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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.

11 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. 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

  3. 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
  4. 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.
  5. 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.

  6. 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."

  7. 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

  8. 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

  9. 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.