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Health-related News Summaries  

Battle of Expert Witnesses: Court Rules Worker is Feigning Injury

[Posted 10/28/2008] A truck driver in Pennsylvania was injured unloading his truck in 1995 and was granted full disability benefits. In 2003, the employer contended the trucker had fully recovered from his injuries and should no longer be receiving workers’ compensation. The request was denied, even though the Workers’ Compensation Judge at the time voiced reservations on the quality of the medical evidence presented by the worker.

The employer filed a second termination petition in 2004, and following a lengthy adjudication, the termination was granted in October, 2008.

This case points out the difficulty in proving/disproving a worker’s recovery from injuries sustained on the job. Physicians and testing can certainly appear to support the worker’s claim that he has not recovered. Yet different physicians and testing processes can also support that the worker’s injuries have mended and that current symptoms are unsubstantiated. The Court opinion stated each case must be judged individually
[b]ecause every case presents a different factual scenario.

The Pennsylvania Commonwealth Court concluded the
claimant was feigning symptoms that were not outwardly visible and ruled in favor of the employer. The Court rejected the claimant’s contention that an employer cannot prove cessation of pain unless the injured party acknowledges it as so.

The lawyer for the claimant has announced he will appeal to the state Supreme Court.

Related Links:
PlanSponsor News Article (free login required)
Court Opinion: Folmer v. WC Appeal Board

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