McGhee v. Commissioner of Social Security
Filing
14
ORDER AFFIRMING DECISION OF COMMISSIONER. Signed by Judge James D. Todd on 3/23/15. (Todd, James)
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF TENNESSEE
WALTER MCGHEE, II,
Plaintiff,
v.
COMMISSIONER OF
SOCIAL SECURITY,
Defendant.
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No. 14-2369-T
ORDER AFFIRMING DECISION OF COMMISSIONER
Plaintiff, pro se, has filed this action to obtain judicial review of Defendant
Commissioner's final decision denying his applications for disability insurance benefits under
Title II of the Social Security Act (“Act”) and supplemental security income (“SSI”).
Plaintiff's applications were denied initially and upon reconsideration and then by order of
an ALJ on December 6, 2010.
The Appeals Council remanded the case to the ALJ for further proceedings. On
August 29, 2012, following a hearing, the ALJ issued another unfavorable decision. Plaintiff
filed a complaint in federal court requesting review of the hearing decision. Subsequently,
Plaintiff filed a request for review by the Appeals Council. On October 23, 2013, this court
dismissed Plaintiff’s complaint on the ground that he had not exhausted his administrative
remedies. After reviewing additional evidence, the Appeals Council affirmed the ALJ's
decision. This decision became the Commissioner's final decision. Plaintiff then filed this
action, requesting reversal of the decision of the Commissioner. For the reasons set forth
below, the decision of the Commissioner is AFFIRMED.
Pursuant to 42 U.S.C. § 405(g), a claimant may obtain judicial review of any final
decision made by the Commissioner after a hearing to which he was a party. “The court shall
have the power to enter, upon the pleadings and transcript of the record, a judgment
affirming, modifying, or reversing the decision of the Commissioner of Social Security, with
or without remanding the cause for a rehearing.” Id. The court's review is limited to
determining whether or not there is substantial evidence to support the Commissioner's
decision, 42 U.S.C. § 405(g), and whether the correct legal standards were applied. See
Lindsley v. Commissioner, 560 F.3d 601, 604–08 (6th Cir. 2009); Kyle v. Commissioner, 609
F.3d 847, 854 (6th Cir. 2010).
The Commissioner, not the court, is charged with the duty to weigh the evidence, to
make credibility determinations and resolve material conflicts in the testimony, and to decide
the case accordingly. See Bass v. McMahon, 499 F.3d 506, 509 (6th Cir. 2007). When
substantial evidence supports the Commissioner's determination, it is conclusive, even if
substantial evidence also supports the opposite conclusion. See Foster v. Halter, 279 F.3d
348, 353 (6th Cir. 2001); Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986). A reviewing
court must defer to findings of fact by an appeals council when those findings conflict with
the factual findings of the ALJ. Id. at 545.
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Plaintiff was born in 1973 and alleges that he became disabled on April 20, 2007. R.
205, 215. He alleges disability due to depression, nervousness, and insomnia, R. 205,
headaches, backaches, stomachaches, and hearing problems. R. 219.
The ALJ enumerated the following findings: (1) Plaintiff met the disability insured
status requirements through June 30, 2010; (2) Plaintiff did not engage in substantial gainful
activity from April 20, 2007, until September 2009 and did not engage in substantial gainful
activity after June 2010; (3) Plaintiff has the medically determinable impairment of
congenital deformity of right ear; but it is not severe because it did not significantly limit his
ability to perform basic work-related activities for at least twelve consecutive months; (4)
Plaintiff was not under a disability as defined in the Act at any time through the date of this
decision.
The Social Security Act defines disability as the inability to engage in substantial
gainful activity. 42 U.S.C. § 423(d)(1). The claimant bears the ultimate burden of
establishing an entitlement to benefits. Born v. Secretary, 923 F.2d 1168, 1173 (6th Cir.
1990). The initial burden of going forward is on the claimant to show that he is disabled
from engaging in his former employment; the burden of going forward then shifts to the
Commissioner to demonstrate the existence of available employment compatible with the
claimant's disability and background. Id.
The Commissioner conducts the following, five-step analysis to determine if an
individual is disabled within the meaning of the Act:
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1. An individual who is engaging in substantial gainful activity will not be
found to be disabled regardless of medical findings.
2. An individual who does not have a severe impairment will not be found to
be disabled.
3. A finding of disability will be made without consideration of vocational
factors, 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 to Subpart P of the regulations.
4. An individual who can perform work that he has done in the past will not
be found to be disabled.
5. If an individual cannot perform his or her 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(a)(4); Howard v. Commissioner, 276 F.3d 235, 238 (6th Cir. 2002).
Further review is not necessary if it is determined that an individual is not disabled at any
point in this sequential analysis. 20 C.F.R. § 404.1520(a). Here, the sequential analysis
proceeded to the second step with a finding that Plaintiff did not have a severe impairment,
and, therefore, he was not disabled.1
The Act defines a disability as “an 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 which has lasted or can be expected to last for a continuous
1
At step one, the ALJ must determine whether the claimant is engaging in substantial gainful activity. 20
C.F.R. §§ 404.1520(b) and 416.920(b). If an individual engages in substantial gainful activity, he is not disabled
regardless of how severe his medical impairment(s) may be. In the present case, Plaintiff had earnings above the
substantial gainful activity level between September 2009 and July 2010. R. 33, 155, 158-60, 163, 168. Plaintiff has not
rebutted the presumption that he was engaged in substantial gainful activity based on earnings and, thus, cannot be found
disabled during the period between September 2009 and July 2010. See Dinkel v. Secretary, 910 F.2d 315 (6th Cir. 1990)
(A claimant has the burden of rebutting the presumption that he is engaged in substantial gainful activity based on
earnings.)
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period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A). A medically determinable
impairment is one that “results from anatomical, physiological, or psychological
abnormalities which can be shown by medically acceptable clinical and laboratory
techniques. A physical or mental impairment must be established by medical evidence
consisting of signs, symptoms and laboratory findings, not only [the claimant's] statement
of symptoms.” 20 C.F.R. § 404.1508.
At step two, a claimant bears the initial burden of proof to demonstrate that he has a
severe impairment which is an impairment or combination of impairments which
significantly limit his physical or mental ability to perform basic work activities without
regard to age, education, or work experience.2 20 C.F.R. §§ 20 C.F.R. §§ 404.1520(c),
404.1521(a), 416.920(c), 416.921(a) (2013). Thus, once the claimant has demonstrated a
medically determinable impairment, he must show that his impairment also “significantly
limits” his ability to perform work-related activities. See 20 C.F.R. § 404.1521.
The severity requirement is used to screen out claims that are medically groundless.
Higgs v. Bowen, 880 F.2d 860, 863 (6th Cir. 1988) (“[T]his appeal presents the exceptional
‘totally groundless’ claim properly dismissed on the medical evidence alone. There is nothing
in the objective medical record credibly suggesting that Mrs. Higgs was significantly affected
by any of her impairments on or before June 30, 1979.”) An impairment is not severe if it
2
Basic work activities encompass the abilities and aptitudes necessary to perform most jobs, such as walking,
standing, sitting, lifting, pushing, pulling, reaching, carrying, or handling; capacities for seeing, hearing, and speaking;
understanding, performing, and remembering simple instructions; using judgment; responding appropriately to
supervision, coworkers, and usual work situations; and dealing with changes in a routine work situation. 20 C.F.R. §§
404.1521, 416.921.
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is a “ ‘slight abnormality which has such a minimal effect on the individual that it would not
be expected to interfere with the individual's ability to work, irrespective of age, education
and work experience.’ ” Farris v. Secretary, 773 F.2d 85, 90 (6th Cir. 1985) (quoting Brady
v. Heckler, 724 F.2d 914, 920 (11th Cir. 1984)). Accordingly, if an impairment or
combination of impairments would have no more than a minimal effect on a claimant's ability
to work, the sequential evaluation process is terminated at step two. Id.; see also Henderson
v. Sullivan, 930 F.2d 19 (8th Cir. 1991).
The Court of Appeals discussed Higgs in Long v. Apfel, 1 Fed.Appx. 326 (6th Cir.
2001).
In Higgs v. Bowen, this court declared that ‘an impairment can be considered
not severe only if it is a slight abnormality that minimally affects work ability
regardless of age, education, and experience.’ Higgs v. Bowen, 880 F.2d 860,
862 (6th Cir.1988). The Higgs court observed that ‘this lenient interpretation
of the severity requirement in part represents the courts' response to the
Secretary's questionable practice in the early 1980s of using the step two
regulation to deny meritorious claims without proper vocational analysis.’ Id.
But the court also recognized that ‘Congress has approved the threshold
dismissal of claims obviously lacking medical merit....’ Id. That is, ‘the
severity requirement may still be employed as an administrative convenience
to screen out claims that are “totally groundless” solely from a medical
standpoint.’ Id. at 863. Indeed, the Higgs court approved of that practice; it
affirmed dismissal because the record contained no objective medical evidence
to support Ms. Higgs's claims of severe impairment. Particularly relevant to the
case at bar, the Higgs court observed. ‘The mere diagnosis of [an ailment], of
course, says nothing about the severity of the condition.’ Id. When doctors'
reports contain no information regarding physical limitations or the intensity,
frequency, and duration of pain associated with a condition, this court has
regularly found substantial evidence to support a finding of no severe
impairment. See, e.g., id. (citing cases).
Caselaw since Higgs confirms this circuit's practice in that respect. Compare
Maloney v. Apfel, 211 F.3d 1269 (table), No. 99-3081, 2000 WL 420700 at
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(6th Cir.2000) (per curiam) (finding substantial evidence to support denial
when record indicated claimant showed symptoms and was diagnosed with
disorder but did not contain evidence of a disabling impairment that would
prevent work); and Foster v. Secretary of Health & Human Svcs., 899 F.2d
1221 (table). No. 88-1644, 1990 WL 41835 at *2 (6th Cir.1990) (per curiam)
(finding substantial evidence to support denial when the claimant produced no
evidence regarding the frequency, intensity, and duration of arthritic pain; the
record indicated that he was no more than slightly or minimally impaired);
with Burton v. Apfel, 208 F.3d 212 (table), No. 98- 4198. 2000 WL 125853
at *3 (6th Cir.2000) (reversing finding of no severe impairment because record
contained diagnoses and remarks from a number of treating physicians and
psychologists to the effect that claimant was ‘unable to work ... due to the
complexity of her health problems’ (quoting physician)); and Childrey v.
Chater, 91 F.3d 143 (table). No. 95-1353, 1996 WL 420265 at *2 (6th
Cir.1996) (per curiam) (reversing finding of no severe impairment because
record contained an assessment by a consulting physician reflecting a variety
of mental problems that left her ‘'not yet able to really care for herself alone,
reports of two other physicians corroborating this, consistent testimony from
the claimant, and no medical evidence to the contrary (quoting physician)).
The court in Long upheld the decision of the Commissioner because the record did “not
contain a single statement by a treating physician indicating that Long's health problems
result in any specific work-impairing limitations.” 1 Fed.Appx. at 332.
The ALJ here, as in Long, concluded that Plaintiff had failed to establish that his
medically determinable impairment was severe because the evidence failed to show any
significant limitation in his ability to perform basic work-related activities.
Plaintiff has not cited any medical evidence showing work-related limitations.
Moreover, none of Plaintiff’s doctors opined that Plaintiff had work-related limitations
during the period under consideration. Because Plaintiff has pointed to no evidence showing
any lasting or credible work-related restrictions during the relevant period, substantial
evidence supports the ALJ’s decision, and the decision must be affirmed.
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Plaintiff alleges that he was “treated indifferently because he chose to represent
himself in a disability claim without entertaining a drug test request” Pl.’s Br. at 1. When
alleging bias, Plaintiff must show evidence of the bias, not merely speculation or inference.
See Karnofel v. Commissioner, 518 Fed.Appx. 455, 455-56 (6th Cir. 2013) (citing Navistar
Int’l Corp. v. EPA, 941 F.3d 1339, 1360 (6th Cir. 1991) (“[A]ny alleged prejudice on the part
of the decisionmaker must be evidence from the record and cannot be based on speculation
or inference.”)). Plaintiff has provided no evidence to support his assertion of bias, and,
therefore, his argument is without merit.
Plaintiff also alleges that the ALJ was negligent for failing to send him to an
audiologist to test his hearing. There is no evidence that Plaintiff requested an examination
prior to the ALJ’s decision, nor is there any showing that the ALJ was unable to ascertain
Plaintiff’s capacity for hearing based on the evidence in the record. When the record contains
a sufficient amount of evidence pertaining to an impairment, an ALJ does not abuse his
discretion by declining to obtain an additional assessment. See Culp v. Commissioner, 529
Fed.Appx. 750, 751 (6th Cir. 2013) (“Given that the record contained a considerable amount
of evidence pertaining to Culp’s mental limitations and that Dr. Douglass had completed a
mental RFC assessment in March 2008, the ALJ did not abuse her discretion by declining
to obtain an additional assessment.”).
Plaintiff submitted additional evidence to the Appeals Council consisting of
appointment cards with various clinicians and pharmacy records showing that he received
refills of medication throughout the alleged period of disability. R. 4-5, 258-300, 425-39.
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When the Appeals Council considers new evidence but declines the request for review, the
district court may not consider the new evidence when determining whether to uphold,
modify, or reverse the decision but, instead, can remand if the evidence was: (1) new, (2)
material, and (3) good cause was shown for not submitting it to the ALJ. See Cotton v.
Sullivan, 2 F.3d 692, 696 (6th Cir. 1993). Here, the evidence presented by Plaintiff is neither
new nor material, and Plaintiff has not made any showing of good cause for why it was not
submitted prior to the date of the ALJ’s decision.
The decision of the Commissioner is AFFIRMED, and the clerk is directed to enter
judgment accordingly.
IT IS SO ORDERED.
s/ James D. Todd
JAMES D. TODD
UNITED STATES DISTRICT JUDGE
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