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Carpal Tunnel Syndrome not a Disability

An Anonymous Coward writes: "It turns out that the Supreme Court of the United States doesn't think Carpal Tunnel Syndrome is a real disability. See here for details." Read the summary or the whole opinion. In a nutshell: just because a woman was sufficiently disabled that she couldn't perform her job due to carpal-tunnel, doesn't mean she was sufficiently disabled to be considered disabled under the Americans with Disabilities Act. Everyone who has that nagging pain in your wrists should probably read this decision.

22 of 440 comments (clear)

  1. Better Advice... by los+furtive · · Score: 3, Insightful

    Anyone who has a nagging pain in their wrists should learn how to use a keyboard properly.

    --

    I'm a writer, a poet, a genius, I know it. I don't buy software, I grow it.

  2. CP is totally preventable by Ars-Fartsica · · Score: 3, Insightful
    Use a keyboard with some ergonomic design principles incorporated into the design.

    Sit in your chair properly.

    Take simple preventative measures such as stretching to reduce pain and stress due to repeated tasks.

    This has all been commonly known for years now, and most businesses will provide rudimentary ergonomic audits for their employees.

  3. Re:CT not proven to be a disability in THIS case.. by Daniel+Dvorkin · · Score: 5, Insightful

    Yes, exactly. Note that unanimous Supreme Court decisions are very rare in any case where there's substantial controversy -- I strongly suspect that this individual really didn't have very strong case (or maybe she had a really lousy lawyer.) I would be very surprised if this case turned out to set any significant precedent.

    --
    The correlation between ignorance of statistics and using "correlation is not causation" as an argument is close to 1.
  4. Re:Is this a bad joke? by Jack_of_Hearts · · Score: 3, Insightful
    Oh, come on.

    The Americans with Disabilities Act was designed to protect those people with disabilities that *severely* impair their ability to function day to day. To compare "pain and discomfort for several months" with, say, losing a leg, is more than insulting to those who are unfortunate enough to have a true disability and is a bastardization of the law's intended use.

  5. Re:court's opinion vs. insurance company's by Masem · · Score: 5, Insightful
    IANAL: The court's decision said that the woman had no right to sue under the ADA law. However, if your employer or HMO goes above and beyond the law to consider CTS as a disability, then they have every right to do that, and consider yourself lucky to have such a policy. Mind you, next time the policy's up for review, they may consider removing that because of this, but for a company that hires computer professionals, that would be a very Bad Thing.

    On the other hand, if your policy does not explicit cover CTS as a disability, you will have a much tougher time if you decide to sue for benefits or discrimation, as you will have to prove that you cannot perform daily tasks from it.

    In other words: this ruling cannot trump any policy that already allows for CTS disability payments. Just don't expect many of these policies to exist in the near future.

    --
    "Pinky, you've left the lens cap of your mind on again." - P&TB
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  6. same old pattern by babbage · · Score: 1, Insightful
    They also think that we had a legit election a year ago. The sad part is that their opinions, no matter how wacked, are binding... :(

    <not trying to troll, just cynical about all three branches of the federal government, sorry...>

  7. Re:What next by Mr.+Eradicator · · Score: 2, Insightful

    Exactly ... there are ways to prevent CPS and people should be smart enough to do what they can to prevent it.

    Sure, there might be a few cases of CPS (possibly intensified by other circumstances or medical conditions) where it wasn't possible to prevent, but I don't want tax dollars going to disability funding for retards who don't understand the ergonomics of typing and using a mouse.

    It's like when I see some obese lard-ass rolling out of their cadillac in the handicap spot at McDonald's. They obviously aren't doing anything to prevent their "disability", but they'll take that front parking spot before an elderly woman can get to it.

    Reality check ...

    --

    That's Mr. Eradicator to you.

    trance-port
  8. Like he said, read the decision by GMontag · · Score: 5, Insightful

    The US Supreme Court did NOT rule that CTS is NOT a disability. They ruled that whatever disability you have has to preclude you from leading a normal life.

    From the link to the decision, scroll down toward the bottom of the page:

    " The District Court noted that at the time respondent sought an accommodation from petitioner,
    she admitted that she was able to do the manual tasks required by her original two jobs in QCIO.
    App. to Pet. for Cert. A--36. In addition, according to respondent's deposition testimony, even
    after her condition worsened, she could still brush her teeth, wash her face, bathe, tend her flower
    garden, fix breakfast, do laundry, and pick up around the house. App. 32--34. The record also
    indicates that her medical conditions caused her to avoid sweeping, to quit dancing, to occasionally
    seek help dressing, and to reduce how often she plays with her children, gardens, and drives long
    distances. Id., at 32, 38--39. But these changes in her life did not amount to such severe
    restrictions in the activities that are of central importance to most people's daily lives that they
    establish a manual-task disability as a matter of law. On this record, it was therefore inappropriate
    for the Court of Appeals to grant partial summary judgment to respondent on the issue whether
    she was substantially limited in performing manual tasks, and its decision to do so must be
    reversed."

  9. Re:court's opinion vs. insurance company's by eclarkso · · Score: 2, Insightful
    This is interesting. The court is basically saying that if you can do "everyday life tasks" (brushing your hair, cooking dinner, whatever), you're not disabled for the purposes of the ADA. But on my disability policy, it states that if I can't do my regular job, they consider me disabled. Since my job (like most of yours) involves lots of typing, losing both legs wouldn't make me disabled, but C-T would. So now the question is, how does this court decision affect my policy? Can I expect a call from my agent telling me they've changed their definition to line up with the court?
    It's possible, but I would think unlikely. Aside from the fact that the case hasn't fully concluded, the ADA is a federal law perscribing the minimum employers must do to accomodate their employees' disabilities. Disability, for the purposes of the ADA, is defined as an impairment that affects everyday life tasks (as you stated)--but an employer is not required to restrict its policy just to that definition.

    My understanding is that your employer would be free to change its policy, but not compelled to do so.

  10. Re:court's opinion vs. insurance company's by SirWhoopass · · Score: 5, Insightful
    Exactly. The court said that woman did not have a right to sue onder the Americans with Disabilities Act (ADA) It did not say that she was not disabled or that she could perform her job. She simply does not have a claim under the ADA.

    Before everyone rants about how terrible that is, you must consider the ADA. If CTS is a disability under the ADA, then a lot of things will have to be rebuilt to accomodate people with CTS (just like buildings have to add ramps, elevators, handicap-accessable bathrooms, etc). The ADA is to provide for people whose lives have been significantly impacted. I don't imagine that CTS is fun, and she probably has a claim under workman's comp, but it isn't an ADA issue.

  11. Inconvienenced or disabled. by Shivetya · · Score: 3, Insightful

    The courts are being used to finally stop the abuse of the ADA. It should interesting to see what happens when the "compulsive behaviour" abuses make it to the court.

    Essentially they are stating, theres a big difference between being disabled and inconvienenced. The law was meant to help the truly disabled, not those who are lazy, or have good lawyers. (and I won't go into to alcholics)

    --
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  12. I can't believe you people sometimes by GigsVT · · Score: 2, Insightful

    Two hours ago you were bashing opportunistic lawyers in regard to the German SuSE case, and now you are whining because the supreme court said that the same type of ambulance chaser lawyer can't sue over a "disability" that is minor in comparison to real disabilities.

    This decision is a victory for freedom, and limited government interference. It's also a victory for people with real disabilities.

    --
    I've had enough abrasive sigs. Kittens are cute and fuzzy.
  13. Re:WTF? by Hentai · · Score: 2, Insightful

    Workers are a dime a dozen - primarily because PEOPLE are a dime a dozen. It ISN'T in a company's best interest to ensure that its work environment is safe and non-injurious, because if its work environment destroys its employees, it can always get more employees to replace them. Companies consider all of their parts in the same way - through cost-benefit analysis. If the cost of replacing X widgets every Y months is less than the cost of making those widgets tough enough to last longer, then you go with that. And, to be honest, people are CHEAP to replace.

    --
    -Hentai [in vita non pacem est]
  14. Valid Decision, Sucks to be Plaintiff by cube+farmer · · Score: 5, Insightful

    If memory serves, this woman had worked for Toyota in an assembly plant for a number of years. Over time, her carpal tunnel syndrome developed and resulted in significant absenteeism. After UAW-Management mediation, Toyota reassigned her to a job that was less physically demanding, e.g., inspecting the paint on new cars. While at that task, her attendance record improved dramatically. Unfortunately, after a time Toyota management again reassigned her to assembly work in circumstances that aggravated her carpal tunnel syndrome and again resulted in absenteeism due to chronic pain. I don't recall whether she quit or was fired prior to the filing of this lawsuit.

    The Supremes have ruled that Toyota is not obligated to provide a job for this woman, nor to provide reasonable accommodation in any existing job, because the carpal tunnel syndrome she suffers from does not significantly limit "major life activities" -- meaning, she can still drive, care for her own hygiene, hold a less physically demanding job, etc.

    In my view, Toyota is both a good guy and a bad guy here. After making a reasonable accommodation by transfering its employee to the paint shop, it then put her back in the circumstance that was a significant factor in the development of her carpal tunnel syndrome. Initially nice, then heartless. However, Toyota is in the right about asserting no responsibility to employ her because, as noted by the Supremes, its former employee is perfectly capable of choosing a less physically demanding career path, with equal if not better economic opportunities.

    This is similar to a construction foreperson saying she will not hire me for the physically demanding job of digging trenches if I suffer from obesity, chronic back pain, and uncontrolled hypertension. I'm simply not suited to the job.

    That being said, it sucks to be the plaintiff.

    --

    MacOS, Windows, BeOS, GNOME, KDE: they're all just Xerox copies

  15. The ruling isn't, but the headline is. by fizbin · · Score: 5, Insightful

    As many others have already pointed out, this ruling is on what is considered a disability under the ADA, which is an American law that provides the minimum which everyone (employers, shopkeepers, public transportation, etc.) must do to accomodate disability. For example, I believe that it's the ADA which forces businesses that wouldn't normally allow pets on the premises to nevertheless accept seeing-eye dogs.

    This ruling has no bearing on whether or not carpal tunnel could be considered a disability under, say, a worker's compensation law. It merely states that in order to invoke the power of the ADA ones disability must extend to basic life tasks; merely making ones job impossible is insufficient.

    However, if your friend was forced to get a specially equipped car, then her disability was much more severe than the disability in this case, and in all likelihood meets the standard the court set in this case for invoking the ADA.

    1. Re:The ruling isn't, but the headline is. by slow_flight · · Score: 2, Insightful

      Really? Then how did Casey Martin score a golf cart out of the PGA using the ADA? Playing golf, especially professional golf, is not a basic life task IMHO.

      --

      Karma: Professionally Doomed (mostly affected by inability to keep opinions to self)
  16. Re:court's opinion vs. insurance company's by Nurlman · · Score: 3, Insightful
    The court is basically saying that if you can do "everyday life tasks" (brushing your hair, cooking dinner, whatever), you're not disabled for the purposes of the ADA. But on my disability policy, it states that if I can't do my regular job, they consider me disabled. Since my job (like most of yours) involves lots of typing, losing both legs wouldn't make me disabled, but C-T would. So now the question is, how does this court decision affect my policy? Can I expect a call from my agent telling me they've changed their definition to line up with the court?

    One has practically nothing to do with the other. The notion of "disability" is used in many places in the law, and it is defined differently in each one of those places.

    For example, to be "disabled" under the ADA, you need to be impaired in your ability to work. (An oversimplification, but suitable for purposes of this example.) On the other hand, to be eligible for Social Security Disability payments, you have to be completely unable to perform any meaningful work. Same notion of "disability"; two very different meanings.

    The way "disabled" is used in your policy is yet a third meaning-- that is, how your insurance company defines you as being eligible for a payout. Their definition of "disability" should be spelled out in your policy-- most often in Long Term Disability policies, it means an inability to perform your current occupation. Your policy being an agreement between your insurance company and you ("I will pay you premiums if you promise to pay me benefits if I become unable to perform my current occupation") will not be affected at all by this decision. Although your insurance policy uses the same word "disability" as the ADA, it never incorporated the ADA's (or SSI's, or anyone else's) definition of the word, and is thus unaffacted by this decision.

  17. Those who have a nagging pain in the wrists by gaudior · · Score: 2, Insightful

    should get a better keyboard, mouse, and desk chair. The responsibility for PREVENTING this condition is yours. If your employer won't spring for the stuff you need, get it yourself, or get a new job. This condition is PREVENTABLE. It's your job to look after your tools. If you type, your hands are your tools.

  18. Facts vs. Law by DRO0 · · Score: 2, Insightful

    Again, IANAL, but my understanding is that the fact could very well be that the woman had such a bad case of CTS that she can't in fact do everyday stuff well or at all.

    The problem from the SC's POV is that the federal court used faulty legal reasoning in deciding for the woman, the faulty reasoning being that the "disability" has to extend beyond the scope of work-related duties.

    So in U.S. law, it's not if you win or lose, it's how you win or lose that counts. In this case the SC said the federal court screwed up and misinterpreted a law, irrespective of the facts surrounding the case.

  19. Re:9-0 decision by Buran · · Score: 4, Insightful

    Yes, but what is considered to be a "major life activity"? What you might not see as a major loss would be to me. That inability to type would be as disabling as losing a leg -- it'd rob me of my ability to communicate in the best way I know how (and one of the relatively few options open to me.)

    I am hearing impaired, and I consider myself to be disabled. It isn't a disability that you can see, as the cause of it lies with destroyed nerves in my inner ears (my cochleas were damaged due to maternal illness before I was born). I do wear a hearing aid, which provides for some relief, but it's not complete; I still don't have normal hearing in my right ear, and my left is so far gone that an aid can't help. So I have no stereo hearing; I understand the principle of what stereo is, but I've never experienced it. It's sort of like trying to explain color to the blind. And until a few years ago, the sound of a bird chirping was foreign to me -- only recently have computerized hearing aids tailored to an individual profile been good enough to help. (I still can't hear all high-pitch sounds, though.)

    Are there things I can't do? Certainly. I can't handle large crowds (face-to-face RPG gaming is a no-no unless the group is four people or less; I found this out the hard way, so I've reverted to MUCKs for most of my roleplaying). I can't talk to people easily while at a swimming pool (hearing aids aren't waterproof). I can't be in the military or hold many different jobs where good hearing is a necessity. I can't understand the lyrics of songs without reading a transcript first. I must have closed captioning on all television shows I watch. I cannot tell where a siren is coming from while I'm driving and have to look around for the flashing lights.

    There are upsides (roomsful of screaming kids can be instantly silenced with the press of an 'off' button on a hearing aid, for instance) but the downsides are there, too. Under the ADA, I sometimes made use of a note-taker in high school and college because keeping up with lectures was difficult. (That sort of thing is what the ADA was designed for -- equal access where vital to those of us who otherwise would have to go without.) I think equal access to education is classifiable under "major life activity" -- but I don't go around claiming that the ADA means I have to be given a disabled parking placard or anything.

    There are limitations to what I feel I can ask for under the law. I've adjusted my activities to use the senses I do have. Some people might think I don't have a life, for instance, because I chat with people on the Internet rather than going out and going to parties -- no, I say; my life is enriched by that. I'm just as social as the next person might be; I just interact in a way that utilizes what I'm left with.

    As for the original topic, it does seem to me that the woman in this case did go a bit far in her efforts to get a "more acceptable" job ...

  20. Re:Is this a bad joke? by Com2Kid · · Score: 2, Insightful

    Kind of hard to change your working conditions when the very basis of the work involved repetative operations. From keyboarding to nursing, RSI and CTS can happen over a large range of proffesions.

  21. Re:Abusing the "disability" label. by elmegil · · Score: 2, Insightful
    My opinion of this case is fairly split. On one hand, I agree with the supreme courts strict ruling that "disability" as defined by the ADA constitutes more than "impairment". On the other hand, it seems to me from the case description that the woman's claim is that the employer was UNWILLING to make "appropriate work modification" as you put it for her to continue working for them. In other words, if you believe her side of the story, the employer was definitely behaving unfairly and there should be some remedy available to her. Unfortunately, suing under the ADA is not the appropriate avenue for that remedy, because she was not "disabled" as defined by the statute.

    Of course there is the employers side which argues much the same as you do that she simply wasn't showing up for work. Honestly, my impression of auto companies is bad enough that I'm more inclined to believe that they ignored her request for accomodation rather than believe that she simply stopped going to work.

    So the question is, given that the ADA is the wrong remedy for this particular situation, what is the right remedy?

    --
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