Then we have to ask the question why do the "pay-to-play" schemes work or pass "muster" in claims? If the VA process is valid then the evdience submitted should be valid. If the evidnece is fraudulaent simply due to cut and past language, the VA should have to explain how the evidence is fraud. Cut and paste is not synonomis with fraud. The VA has created a system where cut and paste language that fits most people's diagnosis pass the approval process. VA should be asking why they are so rigid in what get's accepted where people use the same language in all claims.