Title
Government Service Insurance System vs. De Castro
Case
G.R. No. 185035
Decision Date
Jul 15, 2009
A retired Philippine Air Force officer claimed disability benefits for heart ailments aggravated during service. Courts ruled his conditions compensable as occupational diseases, emphasizing reasonable work connection over direct causation.

Case Summary (G.R. No. 185035)

Medical Background and Claim for Benefits

De Castro was admitted to V. Luna General Hospital on December 22, 2004, because of chest pains and underwent various medical examinations, revealing serious heart conditions. Following his retirement, he received a "Certificate of Disability Discharge" and subsequently filed a claim for disability benefits with the GSIS on June 20, 2006. However, his claim was denied on the grounds that his illnesses were classified as non-occupational.

Employees' Compensation Commission (ECC) Decision

The ECC reviewed De Castro's appeal and upheld the GSIS's ruling on June 11, 2007, asserting that although coronary artery disease is acknowledged as an occupational disease, other contributing factors like smoking and alcohol consumption were present. Therefore, despite a formal recognition that his ailments were work-related, the ECC concluded his claim lacked merit due to these additional non-work-related factors.

Appeal to the Court of Appeals

De Castro filed a petition for review with the Court of Appeals, arguing that the GSIS and ECC findings inadequately addressed the nature of his work-related stress and its contributions to his medical conditions. He cited precedent establishing that if a disease is listed as occupational, the causal relationship between his condition and employment is not critical for benefit claims.

Court of Appeals’ Ruling

The Court of Appeals ruled in favor of De Castro, stating that the ECC acknowledged his conditions fall within the scope of occupational diseases. It expressed that the claimant does not need to demonstrate an explicit cause-and-effect relationship, highlighting the legal precedence that benefits must be granted if an illness is classified as occupational, notwithstanding other potential contributory factors.

GSIS’s Contentions

The GSIS contended that the Court of Appeals erred by reversing their decision, insisting that De Castro had not proved a sufficient connection between his cardiac conditions and his military service. They asserted that since the illnesses were also linked to lifestyle choices, such as smoking and drinking, he did not qualify for benefits under existing employment compensation laws.

De Castro's Defense

De Castro maintained that his conditions were indeed service-related, emphasizing that all factors contributing to his ailments, including the psychological stress of his military duties, warranted consideration. He argued that reliance solely on smoking or drinking habits overlooked the realities of military service-induced stress that could aggravate health conditions.

Analysis of the Court's Ruling

The court articulated that the evidence suggests De Castro’s long military service involved significant stress, which likely contributed to his health issues. It clarified that a mere medical link between lifestyle factors and dise

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