It's in the same vein as the "automatic 10% for tinnitus if you work on the flight line" thing that's going around. You don't get anything without (1) claiming it and (2) being evaluated by the VA for the claimed condition.
FWIW, I receive compensation for an injury caused on the job and will affect me for the rest of my life. No guilt and no regrets. FAA has no problem with it.