Doctors Aren’t Asked About Their Patients

Ocean County Observer

March 21, 1983

 

Disability determinations are made by a department of the various states. Once the determination is made the federal government makes a decision based on the determination. Sound familiar? Of course. We have discussed the desecration of the rights of the disabled on two previous occasions. Actually the oblique indirect method of determining disability disregards the recommendations of the patient’s doctor and leaves the ultimate decision in the hands of panels of anonymous people (some of whom are supposed to be doctors) who never sees the patient.

 

Despite the fact that all evidence pointed to the facts as described above, I really couldn’t bring myself to believe them until I received a letter from Governor Kean who himself was recently disabled by a back problem.

 

The letter stated that “The Division of Disability Determinations operates under the provisions of Social security Law, which when compared to other insurance and disability programs, are very strict. Under  both Title II and Title XVI Programs, medical evidence forms the backbone for the determination of disability. The existence of a disability condition must be supported by a medical report containing the medical history, symptoms and laboratory findings. The law is explicit in that it states that disability decisions cannot be made on the basis of clinical judgments relating to the applicant’s diagnosis, prognosis or remaining capacity to work. A physician provides medical evidence upon which impairment can be evaluated. The impact on the impairment of an individual’s ability to work and the decision as to whether the impairment constitutes a disability is an administrative, not a medical decision. The physician is neither asked nor expected to make a decision as to whether his or her patient is disabled.”

 

So we are correct after all. The law of the land has contrived to conspire to deprive people of their right to be judged impartially by people who examine them, and have the determination in the hands of hidden, anonymous indifferent, predatory types who live in the trough provided by public funds. And all of this is prescribed by law.

 

John A. Svahn, the commissioner of Social Security writes to confirm the above. “Disability determinations are made by designated state agencies. A physician in the agency participates in every determination of the severity and duration of a disability applicant’s impairment. This method of independently determining disability can result in a determination that a person is not disabled within the meaning of the law, even though a treating or examining physician concludes otherwise. In line with this, treating and examining physicians are not asked to give conclusions about their patients’ disabilities. These (the patients’ ) physicians are asked to furnish medical history , examinations results and supporting laboratory information that would help define the nature of their patient’s impairments. This medical evidence is even evaluated and an independent determination is made by personnel who are trained in the law and regulations concerning Social Security disability eligibility.

 

Both letters emphasize that a physician is on the determination panel, but both letters fail to emphasize that no one on the determination panel ever sets eyes on the patient, has an opportunity to visibly inspect the disability, or touch the patient. The procedure is as desiccated as a carcass in the hot sun of the desert, as barren of feeling as ice, and the ultimate contradiction of the injunction to love thy neighbor. Somehow those who perform evil deeds always clothe them in some sort of legitimacy. In this case your congress has included a physician in the panel that perpetrates the final solution; as if indeed the presence of this salaried flunky with a medical degree lends probity and decency to a bankrupt procedure that does no honor to this country.

 

Trying to find the file of a patient caught up in this labyrinth is like trying to catch up to a person riding two horses ahead of you on a merry-go-round. The file is always in someone else’s office, or an appeals court waiting for a trial to be scheduled. By the time some trials are put on the docket there is no more disability claim. The claimant is dead.

 

One thing for certain, although one must have naught but contempt for those who carry out contemptible laws, this law was written by our congress. The law must be rewritten to allow the patient’s doctor more a greater say; to permit his conclusions to play a role in the final determination. Currently they are purposely excluded. The government is afraid that corrupt doctors everywhere will succumb to bribes or blandishments and put everybody on disability indiscriminately. Even if that were to happen it would be less a corruption than that which currently occurs.  The law should be written to permit the hearings to take place in the presence of the patient, his or her doctor, and some impartial panel. The way things are the patient has no advocate in the proceedings. Thus grievous  crimes are being committed against many defenseless individuals.

 

Perhaps what is most bothersome, that of which I am most ashamed, is that the process of disability determination is devious and secretive.

 

No proud people should tolerate this.