How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay
How Social Security rates your ability to do things will determine how your case is decided
When you apply for disability, SSA gathers your medical records and determines how limited you are in your ability to perform normally daily activities. When it comes to physical capacity, they look at a wide variety of functions (here, we are referring to just physical limitations, but there is a separate process for evaluating mental limitations also), but it always comes down to a rating of sedentary, light, or medium.
To simplify things a bit, if you get a sedentary RFC, it means SSA thinks you can do sedentary work but nothing more than that. If you get a light RFC, it means that SSA thinks you can do light work, but nothing more than that. If you get a medium RFC, it means that SSA thinks you can do medium work but nothing more than that.
Obviously, it will be in the person's best interests to have the most restrictive RFC possible because with more restrictions you are considered to have less of a realistic chance of being able to work. That is why a light RFC makes a case stronger than a medium RFC. A sedentary RFC makes a case stronger than either a light or medium RFC.
A medium RFC means that Social Security believes that the person has the capability of lifing 25 lbs frequently and 50 lbs occasionally. That determination can be made by a judge at a hearing, or if the case is at the application level or reconsideration appeal level, it can be made by a disability examiner.
Now, on the subject of a medium RFC, I have a gripe.
I said a long time ago that doctors who work on SSD and SSI disability cases at disability determination services should be required to have a 50 lb dumbbell beside their desk. Why? To let them know what fifty pounds really is. Because, honestly, I don't think most of them know how much stress having to lift fifty lbs occasionally as part of one's job duties (a medium RFC entails lifting 25 lbs frequently and 50 lbs occasionally) actually puts on the body.
A lot of them, I'm sure, would have trouble picking up a 50 pounder even once. And I am fairly certain this would affect how often they dole out medium RFC ratings to claimants with significant back problems such as lumbar degenerative disc disease.
Think about it. You can't really feel someone else's pain. No matter how much you hear their expression of it. In fact, it's a psychological phenomenon that the more we hear someone's complaints of pain and discomfort, the more desensitized we become to them.
So, what does this mean for the disability evaluation system? Well, doctors who routinely see patients with painful conditions for which the treatment options are either limited or exhausted tend to become "distanced" (back pain, fibromyalgia, etc). But, also, (in my opinion), disability examiners who tend to be younger individuals probably have less empathy toward many conditions simply because, as a group, their average age precludes having experienced a lot of pain and impairment.
Some may object to my inference that the disability system is less than objective. But it is a very subjective system, despite the blue book and the grid. If it wasn't then there wouldn't be this huge chasm of disconnect between cases that are denied at the reconsideration level and cases that are later approved at a disability hearing.
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Tips for getting Social Security Disability or SSI benefits approved
What medical conditions will get you approved for disability?
What kind of Mental Problems Qualify for Disability?
Receiving a Disability Award Letter
Conditions Social Security will recognize as a disability
Previously answered questions regarding SSD and SSI
Applying for disability in your state
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Social Security Disability SSI Questions
The listings, list of disabling impairments
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Disability Lawyers prevent unnecessary denials
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How to apply for disability for a child or children
Filing a Social Security Disability SSI application
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How to apply for disability - where to apply
Qualifications for disability benefits
How to Prove you are disabled and Win your Disability Benefits
Qualifying for Disability - The Process
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Getting disability for fibromyalgia
SSI disability for children with ADHD
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Social Security Disability hearing decision time
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Disability examiners make medical decisions on SSD and SSI claims
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These pages provide answers to basic questions about pursuing disability benefits
What Mental Problems Qualify for Disability?
Disability for a mental condition
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Checklist for filing for disability, SSI or SSD
Qualifying for disability benefits, how to qualify for SSD or SSI
Filing a disability application: the steps
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How to Apply for Disability - Where do I go?
What makes you eligible to get disability?
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Can a disability attorney speed up a disability case?
SSI disability Award Letter
How long to get approved for disability?
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What are qualifications for getting disability?
What medical conditions can you file disability for?
Disability Lawyer help questions
Social Security Attorneys, Disability Representatives
For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.
The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.
To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.