Defense Base Act: The Weaponization of the Defense Medical Examination

The Defense Base Act Insurance Company is entitled to have Defense Base Act Claimants see a physician that they choose to provide them with a second opinion regards the injuries that you have filed a claim for.  These examinations are in no way Independent Medical Examinations as the Insurance Company and their Attorneys deceptively refer to them as.

These Insurance Company Second Opinions, or Defense Medical Examinations, come at a heavy price to the US Taxpayer.  The Insurance Companies pay much higher amounts to hire doctors that will give them a report unfavorable to your claim and also be willingly to back up these statements in Depositions or straight to a Judges face at hearing.  You are entitled to reimbursement for the expenses you incur attending these.  The DME can be a very expensive undertaking.

Very few DBA Claimants exercise their rights to have these doctors researched by a professional, not travel outside of their geographic area, take an advocate with them (preferably your attorney or a nurse), have the scope and purpose of the Examination clearly defined, or most importantly to video the examination. 

It must be you who pursues these protections because your DBA Attorney is not likely to suggest or pay for them despite your entitlement to them.  Your attorneys failure to assert your rights only enables the insurance companies and their bloodthirsty attorneys and claims adjusters.

You are required to “cooperate” not play dead.

One very prudent restriction on these DME’s used to be that the Insurance Company could not make you attend one more than every three years.  At some point that we cannot ascertain this restriction was removed. 

So  began the Weaponization of the DBA Defense Medical Examination.

Currently the DME is being utilized as a weapon to intimidate DBA Claimants to accept negligent settlements.

Even though you have an order in place you are told if you do not immediately attend a DME your payments will cease immediately.

Even though your claim is currently under the jurisdiction of an ALJ awaiting a decision you are told to fly across country for several days of DME’s.   Just prepping you for the settlement offer.

Your attorney presents to you a ridiculous offer for settlement along with the threat that if you do not accept it the Insurance Companies Attorney promises you DME’s every year and surveillance by their private dicks $$$ for the rest of your life.

We cannot always be certain who is manning the weapon.  As of late there is a barrage of Friendly Fire.

No doubt that the casualties are always the DBA Claimant and the US Taxpayer.

It has never been more true that After Injury the Battle Begins

Or more clear that this program is lacking oversight of any kind

Where is the Department of Labor Watchdog?

The DoL’s OIG has been without a permanent Inspector General since July 13, 2009. 

Less than two weeks post IG  a video surfaced on this blog of Cabot Gosling, Vice President of Tangiers International, presenting an Injured War Zone Contractor that he was stalking a Photo ID when asked to identify himself.  The ID  clearly states that he is an agent of the US DoL.  

Under federal law, it is illegal to impersonate a government official, a crime punishable by up to three years in prison.

Wow, we finally caught these liars on video ! 

Michael Niss, former chief of the LHWCA, asked the DoL OIG to investigate after T Christian Miller published a story on the incident.

No report or decision was ever publicly issued.   Tangiers International continued doing business as usual, causing so many problems that even the ruthless AIG who funded them in the first place stopped using them.

We had to file a FOIA, Freedom of Information Act Request to find out what happened to this investigation.

What happened was not much. 

A few internal emails and phone calls within the DoL and one to Christopher Catrambone who owns Tangiers International.  Chez Catrambone stated that this was his US Department of Loss though he had previously stated in an email to the DoL that the US Embassy in Malta had authorized his use of the US Department of Labors’ logo and name.

The Injured War Zone Contractor who was stalked and took the video was never contacted.  Mark Munro shared his side of the story with one of our contributors:

Marc called me and told me that the AIG investigator called him at 5 am, asked his name, and then hung up and followed him and even went on the wrong side of the road in pursuit and almost wrecked.

Marc was in a bomb blast that killed 18, he has PTSD, and the AIG investigator placed Marc in great danger because PTSD patients are prone to outbursts when they are stressed, especially when it’s extremely negligent and intentional stress like the AIG investigator caused by calling Marc at 5 am and hanging up.

The investigation was limited to Tangiers side of the story despite how pitiful their cover was.  Even Miranda Chui stated that she thought they were probably lying.

Chris Catrambone and Tangiers International got a little slap on the wrist and a letter in their file.

Allowing AIG and Tangiers International to operate with such impunity and lack of oversight only emboldens them to cross the criminal/ethical lines as a matter of rule.  We are talking about seriously injured war zone contractors medical care here, peoples lives.  CNA and ACE are as guilty, if not more so.

Would the results of this “investigation” have been different with a permanent IG in place?  We doubt it.  The insurance companies carry more political weight than any IG could muster.  We saw this administration roll over for them within days of taking office.

Still, this lack of concern on the part of our Administration to the Oversight of the Department which holds Injured War Zone Contractors lives in their hands contributes to the criminal abuse by the insurance companies and their third party war profiteers Tangiers International, Tacticor, and Vetted International.

Project on Government Oversight:  Where are all the Watchdogs?

Office of the Inspector General Department of Labor

The Office of Inspector General (OIG) at the U.S. Department of Labor (DOL) conducts audits to review the effectiveness, efficiency, economy, and integrity of all DOL programs and operations, including those performed by its contractors and grantees. This work is conducted in order to determine whether: the programs and operations are in compliance with the applicable laws and regulations; DOL resources are efficiently and economically being utilized; and DOL programs achieve their intended results.

The OIG also conducts criminal, civil and administrative investigations relating to violations of Federal laws, rules or regulations, including those performed by DOL contractors and grantees; as well as investigations of allegations of misconduct on the part of DOL employees.

In addition, the OIG is unique among Inspectors General because it has an “external” program function to conduct criminal investigations to combat the influence of labor racketeering and organized crime in the nation’s labor unions. We conduct labor racketeering investigations in three areas: employee benefit plans, labor-management relations, and internal union affairs.

Why Having a Permanent IG Is Important

OIGs are best positioned to be effective when led by a highly qualified permanent IG, rather than an acting official or no IG at all. Permanent IGs undergo significant vetting—especially the IGs that require Senate confirmation—before taking their position. That vetting process helps to instill confidence among OIG stakeholders—Congress, agency officials, whistleblowers, and the public—that the OIG is truly independent and that its investigations and audits are accurate and credible.

In addition, a permanent IG has the ability to set a long-term strategic plan for the office, including setting investigative and audit priorities. An acting official, on the other hand, is known by all OIG staff to be temporary, which one former IG has argued “can have a debilitating effect on [an] OIG, particularly over a lengthy period.” Senator Charles Grassley (R-IA) has echoed that sentiment, saying “Even the best acting inspector general lacks the standing to make lasting changes needed to improve his or her office.”

Tim Eysselinck Casualty 8 Years Ago Today

Tim Eysselinck

You and your family in our thoughts today and everyday

Defense Base Act Claimant Alert, Bruce H Nicholson Clients

It has been brought to our attention that the following claimants at  some time thought that their DBA Claim was being handled by Bruce Nicholson and/or his assistant Ken Youngman, of Los Angeles California at Peyman Rahnama.  Ken Youngman now works for a lawfirm that represents AIG and ACE, though he most recently reported working at Law Office of Bruce Nicholson as a Federal Workers’ Comp GURU on LinkedIn

If your name is listed below you need to find out the status of your claim immediately if you have not already lost your claim or found another attorney.  If you recognize someone’s name please contact them. 

If your with the DoL, the BRB, or an ALJ, and recognize these names it would certainly be upstanding of you to let these people know they are not being represented.

Maybe even an Insco Defense Attorney out there that can resist an easy kill just because it is the right thing to do.

 Dill  (never responded to the appeal but was negotiating a deal, settlement, with the defense attorney Michael Thomas)

Kitterman
Humphrey
Stewart
Clausen
Reuben  (we believe this claim was lost due to failure to respond to a motion)
Ruffner

War is Brain-Damaging

The Defense Base Act Insurance Companies and the Department of Labor are as negligent as the Department of Defense when it comes denying the dangers of Post Traumatic Stress Disorder and Traumatic Brain Injury, and most negligently when a contractor suffers from both.

“a potentially lethal combination of post-traumatic stress disorder and traumatic brain injury. When the frontal lobe — which controls emotions — is damaged, it simply can’t put on the brakes if a PTSD flashback unleashes powerful feelings. Seeing his buddy’s leg blown off may have unleashed a PTSD episode his damaged brain couldn’t stop”

The New York Times Sunday Review

These vets suffer from a particular kind of brain damage that results from repeated exposure to the concussive force of improvised explosive devices — I.E.D.’s — a regular event for troops traveling the roads in Iraq and Afghanistan.

“It’s Russian roulette,” one vet told me, “We had one guy in our company who got hit nine times before the 10th one waxed him.” An I.E.D. explosion can mean death or at least a lost arm or leg, but you don’t have to take a direct hit to feel its effects. A veteran who’d been in 26 blasts explained, “It feels like you’re whacked in the head with a shovel. When you come to, you don’t know whether you’re dead or alive.”

The news that Robert Bales, an Army staff sergeant accused of having killed 16 Afghan civilians last week, had suffered a traumatic brain injury unleashed a flurry of e-mails among those of us who have been trying to beat the drums about this widespread — and often undiagnosed — war injury. New facts about Staff Sgt. Bales are coming out daily. After we heard about the brain injury that resulted when his vehicle rolled over in an I.E.D. blast, we were told that he had lost part of his foot in a separate incident. Then we learned that the day before his rampage, he’d been standing by a buddy when that man’s leg was blown off. There are also reports of alcohol use.

People with more appropriate professional skills than mine will have to parse these facts, but from what I have learned in my work as a storyteller, this tragedy may be related to something I heard about in my interviews: a potentially lethal combination of post-traumatic stress disorder and traumatic brain injury. When the frontal lobe — which controls emotions — is damaged, it simply can’t put on the brakes if a PTSD flashback unleashes powerful feelings. Seeing his buddy’s leg blown off may have unleashed a PTSD episode his damaged brain couldn’t stop. If alcohol was indeed part of the picture, it could have further undermined his compromised frontal lobe function

Please see the original and read more here

All’s Fair in Love and AIG WAR? No Ethics ?

Defense Base Act Claimants really are in another War Zone when they must file a DBA Claim.

As it turns out many, too many, of the Plaintiff’s own Attorneys are aiding and abetting the enemy

Last January ALJ  Berlin awarded the Dill Widow DBA Death Benefits in a very important PTSD/Suicide Claim.

This claim was denied for five years while Wade Dill’s  widow Barbara’s integrity was brutally attacked as though she had pulled the trigger herself.

KBR refused to supply Wade Dill’s medical records and other reports which would have exposed the state of mind he was in while still in Iraq.  But it is OK to defy discovery if you are AIG/KBR-SEII.  Do not try this yourself, you’ll lose your claim.

Dennis Nalick was the Attorney who brought this claim to a successful decision. 

Barbara Dill’s next Attorney, Bruce H Nicholson, refused to address misinformation in the records saying “you won the claim why would you want to mess with it”.

Mr Nicholson refuted any suggestion that this very important decision would be appealed.  He went so far as to tell the Widow that she should discontinue corresponding with those who assured her it would be.  Bad people we are, just trying to upset her needlessly.

AIG KBR SEII via Michael Thomas appealed the decision.

Mr Nicholson never responded to the Benefits Review Board on behalf of the Widow though he assured her he was on top of it and he and the widow corresponded regularly.

On February 28 the BRB overturned the ALJ’s decision, unopposed.  The widow was not represented at all.

Mr. Nicholson was though, prior to this decision, negotiating a “settlement” with Michael Thomas and AIG which would take this important PTSD Suicide decision out of this WAR as case law for all impending and future PTSD Suicide claims.  The same Mr Nicholson who posted here at the blog in response to the award:

“The decision represents a sound road map for work related contractor suicide claims and is unlikely to be overturned when followed.”

We ask, is no one in this wretched biased system held to any standard of ethical practice?

Mr Nicholson was responsible for representing the Widow and he did not.

Would it not have been a requirement of those who were involved in this to make the widow aware, to speak up?

We do not kid ourselves that this was simply a case of friendly fire.  There was too much at stake here.

PTSD Suicide Joseph R Clyde

Joseph R Clyde – “JC”, Clydesdale
Jan 14, 1970 – Jan 28, 2012 – RIP
Iraq 2005 -2009 BT – Anaconda
Suicide/PTSD

Tribute to those who gave all

Medical bills can wreck credit, even when paid off

When CNA does not pay Walter Reed and it goes on your credit rating as a “Serious Delinquency to the Treasury Department”

When AIG does not pay Landstuhl and the government attaches your Social Security, your only source of income because they are denying your claim

When CNA, AIG, ACE “approve” your doctors and medical but do not pay the bills

When CNA does not pay laboratory fees that show up on your credit rating years later

When CNA approves your wheelchair but it is repossessed due to non payment

When a US DOL ALJ signs a useless order requiring CNA or AIG to pay your past medical bills and they boldly defy the order

Your credit has been irreparably damaged and it is you that must bear the extreme cost of their abuse, never the insurance company or those that help them get away with this

By Carla K Johnson AP  March 4, 2012

CHICAGO (AP) — Mike and Laura Park thought their credit record was spotless. The Texas couple wanted to take advantage of low interest rates, so they put their house on the market and talked to a lender about a mortgage on a bigger home in the Dallas-Fort Worth suburbs.

Their credit report contained a shocker: A $200 medical bill had been sent to a collection agency. Although since paid, it still lowered their credit scores by about 100 points, and it means they’ll have to pay a discount point to get the best interest rate. Cost to them: $2,500.

A growing number of Americans could encounter similar landmines when they refinance or take out a loan. The Commonwealth Fund, a private foundation that sponsors health care research, estimates that 22 million Americans were contacted by collection agencies for unpaid medical bills in 2005. That increased to 30 million Americans in 2010.

Surprisingly, even after the bills have been paid off, the record of the collection action can stay on a credit report for up to seven years, dragging down credit scores and driving up the cost of financing a home. An estimated 3.4 million Americans have paid-off medical debt lingering on their credit reports, according to the Access Project, a research group funded by health care foundations and advocates of tougher laws on medical debt collectors.

Among them are Nathen and Melissa Cobb of Riverton, Ill., who tried to refinance their home last year. They didn’t qualify for the loan because of $740 in medical bills that had been sent to a collection agency. The Cobbs were surprised because the bills — nearly a dozen small copayments ranging from $6 to $280 — had been paid before they tried to refinance. The collection action took their credit score from good to mediocre and is likely to mar their credit report for years.

“I’m not one of those people trying to ditch out on my bills,” 34-year-old Melissa Cobb said. “I’m really frustrated.”

Medical bills make up the majority of collection actions on credit reports, and most are for less than $250, according to Federal Reserve Board research.

Please see the original and read more here

Appointment of Miranda Chiu DIRECTOR, DLHWC

This news release at the DoL’s website is NOT dated but this was a recent appointment though she has been in the position for nearly a year now.

Miranda Chiu  is much appreciated by the Defense Attorneys

Dropping the DBA Ball

She did not even implement her own policies, regulations, and procedures

Looks like DBA Claimants are in for a lot more of the same bias in favor of the insurance companies if the last nine years serve as an indicator

The Office of Workers’ Comp Programs announces the appointment of Ms. Miranda Chiu as the Director of the Division of Longshore and Harbor Workers’ Compensation. Ms. Chiu has served as Acting Director of the Longshore Division for the last eight months, and as the Division’s Chief of the Branch of Policies, Regulations and Procedures for eight years before that.

Ms. Chiu has extensive experience in Longshore claims. She worked in various capacities in the Longshore arena for thirty years, beginning as a Claims Examiner in the San Francisco Longshore district office, then as a maritime claims supervisor in private industry and a legal assistant at a major Longshore law firm, before taking on her duties as Branch Chief in 2002.

Ms. Chiu holds a Masters Degree in Comparative Literature, and has published a lead article in ‘The Longshore Textbook’, 2nd and 3rd Editions. She is a frequent speaker at industry seminars and educational events and has won numerous awards for her work at the Department of Labor

Department of Labor District Offices Dead in the Water