Welcome to City-Data.com Forum!
U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > General Forums > Politics and Other Controversies
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
Reply Start New Thread
 
Old 01-05-2011, 12:52 PM
 
13,694 posts, read 9,016,074 times
Reputation: 10417

Advertisements

I can speak to this, since my job for the past 22 years involves reviewing claims for disability under both Title II (disability benefits) and Title XVI (supplemental security income benefits).

When I first started a person could get disability (under either Title) if he or she was a alcoholic and/or drug user, if said drug disabled them. That changed in the 1990s: now, if it is determined that alcohol or drug usage is material to your disability, you will not receive benefits.

Then, in the mid 1990s or so, 60 Minutes had a report about the Epstein-Barr Virus and about how it can cause various symptoms. We were overwhelmed with applications for disability by people claiming they had the virus. As it turned out (over several years) some 95 percent of the total population has this virus, and it is not a big deal. After a bit, filings dropped, and now I never see Epstein Barr cited as an impairment.

Ah! But then came Chronic Fatigue Syndrome! Lots of people, it turned out, had that disorder (which some still say is linked to Epstein-Barr). We still get quite a few applications based on CFS, although now it is mainly by those who are alleging some different, primary ailment for disability (diabetes, heart disease, what have you).

This led to Fibromyaligia, which surfaced, I believe, in the early 2000s. If a person is complaining of vague and widespread body aches and pains, with absolutely diagnostic tests revealing nohting at all, then the family doctor will, far too often, diagnose fibromyalgia (technically, a physician is to rule out Depression first). All one has to do is pass the 'trigger point' test (the doctor will press on various joints and ask if you have pain; if you answer yes 18 times, you pass!).

I still review a lot of files in which the person lists fibromyalgia, as well as chronic fatigue. However, for the past three or four years the up-and-coming disease is Bipolar disorder. A rare condition 22 years ago when I started, it is now in some 80 percent of all files that hit my desk. If it is not the primarily impairment alleged by the filer, they will be sure to cite it at some point.

Indeed, here is a common case: Bob will file for disability, claiming to be unable to work due to low back pain. He may also allege diabetes (type II) and hypertension.

Denied on initial determination. Bob files for reconsideration. 60 days later, denied again. So Bob files a request for hearing, and obtains a lawyer or non-lawyer representative.

Oh! Bob has Bipolar disorder now! Why, turns out Bob had it all his life, although he just now went to the local mental health place where he informed the caseworker that he has bipolar disorder, and will cite his 'mood swings'.

I will add that if Bob has a history of alcoholism or drug abuse, he will have become clean and sober by the time he gets to hearing. Nothing like having a hearing before an administrative law judge to get sober!
Reply With Quote Quick reply to this message

 
Old 01-05-2011, 01:01 PM
 
9,879 posts, read 8,024,034 times
Reputation: 2521
Quote:
Originally Posted by Donna-501 View Post
Social Security disability isn't easy to get so the kid most have qualified and for that they have to see a few doctors that the social security office picks.
How do you think these psychiatrists and psychologists
make their living. They get paid by diagnosing
mostly everyone they see with bipolar/depression/anxiety Of course there are exceptions to the
rule and legitimate cases that makes one truly disabled, but the diagnosing and severity of the condition is often abused simply for a pay check.
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 01:06 PM
 
9,879 posts, read 8,024,034 times
Reputation: 2521
Quote:
Originally Posted by legalsea View Post

he informed the caseworker that he has bipolar disorder, and will cite his 'mood swings'.

I will add that if Bob has a history of alcoholism or drug abuse, he will have become clean and sober by the time he gets to hearing. Nothing like having a hearing before an administrative law judge to get sober!
And after he get's his disability check, he falls off the
wagon and spends his SSI check on booze or drugs,
and the SSI office is not the wiser
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 01:12 PM
 
Location: In the desert
4,049 posts, read 2,743,500 times
Reputation: 2483
If a depressed person is working they are going to feel better than the depressed person who is staying at home & just taking meds by the very fact that they are around others & doing something productive.

Bi-polar is another issue. There are various degrees of it & some who have severe bi-polar disorder cannot function well enough to even take care of themselves without supervision. These people do need help.
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 01:30 PM
 
Location: FL
20,702 posts, read 12,544,412 times
Reputation: 5452
Quote:
Originally Posted by pollyrobin View Post
How do you think these psychiatrists and psychologists
make their living. They get paid by diagnosing
mostly everyone they see with bipolar/depression/anxiety Of course there are exceptions to the
rule and legitimate cases that makes one truly disabled, but the diagnosing and severity of the condition is often abused simply for a pay check.
My husband has MS and was turned down 3 times. We got a appeal and then got on. He had all the documentation. I really don't know how you can work when most of your body is stiff and doesn't move and you can't even wipe your own butt. It isn't easy to get on SS. I know of other cases very similar to his and it took them years.

Consider yourself lucky because it could happen to you.
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 01:37 PM
 
13,694 posts, read 9,016,074 times
Reputation: 10417
Quote:
Originally Posted by pollyrobin View Post
And after he get's his disability check, he falls off the
wagon and spends his SSI check on booze or drugs,
and the SSI office is not the wiser

I recall that the outrage over alcoholics getting disability benefits was this: often a representative payee had to be appointed on the alcoholic's behalf. The story came out that in New York State it was allowed for the alcoholic's usual BAR to be the representative payee (i.e., the disability checks were literally mailed to his usual bar). When this story came out on 60 minutes the public went crazy, hence Congress changed the law.
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 01:38 PM
 
Location: deafened by howls of 'racism!!!'
52,697 posts, read 34,586,907 times
Reputation: 29291
Quote:
Originally Posted by legalsea View Post
I can speak to this, since my job for the past 22 years involves reviewing claims for disability under both Title II (disability benefits) and Title XVI (supplemental security income benefits).

When I first started a person could get disability (under either Title) if he or she was a alcoholic and/or drug user, if said drug disabled them. That changed in the 1990s: now, if it is determined that alcohol or drug usage is material to your disability, you will not receive benefits.

Then, in the mid 1990s or so, 60 Minutes had a report about the Epstein-Barr Virus and about how it can cause various symptoms. We were overwhelmed with applications for disability by people claiming they had the virus. As it turned out (over several years) some 95 percent of the total population has this virus, and it is not a big deal. After a bit, filings dropped, and now I never see Epstein Barr cited as an impairment.

Ah! But then came Chronic Fatigue Syndrome! Lots of people, it turned out, had that disorder (which some still say is linked to Epstein-Barr). We still get quite a few applications based on CFS, although now it is mainly by those who are alleging some different, primary ailment for disability (diabetes, heart disease, what have you).

This led to Fibromyaligia, which surfaced, I believe, in the early 2000s. If a person is complaining of vague and widespread body aches and pains, with absolutely diagnostic tests revealing nohting at all, then the family doctor will, far too often, diagnose fibromyalgia (technically, a physician is to rule out Depression first). All one has to do is pass the 'trigger point' test (the doctor will press on various joints and ask if you have pain; if you answer yes 18 times, you pass!).

I still review a lot of files in which the person lists fibromyalgia, as well as chronic fatigue. However, for the past three or four years the up-and-coming disease is Bipolar disorder. A rare condition 22 years ago when I started, it is now in some 80 percent of all files that hit my desk. If it is not the primarily impairment alleged by the filer, they will be sure to cite it at some point.

Indeed, here is a common case: Bob will file for disability, claiming to be unable to work due to low back pain. He may also allege diabetes (type II) and hypertension.

Denied on initial determination. Bob files for reconsideration. 60 days later, denied again. So Bob files a request for hearing, and obtains a lawyer or non-lawyer representative.

Oh! Bob has Bipolar disorder now! Why, turns out Bob had it all his life, although he just now went to the local mental health place where he informed the caseworker that he has bipolar disorder, and will cite his 'mood swings'.

I will add that if Bob has a history of alcoholism or drug abuse, he will have become clean and sober by the time he gets to hearing. Nothing like having a hearing before an administrative law judge to get sober!
very interesting. thanks for that inside take.

here's a link to the entire 3 part series:
Special Section: The Other Welfare, SSI - Boston.com
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 01:50 PM
 
9,879 posts, read 8,024,034 times
Reputation: 2521
Quote:
Originally Posted by Donna-501 View Post
My husband has MS and was turned down 3 times. We got a appeal and then got on. He had all the documentation. I really don't know how you can work when most of your body is stiff and doesn't move and you can't even wipe your own butt. It isn't easy to get on SS. I know of other cases very similar to his and it took them years.

Consider yourself lucky because it could happen to you.
I'm not saying there are not legitimate cases of SSI disability. I'm talking about the folks that abuse the system. For what reason it takes so long for true physical illnesses e.g. MS, I don't really understand.

Best of luck to you and your family I have a very
dear friend that has MS - it is no picnic.
Reply With Quote Quick reply to this message
 
Old 01-05-2011, 02:16 PM
 
13,694 posts, read 9,016,074 times
Reputation: 10417
Quote:
Originally Posted by pollyrobin View Post
I'm not saying there are not legitimate cases of SSI disability. I'm talking about the folks that abuse the system. For what reason it takes so long for true physical illnesses e.g. MS, I don't really understand.

Best of luck to you and your family I have a very
dear friend that has MS - it is no picnic.
I agree. We actually have a very good DDS (Disability Determination Services) in our area. They are very good at awarding disability to those whom obviously need it. In the ODAR (Office of Disability Adjudication and Review; used to be Office of Hearing and Appeals) we get those whom the DDS turned down, which tends to be those with little medical or credibility to back up their claim.

I will note that since the great recession began the number of people filing disability claims has increased. Indeed, many claimant's are still getting unemployment benefits while they file for disability (we can't technically deny a claim due to the person getting unemployment, although we used to be able to. To get unemployment you must affirm that your are ready, willing and able to work, which is the opposite of claiming disability).
Reply With Quote Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


Reply
Please update this thread with any new information or opinions. This open thread is still read by thousands of people, so we encourage all additional points of view.

Quick Reply
Message:


Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > General Forums > Politics and Other Controversies
Similar Threads

All times are GMT -6. The time now is 12:32 AM.

© 2005-2024, Advameg, Inc. · Please obey Forum Rules · Terms of Use and Privacy Policy · Bug Bounty

City-Data.com - Contact Us - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37 - Top