Clarence D. Cantrell v. Joseph A. Califano, JR., Secretary of Health, Education and Welfare, 578 F.2d 549, 4th Cir. (1978)
Clarence D. Cantrell v. Joseph A. Califano, JR., Secretary of Health, Education and Welfare, 578 F.2d 549, 4th Cir. (1978)
Clarence D. Cantrell v. Joseph A. Califano, JR., Secretary of Health, Education and Welfare, 578 F.2d 549, 4th Cir. (1978)
2d 549
Cantrell submitted with his application for benefits several x-rays, which
entitled him to a rebuttable presumption that he was "totally disabled due to
pneumoconiosis." 20 C.F.R. 410.490(b)(1)(i). Unless this presumption were
rebutted, it entitled Cantrell to an award of benefits, provided Cantrell could
prove that his impairment "arose out of coal mine employment." 20 C.F.R.
410.490(b)(2). Whether Cantrell proved that element is the issue raised on this
appeal.1
3
The permanent and interim regulations also provide that a miner-claimant who
was employed for ten years or more in the Nation's coal mines and who is
suffering from pneumoconiosis, generally is entitled to another presumption,
that his pneumoconiosis arose out of coal mine employment. 20 C.F.R.
410.416(a), 410.490(b)(3). The Appeals Council, which reversed an award of
benefits by an ALJ, concluded that Cantrell had been a "coal miner" employed
in a "coal mine" for only eight years. Thus, Cantrell was not entitled to the
favorable presumption about the origin of his pneumoconiosis. We conclude
that the Appeals Council correctly interpreted the applicable regulations and
decided that Cantrell had only eight years of coal mine employment. See 20
C.F.R. 410.410, 410.110.2
Claimants such as Cantrell, who are unable to rely upon the ten-year
presumption, "must submit the evidence necessary to establish that the
pneumoconiosis arose out of employment in the Nation's coal mines." 20
C.F.R. 410.416(b), 410.490(b)(2). The Appeals Council found that Cantrell
had not presented sufficient evidence to meet his burden of proof under this
provision. Cantrell only worked in the coal mines from 1934 to 1942; he
admittedly did not notice any breathing difficulties until 1959, and his first xray revealing pneumoconiosis was made on March 27, 1973. Cantrell held a
number of non-mining jobs between 1942 and 1959 that exposed him to
substantial dust from coal, coke, charcoal, and lime. The Appeals Council noted
that the conditions associated with these jobs are known to cause "chronic
respirable diseases including pneumoconiosis." The claimant has not referred us
to any persuasive evidence or authority to the contrary. Considering all of he
evidence and its implications, we conclude that the Appeals Council's finding
that Cantrell had not proved that his pneumoconiosis arose out of his eight
years of coal mine employment, as opposed to other working conditions, was
supported by "substantial evidence." Our role is not to pretend to be physicians
and second-guess the Secretary; we can decide only whether the Secretary's
decisions are sufficiently supported by the record.
AFFIRMED.
6
*
Senior District Judge for the Eastern District of Virginia, sitting by designation
We have analyzed the claimant's claim for benefits under the more favorable
interim criteria, 20 C.F.R. 410.490. If Cantrell is not entitled to benefits under
these provisions, given the nature of his evidence, neither will he be entitled
under the less favorable permanent regulations
Cantrell's x-rays revealed the presence of simple, not complicated,
pneumoconiosis. Cantrell's pulmonary function study did not support his claim
under the interim criteria because he unquestionably had less than fifteen years
of coal mine employment, see 20 C.F.R. 410.490(b)(1)(ii), nor was the study
probative of the origin of Cantrell's pneumoconiosis.