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VakO 22.6.1998/10522:97 AI generated

Court increased care allowance for paraplegic client due to severe functional limitations despite self-care ability.

Case Number VakO 22.6.1998/10522:97
Court / Authority
Jurisdiction Finland (FI)
Decision Date
Outcome Partially Allowed
Open official source Machine-readable Markdown (.md)

Legislator summary

AI generated

The Insurance Court reversed the Social Insurance Institution's decision to reduce the client's care allowance to the minimum level. Although the client could transfer between a wheelchair and a car independently, the court found that severe lower limb paralysis, incontinence, and pain necessitated care services beyond the minimum threshold. Consequently, the court ruled that the client was entitled to the increased care allowance required by law.

Legislator headnote

AI generated

Social Insurance Institution Act; Care Allowance Act: The court must assess the actual functional limitations of the insured person, recognizing that the ability to perform certain movements does not preclude a need for increased care services if other severe disabilities exist.

Keywords

AI generated
care allowance paraplegia functional limitations social insurance care services

Cited Legislation

AI generated
Social Insurance Institution Act
Care Allowance Act
AI generated
insurance_2013_3780-2012
Insurance court dismissed appeal against disability pension decision regarding work capacity assessment for a young man with congenital brain injury.
ECLI:FI:KHO:2019:147
Supreme Administrative Court allows disability transport services for a 15-year-old with severe brain injury and balance issues.
admin_2008_oulu__257
Administrative court ruled that reducing basic subsistence support by 40% was unreasonable due to the client's inability to participate in employment plans.
insurance_2010_4545-2010
Court allows wheelchair handrail as necessary mobility aid for outdoor mobility limitations caused by traffic accident injuries.
insurance_2003_5124-2002
Insurance court dismissed disability pension appeal due to no significant change in applicant's work capacity since prior decisions.

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Full text

34-vuotias X oli pyörätuolissa selkäydinvamman ja sitä seuranneen paraplegian vuoksi. Kansaneläkelaitos oli tarkistanut hänen eläkkeensaajan hoitotukensa alimmaksi hoitotueksi, koska X oli pääosin omatoiminen sekä henkilökohtaisissa toiminnoissaan että asioinnissa kodin ulkopuolella eikä erityiskustannuksia ollut korotetun hoitotuen edellyttämässä määrin. Tarkastuslautakunta oli hylännyt valituksen. Koska X:n, vaikka hän pystyi esimerkiksi siirtymään pyörätuolista pois ja pyörätuoliin itse, toimintakyvyn oli muun muassa alaraajojen toimintakyvyttömyyden, virtsaamisja ulostamisongelmien sekä kipujen vuoksi edelleenkin katsottava alentuneen niin, että hän tarvitsi korotetun hoitotuen edellyttämässä määrin hoitoa ja palveluksia, hänellä oli oikeus korotettuun eläkkeensaajan hoitotukeen. Tarkastuslautakunnan päätöstä muutettiin. Samoin VakO D:12209:97 ja D:4153:98

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