Payne v. Barnhart

District Court, District of Columbia

Payne v. Barnhart

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA ____________________________________ ) CYRIL L. PAYNE ) ) Plaintiff, ) ) Civil Action No. 03-1438 (RCL) v. ) ) JO ANNE B. BARNHART, ) Commissioner, ) Social Security Administration, ) ) Defendant. ) ____________________________________)

MEMORANDUM OPINION

Plaintiff Cyril L. Payne brings this action challenging an Administrative Law

Judge’s determination that plaintiff is not disabled within the meaning of the Social

Security Act. Currently before the Court is plaintiff’s motion for judgment on the

pleadings [Dkt. 73] and defendant’s fifth motion for extension of time to file defendant’s

motion for judgment of affirmance and opposition to plaintiff’s motion for judgment on

the pleadings [Dkt. 78]. Given the defendant’s continued failure to respond to plaintiff’s

motion for judgment on the pleadings, the matter now before the Court is whether an

entry of a default judgment is proper. Upon consideration of the motions, the

administrative record, and the entire record herein, the Court will enter default judgment

against the defendant.

I. FACTUAL BACKGROUND

In 1996, plaintiff filed an application for disability insurance benefits in which he

claimed to have become disabled and unable to work on July 21, 1996. On the same date,

1 plaintiff filed a “disability report” in which he claimed that his severe lower back pain

prevented him from standing or sitting for any period more than 15 minutes and thus,

prevented him from working. Plaintiff’s entire medical record was evaluated by an

Administrative Law Judge (ALJ), who found that the plaintiff was not “under a

disability” as defined in the Social Security Act, at any time from July 21, 1996 to the

date of the decision, rendered on August 3, 1998. The ALJ relied primarily on the report

of a doctor who opined that the plaintiff did not have significant limitations in his ability

to do basic work related activities. Following the initial decision, Payne requested review

by the Appeals Council. On December 28, 2000, the Appeals Council vacated the

unfavorable decision and remanded the case.

The case came before the same ALJ and another unfavorable decision was entered

on October 24, 2001. In the decision, the ALJ concluded that the Payne retained the

residual function capacity to perform the light work of his past relevant job as a security

officer. After that decision, Payne again requested review by the Appeals Council but on

May 1, 2003, the Appeals Council declined to review the case. Payne then filed suit on

June 30, 2003, in the U.S. District Court. On August 23, 2005, the Court issued an Order

and Memorandum Opinion granting the Commissioner’s motion for affirmance.

However, on July 26, 2006, the Court vacated the order and issued a new Memorandum

Opinion, remanding the case to the Appeals Council. The Appeals Council remanded the

case to the Hearing Office, which entered another unfavorable decision on October 1,

2007. Again, Payne requested review by the Appeals Council.

On April 4, 2008, the Appeals Council vacated the decision and remanded the

case back to the hearing level. A hearing was held on April 28, 2009. A decision was

2 issued on July 31, 2009, finding plaintiff not entitled to a period of disability insurance

benefits prior to December 31, 2001, his date last insured. In the decision, the ALJ again

concluded that Payne retained the residual function capacity to perform the light work of

his past relevant job as a security officer. On April 7, 2010, the Court directed the parties

to file any dispositive motions within 30 days. On May 10, 2010, Payne filed his motion

for judgment on the pleadings and the defendant filed a motion for extension of time to

file dispositive motions. Since that motion, defendant has filed four additional motions

for extension of time. The Court has granted all of the government’s motions except the

most recent, filed on June 22, 2010 [Dkt. 78]. In the most recent extension motion that

was granted, the government was required to file its renewed motion for judgment of

affirmance and response to plaintiff’s motion for judgment on the pleadings by June 8,

2010.

II. STATUTORY FRAMEWORK

a. Default Judgment

Federal Rule of Civil Procedure 55(d) states that “[a] default judgment may be

entered against the United States, its officers, or its agencies only if the claimant

establishes a claim or right to relief by evidence that satisfies the court.” FED.R.CIV.P.

55(d). The rationale for this rule is that federal law favors the disposition of cases on the

merits, and, as a result, “a default judgment is a drastic sanction that should be employed

only in an extreme situation.” Affanato v. Merrill Bros.,

547 F.2d 138, 140

(1st Cir. 1977)

(internal punctuation and citations omitted).

The disfavor in which such judgments are held is especially strong in situations

where the defendant is the government. See 10A Charles Alan Wright, Arthur R. Miller

3 & Mary Kay Kane, Federal Practice & Procedure § 2702, at 178-80 (1998) (stating that

“when the government’s default is due to a failure to plead or otherwise defend, the court

typically either will refuse to enter a default or, if a default is entered, it will be set

aside”) (footnote omitted); Moore v. United Kingdom,

384 F.3d 1079

, 1090 n.16 (9th Cir.

2004) (noting that Rule 55(d) requires “district courts to reach the merits of a plaintiff’s

claim before entering a default judgment against the government”). Nevertheless, there

are situations where default judgment is appropriate. In determining whether default

judgment against the government is proper, a court may accept as true the plaintiff’s

uncontroverted evidence. See Lee v. Federal Emergency Management Agency,

2010 WL 1027124

* 7 (S.D.W.Va. February 26, 2010) (“Default may be entered against an agency

of the United States on the basis of evidence indicating that a plaintiff’s claims are

meritorious.”); see also Alameda v. Secretary of Health, Ed. and Welfare,

622 F.2d 1044

(1st Cir. 1980) (The Secretary’s failure to file requested memoranda or even explain the

failure after months of delay in social security disability benefits cases amounted to a

failure to defend the suit within the meaning of the default judgment rule.).

b. Social Security Act

The Social Security Act provides for judicial review of any final decision of the

Commissioner of the Social Security Administration after a hearing to which he was a

party.

42 U.S.C. § 405

(g). “In a disability proceeding, the ALJ has the power and the

duty to investigate fully all matters in issue, and to develop the comprehensive record

required for a fair determination of a disability.” Butler v. Barnhart,

353 F.3d 992, 999

(D.C. Cir. 2004) (quoting Simms v. Sullivan,

877 F.2d 1047, 1050

(D.C. Cir. 1989)). The

ALJ’s ultimate determination will not be disturbed so long as it is based on substantial

4 evidence in the record and correctly applies the relevant legal standard. Butler,

353 F.3d at 999

. Substantial evidence requires “such relevant evidence as a reasonable mind might

accept as adequate to support a conclusion.” Rossello v. Astrue,

529 F.3d 1181, 1185

(D.C. Cir. 2008) (quoting Pierce v. Underwood,

487 U.S. 552, 565

(1988)). The test

requires “more than a scintilla, but can be satisfied by something less than a

preponderance of the evidence.” Fla. Mun. Power Agency v. FERC,

315 F.3d 362

, 365-

66 (D.C. Cir. 2003).

To qualify for disability insurance benefits and supplemental security income

under Titles II and XVI of the Act, a claimant must establish that he is “disabled.”

42 U.S.C. §§ 423

(a)(1)(D), 1382(a)(1). “Disability” means the “inability to engage in any

substantial gainful activity by reason of any medically determinable or mental

impairment which 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.”

Id.

§§ 423(d)(1)(A),

1382c(a)(3)(A). Further, “[a]n individual shall be determined to be under a disability only

if his physical or mental impairment or impairments are of such severity that he is not

only unable to do his previous work but cannot, considering his age, education, and work

experience, engage in any other kind of substantial gainful work which exists in the

national economy, regardless of whether such work exists in the immediate area in which

he lives, or whether a specific job vacancy exists for him, or whether he would be hired if

he applied for work.” Id. § 423(a)( 1)(d)(2)(A); see also Butler v. Barnhart,

353 F.3d 992, 997

(D.C. Cir. 2004).

The Social Security Administration has established a five-step sequential

evaluation process for assessing a claimant’s alleged disability. See

20 C.F.R. §§

5 404.1520, 416.920. The claimant carries the burden of proof on the first four steps.

Id.

§

404.1520. First, the claimant must demonstrate that he is not presently engaged in

“substantial gainful” work. Id. § 404.1520(b). “Substantial work activity” is work

activity that involves doing significant physical or mental activities. Id. § 404.1572(a).

“Gainful work activity is work that is usually done for pay or profit, regardless of

whether profit is realized. Id. § 404.1572(b).

Second, a claimant must show that he has a “severe impairment” that

“significantly limits his physical or mental ability to do basic work activities.” Id. §

404.1520(c). An impairment, or combination of impairments, is severe within the

meaning of the regulation if it significantly limits the claimant’s ability to perform basic

work activities. An impairment is not considered to be severe when medical and other

evidence establishes only a slight abnormality that has no more than a minimal effect on

an individual’s ability to work. Id. § 404.1521. If the claimant does not have a severe

impairment, the claimant is not disabled and the inquiry ends. If the claimant has a severe

impairment, or combination of impairments, the analysis proceeds to the next step in the

analysis.

Third, if the claimant suffers from an impairment that meets the duration

requirement and meets or equals an impairment listed in 20 C.F.R. Part 404, subpart P,

Appendix 1 to the Commissioner’s regulations, he is deemed disabled and the inquiry

comes to an end. Id. § 404.1520(d).

If the claimant does not satisfy step three, the inquiry proceeds to the fourth step,

which requires him to show that he suffers an impairment that renders him incapable of

performing “past relevant work.” Id. § 404.1520(e). The term past relevant work means

6 work performed (either as the claimant actually performed it or as it is generally

performed) within the last 15 years, or 15 years prior to the date the disability must be

established. If the claimant has the functional capacity to do his past relevant work, the

claimant is not disabled. However, if the claimant is unable to do any past relevant work

or does not have any past relevant work, the analysis proceeds. Id.

Once a claimant has carried the burden on the first four steps, the burden shifts to

the Social Security Administration on step five to demonstrate that the claimant is able to

perform “other work” based on a consideration of her “residual functional capacity,” age,

education and past work experience. Id. § 404.1520(f). If the claimant is able to do

“other work,” he is not disabled. However, is the claimant is not able to do other work

and meets the duration requirements, he is disabled. In order to support a finding that an

individual is not disabled at step five, the Social Security Administration is required to

provide evidence that demonstrates that other work exists in significant numbers in the

national economy that the claimant can actually do, given the claimant’s capacity, age,

education and work experience. Id. §§ 404.1512(g); 404.1560(c).

III. DISCUSSION

The Court must assess only whether the ALJ’s finding that Payne is not disabled

is based on substantial evidence and a correct application of the law. The Court concludes

that the ALJ’s decision fails this deferential review. In his review of plaintiff’s

application for Social Security Disability Benefits, the ALJ followed the five-step

sequential process as outlined in

20 C.F.R. §§ 404.1520

(a)-(g), 416.920. The ALJ

determined that Payne did not engage in substantial gainful work activity from July 21,

1996 to December 31, 2001 and properly moved on to the next step of the analysis.

7 The second step requires the plaintiff to have a “severe impairment” that

“significantly limits his physical or mental ability to do basic work activities.”

20 C.F.R. § 404.1520

(c). In reviewing the evidence, the ALJ found that plaintiff has hypertensive

heart disease, peptic ulcer disease with hiatal hernia, back disorder, residuals of left ankle

fracture and memory loss. As such, the ALJ determined that plaintiff’s impairments were

“severe” within the meaning of the regulations.

After finding that claimant’s impairments are considered “severe,” the next step in

the analysis requires finding that claimant’s impairments conforms within either steps

three or four of the five-step process. If a claimant’s impairment is listed in a regulatory

appendix, the claimant will be deemed disabled without regard to age, education and

work experience. However, if claimant’s condition is not listed, the ALJ will evaluate the

claimant’s residual functional capacity based on all the relevant medical and other

evidence. After deciding that Payne did not have an impairment or combination of

impairments that met or medically equaled one of the listed impairments in the appendix,

the ALJ properly continued on to the fourth step.

In analyzing step four, the ALJ determined that “claimant’s ability to perform the

range of [light work] was reduced by his ability to occasionally climb, bend, stoop,

crouch, squat, and crawl; and never balance and kneel.” Further, the ALJ determined that

Payne “had moderate limitations in his ability to concentrate, maintain attention for

extended periods, and keep up a pace, due to pain, fatigue, memory loss, and the effects

of medication.” A.R. at 101. Nevertheless, the ALJ did not find that plaintiff’s

impairment was severe enough to meet the requirements of step four, which requires a

determination that plaintiff was incapable of performing past relevant work. Instead, the

8 ALJ determined that plaintiff’s past relevant work as a security guard did not require the

performance of work-related activities precluded by his residual functional capacity. A.R.

at 103.

Specifically, the ALJ determined that Payne’s past work as a security guard was

sedentary and that in a previous position, Payne “sat in a car” and walked for 1 hour and

sat for 7 hours in an 8-hour workday. The ALJ also determined that while Payne

“described daily activities which are fairly limited, two factors weigh against considering

these allegations to be strong evidence in favor of finding the claimant disabled.” A.R.

102. These two factors were (1) the fact the limited daily activities could not be

objectively verified with any reasonable degree of certainty and (2) the fact that it was

“difficult to attribute” the degree of limitation to Payne’s medical condition, “as opposed

to other reasons.”

Id.

In relying on these two “factors,” the ALJ stated that Payne’s

“statements concerning the intensity, persistence and limiting effects of these symptoms

are not credible.” A.R. 103.

However, the Court can observe nothing in the record which would lead the ALJ

to question the plaintiff’s credibility as to plaintiff’s uncontroverted evidence that he is

unable to concentrate. Indeed, the ALJ failed to address its own finding of fact that

Payne had “moderate limitations in his ability to concentrate, maintain attention for

extended periods.” While the ALJ decided “the medical evidence of record failed to

establish that the claimant received or sought treatment from his treating physician or a

specialist for his memory loss,” the record does not address the ALJ’s failure to address

Payne’s inability to concentrate and maintain attention for extended periods. While duties

of a security officer may be sedentary, the Court sees nothing in the record to support the

9 ALJ’s determination that, given Payne’s inability to concentrate, he would be mentally

capable of performing the duties of a security guard. Further, the ALJ simply stated that

Dr. Jaspe’s opinions were given little weight because the “doctor’s opinion contrasts

sharply with the other evidence of record.” This appears to be less calculated reasoning

and more a case of ignoring evidence in the record. See Brown v. Bowen,

794 F.2d 703, 708

(D.C. Cir. 1986) (“The judiciary can scarcely perform its assigned review function,

limited though it is, without some indication not only of what evidence was credited, but

also whether other evidence was rejected rather than simply ignored.”) The Court

therefore agrees with Payne that the Social Security Administration’s decision is not

supported by substantial evidence.

Further, the Court finds it appropriate to enter a judgment of default against the

government in this case. Plaintiff filed his motion for judgment on the pleadings on May

10, 2010. The same day, the government filed a motion for extension of time until May

17, 2010, to file her dispositive motion, which the Court granted. Since that date, the

government has filed repeated additional motions for extension of time, extending the

time from May 17 to May 21, from May 21 to May 24, and finally in the Court’s May 26,

2010 order, the government’s revised deadline was set to June 8, 2010, the date requested

by the government. Incredibly, it was not until June 22, 2010, where the government

requested its most recent extension. In its June 22, 2010 motion, not only does the

government now request until August 13, 2010 in order for a senior attorney to prepare

the government’s dispositive motions, it fails to offer any explanation as to why the

request came after time had expired on all the prior motions to extend time. The

government clearly failed to demonstrate good cause for their final, out-of-time motion to

10 enlarge time, and their motion is DENIED. The rule disfavoring default judgment against

the government “does not relieve the government from the duty to defend cases or obey

the court’s orders. Indeed, this privilege against default judgments . . . heightens the

government’s duty to cooperate freely with the court which must function without a

customary sanction to insure that the litigation proceeds in an orderly manner and that the

private litigant obtains an expeditious adjudication of his legal rights.” Alameda,

622 F.2d at 1048

. In other words, the government’s lackadaisical handling of this case by

failing to file its dispositive motions by the several deadlines has caused inexcusable

delay. As such, a judgment of default will be entered against the government defendant.

IV. CONCLUSION

Section 405 of Title 42 expressly provides that a district court may reverse the

Social Security Administration’s decision rather than remand it for further proceedings.

See § 405(g) (“The court shall have 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.”).

As the result of bureaucratic delays, Payne’s case has dragged through the Social Security

Administration and the courts for almost 15 years. Accordingly, the Court finds it proper

to enter a judgment of default against the government defendant.

A separate Order shall issue this date entering a judgment of default in favor of

the plaintiff.

/s/ Royce C. Lamberth July 27, 2010 Chief Judge U.S. District Court for the District of Columbia

11

Reference

Status
Published