In this video, I discuss a case of depression secondary to tinnitus and the VA rating decision. I highlight the importance of evidence-based decision-making and a thorough psychiatric evaluation. "If the evidence is there, then the decision is clear." Takeaways A good VA rating decision is based on an evidence-based approach and thorough evaluation. Medical opinions from private examiners may carry more weight if they provide a more reasoned rationale and are supported by the totality of evidence. Comprehensive analysis of medical records and scientific evidence is crucial in supporting a claim. Raters who make decisions based on the evidence help avoid prolonging the process for veterans.