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The Art of Impeachment: Using Reonal & Nieves-Rodriguez to Defeat Flawed C&P Exams

By Dr. Fred Fridman, D.O. | Board-Certified Physical Medicine & Rehabilitation

A C&P examiner writes: "The veteran's condition is not related to service." No explanation. No reasoning. No citation of evidence. Just a conclusion.

That's not just a bad opinion. It's legally insufficient.

And thanks to two landmark Federal Circuit cases—Reonal v. Brown and Nieves-Rodriguez v. Peake—you have the legal firepower to get that opinion thrown out.

Why These Cases Matter

The VA claims system is supposed to be claimant-friendly. But for decades, the VA relied on cursory, conclusory medical opinions that provided zero explanation. Veterans were denied benefits based on nothing more than an examiner's say-so.

Then the Federal Circuit said: Not anymore.

Reonal v. Brown (1995)

5 Vet. App. 458 (1993), aff'd, 5 F.3d 1391 (Fed. Cir. 1995)

The Rule: A medical opinion must contain not only clear conclusions but also a reasoned explanation connecting those conclusions to the evidence in the record.

What It Means: An examiner can't just say "not service-connected." They have to explain why—based on medical reasoning and the facts of the case.

Nieves-Rodriguez v. Peake (2008)

22 Vet. App. 295 (2008)

The Rule: A medical opinion is inadequate if it is conclusory, speculative, or fails to address all relevant evidence. The Board cannot rely on such an opinion to deny a claim.

What It Means: If the C&P examiner didn't review key records, didn't explain their reasoning, or contradicted themselves, the opinion is worthless. The Board must remand for a proper exam.

How to Use These Cases in Your Appeal

When you're challenging a flawed C&P exam, Reonal and Nieves-Rodriguez give you a legal framework to argue that the opinion is inadequate as a matter of law. Here's how to apply them:

Step 1: Identify the Inadequacy

Look for these red flags in the C&P exam:

Step 2: Cite the Legal Standard

In your brief or rebuttal, explicitly cite Reonal and Nieves-Rodriguez. Explain that under these cases, a medical opinion must:

Step 3: Show Why the C&P Exam Fails the Test

Walk the Board through the deficiencies. For example:

Example Argument:
"The June 2023 C&P exam is inadequate under Reonal v. Brown and Nieves-Rodriguez v. Peake. The examiner concluded that the veteran's lumbar radiculopathy is 'not related to service,' but provided no medical reasoning to support this conclusion. The examiner did not explain why the documented L5-S1 herniation—first noted six months after the in-service lifting injury—would not be causally related. This is a conclusory opinion that fails to meet the legal standard for adequacy."

Step 4: Request a Remand for a New Exam

Once you've shown the opinion is inadequate, argue that the Board must remand for a new, adequate examination. The Board cannot deny a claim based on a flawed opinion.

Pro Tip: Pair Legal Argument with Medical Rebuttal

Don't just cite case law—back it up with a medical expert opinion that does meet the Reonal standard. Show the Board what an adequate opinion looks like by contrast. This makes your argument irrefutable.

Real-World Application: How These Cases Win Appeals

Let's say a veteran claims service connection for PTSD. The C&P examiner writes: "The veteran does not have PTSD. Symptoms are likely due to adjustment disorder." That's it. No discussion of the in-service stressor. No review of buddy statements. No explanation of why the DSM-5 criteria weren't met.

Under Reonal and Nieves-Rodriguez, that opinion is legally insufficient. You argue:

Result? The Board must remand for a new exam. And if you've already submitted a private IMO that does address all the evidence, the Board may grant service connection outright.

The Bigger Picture: Why These Cases Protect Veterans

Before Reonal and Nieves-Rodriguez, the VA could deny claims with nothing more than a one-line opinion from a C&P examiner. These cases force the VA to do what it should have been doing all along: provide evidence-based, reasoned medical opinions.

As an attorney or advocate, these cases are your best tools for holding the VA accountable. Use them.

The Bottom Line

A flawed C&P exam isn't just wrong—it's legally inadequate. Reonal and Nieves-Rodriguez give you the framework to get it thrown out. Cite them. Apply them. Win with them.

Need a Legally Sufficient Rebuttal?

I've written hundreds of C&P rebuttals that meet the Reonal standard: clear conclusions, reasoned explanations, and comprehensive review of all evidence. If you need an opinion that the Board can't dismiss, let's talk.

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