Briscoe, Katherine v. Barnhart, Jo Anne ( 2005 )


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  •                              In the
    United States Court of Appeals
    For the Seventh Circuit
    ____________
    No. 04-2251
    KATHLEEN BRISCOE, on behalf of
    NELSON TAYLOR, deceased,
    Plaintiff-Appellee,
    v.
    JO ANNE B. BARNHART,
    Commissioner of Social Security,
    Defendant-Appellant.
    ____________
    Appeal from the United States District Court
    for the Northern District of Illinois, Eastern Division.
    No. 03 C 2762—Morton Denlow, Magistrate Judge.
    ____________
    ARGUED JANUARY 6, 2005—DECIDED SEPTEMBER 23, 2005
    ____________
    Before MANION, WOOD, and WILLIAMS, Circuit Judges.
    WOOD, Circuit Judge. This is a somewhat unusual Social
    Security appeal. After an Administrative Law Judge (ALJ)
    rejected Nelson Taylor’s application for disability benefits
    under Title II of the Social Security Act, 42 U.S.C. § 423, he
    appealed and persuaded the district court to remand the
    case for an award of benefits. The Commissioner of the
    Social Security Administration is thus the appellant before
    us; she argues that the district court erred in its conclusion
    that the ALJ’s decision rejecting Taylor’s application was
    not supported by substantial evidence. We conclude that the
    2                                                No. 04-2251
    record permits neither rejection of Taylor’s claim nor an
    immediate award of benefits, and we thus remand the case
    to the agency.
    I
    Taylor (who has since passed away and is now repre-
    sented by Kathleen Briscoe, his sister) applied for Supple-
    mental Social Security Income (SSI) benefits under Title
    XVI of the Social Security Act (SSA) on May 1, 1993. He
    was awarded benefits effective the date of his application.
    On December 11, 1996, at the age of 55, he filed an applica-
    tion for disability insurance benefits (DIB) under Title II of
    the SSA, 42 U.S.C. § 423, claiming disability as a result of
    poor circulation in the legs and alleging an onset date
    of March 1, 1987, the date he was last employed. He
    claimed that he had a fifth grade education, he did not read
    or write well, and he could not understand a lot of words
    when attempting to read a newspaper. He worked as a
    forklift and machine operator for a steel mill for ten years
    until 1986, then as a forklift operator for the Leaf Brand
    Company. He stopped working on March 1, 1987, claiming
    that the repetitive foot movement required in driving a
    forklift caused him significant leg pain.
    Taylor’s application was denied initially and upon
    reconsideration, prompting him to request a hearing be-
    fore an ALJ. On March 18, 1998, ALJ B. Carlton Bailey, Jr.,
    held a hearing at which Taylor and a medical expert, Dr.
    David Abramson, testified. Because Taylor was al-
    ready receiving SSI benefits and his insured status for Title
    II disability benefits expired on March 31, 1991, the ALJ
    acknowledged that the only issue to be resolved was when
    Taylor became disabled—the so-called onset date. (In order
    to be entitled to DIB, an individual must establish that the
    disability arose while he or she was insured for benefits.
    See 42 U.S.C. §§ 423(a)(1)(A), (c)(1); 20 C.F.R. § 404.131;
    No. 04-2251                                                 3
    Stevenson v. Chater, 
    105 F.3d 1151
    , 1154 (7th Cir. 1997)).
    At the hearing, Taylor testified that by early 1987, his
    impairments were so severe that he was only able to
    walk approximately one-half block before his legs would
    cramp, forcing him to rest and massage them. He also
    testified that the pain prevented him from helping with
    household chores, visiting friends, or taking part in his
    favorite pastimes. In late 1993 or early 1994 (after the
    expiration of his insured status), Taylor developed a leg
    ulcer that did not heal. By 1994, he was able to walk
    only ten or twelve steps without having to sit down. After
    undergoing femoral bypass surgery in 1994 to remove
    a blockage in a main artery, the pain in his legs lessened
    somewhat and he was able to walk about two blocks.
    Shortly thereafter, he underwent another operation, this
    time to alleviate stomach pain. Following this procedure,
    his doctor instructed him to refrain from lifting more
    than twenty pounds.
    The evidence submitted with Taylor’s claim included
    medical records covering the period prior to the expira-
    tion of his insured status. Between 1985 and 1990,
    Taylor visited the Chicago Hamblin Medical Center on
    several occasions. On December 1, 1986, he complained of
    nausea and dizziness and was referred for testing to rule
    out the possibility of an intra-abdominal tumor. His
    treatment notes on December 15, 1986, although mostly
    illegible, indicated that Taylor was to be released to re-
    turn to work on January 5, 1987. Notes taken on January
    6, 1989, reported rectal bleeding, weight loss, and dizziness.
    Taylor next saw a doctor on January 7, 1990, for bilateral
    leg cramps after walking a block or so. The doc-
    tor prescribed Trental to treat his leg pain. February 5,
    1991, medical notes indicated that Taylor again complained
    of leg pain on this visit. The doctor did not conduct any
    tests to explore what was causing this condition; he simply
    instructed Taylor to continue treatment at home.
    4                                               No. 04-2251
    Taylor had continual health problems from mid-1993
    forward. He went to the doctor on May 28, 1993, after the
    expiration of his insured status, complaining of back pain
    and pain in both legs and the inability to walk more than a
    block without resting; his weight had also dropped 21
    pounds. On a January 7, 1994, visit, Taylor reported pain
    in the left leg, and the doctor’s notes recorded poor periph-
    eral pulses. A few days later, on January 14, 1994, he
    returned to the medical center. Notes from that visit report
    a history of alcoholism and peripheral neuropathy. Taylor
    was hospitalized for the non-healing ulcer in the left leg,
    abdominal aorta occlusion, obstructive chronic bronchitis,
    and cellulitis of the leg from June 14 to July 1, 1994. A
    June 17, 1994, consultation report for vascular surgery
    indicated a long-history of claudication pain in the lower
    extremities, with severe hip pain lasting six to seven
    months, and a non-healing ulcer in the left leg. On June 20,
    his aorto-femoral angiograms revealed a complete occlusion
    in an artery for which he underwent bypass surgery to
    remove the blockage and to repair blood vessels on June 24.
    The medical expert, Dr. Abramson, opined that Taylor
    had disabling conditions as of 1994, including severe
    arteriosclerosis obliterans, a block in the abdominal aorta,
    and intermittent claudication, which causes pain when
    the muscles are being exercised. The doctor was unsure,
    however, how long the conditions had existed. He explained
    that these are slowly progressing ailments, in some cases
    taking three years or longer to develop and in others a
    shorter period of time, depending on an individual’s rate of
    cholesterol metabolism. Dr. Abramson believed that the
    only way to establish an onset date would be to review the
    objective data from treatment tests conducted during the
    qualifying time period (that is, from the claimant’s alleged
    onset date until the last date insured) for references to the
    absence or reduction of pulses or whether signs of arterio-
    sclerosis were present in the lower extremities. He sug-
    No. 04-2251                                                 5
    gested that the 1993 SSI application file might provide
    some of this information.
    After the hearing, the ALJ found that Taylor did not have
    a severe impairment on or before March 31, 1991, when his
    insured status expired and thus he was not entitled to DIB.
    The ALJ’s decision became the final decision of the Commis-
    sioner on July 28, 2000, when the Appeals Council denied
    Taylor’s request for review.
    Taylor subsequently filed a complaint in district court
    seeking review of the agency’s denial of benefits pursuant
    to 42 U.S.C. § 405(g). On September 6, 2001, Magistrate
    Judge Arlander Keys reversed the ALJ’s decision and
    remanded the case for further proceedings. See Taylor v.
    Massanari, No. 00 C 5643, 
    2001 WL 1035286
    , at *9 (N.D.
    Ill. Sept. 7, 2001). Judge Keys found that the ALJ’s decision
    was not supported by substantial evidence because it failed
    to apply Social Security Ruling 83-20 (SSR 83-20) when it
    rejected Taylor’s alleged onset date without determining
    whether that date was consistent with the available
    medical evidence. He explained that under SSR 83-20, the
    ALJ cannot reject the claimant’s testimony solely on the
    basis that there was no objective proof of his alleged onset
    date. Judge Keys also found that the ALJ did not fully
    develop the record, because he neither consulted Taylor’s
    1993 SSI application file nor explained his reasons for
    proceeding without it.
    Taylor died on June 7, 2002 (apparently of lung cancer),
    but applications under Title II do not automatically ex-
    pire upon the death of a claimant if a party in interest
    (including a beneficiary) is able to maintain the integrity of
    the application. See 20 C.F.R. § 404.503. On remand, ALJ
    Bailey held a supplemental hearing on November 1, 2002,
    to receive the testimony of Lola Lawe-Taylor, Taylor’s
    domestic partner of seventeen years, Dr. Ashok Jilhewar, a
    medical expert, and Richard Hamersma, a vocational
    6                                                No. 04-2251
    expert.
    Lawe-Taylor testified that Taylor stopped working in
    1987 because he could no longer perform his job as a forklift
    operator and that he used to come home and complain
    about leg cramps. He had cramps in his leg about every
    half-hour both day and night, and he woke up frequently
    during the night because of the pain. By her account, the
    cramps grew worse in August 1991, and as a result Taylor
    ceased driving.
    Dr. Jilhewar opined that Taylor had disabling condi-
    tions on January 7, 1994, based on the pulse measurements
    taken that day, but he was unsure how long these con-
    ditions existed. He stated that he did not know whether the
    earlier records’ indication of normal extremities were based
    on pulse measures or purely subjective observations. He
    also agreed with Dr. Abramson’s determination that Taylor
    had longstanding claudication of the lower extremities, and
    that although it was possible that this condition had existed
    in 1987, he could not tell from the record whether Taylor
    had this condition prior to January 7, 1994. Dr. Jilhewar
    also admitted that the drug the doctor prescribed to Taylor
    on January 7, 1990, Trental, was strong evidence that the
    doctor was thinking of a peripheral vascular disease but
    again, he could not offer an opinion about the severity of the
    condition without pulse measurements. Finally, Dr.
    Jilhewar was unable to comment on how much of a physical
    limitation Taylor had after January 7, 1990, although he
    did draw the inference from the data that Taylor was
    affected by that time.
    On January 7, 2003, the ALJ issued his decision, repeat-
    ing his previous conclusion that the evidence did not show
    that Taylor was disabled prior to January 7, 1994. He found
    that although Taylor’s impairments were severe enough to
    prevent him from performing any of his past relevant work
    prior to March 31, 1991, as of that date Taylor still had the
    residual functional capacity (RFC) to perform a significant
    No. 04-2251                                                   7
    range of light work in the national economy. He therefore
    concluded that Taylor was ineligible for DIB.
    Briscoe, Taylor’s sister and a party in interest, sought
    judicial review of the ALJ’s decision and the case was
    assigned to Magistrate Judge Morton Denlow. (For ease
    of reference, we continue to refer to Taylor as the plain-
    tiff throughout this opinion.) Judge Denlow reversed the
    ALJ’s denial of benefits, finding that it was not supported
    by substantial evidence. At the outset, he noted that the
    ALJ had failed to follow Judge Keys’s instructions to apply
    SSR 83-20, or to discuss the 1993 SSI file or to explain
    why the ALJ proceeded without the file. In addition, the
    ALJ’s decision was reversible on a number of other grounds.
    The ALJ failed to apply the analysis mandated by SSR 83-
    20 to determine the onset date of disability. He also failed
    to fulfill his obligation to build a full record, because he did
    not discuss the 1993 SSI file or explain why he proceeded
    without the file. Nor did he consider Taylor’s testimony
    from the 1998 hearing or explain why he rejected that
    testimony. Judge Denlow also found that the ALJ should
    not have rejected Lawe-Taylor’s testimony. As a remedy,
    the court remanded the case for an award of benefits.
    The Commissioner appeals, arguing that the ALJ’s
    decision was supported by substantial evidence. In the
    alternative, she argues that the district court erred in
    awarding Taylor disability benefits rather than issuing a
    remand for further proceedings.
    II
    “The standard of review in disability cases limits this
    court as well as the district court to determining whether
    the final decision of the [Commissioner] is both supported
    by substantial evidence and based on the proper legal
    criteria.” Sheck v. Barnhart, 
    357 F.3d 697
    , 699 (7th Cir.
    2004) (quotation marks omitted). The court will “conduct a
    8                                                No. 04-2251
    critical review of the evidence,” considering both the
    evidence that supports, as well as the evidence that detracts
    from, the Commissioner’s decision, and “the decision cannot
    stand if it lacks evidentiary support or an adequate discus-
    sion of the issues.” Lopez ex rel. Lopez v. Barnhart, 
    336 F.3d 535
    , 539 (7th Cir. 2003) (quotation marks omitted). In
    addition to relying on substantial evidence, the ALJ must
    also explain his analysis of the evidence with enough detail
    and clarity to permit meaningful appellate review. See
    Herron v. Shalala, 
    19 F.3d 329
    , 333-34 (7th Cir. 1994).
    In order to qualify for disability benefits, a claimant must
    be found “disabled,” under the SSA. 42 U.S.C.
    § 423(a)(1)(E). The Act defines “disability” as the “inability
    to engage in any substantial gainful activity by reason
    of any medically determinable physical or mental impair-
    ment which can be expected to result in death or which has
    lasted or can be expected to last for a continuous period of
    not less than 12 months.” 
    Id. at §
    423(d)(1)(A). The Social
    Security regulations prescribe a sequential five-part test for
    determining whether a claimant is disabled. The ALJ must
    consider whether: (1) the claimant is presently employed;
    (2) the claimant has a severe impairment or combination of
    impairments; (3) the claimant’s impairment meets or equals
    any impairment listed in the regulations as being so severe
    as to preclude substantial gainful activity; (4) the claimant’s
    residual functional capacity leaves him unable to perform
    his past relevant work; and (5) the claimant is unable to
    perform any other work existing in significant numbers in
    the national economy. 20 C.F.R. §§ 404.1520, 416.920. A
    finding of disability requires an affirmative answer at
    either step three or step five. The claimant bears the
    burden of proof at steps one through four, after which at
    step five the burden shifts to the Commissioner. See Young
    v. Barnhart, 
    362 F.3d 995
    , 1000 (7th Cir. 2004).
    The ALJ found that Taylor’s impairments met regula-
    tion listings on January 4, 1994, and that Taylor was
    No. 04-2251                                                 9
    disabled as of that date. Unfortunately, that date is well
    beyond the expiration of his insured status, and thus this
    finding did not in itself resolve the case. The ALJ therefore
    properly turned to the question whether Taylor’s impair-
    ments rendered him disabled prior to March 31, 1991.
    Where, as here, a claimant is found disabled but it is
    necessary to decide whether the disability arose at an
    earlier date, the ALJ is required to apply the analytical
    framework outlined in SSR 83-20 to determine the
    onset date of disability. See Perkins v. Chater, 
    107 F.3d 1290
    , 1295 (7th Cir. 1997); Lichter v. Bowen, 
    814 F.2d 430
    ,
    434-37 (7th Cir. 1987).
    SSR 83-20 defines the onset date of disability as “the first
    day an individual is disabled as defined in the Act and the
    regulations.” SSR 83-20 at *1. In the case of slow-
    ly progressive impairments, SSR 83-20 does not require
    an impairment to have reached the severity of an impair-
    ment listed in the regulations, as required under step three,
    but “[t]he onset date should be set on the date when it is
    most reasonable to conclude from the evidence that the
    impairment was sufficiently severe to prevent the individ-
    ual from engaging in SGA (or gainful activity) for
    a continuous period of at least 12 months or result in
    death.” SSR 83-20 at *3; see Armstrong v. Comm’r, 
    160 F.3d 587
    , 590 (9th Cir. 1998) (stating that the onset date is
    determined by the date when the impairment became
    disabling and not just present); Blankenship v. Bowen, 
    874 F.2d 1116
    , 1122 (6th Cir. 1989) (same).
    The ALJ did not refer to SSR 83-20 specifically in his
    decision, but this omission by itself is not reversible error.
    See Pugh v. Bowen, 
    870 F.2d 1271
    , 1274 (7th Cir. 1989). We
    must determine whether the ALJ nevertheless properly
    applied the requisite analysis. Our review of the decision
    leads us to conclude that he did not.
    After finding that Taylor was disabled as of January 4,
    10                                               No. 04-2251
    1994, the ALJ proceeded to consider what Taylor could
    do before that date. He concluded that Taylor retained the
    residual functional capacity to:
    lift/carry 10 pounds frequently and 20 pounds occasion-
    ally, push/pull 10 pounds frequently and 20 pounds
    occasionally, sit 6 hours in an 8-hour day, walk 6 hours
    in an 8-hour day, stand 6 hours in an 8-hour day, avoid
    all exposure to temperature extremes, avoid concen-
    trated exposure to dust/fumes, and no commercial
    driving.
    Contrary to SSR 96-8p, however, the ALJ did not explain
    how he arrived at these conclusions; this omission in itself
    is sufficient to warrant reversal of the ALJ’s decision. See
    SSR 96-8p at *7 (“RFC assessment must include a narrative
    discussion describing how the evidence supports
    each conclusion, citing specific medical facts.”).
    Worse than that, the record contains no evidence that
    would support the ALJ’s description of Taylor’s pre-1994
    RFC. Dr. Jilhewar disclaimed the ability to infer the
    limits of Taylor’s residual functional capacity prior to
    January 4, 1997. In fact, he stated that “[t]here was no
    establishment of any restrictions, or any [e]ffect on the
    residual functional capacity, until 1/7/90, and then after
    1/7/90, there was a limitation, but how much, . . . I do not
    know the answer.”
    In opining that Taylor’s impairments first met regulation
    listing severity on January 7, 1994, Dr. Jilhewar relied
    solely on the first recording of poor peripheral pulses in the
    medical records. But he also stated that he was unable to
    infer from the record how long Taylor had met listing
    severity because the earlier records did not con-
    tain objective evidence of the progression of Taylor’s
    impairments. If the ALJ based his RFC determination
    on this first date of diagnosis, it is contrary to SSR 83-20
    which holds that “in the case of slowly progressive impair-
    No. 04-2251                                                 11
    ments, it is not necessary for an impairment to have
    reached listing severity (i.e. be decided on medical grounds
    alone) before onset can be established.” SSR 83-20 at * 2;
    see 
    Lichter, 814 F.2d at 435
    (holding that under SSR 83-20,
    the ALJ may not rely on the first date of diagnosis simply
    because an earlier diagnosis date is unavailable).
    Under SSR 83-20, an ALJ must consider three factors
    when determining the onset date of disabilities of a
    nontraumatic origin: (1) the claimant’s alleged onset
    date; (2) the claimant’s work history; and (3) medical and
    all other relevant evidence. See SSR 83-20 at *2. The date
    that the claimant alleges as an onset date should be the
    starting point of the analysis, and that date “should be used
    if it is consistent with all the evidence available.” 
    Id. at *3.
    The day when the impairment caused the individual to stop
    work is also important. See 
    id. Nevertheless, medical
    evidence is “the primary element in the onset determina-
    tion,” and the date chosen “can never be inconsistent with
    the medical evidence of record.” 
    Id. at *2,
    *3. This does not
    mean that a claim is doomed for lack of medical evidence
    establishing the precise date an impairment became
    disabling. In such cases, the ALJ must “infer the onset date
    from the medical and other evidence that describe the
    history and symptomatology of the disease process” and
    should seek the assistance of a medical expert to make this
    inference. 
    Id. at *2.
    Where no reasonable inference is
    possible based on the available evidence and additional
    medical evidence is not available, “it may be necessary to
    explore other sources of documentation . . . from family
    members, friends, and former employees to ascertain why
    medical evidence is not available for the pertinent period
    and to furnish additional evidence regarding the course of
    the individual’s condition.” 
    Id. at *3.
      While the ALJ did consult with medical experts in
    attempting to infer an onset date, he did not follow through
    with the instructions given in SSR 83-20 after
    12                                               No. 04-2251
    he determined that no reasonable inference could be
    drawn from the medical records. Although both Drs.
    Jilhewar and Abramson indicated that the lack of objective
    medical tests prior to the expiration of Taylor’s insured
    status was the basis for their inability to establish an onset
    date during this time, neither one dismissed the possibility
    that Taylor’s disabling condition existed prior to the
    expiration of his insured status. The ALJ acknowledged
    that the medical evidence was inconclusive. Rather than
    explore other sources of evidence, as SSR 83-20 requires,
    the ALJ drew a negative inference at that point.
    The Commissioner argues that there were no other
    credible supporting evidence for the ALJ to review be-
    cause he found that Lawe-Taylor’s testimony was not
    credible and Taylor failed to present other potential
    witnesses such as his former employer, siblings, friends, or
    his treating physician. This underestimates what was in the
    record. The most striking omission is Taylor’s testimony.
    The ALJ was required to evaluate whether Taylor’s state-
    ments about the intensity and persistence of his pain were
    consistent with the available evidence and whether that
    testimony supported an earlier onset date. He failed to do
    so. See 20 C.F.R. § 404.1529(c)(2) (stating that the ALJ
    must consider a claimant’s subjective complaints of pain
    and its effects to him even where the available objective
    medical evidence does not substantiate the claimant’s
    statements). Nor did the ALJ give any reason for appar-
    ently rejecting Taylor’s testimony. See Clifford v. Apfel, 
    227 F.3d 863
    , 870 (7th Cir. 2000) (“[A]n ALJ must ‘minimally
    articulate his reasons for crediting or rejecting evidence of
    disability.’ ”). Although the ALJ’s first decision found
    Taylor’s complaints incredible because they were not
    corroborated by the medical evidence available, Magistrate
    Judge Keys rightly reversed this determination because it
    was contrary to SSR 83-20. The ALJ cannot implicitly reject
    Taylor’s testimony on this ground the second time around
    No. 04-2251                                               13
    under the law of the case doctrine, see Wilder v. Apfel, 
    153 F.3d 799
    , 803 (7th Cir. 1998), without pointing to evidence
    that furnishes compelling grounds for departure from Judge
    Keys’s ruling.
    Relying on our decision in Carlson v. Shalala, the Com-
    missioner argues that the ALJ was not required to address
    Taylor’s statements because he found Lawe-Taylor’s
    testimony not credible and Lawe-Taylor’s statements just
    corroborated Taylor’s testimony. 
    999 F.2d 180
    (7th Cir.
    1993). But Carlson does not support the odd proposition
    that a claimant’s testimony may be disregarded when his
    supporting witness’s testimony corroborates his statements.
    In Carlson, we held that the ALJ was not required to
    discuss the claimant’s wife’s testimony if the claimant’s
    testimony and the two were essentially the same. 
    Id. at 181.
    We noted that although the ALJ could not ignore an entire
    line of evidence, he was not required to evaluate every piece
    of testimony and evidence submitted. 
    Id. Carlson, however,
    did not dispense with the Administration’s rules requiring
    the ALJ to discuss the claimant’s testimony. See SSR 83-20
    at *2 (indicating that the claimant’s allegations should be
    the starting point of the onset date analysis); 20 C.F.R.
    § 404.1529(c)(2). The ALJ may not ignore an entire line
    of evidence just because a supporting witness is found
    not credible.
    Furthermore, the ALJ’s adverse credibility determination
    against Lawe-Taylor does not withstand closer analysis. See
    Jens v. Barnhart, 
    347 F.3d 209
    , 213 (7th Cir. 2003) (noting
    that a court will overturn credibility determinations if they
    are patently wrong). While credibility determinations are
    entitled to special deference because the ALJ is in a better
    position than the reviewing court to observe a witness, see
    Shramek v. Apfel, 
    226 F.3d 809
    , 811 (7th Cir. 2003), they
    are not immune from review. A court has greater freedom
    to review credibility determinations based on objective
    factors or fundamental implausibilities, rather than
    14                                               No. 04-2251
    subjective considerations, see 
    Clifford, 227 F.3d at 872
    .
    In rejecting Lawe-Taylor’s testimony, the ALJ stated:
    She had a remarkably detailed memory of the claim-
    ant’s activities of daily living, his sleeping habits and
    his ability to ambulate from 1987 through 1991. She
    was unwavering, without ever expressing any doubt
    in what she remembered. It was as crisp and clear as if
    it had been yesterday. No evidence was offered that she
    had a photographic memory or even a remarkable
    memory. In fact, she was unable to name at the hearing
    any other person, such as a minister, siblings, friends,
    etc., who could corroborate her testimony that she had
    been living with the claimant for 17 years.
    The ALJ’s rationale for questioning Lawe-Taylor’s
    memory is wholly unsupported by the record. Lawe-Taylor
    was never asked to name an individual who could verify her
    relationship with Taylor, and so she can hardly be faulted
    for failing to do so. At the hearing, the ALJ asked her who
    would be able to testify concerning Taylor’s ability to work
    in 1987. She responded that half of Taylor’s co-workers
    were deceased and that she did not know many of them. We
    do not see how this casts any doubt on her credibility, and
    in any event, this was not the reason the ALJ gave for
    rejecting her testimony. While the ALJ is not required to
    rely on Lawe-Taylor’s testimony if it merely repeated
    Taylor’s testimony, he is required to give reasons based in
    the record for a decision to reject it. He did not do so here.
    Another piece of evidence that the ALJ failed to con-
    sider was the 1993 SSI application file, which Dr.
    Abramson, Taylor and the ALJ in his first decision consid-
    ered to be crucial to determining the progression of Taylor’s
    disability and whether he was disabled on or before March
    31, 1991. This omission, as well as the failure to explain
    why he proceeded without it, also supports reversal,
    because it is contrary to SSR 83-20’s requirement that the
    No. 04-2251                                             15
    ALJ secure any additional medical evidence before making
    any inferences as to the onset date as well the ALJ’s
    obligation to build a fair and full record. See Thompson v.
    Sullivan, 
    933 F.2d 581
    , 586 (7th Cir. 1991). The govern-
    ment argues that this failing should be excused because the
    ALJ did mention at the 2002 hearing that the file appeared
    to be irretrievably lost. However, at the same hearing, he
    mentioned that he would look again and his written
    decision makes no mention of the outcome of this search.
    For these reasons, we agree with the district court’s
    conclusion that the ALJ’s finding that Taylor was not
    disabled prior to March 31, 1991, was not supported by
    sufficient evidence. We turn to the question whether the
    court imposed the proper remedy in this case.
    III
    Under sentence four of the statute granting judicial
    review of the Commissioner’s final decisions, 42 U.S.C.
    § 405(g), the court has authority to enter a judgment
    affirming, modifying, or reversing the Commissioner with
    or without remanding the cause for rehearing. 42 U.S.C.
    § 405(g). When an ALJ’s decision is not supported by
    substantial evidence, we have held that a remand for
    further proceedings is the appropriate remedy unless the
    evidence before the court compels an award of benefits. See
    Campbell v. Shalala, 
    988 F.2d 741
    , 744 (7th Cir. 1993). An
    award of benefits is appropriate only where all factual
    issues have been resolved and the “record can yield but
    one supportable conclusion.” 
    Id. Rather than
    remand the case for further proceedings, the
    district court instructed the Commissioner to grant an
    award of benefits. It settled on January 7, 1990, as the
    correct onset date, and thus concluded that Taylor was
    entitled to benefits. It decided, furthermore, that it
    could award benefits immediately based on the ALJ’s
    16                                               No. 04-2251
    obduracy in complying with the law of the case, even if the
    evidence yielded more than one supportable onset date.
    A
    We first address the district court’s determination that
    Taylor was disabled as of January 7, 1990. In selecting
    this date, the court relied principally on Taylor’s testi-
    mony and the fact that his doctor prescribed the drug
    Trental for him. This went beyond what is permitted by
    SSR 83-20, however, which states that “[t]he onset date
    should be set on the date when it is most reasonable to
    conclude from the evidence that the impairment was
    sufficiently severe to prevent the individual from engaging
    in SGA (or gainful activity).” SSR 83-20 at *3. SSR 83-20
    does not free the claimant from her burden to prove disabil-
    ity within the meaning of the Act. See 42 U.S.C. § 423(d)(5);
    20 C.F.R. § 404.1520; see also 
    Pugh, 870 F.2d at 1279
    (holding the relevant inquiry under SSR 83-20 is “whether
    the chosen onset date is supported by substantial evidence,
    not whether an earlier date could have been supported”).
    Although Taylor stopped working as a forklift operator in
    1987, we cannot determine the full extent of his limitations
    at that point. Even if it is possible to infer that peripheral
    vascular disease was present in 1990 (from the Trental or
    otherwise), there is no evidence to indicate that the disease
    had progressed so far so as to prevent him from engaging in
    any substantial gainful activity. See 
    Armstrong, 160 F.3d at 590
    . On this record, we can neither conclude that Taylor
    was disabled before March 31, 1991, nor rule out that
    possibility.
    B
    In light of this finding, we turn to the question whether
    an award of benefits was appropriate in this case. The
    No. 04-2251                                                17
    district court interpreted our decision in Wilder v. Apfel,
    
    153 F.3d 799
    (7th Cir. 1998), to permit a court to award
    DIB when the agency has displayed “obduracy” in comply-
    ing with the law of the case. Here, the court thought, the
    ALJ was obdurate when it ignored Judge Keys’s opinion
    and failed to obtain the 1993 SSI file or explain why it
    was possible to proceed without it, and when it disregarded
    the analytical framework of SSR 83-20.
    Wilder did not hold, however, that obduracy alone could
    ever warrant an award of benefits. There, the agency’s
    failure to apply the law of the case after the first remand
    once again left uncontradicted the medical evidence corrobo-
    rating the claimant’s alleged onset date. Because the agency
    failed to present evidence contradicting this medical
    evidence after a second evidentiary hearing, we found it
    necessary to “bring the charade to an end.” 
    Wilder, 153 F.3d at 801
    . We noted in the earlier remand that medical
    evidence is entitled to considerable weight and an ALJ is
    not required to accept or permitted to accept medical
    evidence if it is refuted by other evidence. Wilder v. Chater,
    
    64 F.3d 335
    , 337 (7th Cir. 1995) (Wilder I). But where there
    is no such evidence, the ALJ cannot continue to disregard
    the medical opinion. Another remand for further proceed-
    ings was unnecessary in Wilder because after two eviden-
    tiary hearings, the ALJ had no reasonable grounds to reject
    the claimant’s claim. 
    Wilder, 153 F.3d at 804
    .
    It remains true that an award of benefits is appropri-
    ate only if all factual issues have been resolved and the
    record supports a finding of disability. See 
    Campbell, 988 F.2d at 744
    ; Micus v. Bowen, 
    979 F.2d 602
    , 609 (7th Cir.
    1992) (remanding for an award of benefits based on the
    uncontradicted medical opinion supporting a claim of
    disability); Woody v. Sec’y of Health and Human Serv., 
    859 F.2d 1156
    , 1162-63 (3d Cir. 1988) (awarding benefits
    because “[e]ight years of administrative and judicial
    proceedings [had] produced a record in which the uncontra-
    18                                             No. 04-2251
    dicted medical and lay evidence” proved disability). This is
    so because a court does not have the authority to
    award disability benefits on grounds other than those
    provided under 42 U.S.C. § 423. Subsection (a)(1)(E)
    requires that the claimant must be disabled under the
    Act in order to qualify for benefits. As the Supreme
    Court stated in Office of Personnel Management v. Rich-
    mond, payment from the U.S. Treasury must be authorized
    by a statute. 
    496 U.S. 414
    , 424 (1990). Obduracy is not a
    ground on which to award benefits; the evidence properly in
    the record must demonstrate disability.
    Here the ALJ’s decision was not supported by substantial
    evidence in part because he failed to develop the record,
    leaving unresolved the main factual dispute whether Taylor
    was disabled prior to March 31, 1991. Further proceedings
    to allow additional lay evidence to be taken are necessary
    to resolve this case.
    IV
    We VACATE the judgment of the district court and RE-
    MAND  the case for further proceedings consistent with this
    opinion. We urge the Commissioner to assign a new ALJ to
    handle any additional proceedings. See Golembiewski v.
    Barnhart, 
    322 F.3d 912
    , 918 (7th Cir. 2003).
    A true Copy:
    Teste:
    ________________________________
    Clerk of the United States Court of
    Appeals for the Seventh Circuit
    USCA-02-C-0072—9-23-05
    

Document Info

Docket Number: 04-2251

Judges: Per Curiam

Filed Date: 9/23/2005

Precedential Status: Precedential

Modified Date: 9/24/2015

Authorities (21)

Walter WOODY, Appellant, v. SECRETARY OF HEALTH AND HUMAN ... , 859 F.2d 1156 ( 1988 )

Billy BLANKENSHIP, Plaintiff-Appellant, v. Otis R. BOWEN, M.... , 874 F.2d 1116 ( 1989 )

Donna J. Clifford v. Kenneth S. Apfel, Commissioner of ... , 227 F.3d 863 ( 2000 )

James Young v. Jo Anne B. Barnhart , 362 F.3d 995 ( 2004 )

Alfred PERKINS, Plaintiff-Appellant, v. Shirley S. CHATER, ... , 107 F.3d 1290 ( 1997 )

Barbara J. STEVENSON, Plaintiff-Appellant, v. Shirley S. ... , 105 F.3d 1151 ( 1997 )

33-socsecrepser-407-unemplinsrep-cch-16106a-samuel-r-thompson-v , 933 F.2d 581 ( 1991 )

Kenneth Scheck v. Jo Anne B. Barnhart, Commissioner of ... , 357 F.3d 697 ( 2004 )

Michael E. Golembiewski v. Jo Anne B. Barnhart, ... , 322 F.3d 912 ( 2003 )

Rose WILDER, Plaintiff-Appellant, v. Kenneth S. APFEL, ... , 153 F.3d 799 ( 1998 )

Harvey PUGH, Plaintiff-Appellant, v. Otis R. BOWEN, M.D., ... , 870 F.2d 1271 ( 1989 )

44-socsecrepser-51-unemplinsrep-cch-p-17739a-kelcie-herron-v , 19 F.3d 329 ( 1994 )

Linda Micus v. Otis R. Bowen, Secretary of Health and Human ... , 979 F.2d 602 ( 1992 )

Roscoe CAMPBELL, Plaintiff-Appellant, v. Donna E. SHALALA, ... , 988 F.2d 741 ( 1993 )

Lorenzo Lopez, on Behalf of Roberta Lopez, Deceased v. Jo ... , 336 F.3d 535 ( 2003 )

Ron Jay LICHTER, Plaintiff-Appellant, v. Otis R. BOWEN, M.D.... , 814 F.2d 430 ( 1987 )

Rosie WILDER, Plaintiff-Appellant, v. Shirley S. CHATER, ... , 64 F.3d 335 ( 1995 )

59-socsecrepser-1-unemplinsrep-cch-p-16130b-98-daily-journal , 160 F.3d 587 ( 1998 )

Jeffrey L. Jens v. Jo Anne B. Barnhart, Commissioner of ... , 347 F.3d 209 ( 2003 )

Kenneth CARLSON, Plaintiff-Appellant, v. Donna E. SHALALA, ... , 999 F.2d 180 ( 1993 )

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