Morin v. Commissioner of Social Security
Filing
13
OPINION affirming the Commissioner's decision; signed by Magistrate Judge Ellen S. Carmody (Magistrate Judge Ellen S. Carmody, jal)
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF MICHIGAN
SOUTHERN DIVISION
SANDRA MORIN,
Plaintiff,
Hon. Ellen S. Carmody
v.
Case No. 1:16-CV-202
COMMISSIONER OF SOCIAL
SECURITY,
Defendant.
______________________________________/
OPINION
This is an action pursuant to Section 205(g) of the Social Security Act, 42 U.S.C.
§ 405(g), to review a final decision of the Commissioner of Social Security denying Plaintiff’s claim
for Disability Insurance Benefits (DIB) and Supplemental Security Income (SSI) under Titles II and
XVI of the Social Security Act. On May 19, 2016, the parties agreed to proceed in this Court for
all further proceedings, including an order of final judgment. (ECF No. 10).
Section 405(g) limits the Court to a review of the administrative record and provides
that if the Commissioner’s decision is supported by substantial evidence it shall be conclusive. The
Commissioner has found that Plaintiff is not disabled within the meaning of the Act. For the reasons
stated below, the Court concludes that the Commissioner’s decision is supported by substantial
evidence. Accordingly, the Commissioner’s decision is affirmed.
STANDARD OF REVIEW
The Court’s jurisdiction is confined to a review of the Commissioner’s decision and
of the record made in the administrative hearing process. See Willbanks v. Sec’y of Health and
Human Services, 847 F.2d 301, 303 (6th Cir. 1988). The scope of judicial review in a social security
case is limited to determining whether the Commissioner applied the proper legal standards in
making her decision and whether there exists in the record substantial evidence supporting that
decision. See Brainard v. Sec’y of Health and Human Services, 889 F.2d 679, 681 (6th Cir. 1989).
The Court may not conduct a de novo review of the case, resolve evidentiary
conflicts, or decide questions of credibility. See Garner v. Heckler, 745 F.2d 383, 387 (6th Cir.
1984). It is the Commissioner who is charged with finding the facts relevant to an application for
disability benefits, and her findings are conclusive provided they are supported by substantial
evidence. See 42 U.S.C. § 405(g). Substantial evidence is more than a scintilla, but less than a
preponderance. See Cohen v. Sec’y of Dep’t of Health and Human Services, 964 F.2d 524, 528 (6th
Cir. 1992) (citations omitted). It is such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion. See Richardson v. Perales, 402 U.S. 389, 401 (1971); Bogle v.
Sullivan, 998 F.2d 342, 347 (6th Cir. 1993). In determining the substantiality of the evidence, the
Court must consider the evidence on the record as a whole and take into account whatever in the
record fairly detracts from its weight. See Richardson v. Sec’y of Health and Human Services, 735
F.2d 962, 963 (6th Cir. 1984).
As has been widely recognized, the substantial evidence standard presupposes the
existence of a zone within which the decision maker can properly rule either way, without judicial
interference. See Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986) (citation omitted). This
2
standard affords to the administrative decision maker considerable latitude, and indicates that a
decision supported by substantial evidence will not be reversed simply because the evidence would
have supported a contrary decision. See Bogle, 998 F.2d at 347; Mullen, 800 F.2d at 545.
PROCEDURAL POSTURE
Plaintiff was 50 years of age on her alleged disability onset date. (PageID.196). She
successfully completed high school and worked previously as a nurse’s aid, cashier/checker, and
sales attendant. (PageID.56). Plaintiff applied for benefits on May 10, 2013, alleging that she had
been disabled since April 24, 2013, due to arthritis in her left knee, intermittent leg numbness, back
problems, muscle cramping, and difficulty standing for long periods of time. (PageID.196-208,
236). Plaintiff’s application was denied, after which time she requested a hearing before an
Administrative Law Judge (ALJ). (PageID.93-194). On January 29, 2015, Plaintiff appeared before
ALJ Mark Kim with testimony being offered by Plaintiff and a vocational expert. (PageID.62-91).
In a written decision dated March 3, 2015, the ALJ determined that Plaintiff was not disabled.
(PageID.49-58). The Appeals Council declined to review the ALJ’s determination, rendering it the
Commissioner’s final decision in the matter. (PageID.34-37). Plaintiff subsequently initiated this
pursuant to 42 U.S.C. § 405(g), seeking judicial review of the ALJ’s decision.
3
ANALYSIS OF THE ALJ’S DECISION
The social security regulations articulate a five-step sequential process for evaluating
disability. See 20 C.F.R. §§ 404.1520(a-f), 416.920(a-f).1 If the Commissioner can make a
dispositive finding at any point in the review, no further finding is required. See 20 C.F.R. §§
404.1520(a), 416.920(a).
The regulations also provide that if a claimant suffers from a
nonexertional impairment as well as an exertional impairment, both are considered in determining
her residual functional capacity. See 20 C.F.R. §§ 404.1545, 416.945.
The burden of establishing the right to benefits rests squarely on Plaintiff’s shoulders,
and she can satisfy her burden by demonstrating that her impairments are so severe that she is unable
to perform her previous work, and cannot, considering her age, education, and work experience,
perform any other substantial gainful employment existing in significant numbers in the national
economy. See 42 U.S.C. § 423(d)(2)(A); Cohen, 964 F.2d at 528. While the burden of proof shifts
to the Commissioner at step five of the sequential evaluation process, Plaintiff bears the burden of
proof through step four of the procedure, the point at which her residual functioning capacity (RFC)
is determined. See Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987); Walters v. Comm’r of Soc. Sec.,
1
1. An individual who is working and engaging in substantial gainful activity will not be found to be “disabled”
regardless of medical findings (20 C.F.R. §§ 404.1520(b), 416.920(b));
2. An individual who does not have a “severe impairment” will not be found “disabled” (20 C.F.R. §§ 404.1520(c),
416.920(c));
3. If an individual is not working and is suffering from a severe impairment which meets the duration requirement and
which “meets or equals” a listed impairment in Appendix 1 of Subpart P of Regulations No. 4, a finding of “disabled”
will be made without consideration of vocational factors. (20 C.F.R. §§ 404.1520(d), 416.920(d));
4. If an individual is capable of performing her past relevant work, a finding of “not disabled” must be made (20 C.F.R.
§§ 404.1520(e), 416.920(e));
5. If an individual’s impairment is so severe as to preclude the performance of past work, other factors including age,
education, past work experience, and residual functional capacity must be considered to determine if other work can
be performed (20 C.F.R. §§ 404.1520(f), 416.920(f)).
4
127 F.3d 525, 528 (6th Cir. 1997) (ALJ determines RFC at step four, at which point claimant bears
the burden of proof).
The ALJ determined that Plaintiff suffers from: (1) obesity; (2) sacroiliac joint
disease; (3) knee pain; (4) foot pain; (5) hip pain; and (6) lumbosacral spondylosis with
radiculopathy, severe impairments that whether considered alone or in combination with other
impairments, failed to satisfy the requirements of any impairment identified in the Listing of
Impairments detailed in 20 C.F.R., Part 404, Subpart P, Appendix 1. (PageID.52-53). With respect
to Plaintiff’s residual functional capacity, the ALJ found that Plaintiff retained the ability to perform
light work subject to the following limitations: (1) she can only occasionally balance, kneel, crouch,
or climb ramps/stairs; (2) she can frequently stoop; (3) she can never crawl or climb ladders, ropes,
or scaffolds; (4) she should avoid all exposure to hazards such as moving machinery and unprotected
heights; (5) she must be permitted to alternate between sitting and standing while remaining on task,
meaning that she is allowed to stand for fifteen minutes after sitting for one hour, before returning
to the seated position; and (6) she is limited to performing simple tasks. (PageID.54).
The ALJ found that Plaintiff was unable to perform her past relevant work at which
point the burden of proof shifted to the Commissioner to establish by substantial evidence that a
significant number of jobs exist in the national economy which Plaintiff could perform, her
limitations notwithstanding. See Richardson, 735 F.2d at 964. While the ALJ is not required to
question a vocational expert on this issue, “a finding supported by substantial evidence that a
claimant has the vocational qualifications to perform specific jobs” is needed to meet the burden.
O’Banner v. Sec’y of Health and Human Services, 587 F.2d 321, 323 (6th Cir. 1978) (emphasis
added). This standard requires more than mere intuition or conjecture by the ALJ that the claimant
5
can perform specific jobs in the national economy. See Richardson, 735 F.2d at 964. Accordingly,
ALJs routinely question vocational experts in an attempt to determine whether there exist a
significant number of jobs which a particular claimant can perform, his limitations notwithstanding.
Such was the case here, as the ALJ questioned a vocational expert.
The vocational expert testified that there existed approximately 442,000 jobs in the
national economy which an individual with Plaintiff’s RFC could perform, such limitations
notwithstanding. (PageID.84-89). This represents a significant number of jobs. See Born v. Sec’y
of Health and Human Services, 923 F.2d 1168, 1174 (6th Cir. 1990); Hall v. Bowen, 837 F.2d 272,
274 (6th Cir. 1988); Martin v. Commissioner of Social Security, 170 Fed. Appx. 369, 374 (6th Cir.,
Mar. 1, 2006). The ALJ concluded, therefore, that Plaintiff was not entitled to disability benefits.
I.
The ALJ’s Step Three Determination is Supported by Substantial Evidence
As noted above, as Step 3 of the aforementioned sequential process, the ALJ must
determine whether a claimant’s impairments meet or equals a listed impairment. In this case, the
ALJ determined that Plaintiff’s impairments neither met nor medically equaled any listed
impairment. Plaintiff argues that she is entitled to relief because the ALJ made this medical
equivalence determination without benefit of an opinion from a medical expert. Specifically,
Plaintiff argues that she “should have been found to have limitations that were equivalent to the
listing for 1.04 (disorders of the spine) or 1.02 (major dysfunction of a joint).” (ECF No. 11 at
PageID.425).
The argument that an ALJ is obligated to obtain an expert medical opinion on the
question of medical equivalence has been persuasively rejected by other courts in this District. See,
6
e.g., Garza v. Commissioner of Social Security, 2015 WL 8922011 at *6-9 (W.D. Mich., Nov. 25,
2015); Clanton v. Commissioner of Social Security, 2016 WL 74421 at *5-8 (W.D. Mich., Jan. 6,
2016). Moreover, as the Sixth Circuit authority cited by Plaintiff holds, ultimately the claimant
bears the burden to demonstrate that her impairments meet or equal a listed impairment. See Retka
v. Commissioner of Social Security, 1995 WL 697215 (6th Cir., Nov. 22, 1995) (recognizing that
regardless whether a medical opinion on the issue of equivalence is required, “[i]t is the claimant’s
burden at this third step in the sequential evaluation to bring forth evidence to establish that he or
she meets or equals a listed impairment”).
A.
Section 1.02
Section 1.02A2 of the Listing applies to:
Major dysfunction of a joint(s) (due to any cause): Characterized by
gross anatomical deformity. . .and chronic joint pain and stiffness
with signs of limitation of motion or other abnormal motion of the
affected joint(s), and findings on appropriate medically acceptable
imaging of joint space narrowing, bony destruction, or ankylosis of
the affected joint(s). With:
A.
Involvement of one major peripheral weight-bearing
joint (i.e., hip, knee, or ankle), resulting in inability to
ambulate effectively, as defined in 1.00B2b;
20 C.F.R., Part 404, Subpart P, Appendix 1 § 1.02.
Section 1.00(B)(2)(b) provides, in relevant part, as follows:
2
Section 1.02A of the Listings addresses weight-bearing joints and the ability to ambulate effectively whereas Section
1.02B addresses upper extremity impairments and the ability to perform fine and gross movements effectively. While Plaintiff
has failed to specifically articulate whether she believes she is disabled pursuant to Section 1.02A or 1.02B, her argument is limited
to discussion of her lower extremities and ability to ambulate. Accordingly, the Court has interpreted Plaintiff’s pleading as
asserting the argument that she is disabled pursuant to Section 1.02A.
7
(1) Definition. Inability to ambulate effectively means an extreme
limitation of the ability to walk; i.e., an impairment(s) that interferes
very seriously with the individual’s ability to independently initiate,
sustain, or complete activities. Ineffective ambulation is defined
generally as having insufficient lower extremity functioning (see
1.00J) to permit independent ambulation without the use of a handheld assistive device(s) that limits the functioning of both upper
extremities. (Listing 1.05C is an exception to this general definition
because the individual has the use of only one upper extremity due to
amputation of a hand.)
(2) To ambulate effectively, individuals must be capable of sustaining
a reasonable walking pace over a sufficient distance to be able to
carry out activities of daily living. They must have the ability to
travel without companion assistance to and from a place of
employment or school. Therefore, examples of ineffective
ambulation include, but are not limited to, the inability to walk
without the use of a walker, two crutches or two canes, the inability
to walk a block at a reasonable pace on rough or uneven surfaces, the
inability to use standard public transportation, the inability to carry
out routine ambulatory activities, such as shopping and banking, and
the inability to climb a few steps at a reasonable pace with the use of
a single hand rail. The ability to walk independently about one’s
home without the use of assistive devices does not, in and of itself,
constitute effective ambulation.
20 C.F.R., Part 404, Subpart P, Appendix 1, § 1.00.
The medical record does not support a finding that Plaintiff suffers from a gross
anatomical deformity or an inability to ambulate effectively. Physical examinations, performed in
May 2013 and September 2013, revealed minimal findings and noted that Plaintiff “is able to
ambulate without the use of assistive devices.” (PageID.336, 346-49). X-rays of Plaintiff’s right
hip, performed January 14, 2014, revealed “mild” spurring, but were otherwise “negative.”
(PageID.383). In March 2014 and May 2014, Plaintiff rated her pain as 4 out of 10. (PageID.358).
A May 16, 2014 MRI of Plaintiff’s lumbar spine revealed only “mild” disc disease with “minimal”
encroachment. (PageID.366). May 2014 x-rays of Plaintiff’s left foot and ankle revealed “mild”
8
spurring, but were otherwise “negative.” (PageID.364-65). In the latter part of 2014, Plaintiff
received a series of epidural injections which were effective in reducing her symptoms.
(PageID.385-411). The ALJ specifically analyzed whether Plaintiff’s impairments met or equaled
Section 1.02, concluding that such was not the case. (PageID.53). This determination is supported
by substantial evidence.
B.
Section 1.04
Section 1.04 provides as follows:
Disorders of the spine (e.g., herniated nucleus pulposus, spinal
arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc
disease, facet arthritis, vertebral fracture) resulting in compromise of
a nerve root. . .or the spinal cord. With:
A.
Evidence of nerve root compression characterized by
neuro-anatomic distribution of pain, limitation of
motion of the spine, motor loss (atrophy with
associated muscle weakness or muscle weakness)
accompanied by sensory or reflex loss and, if there is
involvement of the lower back, positive straight-leg
raising test (sitting and supine), or
B.
Spinal arachnoiditis, confirmed by an operative note
or pathology report of tissue biopsy, or by appropriate
medically acceptable imaging, manifested by severe
burning or painful dysesthesia, resulting in the need
for changes in position or posture more than once
every 2 hours; or
C.
Lumbar spinal stenosis resulting in
pseudoclaudication, established by findings on
appropriate medically acceptable imaging, manifested
by chronic nonradicular pain and weakness, and
resulting in an inability to ambulate effectively, as
defined in 1.00B2b.
20 C.F.R., Part 404, Subpart P, Appendix 1, § 1.04.
9
Again, the medical evidence does not support the argument that Plaintiff suffers from
a “compromise of a nerve root. . .or the spinal cord.” The evidence further reveals that Plaintiff
cannot satisfy subsections A, B, or C of this particular Listing. The ALJ specifically analyzed
whether Plaintiff’s impairments met or equaled Section 1.04, concluding that such was not the case.
(PageID.53). This determination is supported by substantial evidence.
II.
The ALJ’s RFC Determination is Supported by Substantial Evidence
Plaintiff also argues that the ALJ’s RFC determination is illogical. Specifically,
Plaintiff argues that the ALJ’s determination that Plaintiff can perform light work is inconsistent
with the conclusion that she requires a sit/stand option whereby she is able to stand for fifteen
minutes after sitting for one hour.
Light work involves lifting “no more than 20 pounds at a time with frequent lifting
or carrying of objects weighing up to 10 pounds.” 20 C.F.R. § 404.1567. Light work also often
involves “a good deal of walking or standing,” defined as “approximately 6 hours of an 8-hour
workday.” 20 C.F.R. § 404.1567. These particular articulations, however, simply represent the
maximum amount of lifting/carrying and standing/walking that a job can entail and still be
considered “light” work. Thus, if an ALJ determines that a claimant can perform the full range of
light work, that is, in effect, a determination that the claimant can lift/carry up to 20 pounds, can
frequently lift/carry 10 pounds, and can stand/walk six hours in an 8-hour workday. Plaintiff has
failed to identify any authority, however, that prevents an ALJ from determining that a claimant can
perform less than the full range of work in any given category. Such was the case here, as the ALJ
found that Plaintiff is capable of performing a limited range of light work. One of the limitations
10
identified by the ALJ is that Plaintiff requires a sit-stand option that affords her the ability to sit for
significant portions of the day. The Court discerns no inconsistency in the ALJ’s determination that
Plaintiff can perform a limited range of light work with the aforementioned sit-stand option.
Moreover, as the evidence discussed reveals, the ALJ’s RFC determination is supported by
substantial evidence. Accordingly, this argument is rejected.
CONCLUSION
For the reasons articulated herein, the Court concludes that the ALJ’s decision is
supported by substantial evidence. Accordingly, the Commissioner’s decision is affirmed. A
judgment consistent with this opinion will enter.
Date: December 29, 2016
/s/ Ellen S. Carmody
ELLEN S. CARMODY
United States Magistrate Judge
11
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?