The Massachusetts workers’ compensation Act (the Act) grants employees the right to recover benefits for work injuries. In order to recover such benefits, though, they must prove that their harm is work-related. In other words, injuries caused by other factors are not compensable, as discussed in a recent Massachusetts case. If you were hurt while at work, it is in your best interest to talk to a Massachusetts workers’ compensation attorney about your options.
Factual Background
Allegedly, the plaintiff worked for the defendant for thirty-five years as a truck driver. He suffered two knee injuries and a blood clot in his lower left leg during his employment. Prior to these injuries, he already had progressive degenerative arthritis in both knees. An independent medical examiner conducted an examination and concluded that there was a causal connection between the work-related incidents and the employee’s diagnoses. The IME’s report stated that the work-related injuries, combined with the preexisting arthritis, caused the employee’s complaints, disability, and need for treatment.
It is reported that the plaintiff’s doctor recommended knee replacements, and he sought medical benefits from the defendant to cover the cost. The defendant raised a defense based on the “combination injury” provision of the Act due to the employee’s preexisting arthritis. The administrative judge determined that the defendant had met its burden of production on this issue, and it was up to the employee to prove that the arthritis was caused by a compensable injury or disease or that the work-related injuries were a major cause of his disability or need for treatment. The judge ultimately denied the plaintiff’s claims because the IME could not state with reasonable certainty that the presence of arthritis was caused by his work injuries. The board affirmed the denial, and the employee appealed. Continue reading →