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April 23, 1997

The Authoritarian Specter

JAMA. 1997;277(16):1326-1327. doi:10.1001/jama.1997.03540400078041

Claims Examiner  Decisional Review has firmly bounced a case I've done, returning it to me to do more work. I'm charged a major error— enough of these and my job's in jeopardy. The claimant's been denied six times before for his sore knees. I find he's mentally ill and grant him benefits back several years. They want his starting date back further still.I'm stuck and feel like the lanced pig Earl drew on his DR return for a misspelling. His comical depiction shook DR, though Earl's intent was just to keep from yelling. I take my lumps, not wanting to provoke a prolonged searchlight on a future case, as an escapee scaling the wall must fear the field below will have no hiding place.Developing the claimant's onset date for disability twelve years ago, I'll call three clinics where he might have gone, then his ex-wife, who certainly would