RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2012-03004 COUNSEL: NONE HEARING DESIRED: NO ________________________________________________________________ APPLICANT REQUESTS THAT: Her assignment to the Retired Reserve Section and placement on the Air Force Reserve Retired List be set aside and she be given a medical retirement, with all benefits effective immediately. _______________________________________________________________ APPLICANT CONTENDS THAT: The Informal Physical Evaluation Board (IPEB) only determined that she suffered from Metatarsalgia. They failed to properly evaluate neuropathy which stemmed from lower back problems she suffered since 1979 when she was active duty in the Army. The Department of Veteran Affairs (DVA) gave her a 80 percent service connected disability rating. The applicant's complete submission, with attachments, is at Exhibit A. _______________________________________________________________ STATEMENT OF FACTS: The applicant was placed on the Air Force Reserve Retired List effective 28 Apr 2012, eligible for retired pay at age 60, in the grade of technical sergeant (E-6). The remaining relevant facts pertaining to this application are contained in the letter prepared by the appropriate office of the Air Force at Exhibit C. Accordingly, there is no need to recite these facts in this Record of Proceedings. _______________________________________________________________ AIR FORCE EVALUATION: The BCMR Medical Consultant recommends denial. The Medical Consultant opines that the applicant has not met the burden of proof of error or injustice that warrants the desired change of the record. After reviewing her medical records the Medical Consultant notes numerous temporary profiles and duty limitations throughout the years for various issues. The one constant factor appears to be her Metatarsalgia. The applicant was able to perform the duties of her office, grade, rank or rating through-out the years in the services (Army, Air Force, and Navy). However, through natural progression, the Metatarsalgia ultimately progressed to a painful condition requiring surgery. The applicant received a Fitness only evaluation from the IPEB; however, she declined a Formal Physical Evaluation Board (FPEB), where she could have appealed for a possible compensable disability within the military Disability Evaluation System (DES). Addressing her desire for a medical retirement, the military DES, established to maintain a fit and vital fighting force, can by law, under Title 10, United States Code (U.S.C.), only offer compensation for those service incurred diseases or injuries which specifically rendered a member unfit for continued active service and were the cause for career termination; and then only for the degree of impairment present at the time of separation and not based on future occurrences. The Medical Consultant opines even if she had presented to the FPEB she would not have meet the rating threshold for a medical retirement. On 24 Feb 2012, the DVA performed a comprehensive disability evaluation and she was awarded a disability rating of 80 percent. However, it should be noted the DVA gave her a 10 percent disability rating for Bilateral Pes Planus, Veterans Affairs Schedule for Rating Disabilities (VASRD) Code 5276, which is comparable to VASRD code 5279 Metatarsalgia given by the IPEB. In the case under review, the IPEB found the applicant unfit to perform the duties of her office grade, rank or rating only for the diagnosis of Metatarsalgia, VASRD Code 5279. Based upon the supplied Service medical evidence, the Medical Consultant found no other medical conditions that established, or should have, a cause and effect relationship with the termination of her service or as an additional reason for her release from military service. Although she was evaluated and treated for a number of other episodic illnesses or injuries during her military service none were shown to have interfered with her military service to the extent or duration that warranted a separate basis for medical disqualification or for consideration of placement on Medical Hold for a Medical Evaluation Board and further processing through the military DES under AFI 36-3212, Physical Evaluation for Retention, Retirement, and Separation. Operating under a different set of laws (Title 38, U.S.C.}, with a different purpose, the DVA is authorized to offer compensation for any medical condition with an established nexus with military service, without regard to [and independent of] its demonstrated or proven impact upon a service member's retainability, fitness to serve, or the narrative reason for release from military service. With this in mind, Title 38, U.S.C., which governs the DVA compensation system, was written to allow awarding compensation ratings for conditions that were not proven unfitting for military service at the time of separation. This is the reason why an individual can be found fit for release from military service for one reason and yet sometime thereafter receive a compensation rating from the DVA for service-connected, but militarily non-unfitting medical conditions. The complete BCMR Medical Consultant’s evaluation is at Exhibit C. _______________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: A copy of the Air Force evaluation was forwarded to the applicant on 26 Mar 2013 for review and comment within 30 days. As of this date, this office has received no response (Exhibit D). _______________________________________________________________ THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was not timely filed; however, it is in the interest of justice to excuse the failure to timely file. 3. Insufficient relevant evidence has been presented to demonstrate the existence of error or injustice. We took notice of the applicant's complete submission in judging the merits of the case; however, we agree with the opinion and recommendation of the BCMR Medical Consultant and adopt his rationale as the basis for our conclusion the applicant has not been the victim of an error or injustice. Therefore, in the absence of evidence to the contrary, we find no basis to recommend granting the relief sought in this application. _______________________________________________________________ THE BOARD DETERMINES THAT: The applicant be notified that the evidence presented did not demonstrate the existence of material error or injustice; that the application was denied without a personal appearance; and that the application will only be reconsidered upon the submission of newly discovered relevant evidence not considered with this application. _______________________________________________________________ The following members of the Board considered this application in Executive Session on 30 Apr 2013, under the provisions of AFI 36-2603: Panel Chair Member Member The following documentary evidence was considered in AFBCMR BC- 2012-03004: Exhibit A. DD Form 149, dated 3 Jul 2012, w/atchs. Exhibit B. Applicant’s Master Personnel Records. Exhibit C. Letter, BCMR Medical Consultant, dated 18 Mar 2013. Exhibit D. Letter, SAF/MRBC, dated 26 Mar 2013.