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(영문) 서울고등법원 2017.07.19 2016누57870

요양급여 및 휴양급여 불승인처분 취소

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1. The plaintiff's appeal is dismissed.

2. The costs of appeal shall be borne by the Plaintiff.

The purport of the claim and appeal is the purport of the appeal.

Reasons

Basic Facts

In 2015, the Plaintiff filed an application for medical care benefits and temporary disability compensation benefits with the Defendant, “Sail teratum, salmatum, right-hand salmatitis (salmatitis)” (hereinafter both of the above injury and disease, referred to as “instant injury and disease”).

On April 9, 2015, the Defendant rendered a decision not to approve the said application (hereinafter “instant disposition”) on the ground that there is no proximate causal relation between the Plaintiff and the instant injury and disease.

The Plaintiff’s existing medical history and the progress of treatment before and after the outbreak of the instant injury sustained treatment from April 4, 2005 to December 2, 2014, due to urology, high blood pressure, etc.

From November 9, 2011 to January 18, 2012, the Plaintiff received treatment at B Hospital once a week for about three months with respect to “tosaw and saw”.

On February 2, 2013, the Plaintiff was given a procedure to inserting the content after the cardio-cerebrovascular (CAG, Coronathy) at a single university hospital (CAG, Coronathy).

On September 24, 2014, the Plaintiff received medical treatment from C Council members, and complained of symptoms, such as “at the new wall, she spawed about drinking.” The Plaintiff complained of symptoms, such as “at the spawn of the spathn.”

On December 4, 2014, the Plaintiff received medical treatment from C Council members. The Plaintiff complained of symptoms, such as “at the end of the end of November, and at the end of cement,” and the Plaintiff stated “Mise ............” The Plaintiff was provided with physical therapy and interference current treatment at C Council members on December 17, 2014, and the Plaintiff was recommended to go to a large hospital on the said Council members. On December 19, 2014, the Plaintiff was provided with medical treatment at the C Council members on December 5, 2014, and the Plaintiff was provided with medical treatment from outside D and 10, 11, 12, 16, and 16, 200.