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No.

377 August 15, 2000

Facilitating Fraud
How SSDI Gives Benefits to the Able Bodied
by James M. Taylor

Executive Summary

Policymakers bickering over how to “save Social when passing out benefits. For example, SSA offi-
Security” often turn to remedies like costly tax hikes cials frequently award full SSDI benefits to per-
or painful cuts in retirement benefits. While Social sons who pursue disability discrimination claims
Security in its present form will go bankrupt long under the Americans with Disabilities Act.
before today’s young workers retire, policymakers are However, to assert an ADA claim, a plaintiff must
ignoring one way in which the system spends more argue that he is fully capable of performing a
than it should. The Social Security Administration is desired job. How can a person be simultaneously
currently handing out a flood of benefits under the able and unable to work? Worse yet, in many cases
Social Security Disability Insurance program to per- SSA awards SSDI benefits to persons whose ADA
sons who are not disabled and thus have no legiti- claims were dismissed precisely because the per-
mate reason to receive those benefits. sons were not disabled, even under the ADA’s more
SSDI was established as a source of income for lenient definition of “disability.”
persons who are so severely disabled that they cannot Despite very strict SSDI eligibility standards, SSA
perform any meaningful work that exists in the has opened the floodgates to innumerable, profli-
national economy. The program, which allocates gate benefit awards. For example, SSA is currently
funds directly from Social Security general revenues, paying a medical doctor to remain at home simply
was never intended to be as broad and expensive as it because he prefers administrative work, which he can
is today. Yet current SSDI payments account for 14 perform with very minor difficulty, to treating
percent of all Social Security distributions. In 1999 patients, which he can perform with no difficulty at
alone, SSDI handed out a staggering $57 billion in all. This and numerous other cases documented in
disability benefits. Further, the federal government this study demonstrate how persons who have very
maintains dozens of programs that raise the amount minor impairments and who would have little or no
handed to persons with various degrees of disability difficulty remaining in the workforce are neverthe-
to an annual grand total of $110 billion. less collecting billions of dollars in SSDI benefits
A review of SSDI cases and a look at SSDI sta- each year. To slow the drain of Social Security funds,
tistics show a clear pattern of SSA officials’ turning policymakers must stop abuses of SSDI that are
a blind eye to all standards and common sense facilitated by SSA itself.
_____________________________________________________________________________________________________

James M. Taylor is managing editor of Accommodating Disabilities Business Management Guide,


published by CCH Incorporated. The views expressed here are those of the author and do not necessarily
reflect the position of CCH Incorporated.
The meaningful- any full-time job. A mere difficulty in obtain-
work standard is Language and Purpose ing work does not entitle a person to SSDI
meant to reserve of SSDI benefits. In addition, persons who are simply
unable to perform their previous or preferred
SSDI benefits for In 1999 persons with disabilities, includ- work because of a disability, but are still able
ing those with only minor impairments, col- to perform work in other professions, are not
those who are lected some $110 billion in benefits that the eligible for SSDI benefits. As stated in SSA
completely inca- federal government disbursed through a vari- guidelines, “Some programs may pay for par-
pable of working ety of programs.1 Recognizing that some per- tial disability or for short-term disability.
sons have disabilities that are more severe Social Security does not. Disability under
in virtually any than those of others, the federal government Social Security is based on your inability to
full-time job. reserves the Social Security Disability work. You will be considered disabled if you
Insurance program exclusively for those per- are unable to do any kind of work for which
sons with handicaps so severe that they are you are suited. . . .”6 The strict SSDI qualifi-
totally incapable of performing any type of cation standards are understandable.
meaningful work. SSDI benefits are funded Although the federal government distributes
solely through Social Security taxes and dis- $110 billion annually through a plethora of
tributed directly from Social Security general disability programs, SSDI benefits are
funds.2 The Social Security Administration reserved for only those individuals with the
estimates that in 1999 alone it paid out $57 most severe disabilities.7
billion in direct benefits, 14 percent of all
SSA annual disbursements, to persons claim-
ing to have such severe disabilities.3 Yet an Applicant and Agency
examination of the facts surrounding Procedures
numerous individual SSDI awards clearly
demonstrates that the system is riddled with When applying for SSDI benefits, each
fraud, waste, and abuse. The most disturbing claimant must present contact information
aspect of this abuse is the willingness of SSA and medical records from his doctors, thera-
itself to permit persons to tap into SSDI pists, hospitals, clinics, and caseworkers.8
despite their undeniable ability to work. These entities are required to provide all rele-
The Social Security Act of 1935 estab- vant information, including information that
lished more than just a retirement program casts doubt on the claimant’s SSDI eligibility.9
for American workers. It also set up the SSDI The claimant is also required to provide the
program to provide benefits for persons with names of all employers and job duties during
the most severe disabilities.4 To qualify for the previous 15 years.1 0 Each claimant is
SSDI benefits, a person must have a medical required to document his work history, specif-
condition of such objective and unvarying ically in relation to his asserted disability.
severity that it is expected to result either in From the above information, SSA deter-
death or in severe functional limitations that mines if there is sufficient medical evidence
last for a period of years and preclude the per- to award SSDI benefits. SSA retains the
son from performing his previous work or power to request further medical or nonmed-
“any other kind of substantial gainful work ical information relevant to the claim to sup-
which exists in the national economy, regard- plement insufficient medical information,
less of whether such work exists in the imme- resolve conflicting medical opinions, or veri-
diate area in which he lives or whether a spe- fy questionable assertions. Moreover, SSA
cific job vacancy exists for him.”5 may require the claimant to undergo an inde-
The meaningful-work standard is meant pendent medical examination.1 1
to reserve SSDI benefits for those who are SSA has access to all relevant medical and
completely incapable of working in virtually work information through the above proce-

2
dures, as well as the means to contact physi- Social Security funds. As a result, Social
cians and employers to verify each claimant’s Security resources, intended to provide for
actual medical condition and the true reason the most severely disabled Americans who
the claimant is no longer employed. Accord- genuinely cannot work, are limited and dwin-
ingly, SSA has had actual or constructive dling. Moreover, the payment of billions of
knowledge of all the facts in the cases docu- Social Security dollars annually to persons
mented below. with only minor impairments wastes money
SSA has developed a five-step evaluation meant for retirement and pushes the system
process to determine whether an individual more quickly toward bankruptcy.
qualifies for SSDI benefits.12 At step one SSA
determines whether the individual is engaged The ADA Perspective
in “substantial gainful activity.” If he is, bene- A principle reason that the abuses of SSDI
fits are denied. If he is not, at step two SSA have heretofore not come to light is that SSA
determines whether the individual has a med- does not release information on individual
ically severe impairment. According to the awards, and few SSDI recipients have any
SSDI guidelines, “If you do not have any incentive to release the information them-
impairment . . . which significantly limits selves. Those few SSDI cases that come to
your physical or mental ability to do basic public attention usually involve claimants Despite the clear
work activities, we will find you . . . are, who also file lawsuits under the Americans language and the
therefore, not disabled.”13 If the individual can with Disabilities Act or other disability dis-
still be classed as disabled, at step three SSA crimination laws. Accordingly, the cases dis-
compelling pur-
determines whether the impairment is equiva- cussed below, which were brought to light pose behind the
lent to one on a list of disabilities considered so through disability discrimination suits, rep- strict SSDI eligi-
severe that they define the individual as dis- resent an extremely small sampling of the
abled and qualified for SSDI. If the impairment abuse that occurs in the system. bility standards,
is not one of those listed or an equivalent, at In most of the cases, a federal judge was SSA has been
step four SSA determines whether the individ- charged with determining whether the allowing persons
ual can perform his past work. If he can, he is claimant had a qualifying “disability” under
not disabled under SSDI. If he cannot perform the ADA. The tests for determining whether with minor or
his past work, at step five SSA asks if he can per- a person is “disabled” under the ADA are far nonexistent dis-
form any other work in the economy, in view of more lenient than those used to determine if
his age, education, and work experience. If he a person is qualified for SSDI benefits. A per-
abilities to collect
can, he is not disabled under SSDI. If he cannot, son is “disabled” under the ADA if he is sub- SSDI benefits.
then he is granted SSDI. stantially limited in any major life activity. A
person claiming to be substantially limited in
the major life activity of working need show
Evidence of Rampant Abuse only that he is precluded from a “broad
range” of jobs. But a person may be preclud-
Despite the clear language and the com- ed from a broad range of jobs and still be per-
pelling purpose behind the strict SSDI eligi- fectly capable of performing his current job
bility standards, SSA has been allowing per- or many other jobs available to him. To qual-
sons with minor or nonexistent disabilities to ify for SSDI benefits, however, a person must
collect SSDI benefits. Whether motivated by be so severely disabled as to be completely
misguided altruism, political expediency, or unable to perform any substantial gainful
bureaucratic indifference, SSA flagrantly dis- work that is reasonably available anywhere in
regards both the language and the spirit of the national economy.
the SSDI program. SSA has effectively evaded Accordingly, a person may be disabled
any meaningful third-party supervision and under the ADA but still fall well short of
has become the fox guarding the hen house of qualifying for SSDI benefits. Moreover, if a

3
person is not disabled even under the lenient flict of simultaneously claiming benefits
ADA standard, then, by any definition meant under SSDI and the ADA is not merely a mat-
to reflect the actual situation, that person ter of negligence; it is a matter of policy that
cannot be so severely disabled as to qualify SSA has openly fought for all the way to the
for benefits under the stricter SSDI standard. U.S. Supreme Court. In the 1999 case of
Nevertheless, in a majority of the following Carolyn C. Cleveland v. Policy Management
cases, SSA granted the claimant full SSDI Systems Corporation, an individual applied for
benefits even after a federal court ruled that and received SSDI benefits on the basis of her
the claimant did not meet even the ADA’s total inability to work but then sued her for-
more lenient disability definition. mer employer under the ADA, claiming that,
Of further importance, any person who at the time she was fired, she would have been
files an employment discrimination claim fully qualified to perform her previous job if
under the ADA is by definition arguing that her employer had provided her with reason-
he can perform a particular job, though often able accommodation.1 6 The U.S. Court of
with the stipulation that the employer make Appeals for the Fifth Circuit, in keeping with a
some “reasonable accommodation” for the majority of its sister circuits, ruled that there
person’s condition. If a person has asserted was at least a rebuttable presumption that an
under oath that he is capable of performing SSDI recipient cannot be a “qualified individ-
one or more jobs that he desires, then logic ual with a disability” under the ADA and
tells us that that person cannot at the same issued a summary judgment for the defen-
time claim under oath that in reality he can- dant. Cleveland appealed that summary judg-
not perform any type of work that exists in ment. She maintained that she was entitled to
the national economy. Nevertheless, in each a trial on the particulars of her case.17
of the cases discussed, the SSDI claimant did The SSA general counsel and various
just that, and SSA conveniently ignored such Clinton administration officials coauthored
sworn assertions in its zeal to hand out scarce and submitted to the Supreme Court an
Social Security funds. amici curiae brief supporting the SSDI recip-
In an attempt to get around sworn disabil- ient. According to the general counsel and
ity assertions, SSA has recently instructed its the Clinton administration, the term “unable
determinations personnel and its administra- to work” does not mean that a claimant is
tive law judges that persons who are fully actually unable to work. It instead is merely a
capable of working can nevertheless be con- “term of art,” the meaning of which depends
sidered completely unable to work and thus on the circumstances of the assertion. In
If a person is not can be awarded full disability benefits if they other words, a person who unequivocally
require simple workplace accommodations.14 asserts a “100 percent disability,” a “total dis-
disabled even This policy position totally ignores the fact ability,” or a “complete inability to work”
under the lenient that the ADA requires all employers to pro- claim for the purpose of obtaining SSDI ben-
ADA standard, vide reasonable accommodations whenever efits cannot later be held to the common-
and wherever disabled persons need them.15 sense meaning of those statements when
then that person Nevertheless, SSA has explicitly stated that it asserting an ADA claim. The general counsel
cannot be so will make all benefits determinations in a proceeded to parse disability definitions to
make-believe world in which the ADA theo- argue that step three of SSA’s five-step dis-
severely disabled retically does not exist. Such a position clearly ability determining process, which presumes
as to qualify for and completely undermines the statutory lan- that certain conditions are disabling without
benefits under the guage, the intent, and the compelling goals of any further individualized inquiry, can be
the SSDI program. expanded into wider assumptions about who
stricter SSDI can and cannot work.18
standard. Court Rulings In making that argument, the SSA general
The failure of SSA to accept the clear con- counsel purposefully ignored the premise

4
underlying SSA’s limited disability presump- a job lost from a private employer.2 1 By pur- The Supreme
tions. SSA justified its presumption that a lim- posefully distorting the context and meaning Court ruled that
ited number of impairments such as quadri- of its disability “presumptions,” SSA has
plegia entitle a claimant to SSDI benefits on demonstrated its purposeful intent under SSA had indeed
the rationale that those particular impair- the present administration to open the turned “unable to
ments are so uniformly severe that they con- floodgates for billions of dollars in unin-
sistently render any person unable to perform tended benefits awards rather than enforce
work” into a
substantial gainful work. To require an indi- the strict eligibility standards explicitly estab- “term of art”
vidualized inquiry into cases in which it is a lished by the Social Security Act itself. under which a
foregone conclusion that the person cannot But the Court also stated that the ADA
work would merely waste administrative plaintiff cannot ignore the facts that he or she person can simul-
resources.19 Those presumptions were not has made an SSDI claim not to be able to per- taneously be dis-
included in the Social Security Act; indeed, form any work and that, in order to survive a abled and
they were only developed by SSA for its own defense motion for summary dismissal based
administrative convenience. Moreover, those on such a claim, the plaintiff must provide a nondisabled.
presumptions were never authorized or sufficient explanation of the ADA assertion.
intended to emasculate the underlying prereq- Further, the Court was addressing the ques-
uisite that a claimant cannot obtain SSDI ben- tion of under what circumstances a summary
efits unless he is precluded from both his pre- judgment could be made. In this particular
vious job and any substantial gainful work case, the plaintiff maintained that at the time of
that exists in the national economy. As her firing she was a qualified individual under
explained by the Supreme Court in its 1987 ADA but that her condition later worsened,
decision in Bowen v. Yuckert: making her disabled under SSDI regulations.
She therefore maintained that she was due a
If the impairment is severe, the (SSA) full trial and that it could not be presumed in
evaluation proceeds to the third step, her particular case that her ADA and SSDI
which determines whether the impair- claims were mutually exclusive.
ment is equivalent to one of a number It is also important to understand that the
of listed impairments that the Court was addressing the question of when
Secretary acknowledges are so severe an ADA claim could be thrown out of court
as to preclude substantial gainful activity.20 because an individual had applied for or was
receiving SSDI; the Court did not directly
In its amicus brief the government also address the question of when an SSDI claim
maintained that, in any given case, SSA needs might not accord with the law because the
to make no assumptions about whether a individual was attempting to return to a job
person might have been able to perform a job from which he or she was dismissed, claiming
had reasonable accommodations been made. that he or she could do the job were reason-
In other words, SSDI need take no account of able accommodation made. The Court
an SSDI claimant’s or recipient’s efforts acknowledged only that the two claims might
under the ADA. be consistent but that that was, indeed, the
The Supreme Court ruled on May 24, matter to be determined in the courts.
1999, that SSA had indeed turned “unable to
work” into a “term of art” under which a per- Part-Time Work
son can simultaneously be disabled and Another problem with the SSDI system is
nondisabled: a person can both collect that its officials frequently take liberties
money from the federal government under regarding the definition of “substantial gain-
SSDI and secure, on the basis of an ability to ful work” in the national economy. Persons
work with reasonable accommodations pur- who are able to work only sporadically or for
suant to the ADA, a job or compensation for just a few hours per week are generally not

5
capable of performing substantial gainful to work after his surgery was completed. Later,
work. However, many SSDI applicants are he claimed Kemper would not let him return
clearly capable of full-time work but request to his old job and would not meet his accom-
that their employers schedule them for just a modation demands. He then filed an ADA dis-
few hours short of a full-time schedule in crimination suit, claiming that with reason-
order to argue to SSA that they are limited to able accommodation he would be able to do
“part-time” work. In judging such cases, as his old job. Simultaneously, he filed for SSDI
some of the examples below illustrate, SSA benefits, which are supposed to be reserved for
officials often allow persons to work virtually those who are physically incapable of doing
full-time hours yet still collect benefits based any work.
on a “total disability,” precluding them from Presented with the physician’s ADA claim,
performing any substantial gainful work. a federal judge questioned whether the physi-
cian was actually disabled, even under the
Claimant or Agency to Blame? ADA’s more lenient standard. The judge
Finally, it is important to note that the fol- noted that the physician faced restrictions in
lowing examples are not intended to criticize insurance work only to the extent that he
or pass judgment on the individual required a modified workstation (which the
The appalling per- claimants. When a federal agency charged insurance company or any other employer
vasiveness of with disbursing federal dollars is derelict in could easily provide) to allow him to perform
SSDI abuse enforcing its qualification standards, and extensive computer work. Moreover, the
instead seems extremely eager to hand out insurance company pointed out that the
becomes evident free money, the fault for the ensuing abuse physician’s impairment did not preclude him
in an examination lies more with the federal agency than with from a broader range of jobs within the med-
the individual claimants. ical field. For example, he could still teach
of some of the medicine, conduct medical research, and
actual cases in Case-by-Case Illustrations administer health plans. Further, the physi-
which SSA has The appalling pervasiveness of SSDI abuse cian was not precluded from doing what most
becomes evident in an examination of some doctors do—examining and treating patients.
granted benefits of the actual cases in which SSA has granted The physician countered that he had not
to persons who benefits to persons who are clearly capable of treated patients for many years and had become
working. It is important to remember that accustomed to performing insurance work. He
are clearly capable SSA is authorized to grant benefits only when further argued that he should not have to look
of working. a person shows that he is so severely disabled for work outside his immediate job market and
that he is completely unable to engage in any that he had a large mortgage on his expensive
kind of substantial gainful work. The follow- house that would make it difficult for him to
ing cases, numerous as they are, represent relocate to take a job elsewhere in the country. A
only a small fraction of SSDI abuses. federal judge deadpanned that the physician
Doctor Refuses to Treat Patients. In 1992 a “certainly has not overwhelmed the Court with
physician accepted an administrative oversight evidence of his unemployability.”
position with Kemper Life Insurance Nevertheless, SSA ruled that the physician
Company. His duties included reviewing med- was completely incapable of working and
ical files, discussing cases with underwriters, entitled to full disability benefits. In so rul-
and writing medical opinions on pending ing, SSA apparently determined that (1) no
cases. He spent six to eight hours each day insurance company would ever agree to pro-
using a computer keyboard. vide the physician with a modified worksta-
A year after he began his job, the physician tion, (2) the physician should not be expected
was diagnosed with carpal tunnel syndrome. to actually examine and treat patients, and
He took a leave of absence before undergoing (3) the physician should not have to sell his
surgery for the ailment, but he never returned expensive house in order to work for insur-

6
ance companies outside his immediate job that she was disabled because (1) she had
market. Accordingly, SSA awarded the physi- hypertension, (2) she had recently banged her
cian SSDI benefits.2 2 knee on a fare box, and (3) her hypertension
“Claimant Held Forms Close to His Eyes.” The medication made her drowsy when mixed
case of an automobile glass installer at Safelite with pain medication for her knee.
Glass Corporation, who was laid off as part of A federal court soundly rejected the bus
his company’s reduction in force, shows a driver’s assertion that she was disabled, even
sloppy SSA passing out benefits without ade- under the lenient ADA standard. The court
quate investigation. Shortly after the installer’s pointed out that the bus driver had success-
termination, he applied for SSDI benefits, fully controlled her hypertension for more
claiming that he had poor vision that preclud- than 10 years, and the hypertension did not
ed him from any meaningful work. He also impair her ability to work or engage in any
claimed that his March 31, 1993, dismissal other major life activities. Moreover, her
was based on age discrimination. bruised knee was only a temporary injury
An eye examination concluded that the that fell far short of a disability. Finally, she
installer had corrected vision of 20/100 in his had combined her hypertension and pain
right eye and near-perfect 20/30 vision in his medications for only a short time, and she
left eye. According to a medical doctor, the could have easily avoided any drowsiness by
installer had only a “[s]light visual impair- simply taking a different pain medication.
ment,” which affected his performance of “fine Despite the clear findings of the federal
visual tasks.” The doctor concluded that the court, and despite the fact that the bus driver
“impairment does not meet or equal the list” of had worked for 10 years without any medical
standards by which someone can be declared restrictions, SSA awarded the driver full dis-
disabled and eligible for SSDI benefits. ability benefits. Incredibly, SSA concluded
Although the installer’s vision impairment that the bus driver’s temporary knee bruise
was extremely minor and clearly did not pre- and her easily controlled hypertension per-
clude him from working, SSA nevertheless manently and completely prevented her from
granted him full disability benefits. The SSA driving a bus or engaging in any other kind
interviewer who decided to award benefits jus- of substantial gainful work.24
tified her conclusion, despite the treating Waiter Had Trouble Watching TV, Broke Anti-
physician’s medical findings to the contrary, Theft Rules. The Hyatt Regency Hotel at
by noting merely that “claimant held forms Chicago’s O’Hare Airport was experiencing a
close to his eyes to read before signing.”23 rash of thefts, and management suspected
Bus Driver Caught Sleeping on the Job. In 1985 a that employees were involved in many of the A federal court
bus driver for the Kansas City Transportation crimes. To counter the thefts, the hotel dis-
Authority was diagnosed with hypertension. tributed multiple memoranda reiterating its soundly rejected
Following her diagnosis, she easily controlled her employee entrance and exit policy. According the bus driver’s
condition by taking medication, and she was to the policy, any employee caught entering assertion that she
able to continue performing her job. or exiting the hotel from any door other than
Ten years after her hypertension diagnosis, the employee entrance would be terminated. was disabled,
the bus driver was caught sleeping on the job. Shortly after issuing its memoranda, the even under the
Her supervisor informed her that she would hotel learned that a banquet waiter had
be fired if she was caught sleeping again. Two exited the hotel through a public door
lenient ADA
months later, the supervisor again caught the while ostensibly taking a cigarette break. standard.
driver sleeping in her bus and subsequently Pursuant to the entrance and exit policy, in
fired her. September 1994 the waiter was fired. The
The bus driver filed an ADA discrimina- waiter then filed an ADA disability discrim-
tion suit and simultaneously applied for ination suit and applied for SSDI benefits.
SSDI benefits. In her ADA suit, she argued The waiter claimed that he was disabled

7
Even though the simply because he had poor vision. In his the officer full benefits, apparently finding that
waiter had proven right eye, he had 20/400 uncorrected vision, the officer’s urinary incontinence suddenly and
though he had near-perfect 20/25 vision in coincidentally precluded him from leaving his
that he could his left eye. home and holding any job from the moment
freely engage in In addressing the waiter’s ADA claims, a he was fired for his misconduct.2 6
federal judge pointed out that the waiter’s Cook Experienced Hurt Feelings. An appli-
all other major vision did not at all restrict his performance cant for a cook’s position at a Wendy’s
life activities, SSA of any of his job duties. The waiter’s job per- restaurant in Tulsa, Oklahoma, requested a
determined that formance had been quite satisfactory before few hours less than a full-time work schedule
his termination, and he had never requested so that he could continue to receive SSDI
he was incapable any assistance in performing his job. benefits related to a kidney impairment. The
of performing any Moreover, his vision was sufficient for him to restaurant met his request by allowing him
work and entitled drive to and from work each day. Although to leave work early three days per week. This
he claimed to have difficulty reading and situation in itself points to a major problem
to full benefits. watching television, he could clearly perform with SSDI. While SSDI is supposed to be for
all his job duties. And, of course, with the those who, because of a disability, can find
ADA suit the waiter was clearly admitting no meaningful employment in the economy,
that he could do his job. SSA frequently exercises its discretion to
Even though the waiter had proven that allow individuals to work virtually full-time
he could see well enough to drive a car, per- hours and still receive benefits.
form his job, and freely engage in all other Several months after starting his job, the
major life activities, SSA determined that he cook began working under a new supervisor
was incapable of performing any work and who did not initially know that the cook had
entitled to full benefits. On the basis of a been granted a special work schedule. The
minor vision impairment and documented supervisor one day refused to let him leave
job misconduct, SSA is giving the waiter life- work early. In response, in April 1997 the
time disability payments from cash-strapped cook quit his job.
Social Security funds.25 When the restaurant’s president of human
“Depends” Undergarments Totally Disabling? resources learned of the misunderstanding, he
A special police officer for the Washington contacted the cook, apologized for the misun-
Metropolitan Area Transit Authority experi- derstanding, offered the cook his previous
enced frequent urinary infections and incon- work schedule, and offered him back wages
tinence. While unpleasant for him, the offi- for the time that he had refused to report to
cer’s problems did not prevent him from work. The cook refused to accept the presi-
reporting to work and successfully perform- dent’s apology, offer of reinstatement, and
ing his duties. offer of back pay and instead took a job at
As a job prerequisite, the officer was required another restaurant. Some time later he
to maintain Special Police Certification. brought a complaint against his former
However, he inadvertently let his certification employer under the ADA. A U.S. appeals court
lapse. When a supervisor subsequently asked rejected his claim.
him to produce his certification, the officer Despite the unmistakable proof that the
lied about his certification status. Ultimately, cook was indeed medically qualified to hold
the supervisor discovered the lie and the fact numerous restaurant jobs, and despite the
that the officer was no longer certified. As a empirical evidence strongly suggesting that
result, in October 1992 the officer was fired. he was playing games with his requested
Although the officer clearly was capable of working hours so that he could receive dis-
working, and indeed had been successfully per- ability benefits, SSA continued to grant him
forming his job duties up to the very day he was SSDI benefits. Apparently, SSA felt that it
fired, he applied for SSDI benefits. SSA granted should overlook the cook’s employability

8
and his apparent cheating of the system concluded, “I must admit that this man
because he had experienced hurt feelings due seems to be physically qualified to do almost
to his employer’s innocent mistake. 27 any type of work. . . .”
Male Care Provider Refused to Perform In 1993 the conductor applied to get his
“Women’s Work.” An employee at the Shield old job back, admitting, in effect, that he con-
Institute of David, a care center for persons sidered himself fit to work. The railroad
with disabilities, was responsible for assisting turned down his request, and the conductor
people into and out of wheelchairs. He pre- filed an ADA complaint. In fact, the conduc-
sented his supervisor with a note from a chi- tor was unable to return to his previous job
ropractor stating that he had injured his back. only because that particular job required
To accommodate the chiropractor’s suggested extreme physical exertion, including strenu-
work restrictions, the supervisor removed the ous heavy lifting and extensive, prolonged
employee’s lifting responsibilities and walking. Nevertheless, medical and empirical
assigned him to a position in which he would evidence demonstrated that the conductor
help feed people with severe disabilities. could perform almost any other kind of job.
Soon after beginning his new assignment, Despite the conductor’s successful partic-
the employee complained because his new ipation in the above-listed rigorous sporting
position did not allow him to eat lunch dur- activities, SSA granted him full benefits. SSA Apparently, SSA
ing his normal lunch hour. The supervisor thus implies that a person who can frequent- believes that
deferred to the employee’s preferred lunch ly hike, fish, camp, hunt, and scuba dive is America cannot
schedule by assigning him to a dining room physically incapable of performing any work,
position in which he would not have to sedentary or nonsedentary, that exists in the expect a man to
engage in any lifting and could also eat lunch national economy.2 9 do “women’s
at his preferred time. Federal Judge Calls Disability Claim “Frivolous,
The employee, however, refused to accept Unreasonable.” In another case of simultane-
work.”
the dining room position because it was ous ADA and SSDI claims, a factory worker
“women’s work.” When he refused to report for Freightline Corporation, after less than a
to his new assignment, in August 1992, he month on a new job and having already
was fired. He then applied for SSDI benefits. received a poor job evaluation, claimed he
On May 19, 1995, an SSA administrative had a sore shoulder. Doctors at first placed
law judge determined that the employee was some restrictions on what he could lift but
totally disabled and entitled to full disability later certified him for work without restric-
benefits from the date that he refused to tions. Nevertheless, the worker failed to
work in the dining room. Apparently, SSA return to his job, despite the doctors’ agree-
believes that America cannot expect a man to ment that he had no medical restrictions,
do “women’s work.”2 8 and he was therefore terminated. Amazingly,
Conductor Could Hike, Hunt, Camp, and Scuba he then filed an ADA suit and applied for
Dive. A conductor for the Norfolk Southern SSDI benefits.
Railroad injured his knee and back while A federal judge ruled that the worker
working on the job. After successful surgery, clearly could not sustain his ADA claim
the conductor nevertheless applied for a leave because he was not disabled, even under the
of absence and filed for SSDI benefits. lenient ADA standard. The judge noted that
After surgery, the conductor engaged in a doctors who examined him unanimously
wide spectrum of recreational activities. He concluded that he was capable of working.
frequently hiked, fished, camped, hunted, The judge went a step further and chas-
and went scuba diving. Nevertheless, he tised the worker for bringing a disability
claimed that he had difficulty putting on his claim that was “frivolous,” “unreasonable,”
shoes and that, when bathing, he needed “without foundation,” and “utterly lacking
help washing his back. His own physician in merit.” The judge noted that the worker’s

9
entire medical and employment history, use the money to purchase some cigarettes
including his previous jobs with other for him. The assistant manager then discard-
employers, was riddled with episodes of mis- ed the transaction record, also a violation of
conduct and false medical representations. company policy. After receiving the ciga-
The judge also took the unusual step of mak- rettes, he did not reimburse the cash register.
ing the worker responsible for the employer’s The coworker informed management of
court costs “to provide a modicum of ‘justice’ the assistant manager’s theft and his viola-
to an innocent employer so improvidently tion of company transaction policies. When
and unfairly required to defend itself against the district manager confronted him, the
frivolous and baseless allegations.” assistant manager admitted his theft, broke
Despite the unusually stern federal court down in tears, and stated that he had HIV.
ruling and the supporting conclusion of the The district manager fired him.
worker’s multiple examining physicians, an The assistant manager filed an ADA claim
SSA administrative law judge on February 23, and, a week after his dismissal, also filed for
1995, decided to grant the worker full SSDI SSDI benefits on the basis of his HIV status.
benefits. Accordingly, the worker is no longer Despite the empirical evidence and the assis-
required to hold a job and apparently has no tant manager’s own admission that he was
further need to present “frivolous” disability fully capable of working, and typical of its
assertions “utterly lacking in merit.”30 SSDI determinations, SSA ruled that the
Manager Fired for Theft—An Amazing assistant manager’s physical condition had
Disability Coincidence? When a person is termi- become too severe for him to perform any
nated for misconduct for reasons wholly unre- kind of meaningful work, suddenly and mag-
lated to a medical condition, SSA often rules ically, at the exact moment he was fired for
that the person’s previously nondisabling theft. Now receiving full SSDI benefits, he no
medical condition suddenly and magically longer has any need to steal money to pay for
rendered the person incapable of working at his cigarettes.3 1
the very moment that the person was termi- Worker Lost His “Sexual Prowess.” A bank
nated for misconduct. This is the case even worker alleged that a particular supervisor
when the person was completely capable, was harassing and persecuting him. As a
without any difficulty whatsoever, of perform- result, he claimed to suffer “panic attacks,”
ing all aspects of his job up until the very which, according to the worker’s treating
moment of his termination. A typical example: physician, were solely and directly caused by
A district manager for the Disney Store the particular work environment. As the doc-
The judge chas- began hearing rumors that an assistant store tor stated, “Causation is related to employ-
manager had tested positive for HIV. The dis- ment difficulties at Chemical Bank [the
tised the worker trict manager summoned the assistant man- worker’s employer].”
for bringing a dis- ager to her office and informed him of the When the worker sued the bank for disabil-
ability claim that rumors. She explained that she was informing ity discrimination under the ADA, a federal
him of the rumors so that, should he want to, district court threw out the case because the
was “frivolous,” he could address them. She explained that worker could not demonstrate that he was dis-
“unreasonable,” she would offer him any help or support he abled, even under the lenient ADA standard.
needed to address the rumors, should he As the judge observed, “[P]laintiff has persis-
“without founda- choose to do so. The assistant manager told tently spoken of Mr. Mills [his supervisor] and
tion,” and “utterly her that he did not have HIV but thanked her feels himself persecuted.” In addition to the
lacking in merit.” for her support. fact that the alleged panic attacks were nar-
On November 16, 1993, one week later rowly related to a single work environment,
and in knowing violation of company policy, the court pointed out that the alleged effects
the assistant manager took money from the of the attacks were minimal. The worker
store’s cash register and asked a coworker to alleged simply that he sometimes felt dizzy in

10
his particular work environment and that he argue that merely being diagnosed with a par- The worker
experienced a decline in his “sexual prowess” ticular impairment, for example bipolar syn- alleged that he
because of his hostile work environment. drome, does not disqualify an individual
Although the worker’s alleged panic from performing productive work in the experienced a
attacks were related to only a single work envi- economy. Indeed, the intent of the ADA is to decline in his
ronment, and although the worker’s alleged keep such individuals in the workforce by
decline in “sexual prowess” would hardly seem mandating that employers not discriminate
“sexual prowess”
to remove him from the national workforce, in against them and provide reasonable accom- because of his
September 1995 SSA granted the worker full modations where necessary. In this case, how- hostile work
disability benefits. In so ruling, SSA ignored ever, SSA seems to have assumed that a mere
the findings of the federal court that the work- diagnosis of bipolar depression proves that a environment.
er remained fully capable of performing a vari- person is completely incapable of being a con-
ety of (presumably nonsexual) jobs.32 tributing member of society.3 3
Rude Employee Awarded Lifetime Benefits. An Professional Golfer Did Not Have to Work a
airline reservations agent worked for U.S. Air Normal Job. In one of several celebrated cases,
for nine years. The agent generally performed in 1999 professional golfer Ford Olinger had
his job well and frequently received positive a dispute with the U.S. Golf Association over
job performance evaluations. However, the his disability, specifically his inability to walk
agent was also occasionally rude to cowork- the course for an entire round of golf.
ers and insubordinate to supervisors. For Olinger maintained that reasonable accom-
example, on one occasion he transferred a modation under the ADA required the Golf
customer to a supervisor while sarcastically Association to allow him to use a golf cart
telling the customer, “Let’s all of us share this when he played in tournaments.
misery.” On another occasion, the agent However, even the Equal Employment
became loud and accusatory during a dis- Opportunity Commission recognizes the
agreement with his supervisor. On other folly of granting disability benefits on the
occasions, coworkers complained about the basis of a person’s inability to be successful in
agent’s insulting them or calling them professional sports. In the context of profes-
names. Finally, the agent wrote an article in a sional baseball, EEOC regulations state, “Nor
local newspaper criticizing his employer. As a would a professional baseball pitcher who
result of those incidents, in November 1994, develops a bad elbow and can no longer
the agent was fired. throw a baseball be considered substantially
The agent filed for SSDI benefits, alleging limited in the major life activity of work-
that he had a history of bipolar depression. ing.”34 The ability to walk several miles dur-
Despite the agent’s nine-year employment ing a round of championship golf is no more
history, his generally positive work perfor- a prerequisite to all jobs in the national econ-
mance, and his failure to even look for a sub- omy than is the ability to throw a 90-mile-
sequent job, SSA granted him full disability per-hour fastball.
benefits. SSA apparently decided that the Amazingly, SSA granted Olinger full SSDI
agent’s bipolar depression somehow forced benefits, apparently believing that all jobs in
him to be sarcastic and rude, that his nine the national economy require workers to
years of positive work performance were walk several miles per day.3 5
meaningless, and that society should not Clerk Quit When Denied Her Preferred Position.
require people who are rude to ever look for A service-desk clerk for Shaw’s Supermarkets
or hold jobs. took a medical leave because of carpal tunnel
One interesting aspect of this case is that it syndrome. After providing treatment, her
reinforces the very stereotypes about individ- physician released her to return to work with
uals with behavioral problems that disability only minor restrictions. She was precluded
advocates are trying to counter. Advocates only from significant lifting, overhead reach-

11
ing, and working overtime. judge rejected her ADA suit.
When the clerk prepared to return to work, Nevertheless, SSA determined that the
she asked to be reinstated to her previous posi- analyst’s minor physical ailments precluded
tion. However, her employer told her that it her from performing any meaningful work.
had pared back its staff in her department and Although she was clearly able to perform her
that the position was no longer open at her job up to the very moment of Lockheed
store. However, the store offered her other Martin’s reduction in force, SSA determined
positions at various other stores. The clerk that the ailments suddenly and coincidental-
rejected the alternate job offers and filed a dis- ly rendered her unable to work just after she
ability discrimination suit under the ADA. was terminated for nonmedical reasons.3 7
In September 1998 a federal district court Bank Teller Knew More about Medicine Than
rejected the clerk’s ADA claim. The court Physician? A teller at a Northside Savings
noted that the employer had offered her mul- Bank branch complained that she had vari-
tiple job assignments but that she seemed ous back, hand, and shoulder pains. As a
unwilling to accept anything other than her result, over the years and at various branches
preferred job assignment at her preferred job of the bank, the bank allowed her to sit while
location. “Defendant reasonably concluded performing her duties. However, after the
In her ADA suit, based on evidence in the record that Plaintiff teller took a medical leave of several months
the analyst only wanted to return to her service-desk clerk (while receiving disability benefits), an exam-
claimed that she position, which did not involve moving to the ining physician concluded that she was not
checkout department when necessary.” disabled and was fully capable of immediate-
suffered from var- During the course of her ADA litigation, how- ly returning to work. Nevertheless, the teller
ious conditions ever, the clerk admitted that she could per- refused to return to work and in October
form other job assignments. “Plaintiff argues 1994 was terminated.
such as obesity, that she would have accepted work involving The teller filed an ADA claim charging
profuse sweating, other duties,” observed the court. discrimination and maintaining, “I can per-
and minor pains. Despite her admission that she could form the essential functions of my job with
work her previous job and other jobs, and an accommodation,” even as she filed a claim
despite the evidence that her employer had for SSDI benefits based on her total inability
offered her various other positions, the clerk to work.
applied for SSDI benefits. Amazingly, SSA Although her treating physician had
determined that, despite all the evidence and determined that she was fully capable of per-
her own admissions, the clerk was totally forming her job, and although she herself
unable to perform any meaningful work and had admitted that she could perform her job,
entitled to full SSDI benefits.3 6 an SSA administrative law judge deferred to
Obesity, Profuse Sweating Entitled Analyst to the teller’s subsequent self-diagnosis that she
Full Benefits. A contracts analyst for Lockheed could not work. The SSA administrative law
Martin Corporation was terminated in 1993 judge concluded that the teller was “unable
during a reduction in force. In the course of to perform more than sedentary work.”
its workforce reduction, Lockheed Martin Although the evidence clearly contradict-
terminated or relocated roughly 25 percent ed the SSA judge’s ruling, even this ruling
of the workforce, retaining only those that the teller was limited to sedentary work
employees with the highest evaluation scores. did not justify an award of SSDI benefits.
When the analyst was terminated, she Bank teller positions as well as numerous
filed an ADA discrimination suit as well as an other jobs that exist in the national economy
age discrimination complaint. In her ADA are sedentary in nature. Moreover, the Social
suit, she claimed that she suffered from vari- Security Act clearly excludes benefits for per-
ous conditions such as obesity, profuse sons who are qualified to perform sedentary
sweating, and minor pains. A federal district work. Nevertheless, the teller is collecting

12
SSDI benefits.3 8 doctor’s note clearing him to work without any
Sales Representative Did Not Get Along with physical restrictions. Nevertheless, he main-
New Coworkers. After working for her employ- tained that he could no longer drive a truck,
er, Zilog, Inc., for six years, a secretary was and he subsequently requested reassignment
promoted to a sales representative position. to a packaging position. His supervisor grant-
Soon after assuming her new position, how- ed the request.
ever, she began having conflicts with certain Soon thereafter, the driver claimed that he
coworkers. After she was twice counseled could no longer work in the packaging posi-
about those conflicts and given a poor per- tion. He asked whether there were any jobs
formance review, she took two separate leaves available in the light-duty can-counting
of absence. Her treating physician recom- department. The supervisor confirmed that
mended the leaves on the basis of the “stress” vacant can-counting positions existed and
of being reprimanded for clashing with her offered him one. The driver, however, said
new coworkers. that he was just inquiring and that he did not
The secretary never returned from her really want a can-counting position. Less
month-long second leave of absence in 1993 than a week later, he again claimed that he
and was terminated by her company per its could not work in the packaging department
absenteeism policy. The company did invite and he produced a workers’ compensation
her to reapply after her physician certified injury report.
that she was able to return to work and The supervisor was suspicious of inconsis-
promised her that it would notify her if a tencies between the workers’ compensation
suitable job became available. Instead of report and the physician’s earlier medical
reapplying, however, she filed an ADA suit release. Accordingly, she asked the driver to
and applied for SSDI benefits. provide an updated physician’s report. The
In conjunction with the ADA suit, a federal driver then produced a note that he claimed
judge noted that the secretary’s job difficulties was written by his physician. After producing
were related to a single, particular set of the note, he began swearing at the supervisor,
coworkers. She had bipolar disorder, but her who had to ask security to escort him from
condition had remained stable through sever- company premises.
al years of employment and became aggravat- Immediately after the incident, the super-
ed only after she began interacting with par- visor telephoned the driver’s physician to ver-
ticular coworkers. Indeed, her own physician ify the authenticity of the medical note. The
stated that her workplace stress was “unrelat- supervisor was informed that the note was a
ed to her actual job description” and could be fake. The supervisor decided to fire the driver A federal judge
alleviated in a different office environment. for his profane, insubordinate behavior and
Despite the clear evidence that the secre- his forgery of the doctor’s note. The driver noted that the
tary was restricted from working in only a sin- then filed for SSDI benefits. secretary’s job
gle, particular work environment, SSA granted Disregarding the professional opinion of difficulties were
her full SSDI benefits. In reaching its decision, the driver’s own treating physician, an SSA
SSA ignored the opinion of her own treating administrative law judge decided that the driver related to a single,
physician, as well as her six-year history of sat- suddenly and coincidentally became totally particular set of
isfactory job performance before being disabled and completely unable to work the
assigned to work with a new set of coworkers.3 9 day after he was fired for misconduct. Even
coworkers.
SSA Discredits Physician, Accepts Forged though the driver’s treating physician had
Doctor’s Note. A delivery driver for Sound released him to work without limitation, SSA
Distributing Corporation claimed in May determined that the driver should not have to
1993 that he injured his back while removing a look for a new job and should instead receive
case of beer from his truck. After taking a leave lifetime SSDI payments after having been
of absence, he presented his employer with a fired for swearing at his supervisor and forg-

13
SSA determined ing a doctor’s note.40 provided a note from his doctor saying he
that the driver Insurance Employee Didn’t Like Delivering should perform only sedentary duties. Upon
Bad News. An employee of Blue Cross Blue his return he asserted that he had an impair-
should receive Shield of Kansas worked for the company for ment called “benign essential tremor” that
lifetime SSDI pay- two years before being promoted to a corre- caused him to have difficulty firing his
spondent position. Her correspondent work weapon accurately. He requested that the
ments after hav- required her to contact policyholders and Ports Authority waive its firearms proficiency
ing been fired for explain to them why the company was deny- requirement for him. The Ports Authority,
swearing at his ing their benefits claims. however, refused to waive its requirement
Soon after beginning her new position, she and removed the officer from his position.
supervisor and informed her supervisor that she found it The officer then filed an ADA suit and
forging a doctor’s stressful to deliver bad news to policyholders. applied for SSDI benefits.
note. Accordingly, she asked to be transferred to a A federal judge found that the officer was
different position. The company granted her clearly not disabled, even under the lenient
request by transferring her to a clerk expe- ADA standard. The judge noted that the offi-
diter–prescreening position. However, soon cer’s own treating physician explicitly stated
after she began her new job, a supervisor asked that the officer’s condition did not at all
her to help with a backlog of correspondent interfere with performance of any of his job
work. The employee refused to perform the duties. The judge also noted that even if the
correspondent work, stating that it would alleged medical condition affected his ability
probably involve stressful phone calls. After to fire a gun accurately, such inaccuracy did
allegedly suffering a panic attack caused by the not preclude him from performing a broad
incident, she took a medical leave. After two range of other jobs. In fact, the Ports
months of leave, in January 1993, her employ- Authority itself invited him to apply for
er filled her job with another employee. numerous other positions that did not
Although the employee’s alleged stress require the use of a firearm, but the officer
affected only her ability to perform the single refused to consider those positions.
job of delivering bad news to policyholders, Despite the clear evidence that the officer
and although she had proven perfectly capa- was limited only in his ability to perform jobs
ble of performing less stressful jobs, SSA requiring him to accurately shoot a firearm,
granted her full SSDI benefits. SSA apparent- and despite the federal judge’s ruling that he
ly believes that all work in the national econo- was not disabled even under the lenient ADA
my requires employees to call members of the standard, SSA determined that the officer
general public and deliver bad news to them.41 was totally disabled and unable to perform
All Workers Must Shoot to Kill? In May 1992 any meaningful work that exists in the
a special police officer for the Georgia Ports national economy. In this ruling SSA implies
Authority failed to pass a mandatory, two- that all American workers must be able to
day firearms proficiency test that was period- shoot to kill before entering the workforce.4 2
ically given to all patrol officers. After failing Worker Refused to Perform “Entry - Level”
the first day of the test, the officer was offered Work. In November 1991 a home security
extra instruction and extra time to practice installer for ADT Security Systems fell off a
for the second day. He rejected the offers and ladder and sustained serious injuries. Five
subsequently failed the second day of the months later he applied for SSDI benefits,
test. The Ports Authority once again offered workers’ compensation benefits, and private
the officer another opportunity to pass the insurer disability benefits, claiming he could
test, as well as additional time to practice his no longer perform the functions of a security
shooting. Once again, the officer chose not to system installer.
practice, and again he failed the test. While medical evidence suggested that the
The officer took two weeks’ vacation and installer indeed could not return to his old

14
job, a physician concluded that he was still engaged in misconduct with other coworkers
qualified for several other positions with the there, as well. Specifically, the worker had
security company. The employer then invited revealed her bare buttocks to other employ-
the installer to explore a number of jobs, ees to show off one of her tattoos. “The ADA
including those of emergency dispatch oper- does not require an employer to ignore
ator, field operator, field support specialist, employees misconduct and/or poor perfor-
customer service representative, and safety mance when making job assignments,”
trainer. The installer refused, claiming that noted the court.
he would not fill what he considered to be Despite the evidence that the worker was
“entry-level” positions. fully capable of working any job that did not
The installer later filed an ADA com- require prolonged standing on a concrete
plaint, claiming that he was being discrimi- floor, despite the fact that she might have
nated against because of his disabilities, obtained just such a position if not for her
despite the fact that his company had offered own misconduct, and despite the fact that
him several positions for which he was quali- she admitted to being qualified to work, SSA
fied. He subsequently worked as a part-time granted the worker full disability benefits.4 4
truck driver for another employer, clearly Accused Sexual Harasser Ruled Socially
demonstrating his ability to work. Disabled. After receiving two separate warn- The worker had
The SSA initially turned down his request ings about sexual harassment complaints, an revealed her bare
for SSDI benefits but, remarkably, later agreed employee at IBM told his superiors that he buttocks to other
to classify him as disabled. Thus, despite med- had depression and that the employer’s
ical evidence that the installer could still per- warnings had aggravated his condition. The employees to
form any number of jobs, despite the employ- employee claimed that he could still perform show off one of
er’s offer to give him his choice of several posi- his job but said that his employer should be
tions, and despite the installer’s subsequent careful about issuing future reprimands and
her tattoos.
work as a truck driver, SSA determined that he the employer should ensure that he was
was completely unable to work and granted assigned to only eight-hour shifts. Following
him full SSDI benefits.4 3 this, he successfully performed his job for
Worker Fired after Exposing Herself in the another seven years.
Workplace. A textile worker for Stowe-Pharr The employee eventually claimed that
Mills worked in a plant that had wooden other employees, who were all required to
floors. She requested and, in February 1994, work 12-hour shifts, came to resent his
received a transfer to a different plant that abbreviated work schedule and would rarely
happened to have concrete floors. Eventually, talk with him. As a result, he claimed that his
she was fired for misconduct and absen- workplace was too stressful, and in January
teeism. She then filed a discrimination suit 1995 he stopped showing up for work. He
under the ADA and applied for SSDI benefits. then filed for SSDI benefits.
In her ADA suit, the worker alleged that Although he had worked successfully for
she had a number of minor ailments that seven years after being warned about sexual
cumulatively made it difficult for her to work harassment complaints, and although he
on concrete floors. She claimed, however, had simply alleged that he could not work in
that she had no difficulty working on wood- a particular environment with particular
en floors. Accordingly, she asserted that her coworkers, SSA ruled that the employee was
employer should have accommodated her unable to perform any meaningful work. SSA
minor ailments by transferring her back to granted him full SSDI benefits, ignoring the
her initial work site before firing her. sexual harassment issue that seemed to be
However, a federal judge ruled that the the real basis of his workplace problems.4 5
employer was not required to transfer the Retail Clerk Awarded Benefits after Claiming
worker back to her old job because she had His Car Wouldn’t Start. When applying for a

15
retail sales position at a Wal-Mart store, a clerk ed that his physician would have approved his
indicated that he had undergone back surgery return to work in many of those positions.
several years before. Nevertheless, he demon- Despite his admission that he could per-
strated that he was fully capable of working, form a variety of jobs, and despite the fact that
and he was hired and subsequently worked in few jobs require close contact with the specific
the store’s sporting goods and hardware chemicals at his workstation, an SSA adminis-
departments. At one point he reinjured his trative law judge determined that the assem-
back, and his employer accommodated him bler was totally disabled and unable to perform
by exempting him from heavy-lifting tasks. any meaningful work. Amazingly, in October
After successfully working in the store for 1992 SSA granted him full disability benefits.4 7
two years, the clerk took a scheduled vaca- Packer Fired for Abusing Work Leave. A meat
tion. When he was due to return to work, packer at IBP Inc., alleged that he hurt his
however, he claimed that he was having car hand at work. A physician recommended
trouble and couldn’t return that day. The that he be placed on temporary light-duty
same events occurred day after day, with the work and prescribed physical therapy.
clerk repeatedly calling in and claiming that Accordingly, IBP granted him time off from
he could not return from his vacation that work for his scheduled therapy sessions.
day because of car troubles. When the clerk However, in the first two weeks of his
finally returned from his vacation in October scheduled therapy, the packer missed five
1992, he was fired for his extended absence. separate appointments. Moreover, he did not
The clerk immediately filed for SSDI ben- inform his employer that he was skipping the
efits, claiming that he was totally disabled appointments but continued to take time off
and unable to work because of his prior back from work for his scheduled sessions.
surgery. At the same time he filed an ADA Eventually, the employer learned that the
complaint, admitting that he was fully capa- packer was abusing his leave privileges and
ble of working. Initially, SSA rejected his dis- asked him for an explanation. He provided a
ability claim. However, an SSA administra- questionable excuse involving alleged car trou-
tive law judge chose to overlook the docu- bles, and in March 1993 his employer fired him.
mented reason for the clerk’s termination Even though the packer clearly did not
and instead concluded that “his work ended consider his hand very injured, and even
at that time due to exacerbation of his back though he was fired solely for his alleged mis-
pain and depression.” SSA granted the clerk conduct, an SSA administrative law judge
full SSDI benefits, despite his empirical ruled that he was totally disabled and pre-
The employer work history and his own admission that he cluded from engaging in any meaningful
could work, and instead required American work. The packer’s minor hand impairment
learned that the workers to pick up the tab for yet another suddenly and coincidentally became totally
packer was abus- extended vacation.4 6 disabling and rendered him completely
ing his leave privi- Factory Worker Had Minor Hand Irritation. unable to work, ruled the SSA judge, imme-
An assembler at Midland Brake, Inc., claimed diately after the worker was fired for his
leges and asked that he suffered dermatitis (a skin irritation) alleged misconduct.4 8
him for an on his hands due to his exposure to certain Full Benefits for Personality Conflict with
chemical irritants in his workstation. As a Particular Supervisor. The Quantum Chemical
explanation. result, he obtained a physician’s recommenda- Corporation employed a factory worker for
tion that he cease working at his particular sta- about nine months before the worker com-
tion. He took a leave of absence and then filed plained that his supervisor was harassing him.
an ADA suit and applied for SSDI benefits. The worker thereafter visited a psychiatrist
While litigating his ADA suit, he admitted because of the alleged stress of the situation
that he was fully capable of performing a vari- and in September 1992 checked himself into a
ety of jobs for his employer. He further assert-

16
hospital for depression. cluded that he could work without restrictions. The employee did
The psychiatrist determined that the Moreover, even if the employee could discredit not want to work
worker had “much difficulty with his super- the conclusions of his treating physician, his
visor” and recommended that the company subsequent work restrictions precluded him a “demeaning”
transfer the worker to another supervisor. from only a narrow range of jobs. cash register job.
When the company refused, the worker quit Despite the conclusions of the employee’s
his job, sued under the ADA, and filed for treating physician, the conclusions of the
SSDI benefits. federal district judge, the fact that the gro-
The federal judge who heard the worker’s cery store offered him employment consis-
ADA suit found that he was clearly not dis- tent with his alleged restrictions, and the
abled, even under the lenient ADA standard. inescapable truth that not all jobs require
The judge observed that the worker and his employees to lift more than 20 pounds or
treating psychiatrist both stated that he stand for long periods of time, SSA ruled that
could work in other environments with other the employee was totally disabled and inca-
supervisors. The judge further noted that the pable of performing any meaningful work
worker “can perform all of the activities and granted him benefits.5 0
required of a plant technician; he just doesn’t Employee Precluded Merely from Working
want to do them around his supervisor. . . . Overtime. An employee of the City of Prairies
His inability to work under a particular Village, Kansas, became embroiled in person-
supervisor simply is not a substantial limita- ality conflicts and job-performance disputes
tion on working. . . .” with his supervisors after he testified against
Nevertheless, SSA determined that the the city in an arbitration hearing. Subsequent
worker was totally disabled and unable to per- to his testimony, the city documented that the
form any meaningful work that exists in the employee was occasionally insubordinate and
national economy. On the basis of a single per- that he frequently did not complete his
sonality conflict with one particular supervi- assigned work. The employee countered that
sor, SSA handed out full SSDI benefits.4 9 the city was simply out to get him because of
Employee Could Refuse “Demeaning” Cash his adverse arbitration testimony.
Register Job. A deli employee at a Hy-Vee gro- While relations between the employee and
cery store fell down at work and injured his his supervisors were breaking down, the
back. After receiving back treatment, his employee presented a note from his doctor
treating physician released him to work with- stating that he should “generally limit him-
out any restrictions. The employee, however, self to a forty hour workload” because he
visited another physician and obtained a “becomes overstressed and consequently less
note stating that he should not lift more productive” when working overtime.
than 20 pounds or stand for more than 15 Eventually, in January 1994, the city elimi-
minutes at a time. The grocery store offered nated the employee’s position during a reduc-
to accommodate those restrictions by pro- tion in force. He promptly filed for SSDI ben-
viding him with a stool and having him work efits, claiming that his overtime restrictions
at the cash register. However, the employee rendered him disabled. Incredibly, SSA grant-
did not want to work a “demeaning” cash ed him full disability benefits, suggesting
register job. He quit his job, filed an ADA dis- with that decision that the worker’s aversion
crimination suit, and filed for total disability to working overtime rendered him totally dis-
benefits under SSDI. abled and unable to perform any meaningful
The federal district judge who heard the work that exists in the national economy.5 1
ADA case in April 1997 ruled that the employ- SSA Rejects Medical Evidence, Rules All Jobs
ee was not significantly limited in his ability to “Unduly Stressful.” A telecommunications
work, even under the lenient ADA standard. technician worked for AT&T for 10 years,
Indeed, his own treating physician had con- during which time he occasionally suffered

17
from depression and stress disorders. ginally affected his ability to work, typically
Eventually he took a medical leave of absence causing him to miss only a day or two of
but returned to work when a supervisor work per year. After his diagnosis, he success-
promised that he could provide the techni- fully worked for 15 years with a single
cian with a supportive work environment. employer, with only rare and brief absences
The technician had performed his job suc- from work.
cessfully after returning to work. However, he In 1995 the manager and the employer’s
and his supervisor were both eventually reas- vice president of manufacturing began dis-
signed to other company positions. After he agreeing about a number of work production
had a personality conflict with a new cowork- issues. The vice president called a meeting
er, the technician left his job, filed an ADA with the manager to discuss his “negativism
suit, and applied for SSDI benefits. in regard to interpersonal relations with both
A federal judge ruled that the technician supervisors and subordinates.” The vice pres-
was not disabled, even under the lenient ADA ident prepared a concurrent memorandum
standard. Although he could not perform stating that the manager was not supporting
“unduly stressful” jobs, he was still capable of the employer’s manufacturing mission, was
performing a broad range of jobs in a wide undermining the vice president, and would
A federal judge variety of work environments. Indeed, he had be removed from his position if his negative
ruled that the worked successfully over an extended period attitude continued.
technician was of time before he opted out of his particular Soon thereafter, the manager and the vice
work assignment. president had another serious disagreement
not disabled, even Despite the technician’s extensive work after the vice president decided to increase the
under the lenient history, and despite the clear finding of the salary offer to an applicant for an engineer
federal court, in September 1992 SSA grant- position. On the night of the disagreement,
ADA standard. ed him full disability benefits. Although he the manager told his wife that he might be
did have a history of depression, his depres- fired because of the dispute. His intuition was
sion manifested itself only in “unduly stress- correct because the next morning the vice
ful” work environments with particular president prepared a memorandum recom-
coworkers. Further, disability advocates uni- mending the manager’s termination.
formly and reasonably urge that employers, Knowing that he was about to be fired,
government officials, and others not stereo- the manager did not go to work the day after
type or speculate about a person’s abilities or the argument. Instead, he went to see his
inabilities on the basis of that person’s past doctor. For the first time in roughly 15 years
medical history. Rather, disability advocates, of employment, he obtained a doctor’s note
and the applicable federal statutes, demand recommending a one-week medical leave.
an individual inquiry into each person’s par- After his one-week leave expired, the man-
ticular circumstances. Where, as here, the ager returned to work. When he arrived at
available medical evidence and the claimant’s work, however, he was advised that the vice
own testimony demonstrate that the president wanted to see him. Before the vice
claimant is fully capable of performing president could meet with him, he requested
meaningful work, it is entirely improper for additional medical leave. Thereafter, he
SSA to assume that the person is incapable of repeatedly renewed his medical leave and
working simply because he suffers from a eventually applied for SSDI benefits. He also
given impairment.5 2 filed a discrimination suit under the ADA.
Manager Knew Axe Was About to Fall. In In the context of his ADA claim, the manag-
1979 a manufacturing engineer manager er alleged that his vein impairment made it dif-
with a history of phlebitis at Hartmann ficult for him to stand and walk. Nevertheless,
Luggage Company was diagnosed with an a federal judge firmly rejected the manager’s
abnormal vein condition. His condition mar- assertion that he was disabled, even under the

18
lenient ADA standard. “The plaintiff’s condi- was totally disabled and unable to perform
tion clearly does not prevent him from work- any meaningful work.5 4
ing, as he held the position as an engineer for All Jobs Require Exposure to Extreme Heat? A
several years after being diagnosed with his factory machinist for Asarco Inc., had a heart
impairment,” stated the court. attack but soon thereafter was cleared to
Moreover, the judge noted that the man- work with only a few restrictions. The
ager accepted an offer to manage a conve- machinist’s doctor stated that he could not
nience store shortly after filing his discrimi- climb stairs, lift more than 50 pounds, work
nation claim. In this new position, he spent in excessively hot temperatures, or be
approximately 30 percent of his time walking exposed to noxious gases.
around the workplace. Therefore, he had “no Unfortunately, the machinist worked at a
basis for arguing that his condition substan- smelter, a piece of heavy equipment used for
tially limits his major life activity of work- the high-temperature melting of heavy met-
ing,” ruled the court. als. Therefore he could not continue to per-
Despite the manager’s impressive preter- form his particular job under his medical
mination job attendance and his ease in restrictions. His employer did not have a
obtaining subsequent managerial work, SSA light-duty position available for him.
ruled that he was totally disabled and com- Clearly, most jobs do not require workers to
pletely unable to perform any meaningful lift 50 pounds, work in excessively hot tempera-
work. SSA granted him full SSDI benefits, tures, or be exposed to noxious gases. Never-
even as he proved that he could still work.5 3 theless, in 1992 SSA determined that the
Insurance Agent Could Not Talk on the Phone machinist’s minor restrictions rendered him
All Day. A claims specialist for State Farm totally disabled and unable to perform any
Mutual Insurance Company, who had meaningful work in the national economy. SSA
worked for her company for 24 years, in 1994 granted the machinist full SSDI benefits.5 5
was diagnosed with a respiratory ailment Station Manager Works Seven Years While
that prevented her from prolonged speaking. Drawing Benefits. A man had a medical condi-
Her treating physician stated that she could tion that required replacement of both of his
continue working but recommended that hips. After successful surgery, a doctor gave
she not talk on the phone for more than his approval for the patient to engage in
three hours per day. most daily activities. His only restrictions
The claims specialist could not continue were that he could not carry heavy objects or
in her position because it required her to talk climb stairs.
on the phone for about 90 percent of her Despite those very minor physical restric- Despite the man-
workday. However, she did not inquire about tions, the man filed for and was granted SSDI
other jobs within her company, in part benefits. SSA apparently found that all jobs in ager’s ease in
because she refused to take a salary cut. the national economy require employees to obtaining subse-
When she refused to consider other company carry heavy objects or climb stairs. quent managerial
jobs, she was terminated. The preposterous nature of SSA’s ruling is
She applied for long-term disability bene- underscored by the applicant’s work history work, SSA ruled
fits through CIGNA, a private insurer. Not after he began receiving SSDI benefits. From that he was totally
surprisingly, the insurer and her treating 1988 until 1995 he contracted to operate a
physician concluded that she was qualified city’s public access cable television station,
disabled.
to perform numerous other jobs. Accordingly, and during that time he continued to receive
the insurer denied her benefits application. SSDI benefits predicated on his inability to
The claims specialist then filed for SSDI work. He described his job responsibilities in
benefits. Even though the private insurer and operating the station as “everything” from
her own treating physician had concluded performing physical chores such as taking
that she was employable, SSA ruled that she out the trash to performing administrative

19
The applicant duties such as hiring and firing volunteers. in the national economy, SSA apparently dis-
contracted to Despite his very minimal medical restric- missed the fact that the officer was at that very
tions and his extensive work history involving time performing his job without difficulty.58
operate a public all aspects of running his own business, SSA Sales Representative Limited to 10 Work Hours
access cable televi- determined that he was completely unable to per Day. A sales representative for the Kerr-
perform any type of work during the same McGee Corporation traveled frequently and
sion station, and seven years that he ran all aspects of his own worked extended hours servicing her sales
during that time labor-intensive business.5 6 territory. After performing her job for five
he continued to Manager Works Two Years While Drawing years, she was diagnosed with lupus. Because
Benefits. In 1978 an SSDI applicant who had of her diagnosis, her doctor restricted her to
receive SSDI multiple sclerosis filed a disability report with 10-hour workdays.
benefits. SSA, claiming that she was unable to work. Soon thereafter, the sales representative
SSA granted her full SSDI benefits. was transferred to a new supervisor. A per-
In 1993 the applicant and her husband sonality conflict developed between the two,
began working as on-site managers for a self- and the sales representative subsequently
storage facility of the Dahn Corporation. The alleged that her supervisor was harassing her.
couple performed their managerial jobs for Her supervisor, in turn, alleged that the sales
more than two years before they were fired. rep was being insubordinate. Ultimately, in
The applicant then filed an ADA complaint, October 1993, the company fired her for fail-
which a court ultimately rejected. Despite her ing to follow her supervisor’s directives.
proven ability to engage in productive work, Immediately upon her termination, the
she continued to receive uninterrupted SSDI sales representative applied for SSDI bene-
benefits, even during the two years that she fits. Her only medical restrictions were that
held her management position.5 7 she could not work more than 10 hours per
Probation Officer Kept Working, Drew Benefits day and that she should have a restful daily
Anyway. A Delaware probation officer suf- lunch break. After turning her down twice,
fered two heart attacks in 1990. He recovered SSA granted full disability benefits, implying
and returned to his job shortly after the that all jobs in the national economy require
attacks. He then worked for two years with- employees to work more than 10 hours per
out any medical difficulties. day without a meaningful lunch break.5 9
After participating in a discrimination Stockbroker Never Required Vision Treatment.
complaint against his employer, however, the In 1993 a stockbroker was involved in an
probation officer began experiencing prob- automobile accident. He alleged that, as a
lems with his supervisor. The supervisor result of the accident, he had vision difficul-
observed that a doctor’s note in the proba- ties. Nevertheless, he continued to work 12
tion officer’s file said he could work only hours per day, five days per week, and he
four hours per day, even though he was, in never felt the need to seek medical help.
fact, working full-time. She asked the officer Two years later, the stockbroker broke his
to have the doctor update the medical evalu- ankle while exiting a train. His ankle healed,
ation, which the officer would not do. but he nevertheless applied for SSDI bene-
During a subsequent sick-leave day, in June fits, in addition to filing a civil suit against
1992, the supervisor fired the officer. the Long Island Railroad.
In March 1991, after he had returned to In adjudicating the broker’s civil case, a
work but well before he was fired, the officer federal judge noted that the broker was not
applied for SSDI benefits. He was approved disabled. Evidence showed that he (1) had
for those benefits in December 1991, while he never sought any rehabilitation for his alleged
was still working and before he lost his job. In eye impairment; (2) had continued to work
determining that the officer could not per- without difficulty, despite his alleged eye
form any type of meaningful work that exists impairment; (3) had substantially recovered

20
from his ankle injury; and (4) was able to run, petence unless he chose to resign because of ill
bike, climb ladders, perform household health. He insisted that his health did not pre-
chores, and perform electrical work and other vent him from working, and he refused to
tasks, in spite of his alleged impairments. resign. Thereafter, he was fired.
Despite the accumulated medical evi- Even though he had insisted that he was
dence, the stockbroker’s continued work his- fully capable of working after his heart
tory, and the findings of the federal court, attack, and even though he had always suc-
SSA determined that the stockbroker was cessfully controlled his diabetes, the inspec-
totally disabled and unable to perform any tor applied for SSDI benefits. Because he had
meaningful work in the national economy. recovered from his heart attack, he based his
Incredibly, a simple broken ankle and a dubi- SSDI claim on his diabetic condition. At first,
ous, minor eye impairment entitled him to SSA deferred to the inspector’s empirical
cease working and draw lifetime payments work record and his insistence that he could
from Social Security reserves.6 0 still work and thus denied him benefits.
SSA Rejects Whole Team of Doctors. A machine Subsequently, however, SSA reconsidered
operator claimed to experience several medical and, in May 1994, declared him disabled by
ailments during her 15 years of work at a print- diabetes from the date of his heart attack.
ing and publishing facility of E.I. DuPont. In so ruling, SSA ignored the fact that the Despite the accu-
After she was terminated from her job, in inspector had always controlled his diabetes mulated medical
February 1994, she contested her employer’s and, by his own admission, had recovered from evidence, and the
decision to deny her disability benefits. his heart attack. While the inspector may have
A federal judge upheld the employer’s find- had a valid ADA claim against his employer for findings of the
ing that the machinist was not disabled. The refusing to let him return to his job, he certain- federal court,
judge noted that three separate doctors explicit- ly seemed to be precluded from SSDI benefits
ly concluded that she was fully capable of work- by his long-standing ability to control his dia-
SSA determined
ing, two other doctors explicitly concluded that betes, by his work history, and by his insistence that the stock-
she did not suffer any significant medical prob- that he could still continue to work.6 2 broker was totally
lems, and another doctor explicitly stated that Disproven Science Good Enough for SSA. A pro-
she suffered from only temporary impairments. bation officer for Hennepin County, Minnesota, disabled.
Despite the conclusion of a federal judge claimed that she had “chronic fatigue syn-
and six doctors that the machinist was not pre- drome” and “multiple chemical sensitivity syn-
cluded from working, an SSA administrative drome.” After taking various forms of leave, she
law judge determined that the machinist was took a medical layoff, which would allow her to
totally disabled and incapable of performing keep her salary and seniority if she returned to
any meaningful work. SSA rejected the find- work within three years, and collected private
ings of the entire team of doctors and instead disability benefits during that time. Just before
granted the machinist full disability benefits.6 1 the three-year deadline, the probation officer
Inspector Disabled the Moment He Was Fired? claimed that she could work again. However, she
The town government of Roselle, Illinois, maintained that as a result of her “multiple
hired an individual with diabetes as a build- chemical sensitivities” she should be employed
ing inspector. Prior to starting his new posi- in a position in which she would not be exposed
tion, and indeed throughout the entire time to cigarette smoke, building materials, adhe-
that he worked thereafter, the inspector had sives, glues, epoxies, paints, varnishes, car
no trouble controlling his condition. He con- exhaust fumes, room deodorizers, perfumes,
sistently received good reviews at work. hair sprays, cleaning products, copy machines,
After being employed for several years, the or computers. Subsequently, her employer
inspector suffered a heart attack. He missed a offered her numerous job accommodations and
month of work and, upon returning to his available positions. However, she rejected each of
job, was told that he would be fired for incom- the employer’s proposals and instead filed an

21
ADA suit and applied for SSDI benefits. but even so, in October 1995, she stopped per-
A federal judge threw out the officer’s forming any of the functions of her position.
ADA claim because she was not disabled, As noted above, scientific experts have
even under the lenient ADA standard. The overwhelmingly concluded that that there is
judge noted that the theory of multiple no such impairment as “multiple chemical
chemical sensitivity has failed to gain accep- sensitivity.” The scientific community has
tance within the scientific community and concluded that alleged multiple chemical
has been repeatedly rejected by the federal sensitivities are either highly exaggerated or
courts. As the judge observed, “[F]ederal psychosomatic. Despite the overwhelming
courts do not consider environmental illness consensus of the scientific and medical com-
or MCS a scientifically valid diagnosis.” munities, however, SSA ruled itself more
Moreover, the court cited specific federal medically knowledgeable and awarded the
court decisions that “MCS is . . . unsupport- professor full SSDI benefits.6 6
ed by sound scientific reasoning or method- Mail Clerk Refused Numerous Job Offers. A
ology”6 3 and “theory underlying MCS is clerk for Neodata magazine’s mail-processing
untested, speculative, and far from general department fell down and slightly injured
acceptance in the medical or toxicological her right arm. The clerk’s treating physician
SSA ignored the community.”64 Finally, the court pointed out concluded that the arm had only a 6 percent
overwhelming sci- that even if the probation officer had pre- resultant limitation, and the physician indi-
entific and legal sented a valid medical diagnosis, she claimed cated that the impairment would have little,
that her condition merely prevented her if any, impact on the clerk’s ability to work.
consensus that from doing computer work. The probation Nevertheless, the clerk took a leave of
multiple chemical officer “has failed to show how minimal absence, claiming that she could not perform
computer usage constitutes a significant bar- her customary mail-processing duties. While
sensitivity is not a rier to employment in the social work and she was on leave, her employer encouraged
valid medical probation fields,” explained the court. her to apply for other vacant company posi-
diagnosis. Nevertheless, the officer succeeded in tions that were even less demanding and for
obtaining SSDI benefits. Apparently consid- which she was medically qualified. The
ering itself more medically knowledgeable employer arranged for a company nurse to
than the entire scientific and legal communi- take her on a tour of the facilities and to
ty, SSA ignored the overwhelming scientific explain the company’s available positions.
and legal consensus that multiple chemical However, the clerk refused to train for any
sensitivity is not a valid medical diagnosis new positions.
and instead ruled that the officer’s alleged The employer then offered the clerk
condition rendered her totally disabled and another position for which she was qualified.
entitled her to full SSDI benefits.6 5 The clerk declined that job offer, too, stating
SSA Again Rejects Scientific Consensus. A pro- that she would be on an out-of-state trip at
fessor at the University of Arizona also claimed the time the position opened and that she
that she suffered from “multiple chemical sensi- could not return by the job’s starting date.
tivity.” Like the probation officer, the professor The employer then delayed the job’s starting
stated that she could not work in the presence of date to coincide with the clerk’s schedule, but
copy machines, computers, carpeting, furni- she never showed up for work. In May 1993
ture, paint, perfumes, toiletries, smoke, shoe the employer fired the clerk, who in turn filed
polish, disinfectants, cleaning products, and an ADA discrimination suit and applied for
clothes washed in scented detergent or fabric SSDI benefits.
softener. University officials offered to transfer A federal judge dismissed the clerk’s ADA
her office to a different building and provide suit because she was not disabled, even under
other accommodations, but to no avail. The the lenient ADA standard. The judge noted
university even allowed her to work at home, that the clerk’s own treating physician

22
described her arm injury as only a minor eliminated. Thus, even allowing the most
impairment that would have little effect on her generous interpretation of its actions, SSA
ability to work. The judge further noted that jumped the gun by some 13 weeks when it
the employer had offered her numerous posi- classified the secretary as unable to perform
tions and job-training opportunities for which any work in the national economy—a profli-
she was clearly physically qualified. The clerk’s gate use of Social Security dollars.6 8
decision not to accept the job offers had noth-
ing to do with her minor arm impairment. Tip of the Abuse Iceberg
Nevertheless, SSA granted her full disabil- Some people may argue that these 43 doc-
ity benefits. Notwithstanding the fact that umented cases of abuse are merely exceptions
she remained unemployed solely because she to the rule and do not indicate widespread
refused to accept numerous job offers that abuse. However, there is strong evidence that
met her physical restrictions, SSA deter- just the opposite is true. The above-docu-
mined that the clerk was unable to perform mented abuses likely represent only a very
any meaningful work that exists in the small fraction of the abuse that occurs with-
national economy.6 7 in the SSDI system.
Secretary Suddenly Gets Arthritis on Day She Is When SSA grants SSDI benefits, it does
Fired? A secretary-receptionist for the William not make its awards public. Moreover, SSDI
Powell Corporation was terminated during a recipients have no incentive to make their
reduction in force. Her employer decided to awards public. Therefore, a substantial
eliminate her position because there was not majority of all SSDI awards evade public
enough work to justify her job. The secretary scrutiny. In fact, just about the only time
had an unquestioned record of satisfactory facts surrounding SSDI awards are made
job performance up until, and including, her public is when a beneficiary later files an
final day of work. Immediately upon her ter- employment discrimination suit under the
mination, however, the secretary claimed that ADA or similar anti-discrimination statutes.
she had arthritis that made it difficult for her However, only a small number of SSDI
to climb stairs. She filed an ADA discrimina- recipients subsequently file such disability
tion suit and applied for SSDI benefits. discrimination suits. And only some of those
Regarding her ADA claim, a federal judge ADA suits ultimately make it through the
noted that the secretary’s alleged arthritis did legal system and are presented before a judge
not at all affect her ability to work. “She or a jury. Of that smaller number of ADA
acknowledges that her claimed disability did suits that reach a judge or a jury, only some
not affect her work, that her doctor did not are resolved through a written opinion that The judge noted
place any restrictions on her in any way, that makes its way to the public. And of this even
she regularly climbed stairs at home, and smaller fraction of cases that result in a writ- that the employer
that she regularly climbed stairs during work ten decision, a still smaller fraction actually had offered the
and during her lunch break.” references the fact that the plaintiff draws clerk numerous
On January 8, 1993, 13 weeks after she SSDI benefits.
lost her job, the secretary fell and broke her In short, the facts regarding specific SSDI positions and
hip. While that injury may arguably have awards are made available to the public in job-training
been serious enough to render her fully dis- only an incredibly small percentage of cases.
abled (although such an injury is rarely severe Therefore, the above-documented abuses do
opportunities.
and permanent enough to preclude a person not even come close to capturing the mass of
from working again), on April 5 of that year hidden abuses that occur within the system.
SSA granted her full disability benefits In fact, the above-documented abuses repre-
retroactive to September 29, 1992, the day sent only the tip of the iceberg of total abuses.
she lost her job. The clear evidence was that To uncover even a few individual cases of
she was not disabled when her position was abuse in such a minute SSDI sampling

23
These document- would indicate a serious problem with the agencies receive their funds from Congress
ed abuses repre- SSDI system. To have uncovered so many and they rarely receive funding increases
such abuses is downright alarming. while showing stagnant, controllable expen-
sent only the tip ditures. SSA has a disincentive to vigilantly
of the iceberg of SSA Statistics monitor its disbursements, because stagnant
The recent flood of abuse within the SSDI expenditures will result in stagnant funding.
total abuses. program can also be inferred from SSA statis- Second, political ideology can motivate
tics. The U.S. Bureau of the Census estimates runaway SSDI awards. The commissioner of
that the nation’s overall population grew by Social Security is a presidential political
just 7 percent between 1991 and 1998.6 9 appointee who will usually share the presi-
Nevertheless, SSA reports that it granted dent’s political agenda. A president or a com-
SSDI benefits to 47 percent more persons in missioner who disagrees with strict statutory
1998 than in 1991.7 0 More startling still, SSA SSDI language will be inclined to ignore it.
seems to have extravagantly opened its vaults During such administrations, SSA self-
to beneficiaries. Its own numbers show that it watchdog mechanisms are ineffectual. It is
paid out 77 percent more money to SSDI no coincidence that SSDI awards have sky-
recipients in 1998 than in 1991, meaning that rocketed during the present administration.
substantially more money is suddenly being Third, raw political ambition, irrespective of
paid to each beneficiary.7 1 political ideology, can motivate an abdication of
Did America undergo an epidemic of severe statutory duty. The more persons who owe their
disabilities such that 47 percent more people dubious SSDI benefits to a particular person or
were unable to work in 1998 than in 1991? And political party, the more persons can be expect-
even if that somehow were the case, how can ed to politically support the distributor of those
SSA logically explain the fact that it handed out funds. Simply put, more SSDI recipients equal
77 percent more SSDI dollars over the same more votes for derelict administrators.
time period? Was America in the 1990s secretly Fourth, SSA judges are likely to be sympa-
and simultaneously suffering from rampant thetic to the sad stories of applicants. Those
plagues and hyperinflation? judges will have no real incentive not to grant
The simple fact is that in the 1990s SSA relief. The easy thing to do is grant benefits
awarded more SSDI benefits to more people, to applicants.
and in higher dollar amounts, than could log-
ically be anticipated, or can logically be One-Sided Procedural Mechanisms
explained, by socio-economic factors. However, Added to the incentives for SSA personnel
the fleecing of Social Security can be more to pass out benefits to those who do not
readily traced through an examination of ide- deserve them are SSDI procedural mecha-
ological, bureaucratic, and political motiva- nisms that provide applicants with a multi-
tions within the system that have continued tude of avenues for pursuing, contesting, and
unchecked since the early 1990s. Without appealing disability determinations, while
effective oversight from outside officials or providing no avenue for watchdog groups to
third-party organizations, SSA may have suc- monitor fraud and abuse.
cumbed to the most base of political instincts. To begin with, an applicant submits his
SSDI claim for an initial entitlement determi-
Catalysts of SSDI Abuse nation. SSA assigns those initial determina-
It is incorrect to assume that SSA has insti- tions to state agencies but retains control of
tutional incentives to vigilantly protect its the determination process. Moreover, SSA
SSDI funds from fraud and abuse. First, gov- reviews individual awards and has the power
ernment agencies, like any other businesses or to reject state agency determinations.72 If SSA
quasi-business entities, are constantly seeking approves an award of benefits at the initial
revenue increases. However, government determination stage, there is no entity that

24
reviews or challenges the award. However, if the case because there are few internal or
an applicant is denied benefits in the initial external safeguards to ensure that SSA per-
determination, he may request reconsidera- sonnel are abiding by the strict language and
tion through a special reviewing official.73 intent of the Social Security Act.
In the reconsideration process, the appli-
cant may present a case to a reviewing official
who was not involved in the initial determi- Prescriptive Solutions
nation. If the reviewing official disagrees with
the initial denial and instead grants benefits, At minimum, a number of simple proce-
the award is final and no entity may review or dural changes are necessary to help stem the
challenge the award. If, however, the review- current abuses of the SSDI system.
ing official affirms the denial of benefits, the First, those SSA officials who make initial
applicant may request review before an SSA eligibility determinations must be subject to
administrative law judge.7 4 independent review and accountability.
If the SSA administrative law judge dis- Officials who consistently ignore the clear
agrees with each of the prior determinations statutory language of the SSDI program
and instead decides to award benefits, the should be identified and removed from the sys-
award is final and no entity may review or tem. To this end, an independent watchdog An SSDI appli-
challenge it. If, however, the administrative entity must be created to ensure impartial cant can be ruled
law judge affirms the earlier benefits denials, administrators. The watchdog must remain fully capable of
the applicant may request review before an independent of SSA and must not be subject to
SSA Appeals Council.7 5 the political, ideological, and bureaucratic working by each
If the SSA Appeals Council disagrees with agendas that may pervade the agency. of four or more
all of the prior determinations and instead Second, there must be independent over-
decides to award benefits, the award is final sight and independent review of individual
separate adminis-
and no entity may review or challenge it. If, SSDI awards. Currently, every applicant is trative entities
however, the Appeals Council affirms the ear- entitled to challenge an initial benefits and still receive
lier benefits denials, the applicant may chal- denial. An independent watchdog entity
lenge the determination in federal court.76 should be given similar power to challenge full disability
If a federal court disagrees with all of the unjustified initial benefits awards. The benefits.
prior determinations and instead decides to watchdog entity might be instructed to pre-
award benefits, the award is final and no enti- serve the privacy of individual SSDI awards,
ty may review or challenge it. If, however, a but the entity must remain independent of
federal court affirms the earlier benefits SSA and must remain unquestionably com-
denials, the applicant may file a petition to mitted to the eradication of fraud and abuse.
reopen the claim and start the entire process Third, there must be balance in the subse-
all over again.7 7 quent SSDI review processes. The applicant
The end result of these procedural mecha- alone currently has the right to repeatedly
nisms is that an SSDI applicant can be ruled challenge benefits denials through a request
fully capable of working by each of four or for reconsideration, through an administra-
more separate administrative entities and tive law judge, through a special appeals
still receive full disability benefits. If SSA council, and through the federal courts.
were staffed by individuals committed to Including the initial determination proce-
upholding the strict language and purpose dures, this gives each applicant five separate
of the SSDI program, a few unjust awards challenges, plus the right to file a motion to
might slip through the many cracks. But if reopen the claim and start the process all over
SSA is staffed by individuals who are hostile again. Providing applicants with such multi-
to the strict language of SSDI, a flood of ple opportunities to secure benefits is entirely
abuse predictably results. This is especially unnecessary; it increases opportunities for

25
abuse. Justice for all parties, including every Moreover, SSDI benefits are disbursed
American worker who is forced to contribute from the same general Social Security funds
to the Social Security system, can be diligent- as are retirement benefits. When persons
ly served by limiting the process to, at most, who are capable of working are encouraged
two steps of review. To the extent that a mul- to tap into SSDI, the government is forced to
titude of procedural steps may remain in slash the benefits of retired Americans.
place, however, an independent watchdog The cumulative financial results of such
entity should be given the same rights widespread abuse are that the Social Security
retained by applicants to review and challenge system faces bankruptcy before today’s col-
each step of the SSDI determination process. lege graduates can expect to retire and that
Fourth, and finally, SSA should be the solutions, if any, imposed by the federal
accountable for policy positions that under- government are likely to be painful and costly
mine the strict language and clear goals of the and would fail to address a core reason for
Social Security Act. For example, SSA has Social Security’s impending insolvency. Some
recently instructed its determinations person- or all of those painful solutions would be
nel and its administrative law judges that per- unnecessary if simple mechanisms were put
sons who are fully capable of working should in place to control SSDI abuse.
nevertheless be considered completely unable
to work and should be awarded full disability
benefits if they require simple workplace Notes
accommodations.78 This policy position totally 1. U.S. General Accounting Office, “Adults with
ignores the fact that the ADA requires all Severe Disabilities,” GAO/HEHS-99-101, May
employers to provide reasonable accommoda- 1999, p. 16.
tions whenever and wherever disabled persons
2. “The Future of Social Security,” Social
need them.7 9 Nevertheless, SSA has explicitly Security Publication no. 05-10055, October
stated that it will make all benefits determina- 1998, p. 3.
tions in a make-believe world in which the ADA
theoretically doesn’t exist. Such a position clear- 3. Ibid.; and U.S. General Accounting Office, p. 16.
ly and completely undermines the statutory lan- 4. Social Security Act, 42 U.S.C. § 423 (1935).
guage and the compelling goals of the SSDI pro-
gram. 5. Ibid. § 1382c.

6. “Social Security Disability Benefits,” Social


Security Publication no. 05-10029, May 1996;
SSA should be Costs of Continued Abuse and Social Security Act § 1382c.

accountable for The social and financial costs of SSDI abuse 7. U.S. General Accounting Office, p. 16.
policy positions are tremendous. When SSA encourages able- 8. “Social Security Disability Benefits,” p. 8.
that undermine the bodied persons to claim SSDI benefits, it acts to
defeat the interests of disabled and nondisabled 9. Ibid., p. 10. See also “Factsheet: Providing
strict language and persons alike. Medical Evidence to the Social Security
Administration for Individuals with Chronic
clear goals of the When persons who are fully capable of work- Fatigue Syndrome; A Guide for Health Care
ing tap into SSDI, resources are drained from per- Professionals,” Social Security Publication no. 64-
Social Security Act. sons with truly disabling conditions. As abuses 063, n.d. , p. 1, http://www.ssa.gov/odhome/ cfs-
facts.htm.
continue to undermine the program’s solvency,
politicians are forced to either raise Social Security 10. “Social Security Disability Benefits,” p. 9.
taxes or slash individual benefits awards, or both.
The end result is that persons who are truly 11. Ibid., p. 10. See also Disability Notes 1, no. 25
(2000), Social Security Office of Disability
unable to work receive fewer benefits as a result of Publication no. 64-040; and Kenneth S. Apfel,
fraud and abuse by others. Social Security commissioner, Testimony before

26
the Subcommittees on Social Security and LEXIS 6187 (W.D.N.C. 1997).
Human Resources of the House Committee on
Ways and Means, Joint Hearing on Social Security’s 31. McNemar v. The Disney Store, Inc., 91 F.3d 610
DI and SSI Program Caseloads, 106th Cong., 1st (3d Cir. 1996).
sess., October 21, 1999, http://www.ssa.gov/policy/
congcomm/ testimony_102199.html. 32. Francis v. Chemical Banking Corp., 1999 U.S.
Dist. LEXIS 12502 (E.D.N.Y. 1999).
12. Code of Federal Regulations for Social
Security, 20 C.F.R. §§ 404.1520, 416.920 (1986). 33. Lemons v. US Air Group, Inc,. 43 F. Supp. 2d 571
(M.D.N.C. 1999).
13. 20 C.F.R. § 404.1520(c).
34. 29 C.F.R. Pt. 1630, App. § 1630.2(j) at 403
14. See Daniel L. Skoler, associate commissioner (1995).
for hearings and appeals, Social Security
Administration, Memorandum to Administrative 35. Olinger v. U.S. Golf Assoc., 55 F. Supp. 2d 926
Appeals Judges, reprinted in Social Security Practice (N.D.Ind. 1999).
Guide 2 (1998), App. § 15C[9], pp. 15-401 to 15-
402. 36. Steeves v. Shaw’s Supermarkets, Inc., 1998 U.S.
Dist. LEXIS 14219 (D.Maine 1998).
15. 42 U.S.C. § 12112(b)(5)(A).
37. Barnett v. Lockheed Martin Corp., 1997 U.S. Dist.
16. Carolyn C. Cleveland v. Policy Management LEXIS 20552 (M.D.Fla. 1997).
Systems Corporation, 526 U.S. 795 (May 24, 1999).
38. Simmons v. Northside Savings Bank, 1997 U.S.
17. 120 F.3d 513 (1997). Dist. LEXIS 13131 (S.D.N.Y. 1997).

18. 1997 U.S. Briefs 1008. Brief for the United 39. Lewis v. Zilog, Inc., 908 F. Supp. 931 (N.D.Ga.
States and the Equal Employment Opportunity 1995).
Commission as amici curiae supporting petitioner.
40. Quintana v. Sound Distribution Corp., 1997 U.S.
19. See Bowen v. Yuckert, 482 U.S. 137 (1987). Dist. LEXIS 934 (S.D.N.Y. 1997).

20. Ibid. Emphasis added. 41. Smith v. Blue Cross Blue Shield of Kansas, Inc., 102
F.3d 1075 (10th Cir. 1996).
21. 526 U.S. 795 (1999).
42. Fussell v. Georgia Ports Authority, 906 F. Supp.
22. Feliberty v. Kemper Corp., 1998 U.S. Dist. LEXIS 1561 (S.D.Ga. 1995).
7119 (N.D.Ill. 1998).
43. Budd v. ADT Security Sys., Inc., 1996 U.S. Dist.
23. Simon v. Safelite Glass Corp., 128 F.3d 68 (2d Cir. LEXIS 21972 (W.D.Mo. 1996).
1997).
44. EEOC v. Stowe-Pharr Mills, 1998 U.S. Dist.
24. Hill v. Kansas City Transp. Auth., 181 F.3d 891 LEXIS 21948 (W.D.N.C. 1998).
(8th Cir. 1999).
45. Violette v. IBM Corp., 962 F. Supp. 446 (D.Vt.
25. Christou v. Hyatt Regency-O’Hare, 996 F. Supp. 1996).
811 (E.D.Ill. 1998).
46. Griffith v. Wal-Mart Stores, Inc., 930 F. Supp.
26. Swanks v. Washington Metro Area Transit Auth., 1167 (E.D.Kent. 1996).
116 F.3d 582 (D.C. Cir. 1997).
47. Smith v. Midland Brake, Inc., 911 F. Supp. 1351
27. Horner v. Income Producing Management of (D.Kan. 1995).
Oklahoma, Inc., 1999 U.S. App. LEXIS 7260 (10th
Cir. 1999). 48. Nguyen v. IBP, Inc., 905 F. Supp. 1471 (D.Kan.
1995).
28. Serrano v. Shield Institute of David, Inc., 1997 U.S.
Dist. LEXIS 4455 (S.D.N.Y. 1997). 49. Hatfield v. Quantum Chemical Corp., 920 F.
Supp. 108 (S.D.Tex. 1996).
29. Terry v. Norfolk Southern Railway Co., 948 F.
Supp. 1058 (N.D.Ga. 1996). 50. Stevens v. Hy-Vee Food Stores, Inc., 1997 U.S. Dist.
LEXIS 4491 (D.Kan. 1997).
30. Wilson v. Freightliner Corp., 1997 U.S. Dist.

27
51. Butler v. City of Prairie Village, 974 F. Supp. 1386 65. Coffey v. County of Hennepin, 23 F. Supp. 2d
(D.Kan. 1997). 1081 (D.Minn. 1998).

52. Gaul v. AT&T, Inc., 955 F. Supp. 346 (D.N.J. 66. Tobias v. Arizona Bd. of Regents, 1998 U.S. App.
1997). LEXIS 30070 (9th Cir. 1998).

53. Williamson v. Hartmann Luggage Co., 34 F. Supp. 67. Robinson v. Neodata Servs., Inc., 94 F.3d 499 (8th
2d 1056 (M.D.Tenn. 1998). Cir. 1996).

54. Jones v. State Farm Mutual Ins. Co., 1997 U.S. 68. Richardson v. William Powell Co., 1994 U.S. Dist.
Dist. LEXIS 6885 (E.D.Mich. 1997). LEXIS 19818 (S.D.Ohio 1994).

55. Baker v. Asarco, Inc., 1995 U.S. Dist. LEXIS 69. U.S. Bureau of the Census, Population Estimates
16852 (D.Ariz. 1995). Program, “Monthly Estimates of the United States
Population,” July 30, 1999, http://www.census.gov/
56. Johnson v. City of Saline, 151 F.3d 564 (6th Cir. population/estimates/nation/intfile-1.txt.
1998).
70. Social Security Administration, “Current
57. Beck v. Dahn Corp., 1998 U.S. App. LEXIS 9709 Operating Statistics,” June 30, 1999, sec. I-OASDI,
(10th Cir. 1998). Table 1.B1.

58. Price v. Delaware Dept. of Correction, 40 F. Supp. 71. Ibid.


2d 544 (D.Del. 1999).
72. 42 U.S.C. § 421.
59. Williams v. Kerr-McGee Corp., 1997 U.S. App.
LEXIS 6366 (10th Cir. 1997). 73. 20 C.F.R. § 404.905.

60. Katzowitz v. Long Island RR., 1999 U.S. Dist. 74. Ibid. § 404.929.
LEXIS 11989 (E.D.N.Y. 1999).
75. Ibid. § 404.967.
61. Pokol v. E.I. DuPont de Nemours & Co., Inc., 963
F. Supp. 1361 (D.N.J. 1997). 76. Ibid. § 404.981.

62. Fang v. Village of Roselle, 1997 U.S. Dist. LEXIS 77. Ibid. § 404.989.
6303 (N.D. Ill. 1997).
78. Skoler.
63. Summers v. Missouri Pac. R.R. Sys., 132 F.3d 599,
603 (10th Cir. 1997). 79. 42 U.S.C. § 12112(b)(5)(A).

64. Frank v. New York, 972 F. Supp. 130, 136–37


(D.N.Y. 1997).

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