Articles
Veteran Cancer & Toxic Exposure, Explained
Plain-language articles on VA cancer claims, toxic exposure, and the medical questions that come up along the way.
Filing a VA disability claim for cancer is rarely simple. The hardest part is almost never the paperwork itself — it's connecting your diagnosis to the exposures and service history that caused it, in language the VA actually recognizes. Most veterans never get a clear, medically grounded explanation of how that link is established, why a nexus letter carries weight, or what separates a strong independent medical opinion from a generic template. These articles exist to close that gap.
Every piece here is written from the perspective of a board-certified radiation oncologist and retired U.S. Army Lieutenant Colonel — someone who has both treated cancer and worn the uniform. That dual lens matters. Law firms and claims agents can explain the process, but they can't speak to the biology of how Agent Orange, burn pit smoke, asbestos, PFAS, or contaminated water at Camp Lejeune translate into specific cancers years or decades later. We focus on the medicine first, then on how that medicine becomes evidence the VA can act on.
Expect practical, honest writing: what a nexus letter is and when you actually need one, how presumptive conditions differ from claims that require a medical opinion, what a complete claims-file review involves, and the questions worth asking your own doctors before you file. Nothing here is legal advice or a substitute for your own physician — it's background to help you make informed decisions about your health and your claim. New articles are added regularly as VA policy and the science of toxic exposure continue to evolve.
Exposure Guides
Cancer Nexus Letters by Toxic Exposure
In-depth guides on the major toxic exposures — how they affected each branch and MOS, the cancers they cause (presumptive and not), and how a specialty nexus opinion supports your claim.
Agent Orange & Cancer
Agent Orange Cancer Nexus Letters From a Radiation Oncologist
View guideBurn Pits & the PACT Act
Burn Pit Cancer Nexus Letters Under the PACT Act
View guidePFAS, TCE & Contaminated Water
PFAS & Contaminated Water Cancer Nexus Letters
View guideAsbestos Exposure
Asbestos Cancer Nexus Letters Built on Your MOS
View guideCamp Lejeune Water
Camp Lejeune Water Cancer Nexus Letters
View guideLatest Articles
From the Q4CD Blog
June 25, 2026
TERA, Presumptive Conditions, and Toxic-Exposure Cancer Claims
How the PACT Act's Toxic Exposure Risk Activity (TERA) rule works, why many cancer claims are still not presumptive, and where a specialty oncologist nexus letter or IMO fits in.
Read articleJune 25, 2026
Understanding VA Nexus Letters for Cancer Claims
What a VA nexus letter is, when it helps a cancer or toxic-exposure claim, and how a specialty physician opinion fits into the process.
Read articleHave Questions About Your VA Claim?
Start with a focused VA Case Strategy Consult to review your diagnosis and service history with a specialist physician.
