Lynch v. McDonough ( 2021 )


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  • Case: 20-2067   Document: 47     Page: 1   Filed: 06/03/2021
    United States Court of Appeals
    for the Federal Circuit
    ______________________
    JOE A. LYNCH,
    Claimant-Appellant
    v.
    DENIS MCDONOUGH, SECRETARY OF
    VETERANS AFFAIRS,
    Respondent-Appellee
    ______________________
    2020-2067
    ______________________
    Appeal from the United States Court of Appeals for
    Veterans Claims in No. 19-3106, Senior Judge Mary J.
    Schoelen.
    ______________________
    Decided: June 3, 2021
    ______________________
    MARK RYAN LIPPMAN, The Veterans Law Group,
    Poway, CA, argued for claimant-appellant. Also repre-
    sented by KENNETH M. CARPENTER, Law Offices of Carpen-
    ter Chartered, Topeka, KS; ADAM R. LUCK, Gloverluck,
    LLP, Dallas, TX.
    EVAN WISSER, Commercial Litigation Branch, Civil Di-
    vision, United States Department of Justice, Washington,
    DC, argued for respondent-appellee. Also represented by
    ERIC P. BRUSKIN, JEFFREY B. CLARK, ROBERT EDWARD
    KIRSCHMAN, JR; CHRISTOPHER O. ADELOYE, Y. KEN LEE,
    Case: 20-2067     Document: 47     Page: 2   Filed: 06/03/2021
    2                                      LYNCH   v. MCDONOUGH
    Office of General Counsel, United States Department of
    Veterans Affairs, Washington, DC.
    MELANIE L. BOSTWICK, Orrick, Herrington & Sutcliffe
    LLP, Washington, DC, for amicus curiae Military-Veterans
    Advocacy Inc. Also represented by JOHN B. WELLS, Law
    Office of John B. Wells, Slidell, LA.
    STANLEY JOSEPH PANIKOWSKI, III, DLA Piper LLP
    (US), San Diego, CA, for amici curiae Swords to Plow-
    shares, Connecticut Veterans Legal Center. Also repre-
    sented by EDWARD HANOVER, East Palo Alto, CA; JESSE
    MEDLONG, San Francisco, CA.
    ______________________
    Before DYK, CLEVENGER, and PROST*, Circuit Judges.
    Opinion for the court filed by Circuit Judge PROST.
    Opinion concurring in part and dissenting in part filed by
    Circuit Judge DYK.
    PROST, Circuit Judge.
    Joe A. Lynch appeals the final decision of the United
    States Court of Appeals for Veterans Claims (“Veterans
    Court”) affirming the Board of Veterans’ Appeals’ (“Board”)
    denial of his claim for a disability rating greater than 30%
    for service-connected post-traumatic stress disorder
    (“PTSD”). Lynch v. Wilkie, No. 19-3106, 
    2020 WL 1899169
    (Vet. App. Apr. 17, 2020) (“Decision”). In affirming the
    Board’s denial, the Veterans Court relied on Ortiz v. Prin-
    cipi, 
    274 F.3d 1361
    , 1364 (Fed. Cir. 2001), to determine
    that the “benefit of the doubt rule” under 
    38 U.S.C. § 5107
    (b) did not apply to Mr. Lynch’s claim. Mr. Lynch
    argues that Ortiz requires equipoise of positive and nega-
    tive evidence (rather than an “approximate balance” of the
    evidence as set forth in 
    38 U.S.C. § 5107
    (b)) to trigger the
    benefit-of-the-doubt rule, and that Ortiz was therefore
    wrongly decided. Because we disagree with Mr. Lynch’s
    ________________________________
    *  Sharon Prost vacated the position of Chief Judge on
    May 21, 2021.
    Case: 20-2067    Document: 47     Page: 3   Filed: 06/03/2021
    LYNCH   v. MCDONOUGH                                     3
    reading of Ortiz, and because this panel is bound by Ortiz,
    we affirm.
    BACKGROUND
    Mr. Lynch is a veteran who served on active duty in the
    United States Marine Corps from July 1972 to July 1976.
    In March 2015, Mr. Lynch presented for counseling upon
    the recommendation of his veteran peer group and was
    evaluated on two separate occasions by Dr. Gwendolyn
    Newsome, a private psychologist. Mr. Lynch described
    symptoms, including phobias about confined spaces, panic
    attacks, memory problems, mood swings, frequent night-
    mares, antisocial behaviors, and depression. J.A. 25–26.
    He attributed these symptoms to intrusive memories from
    his time in service and completed the military version of
    the PTSD Checklist. J.A. 25–26. Dr. Newsome reported
    that Mr. Lynch’s symptoms and the results of the PTSD
    Checklist supported a diagnosis of PTSD. J.A. 25–26.
    In March 2016, Mr. Lynch filed a claim of entitlement
    to PTSD, accompanied by Dr. Newsome’s report, with the
    Department of Veterans Affairs (“VA”). In August 2016,
    Mr. Lynch underwent a VA PTSD examination. The VA
    examiner confirmed the diagnosis of PTSD but reported
    that Mr. Lynch’s PTSD did not result in symptoms that
    were severe enough to interfere with occupational or social
    functioning or to require continuous medication. J.A. 18,
    39. The examiner reviewed Dr. Newsome’s report but
    noted that the level of impairment observed by Dr. New-
    some was not observed or reported during the VA exami-
    nation. J.A. 39, 44. The relevant regional office (“RO”) of
    the VA subsequently granted Mr. Lynch’s PTSD claim with
    a 30% disability rating.
    In October 2016, Mr. Lynch filed a Notice of Disagree-
    ment with the RO disputing the 30% disability rating. In
    support, Mr. Lynch submitted two additional psychological
    evaluations conducted by a private psychiatrist,
    Dr. H. Jabbour. See J.A. 49, 58. In July 2017, Mr. Lynch
    Case: 20-2067    Document: 47      Page: 4    Filed: 06/03/2021
    4                                      LYNCH   v. MCDONOUGH
    underwent a second VA PTSD examination. The examiner
    documented Mr. Lynch’s symptomatology and addressed
    the conflicting medical opinions regarding the severity of
    Mr. Lynch’s symptoms, noting, for example, that some of
    Dr. Jabbour’s conclusions “were more extreme than what
    was supported by available evidence.” J.A. 60. In August
    2017, the RO continued Mr. Lynch’s 30% disability rating.
    Mr. Lynch appealed to the Board, arguing that the RO
    assigned too low a rating for his PTSD because his symp-
    toms are worse than those contemplated by the assigned
    30% rating. The Board denied Mr. Lynch’s appeal, finding
    that based on the record—including the evaluations con-
    ducted by Dr. Newsome, Dr. Jabbour, and the two VA ex-
    aminers—“[Mr. Lynch] does not have social and
    occupational impairment manifested by reduced reliability
    and productivity” that would warrant a disability rating
    greater than 30% for PTSD. See J.A. 20. The Board noted
    that “[Mr. Lynch’s] private examiners have described more
    severe impairment than that identified by the VA examin-
    ers; however, those findings are not supported by the sub-
    jective symptoms provided by [Mr. Lynch].” J.A. 21. The
    Board concluded that “the preponderance of the evidence is
    against the claim and entitlement” for a disability rating
    greater than 30% for PTSD. J.A. 21.
    Mr. Lynch then appealed the Board’s decision to the
    Veterans Court, arguing in relevant part that the Board
    misapplied 
    38 U.S.C. § 5107
    (b) and wrongly found that he
    was not entitled to the “benefit of the doubt.” See Decision,
    
    2020 WL 1899169
    , at *3. The benefit-of-the-doubt rule is
    codified at 
    38 U.S.C. § 5107
    , which provides:
    The Secretary shall consider all information and
    lay and medical evidence of record in a case before
    the Secretary with respect to benefits under laws
    administered by the Secretary. When there is an
    approximate balance of positive and negative evi-
    dence regarding any issue material to the
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    LYNCH   v. MCDONOUGH                                        5
    determination of a matter, the Secretary shall give
    the benefit of the doubt to the claimant.
    
    38 U.S.C. § 5107
    (b) (emphasis added). The implementing
    regulation in turn provides:
    When, after careful consideration of all procurable
    and assembled data, a reasonable doubt arises re-
    garding service origin, the degree of disability, or
    any other point, such doubt will be resolved in favor
    of the claimant. By reasonable doubt is meant one
    which exists because of an approximate balance of
    positive and negative evidence which does not sat-
    isfactorily prove or disprove the claim.
    
    38 C.F.R. § 3.102
     (emphasis added).
    The Veterans Court rejected Mr. Lynch’s assertion that
    he was entitled to the benefit of the doubt and affirmed the
    Board’s decision, reasoning that “the doctrine of reasonable
    doubt . . . d[oes] not apply here because the preponderance
    of the evidence is against the claim.”              Decision,
    
    2020 WL 1899169
    , at *5 (internal quotation marks omit-
    ted). In support of its reasoning, the Veterans Court relied
    on Ortiz, which held that “the benefit of the doubt rule is
    inapplicable when the preponderance of the evidence is
    found to be against the claimant.” 
    274 F.3d at 1364
    .
    Mr. Lynch now appeals the Veterans Court’s decision.
    DISCUSSION
    I
    We have limited jurisdiction to review decisions by the
    Veterans Court. Under 
    38 U.S.C. § 7292
    (d)(2), except to
    the extent that an appeal presents a constitutional issue,
    we may not “review (A) a challenge to a factual determina-
    tion, or (B) a challenge to a law or regulation as applied to
    the facts of a particular case.” But we may “review and
    decide any challenge to the validity of any statute or regu-
    lation or any interpretation thereof” and “interpret
    Case: 20-2067     Document: 47      Page: 6   Filed: 06/03/2021
    6                                       LYNCH   v. MCDONOUGH
    constitutional and statutory provisions, to the extent pre-
    sented and necessary to a decision.” 
    38 U.S.C. § 7292
    (c).
    And “we have authority to decide whether the Veterans
    Court applied the correct legal standard.” Lamour v.
    Peake, 
    544 F.3d 1317
    , 1321 (Fed. Cir. 2008). We review the
    Veterans Court’s legal determinations de novo. Gazelle v.
    Shulkin, 
    868 F.3d 1006
    , 1009 (Fed. Cir. 2017).
    II
    Mr. Lynch raises a single issue on appeal. He argues
    that Ortiz was wrongly decided because it sets forth an “eq-
    uipoise of the evidence” standard to trigger the benefit-of-
    the-doubt rule and that this decreased his chance of receiv-
    ing a disability rating greater than 30% for PTSD. See Ap-
    pellant’s Br. 12–13. According to Mr. Lynch, Ortiz read the
    modifier “approximate” out of the term “approximate bal-
    ance” set forth in 
    38 U.S.C. § 5107
    (b) by requiring an equal
    or even balance of the evidence to give the benefit of the
    doubt to the claimant. See Appellant’s Br. 16–19. We have
    jurisdiction under 
    38 U.S.C. § 7292
    (a), (c).
    Mr. Lynch’s argument is two-pronged. First, he sug-
    gests that Ortiz expressly requires equipoise of the evi-
    dence for a claimant to receive the benefit of the doubt. But
    Ortiz says no such thing. Second, he contends that Ortiz’s
    holding that “the benefit of the doubt rule is inapplicable
    when the preponderance of the evidence is found to be
    against the claimant,” 
    274 F.3d at 1364
    , leaves no space for
    a claimant to receive the benefit of the doubt unless the
    positive and negative evidence is in perfect balance. But
    Ortiz considered and rejected such reasoning, 
    id.
    at 1365–66, and this panel is bound by Ortiz. We further
    address each prong of Mr. Lynch’s argument in turn.
    A
    Contrary to Mr. Lynch’s suggestion that Ortiz sets
    forth an equipoise-of-the-evidence standard to trigger the
    benefit-of-the-doubt rule, Ortiz explicitly gives force to the
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    LYNCH   v. MCDONOUGH                                        7
    modifier “approximate” as used in 
    38 U.S.C. § 5107
    (b).
    Ortiz found § 5107(b) to be “clear and unambiguous on its
    face” and recited dictionary definitions of the words “ap-
    proximate” and “balance” in concluding that under the
    statute “evidence is in approximate balance when the evi-
    dence in favor of and opposing the veteran’s claim is found
    to be almost exactly or nearly equal.” 
    274 F.3d at 1364
    (cleaned up). Thus, Ortiz necessarily requires that the ben-
    efit-of-the-doubt rule may be triggered in situations other
    than equipoise of the evidence—specifically, situations
    where the evidence is “nearly equal,” 1 i.e., an “approximate
    balance” of the positive and negative evidence as set forth
    in § 5107(b) and 
    38 C.F.R. § 3.102
    . Ortiz, 
    274 F.3d at
    1364–65; see also Best Power Tech. Sales Corp. v. Austin,
    
    984 F.2d 1172
    , 1177 (Fed. Cir. 1993) (“It is a basic principle
    of statutory interpretation . . . that undefined terms in a
    statute are deemed to have their ordinarily understood
    meaning. For that meaning, we look to the dictionary.”
    (first citing United States v. James, 
    478 U.S. 597
    , 604
    (1986); and then citing Bd. of Educ. v. Mergens, 
    496 U.S. 226
    , 237 (1990))).
    Mr. Lynch further suggests that, post-Ortiz, this court
    has “interpreted the benefit-of-the-doubt rule as setting
    forth an absolute equality-of-the-evidence or equipoise-of-
    the-evidence standard.” Reply Br. 3 (citing Skoczen v.
    Shinseki, 
    564 F.3d 1319
    , 1324 (Fed. Cir. 2009)). Mr. Lynch
    is mistaken. Skoczen interpreted 
    38 U.S.C. § 5107
    (a), not
    
    38 U.S.C. § 5107
    (b), and merely referred to the § 5107(b)
    1   Although Ortiz also uses the words “too close to
    call” and a “tie goes to the runner” analogy in discussing
    the term “approximate balance,” the case makes clear that
    it goes further than mere ties—“nearly equal” evidence
    triggers the benefit-of-the-doubt rule.         
    274 F.3d at
    1364–65.
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    8                                        LYNCH   v. MCDONOUGH
    standard in passing dicta. Skoczen, 
    564 F.3d at 1324
    . Ac-
    cordingly, Skoczen does nothing to disturb Ortiz.
    Amicus curiae Military-Veterans Advocacy Inc.
    (“MVA”) argues that in certain decisions citing Ortiz, the
    Veterans Court has articulated an equipoise-of-the-evi-
    dence threshold for giving the veteran the benefit of the
    doubt. See MVA Br. 8. In isolated cases, that may be so.
    See, e.g., Chotta v. Peake, 
    22 Vet. App. 80
    , 86 (2008) (stating
    that “[if] the evidence is not in equipoise . . . the benefit of
    the doubt rule would not apply”). The Veterans Court’s rec-
    itation in Chotta of the standard is incorrect. 2
    So, let us be clear. Under § 5107(b) and Ortiz, a claim-
    ant is to receive the benefit of the doubt when there is an
    “approximate balance” of positive and negative evidence,
    which Ortiz interpreted as “nearly equal” evidence. This
    interpretation necessarily includes scenarios where the ev-
    idence is not in equipoise but nevertheless is in approxi-
    mate balance. Put differently, if the positive and negative
    evidence is in approximate balance (which includes but is
    not limited to equipoise), the claimant receives the benefit
    of the doubt.
    B
    As to whether Ortiz correctly held that the benefit-of-
    the-doubt rule does not apply when “the preponderance of
    the evidence is found to be against the claimant,” 
    274 F.3d at 1364
    , this panel is bound by Ortiz.
    Mr. Lynch argues that Ortiz was wrongly decided be-
    cause “the totality of the . . . evidence can both preponder-
    ate in one direction and be nearly or approximately in
    2   This misstep in Chotta does not appear to have neg-
    atively affected that veteran’s case. See 22 Vet. App. at 86
    (vacating and remanding on the basis that the Board failed
    to consider certain lay evidence of record).
    Case: 20-2067    Document: 47       Page: 9   Filed: 06/03/2021
    LYNCH   v. MCDONOUGH                                       9
    balance.” Reply Br. 3. He contends that “these two stand-
    ards cannot co-exist” and that therefore Ortiz eliminates
    any meaning of the word “approximate” in § 5107(b). Reply
    Br. 3. But Ortiz considered (and rejected) such reasoning,
    explaining that “if the Board is persuaded that the prepon-
    derant evidence weighs either for or against the veteran’s
    claim, it necessarily has determined that the evidence is
    not ‘nearly equal’ . . . and the benefit of the doubt rule
    therefore has no application.” 
    274 F.3d at 1365
    ; see also 
    id.
    at 1365–66 (stating that a finding by “the preponderance of
    the evidence” reflects that the Board “has been persuaded”
    to find in one direction or the other). This panel is bound
    by Ortiz.
    CONCLUSION
    We have considered Mr. Lynch’s remaining arguments
    but find them unpersuasive. For the foregoing reasons, we
    affirm.
    AFFIRMED
    COSTS
    No costs.
    Case: 20-2067    Document: 47      Page: 10    Filed: 06/03/2021
    United States Court of Appeals
    for the Federal Circuit
    ______________________
    JOE A. LYNCH,
    Claimant-Appellant
    v.
    DENIS MCDONOUGH, SECRETARY OF
    VETERANS AFFAIRS,
    Respondent-Appellee
    ______________________
    2020-2067
    ______________________
    Appeal from the United States Court of Appeals for
    Veterans Claims in No. 19-3106, Senior Judge Mary J.
    Schoelen.
    ______________________
    DYK, Circuit Judge, concurring in part and dissenting in
    part.
    The majority holds that this court’s prior decision in
    Ortiz v. Principi, 
    274 F.3d 1361
     (Fed. Cir. 2001), did not
    establish an equipoise-of-the-evidence standard for ap-
    plicability of the benefit-of-the-doubt rule. Maj. Op. 8. I
    agree. The majority also holds that under Ortiz, the bene-
    fit-of-the-doubt rule does not apply when the preponder-
    ance of the evidence is found to be for or against a claimant.
    Maj. Op. 8. Here I disagree. It seems to me that Ortiz’s
    preponderance of the evidence standard is inconsistent
    with the plain text of 
    38 U.S.C. § 5107
    (b).
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    2                                      LYNCH   v. MCDONOUGH
    I
    As the majority notes, Ortiz contains some language
    suggesting that a veteran is entitled to the benefit of the
    doubt only when the evidence is “too close to call.”
    Maj. Op. 7 n.1 (quoting Ortiz, 
    274 F.3d at 1365
    ). However,
    I agree with the majority that Ortiz is best understood as
    holding that veterans are entitled to the benefit of the
    doubt when the evidence for or against their claims is ap-
    proximately equal. See Ortiz, 
    274 F.3d at 1364
    . The bene-
    fit-of-the-doubt rule, codified at 
    38 U.S.C. § 5107
    (b),
    provides that a claimant is entitled to the benefit of the
    doubt when there is an “approximate balance” of positive
    and negative evidence. To the extent there is dicta in Ortiz
    suggesting that the benefit-of-the-doubt rule applies only
    in the context of an evidentiary tie, those statements are
    inconsistent with the plain text of § 5107(b) and should be
    disregarded.
    II
    The majority also holds that the benefit-of-the-doubt
    rule does not apply when the preponderance of the evidence
    is found to be against a veteran’s claim. Maj. Op. 8. In this
    respect the majority agrees with Ortiz’s holding that “if the
    Board is persuaded that the preponderant evidence weighs
    either for or against the veteran’s claim, it necessarily has
    determined that the evidence is not ‘nearly equal’ or ‘too
    close to call,’ and the benefit-of-the-doubt rule therefore
    has no application.” 
    274 F.3d at 1365
    . That standard is
    the one applied by the Veterans Court in this case.
    If the preponderance of the evidence favors the claim-
    ant, the claimant prevails, and there is no need to reach
    the benefit-of-the-doubt rule. But the majority holds that
    the benefit-of-the-doubt rule does not apply when the VA
    has established that the veteran is not entitled to recover
    by a preponderance of the evidence. This formulation is
    first confusing because the statute generally places the
    burden of proof on the veteran. 
    38 U.S.C. § 5107
    (a)
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    LYNCH   v. MCDONOUGH                                          3
    (“Except as otherwise provided by law, a claimant has the
    responsibility to present and support a claim for benefits
    under laws administered by the Secretary.”).
    More significantly, the preponderance formulation is
    not consistent with the statute and disadvantages the vet-
    eran. This court has previously explained that “preponder-
    ant evidence” simply “means the greater weight of
    evidence.” Hale v. Dep’t of Transp., FAA, 
    772 F.2d 882
    , 885
    (Fed. Cir. 1985); see also Althen v. Sec’y of Health & Hum.
    Servs., 
    418 F.3d 1274
    , 1279 (Fed. Cir. 2005) (explaining in
    the context of the Vaccine Act that “[t]his court has inter-
    preted the ‘preponderance of the evidence’ standard . . . as
    one of proof by simple preponderance, of ‘more probable
    than not’ causation”).
    Our sister circuits have similarly explained that pre-
    ponderant evidence may be found when the evidence only
    slightly favors one party. See, e.g., Gjinaj v. Ashcroft, 119
    F. App’x 764, 773–74 (6th Cir. 2005) (“A preponderance of
    the evidence requires only that the government’s evidence
    ‘make the scales tip slightly’ in its favor.”); Blossom v. CSX
    Transp., Inc., 
    13 F.3d 1477
    , 1479 (11th Cir. 1994) (deter-
    mining that a jury instruction correctly explained that the
    preponderance of the evidence standard is “like the scales
    of justice” and can be satisfied as long as a party “tip[s] the
    scales just one little bit in [their] favor”); Ostrowski v. Atl.
    Mut. Ins. Cos., 
    968 F.2d 171
    , 187 (2d Cir. 1992) (“Instead,
    the court should instruct the jury that it is to conclude that
    a fact has been proven by a preponderance of the evidence
    if it ‘finds that the scales tip, however slightly, in favor of
    the party with the burden of proof’ as to that fact.” (citation
    omitted)).
    Because preponderant evidence may be found when the
    evidence tips only slightly against a veteran’s claim, that
    standard is inconsistent with the statute’s standard that
    the veteran wins when there is an “approximate balance”
    of evidence for and against a veteran’s claim.
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    4                                       LYNCH   v. MCDONOUGH
    “Approximate” is not the same as “slight.” By reframing
    the statute’s standard in terms of preponderance of the ev-
    idence, Ortiz departed from the clear language of the stat-
    ute to the disadvantage of the veteran. It is not difficult to
    imagine a range of cases in which the evidence is in approx-
    imate balance between the veteran and the government
    (and the veteran should recover), but still slightly favors
    the government (and under the majority’s test, the veteran
    would not recover).
    Ortiz’s holding effectively and impermissibly restricts
    the benefit-of-the-doubt rule to cases in which there is close
    to an evidentiary tie, a proposition that the majority agrees
    would be contrary to the “approximate balance” language
    of the statute. See Maj. Op. 8. Indeed, the government ap-
    peared to agree at oral argument that when the evidence
    against a veteran’s claim is equal to “equipoise plus a mere
    peppercorn,” denying the benefit-of-the-doubt rule would
    be contrary to statute. Oral Argument at 23:00–23:16,
    http://oralarguments.cafc.uscourts.gov/default.aspx?fl=20-
    2067_04082021.mp3 (but disagreeing that preponderance
    of the evidence is satisfied under that circumstance).
    I respectfully dissent from the majority’s conclusion
    that the preponderance standard is consistent with the
    statute.