RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2012-04255
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
His medical discharge with severance pay be changed to a medical
retirement.
________________________________________________________________
APPLICANT CONTENDS THAT:
He was rated unfit for active duty and honorably discharged with
a 20 percent compensable disability rating. Within that same
year, the Department of Veterans Affairs (DVA) rated him
90 percent service-connected disabled for the same conditions.
He was rated 100 percent Individual Unemployable which included
Memory/Cognitive deterioration and Post-Traumatic Stress
Disorder (PTSD) as it manifested later. His PTSD was service
connected and attributed to Gulf War Illness.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted in the Air Force on 15 November 1985. On
17 November 1998, a Medical Evaluation Board (MEB) referred him
to an Informal Physical Evaluation Board (IPEB) for chronic low
back pain. On 3 February 1999, the IPEB found that his chronic
low back pain was unfitting and recommended that he be
discharged with severance pay with a 20 percent compensable
disability rating. The applicant agreed with the findings and
recommendations of the IPEB and waived his right to a formal PEB
hearing. On 19 February 1999, the Secretary of the Air Force
directed he be separated from active service for a physical
disability under the provisions of 10 USC 1203, with severance
pay.
The applicant was honorably discharged on 13 April 1999. His
narrative reason for separation was listed as disability,
severance pay. He was credited with 13 Years, 4 months and
29 days of active duty service.
AIR FORCE EVALUATION:
AFPC/DPFD recommends denial. The applicant was referred to an
MEB for chronic back pain. The MEB convened on 19 November
1998; he was not boarded for PTSD.
The Department of Defense (DoD) and the DVA disability
evaluation systems operate under separate laws. Under Title 10,
U.S.C, Physical Evaluation Boards must determine if a members
condition renders them unfit for continued service relating to
their office, grade, rank or rating. The fact that a person has
a medical condition does not mean that 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 there is a finding of
unfitness, the law provides appropriate compensation due to the
premature termination of their career. DoD rates disabilities
based on the members condition at the time of evaluation; in
essence a snapshot of their condition at the time.
It is the charge of the DVA to pick up where the Air Force must,
by law, leave off. Under Title 38, the DVA may rate any
service-connected condition 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.
The IPEB reviewed the documents submitted by the applicant and
determined the range of motion on the DVA rating shows a flexion
of 30 degrees with pain. All the other degrees of range of
motion would still be a 20 percent rating for severance pay.
The preponderance of the evidence reflects that no error or
injustice occurred during the disability process or at the time
of separation. The applicant was not boarded for PTSD. Should
the Board find that PTSD should have been found unfitting at the
time of the 1998 medical board, they can provide the appropriate
disability rating.
The complete DPFD evaluation is at Exhibit C.
The BCMR Medical Consultant recommends denial. The applicants
records do not support that he displayed memory, depression or
anxiety issues while on active duty. The Medical Consultant was
also unable to find any duty limitations, deployment limitations
or physical profiles to question the applicants fitness as
related to PTSD or migraine headache history. The applicant
could have had PTSD considered as an unfitting condition and
awarded a rating at that time if he deemed appropriate. The
Medical consultant opines these conditions were not unfitting
for military service.
As stated, the DVA may rate service connected disabilities 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. The IPEB reviewed the documents
submitted, found the member unfit and recommended he be
discharged with severance pay with a 20 percent compensable
disability rating in accordance with the Veterans Affairs
Schedule for Rating Disabilities (VASARD) guidelines for
diagnosis of chronic back pain. The VA, using the same
guidelines, found the applicant to have flexion of 35 degrees
with pain; extension of 10 degrees in their 1999 evaluation:
both agencies objective measurement falls within the criteria
for 20 percent disability rating.
The military Disability Evaluation System (DES) was established
to maintain a fit and vital fighting force. By law, the DES can
only offer compensation for those service incurred diseases or
injuries which specifically render a member unfit for continued
active service and were the cause for career termination; and
then only to the degree of impairment present at the time of
separation and not based on future occurrences. Service members
are considered unfit when the evidence establishes that a
member, due to physical disability, is unable to reasonably
perform the duties of his or her office, grade, rank, to include
duties during a remaining period of Reserve obligation; as was
the case with the applicants chronic back pain. Although he
was treated for a number of other episodic illnesses and
injuries during his service, the evidence shows that it was his
chronic back pain, not his PTSD or migraine headaches, which was
shown to have interfered with his military service to the extent
or duration that warranted processing through the military DES.
The applicant has not met the burden of proof of error or
injustice that warrants the desired change in the record.
The BCMR Medical Consultants complete evaluation is at
Exhibit D.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicant states he agrees with the background as stated by
the advisories. He also states that while he understands there
is no medical documentation regarding his memory, depression or
anxiety issues while he was active duty, those issues were
keenly evident to his family. His cognitive memory impairment
had not fully manifested itself at the time; this happens with
Gulf War veterans. PTSD is something, he guesses, that happens
when you are held a gun point in the Kuwait oil fields. His
migraines were dealt with by taking Tylenol. He did not
consider asking about these issues as he was not aware of them
at the time.
His contention is the disparity between the 20 percent rating
from the Air Force and the 40 percent rating from the VA while
looking at the same information. When being counseled by the
subject matter expert at the base hospital, he was not told
about the disparity or the cutoff for retirement. He was only
made aware of this by a neurology nurse at the VA hospital.
He is not requesting compensation for anything other than his
back. The VA has compensated him for other medical conditions
including PTSD; however, his only request is that the Air Force
corrects his 20 percent severance to a 40 percent medical
retirement.
The applicants 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 timely filed.
3. Insufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice with regard
to the applicants disability rating. Evidence has not been
submitted which would lead us to believe the rating he received
at final disposition was improper. The evidence of record
indicates that the applicant was afforded due process through
the disability evaluation system and we find the evidence
submitted insufficient to determine otherwise. Therefore we
agree with the opinion and recommendation of the AFPC/DPFD and
the BCMR Medical Consultant and adopt their rationale as the
basis for our conclusion that 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 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 AFBCMR Docket
Number BC-2012-04255 in Executive Session on 16 May 2013, under
the provisions of AFI 36-2603:
Panel Chair
Member
Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dtd 1 Aug 12, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPFD, dtd 20 Nov 12.
Exhibit D. Letter, BCMR Medical Consultant, dtd 27 Feb 13.
Exhibit E. Letter, SAF/MRBC, dtd 15 Mar 13.
Exhibit F. E-Mail, Applicants Response, dtd 13 Apr 13.
Panel Chair
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