Sam May v. John W. Gardner, Secretary of Health, Education and Welfare
1966 U.S. App. LEXIS 5616 · 362 F.2d 616
June 30, 1966 · Docket 16629_1
Headnotes
Generated summaries- Headnote 1
The Act defines disability as an inability to engage in substantial gainful activity and places the initial burden on the applicant, as explained in the statutory provisions and case law.
- Headnote 2
Section 405(g) of Title 42 U.S.C. declares the Secretary’s findings conclusive if supported by substantial evidence, and the Ninth Circuit has applied this principle in Social Security cases.
- Headnote 3
The standard requires that the agency’s conclusions be supported by such relevant evidence that a reasonable mind could accept it as adequate, a definition articulated by the Supreme Court.
- Headnote 4
The court holds that a finding of capability to resume the claimant’s prior trade eliminates the requirement that the agency show alternative work availability.
- Headnote 5
The requirement that the agency prove both the existence of alternative work and its availability is a consistent holding of the Sixth Circuit in Social Security cases.
- Headnote 6
The Act required the applicant to establish that he was unable to engage in any substantial gainful activity because of a medically determinable impairment expected to be long‑lasting or fatal.
- Headnote 7
The statute expressly states that the Secretary’s findings, when backed by substantial evidence, shall be conclusive, including any reasonable inferences drawn therefrom.
- Headnote 8
The substantial‑evidence test asks whether the evidence is such that a reasonable mind could accept it as adequate to support the Secretary’s conclusion.
- Headnote 9
The finding that the claimant can perform his past trade precludes the necessity of an administrative showing of alternative gainful work or its availability.
- Headnote 10
The Secretary’s denial of benefits is valid only when evidence shows the claimant has an alternative job that he can do and that is accessible under normal conditions where he lives.
- Headnote 11
The district court’s reversal of the Secretary’s denial was erroneous because it disregarded the statutory mandate that the Secretary’s supported findings are final and binding.
- Headnote 12
The statutory definition sets the substantive standard for qualifying for disability benefits prior to the 1965 amendments.
- Headnote 13
Under 42 U.S.C. §§ 416(i)(1) and 423(c)(2), an applicant must establish inability to engage in substantial gainful activity at the time of filing.
- Headnote 14
The statute provides that the Secretary’s determinations, when backed by substantial evidence, shall be final and not subject to reversal by the trial court.
- Headnote 15
A finding is valid if it is supported by such relevant evidence that a reasonable mind could accept it as adequate to support the conclusion.
- Headnote 16
A determination of capability to return to the claimant’s prior trade eliminates the necessity of showing alternative work availability for denial of benefits.
- Headnote 17
Denial of benefits in this situation requires evidence of both the existence of alternative work and its availability under normal conditions where the claimant lives.
- Headnote 18
The trial court’s role is limited to reviewing whether the Secretary’s findings are supported by the required evidence, not substituting its own judgment.
- Headnote 19
The Act requires the applicant to prove he is unable to engage in substantial gainful activity at the time of filing; the statute places this burden on the claimant, not the Secretary.
- Headnote 20
The statute expressly provides that any fact found by the Secretary, if backed by substantial evidence, shall be binding and not subject to review by the district court.
- Headnote 21
Appellate courts review the Secretary’s factual determinations by asking if the record contains relevant evidence that a reasonable decision‑maker could find sufficient.
- Headnote 22
The district court’s reversal of the Secretary’s denial was erroneous because the Secretary’s determination that the claimant could perform his former occupation was backed by substantial evidence, which the lower court could not disregard.
- Headnote 23
The court held that a finding of capability to resume the claimant’s prior trade eliminates the requirement for the Secretary to prove the existence of alternative work.
- Headnote 24
The Secretary’s denial of benefits must be supported by evidence that the claimant has alternative employment options that are both suitable and accessible in his area.
Opinion
This case is here upon the appeal of the Secretary of Health, Education and Welfare from the judgment of the District Court reversing the Secretary’s denial of appellee’s application for a period of disability and disability benefits under §§ 205(g), 216(i), as amended, and § 223 of the Social Security Act. [42 U.S.C. §§ 405(g), 416(i) and 423.]
In order to be entitled to disability benefits under the Act as it existed prior to the 1965 amendments [79 Stat. 366 et seq. (1965)], the claimant was required to establish “disability” as of the time of filing of the application for such benefits. [42 U.S.C. § 423(a) (1) (D).] The application before us was filed on June 25, 1962, alleging appellee’s impairments to be “loss of left hand, broken left leg, right arm hurt.”
At the time of filing appellee’s application, § 223(c) (2) of the Act declared that:
“[T]he term ‘disability’ means inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or to be of long-continued and indefinite duration.” [42 U.S.C. § 423(c) (2); see 42 U.S.C. § 416(i) (1) (A).]
The evidence adduced before the hearing examiner disclosed that in 1948, at the age of 38, appellee lost his left forearm below the elbow in a coal mine accident; and that, from the time of this injury until the mine shut down in 1953, appellee worked as a dispatcher in the mine. As a dispatcher, appellee was required to sit at a desk, answer telephone calls, and use a loud speaker to direct traffic, so that the cars entering and leaving the mine would not collide. This dispatcher job was the last “substantial gainful activity” of a continuous nature in which appellee has engaged. However, he has done “odd jobs” intermittently since the mine closed in 1953.
The hearing examiner found that ap-pellee’s last former'occupation was as a dispatcher for a coal mine, and that “he has the capabilities of performing work of the type he last performed in the mines.” Upon this finding, based upon the record made before the hearing examiner, the Secretary denied appellee’s application for disability insurance benefits under the Act. The ensuing action in the District Court under 205(g) of the Act [42 U.S.C. § 405(g)] to reverse the Secretary’s decision resulted in a judgment in appellee’s favor, remanding the case to the Secretary with directions that appellee be granted “a period of disability and disability insurance benefits in accordance with the Social Security Act, as amended.”
It is settled that the burden of proof rested upon appellee to establish his entitlement to disability benefits under the Act. [§§ 216(i) (1) and 223(c) (2), 42 U.S.C. §§ 416(i) (1) and 423(c) (2); Erickson v. Ribicoff, 305 F.2d 638, 640 (6th Cir. 1962); see: Justice v. Gardner, 360 F.2d 998 (6th Cir., May 27, 1966); Mark v. Celebrezze, 348 F.2d 289, 293 (9th Cir. 1965); Cyrus v. Celebrezze, 341 F.2d 192, 195 (4th Cir. 1965); Cele- brezze v. Bolas, 816 F.2d 498-500 (8th Cir. 1963); Kerner v. Flemming, 283 F.2d 916, 921-922 (2nd Cir. 1960).] Moreover, the Act plainly directs that: “The findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive * * [§ 205(g), 42 U.S.C. § 405(g).] And it is equally clear that the same finality extends as well to such inferences and conclusions as the Secretary may reasonably draw from the evidence. [McMullen v. Celebrezze, 335 F.2d 811, 816 (9th Cir. 1964), cert. denied, 382 U.S. 854, 86 S.Ct. 106, 15 L.Ed. 2d 92 (1966).]
Our examination of the record discloses that the decision of the Secretary that appellee has failed to establish, in support of his application, that he is disabled from following his usual occupation as dispatcher in the mines, is supported by substantial evidence on the whole record. [Consolo v. Federal Maritime Commission, 383 U.S. 607, 86 S.Ct. 1018, 16 L.Ed.2d 131 (March 22, 1966); Universal Camera Corp. v. National Labor Relations Board, 340 U.S. 474, 71 S.Ct. 456, 95 L.Ed. 456 (1951); Thomas v. Celebrezze, 331 F.2d 541, 543 (4th Cir. 1964).]
But appellee asserts that there is no available work as a dispatcher in the mines; that he is unable to find any "substantial gainful activity” at or near his home in Kodak, Kentucky. Counsel for appellee pressed upon us with convincing eloquence the plight of appellee and other persons similarly situated who do not wish to leave their homes in the Kentucky mountains and seek work elsewhere; yet are unable to find employment at home.
We have consistently held that, once a claimant establishes that he is unable to work at his usual occupation, the Secretary must, in order to sustain a denial of disability benefits under the Act, adduce evidence to show: (1) that the claimant is able to engage in some other kind of “substantial gainful activity”, and (2) that such job opportunities are reasonably available under normal conditions in the general area in which the claimant lives. [See: Slone v. Gardner, 355 F.2d 485 (6th Cir. 1966); Carden v. Gardner, 352 F.2d 51, 52 (6th Cir. 1965); Massey v. Celebrezze, 345 F.2d 146 (6th Cir. 1965); Thompson v. Celebrezze, 334 F.2d 412 (6th Cir. 1964); Jones v. Cele-brezze, 321 F.2d 192 (6th Cir. 1963); Rice v. Celebrezze, 315 F.2d 7 (6th Cir. 1963); cf. Webb v. Railroad Retirement Board, 358 F.2d 451, 455 (6th Cir. 1966).]
We have also consistently held that, once the Secretary finds from substantial evidence that the claimant is able to engage in a former trade or occupation, such a determination “precludes the necessity of an administrative showing of gainful work which the appellant was capable of doing and the availability of any such work.” [Ward v. Ribicoff, 309 F.2d 157, 158 (6th Cir. 1962); accord, McMullen v. Celebrezze, supra, 335 F.2d at 816.]
The rule cannot be otherwise, unless we are to “order unemployment insurance under the guise of disability insurance.” [Hicks v. Flemming, 302 F.2d 470, 473 (5th Cir. 1962).] The injustice of our so doing is at once apparent, if we suppose for the moment that there were two dispatchers at the mine where appellee worked, and the one other than appellee had not lost part of one arm. Both would be unemployed as dispatchers, but under such an extension of previous holdings as we are here asked to make, only appel-lee would be entitled to “disability” benefits under the Social Security Act.
The judgment of the District Court is reversed, with directions to enter judgment upholding the findings and conclusions of the Secretary.