Citation Nr: 0810860 Decision Date: 04/02/08 Archive Date: 04/14/08 DOCKET NO. 06-04 724 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Manila, the Republic of the Philippines THE ISSUE Whether new and material evidence has been submitted to reopen the claim for service connection for the cause of the veteran's death. INTRODUCTION The veteran had recognized service from December 1941 to April 1942, and from January 1946 to February 1946. He was a prisoner of war (POW) of the Japanese government from April 10, 1942, to April 11, 1942. The veteran died in September 1985. The appellant is his widow. This matter has come before the Board of Veterans' Appeals (Board) on appeal from rating decisions dated in July 2005 of the Manila, Philippines, Department of Veterans Affairs (VA) Regional Office (RO) which denied service connection for the veteran's cause of death. FINDINGS OF FACT 1. Service connection for the cause of the veteran's death was denied in a July 1986 rating decision, and the appellant was notified of this decision in August 1986. 2. Evidence received since August 1986 is cumulative and redundant of previously submitted evidence, and does not raise a reasonable possibility of substantiating the claim. CONCLUSION OF LAW Evidence added to the record since the final August1986 decision is not new and material; thus, the claim of entitlement to service connection for the cause of the veteran's death is not reopened. 38 U.S.C.A. §§ 5108, 7105 (West 2002); 38 C.F.R. §§ 3.156(a), 20.1103 (2007). REASONS AND BASES FOR FINDINGS AND CONCLUSION Initial Matters: Duty to Notify and Duty to Assist The Veterans Claims Assistance Act of 2000 (VCAA) describes VA's duty to notify and assist claimants in substantiating a claim for VA benefits. 38 U.S.C.A. §§ 5100, 5102, 5103, 5103A, 5107, 5126 (West 2002 & Supp. 2007); 38 C.F.R. §§ 3.102, 3.156(a), 3.159 and 3.326(a) (2007). Upon receipt of a complete or substantially complete application for benefits, VA is required to notify the claimant and his or her representative, if any, of any information, and any medical or lay evidence, that is necessary to substantiate the claim. 38 U.S.C.A. § 5103(a); 38 C.F.R. § 3.159(b); Quartuccio v. Principi, 16 Vet. App. 183 (2002). Proper VCAA notice must inform the claimant of any information and evidence not of record (1) that is necessary to substantiate the claim; (2) that VA will seek to provide; (3) that the claimant is expected to provide; and (4) must ask the claimant to provide any evidence in her or his possession that pertains to the claim in accordance with 38 C.F.R. § 3.159(b)(1). Pelegrini v. Principi, 18 Vet. App. 112 (2004). VCAA notice should be provided to a claimant before the initial unfavorable agency of original jurisdiction (AOJ) decision on a claim. Pelegrini v. Principi, 18 Vet. App. 112 (2004); see also Mayfield v. Nicholson, 444 F. 3d 1328 (Fed. Cir. 2006) (the United States Court of Appeals for the Federal Circuit stated that the purpose of 38 U.S.C. § 5103(a) and 38 C.F.R. § 3.159(b) is to require that the VA provide affirmative notification to the claimant prior to the initial decision in the case as to the evidence that is needed and who shall be responsible for providing it.). Regarding the application to reopen the claim for service connection for the cause of the veteran's death, the RO provided a VCAA notice letter to the appellant in April 2005, prior to the initial adjudication of the claim. The letter notified the appellant of what information and evidence must be submitted to substantiate a claim to reopen and a claim for service connection, as well as what information and evidence must be provided by the appellant and what information and evidence would be obtained by VA. She was also told to inform VA of any additional information or evidence that VA should have, and was told to submit evidence in support of the claim to the RO. The content of the letters complied with the requirements of 38 U.S.C.A. § 5103(a) and 38 C.F.R. § 3.159(b). The Board notes that, although the appellant was informed of what information and evidence must be submitted to substantiate a claim to reopen, she was given this notice with the qualification that it applies "if" her claim had been previously denied. Thus, as she was not specifically told that her claim had been denied in the past, or the reason for that denial, this notice does not satisfy the requirements of the holding in Kent v. Nicholson, 20 Vet. App. 1 (2006). In Sanders v. Nicholson, 487 F.3d 881 (Fed. Cir.2007), the Federal Circuit held that any error by VA in providing the notice required by 38 U.S.C.A. § 5103(a) and 38 C.F.R. § 3.159(b)(1) is presumed prejudicial and that once an error is identified by the Veterans Court (Court of Appeals for Veterans Claims), the burden shifts to VA to demonstrate that the error was not prejudicial. The Federal Circuit reversed the Court of Appeals for Veterans Claims' holding that an appellant before the Court has the initial burden of demonstrating prejudice due to VA error involving: (1) providing notice of the parties' respective obligations to obtain the information and evidence necessary to substantiate the claim: (2) requesting that the claimant provide ant pertinent evidence in the claimant's possession; and (3) failing to provide notice before a decision on the claim by the agency of original jurisdiction. See also Simmons v. Nicholson, No. 06-7092 (Fed. Cir. May 16, 2007). Although VA erred by not providing notice to the appellant that her claim had been previously denied, or the basis for that denial, the record reflects that she was subsequently advised of these facts in a December 2005 Statement of the Case (SOC). She was told that her claim had been denied in July 1986, and that she had to submit new and material evidence, which, in this case, was evidence linking the disabilities that caused his death to his military service. As noted, she had been previously advised of the general definitions of "new" and "material" evidence in the April 2005 notice, as well as how to substantiate the underlying claim for service connection. The appellant was provided ample opportunity to respond to that correspondence and to the SOC, and, over the course of the appeal, has had multiple opportunities to submit and identify evidence. The appellant has been provided a meaningful opportunity to participate effectively in the processing of his claim by VA. While the appellant does not have the burden of demonstrating prejudice, it is pertinent to note that the evidence does not show, nor does the appellant contend, that any notification deficiencies, either with respect to timing or content, have resulted in prejudice. The Court in Dingess/Hartman held that the VCAA notice requirements of 38 U.S.C. § 5103(a) and 38 C.F.R. § 3.159(b) apply to all five elements of a "service connection" claim. As previously defined by the courts, those five elements include: (1) veteran status; (2) existence of a disability; (3) a connection between the veteran's service and the disability; (4) degree of disability; and (5) effective date of the disability. Dingess/Hartman v. Nicholson, 19 Vet. App. 473 (2006). Element (1) is not at issue. Regarding elements (2) and (3) (current existence of a disability and relationship of such disability to the veteran's service), the appellant was provided with notice of what type of information and evidence was needed to substantiate the claim for service connection for the cause of death and a claim to reopen. Regarding elements (4) and (5) (degree of disability and effective date), the appellant was not provided with notice of the type of evidence necessary to establish a disability rating or effective date for the disability on appeal. Despite the inadequate notice provided to the appellant on these latter two elements, the Board finds no prejudice to the appellant in proceeding with the issuance of a final decision. In that regard, as the Board concludes below that the claim for service connection for the cause of the veteran's death is not reopened, any questions as to the appropriate disability rating or effective date to be assigned are rendered moot. The Board finds that all relevant evidence has been obtained with regard to the appellant's claim to reopen, and that the duty to assist requirements have been satisfied. The VCAA imposes a duty upon VA to seek relevant treatment records in all cases, but there is no identified relevant evidence that has not been accounted for. 38 C.F.R. § 3.159(c)(1)-(3). Until a claim is reopened, VA does not have a duty to provide a medical examination or obtain a medical opinion. See 38 C.F.R. § 3.159(c)(1). Legal Criteria Service Connection In general, applicable laws and regulations state that service connection may be granted for disability resulting from a disease or injury incurred in or aggravated by military service. 38 U.S.C.A. § 1110 (West 2002); 38 C.F.R. § 3.303 (2007). Certain diseases, such as nephritis, will be presumed to have been incurred in service if manifested to a degree of 10 percent within one year after service. 38 U.S.C.A. §§ 1101, 1112, 1113 (West 2002); 38 C.F.R. §§ 3.307, 3.309 (2007). If a veteran is a former prisoner of war, certain diseases shall be service connected if manifest to a degree of 10 percent or more at any time after discharge or release from active military, naval, or air service even though there is no record of such disease during service, provided the rebuttable presumption provisions of § 3.307 are also satisfied. 38 C.F.R. §§ 3.307(a)(5), 3.309(c). Service connection may also be granted for a disease first diagnosed after discharge when all of the evidence, including that pertinent to service, establishes that the disease was incurred in service. 38 C.F.R. § 3.303(d) (2007). The surviving spouse of a veteran who has died from a service-connected disability or compensable disability may be entitled to receive dependency and indemnity compensation. 38 U.S.C.A. § 1310 (West 2002). In order to establish service connection for the cause of the veteran's death, the evidence must show that a service-connected disability was either the principal or a contributory cause of death. The issue involved will be determined by exercise of sound judgment, without recourse to speculation, after a careful analysis has been made of all the facts and circumstances surrounding the death of the veteran, including, particularly, autopsy reports. 38 C.F.R. § 3.312 (2007). The service-connected disability will be considered as the principal (primary) cause of death when such disability, singly or jointly with some other condition, was the immediate or underlying cause of death or was etiologically related thereto. A contributory cause of death is inherently one not related to the principal cause. In determining whether the service-connected disability contributed to death, it must be shown that it contributed substantially or materially; that it combined to cause death; that it aided or lent assistance to the production of death. It is not sufficient to show that it casually shared in producing death, but rather it must be shown that there was a causal connection. 38 C.F.R. § 3.312. Once the evidence has been assembled, it is the Board's responsibility to evaluate the evidence. 38 U.S.C.A. § 7104(a). The Secretary shall consider all information and lay and medical evidence of record in a case before the Secretary with respect to benefits under laws administered by the Secretary. When there is an approximate balance of positive and negative evidence regarding any issue material to the determination of a matter, the Secretary shall give the benefit of the doubt to the claimant. 38 U.S.C.A. § 7105; 38 C.F.R. §§ 3.102, 4.3. In Gilbert v. Derwinski, 1 Vet. App. 49, 54 (1990), the Court stated that "a veteran need only demonstrate that there is an 'approximate balance of positive and negative evidence' in order to prevail." To deny a claim on its merits, the evidence must preponderate against the claim. See also Alemany v. Brown, 9 Vet. App. 518, 519 (1996). New and Material Evidence A final decision cannot be reopened unless new and material evidence is presented. Pursuant to 38 U.S.C.A. § 5108. The Secretary must reopen a finally disallowed claim when new and material evidence is presented or secured with respect to that claim. Knightly v. Brown, 6 Vet. App. 200 (1994). For claims filed on and after August 29, 2001, new evidence means existing evidence not previously submitted to agency decisionmakers. Material evidence means existing evidence that, by itself or when considered with previous evidence of record, relates to an unestablished fact necessary to substantiate the claim. New and material evidence can be neither cumulative nor redundant of the evidence of record at the time of the last prior final denial of the claim sought to be reopened, and must raise a reasonable possibility of substantiating the claim. 38 C.F.R. § 3.156(a) (2007). Only evidence presented since the last final denial on any basis (either upon the merits of the case, or upon a previous adjudication that no new and material evidence had been presented), will be evaluated in the context of the entire record. Evans v. Brown, 9 Vet. App. 273 (1996). For the purpose of establishing whether new and material evidence has been submitted, the credibility of the evidence, although not its weight, is to be presumed. Justus v. Principi, 3 Vet. App. 510, 513 (1992). Analysis In a July 1986 rating decision, the RO denied entitlement to service connection for the cause of the veteran's death on the basis that there was no evidence of the veteran's cause of death, which was listed on the death certificate as bilateral pulmonary emphysema and intestinal gangrene, in service or within one year from service separation. The appellant was notified of this decision in an August 1986 letter and she did not file an appeal. Thus, it is final. See 38 U.S.C.A. § 7105(c); 38 C.F.R. § 20.1103. At the time of that decision, the evidence of record included a processing affidavit dated in January 1946, which showed no record of any wounds or illnesses between December 1941 and January 1946. The record also included the veteran's certificate of death, which listed the cause of his death as bilateral pulmonary emphysema and intestinal gangrene. In order to reopen this claim, new and material evidence must be submitted. 38 U.S.C.A. § 5018; 38 C.F.R. § 3.156. This evidence is presumed credible for the purposes of reopening an appellant's claim, unless it is inherently false or untrue or, if it is in the nature of a statement or other assertion, it is beyond the competence of the person making the assertion. Duran v. Brown, 7 Vet. App. 216 (1995); Justus v. Principi, 3 Vet. App. 510 (1992). After having carefully reviewed the evidence of record, the Board finds that the appellant has not presented evidence since the July 1986 rating decision that raises a reasonable possibility of substantiating the claim for service connection for the cause of the veteran's death. Since filing to reopen her claim, the appellant has reiterated her own contentions that the veteran's death was related to service, and she has submitted additional copies of his death certificate and service records. However, this evidence is cumulative and does not raise a reasonable possibility of substantiating the claim. She has also submitted certification from the records center of a private hospital showing that there was a record of the veteran having received treatment for a cough on February 10, 1947, without a diagnosis, and subsequent treatment on March 9, 1947, at which time pulmonary tuberculosis was diagnosed. Subsequent treatment in 1948 was noted to be for pulmonary tuberculosis, asthma, pharyngitis and emphysema. Similar treatment was noted in 1949, 1950, and 1955. The appellant reported submitting this evidence to establish that tuberculosis was manifested to a compensable degree within three years of discharge from service. This medical certification submitted by the appellant has been duly considered. The Board finds, however, that this document is inherently incredible. Significantly, this document is dated in May 2005, but describes treatment from 1947 through 1955, including specific diagnoses noted at that time. Furthermore, it is noted that, although this information could be obtained from a patient index, "[a]ll records/charts, abstracts of medical consults/confinements are no longer available." The Board finds it inherently incredible that no records are available, and yet the facility is able to certify through over fifty years later the precise diagnoses for which the veteran was treated at that time. In summary, and for the reasons and bases set forth above, the Board finds that the evidence received in conjunction with the claim to reopen is not new and material, and does not serve to reopen the claim for service connection for the cause of the veteran's death. 38 U.S.C.A. §§ 5108, 7105; 38 C.F.R. § 3.156(a). Having found that the evidence is not new and material, no further adjudication of this claim is warranted. ORDER New and material evidence has not been received and the claim for service connection for the cause of the veteran's death is not reopened. The appeal is denied. ____________________________________________ MICHAEL LANE Acting Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs