Question:
Jim,
I am 100% service connected for PTSD from a sexual assault in the Navy. I have been 100% since 2005. I have the C&P exam tomorrow and I am nervous that they will take away the 100% and drop my rating. I used to be a substance abuser and now I am clean for almost 2 years.
What do you think they will do. Why do I have to see them again. R they just checking up on me or what? I am going to be honest and not lie. Is it true that once you are 100% it is permanent status? I hope to hear from you soon. I have the appointment tomorrow at 2pm.
Answer:
As you can imagine, I do wish you had contacted me a bit sooner. Without knowing more about you it's very hard for me to offer competent advice.
I'll do what I can...
There is no "permanent" status. Although many ratings are called "permanent & total" (P&T) any rating at any time can be questioned, investigated and a proposal to lower the rating can and does occur. When a veteran has been rated 100% P & T for 20 consecutive years, the rating becomes "protected" in that it can only be lowered if the VA can show that it was obtained or maintained fraudulently.
The VA is mandated by law to ensure that your rating is appropriate for you at any given time. In other words, if you have been treated for your condition and you have improved, the VA is likely to suggest that your rating should be lowered.
Also, when you first receive the letter that notifies you of your rating, it will tell you that you have "future examinations are scheduled" or that "no future examinations are scheduled".
It's very important that you find your award letter and see which phrase is used. If "future examinations are scheduled" that means that the rating was considered to be temporary and the C & P exam is specifically to look for improvements so that the rating can be lowered.
If the award letter says "no future exams scheduled" the rating is considered to be permanent and usually only in an unusual circumstance will the veteran be reexamined.
There are also differences between 100% schedular and 100% Individual Unemployability (IU). If the veteran is rated 100% IU and has started to work at gainful employment, the VA will often want to reexamine that veteran to look for improvement. I've written about this often and advised that there are numerous things a veteran should do to protect herself as we enjoy our benefits.
I deal with this a lot. I also work with many MST veterans, both male on female and male on male victims.
My limited advice to you today is that you should go ahead and attend the C & P exam and not sweat it too much. It's too late to do anything else so simply proceed and be as open and honest as you can.
After you return you may want to contact me again so that you can prepare to receive the notification from VA about their intent for your future. If there is an attempt to lower your rating, it will come in the form of a letter of proposal. There are numerous actions you must timely take upon receiving that letter.
If you receive such, it doesn't mean they will lower your rating, only that they propose to. You have numerous rights to appeal and not ever miss a payment. You can't delay though, clocks will be ticking.
The bottom line is that having a disability compensation check each month is sort of like having a job. There are plenty of things you should do to maintain your position within the "company" to ensure your future.
On a special note:
I've received quite a lot of email lately from victims of Military Sexual Trauma. Most of the email has come from women who were assaulted or raped during their service. More than I could have expected has come from men who were assaulted or raped by other men.
I'm hearing of some significant issues...mostly that there isn't much attention given to the mental health needs of this group of veterans. These veterans are being pushed back as the DVA provides for our more recent PTSD afflicted OIF veterans.
We know that the DVA reacts to bad press. The recent Walter Reed scandal or an email from Norma J. Perez http://vawatchdog.org/08/nf08/nfMAY08/nf051908-1.htm make headlines and the DVA quickly goes into its clean up mode to deflect further bad press. The less popular problems get swept under a rug and resources are diverted to make the press happy.
One veteran is speaking out and wants action. She's a victim of MST and recognizes that in numbers there is strength.
If you are a female victim of MST and if you're interested in joining forces with another or many others with a similar problem, let me know. I'll put you in contact with her so that you're able to develop plans to ensure that no female victim of MST is left behind.