The veteran received medical treatment for severe health issues related to his service-connected schizophrenia at a private hospital. The VA found that the Boise VA Medical Center was not feasibly available and an attempt to use it beforehand would not have been reasonable, sound, wise, or practical. Therefore, payment is granted for unauthorized medical services provided.
The deciding factor: The veteran's condition required complex medical care which could only be provided at St. Alphonsus Regional Medical Center, making the VA facilities infeasible and impractical.
- Claimed conditions
- profound hyperthermia, obtundation with tonic muscle activity, abnormal right cerebral peduncular lesion, aspiration pneumonitis of the right upper lobe, respiratory failure, renal insufficiency, rhabdomyolysis, mild transaminitis, mild coagulopathy
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 11, 2006
- Citation
- 0628637
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation 0628637.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the claim for a medical opinion on whether the Veteran's acute hypoxemia, respiratory failure, and pneumonia were related to service or toxic exposure under the PACT Act.
- Remanded (sent back)
The Board remands the case to obtain additional evidence, including service treatment records and private medical records, and to obtain an addendum medical opinion regarding the Veteran's causes of death.
- Dismissed
The appeal was dismissed due to the Veteran's explicit withdrawal of his claims for increased ratings and service connection, with full understanding of the consequences.
- Remanded (sent back)
The Board remands the issue of entitlement to service connection for the Veteran's cause of death, for purposes of entitlement to dependency and indemnity compensation (DIC), due to pre-decisional duty to assist errors.
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