It’s never been easy to qualify for Social Security disability benefits. Christopher Tincher knows this firsthand.

Tincher began his working life in a coal mine in Aflex, Kentucky, as a teenager in the 1980s. As mines across the region shuttered, he turned to scraping grills at a Hardee’s, then cleaning office buildings at night, then stocking shelves and changing tires at a Walmart in Arkansas. Later, he was hired by a nearby town’s wastewater department. Often, he had to wade into sewage to fix equipment and clean out feces, needles and tampons entering the treatment facility.

In 2017, some of that liquid got into his work boots, which didn’t fit properly and had caused blisters to form. It soaked into his flesh, infecting his right foot all the way to the bone. Doctors cut his leg off

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