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Improving the Presumptive Disability Decision-Making Process for Veterans (2008)
Board on Military and Veterans Health (BMVH)

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. "5 Case Studies Summary Chapter." Improving the Presumptive Disability Decision-Making Process for Veterans. Washington, DC: The National Academies Press, 2008.

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Improving the Presumptive Disability Decision-Making Process for Veterans

IOM. 2005. Veterans and Agent Orange: Update 2004. Washington, DC: The National Academies Press.

NRC. 2005. Assessment of the scientific information for the Radiation Exposure Screening and Education Program. Washington, DC: The National Academies Press.

IOM. 2006. Amyotrophic lateral sclerosis in veterans: Review of scientific literature. Washington, DC: The National Academies Press.

IOM. 2006. Disposition of the Air Force Health Study. Washington, DC: The National Academies Press.

IOM. 2006. Gulf War and health, volume 4: Health effects of serving in the Gulf War. Washington: The National Academies Press.

IOM. 2006. Gulf War and health, volume 5: Infectious diseases. Washington, DC: The National Academies Press.

NRC. 2006. Health risks from exposure to low levels of ionizing radiation: BEIR VII Phase 2. Washington, DC: The National Academies Press.

IOM. 2006. Posttraumatic stress disorder: Diagnosis and assessment. Washington, DC: The National Academies Press.

NRC. 2006. Toxicity testing for assessment of environmental agents interim report. Washington, DC: The National Academies Press.

ANNEX 5-3

The VA provided the Committee with the following cost estimates (in chronological order):

VA (Department of Veterans Affairs). 1988. Cost estimate of Agent Orange legislation: Non-Hodgkin’s lymphoma. Washington, DC: VA.

VA. 1996. Cost estimate for regulation on claims based on exposure to herbicides: Estimated benefit and administrative costs. Adding prostate cancer and peripheral neuropathy to list of diseases for which VA will provide presumptive service connection based on herbicide exposure. Washington, DC: VA.

VA. 1996. Memorandum: Costing for regulation on claims based on exposure to herbicides. Washington, DC: VA.

VA. 1999. Costing of H.R. 690: Adding bronchiolo-alveolar carcinoma to list of diseases presumed service connected for certain radiation-exposed veterans. Washington, DC: VA.

VA. 2000. Costing of regulation RIN 2900-AK63: Disease associated with exposure to certain herbicide agents: Type 2 diabetes. Washington, DC: VA.

VA. 2001. Costing of regulation RIN 2900-AK83: Presumption of service connection for cirrhosis of the liver in former prisoners of war. Washington, DC: VA.

VA. 2003. Costing of RIN 2900-AL55: To establish a presumption of service connection for chronic lymphocytic leukemia (CLL). Washington, DC: VA.

VA. 2004. Costing of RIN 2900-AM09: Additional presumptions for former POWs. Washington, DC: VA.

Page
135
Front Matter (R1-R32)
General Summary (1-6)
Summary (7-26)
1 Introduction (27-35)
2 A Brief History of Presumptive Disability Decisions for Veterans (36-51)
3 The Presumptive Disability Decision-Making Process (52-69)
4 Legislative Background on Presumptions (70-82)
5 Case Studies Summary Chapter (83-135)
6 Establishing an Evidence-Based Framework (136-149)
7 Scientific Evidence for Causation in the Population (150-174)
8 Synthesizing the Evidence for Causation (175-197)
9 Applying Population-Based Results to Individuals: From Observational Studies to Personal Compensation (198-236)
10 Health and Exposure Data Infrastructure to Improve the Scientific Basis of Presumptions (237-297)
11 Governmental Classification and Secrecy (298-308)
12 The Way Forward (309-328)
13 Recommendations (329-338)
Appendix A: Statement of the Veterans' Disability Benefits Commission to the Institute of Medicine's Committee on the Presumptive Disability Decision-Making Process, May 31, 2006 (339-343)
Appendix B: Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas (344-348)
Appendix C: Glossary (349-408)
Title Page (409-409)
Appendix D: Historical Background (410-423)
Appendix E: Arguments Favoring and Opposing Presumptions (424-433)
Appendix F: Tables: Summary of Presumptive Disability Decision-Making Legislative History (434-565)
Appendix G: VA's White Paper on the Presumptive Disability Decision-Making Process (566-569)
Appendix H: IOM's Statements of Task and Conclusions for Agent Orange and Gulf War Reports (570-591)
Appendix I: Case Studies (592-709)
Appendix J: Causation and Statistical Causal Methods (710-719)
Appendix K: Sources of Health and Exposure Data for Veterans (720-763)
Appendix L: Additional Classification and Secrecy Information (764-773)
Appendix M: Biographical Sketches of Committee Members, Consultants, and Staff (774-781)