noting that the conclusion of the ALJ must be reasonable, not that the district court would have come to the same conclusion
How later courts described this case
- noting that the conclusion of the ALJ must be reasonable, not that the district court would have come to the same conclusion
- affirming the ALJ’s decision where “the ALJ implicitly addressed in the negative each of the requirements of [a particular listing]”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
WILLIAM B.,
1:20-cv-13849-NLH
Plaintiff,
OPINION
v.
COMMISSIONER OF SOCIAL
SECURITY,1
Defendant.
APPEARANCES:
PAUL HOWARD YOUNG
YOUNG, MARR, MALLIS & DEANE, LLC
3554 HULMEVILLE RD.
SUITE 102
BENSALEM, PA 19020
On behalf of Plaintiff
ELIZABETH S. MATONI
SOCIAL SECURITY ADMINISTRATION
OFFICE OF THE GENERAL COUNSEL
300 SPRING GARDEN STREET
6TH FLOOR
PHILADELPHIA, PA 19123
On behalf of Defendant
HILLMAN, District Judge
This matter comes before the Court under § 1614(a)(3)(A) of
the Social Security Act, as amended 42 U.S.C. § 1382c(a)(3(A),
1 On July 9, 2021, Kilolo Kijakazi became the Acting Commissioner
of the Social Security Administration.
regarding Plaintiff’s application for supplemental security
income (“SSI”)2 under Title XVI of the Social Security Act. 42
U.S.C. § 1381 et seq. The issue before the Court is whether the
decision of Administrative Law Judge (“ALJ”) that Plaintiff was
not disabled at any time since November 4, 2008, the date the
Commission last determined Plaintiff was not disabled, was
supported by substantial evidence. For the reasons stated
below, this Court will affirm the Commissioner’s decision.
I. BACKGROUND AND PROCEDURAL HISTORY
On January 11, 2018, Plaintiff filed an application for
SSI, alleging that he became disabled on June 2, 1988. The ALJ
considered evidence of his claimed disability dating from
November 3, 2008 onward.3 Plaintiff claims that he can no longer
work as a property assessment monitor, because of his
impairments of sickle cell anemia, asthma, and anxiety.4
Plaintiff’s claim was denied initially and upon
2 Supplemental Security Income is a program under the Social
Security Act that provides supplemental security income to
individuals who have attained age 65, or are blind or disabled.
42 U.S.C. § 1381 et seq.
3 Plaintiff previously applied for SSI alleging an onset date of
June 2, 1988, the date of his birth. That request was denied on
November 3, 2008. (R. at 12).
4 On application date of January 11, 2018, Plaintiff was 29 years
old, which is defined as “a younger individual” (age 18-49). 20
C.F.R. § 404.1563.
reconsideration. Plaintiff requested a hearing before an ALJ,
which was held on December 6, 2019. On January 2, 2020, the ALJ
issued an unfavorable decision. Plaintiff’s Request for Review
of Hearing Decision was denied by the Appeals Council on
September 11, 2020, making the ALJ’s decision final. Plaintiff
brings this civil action for review of the Commissioner’s
decision.
II. DISCUSSION
A. Standard of Review
Under 42 U.S.C. § 405(g), Congress provided for judicial
review of the Commissioner’s decision to deny a complainant’s
application for social security benefits. Ventura v. Shalala,
55 F.3d 900, 901 (3d Cir. 1995). A reviewing court must uphold
the Commissioner’s factual decisions where they are supported by
“substantial evidence.” 42 U.S.C. §§ 405(g), 1383(c)(3);
Fargnoli v. Massanari, 247 F.3d 34, 38 (3d Cir. 2001); Sykes v.
Apfel, 228 F.3d 259, 262 (3d Cir. 2000); Williams v. Sullivan,
970 F.2d 1178, 1182 (3d Cir. 1992). Substantial evidence means
more than “a mere scintilla.” Richardson v. Perales, 402 U.S.
389, 401 (1971)(quoting Consolidated Edison Co. V. NLRB, 305
U.S. 197, 229 (1938)). It means “such relevant evidence as a
reasonable mind might accept as adequate to support a
conclusion.” Id. The inquiry is not whether the reviewing
court would have made the same determination, but whether the
Commissioner’s conclusion was reasonable. See Brown v. Bowen,
845 F.2d 1211, 1213 (3d Cir. 1988).
A reviewing court has a duty to review the evidence in its
totality. See Daring v. Heckler, 727 F.2d 64, 70 (3d Cir.
1984). “[A] court must ‘take into account whatever in the
record fairly detracts from its weight.’” Schonewolf v.
Callahan, 972 F. Supp. 277, 284 (D.N.J. 1997) (quoting Willbanks
v. Secretary of Health & Human Servs., 847 F.2d 301, 303 (6th
Cir. 1988) (quoting Universal Camera Corp. V. NLRB, 340 U.S.
474, 488 (1951)).
The Commissioner “must adequately explain in the record his
reasons for rejecting or discrediting competent evidence.”
Ogden v. Bowen, 677 F. Supp. 273, 278 (M.D. Pa. 1987) (citing
Brewster v. Heckler, 786 F.2d 581 (3d Cir. 1986)). The Third
Circuit has held that an “ALJ must review all pertinent medical
evidence and explain his conciliations and rejections.” Burnett
v. Comm’r of Soc. Sec. Admin., 220 F.3d 112, 122 (3d Cir. 2000).
Similarly, an ALJ must also consider and weigh all the non-
medical evidence before him. Id. (citing Van Horn v. Schweiker,
717 F.2d 871, 873 (3d Cir. 1983)); Cotter v. Harris, 642 F.2d
700, 707 (3d Cir. 1981).
The Third Circuit has held that access to the
Commissioner’s reasoning is indeed essential to a meaningful
court review:
Unless the [Commissioner] has analyzed all
evidence and has sufficiently explained the
weight he has given to obviously probative
exhibits, to say that his decision is
supported by substantial evidence approaches
an abdication of the court’s duty to
scrutinize the record as a whole to
determine whether the conclusions reached
are rational.
Gober v. Matthews, 574 F.2d 772, 776 (3d Cir. 1978). Although
an ALJ, as the factfinder, must consider and evaluate the
medical evidence presented, Fargnoli, 247 F.3d at 42, “[t]here
is no requirement that the ALJ discuss in its opinion every
tidbit of evidence included in the record,” Hur v. Barnhart, 94
F. App’x 130, 133 (3d Cir. 2004). In terms of judicial review,
a district court is not “empowered to weigh the evidence or
substitute its conclusions for those of the fact-finder.”
Williams, 970 F.2d at 1182. However, apart from the substantial
evidence inquiry, a reviewing court is entitled to satisfy
itself that the Commissioner arrived at his decision by
application of the proper legal standards. Sykes, 228 F.3d at
262; Friedberg v. Schweiker, 721 F.2d 445, 447 (3d Cir. 1983);
Curtin v. Harris, 508 F. Supp. 791, 793 (D.N.J. 1981).
B. Standard for SSI
The Social Security Act defines “disability” for purposes
of an entitlement to a period of disability and disability
insurance benefits as the inability to engage in any substantial
gainful activity by reason of any medically determinable
physical or mental impairment which can be expected to result in
death, or which has lasted or can be expected to last for a
continuous period of not less than 12 months. See 42 U.S.C. §
1382c(a)(3)(A). Under this definition, a plaintiff qualifies as
disabled only if her physical or mental impairments are of such
severity that she is not only unable to perform her past
relevant work, but cannot, given her age, education, and work
experience, engage in any other type of substantial gainful work
which exists in the national economy, regardless of whether such
work exists in the immediate area in which she lives, or whether
a specific job vacancy exists for her, or whether she would be
hired if she applied for work. 42 U.S.C. § 1382c(a)(3)(B)
(emphasis added).
The Commissioner has promulgated regulations for
determining disability that require application of a five-step
sequential analysis. See 20 C.F.R. § 404.1520. This five-step
process is summarized as follows:
1. If the claimant currently is engaged in substantial
gainful employment, she will be found “not disabled.”
2. If the claimant does not suffer from a “severe
impairment,” she will be found “not disabled.”
3. If the severe impairment meets or equals a listed
impairment in 20 C.F.R. Part 404, Subpart P, Appendix
1 and has lasted or is expected to last for a
continuous period of at least twelve months, the
claimant will be found “disabled.”
4. If the claimant can still perform work she has done in
the past (“past relevant work”) despite the severe
impairment, she will be found “not disabled.”
5. Finally, the Commissioner will consider the claimant’s
ability to perform work (“residual functional
capacity”), age, education, and past work experience
to determine whether or not she is capable of
performing other work which exists in the national
economy. If she is incapable, she will be found
“disabled.” If she is capable, she will be found “not
disabled.”
20 C.F.R. § 404.1520(b)-(f). Entitlement to benefits is
therefore dependent upon a finding that the claimant is
incapable of performing work in the national economy.
This five-step process involves a shifting burden of proof.
See Wallace v. Secretary of Health & Human Servs., 722 F.2d
1150, 1153 (3d Cir. 1983). In the first four steps of the
analysis, the burden is on the claimant to prove every element
of her claim by a preponderance of the evidence. See id. In
the final step, the Commissioner bears the burden of proving
that work is available for the Plaintiff: “Once a claimant has
proved that he is unable to perform his former job, the burden
shifts to the Commissioner to prove that there is some other
kind of substantial gainful employment he is able to perform.”
Kangas v. Bowen, 823 F.2d 775, 777 (3d Cir. 1987); see Olsen v.
Schweiker, 703 F.2d 751, 753 (3d Cir. 1983).
C. Analysis
At step one, the ALJ found that Plaintiff had not engaged
in substantial gainful activity since January 11, 2018, the
application date. At step two, the ALJ found that Plaintiff’s
impairments of sickle cell disease and asthma were severe. The
ALJ also determined that the impairment of anxiety was not
severe. At step three, the ALJ determined that Plaintiff’s
severe impairments or his severe impairments in combination with
his other impairments did not equal the severity of one of his
listed impairments.
The ALJ next determined that Plaintiff had the residual
functional capacity (“RFC”) to perform work at the sedentary
level,5 with certain exertional restrictions. At steps four and
five, the ALJ determined that Plaintiff was not able to perform
his past relevant work, but Plaintiff’s RFC rendered him capable
of performing other jobs in the national economy, such as a
document preparer, surveillance systems monitor, or a table
worker. The ALJ therefore concluded that Plaintiff was not
disabled.
Plaintiff argues that the ALJ erred in her decision because
she failed to consider whether Plaintiff met Medical Listed
Impairment 7.18 for Repeated Complications of Hematological
Disorders, failed to accord proper weight to Plaintiff’s
treating physician, Dr. Stephen Wallace, failed to accord proper
5 20 C.F.R. § 404.1567 (“Physical exertion requirements. To
determine the physical exertion requirements of work in the
national economy, we classify jobs as sedentary, light, medium,
heavy, and very heavy.”).
weight to Plaintiff’s testimony, and failed to follow the
vocational expert’s conclusions.
The ALJ’s failure to explicitly address Listing 7.18
presents a close call for the Court. The Third Circuit has
ruled that it would be preferable for ALJs to specifically
identify each of the listed impairments under consideration in a
case, but as long as the ALJ’s discussion of medical impairments
allows the court to evaluate which listings were considered, the
ALJ’s decision may be upheld. Arroyo v. Comm'r of Soc. Sec.,
155 F. App'x 605, 608 (3d Cir. 2005) (“Although we would
encourage ALJs to specifically identify the listed impairments
under consideration, we are able to discern the particular
listed impairments considered in this cased based on the ALJ's
discussion of the relevant evidence and his related conclusion
that Arroyo's combined impairments were not severe enough to
“‘meet or medically equal one of the listed impairments.’”)
“[A]n ALJ need not specifically mention any of the listed
impairments in order to make a judicially reviewable finding,
provided that the ALJ's decision clearly analyzes and evaluates
the relevant medical evidence as it relates to the Listing
requirements.” Scuderi v. Comm'r of Soc. Sec., 302 F. App'x 88,
90 (3d Cir. 2008). Generally, even if the ALJ does not
enumerate the listings under consideration, a statement that
none of the listings applied followed by a searching review of
the medical evidence is sufficient. See Polanco v. Colvin, 2016
WL 4408821, at *2 (D.N.J. Aug. 16, 2016); Sassone v. Comm'r of
Soc. Sec., 165 F. App'x 954, 960 (3d Cir. 2006) (affirming the
ALJ’s decision where “the ALJ implicitly addressed in the
negative each of the requirements of [a particular listing]”).
Here, the ALJ did not specifically mention Listing 7.18.
However, the ALJ made clear that she was considering whether
Plaintiff’s impairments met any of the Listings. (R. at 17).
(“The undersigned has considered all of the claimant’s
impairments individually and in combination but can find no
evidence that the combined clinical findings from such
impairments reach the level of severity contemplated in the
listings.”) The fact that the ALJ explicitly referenced Listing
7.05, (id.), does not change the Court’s conclusion because she
“implicitly addressed in the negative each of the requirements
of” Listing 7.18. Sassone, 165 F. App'x at 960.
Listing 7.18 presents a carveout for hematological
disorders that do not fall under the category of another
listing. Listing 7.18 provides:
Repeated complications of hematological disorders (see
7.00G2) including those complications listed in 7.05, 7.08,
and 7.10 but without the requisite findings for those
listings, or other complications (for example, anemia,
osteonecrosis, retinopathy, skin ulcers, silent central
nervous system infarction, cognitive or other mental
limitation, or limitation of joint movement), resulting in
significant, documented symptoms or signs (for example,
pain, severe fatigue, malaise, fever, night sweats,
headaches, joint or muscle swelling, or shortness of
breath), and one of the following at the marked level (see
7.00G4)
A. Limitation of activities of daily living (see 7.00G5).
B. Limitation in maintaining social functioning
(see 7.00G6).
C. Limitation in completing tasks in a timely manner due to
deficiencies in concentration, persistence, or pace
(see 7.00G7).
(Listing 7.18, SOC. SEC. ADMIN., https://www.ssa.gov/disability
/professionals/bluebook/7.00-HematologicalDisorders-
Adult.htm#7_00G7. (last visited Mar. 6, 2022)) (bold in
original).
The ALJ implicitly determined in the negative each of the
three subparts in Listing 7.18. With respect to limitations on
activities of daily living, which Listing 7.00G5 explains
includes “a serious limitation in your ability to maintain a
household or take public transportation because of symptoms such
as pain, severe fatigue, anxiety, or difficulty concentrating,
caused by your hematological disorder”, the ALJ addressed
Plaintiff’s ability to care for himself. The ALJ noted that
Plaintiff had normal concentration skills and was able to
perform basic hygiene, also weighing heavily that Plaintiff had
been able to attend college. (R. at 16, 18).
For a limitation in maintaining social functioning, which
Listing 7.00G6 describes as “a serious limitation in social
interaction on a sustained basis because of symptoms such as
pain, severe fatigue, anxiety, or difficulty concentrating, or a
pattern of exacerbation and remission, caused by your
hematological disorder,” the ALJ discussed Plaintiff’s social
skills and noted that he had no more than a “mild” limitation in
“interacting with others.” (R. at 16).
Finally, for a limitation on completing tasks in a timely
manner, which Listing 7.00G7 describes as “a serious limitation
in your ability to sustain concentration or pace adequate to
complete work-related tasks because of symptoms, such as pain,
severe fatigue, anxiety, or difficulty concentrating caused by
your hematological disorder,” the ALJ stated, “[w]ith regard to
concentrating, persisting, or maintaining pace, the claimant has
mild limitations.” (R. at 16). Even though the ALJ did not
specifically mention Listing 7.18, because she analyzed the
evidence particular to all three elements of it, the Court finds
no error here.
The Court also does not discern any error in the ALJ’s
decision to reject Dr. Wallace’s medical opinion. The ALJ
specifically noted that Dr. Wallace’s “opinion is not consistent
with the opinions of consulting physicians who considered the
claimant’s medical record.” (Id. at 20). It is completely
acceptable for an ALJ to reject a contrasting medical opinion as
long as he or she “explain[s] his conciliations and rejections.”
Burnett, 220 F.3d at 122. The ALJ did so here by explaining
that Dr. Wallace’s conclusions about Plaintiff’s limitations
were unpersuasive because the record showed that most of the
time Plaintiff was able to manage his symptoms with medications
and doctor visits. (R. at 20). The ALJ made this statement
after a lengthy analysis of how the objective medical evidence
stacked up. (Id.)
The same is true of Plaintiff’s argument that the ALJ
improperly considered Plaintiff’s hearing testimony. (ECF 8 at
16-18). Plaintiff argues that the ALJ mischaracterized his
testimony by understanding him to have testified that he had
been dealing with his medical impairments his entire life and
therefore concluding that Plaintiff was able to manage the
conditions. (Id.) Upon the Court’s review of the hearing
testimony, the Court concludes that the ALJ’s conclusion that
Plaintiff had been successfully managing his symptoms for his
entire life to be consistent with Plaintiff’s hearing testimony.
(R. at 18, 35). Just because Plaintiff would have liked the ALJ
to draw a different conclusion does not render that conclusion
unsupported by substantial evidence. Brown, 845 F.2d at 1213
(noting that the conclusion of the ALJ must be reasonable, not
that the district court would have come to the same conclusion).
Plaintiff’s argument that the ALJ did not consider the
vocational expert’s testimony is also unavailing. Plaintiff
points out that the vocational expert opined that there would
not be work in the national economy for someone who had to miss
work three days per month due to sickle cell disease and that
the maximum tolerance for absenteeism would be one day per
month. (ECF 8 at 18-19). Plaintiff further contends that the
record shows that Plaintiff would have to miss work a minimum of
1-2 days a month due to his conditions (Id. at 19). While the
vocational expert did opine that three days a month of
absenteeism compelled a conclusion of no work, (R. at 55-57),
the ALJ did not accept that factual predicate.
More specifically, the ALJ separately discussed her
conclusion that the degree of absenteeism described by
Plaintiff, based on the opinion of Dr. Wallace, was not
supported by the other medical evidence and opinions in the
record, which the ALJ discussed in adequate detail and under the
relevant standard. (Id. at 20). Moreover, when questioned by
the ALJ about his history of absenteeism on a monthly or yearly
basis his answers were largely non-responsive, (R. at 58-60),
and his employment records from his most recent employment were
not before the ALJ at the time of the hearing. (R. at 59). This
Court is not empowered to substitute its reasoning for that of
the ALJ when the ALJ’s opinion is supported by substantial
evidence. Williams, 970 F.2d at 1182.
III. Conclusion
For the reasons expressed above, the decision of the ALJ
was supported by substantial evidence and must be affirmed.
An accompanying Order will be issued.
Date: March 7, 2022 s/ Noel L. Hillman
At Camden, New Jersey NOEL L. HILLMAN, U.S.D.J.