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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.

17 of 440 comments (clear)

  1. court's opinion vs. insurance company's by corbettw · · Score: 5, Interesting

    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?

    --
    God invented whiskey so the Irish would not rule the world.
    1. 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
      "I can see my house from here!" - ST:
    2. 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.

  2. Did anyone actually READ the judgement? by Karen_Frito · · Score: 4, Informative

    Nowhere did it state that Carpal Tunnel Syndrome was not a disability -- it stated that in the case of the woman named, they were not considering it a disability because she was not impaired sufficently to be unable to do her job.

  3. What next by epukinsk · · Score: 5, Informative

    Guess we're going to be needing these after all.

    It's a pain in the ass to do them, but your wrists will thank you in five years. Young coders might feel invincible now, but any sort of 40hr+ work week will make quick work of the nerves in your hands and arms no matter how young you are.

    Also check out this informative (if cute) prevention handbook.

    -Erik

  4. CT not proven to be a disability in THIS case.... by moniker_21 · · Score: 5, Informative
    "It is insufficient for individuals attempting to prove disability status under this test to merely submit evidence of a medical diagnosis of an impairment. Instead, the ADA requires them to offer evidence that the extent of the limitation caused by their impairment in terms of their own experience is substantial. Congress intended the existence of a disability to be determined in such a case-by-case manner."

    This doesn't mean that carpel tunnel isn't a disablity you dolts, it's a very serious problem. This woman's case simply didn't prove that her affliction was serious enough for her to be considered under the ADA.
    --
    I posted to /. and all I got was this stupid sig
  5. Can't Read by istartedi · · Score: 4, Funny

    Everyone who has that nagging pain in your wrists should probably read this decision.

    Too... sore... to... move... mouse.

    --
    For all intensive purposes, "whom" is no longer a word. That begs the question, "who cares"?
  6. I agree with the Supreme Court's point of view by mrroot · · Score: 4, Informative

    In cases like Williams', "the central inquiry must be whether the claimant is unable to perform the variety of tasks central to most people's daily lives, not whether the claimant is unable to perform the tasks associated with her specific job," the court wrote.

    Many people who are in the construction industry, for example, get a bad back over time or are otherwise affected physically over the years of that kind of labor. Many of those people move on to other types of jobs, possibly relating to construction management, sales, inspection, etc. Just because their body no longer allows them to perform one job does not mean they have become disabled.

    On the other hand, if said construction worker cannot perform basic daily tasks, such as bathing or dressing, or cooking, they would be classified as disabled.

    --
    I Heart Sorting Networks
  7. 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.
  8. Have a problem with your wrist? by neo · · Score: 5, Interesting

    Take Aikido.

    Aikido focuses on joint locks, which include wrist locks. After taking Aikido you will quickly have wrists that can withstand the rigors of typing. Flexible wrists are the key to avoid carpal tunnel syndrome, IMO, and Aikido is the key to flexible wrists.

    Or you could just wait for speach recognition.

  9. RTFA!! by E-Rock · · Score: 4, Informative
    Or opinion in this case. She was given a special job to help accomidate her 'disability' but she bitched about that one too. Then her employer said, ok, bye-bye.

    Which of course she responded to by filing a lawsuit.

  10. 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."

  11. no effect. by www.sorehands.com · · Score: 4, Informative
    The defintion for disability under an insurance plan is very different from the ADA. Usually under an insurance plan, it is the ability to do your job. But, read throught he insurance contract.

  12. 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

  13. Re:CT not proven to be a disability in THIS case.. by deebaine · · Score: 5, Interesting

    Moreover, Justice O' Connor pointed out that the test under the ADA is whether or not a person's disability affects his or her to perform normal daily tasks--not his or her ability to perform a specific job.

    In fact, the ADA specifically states that this is the test. As Justice O'Connor wrote, "Repetitive work with hands and arms extended at or above shoulder levels for extended periods is not an important part of most people's daily lives," O'Connor wrote. "Household chores, bathing and brushing one's teeth, in contrast, are among the types of manual tasks of central importance to people's daily lives." In sharp contrast to the rather extreme and dire view suggested by the story posting <rant>(which, in my view, is either misleading and downright shameful or simply reflects a total lack of understanding of the decision and the governing laws)</rant>, the Justices did not rule on the validity of Carpal Tunnel Syndrome; they simply verified the intention of the ADA as written and asked the lower court to reconsider its decision.

    In this case, the court held that the woman was not impaired in normal daily tasks, in spite of the fact that she was impaired in her job. There is a critical distinction here, and I firmly agree with the limitations placed on the ADA by the court here.

    -db

  14. 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.

  15. 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 ...