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2 The U.S. Social Security Administration Disability Process
Pages 31-46

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From page 31... ... The Social Security Act defines a disability as the inability to engage in substantial gainful activity by reason of any medically determinable impairment or impairments -- physical, mental, or combination -- that can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.1 Disability benefits are provided through two federal entitlement programs: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) Read the entire page →
From page 32... ... reports such as The Dynamics of Disability: Measuring and Monitoring Disability for Social Security Programs (IOM and NRC, 2002) , Workshop on Disability in America: A New Look: Summary and Background Papers (IOM, 2006) Read the entire page →
From page 33... ... U.S. SOCIAL SECURITY ADMINISTRATION'S DISABILITY DETERMINATION PROCESS SSA's disability determination process has been discussed in depth in previous National Academies reports, particularly Health-Care Utilization as a Proxy in Disability Determination (NASEM, 2018) Read the entire page →
From page 34... ... • At the fifth and final step, SSA determines whether the claimant can perform any work in the national economy on the basis of the assessment of residual functional capacity and the claimant's age, education, and work experience. If the claimant can make an ad justment to other work that exists in significant numbers in the na tional economy, the claim will be denied; otherwise, the claim will 3 This text has changed since the prepublication release of this report to correct that claim ants may be allowed benefits at steps 3 and 5, rather than at any step in the disability evaluation process. Read the entire page →
From page 35... ... ) .4 SSA considers function at several points in the disability determination process. Read the entire page →
From page 36... ... 1) , "the Listings help ensure that disability determinations are medically sound, claimants receive equal treatment based on the specific criteria, and disabled individuals can be readily identified and awarded benefits, if appropriate." The National Academies report Health-Care Utilization as a Proxy in Disability Determination (NASEM, 2018) Read the entire page →
From page 37... ... In the future it may be possible to more directly consider functional limitations in the cancer listings.7 Chapter 9 provides an extensive discussion of cancer-related impairments that may lead to functional limitations. 6 See https://secure.ssa.gov/poms.nsf/lnx/0434101005 (accessed September 4, 2020) Read the entire page →
From page 38... ... SSA Disability Claims Impairment % of All Cancer Claims % of Total Claims Breast cancer 16 1.0 Lung cancer 14 0.9 Colorectal cancers 12 0.7 Head and neck cancers 5 0.3 Pancreatic cancer 5 0.3 Nervous system cancers 5 0.3 Leukemia 5 0.3 Lymphoma 5 0.3 Liver or bile ducts cancer 3 0.2 Ovarian cancer 3 0.2 SOURCE: Personal communication, Vincent Nibali, policy analyst, U.S. Social Security Administration, April 30, 2020. Read the entire page →
From page 39... ... SOURCE: Personal communication, Vincent Nibali, policy analyst, U.S. Social Security Administration, April 30, 2020. Read the entire page →
From page 40... ... Social Security Administration, April 30, 2020. Read the entire page →
From page 41... ... Social Security Administration, April 30, 2020. Read the entire page →
From page 42... ... Social Security Administration, April 30, 2020. Read the entire page →
From page 43... ... is the only impairment caused by treatment in the cancer listings. Lung Cancer SSA evaluates lung cancer under listing 13.14. Read the entire page →
From page 44... ... Social Security Administration, April 30, 2020. FINDINGS AND CONCLUSION Findings 1. Read the entire page →
From page 45... ... 2015. Evaluation report: The Social Security Administration's listing of impairments. Read the entire page →
From page 46... ... 2020b. Presentation to the Committee on Diagnosing and Treating Adult Cancers by Alayna Ness, Supervisory Social Insurance Specialist, Social Security Administration, January 7, Washington, DC. Read the entire page →

From page 31...

... The Social Security Act defines a disability as the inability to engage in substantial gainful activity by reason of any medically determinable impairment or impairments -- physical, mental, or combination -- that can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.1 Disability benefits are provided through two federal entitlement programs: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI)

2 The U.S. Social Security Administration Disability Process Pages 31-46

2 The U.S. Social Security Administration Disability Process
Pages 31-46