IN THE CASE OF: BOARD DATE: 10 August 2023 DOCKET NUMBER: AR20230000528 APPLICANT REQUESTS: in effect, a physical disability discharge. APPLICANT'S SUPPORTING DOCUMENT(S) CONSIDERED BY THE BOARD: DD Form 149 (Application for Correction of Military Record) FACTS: 1. The applicant did not file within the 3-year time frame provided in Title 10, U.S. Code, section 1552(b); however, the Army Board for Correction of Military Records (ABCMR) conducted a substantive review of this case and determined it is in the interest of justice to excuse the applicant's failure to timely file. 2. The applicant states he wants his DD Form 214 (Report of Separation from Active Duty) to reflect a disability that occurred in 1979. His time during service wasn’t acknowledged. He asks the Board to honor the decision of 29 November 2021. A doctor at Fort Campbell, KY, told him he would receive an honorable disability discharge. 3. The applicant underwent a medical examination on 24 January 1979 for enlistment in the Regular Army. His Standard Form (SF) 88 (Report of Medical Examination) shows he had a history of umbilical hernia, and existing cerumen, bilateral and pes planus. His existing defects were found acceptable for enlistment, and he was assigned a physical profile of 111111. A physical profile, as reflected on a DA Form 3349 (Physical Profile) or DD Form 2808, is derived using six body systems: "P" = physical capacity or stamina; "U" = upper extremities; "L" = lower extremities; "H" = hearing; "E" = eyes; and "S" = psychiatric (abbreviated as PULHES). Each body system has a numerical designation: 1 meaning a high level of fitness; 2 indicates some activity limitations are warranted, 3 reflects significant limitations, and 4 reflects one or more medical conditions of such a severity that performance of military duties must be drastically limited. Physical profile ratings can be either permanent or temporary. 4. The applicant enlisted in the United States Army Reserve on 24 January 1979 for a period of 6 years in the delayed entry program (DEP). He was discharged from the DEP enlisting in the Regular Army for a period of 3 years on 28 January 1979. 5. Enlistment/Travel Order Number 021-07 shows the applicant entered active service on 29 January 1979 at Fort Jackson, SC. 6. The applicant received a letter of commendation on 13 March 1979 achieving a perfect score in automatic rifle marksmanship. 7. The applicant was transferred to Fort Benning, GA for additional training. On 20 April 1979, he was awarded military occupational specialty (MOS) 11B (infantryman). 8. A DA Form 3082 (Statement of Medical Condition), dated 15 May 1979, shows the applicant indicated there had been no change to his medical condition since his last separation examination. 9. A DA Form 4707, dated 23 May 1979, shows after careful consideration of medical records, laboratory findings, and medical examination. the board finds that the service member was medically unfit for appointment or enlistment in accordance with current medical fitness standards and in the opinion of the evaluating physicians the condition(s) existed prior to service. The member has the following medical conditions and/or physical defects (brief narrative summary): a. General Statement of Health: This 18-year-old male entered active duty at Fort Benning, Georgia in January 1979. Prior to his entrance on active duty, he had experienced difficulty with severe flat feet which prevented him from participating in physical activities requiring a moderate amount of walking and/or running. On his entrance physical examination, Standard Form 88, dated 24 January 1979, a notation was made of his flat feet. While undergoing basic training at Fort Benning, Georgia, the patient experienced great pain in his feet and reported to the Podiatry Clinic where he was examined and fitted with accommodative arch supports. The patient presented to the Podiatry Clinic at Fort Campbell, Kentucky on 15 May 1979 with a chief complaint of extremely painful bilateral flat feet. An examination on that date revealed marked pes planus with a total collapse of the medial arch and prominent bulging of the navicular bilaterally. Radiographs confirmed the presence of severe pes planus. Further examination of the individual indicated he was having great difficulty running, marching, or standing for prolonged periods of time. b. Current Clinical & Laboratory Findings: The patient is in apparently good health with the exception of the bilateral flat feet. Complete blood count, urinalysis, chest x-ray were within normal limits. Weigh bearing radiographs of the feet demonstrated marked pes planus, a decreased calcaneal inclination angle and an anterior breach of the cyma line. The patient experiences marked tenderness on palpation at the level of the metatarsal phalangeal joints at the insertion of the plantar fascia. c. Present Condition: This 18-year-old male with severe pes planus is experiencing great difficulty running, marching, or standing for prolonged periods. The signs and symptoms are related to a condition of both feet which have existed for many years prior to entrance on active duty. d. The applicant was diagnosed with severe pes planus, bilaterally (flat feet) and assigned a profile of 113111 with limitations on running, marching, and jumping. He was found unfit for enlistment in accordance with AR 40-501, paragraph 2-10b(5). e. The findings were approved and the applicant concurred with the proceedings and requested to be discharged without delay. 10. A DA Form 664 (Service Member’s Statement Concerning Application for Compensation from the Veterans Administration), dated 12 June 1979, shows the applicant filed an application for such compensation on VA Form 21-526e. 11. The applicant was honorably discharged on 13 June 1979 under the provisions of AR 635-200, paragraph 5-7. His DD Form 214 shows he was credited 4 months and 15 days of net active service this period. 12. The Army rates only conditions determined to be physically unfitting at the time of discharge, which disqualify the Soldier from further military service. The Army disability rating is to compensate the individual for the loss of a military career. The VA does not have authority or responsibility for determining physical fitness for military service. The VA may compensate the individual for loss of civilian employability. 13. Title 38, U.S. Code, Sections 1110 and 1131, permit the VA to award compensation for disabilities which were incurred in or aggravated by active military service. However, an award of a VA rating does not establish an error or injustice on the part of the Army. 14. Title 38, CFR, Part IV is the VA’s schedule for rating disabilities. The VA awards disability ratings to veterans for service-connected conditions, including those conditions detected after discharge. As a result, the VA, operating under different policies, may award a disability rating where the Army did not find the member to be unfit to perform his duties. Unlike the Army, the VA can evaluate a veteran throughout his or her lifetime, adjusting the percentage of disability based upon that agency's examinations and findings. 15. MEDICAL REVIEW: a. The Army Review Boards Agency (ARBA) Medical Advisor was asked to review this case. Documentation reviewed included the applicant’s ABCMR application and accompanying documentation, the military electronic medical record (AHLTA), the VA electronic medical record (JLV), the electronic Physical Evaluation Board (ePEB), the Medical Electronic Data Care History and Readiness Tracking (MEDCHART) application, and/or the Interactive Personnel Electronic Records Management System (iPERMS). The ARBA Medical Advisor made the following findings and recommendations: b. The applicant is applying to the ABCMR requesting, in essence, a referral to the disability evaluation system. He states: “I humbly ask that my DD-214 by amended / edited to reflect a disability problem that occurred in the year of 1979. My time during service wasn’t acknowledged. My discharge should have included a Disabled Vet. I ask that you honor the decision of 11/29/2022 from a decision that was rendered on or before that date.” c. The Record of Proceedings details the applicant’s military service and the circumstances of the case. His DD 214 for the period of Service under consideration shows he entered the Regular Army on 29 January 1979 and was honorably discharged on 13 June 1979 under authority provided by paragraph 5-7 of AR 635-200, Personnel Separations – Enlisted Personnel (1 March 1978): Separation of personnel who did not meet procurement medical fitness standards. d. The applicant’s pre-entrance Report of Medical Examination notes the applicant to have been in good health and was qualified for enlistment but that he did have bilateral pes planus [aka flat feet”. e. The applicant was referred to an Entrance Physical Standards Board (EPSBD) for bilateral foot pain IAW paragraph 5-11 of AR 635-200. EPSBDs are convened IAW paragraph 7-12 of AR 40-400, Patient Administration. This process is for enlisted Soldiers who within their first 6 months of active service are found to have a preexisting condition which does not meet the enlistment standard in chapter 2 of AR 40-501, Standards of Medical Fitness, but does meet the chapter 3 retention standard of the same regulation. The fourth criterion for this process is that the preexisting condition was not permanently aggravated by their military service. f. From the 22 May 1979 Entrance Physical Standards Board (EPSBD) Proceedings (DA Form 4707): “General Statement of Health: This 18-year-old black male entered active duty at Fort Benning, Georgia in January 1979. Prior to his entrance on active duty, he had experienced difficulty with severe flat feet which prevented him from participating in physical activities requiring a moderate amount of walking and/or running. On his entrance physical examination, Standard Form 88, dated 24 January 1979, a notation was made of his flat feet. While undergoing basic training at Fort Benning, Georgia, the patient experienced great pain in his feet and reported to the Podiatry Clinic where he was examined and fitted with accommodative arch supports. The patient presented to the Podiatry Clinic at Fort Campbell, Kentucky on 15 May 1979 with a chief complaint of extremely painful bilateral flat feet. An examination on that date revealed marked pes planus with a total collapse of the medial arch and prominent bulging of the navicular bilaterally. Radiographs confirmed the presence of severe pes planus. Further examination of the individual indicated he was having great difficulty running, marching or standing for prolonged periods of time. Current Clinical & Laboratory Findings: … Weight bearing radiographs of the feet demonstrated marked pes planus, a decreased calcaneal inclination angle and an anterior breach of the cyma line. The patient experiences marked tenderness on palpation at the level of the metatarsal phalangeal joints at the insertion of the plantar fascia. Present Condition: This 18-year-old male with severe pes planus is experiencing great difficulty running, marching, or standing for prolonged periods. The signs and symptoms are related to a condition of both feet which have existed for many years prior entrance on active duty Diagnosis: Severe pes planus bilaterally (medically unfit for enlistment IAW Par 2-10b(5), AR 40-501.” g. Paragraph 2-10b(5) of AR 40-501 (27 May 1976) states “Flatfoot, pronounced cases, with decided eversion of the foot and marked bulging of the inner border, due to inward rotation of the astragalus {talus}, regardless of the presence or absence of symptoms” is a cause for rejection for appointment, enlistment, and induction. h. On 24 May 1979, the board determined his medical condition had existed prior to service, had not been permanently aggravated by his military service, did not meet one or more medical enlistment/induction standards, and was not compatible with continued military service. The applicant agreed with the board’s findings on 24 May 1979, marking the election “I concur with these proceedings and request to be discharged from the US Army without delay.” i. Review of his records in JLV shows he has three service-connected VA service- connected disabilities, including one for “Flat Foot Condition.” However, the DES only compensates an individual for service incurred medical condition(s) which have been determined to disqualify him or her from further military service. The DES has neither the role nor the authority to compensate service members for anticipated future severity or potential complications of conditions which were incurred or permanently aggravated during their military service. These roles and authorities are granted by Congress to the Department of Veterans Affairs and executed under a different set of laws. j. It is the opinion of the ARBA Medical Advisor that a referral of his case to the Disability Evaluation System is unwarranted. BOARD DISCUSSION: The Board carefully considered the applicant's request, supporting documents, evidence in the records, a medical review, and published Department of Defense guidance for liberal consideration of requests for changes to discharges. 2. The Board concurred with the conclusion of the ARBA Medical Advisor that the evidence confirms the applicant was properly discharged based on a condition that did not meet enlistment/induction standards. The Board found no evidence that would support a different reason for the applicant’s discharge. Based on a preponderance of the evidence, the Board found the reason for the applicant’s discharge was not in error or unjust. BOARD VOTE: Mbr 1 Mbr 2 Mbr 3 : : : GRANT FULL RELIEF : : : GRANT PARTIAL RELIEF : : : GRANT FORMAL HEARING :xx :xx :xx DENY APPLICATION ? BOARD DETERMINATION/RECOMMENDATION: The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned. I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case. REFERENCES: 1. Title 10, U.S. Code, section 1552(b), provides that applications for correction of military records must be filed within 3 years after discovery of the alleged error or injustice. This provision of law also allows the ABCMR to excuse an applicant's failure to timely file within the 3-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so. 2. Army Regulation (AR) 635-200 (Personnel Separations – Enlisted Personnel), in effect at the time, set forth the basic authority for the separation of enlisted personnel. Chapter 5 sets forth the conditions under which enlisted personnel may be discharged, released from active duty or active duty for training, or released from military control, for the convenience of the Government with service characterization as honorable or under honorable conditions. b. Paragraph 5-7 states members who were not medically qualified under procurement medical fitness standards when accepted initial enlistment will be will be separated when medical proceedings, regardless of the date completed, establishes that a medical condition was identified by appropriate military medical authority within 4 months of the member's initial entrance on active duty or active duty for training under the Reserve Enlistment Program of 1963. 3. Title 10, USC, chapter 61, provides the Secretaries of the Military Departments with authority to retire or discharge a member if they find the member unfit to perform military duties because of physical disability. The U.S. Army Physical Disability Agency is responsible for administering the Army physical disability evaluation system and executes Secretary of the Army decision-making authority as directed by Congress in chapter 61 and in accordance with DOD Directive 1332.18 and Army Regulation 635-40 (Physical Evaluation for Retention, Retirement, or Separation). a. Soldiers are referred to the disability system when they no longer meet medical retention standards in accordance with Army Regulation 40-501 (Standards of Medical Fitness), chapter 3, as evidenced in an MEB; when they receive a permanent medical profile rating of 3 or 4 in any factor and are referred by an MOS Medical Retention Board; and/or they are command-referred for a fitness-for-duty medical examination. b. The disability evaluation assessment process involves two distinct stages: the MEB and PEB. The purpose of the MEB is to determine whether the service member's injury or illness is severe enough to compromise his/her ability to return to full duty based on the job specialty designation of the branch of service. A PEB is an administrative body possessing the authority to determine whether or not a service member is fit for duty. A designation of "unfit for duty" is required before an individual can be separated from the military because of an injury or medical condition. Service members who are determined to be unfit for duty due to disability either are separated from the military or are permanently retired, depending on the severity of the disability and length of military service. Individuals who are "separated" receive a one-time severance payment, while veterans who retire based upon disability receive monthly military retired pay and have access to all other benefits afforded to military retirees. c. The mere presence of a medical impairment does not in and of itself justify a finding of unfitness. In each case, it is necessary to compare the nature and degree of physical disability present with the requirements of the duties the Soldier may reasonably be expected to perform because of his or her office, grade, rank, or rating. Reasonable performance of the preponderance of duties will invariably result in a finding of fitness for continued duty. A Soldier is physically unfit when a medical impairment prevents reasonable performance of the duties required of the Soldier's office, grade, rank, or rating. 4. Title 38 USC, section 1110 (General - Basic Entitlement) states for disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during a period of war, the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter, but no compensation shall be paid if the disability is a result of the veteran's own willful misconduct or abuse of alcohol or drugs. 5. Title 38 USC, section 1131 (Peacetime Disability Compensation - Basic Entitlement) states for disability resulting from personal injury suffered or disease contracted in line of duty, or for aggravation of a preexisting injury suffered or disease contracted in line of duty, in the active military, naval, or air service, during other than a period of war, the United States will pay to any veteran thus disabled and who was discharged or released under conditions other than dishonorable from the period of service in which said injury or disease was incurred, or preexisting injury or disease was aggravated, compensation as provided in this subchapter, but no compensation shall be paid if the disability is a result of the veteran's own willful misconduct or abuse of alcohol or drugs. 6. AR 635-40 (Physical Evaluation for Retention, Retirement, or Separation) establishes the Army Disability Evaluation System and sets forth policies, responsibilities, and procedures that apply in determining whether a Soldier is unfit because of physical disability to reasonably perform the duties of his office, grade, rank, or rating. Only the unfitting conditions or defects and those which contribute to unfitness will be considered in arriving at the rated degree of incapacity warranting retirement or separation for disability. Once a determination of physical unfitness is made, all disabilities are rated using the Department of Veterans Affairs Schedule for Rating Disabilities (VASRD). a. Disability compensation is not an entitlement acquired by reason of service- incurred illness or injury; rather, it is provided to Soldiers whose service is interrupted and who can no longer continue to reasonably perform because of a physical disability incurred or aggravated in military service. b. Soldiers who sustain or aggravate physically-unfitting disabilities must meet the following line-of-duty criteria to be eligible to receive retirement and severance pay benefits: (1) The disability must have been incurred or aggravated while the Soldier was entitled to basic pay or as the proximate cause of performing active duty or inactive duty training. (2) The disability must not have resulted from the Soldier's intentional misconduct or willful neglect and must not have been incurred during a period of unauthorized absence. 7. AR 40-501 (Standards of Medical Fitness) governs medical fitness standards for enlistment, induction, appointment (including officer procurement programs), retention, and separation (including retirement). The Department of Veterans Affairs Schedule for Rating Disabilities (VASRD). VASRD is used by the Army and the VA as part of the process of adjudicating disability claims. It is a guide for evaluating the severity of disabilities resulting from all types of diseases and injuries encountered as a result of or incident to military service. This degree of severity is expressed as a percentage rating which determines the amount of monthly compensation. 8. Section 1556 of Title 10, USC, requires the Secretary of the Army to ensure that an applicant seeking corrective action by the Army Review Boards Agency (ARBA) be provided with a copy of any correspondence and communications (including summaries of verbal communications) to or from the Agency with anyone outside the Agency that directly pertains to or has material effect on the applicant's case, except as authorized by statute. ARBA medical advisory opinions and reviews are authored by ARBA civilian and military medical and behavioral health professionals and are therefore internal agency work product. Accordingly, ARBA does not routinely provide copies of ARBA Medical Office recommendations, opinions (including advisory opinions), and reviews to Army Board for Correction of Military Records applicants (and/or their counsel) prior to adjudication. //NOTHING FOLLOWS// ABCMR Record of Proceedings (cont) AR20230000528 1 ARMY BOARD FOR CORRECTION OF MILITARY RECORDS RECORD OF PROCEEDINGS 1