SSR 82-34c: SECTIONS 216(i) and 223(d) (42 U.S.C. 416(i) and 423(d)) DISABILITY INSURANCE BENEFITS -- INABILITY TO PERFORM PREVIOUS WORK -- ADMINISTRATIVE NOTICE OF THE EXISTENCE OF OTHER WORK
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Social Security Rulings › DI › Vocational › SSR 82-34c
Text
20 CFR
404.1503-404.1513 [1]
SSR 82-34c
Boyce v. Harris , 492 F.SUPP. 751 (USDC, South Carolina 1980), New v. Harris , 505 F.SUPP. 721 (USDC, S.D. Ohio, E.D. 1980), and Turner v. Harris , USDC, C.D. California, Civ. No. CV80-1117-LTL(P)
(1/8/81)
CHAPMAN, District Judge:
The plaintiff brought this action pursuant to Section 205(g) of the
Social Security Act, as amended (42 U.S.C. 405(g)), to obtain judicial
review of a final decision of the Secretary of Health, Education, and
Welfare, denying his claim for disability insurance benefits under Title
II of the Social Security Act.
The plaintiff filed an application for a period of disability and for
disability insurance benefits on March 31, 1978, alleging that he became
unable to work on January 7, 1978. The application was denied initially
and on reconsideration by the Social Security Administration. On February
15, 1979, the plaintiff requested a hearing. The administrative law judge,
before whom the plaintiff, his counsel and a witness appeared, considered
the case de novo, and on May 29, 1979, found that the plaintiff was
not under a disability as defined in the Social Security Act, as amended.
The administrative law judge's finding became the final decision of the
Secretary of Health, Education and Welfare, when it was approved by the
Appeals Council on August 23, 1979.
The only issue before the Court is whether the final decision of the
Secretary is supported by substantial evidence. Substantial evidence is
defined as that evidence which a reasonable mind would accept to support a
particular conclusion. It is more than a mere scintilla but may be
somewhat less than a preponderance. Laws v. Celebrezze, 368 F.2d
640 (4th Cir. 1966); Thomas v. Celebrezze, 331 F.2d 541 (4th Cir.
1964).
is whether the final decision of the
Secretary is supported by substantial evidence. Substantial evidence is
defined as that evidence which a reasonable mind would accept to support a
particular conclusion. It is more than a mere scintilla but may be
somewhat less than a preponderance. Laws v. Celebrezze, 368 F.2d
640 (4th Cir. 1966); Thomas v. Celebrezze, 331 F.2d 541 (4th Cir.
1964).
"Disability" is defined by the Social Security Act as the "inability to
engage in any substantial gainful activity by reason of any medically
determinable physical or mental impairment . . . which has lasted or can
be expected to last for a continuous period of not less than 12 months,"
42 U.S.C. 423(d)(1)(A).
The Court in Blalock v. Richardson, 483 F.2d 773, 775 (4th Cir.
1972), stated:
Effective February 26, 1979, the Secretary has promulgated new
regulations, 20 C.F.R. §§ 404.1502 to 1513 and Subpart P, App. 2 (1979),
to consolidate and elaborate upon long standing medical-vocational
evaluation policies for adjudicating disability claims in which an
individual's age, education, and work experience must be considered in
addition to the medical experience. 43 Fed.Reg. 55,349 (1978). The new
regulations define each factor to be considered in determining whether
disability exists. 20 C.F.R. §§ 404.1505 to 1511. More importantly, they
direct a finding of disability or no disability where the findings of fact
in a particular case coincide with the criteria established in the rules
and tables of Subpart P, Appendix 2. 20 C.F.R. § 404.1513.
It is the duty of this Court to give careful scrutiny to the whole record
to assure that there is a sound foundation for the Secretary's findings,
and that his conclusion is rational. Thomas v. Celebrezze, 331 F.2d
541, 543 (4th Cir. 1964).
findings of fact
in a particular case coincide with the criteria established in the rules
and tables of Subpart P, Appendix 2. 20 C.F.R. § 404.1513.
It is the duty of this Court to give careful scrutiny to the whole record
to assure that there is a sound foundation for the Secretary's findings,
and that his conclusion is rational. Thomas v. Celebrezze, 331 F.2d
541, 543 (4th Cir. 1964).
This Court is empowered to enter, upon the pleadings and transcript of
the record, a judgment affirming, modifying, or reversing the decision of
the Secretary, with or without remanding the cause for a rehearing.
This gentleman was born on March 23, 1943, and was 36 years old at the
time of his hearing. He is married with two children, ages 15 and 18, has
a ninth-grade education and has worked in textiles primarily as a loom
fixer. The plaintiff testified that he had to quit work because of severe
pain and that he has trouble walking. He was receiving benefits from
workmen's compensation for an injury he received in 1971 when he slipped
on a patch of oil. He has not worked since 1978.
The Secretary has adopted the findings of the administrative law judge,
who concluded:
* * * *
On June 6, 1974, the plaintiff underwent surgery for a herniated nucleus
pulposus. [1] A partial
hemilaminectomy [2] was performed
at L-4. The plaintiff continued to complain of pain following the surgery
and a lumbar myelogram performed by Dr. Max Ken (an orthopedic surgeon) on
November 25, 1977, revealed that he was suffering from a herniated disc.
On January 14, 1978, Dr. Kent performed a lumbar laminectomy and a
bilateral lateral transverse process spinal fusion at L-4 to S-1.
Herniated discs at L-4, L-5 and L-5, S-1 were removed.
ff continued to complain of pain following the surgery
and a lumbar myelogram performed by Dr. Max Ken (an orthopedic surgeon) on
November 25, 1977, revealed that he was suffering from a herniated disc.
On January 14, 1978, Dr. Kent performed a lumbar laminectomy and a
bilateral lateral transverse process spinal fusion at L-4 to S-1.
Herniated discs at L-4, L-5 and L-5, S-1 were removed.
The plaintiff's postoperative course was satisfactory. On January 31,
1978, Dr. Kent reported that the plaintiff was having no further pain in
his legs but was experiencing minimal back pain. On March 31, 1978, Dr.
Kent reported that the plaintiff was still having some discomfort in his
back but that his legs were markedly improved.
On June 15, 1978, Dr. William B. Jones, an orthopedic surgeon, examined
the plaintiff and found that he was not totally disabled and he would be
better off performing a variety of gainful employment tasks rather than
sitting home. It was Dr. Jones' opinion that the plain tiff was disabled
from working as a loom fixer, but could perform standup jobs such as a
service station attendant or bench work standing up and lifting weights of
25 to 30 pounds.
The determination that the plaintiff was unable to return to his
customary work shifted to the Secretary the burden of establishing that
the plaintiff had sufficient capacity to engage in a specific job which
exists in the national economy. Taylor v. Weinberger, 512 F.2d 664
(4th Cir. 1975).
In Taylor v. Weinberger, supra, the Fourth Circuit Court of
Appeals expressly rejected the contention that the Secretary may establish
vocational ability solely by administrate notice or medical evidence.
* * * *
There is indication in the testimony that the plaintiff's back was
healing slowly, but the same doctor indicated that the pain resulting from
this condition was minimal and that neither the pain nor the back
condition prevented plaintiff from engaging in substantial gainful
activity.
e Secretary may establish
vocational ability solely by administrate notice or medical evidence.
* * * *
There is indication in the testimony that the plaintiff's back was
healing slowly, but the same doctor indicated that the pain resulting from
this condition was minimal and that neither the pain nor the back
condition prevented plaintiff from engaging in substantial gainful
activity.
The underlying rationale of Taylor v. Weinberger seems to have
been made obsolete by the new Vocational Factors Regulations 20 C.F.R. §§
404.1503-404.1513. It is the obvious purpose of these regulations to allow
the Secretary to make findings of disability or lack of disability based
on certain specific criteria including age, educational level, degrees of
work experience and residual functional capacities. One purpose of these
regulations is to allow the Secretary to decide cases more promptly and
without the necessity of hearing from a vocational expert in every case in
which the claimant cannot return to former employment because of physical
limitations.
In adopting these regulations the Secretary has taken notice that there
are at least 200 separate unskilled sedentary occupations, some 1600
unskilled light and sedentary occupations and some 2500 unskilled medium,
light sedentary occupations in the national economy. The words
"sedentary", "light" and "medium" are specifically defined in 20 C.F.R. §
404.1510. The physical exertion required for these jobs, whether or not
the employee must walk, stand or remain seated and other facts relating to
the employment have been taken into consideration in arriving at the new
regulations. The record reflects that the Secretary has complied with the
regulations and made the necessary findings to support his decision that
the plaintiff was able to perform various unskilled, entry-level jobs
hese jobs, whether or not
the employee must walk, stand or remain seated and other facts relating to
the employment have been taken into consideration in arriving at the new
regulations. The record reflects that the Secretary has complied with the
regulations and made the necessary findings to support his decision that
the plaintiff was able to perform various unskilled, entry-level jobs.
This decision is supported by substantial evidence and, therefore, the
decision of the Secretary must be affirmed and the Clerk of Court shall
enter judgment in favor of the defendant.
AND IT IS SO ORDERED.
DUNCAN, District Judge.
Plaintiff Leonard New brings this action under 42 U.S.C. § 405(g) and §
1383(c)(3) for review of a final decision of the Secretary of Health,
Education and Welfare (now Secretary of Health and Human Services) denying
his applications for social security disability insurance and supplemental
security income benefits. This matter is before the Court on the
cross-motions of the parties for summary judgment.
Plaintiff filed his application for disability insurance benefits on
February 23, 1978 alleging that he became disabled in 1971, at age 35, by
black lung trouble, ulcers, and a nervous condition. Plaintiff filed his
application for supplemental security income benefits on March 2, 1978.
Both applications were denied initially and upon reconsideration by the
Bureau of Disability Insurance of the Social Security Administration.
Plaintiff requested a hearing before an administrative law judge.
On June 14, 1979 plaintiff, who was not represented by counsel, appeared
and testified at the hearing. On July 23, 1979 the administrative law
judge issued a decision finding that Mr. New is not disabled within the
meaning of the Act. On January 15, 1980 the Appeals Council denied
plaintiff's request for review and adopted the administrative law judge's
decision as the final decision of the Secretary of Health, Education and
Welfare.
ed by counsel, appeared
and testified at the hearing. On July 23, 1979 the administrative law
judge issued a decision finding that Mr. New is not disabled within the
meaning of the Act. On January 15, 1980 the Appeals Council denied
plaintiff's request for review and adopted the administrative law judge's
decision as the final decision of the Secretary of Health, Education and
Welfare.
The facts of record are fully and fairly set out in the administrative
law judge's July 23, 1979 decision which is incorporated herein by
reference.
Plaintiff Leonard New was born June 23, 1936. He has a seventh grade
education. He has worked as a construction laborer, bulldozer operator,
mechanic, service state attendant, and loader operator.
Plaintiff testified that his most serious problem is with his lungs. He
said that Dr. Jindra told him that he had only 45 percent air capacity in
his left lung and that he was permanently and totally disabled for the
rest of his life because the condition would not improve and there was
nothing he could do for it. Plaintiff said that he has a strangling
sensation in his lungs and a cough.
Mr. New also testified that he has constant pain and hurt in his back and
legs. He said that he gets muscle spasms. He takes Talwin as needed for
the pain because, he testified, "I don't like to fool with drugs." He
takes maybe one or two Talwin tablets then goes two or three days without
any paid medication, "and then I'll start hurting real bad again, and then
I'll take another one." He said that the Talwin "eases things off . . . it
still hurts, but it don't hurt as bad."
hat he gets muscle spasms. He takes Talwin as needed for
the pain because, he testified, "I don't like to fool with drugs." He
takes maybe one or two Talwin tablets then goes two or three days without
any paid medication, "and then I'll start hurting real bad again, and then
I'll take another one." He said that the Talwin "eases things off . . . it
still hurts, but it don't hurt as bad."
Plaintiff testified that he had suffered from an ulcer condition in the
past. He no longer takes prescribed medication for his ulcers. He does
sometimes take Tums. Plaintiff has some loss of hearing in his right ear
and fluid in the ear. But he no longer takes the prescribed drops for the
ear because when they get on his neck they burn. Plaintiff testified that
he is bothered by nerves. He takes one or two Valium, 5 mg. a day. They
clam him down and relax him (which helps with the pain).
Plaintiff testified that during a typical day he gets up at dawn and
dresses. He watches T.V., then goes outside and sits around. He drives to
the store once a day and visits a neighbor. He said that he doesn't help
his wife much around the house, except to pour gasoline out of the truck
for the lawnmower and to sometimes screw a loose know back on a cabinet or
perform a similar chore.
Plaintiff estimated that he could sit only about 30 minutes then his legs
would get numb and his back would hurt so much that he would have to get
up. He thought he could stand for only about 10 minutes because his lets
start hurting, and they shake. He believed that he could walk about 200
feet, then he would be completely out of breath and his legs would be
tired. When going up and down stairs his knees buckle. Plaintiff estimated
he could lift 25 to 30 pounds.
ld get numb and his back would hurt so much that he would have to get
up. He thought he could stand for only about 10 minutes because his lets
start hurting, and they shake. He believed that he could walk about 200
feet, then he would be completely out of breath and his legs would be
tired. When going up and down stairs his knees buckle. Plaintiff estimated
he could lift 25 to 30 pounds.
On September 15, 1978 Dr. Louis J. Jindra reported that he had first
examined Mr. New on May 10, 1978. Plaintiff suffers from dyspnea. Dr.
Jindra diagnosed chronic bronchitis, emphysema, and exogenous obesity. On
March 28, 1978 Dr. R.C. Estrada examined plaintiff at the request of the
Secretary. He reported that he smoked one to two packs of cigarettes a
day. He was 70« inches tall and weighed 228 pounds. He had an increased AP
diameter of his chest. On examination, Dr. Estrada heard occasional
rhonchi, but no rales. An x-ray was interpreted to show no active
pulmonary infiltrate. There was evidence of chronic lung disease and
fibrotic changes and fibronodular old granulomatous lesions of both lung
fields. Pulmonary function studies reported plaintiff's height as 70«
inches, his FEV1 as 2.13 liters, and his MVV as 103 liters. Dr. Estrada
stated that these values indicated the presence of a combined restrictive
and obstructive pulmonary disease.
During an April 6, 1979 hospitalization, plaintiff reported a history of
35 years of smoking two packs of cigarettes a day. He was also treated for
tuberculosis in 1973. The hospital report states that plaintiff becomes
short of breath on exertion after walking 100 yards. On physical
examination he had a mildly increased AP chest diameter. Diffuse sibulant
and sonerous rhonchi were heard on ausculation together with a prolonged
expiratory time on the fourth expiration.
f smoking two packs of cigarettes a day. He was also treated for
tuberculosis in 1973. The hospital report states that plaintiff becomes
short of breath on exertion after walking 100 yards. On physical
examination he had a mildly increased AP chest diameter. Diffuse sibulant
and sonerous rhonchi were heard on ausculation together with a prolonged
expiratory time on the fourth expiration.
Although plaintiff complains of back and leg pain, the medical evidence
of record indicates that he suffers from lumbosacral strain. Dr. Estrada
reported that a neurological examination was negative. There wa no
evidence of muscle spasm. Straight leg raising was negative. Plaintiff had
a reasonably good range of motion in his lumbar spine. He was able to walk
on his heels and toes. Plaintiff's treating orthopedic physician, Dr.
Richard M. Ward, had plaintiff hospitalized on April 6, 1979 at the
Riverside Methodist Hospital for evaluation of his low back. An
examination failed to disclose any objective evidence of a serious back
disorder. The height and alignment of his lumbar vertebral bodies was
normal. The posterior elements were normal. On examination, there was only
very mild tenderness to palpation over the lumbosacral spine area at L-3
to L-5. There was no tenderness of the paraspinal muscles. Dr. Ward ruled
out a herniated nucleus pulposus.
[1] This Court's review of the decision of the Secretary is limited to a
determination of whether her findings are supported by substantial
evidence. 42 U.S.C. § 405(g). Richardson v. Perales, 402 U.S. 389,
401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971); LeMaster v.
Weinberger, 533 F.2d 377, 339 (6th Cir. 1976). It is not the Court's
function to resolve conflicts in the evidence or to determine issues of
credibility. This is solely the province of the Secretary. Wokojance v.
Weinberger, 513 F.2d 210 (6th Cir. 1975)
antial
evidence. 42 U.S.C. § 405(g). Richardson v. Perales, 402 U.S. 389,
401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971); LeMaster v.
Weinberger, 533 F.2d 377, 339 (6th Cir. 1976). It is not the Court's
function to resolve conflicts in the evidence or to determine issues of
credibility. This is solely the province of the Secretary. Wokojance v.
Weinberger, 513 F.2d 210 (6th Cir. 1975). Pain alone may be disabling,
but the Secretary is not required to fully credit a claimant's subjective
complaints of pain and discomfort if there is not "an underlying medical
basis" for them. McCann v. Califano, 621 F.2d 829, 832 (6th Cir.
1980); Hephner v. Mathews, 574 F.2d 359, 361-362 (6th Cir.
1978).
Plaintiff moves for summary judgment and remand on the grounds that (1)
the administrative law judge erred in his evaluation of plaintiff's
nervousness; (2) the administrative law judge erred in his finding that
plaintiff's lack of regular usage of pain medication demonstrated that his
pain was not disabling; and (3) the Secretary failed to meet his burden of
demonstrating that plaintiff can perform substantial gainful work in his
lessened capacity.
The administrative law judge's decision notes that Dr. Jindra diagnosed
only chronic bronchitis, emphysema, and exogenous obesity and did not
mention plaintiff's nervousness. The questionnaire sent to Dr. Jindra did
not specifically ask him for information concerning plaintiff's
psychiatric condition. The administrative law judge also noted that Dr.
Ward, plaintiff's treating orthopedic surgeon, stated that Mr. New had a
good ability to relate to others and to take care of his personal needs,
and that there had been no change in his interests, habits, or impairment
to his recent or remote memory.
not specifically ask him for information concerning plaintiff's
psychiatric condition. The administrative law judge also noted that Dr.
Ward, plaintiff's treating orthopedic surgeon, stated that Mr. New had a
good ability to relate to others and to take care of his personal needs,
and that there had been no change in his interests, habits, or impairment
to his recent or remote memory.
Plaintiff contends that the administrative law judge should have asked
Dr. Jindra to specifically comment on Mr. New's nervousness because he
testified at the hearing before the administrative law judge that he had
discussed his nervous condition with Dr. Jindra.
Dr. Jindra did indicate his diagnosis of plaintiff in his report to the
Secretary. Plaintiff has the burden of presenting evidence of disability.
Although plaintiff was not represented by counsel before the
administrative law judge, he was represented by counsel on the appeal to
the Appeals Council. If Dr. Jindra had inadvertently failed to include
information concerning plaintiff's nervous condition, then counsel could
have brought that information to the attention of the Appeals Council.
[2] Moreover, there was considerable other evidence in the record that
plaintiff's nervous condition does not amount to a severely limiting
impairment. Daily he is able to go to the store and visit with a neighbor.
There do not appear to be any severe restrictions in his daily activities
which are the result of a mental or emotional condition. Under these
circumstances, the administrative law judge did not err in his assessment
of Mr. New's nervous condition.
[3] The administrative law judge discounted plaintiff's subjective
complaints of severe, disabling pain:
Plaintiff asserts that his daily activities are limited, and that he does
not use drugs because of his fear of over-medication.
ult of a mental or emotional condition. Under these
circumstances, the administrative law judge did not err in his assessment
of Mr. New's nervous condition.
[3] The administrative law judge discounted plaintiff's subjective
complaints of severe, disabling pain:
Plaintiff asserts that his daily activities are limited, and that he does
not use drugs because of his fear of over-medication.
Talwin is a non-narcotic, non-prescription analgesic. Plaintiff testified
that it gave him relief, but that he nonetheless did not take Talwin daily
despite his testimony that he was in constant, severe pain. Under these
circumstances, the administrative law judge's comment on his sporadic pain
medication was not error.
Plaintiff did testify, overall, that his daily activities were limited.
Nonetheless, he did admit to quite a bit of daily activity. He drives to
the store once a day, and he drives to visit a neighbor once a day.
Although he watches some television, he normally goes outside and occupies
himself there for some portion of each day. The administrative law judge
had the right to consider plaintiff's account of his daily activities in
reaching his determination on the issue of credibility.
Finally, plaintiff contends that there was not substantial evidence in
the record for the administrative law judge's assertion that plaintiff has
the physical capacity to perform light work and that his reliance on the
Medical-Vocational Guidelines to demonstrate that there are jobs plaintiff
can perform was erroneous.
[4] Plaintiff is unable to perform his previous jobs; therefore, the
Secretary had the burden of demonstrating that he could perform
substantial gainful work in his lessened capacity. Allen v.
Califano, 613 F.2d 139, 145 (6th Cir. 1980); Hephner v.
Mathews, 574 F.2d 359, 362 (6th Cir. 1978).
al-Vocational Guidelines to demonstrate that there are jobs plaintiff
can perform was erroneous.
[4] Plaintiff is unable to perform his previous jobs; therefore, the
Secretary had the burden of demonstrating that he could perform
substantial gainful work in his lessened capacity. Allen v.
Califano, 613 F.2d 139, 145 (6th Cir. 1980); Hephner v.
Mathews, 574 F.2d 359, 362 (6th Cir. 1978).
Plaintiff clearly is suffering from chronic obstructive pulmonary disease
and some low back pain resulting from lumbosacral strain. In addition, he
has some hearing loss and fluid in his right ear which does not preclude
substantial gainful activity. He was previously treated for ulcers, but
the ulcers are presently not an impairing condition. He also suffers from
some nervousness which is relieved, to some significant degree, by Valium,
5 mg. The administrative law judge had the difficult job of determining
whether these combined impairments preclude plaintiff from engaging in all
substantial gainful activity.
Plaintiff himself testified that his most serious disability was his
pulmonary disease. Although the condition certainly does limit his ability
to perform substantial gainful activity, there are no medical reports of
record indicating that the condition is totally disabling. To be disabled
by a chronic obstructive airway disease on the basis of pulmonary function
studies values alone, a person of plaintiff's height would have to have an
FEV1 equal to or less than 1.4 liters and an MVV equal to or less than 45
liters. Plaintiff's actual pulmonary function studies values are greatly
in excess of these. Section 3.02, Subpart P. Appendix 1 -- Listing of
Impairments.
disabled
by a chronic obstructive airway disease on the basis of pulmonary function
studies values alone, a person of plaintiff's height would have to have an
FEV1 equal to or less than 1.4 liters and an MVV equal to or less than 45
liters. Plaintiff's actual pulmonary function studies values are greatly
in excess of these. Section 3.02, Subpart P. Appendix 1 -- Listing of
Impairments.
[5] Similarly, although plaintiff testified that he has severely
disabling low back pain, complete tests rule out any disc defect, and the
only substantiated diagnosis is chronic lumbosacral strain without any
evidence of significant muscle spasm. Under these circumstances, the Court
concludes that there is substantial evidence in the record for the
administrative law judge's determination that physically plaintiff retains
the residual functional capacity for light work as that term is defined in
20 C.F.R. § 404.1510(c).
Plaintiff contends that the Medical-Vocational Guidelines set out in
Subpart P, Appendix 2 are not applicable to his case because he also
suffers from the non-exertional nervous condition. The Guidelines provide
that "they may not be fully applicable where the nature of an individual's
impairment does not result in" physical limitations in the claimant's
ability to meet strength requirements of jobs. Section 200.00(e), Subpart
P, Appendix 2 -- Medical-Vocational Guidelines. When there are combined
exertional and non-exertional impairments which result in both strength
limitations and non-exertional limitations, the Medical-Vocational
Guidelines are applied first to determine whether plaintiff may be
disabled by strength limitations alone
ability to meet strength requirements of jobs. Section 200.00(e), Subpart
P, Appendix 2 -- Medical-Vocational Guidelines. When there are combined
exertional and non-exertional impairments which result in both strength
limitations and non-exertional limitations, the Medical-Vocational
Guidelines are applied first to determine whether plaintiff may be
disabled by strength limitations alone. If he is not disabled by strength
limitations alone, then the Guidelines "provide a framework for
consideration of how much the individual's work capability is further
diminished in terms of any types of jobs which would be contraindicated by
non-exertional limitations." Section 200.00(e)(2), Subpart P, Appendix 2
-- Medical-Vocational Guidelines.
[6] In the present case, plaintiff's physical limitations do not preclude
light work. The question, then, is whether his nervousness results in
non-exertional work related limitations. There is no evidence of any of
the types of non-exertional limitations on employment as set in § 12.04,
Subpart P, Appendix 1 -- Listing of Impairments. Further, there is no
evidence that plaintiff would be unable to follow work instructions, would
be unable to get along with his supervisors and co-employees, or would be
unable to concentrate on and pay attention to work processes. Under these
circumstances, the Court concludes that the administrative law judge did
not err in applying the Medical-Vocational Guidelines to determine that
plaintiff, considering his age, education and prior work experience, is
able to engage in substantial gainful activity generally available in the
national economy.
ld be
unable to concentrate on and pay attention to work processes. Under these
circumstances, the Court concludes that the administrative law judge did
not err in applying the Medical-Vocational Guidelines to determine that
plaintiff, considering his age, education and prior work experience, is
able to engage in substantial gainful activity generally available in the
national economy.
[7] Plaintiff contends that because the Medical-Vocational Guidelines do
not refer to specific jobs, the Secretary has not discharged his duty of
demonstrating that plaintiff can perform substantial gainful work. He
relies upon a statement in Hephner v. Mathews, 574 F.2d 359,
362-363 (6th Cir. 1978) that a "finding of capacity to work" cannot be
"expressed . . . in terms of a vague catch-all phrase such as 'light'
work." Instead, it must be "in terms of specific types of jobs." First,
the administrative law judge's determination that plaintiff retains the
residual functional capacity to perform light work is not standardless.
The term "light work" is defined by 20 C.F.R. § 404.1510(c). Second, the
Medical-Vocational Guidelines have been adopted by the Secretary since the
decision in Hephner to reduce the need for vocational testimony and
to attempt to eliminate variance in individual cases where the claimants
have essentially the same physical and non-exertional limitations. The
Medical-Vocational Guidelines are based on administrative notice the
Secretary has taken of jobs generally available in the national economy
en adopted by the Secretary since the
decision in Hephner to reduce the need for vocational testimony and
to attempt to eliminate variance in individual cases where the claimants
have essentially the same physical and non-exertional limitations. The
Medical-Vocational Guidelines are based on administrative notice the
Secretary has taken of jobs generally available in the national economy.
The Secretary evaluated information contained in the Dictionary of
Occupational Titles, published by the Department of Labor, County
Business Patterns, published by the Bureau of Census, Census
Reports, Occupational Analyses, prepared by the Social Security
Administration, the Occupational Outlook Handbook, published by the
Bureau of Labor Statistics, and other generally available information
relating to the age, educational, work experience, and exertional demands
of various jobs. See, 20 C.F.R. 1566(d) (August 20, 1980). Since "these
tables and rules are based on a wealth of information available about jobs
existing in the national economy" vocational expert testimony is
unnecessary in most cases. Jones v. Harris, ¶ 17,074 CCH
Unemployment Ins. Rptr. (E.D. Tenn. March 18, 1980). The Court has
carefully reviewed the record and concludes that there are no unusual
facts in the present case which would have required the administrative law
judge to seek the assistance of a vocational expert.
WHEREUPON, the Court HOLDS that plaintiff's motion for summary judgment
and remand is without merit; and, therefore, it is DENIED. The Court
FURTHER HOLDS that defendant's motion for summary judgment is meritorious;
and, therefore, it is GRANTED.
The decision of the Secretary of Health, Education and Welfare is
AFFIRMED. This action is hereby DISMISSED.
LYDICK, District Judge:
PROCEEDINGS
On March 21, 1980, plaintiff filed a complaint to review the decision of
the Secretary of Health, Education and Welfare denying his claim for
disability insurance benefits.
* * * * *
APPLICABLE LAW
meritorious;
and, therefore, it is GRANTED.
The decision of the Secretary of Health, Education and Welfare is
AFFIRMED. This action is hereby DISMISSED.
LYDICK, District Judge:
PROCEEDINGS
On March 21, 1980, plaintiff filed a complaint to review the decision of
the Secretary of Health, Education and Welfare denying his claim for
disability insurance benefits.
* * * * *
APPLICABLE LAW
It is clear that the burden of proof is on the plaintiff to establish
entitlement to benefits under the Act. Harmon v. Finch, 460 F.2d
1229, 1231 (9th Cir. 1972), cert. denied, 409 U.S. 1063 (1972), reh. denied, 410 U.S. 918 (1973); Waters v. Gardner, 452
F.2d 855, 857 (9th Cir. 1971); Rhinehart v. Finch, 438 F.2d 920,
921 (9th Cir. 1971); Mark v. Celebrezze, 348 F.2d 289, 293 (9th
Cir. 1965); McMullen v. Celebrezze, 335 F.2d 811, 814 (9th Cir.
1964), cert. denied, 382 U.S. 854 (1965), reh. denied, 382
U.S. 922 (1965).
The statutory definition of "disability" is "much narrower than the word
itself, standing alone, might indicate," since it requires that the
claimant "be unable to 'engage in any substantial gainful activity by
reason of any medically determinable physical or mental impairment which
could be expected to result in death or which has lasted or could be
expected to last for a continuous period of not less than 12 months.'" Harmon v. Finch, supra, at 1230, quoting 42 U.S.C. § 423(d)(1)(A).
The statutory definition has been incorporated in the Social Security
regulations. 20 C.F.R. § 404.1501(a)(i).
reason of any medically determinable physical or mental impairment which
could be expected to result in death or which has lasted or could be
expected to last for a continuous period of not less than 12 months.'" Harmon v. Finch, supra, at 1230, quoting 42 U.S.C. § 423(d)(1)(A).
The statutory definition has been incorporated in the Social Security
regulations. 20 C.F.R. § 404.1501(a)(i).
The definition was further restricted by the Congress, effective January
2, 1968, by enacting the following provisions set out in 42 U.S.C. §
423(d)(2)(A): "(A) an individual . . . shall be determined to be under a
disability only if his physical or mental impairment or impairments are of
such severity that he is not only unable to do his previous work but
cannot, considering his age, education, and work experience, engage in any
other kind of substantial gainful work which exists in the national
economy, regardless of whether such work exists in the immediate area in
which he lives, or whether a specific job vacancy exists for him, or
whether he would be hired if he applied for work." Harmon v. Finch,
supra, at 1230-1231; Chavies v. Finch, 443 F.2d 356, 357 (9th
Cir. 1971). These restrictive definitions were enacted in part to correct
court decisions that the Congress considered to be too liberal. Harmon
v. Finch, supra, at 1231.
The Social Security Act requires that the plaintiff's disability be
demonstrated by medically acceptable clinical and laboratory diagnostic
techniques. 42 U.S.C. § 423(d)(3). The Act further provides that a
claimant shall not be considered to be under a disability unless the
claimant furnishes such medical and other evidence of the existence
thereof as the Secretary may require. 42 U.S.C. § 423(d)(5).
The implementing regulations of the Social Security Administration, 20
C.F.R. § 404.1524(c), provides in pertinent part as follows:
SCOPE OF REVIEW
§ 423(d)(3). The Act further provides that a
claimant shall not be considered to be under a disability unless the
claimant furnishes such medical and other evidence of the existence
thereof as the Secretary may require. 42 U.S.C. § 423(d)(5).
The implementing regulations of the Social Security Administration, 20
C.F.R. § 404.1524(c), provides in pertinent part as follows:
SCOPE OF REVIEW
Under § 205(g) of the Social Security Act, 42 U.S.C. § 405(g), the
jurisdiction of the court is limited to the question of whether or not the
findings of the Secretary of Health, Education and Welfare are supported
by substantial evidence. If they are, the Secretary's findings are
conclusive. Harris v. Richardson, 468 F.2d 1260 (9th Cir. 1972), cert. denied, 410 U.S. 986 (1973); Harmon v. Finch, 460 F.2d
1229, 1230 (9th Cir. 1972), cert. denied, 409 U.S. 1063 (1972), reh. denied, 410 U.S. 918 (1973); and Chavies v. Finch, 443
F.2d 356, 357 (9th Cir. 1971).
Therefore, the ultimate question to be determined by the Court is whether
the final decision of the Secretary is supported by substantial evidence
reasonably based on the record as a whole. Walker v. Mathews, 546
F.2d 814, 818 (9th Cir. 1976); Beane v. Richardson, 457 F.2d 758,
759 (9th Cir. 1972, cert. denied, 409 U.S. 859 (1972); Rhinehart
v. Finch, 438 F.2d 920, 921-922 (9th Cir. 1971).
PLAINTIFF'S CLAIMS
On January 25, 1979, plaintiff filed an application for disability
insurance benefits alleging that he became unable to work on August 1,
1978, at age 41, because of lower back pain.
s, 546
F.2d 814, 818 (9th Cir. 1976); Beane v. Richardson, 457 F.2d 758,
759 (9th Cir. 1972, cert. denied, 409 U.S. 859 (1972); Rhinehart
v. Finch, 438 F.2d 920, 921-922 (9th Cir. 1971).
PLAINTIFF'S CLAIMS
On January 25, 1979, plaintiff filed an application for disability
insurance benefits alleging that he became unable to work on August 1,
1978, at age 41, because of lower back pain.
In his motion for summary judgement, plaintiff alleges that by utilizing
the new regulations, 20 C.F.R. §§ 404.1503-404.1513; Subpart P, Appendix
2, the Secretary has failed to comply with the ruling in Hall v.
Secretary of Health, Education and Welfare, 602 F.2d 1372 (9th Cir.
1979), requiring that the Secretary identify specific jobs which a
claimant is capable of performing, and thus has failed to satisfy the
Secretary's burden of showing alternate employability through vocational
capacity. [Memo in Spt of Mot S/J 9.] Other cases are also cited in
support of this argument. [ Id. at 9-18.]
SECRETARY'S DECISION
On October 2, 1979, the administrative law judge held a hearing in which
the plaintiff appeared in person and testified and was represented by the
same attorney who represents him in the present action.
After careful consideration of the entire record, the administrative law
judge made the following pertinent findings:
DISCUSSION
* * * * *
It was the finding of the administrative law judge that the plaintiff was
able to perform sedentary work. It will be noted from the proposed
Findings of Fact that the doctors who gave an opinion on plaintiff's work
capability indicated that he was either capable of light or sedentary
work. Accordingly, the administrative law judge's decision is not in
conflict with, but was rather supported by, the medical evidence of
record.
law judge that the plaintiff was
able to perform sedentary work. It will be noted from the proposed
Findings of Fact that the doctors who gave an opinion on plaintiff's work
capability indicated that he was either capable of light or sedentary
work. Accordingly, the administrative law judge's decision is not in
conflict with, but was rather supported by, the medical evidence of
record.
The plaintiff does not dispute the fact that the administrative law judge
made his determination by following the procedure set out in the new
regulations. Plaintiff contends that the fundamental issue in this case is
whether, once the claimant can no longer return to his former employment,
the Secretary can satisfy the burden of showing alternate employability
only through reference to the newly enacted Social Security regulations,
20 C.F.R. §§ 404.1502-404.1513 (1980), which became effective February 26,
1979. [43 F.R. 55379, November 28, 1978.] Plaintiff argues that reliance
on the regulations alone is insufficient and cites Hall v. Secretary of
Health, Education and Welfare, 602 F.2d 1372 (9th Cir. 1979), to
support the argument that the Secretary must identify specific jobs which
the claimant is capable of performing, preferably through the testimony of
a vocational expert, and that reliance solely on the regulations is merely
a theoretical determination of whether a particular claimant is capable of
performing substantial gainful activity. [Opp. 1-2; Pltf's Supp. Memo.
1-5.]
Hall did not involve a ruling on the new regulations. The issue
then is whether Hall should be applied to a case involving the
application of the new regulations or whether the new regulations provide
sufficient vocational guidance to permit the administrative law judge to
dispense with the use of a vocational expert in plaintiff's case.
ful activity. [Opp. 1-2; Pltf's Supp. Memo.
1-5.]
Hall did not involve a ruling on the new regulations. The issue
then is whether Hall should be applied to a case involving the
application of the new regulations or whether the new regulations provide
sufficient vocational guidance to permit the administrative law judge to
dispense with the use of a vocational expert in plaintiff's case.
The use of the new regulations was approved by the court in Hicks v.
Califano, 600 F.2d 1048 (4th Cir. 1979), in a case where the appeal
before the court was pending at the time the regulations became effective
on February 26, 1979. Said the court:
Since the court found an error in the administrative law judge's use of
the vocational expert's testimony at the initial hearing, the
administrative law judge was ordered to present to the vocational expert
not just the fact of the claimant's back impairment due to arthritis but
to present to the vocational expert the medical evidence with respect to
all of the claimant's disabilities. Id. at 1051. The court,
however, did not indicate that a vocational expert's opinion was necessary
in addition to the administrative law judge's determination under the new
regulations.
Plaintiff cites O'Banner v. Secretary of Health, Education and
Welfare, 587 F.2d 321, 323 (6th Cir. 1978), and Wilson v.
Califano, 617 F.2d 1050 (4th Cir. 1980), to show that other circuit
follow a rule similar to that of the Ninth Circuit in Hall. [Supp.
Memo. 2.] Although this is true, these two cases, like Hall, did
not involve a ruling on the new regulations.
the new
regulations.
Plaintiff cites O'Banner v. Secretary of Health, Education and
Welfare, 587 F.2d 321, 323 (6th Cir. 1978), and Wilson v.
Califano, 617 F.2d 1050 (4th Cir. 1980), to show that other circuit
follow a rule similar to that of the Ninth Circuit in Hall. [Supp.
Memo. 2.] Although this is true, these two cases, like Hall, did
not involve a ruling on the new regulations.
In Phillips v. Harris, 488 F.Supp. 1161 (W.D. Va. 1980), also
cited by plaintiff, the court held that the promulgation of the new
regulations clearly constituted a valid exercise of the Secretary's
statutory responsibility under 42 U.S.C. § 405(a), and that the new
regulations were "not patently defective." Id. at 1165. However, the court
found that the way in which the new regulations were applied in that case
precluded a finding of substantial evidence to support the Secretary's
decision. Id.
Thus, in case of both plaintiffs Mullins and Phillips, the administrative
law judge had found that they suffered from some sort of emotional
impairment, which impairments under § 404.1504(d) of the new regulations
result in "non-exertional limitations." Id . at 1166.
Id. at 1166. The court also found that the administrative law
judge had not given sufficient consideration to the emotional impairment
of the claimants. Id.
Phillips further held that "the Secretary has failed to discharge
the burden of going forward with evidence of capacity for a specific
alternate job in the national economy and proof of transferable skills." Id. at 1167. The court acknowledged that 20 C.F.R
also found that the administrative law
judge had not given sufficient consideration to the emotional impairment
of the claimants. Id.
Phillips further held that "the Secretary has failed to discharge
the burden of going forward with evidence of capacity for a specific
alternate job in the national economy and proof of transferable skills." Id. at 1167. The court acknowledged that 20 C.F.R. § 404.1509(c)
provides that in determining whether jobs, as classified by their
exertional and skill requirements, existed in significant numbers,
administrative notice could be taken of reliable job information available
from various governmental and other publications such as the "Dictionary
of Occupational Titles." Nevertheless, the court held that this
determination was not within the administrative law judge's discretion
based solely on his own expertise. Id . at 1167.
In that case, claimant Phillips was over 50 years of age and functionally
illiterate. Claimant Mullins was 53 years old and her work experience was
limited to that of a cook. The court drew attention to Rule 201.00(g) of
Appendix 2 to Subpart P, which acknowledges that "individuals approaching
advanced age (age 50-54) may be significantly limited in vocational
adaptability if they are restricted to sedentary work." Id. at
1168. It was the opinion of the court that
However, the court also concluded that while it found it necessary to
remand the cases for further development,
ttention to Rule 201.00(g) of
Appendix 2 to Subpart P, which acknowledges that "individuals approaching
advanced age (age 50-54) may be significantly limited in vocational
adaptability if they are restricted to sedentary work." Id. at
1168. It was the opinion of the court that
However, the court also concluded that while it found it necessary to
remand the cases for further development,
Certain facts distinguishing Phillips from the present case should
be pointed out. Plaintiff, in the present case, does not suffer from any
emotional or mental impairment. He alleged that he became unable to work
at age 41, thus being classified as a younger individual, being well under
age 50. 20 C.F.R. § 404.15(6)(b) [sic]. Therefore, his age is not
considered to affect significantly his ability to adapt to a new work
situation. Id. Moreover, he is not illiterate. As will be
elaborated on below, the administrative law judge's decision was not based
on pure speculation.
Defendant has attached to defendant's supplemental memorandum a copy of
the opinion in Stallings v. Harris, No. 79-1051 (W.D. Tenn.
7/10/80). This case views the administrative law judge's discretion under
the new regulations in a different light. The following excerpt from the
opinion is worthy of consideration:
The administrative law judge found the plaintiff to be capable of
sedentary work, which is defined as work entailing lifting 10 pounds
maximum and involving sitting, although a certain amount of walking and
standing may be necessary to carry out job duties. 20 C.F.R. §
404.1510(b). Sedentary work involves the lowest level of exertional
requirements.
The preamble to the new regulations includes the following comment:
The present law of this circuit has been stated in Hall v. Secretary
of Health, Education and Welfare, 602 F.2d 1372, 1377 (9th Cir. 1979),
as follows:
n amount of walking and
standing may be necessary to carry out job duties. 20 C.F.R. §
404.1510(b). Sedentary work involves the lowest level of exertional
requirements.
The preamble to the new regulations includes the following comment:
The present law of this circuit has been stated in Hall v. Secretary
of Health, Education and Welfare, 602 F.2d 1372, 1377 (9th Cir. 1979),
as follows:
Plaintiff's case is distinguishable from Hall in that he was
represented at the administrative hearing by the same attorney who
represents him in the present case and the facts appear to have been
adequately developed. His impairment was low back pain, due possibly to a
herniated disc. His impairments therefore affected only the exertional
requirements of his work activity. 20 C.F.R. § 404.1510. He had a tenth
grade education and prior experience as an automobile detail man and
janitor.
There does not appear to be any substantial question concerning the
transferability of plaintiff's skills. The administrative law judge found
his past work experience was of an unskilled nature. Unskilled work is
defined as "work which requires little or no judgment in the performance
of simple duties that can be learned on the job in a short period of
time." 20 C.F.R. § 404.1511(b). As indicated above, there are over 200
separate unskilled sedentary occupations identified in the Supplement to
the Dictionary of Occupational Titles. There has been no showing
whatsoever that plaintiff does not have the capacity to adapt to a
sedentary type job, the duties of which can be learned on the job in a
short period of time. These were the vocational factors which were
expressly considered by the administrative law judge in his opinion.
dentary occupations identified in the Supplement to
the Dictionary of Occupational Titles. There has been no showing
whatsoever that plaintiff does not have the capacity to adapt to a
sedentary type job, the duties of which can be learned on the job in a
short period of time. These were the vocational factors which were
expressly considered by the administrative law judge in his opinion.
Therefore, on the record in plaintiff's case, there does not appear to be
any substantial reason to doubt that the plaintiff was capable of
performing numerous sedentary jobs listed in the Supplement to the
Dictionary of Occupational Titles, a publication which is utilized by
vocational experts in their testimony. Although a vocational expert, if
called to testify, would identify specific jobs from the Supplement to the
Dictionary of Occupational Titles, this does not appear to be necessary in
plaintiff's case. Plaintiff's case is not a close one, as was true in Phillips v. Harris, supra , cited by plaintiff. The administrative
law judge was not relying solely on his own expertise, his findings were
not pure speculation and there was no reasonable question as to
transferability of skills. His decision was not theoretical but had a
basis in fact. Moreover, the court in Phillips v. Harris acknowledged that where the potential for alternate work was "within the
common knowledge and experience of ordinary men," substantiation by a
vocational expert was not necessary. 488 F.Supp. at 1167, citing McLamore v. Weinberger , 538 F.2d 571, 575 (4th Cir. 1976). This was
likewise the ruling in Holguin v. Harris , 480 F.Supp. 1171, 1181
(N.D. Cal. 1979), where the court stated:
Accordingly, it appears that under the present law of this circuit, the
substantial evidence rule does not require that the decision of the
administrative law judge be further supported by the testimony of a
vocational expert.
* * * * *
538 F.2d 571, 575 (4th Cir. 1976). This was
likewise the ruling in Holguin v. Harris , 480 F.Supp. 1171, 1181
(N.D. Cal. 1979), where the court stated:
Accordingly, it appears that under the present law of this circuit, the
substantial evidence rule does not require that the decision of the
administrative law judge be further supported by the testimony of a
vocational expert.
* * * * *
IT IS ORDERED that judgment be entered in favor of defendant and against
the plaintiff, dismissing the complaint and action on the merits and
affirming the decision of the Secretary of Health, Education and
Welfare.
[1] The regulations used to make
disability determinations under titles II and XVI of the Social Security
Act were recodified effective August 20, 1980. See 45 FR 55566-55634
(1980) (recodified in 20 CFR 404.1501-404.1598 and 20 CFR
416.901-416.996). The regulations cited in this ruling have been
renumbered and rewritten as part of the recodification, but not
substantively changed. See § 404.1560-§ 404.1569 and Rule 202.10, Appendix
2, Subpart P of Regulations No. 4.
[1] Nucleus pulposus is defined
as "a semifluid mass of fine white and elastic fibers that forms the
central portion of an intervertebral disk". Dorland's Illustrated
Medical Dictionary, 25th Ed., 1974, p. 1064.
[2] Removal of the vertebral
laminae on one side only. Dorland's Illustrated Medical Dictionary, 25th Ed., 1974, p. 693.
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.