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The Missing Millions: Why So Many Veterans Still Lack Disability Ratings
In the United States today, a significant portion of the veteran population remains without a service-connected disability rating—even though many receive ongoing care from the Department of Veterans Affairs (VA). This gap affects millions and stems from long-standing structural issues and common misunderstandings.
How Many Veterans Are Unrated?
Recent federal data shows:
17.8 million veterans currently live in the U.S.
Only 5.2 million (about 30%) have a service-connected disability rating.
That leaves roughly 12.5 million veterans without a rating, including an estimated 6 million who separated before disability assessments became part of the mandatory out-processing process.
Before the mid-1990s and early 2000s reforms, the DoD did not require a disability evaluation as part of separation or retirement. Millions of veterans left service with no assessment and never filed later simply because the process was unclear or unknown.
Two VA Systems — and They Don’t Communicate
A critical fact many veterans do not know:
VA Healthcare and VA Disability Compensation are completely separate systems.
Receiving VA medical care does not create or update a disability rating.
Diagnoses, imaging, or treatment inside VA healthcare records are not reviewed for disability compensation unless a veteran files a claim.
No condition—primary or secondary—moves into the disability system automatically.
Many veterans assume that being treated for chronic pain, orthopedic injuries, sleep issues, or mental health conditions means their disability file is being updated. It isn’t. Only a formal claim triggers review.
The Impact on Veterans
Millions of veterans who never filed a claim at all.
Veterans with worsening conditions who never requested rating increases.
VA healthcare patients with serious diagnoses that were never evaluated for service-connection.
Missed compensation, lost benefits, and reduced access to programs tied to rating thresholds.
A single misconception—“VA healthcare updates my disability rating”—can cost a veteran years of deserved benefits.
What Every Veteran Should Do Now
To ensure disability benefits reflect current health conditions, veterans should:
1. Review their conditions regularly
Check for new diagnoses, worsening symptoms, or secondary conditions.
2. File new or supplemental claims
Use VA.gov, mail, or accredited submission channels to request evaluation.
3. Understand the system
VA healthcare records do not update disability ratings. A claim must be submitted.
4. Track secondary conditions
Issues like sleep apnea, depression, migraines, radiculopathy, GERD, or joint degeneration often stem from service-connected primaries.
Veterans who separated before mandatory disability evaluations around 2010 are especially vulnerable because many were never informed of the modern process.
Closing the Gap
With only ~30% of veterans holding a disability rating—and millions eligible but unrated—awareness is essential. Understanding that VA healthcare and VA disability compensation operate independently is the first step toward ensuring every veteran receives the benefits they earned through service.
Need Help Understanding Your Claim Path?
If you or a veteran you know is unsure about eligibility, secondary conditions, or how to properly file, guidance is available. Filing a claim is not automatic—but it can be straightforward when you understand the rules and requirements.
How to Add Evidence to Your VA Disability Claim
I have been getting the title of the this alot.
Yes, you can add evidence to a VA disability claim after it has been submitted, as long as the claim is still open (not yet decided). Great example, is you decide to have a provider complete the VAs DBQ as your medical evidence is limited and it was after you already pressed submit. Some claims take several months so you shouldn’t worry about not submitting it.
Here are your options depending on the stage of your claim:
✅ If the claim is still in progress (Pending / Under Review):
You can submit additional evidence directly via:
- VA.gov (log in → go to your claim → “Upload documents”) Only method I recommend
- Mail to: Department of Veterans Affairs
Claims Intake Center
PO Box 4444
Janesville, WI 53547-4444
(Use a VA Form 21-4138 or 20-10210 to explain what you’re submitting) - Fax: 844-531-7818 (for domestic) or 248-524-4260 (international)
- Mail to: Department of Veterans Affairs
Be sure to include:
- Your VA file number or SSN
- The specific claim it relates to
- A clear description of what the evidence is and why it’s relevant
If a decision has already been made: (you got your claim letter back from the VA)
You cannot just “add” evidence—you’ll need to take one of these steps:
| Scenario | Action | Form |
|---|---|---|
| You’re still within the 1-year appeal window | File a Supplemental Claim | VA Form 20-0995. do it online and your lay letters don’t have to be on the official form |
| You think a clear error was made | File a Higher-Level Review | VA Form 20-0996 do it online and your lay letters don’t have to be on the official form |
| You want a hearing with a judge (last last resort) | File a Board Appeal (18 months!) | VA Form 10182 do it online and your lay letters don’t have to be on the official form |
In all three cases, you can submit new evidence (except during Higher-Level Review, where no new evidence is allowed).
Hope this helps folks out there!
A Veteran’s Journey: Overcoming Fears and Finding Support
Helping veterans get the VA benefits they deserve can be challenging, especially when they feel uncertain or worried about the process. Recently, a close friend of mine, a Purple Heart awardee, experienced a life-changing outcome by appealing his VA disability rating.
After retiring more than a decade ago, my friend was stuck at an 80% disability rating. For years, he expressed the same concerns I hear from so many veterans:
- “I don’t want to game the system.”
- “I only served a few years; I don’t deserve more.”
- “There’s nothing seriously wrong with me.”
- “I hate dealing with anything related to the government.”
But after speaking with him many many times and seeing the success of other veterans I’ve helped (5), he finally decided to take the next step. Here’s what he did:
Key Steps That Made the Difference:
- Getting the Right Help:
I suggested he visit his State VHA Representative. It was a crucial step that made sure his appeal was handled correctly and with all the necessary documentation. - Using What Was Already There:
Since he already had a disability rating, most of the needed information was already on file. He only needed to add a few things that were missed earlier, which made his appeal smoother and quicker. - Knowing Where and How to File:
The outcome of an appeal can often depend on where and how you submit it. Making sure all the paperwork was accurate and complete helped speed up the process. - Pushing Past the Emotional Hurdles:
Many veterans feel anxious about appealing, thinking it’s somehow dishonorable or that they’re asking for too much. But these benefits are not a handout—they’re earned through service and sacrifice.
The Result:
In just under six weeks, his disability rating went from 80% to 100%. This change means more financial security for his family and gives his wife the chance to consider retirement. They both chose careers focused on helping others rather than financial rewards, so this increase makes a big difference in their lives.
If you’re a veteran, don’t let fears or misconceptions hold you back. Get the support you need, and remember—you’ve earned these benefits through your service. Your well-being matters, and there are people ready to help you every step of the way.
“Being challenged in life is inevitable, being defeated is optional.” – Roger Crawford
