the TDRL with a compensable rating of 40%, based on the  diagnosis  of
Ewing’s Sarcoma, status post resection  and  chemotherapy,  associated
with mood disorder and chronic pelvic pain.  The member did not  agree
with the findings and recommendations of  the  IPEB  and  requested  a
Formal Physical Evaluation Board (FPEB).

On 20 May 03, the FPEB sustained the findings  and  recommendation  of
the IPEB and recommended he be placed on the TDRL.  On 2 Aug  03,  his
name was placed on the TDRL with a rating of 40 percent.

The  member  died  on  15  May  04.   The  death   certificate   lists
polypharmacy as the cause of death.

On 25 Feb 05, the DVA awarded a combined compensable disability rating
of  100  percent  for  Ewing  Sarcoma  status   post   resection   and
chemotherapy, 10 percent for painful scar, and zero percent  for  mood
disorder (depression) effective 2 Aug 03.

_________________________________________________________________

AIR FORCE EVALUATION:

The BCMR Medical Consultant is of the opinion that  a  change  in  the
records is warranted to show a  higher  disability  rating.   By  law,
payment of DVA disability compensation and military disability pay for
the same medical condition or disability is prohibited.  Changing  the
member’s disability rating, even to a rating of 100 percent  will  not
result in any additional monetary benefits for his heirs.  The maximum
possible disability retired pay would be 75% (even with a 100  percent
rating) of his base pay (E-4 over three  years  of  service  base  pay
$1665 in 2003 and $1726 in 2004) resulting  in  a  monthly  disability
retired pay of $1250 per month in 2003 and $1295  in  2004.   The  DVA
disability compensation  for  a  single  veteran  (rates  for  married
veterans with or without children are higher)  rated  100  percent  in
2003 was $2103/month, and $2239/month in 2004, both  higher  than  any
maximum Air Force disability compensation.

Although changing the former member’s Air Force TDRL disability rating
will not result in any additional monetary benefits for his heirs, the
BCMR Medical Consultant opines that the preponderance of the  evidence
of the record warrants a higher TDRL disability  rating  than  the  40
percent originally adjudicated and concludes that the evidence of  the
record most nearly approximates the 60 percent rating but  notes  that
greater weight given to the relative contribution of the mood disorder
and pain could result in a combined rating of 75 percent as previously
discussed.

A complete copy of the evaluation is at Exhibit C.

_________________________________________________________________





APPLICANT'S REVIEW OF AIR FORCE EVALUATION:

On 5 Jun 06, a copy of the Air Force evaluation was forwarded  to  the
applicant for review and response.  As of this date, no  response  has
been received by this office.

_________________________________________________________________

THE BOARD CONCLUDES THAT:

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

2.    The application was timely filed.

3.    Sufficient relevant evidence has been presented  to  demonstrate
the existence of error or injustice  warranting  an  increase  in  the
member’s disability rating to 75 percent.  In this  respect,  we  note
the member was processed  through  the  Disability  Evaluation  System
resulting in his placement on the TDRL with a compensable rating of 40
percent.  The BCMR  Medical  Consultant  is  of  the  opinion  that  a
preponderance of the evidence  of  record  supports  a  rating  of  60
percent and that greater weight given to the relative contribution  of
the mood disorder and pain could result in a  combined  rating  of  75
percent.  We agree and in the interest of justice believe that greater
weight should  be  given  to  the  contributing  relationship  of  the
member’s mood disorder and pain.  Therefore, we recommend his  records
be corrected to the extent indicated below.

4.    Notwithstanding the above, we do  not  believe  that  sufficient
evidence  has  been  presented  to  warrant  increasing  the  combined
disability rating to 100 percent.  It appears the  applicant  believes
the DVA's decision to award her late son a combined disability  rating
of 100 percent, substantiates that he should have received this rating
from the Air Force at the time he was placed on the TDRL.  However, we
note that although the Air Force is required to rate  disabilities  in
accordance with the DVA Schedule  for  Rating  Disabilities,  the  DVA
operates under a totally separate system with  a  different  statutory
basis.  In this respect, we note the DVA rates for any and all service
connected  conditions,  to  the  degree  they  interfere  with  future
employability, without consideration of fitness.  The  Air  Force,  on
the other hand, rates a member's disability at the time of separation,
and based on considerations some of which differ from the  DVA’s.   In
the applicant's case, at the time of his placement  on  the  TDRL  his
conditions did not warrant such a rating.  Therefore, in  the  absence
of evidence to the  contrary,  we  find  no  compelling  basis  for  a
combined disability rating greater than 75 percent.

________________________________________________________________




THE BOARD RECOMMENDS THAT:

The pertinent military records of the  Department  of  the  Air  Force
relating to APPLICANT, be corrected to show that  on  1  August  2003,
competent authority determined  that  the  rating  for  his  unfitting
condition was 75 percent, rather than 40 percent.

_________________________________________________________________

The following members of the Board considered AFBCMR Docket Number BC-
2005-01143 in Executive Session on 23 June 2006, under the  provisions
of AFI 36-2603:

                  Mr. Laurence M. Groner, Panel Chair
                  Mr. James A. Wolffe, Member
              Ms. LeLoy W. Cottrell, Member

All members  voted  to  correct  the  records,  as  recommended.   The
following documentary evidence was considered:

   Exhibit A.  DD Form 149, dated 31 Mar 05, w/atchs.
   Exhibit B.  Applicant's Master Personnel Records.
   Exhibit C.  Letter, BCMR Medical Consultant, dated 31 May 06.
   Exhibit D.  Letter, SAF/MRBR, dated 5 Jun 06.




                                   LAURENCE M. GRONER
                                   Panel Chair








AFBCMR BC-2005-01143




MEMORANDUM FOR THE CHIEF OF STAFF

      Having received and considered the recommendation of the Air
Force Board for Correction of Military Records and under the authority
of Section 1552, Title 10, United States Code (70A Stat 116), it is
directed that:

      The pertinent military records of the Department of the Air
Force relating to XXXXXXX, be corrected to show that on 1 August 2003,
competent authority determined that the rating for his unfitting
condition was 75 percent, rather than 40 percent.






                             JOE G. LINEBERGER
                             Director
                             Air Force Review Boards Agency

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