If you have questions about your benefits or how to access the tool, you can call us at 800-827-1000. We’re here Monday through Friday, 8:00 a.m. to 9:00 p.m. ET. If you have one or more disability ratings, you can view your VA combined disability rating and your individual ratings online. We assign a disability rating based on the severity ... In late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. The VASRD's 15 body systems had seen periodic updates, but this continuing effort reflects the first comprehensive review in 70+ years. Today, VA announced its next update: The musculoskeletal system and muscle injuries. Nov 20, 2023 · The VA disability bilateral factor was implemented to assist veterans with a disability affecting both arms, both legs, or paired skeletal muscles. Eligible veterans receive a 10% addition to their service-connected VA rating before continuing with further combinations or converting to the degree of disability. Learn about VA disability ratings, and use the VA disability rating calculator or our ratings table to find your VA combined disability rating if you have more than one service-connected condition.If you are awarded service connection for multiple sclerosis (MS), VA will automatically assign a minimum rating of 30 percent under 38 CFR § 4.124a, Schedule of Ratings – Neurological Conditions and Convulsive Disorders, Diagnostic Code 8018. From there, VA will rate any residuals of the condition based on their own independent diagnostic ...A 10% rating is typically awarded for tendonitis. Extremely unfavorable stiffness, creating flexion at an angle of 45 degrees or more, receives a rating of 60%. If the knee is in flexion between 20 and 45 degrees, the VA offers a rating of 50%. Flexion limited to between 10 degrees and 20 degrees leads to a disability rating of 40 percent.Ratings Charts. Cardiovascular Dental and Oral. Dermatological/Skin. Ear, Nose & Throat ... Knee and Lower Leg Conditions. Limitation of Motion (Knee) Too Much Motion/Dislocation (Knee) ... Thank you for supporting the HOW VA DISABILITY RATINGS WORK website and helping other Veterans.Finally, add four percent to the 60 percent disability rating to get a 64 percent combined disability rating. VA always rounds ratings to the nearest multiple of 10, so the 64 percent rating is rounded down to a final combined disability rating of 60 percent. In 2023, VA grants veterans with a 60 percent rating and no dependents $1,319.65 per ...3 Jun 2023 ... Don't forget this is VA math. 10% right knee. 10% left knee. 10% bilateral rule. That totals to 21% according to my VSO.Learn how to apply for a VA disability rating for knee pain related to military service, and see the VA rating criteria and compensation for different knee conditions. Find out how the VA rates knee conditions …Download our free PDF on veteran benefits for in-service connected knee injuries and how the VA rates those injuries. Request an Appointment. Local: (303) 449-4773. Toll Free: (877) 629-1712. Home; ... There are more inside and a handy chart to breaking down the knee ratings schedule all American veterans can benefit from looking over.So even though 50+50+20+20 equals 140 in real math; it is only 80 in VA math. The difference that it leads to in compensation is huge. According to the VA compensation rating table, a veteran, with no dependents, rated at 80% would receive $1,877.43 per month. A single veteran rated at 100%, on the other hand, would receive $3,456.30 per month.In theory, gout VA disability ratings range from 0% to 100% in increments of 10%, based on factors including limitation of motion of the joint (s) affected. The most common VA rating for gout is 10% or 20% (for each joint that has gout). If there is no limitation of motion, gout is rated as follows:The VA also applies two special disability ratings for plantar fasciitis. Veterans who have plantar fasciitis and experienced the actual loss of use of the foot qualify for a 40 percent disability rating. A special disability rating of 20 or 30 percent applies to veterans who received a surgical recommendation from their doctor but are not a ...The Wounded Warrior Project (WWP) is a well-known charity organization that provides support and resources to wounded veterans and their families. As a donor, it is important to co...The VA Rating Schedule for Meniscus and Similar Knee Issues. Meniscus injuries are evaluated under DC 5258 and DC 5259. On the VA rating schedule, you will see the term “semilunar cartilage.”. Semilunar Cartilage is, basically, another word for “meniscus.”. Under DC 5258, a 20 percent rating is warranted for dislocated semilunar ...Updated May 12, 2023. Veterans Affairs assigns disability ratings to veterans based on the severity of their condition. These ratings range from 0% to 100% in 10% increments. A higher rating corresponds to a more severe condition and a greater level of disability.TBI Residuals Table. Step 1: First, sort each symptom into one of these categories. Step 2: Next, look at all the symptoms in a single category and assign a level of impairment for that category based on the criteria for each level. (Remember, you are looking at all the symptoms in that category together.A treadwear rating chart is a matrix of numerical grades assigned to a tire based on the uniform tire quality grade standards. Tire manufacturers assign a treadwear rating to each ...Ratings Charts. Cardiovascular Dental and Oral. Dermatological/Skin. Ear, Nose & Throat ... Knee and Lower Leg Conditions. Limitation of Motion (Knee) Too Much Motion/Dislocation (Knee) ... Thank you for supporting the HOW VA DISABILITY RATINGS WORK website and helping other Veterans.May 3, 2024 · About disability ratings. We assign you a disability rating based on the severity of your service-connected condition. We use your disability rating to determine how much disability compensation you’ll receive each month, as well as your eligibility for other VA benefits. If you have multiple disability ratings, we use them to calculate your ... VA Ratings for Knee Conditions. The VA uses a special system to decide how much compensation you get for a knee injury. They look at how much your knee injury affects what you can do, like walking or bending your knee. The more your knee injury impacts your life, the higher your rating and compensation.In late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. The VASRD's 15 body systems had seen periodic updates, but this continuing effort reflects the first comprehensive review in 70+ years. Today, VA announced its next update: The musculoskeletal system and muscle injuries.However, others with milder cases may receive a lower rating. The VA will look at how often your major joints are affected per year. If you have one or two flare-ups per year and an established diagnosis, this will likely rate at 20%. If you have three or more exacerbations per year, this may result in a 40% rating.Some of the most common knee injuries for VA disability claims are knee strain, iliotibial band syndrome (ITBS) (pain on the outside of the knee), knee replacements, and knee instability. When it comes to general rating knee injuries, the VA has a range of 0% to 60% when looking at issues of immobility and range of motion at various angles ...For example, a Veteran with a 30 percent rating …. Who has no dependents would receive $400.93 per month. Who is married would receive $448.74 per month. Who is married with one minor child would receive $483.75 per month. Learn more at about disability ratings page and disability compensation rates page.5257 – VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. Occurs when tendons and cartilage cannot properly support the knee joint. Based on the level of instability, VA will assign a rating between 0 and 30 percent for this condition.4. For weight bearing joints (hip, knee, ankle), describe gait. Describe any callosities, breakdown, or unusual shoe wear pattern that would indicate abnormal weight bearing. 5. If ankylosis is present, describe the position of the bones of the joint in relationship to one another (in degrees of flexion, external rotation, etc.), and state ... Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider. Shaking chills. During total knee replacement surgery, your damaged knee joint is replaced with an artificial joint (called a prosthesis). This surgery almost always reduces joint pain and improves your quality of life. In 2022, about 2.1 million veterans had a service-connected disability rating of 70 % or higher.[1] VA disability ratings are vital for veterans with bursitis, determining compensation based on the condition's severity, ranging from 0% to 100%. Higher ratings mean more support and healthcare access.How to get a higher rating for knee disability from the vaFlexion disability Patient information – knee – signature orthopaedics√ va disability knee range of motion chart. 3 Considerations when Preparing for Total Knee Replacement - 360. Check Details. The fundamental importance of knee range of motionExtension limited to 5 degrees: 0. As the chart above shows, extending the knee straight out with extension less than 5 degrees of being completely straight, a Veteran will be given a 0% rating. From …STEP 2: Determine Your Estimated Compensation. Disability Rating. NO, I do not have dependents. YES, I have a dependent child (ren). YES, I have a spouse. YES, I have a dependent parent (s). BASE. Estimated Compensation. Rates effective: 12/1/2023.Neuralgia cannot be rated higher than moderate, even if it is considered severe. If the condition is moderate, it’s usually rated up to 20%. It can be rated up to 40% if entire limbs are affected. The VA rates nerve damage on a scale from mild to complete. Your rating will depend on where you fall within that scale.Yes, plantar fasciitis is a VA disability and can be rated at 10%, 20%, or 30%, depending upon unilateral (one foot) versus bilateral (both feet) and the severity of your symptoms. With actual loss of use of the foot, a 40% rating is awarded. If a veteran has been recommended for surgical intervention but is not a surgical candidate, evaluate ...3 best ways to get a va rating for knee pain (the insider’s guide)Va disability rating for hypertension hill ponton p a Va ratings for knee pain: how to maximize your benefitsHow to calculate va disability chart. Va Bined Rating Chart - Tutor Suhu. Check Details. Understanding the va knee rating chart (the ultimate guide) (2023)For example, VA may rate bone spurs under Diagnostic Code 5279, which is generally used to rate Metatarsalgia, or Morton’s Disease. If a veteran is rated under this diagnostic code, the highest rating they can receive, whether their spurs affect one or both feet, is 10 percent. If your bone spurs are located in your spine, VA may rate your ...40 percent disability rating: 144 square inches or greater. 30 percent disability rating: 72 square inches to 143 square inches. 20 percent disability rating: 12 square inches to 71 square inches. 10 percent disability rating: 6 square inches to 11 square inches. Burn scars or scars not associated with underlying soft tissue damage receive a …How the VA Rates Knee Issues. Normal range of motion is 0-140°, with 0° being full extension, meaning your leg in a straight position. 140° is full flexion, where your leg is bent at the knee. Flexion and Extension are two different motions, and two ratings can be awarded for them. Percent Flexion During a Flare / Diagnostic Code = 5260Your Achilles tendonitis VA rating is based on the severity of your condition and is assigned under Diagnostic Codes 5270 and 5271. Achilles tendonitis and ankle tendonitis receive the same rating from the VA and can be rated 10%, 20%, 30%, or 40%. Under DC 5270, the VA disability for ankle tendonitis is rated according to ankylosis of the ...Sacroiliitis VA Disability Ratings. The VA rates sacroiliitis at 10%, 20%, 30%, 40%, 50%, and 100% under diagnostic codes 5235 through 5243 of 38 CFR § 4.71a, General Rating Formula for Diseases and Injuries of the Spine.. Your sacroiliitis VA disability rating will depend on the severity, frequency, and duration of symptoms, …27 Oct 2023 ... This number is based on the severity of the condition and ranges from 0 to 100%. As a general rule, the more severe a disability is, the higher ...For example, a Veteran with a 30 percent rating …. Who has no dependents would receive $400.93 per month. Who is married would receive $448.74 per month. Who is married with one minor child would receive $483.75 per month. Learn more at about disability ratings page and disability compensation rates page.This knee pain condition is rated under diagnostic code 5261 and the disability ratings available are 0, 10, 20, 30, 40, and 50 percent. Typically, the greater limitation of extension (i.e., the harder it is to straighten the knee), the higher the disability rating will be. Similar to limitation of flexion of the knee, there are specific range ...Diagnostic Code 5256, Knee, ankylosis of: Extremely unfavorable, in flexion at an angle of 45° or more: 60%. In flexion between 20° and 45°: 50%. In flexion between 10° and 20°: 40%. Favorable angle in full extension, or in slight flexion between 0° and 10°: 30%. Diagnostic Code 5257, Knee, other impairment of:To avoid combined ratings over 100 percent, the VA uses a combined ratings table when you have two or more disabilities. For example, if you have an allergic rhinitis rating of 30 percent and a 60 percent asthma rating, your combined score is 72. The VA uses 10 percent increments in final disability ratings, so the 72 is rounded down to 70 ... Code 5163: If the leg has been amputated but the stump is bad and a second amputation at thigh level is recommended, then it is rated 60%. (This one is a bit odd and is probably only rarely used.) Code 5164: If the amputation is at a place around the knee where the knee cannot be used at all, then it is rated 60%. Instability of the knee (if it dislocates regularly or has too much side to side motion) with ratings of 0%, 10%, 20%, or 30%. Ankylosis (abnormal stiffening and immobility) with ratings of 30%, 40%, 50%, or 60%. You can receive ratings for more than one aspect of your knee condition, if appropriate. For example, if your disability prevents you ... 4.17 - Total Disability Ratings for Pension Based on Unemployability and Age of the Individual. 4.17a - 4.18 - Misconduct Etiology/Unemployability. 4.19 - 4.21 - Age in Service-Connected Claims/Analogous Ratings/Application of Rating Schedule. 4.22 - 4.23 - Rating of Disabilities Aggravated by Active Service/Attitude of Rating Officers.Jan 20, 2023 · If a Veteran suffers from knee pain that is so disabling that they have trouble moving, their condition is much more likely to warrant a high disability rating in the eyes of the VA. Sometimes, service-connected knee pain can even qualify a Veteran for a 100% disability rating, leading to the highest possible benefits. Note: Veterans with a 10% to 20% disability rating do not receive additional compensation for having a spouse, dependent child, or dependent parent. Disability Rating. Monthly Payment. 10%. $171.23. 20%. $338.49. VA disability compensation is based on the veteran’s disability rating and household. Disability Rating.TBI Residuals Table. Step 1: First, sort each symptom into one of these categories. Step 2: Next, look at all the symptoms in a single category and assign a level of impairment for that category based on the criteria for each level. (Remember, you are looking at all the symptoms in that category together.2024 Pay Rates for 10% – 20% Disability Rating. Disability Rating. Monthly Pay. 10%. $171.23. 20%. $338.49. Note: Veterans with a 10% to 20% rating won't receive additional compensation for a dependent spouse, child or parent. Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider. Shaking chills. During total knee replacement surgery, your damaged knee joint is replaced with an artificial joint (called a prosthesis). This surgery almost always reduces joint pain and improves your quality of life. Bone and Joints Disability Ratings Table. § 4.71a Schedule of ratings—musculoskeletal system. Acute, Subacute, or Chronic Diseases. Rating. Osteomyelitis. Of the pelvis, vertebrae, or extending into major joints, or with multiple localization or with long history of intractability and debility, anemia, amyloid liver …Understanding the VA rating for scars can be difficult, given the multiple diagnostic codes that can be used and the many notes each code includes. The VA rates scars under diagnostic codes 7800-7805 in the Schedule of Ratings for skin conditions. Ratings may be granted between 10% to 80%, depending on the scar’s qualities, … 5257 – VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. Occurs when tendons and cartilage cannot properly support the knee joint. Based on the level of instability, VA will assign a rating between 0 and 30 percent for this condition. The VA may require documentation that shows the range of motion of the ankle. This documentation may include medical records, notes from a medical practitioner, or physical evidence like x-ray images. In many cases, ankle instability itself would receive a rating of between 0 and 20% on the rating schedule.Though exact statistics are not readily available from the VA, the Army gives an automatic 50 percent PTSD rating, regardless of the magnitude of the symptoms. It is likely that th... Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider. Shaking chills. During total knee replacement surgery, your damaged knee joint is replaced with an artificial joint (called a prosthesis). This surgery almost always reduces joint pain and improves your quality of life. Whether you’re ready to buy a power generator to use when the lights go out or you want to cut back on your energy consumption, you need to know how much electricity your devices u...The amount of basic benefit paid ranges, depending on how disabled you are. VA makes a determination about the severity of your disability based on the evidence you submit as part of your claim, or that VA obtains from your military records. VA rates disability from 0% to 100% in 10% increments (e.g. 10%, 20%, 30% etc.).Feb 23, 2024 · The combined rating for both knees is now 21%, and the VA will use 21% as the rating for those disabilities. Keep in mind it is possible to have more than two disabilities combined in the bilateral factor. Using the combined rating table above, start with the 21% rating and the 30% rating. This takes us to 45. The VA uses a table to determine combined ratings. For example, if you have a back pain disorder that is 50 percent disabling and another disorder that is 30 percent disabling, the VA uses a calculation table to determine a net disability rating of 65 percent. A combined rating may be given for back pain and an entirely different condition or ...4.88b-1 §4.88b—Schedule of ratings–infectious diseases, immune disorders and nutritional deficiencies 4.88b-1 (No. 62 8/5/19) §4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies. Rating Note: Rate any residual disability of infection within the appropriate body system as indicated by the notes in the evaluation … Table I-Combined Ratings Table [10 combined with 10 is 19] 10. 20. 30. 40. 50. 60. 70. How the VA Rates Knee Issues. Normal range of motion is 0-140°, with 0° being full extension, meaning your leg in a straight position. 140° is full flexion, where your leg is bent at the knee. Flexion and Extension are two different motions, and two ratings can be awarded for them. Percent Flexion During a Flare / Diagnostic Code = 5260Disability ratings for in-service knee injuries are complex. Not many veterans are aware that there are four separate ratings that can be given to a knee injury: 5260: limitation of flexion (bending knee down) 5261: limitation of extension (extending knee back out to a straight leg) 5257: instability. 5258: dislocated semilunar cartilage OR ...Learn how to get VA disability benefits for knee pain or problems related to service. Find out the VA knee rating chart, secondary conditions, and how to prove your service connection.If a Veteran suffers from knee pain that is so disabling that they have trouble moving, their condition is much more likely to warrant a high disability rating in the eyes of the VA. Sometimes, service-connected knee pain can even qualify a Veteran for a 100% disability rating, leading to the highest possible benefits.Diagnostic Code 5256, Knee, ankylosis of: Extremely unfavorable, in flexion at an angle of 45° or more: 60%. In flexion between 20° and 45°: 50%. In flexion between 10° and 20°: 40%. Favorable angle in full extension, or in slight flexion between 0° and 10°: 30%. Diagnostic Code 5257, Knee, other impairment of:In late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. The VASRD's 15 body systems had seen periodic updates, but this continuing effort reflects the first comprehensive review in 70+ years. Today, VA announced its next update: The musculoskeletal system and muscle injuries.In theory, gout VA disability ratings range from 0% to 100% in increments of 10%, based on factors including limitation of motion of the joint (s) affected. The most common VA rating for gout is 10% or 20% (for each joint that has gout). If there is no limitation of motion, gout is rated as follows:Rating ; 5256 Knee, ankylosis of: ... Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. ... The examiner must use a Goldmann perimeter chart or the Tangent Screen method that identifies the four major quadrants (upward, downward, left, and right lateral) and the ...... knee 25-30% at knee. Xl. Back Removal of disc material, no undue symptomatic complaints or any objective findings 5% Chymopapain injection To be rated by ...5 10 15 20 25 30 35 40 45 or greater. C.If ROM does not conformto the normal range of motion identified above but is normal for this veteran (for reasons other than a knee and/or leg condition, such as age, body habitus, neurologic disease), explain: VA …According to the VA Schedule of Ratings, disability ratings for knee joint disabilities are as follows: 1. 5256 Knee, ankylosis of: Extremely unfavorable, in flexion at an angle of 45° or more 60%. In flexion between 20° …A VA disability rating for PTSD is based on statutes that outline what symptoms meet which level of disability. PTSD is only rated at 10%, 30%, 50%, 70% or 100%. It’s important to be as honest as you can with the VA examiners about the severity of your symptoms. Please note you don’t have to meet all the symptoms in the rating level in ...On September 14, 2023, the VBA updated M21-1 to provide further clarification on a prostrating migraine headache, to include the new VA rating for migraine headaches criteria as well as evidence requirements. Headaches are still rated from 0% to 50% with breaks at 10% and 30%; however, the symptoms and impairment required for a 50% VA …Neuralgia cannot be rated higher than moderate, even if it is considered severe. If the condition is moderate, it’s usually rated up to 20%. It can be rated up to 40% if entire limbs are affected. The VA rates nerve damage on a scale from mild to complete. Your rating will depend on where you fall within that scale.Feb 23, 2024 · The combined rating for both knees is now 21%, and the VA will use 21% as the rating for those disabilities. Keep in mind it is possible to have more than two disabilities combined in the bilateral factor. Using the combined rating table above, start with the 21% rating and the 30% rating. This takes us to 45. 3 best ways to get a va rating for knee pain (the insider’s guide)Va disability rating for hypertension hill ponton p a Va ratings for knee pain: how to maximize your benefitsHow to calculate va disability chart. Va Bined Rating Chart - Tutor Suhu. Check Details. Understanding the va knee rating chart (the ultimate guide) (2023)For example, if the veteran lacks 10 degrees of full knee extension and has normal flexion, show the range of motion as extension to minus 10 degrees (or lacks 10 degrees of extension) and flexion 10 to 140 degrees. 1. Hip range of motion: (Movement of femur as it rotates in the acetabulum.) a. Normal range of motion, using the anatomical ...Ankylosis of the Knee. Ankylosis of the knee is a condition where movement in the joint is completely restricted due to bone fusion or scar tissue. The VA rates this condition under Diagnostic Code 5256 and assigns a disability rating of 30, 40, 50, 0r 60 percent depending on the range of motion in the joint.Apr 5, 2024 · Examples of common service-related musculoskeletal conditions include: Tendonitis. Carpal tunnel syndrome. Trigger finger. Rotator cuff injuries. Muscle strains. Lower back injuries. Bone spurs in the spine, hip, and knee. There are over 150 different musculoskeletal conditions with varying degrees of short- and long-term health impacts.
... rating. The Current VA Rating System for Tinnitus. Under 38 CFR 4.87, a veteran diagnosed with recurrent tinnitus will receive a 10% disability rating for .... Water purifier costco
The VA disability rating for knee pain is based on the severity of the condition and its impact on your ability to perform daily activities and work-related tasks. As of now, VA disability rating knee pain ranges between 10% and 30%. ... Another section in the VA disability chart for knee pain is the Unfavorable Ankylosis.VA Rating for Knee Pain: VA Knee Rating Chart and VA Secondary Conditions to Knee Pain. Many veterans who served in the military develop pain in their knees and lower legs due to their time in active service. The U.S. Department of Veteran’s Affairs (VA) handles compensation and military disability rating for knee pain.Whether you’re ready to buy a power generator to use when the lights go out or you want to cut back on your energy consumption, you need to know how much electricity your devices u...Disability ratings for in-service knee injuries are complex. Not many veterans are aware that there are four separate ratings that can be given to a knee injury: 5260: limitation of flexion (bending knee down) 5261: limitation of extension (extending knee back out to a straight leg) 5257: instability. 5258: dislocated semilunar cartilage OR ...Get the VA rating and benefits you deserve for your knee pain with the help of Stone Rose Law. Call (480) 498-8998 for a free consultation.Not many veterans are aware that there are four separate ratings that can be given to a knee injury: 5260: limitation of flexion (bending knee down) 5261: limitation of extension (extending knee back out to a straight leg) …6 days ago · VA Knee Rating Chart Example (sample) Introducing our VA Knee Rating Chart Sample Template, a downloadable PDF with a fully completed VA knee rating chart template suitable for printing and digital use. This template is a practical resource for veterans seeking guidance in assessing and interpreting their knee-related conditions. May 3, 2024 · Past rates: 2021. Parents DIC rates. Past rates: 2023. Past rates: 2022. Past rates: 2021. In this section. Current disability compensation rates. Review current VA disability compensation rates, and learn what factors may affect your monthly payments. For small businesses that rely on shipping products, understanding the current postal rates chart is essential. With postage prices changing frequently, it can be challenging to ke...Many veterans who served in the military develop pain in their knees and lower legs due to their time in active service. The U.S. Department of Veteran’s Affairs (VA) handles compensation and military disability rating for knee pain. If you developed knee problems due to military service, you may be...The VA rates RA under Diagnostic Code 5002, with possible ratings up to 100 percent based on severity and impact on the veteran’s life. Ratings are as follows: 100% Rating: Awarded if RA results in the veteran being bedridden or completely incapacitated, requiring evidence from medical imaging. 60% Rating: For veterans with …Microsoft Word - Book C Supplement No 63 for Feb 2021.doc. §4.71a Schedule of ratings—musculoskeletal system. ACUTE, SUBACUTE, OR CHRONIC DISEASES. Rating. 5000 Osteomyelitis, acute, subacute, or chronic: Of the pelvis, vertebrae, or extending into major joints,Normal blood pressure is less than 120/80 millimeters of mercury, or mmHg, while a normal average resting heart rate is between 60 to 100 beats per minute, according to the America....