Tusing v. Weinberger, Civ. A. No. 74-208-E.

• Decision Date: 16 October 1975
• Docket Number: Civ. A. No. 74-208-E.
• Citation: 403 F. Supp. 316
• Parties: Allen A. TUSING, Plaintiff, v. Caspar WEINBERGER, United States Secretary of Health, Education and Welfare, Defendant.
• Court: U.S. District Court — Northern District of West Virginia

403 F. Supp. 316

Allen A. TUSING, Plaintiff, v. Caspar WEINBERGER, United States Secretary of Health, Education and Welfare, Defendant.

Civ. A. No. 74-208-E.

United States District Court, N. D. West Virginia, Elkins Division.

October 16, 1975.

Richard W. Cardot, Elkins, W. Va., for plaintiff.

James F. Companion, U. S. Atty., Wheeling, W. Va., for defendant.

MEMORANDUM ORDER

MAXWELL, Chief Judge.

Plaintiff, Allen A. Tusing, instituted this action for judicial review of a final decision of the Secretary of Health, Education, and Welfare denying his claim for black lung benefits under the Federal Coal Mine Health and Safety Act of 1969, as amended, 30 U.S.C. § 901 et seq.¹ Jurisdiction is founded on § 413(b) of the Act, 30 U.S.C. § 923(b), which incorporates the provisions of § 205(g) of the Social Security Act, 42 U. S.C. § 405(g). Plaintiff's claim for benefits was filed prior to December 31, 1973, and is therefore within the purview of Part B of the Act, 30 U.S.C. § 921 et seq. The sole issue presented for determination is whether the Secretary's decision is supported by substantial evidence. "The findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive . . ." 42 U.S.C. § 405(g); Thomas v. Celebrezze, 331 F.2d 541 (4th Cir. 1964); Mounts v. Finch, 304 F. Supp. 910, 913 (S.D.W.Va.1969).

Plaintiff, to establish his right as a living coal miner to benefits under the Act, has the burden of showing that he was a coal miner, that he was totally disabled due to pneumoconiosis resulting from employment in the nation's coal mines, and that he filed a proper claim for benefits. 20 C.F.R. §§ 410.410(b) (1) and 410.201.

The Secretary concedes that plaintiff was a coal miner and that his May 15, 1970, application for benefits was properly and timely filed, but denies that Tusing was totally disabled due to pneumoconiosis. The Secretary's final decision was made on August 16, 1974, when the Appeals Council approved the administrative law judge's decision denying Tusing's claim.

30 U.S.C. § 921(a) and (b) provide that the Secretary shall ". . . make payments of black lung benefits in respect of total disability of any miner due to pneumoconiosis, . . .", and that "The Secretary shall by regulation prescribe standards for determining . . . whether a miner is totally disabled due to pneumoconiosis. . . ."

In enacting the Black Lung Benefits Act of 1972, Congress noticed the existence of a backlog of claims filed under the 1969 Act and recognized as a causal factor for the delay in their adjudication the lack of medical testing facilities and resources in the coal fields. The Congressional directive that the Secretary expedite processing of black lung claims is expressed at p. 2322, 1972 United States Code Congressional and Administrative News:

. . . the Committee expects the Secretary to adopt such interim evidentiary rules and disability evaluation criteria as will permit prompt and vigorous processing of the large backlog of claims consistent with the language and intent of these Black Lung Benefits Act of 1972 amendments.

The Secretary, in response to the Congressional mandate to expedite the adjudication of black lung claims, promulgated interim adjudicatory rules, 20 C.F.R. 410.490. The interim regulations impose less stringent standards for establishing disability due to pneumoconiosis than the requirements found in the permanent rules.

Plaintiff is presently 72 years of age, having been born April 27, 1903. He went to the eighth grade in school and has had no training, according to his testimony, unrelated to mining. The length of time plaintiff worked in the mines is not established with precision; in his application for benefits he claimed 30 years of employment, while at the hearing, plaintiff stated he was able to substantiate 24 years of employment as a coal miner, and that he had actually worked for a longer period. Plaintiff stated that he was a loader in underground mines during his entire employment period, and that he ceased working in 1950 because he was barred from working because of a lung and heart condition. Based on Plaintiff's testimony, the affidavits of three coworkers, and a statement of his earnings from the Social Security Administration, the administrative law judge found that Plaintiff had been employed in coal mines for at least ten years.

In his application for benefits, plaintiff described his disability as "shortness of breath." At the hearing conducted by the administrative law judge, plaintiff reiterated that he was "shortwinded" and testified that he coughs and spits up "a bunch of slimy stuff and yellow looking." It was further developed that plaintiff was not, at the time of the hearing, taking any medication and that he had not been under medical treatment for his lungs since he ceased working in 1950.

Medical evidence in the record includes two x-rays of Tusing's chest. Dr. Joel Allen, a Board certified Radiologist, interpreted an x-ray dated June 24, 1970, to show no evidence of pneumoconiosis. Dr. J. C. Furnary, a Radiologist and Internist, found this same film to be of unreadable quality. Dr. B. H. Goerlich, a Radiologist, interpreted an x-ray taken June 24, 1971, to show no evidence of pneumoconiosis. Dr. L. J. Bristol, a Board certified Radiologist, reread the x-ray and found it to be negative for pneumoconiosis.

Results of a pulmonary function study made at The Golden Clinic, Elkins, West Virginia, on February 1, 1973, were forced expiratory volume (FEV1) of 2.8 liters and a maximum voluntary ventilation (MVV) of 87 liters per minute.

Another pulmonary study made at the Davis Memorial Hospital on July 25, 1973, revealed an FEV, of 2.58 liters and an MVV of 74 liters per minute. Plaintiff is 69½ inches tall.

Among the interim adjudicatory criteria applicable to plaintiff's claim is 20 C.F.R. 410.490(b)(1)(ii) which establishes, inter alia, the interim presumption that a...