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NATIONAL HEALTH INSURANCE

HEARINGS

BEFORE THE

COMMITTEE ON WAYS AND MEANS

HOUSE OF REPRESENTATIVES

NINETY-THIRD CONGRESS

SECOND SESSION

ON THE SUBJECT OF

NATIONAL HEALTH INSURANCE

APRIL 24, 25, 26; MAY 3, 10, 17, 23, 31; JUNE 7, 14, 21, 28;
JULY 1, 2, AND 9, 1974

VOLUME 5 OF 9

June 7 and 14, 1974

Printed for the use of the Committee on Ways and Means

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1974

For sale by the Superintendent of Documents, U.S. Government Printing Office
Washington, D.C. 20402 - Price $3.75

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CONTENTS

Press release of Tuesday, April 2, 1974, announcing public hearings on
national health insurance.

Bills introduced in the 93d Congress embodying new approaches to a
national health insurance program since last public hearings on this
subject in October and November 1971:
H.R. 13870 (by Chairman Mills)
Description_.

H.R. 12684 (by Chairman Mills and Mr. Schneebeli-by request)
(administration bill).

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STATEMENTS OF GOVERNMENT OFFICIALS

Hon. Caspar W. Weinberger, Secretary, Department of Health, Education,
and Welfare: Hon. Charles C. Edwards, M.D., Assistant Secretary for
Health; Hon. Stephen Kurzman, Assistant Secretary for Legislation;
Hon. William A. Morrill, Assistant Secretary for Planning and Evalua-
tion; Hon. James B. Cardwell, Commissioner, Social Security Adminis-
tration; and Hon. Howard N. Newman, Commissioner, Medical Services
Administration, Social and Rehabilitation Service.

STATEMENTS OF PUBLIC WITNESSES

Page

1

4

257

262

388

394

556

561

Abzug, Hon. Bella S., a Representative in Congress from the State of New
York..

.3515

Ackerman, David M., National Council of Churches of Christ in the
U.S.A..

3262

Adams, Gen. Joseph P., International Chiropractors Association.
Alfano, Dr. Louis, Doctor's Commission for American Health
Allen, George B., Hospital Association of New York State.
Allen, Hazel, Golden Ring Council of Senior Citizens Clubs..
Amdur, Martin, National Retail Merchants Association.

2728

1006

2027

2505

2708

American Academy of Family Physicians, Dr. James G. Price, Dr. Carl B.
Hall, and Dr. Herb L. Huffington. -

2273

American Academy of Pediatrics, Dr. Donald W. Schiff, Al Stolper, and
George Degnon

2286

American Academy of Physical Medicine and Rehabilitation, and American
Congress of Rehabilitation Medicine, Dr. William Spencer and Richard
E. Verville____

American Association of Bioanalysts, Bernard I. Diamond, David Biren-
baum, and Richard Paul....

American Association of Blood Banks, Dr. Klaus Mayer_
American Association of Clinical Urologists, Dr. Harold Kay, Dr. Russell
B. Carson, Dr. Perrin B. Snyder, and Dr. Robert H. Bradley, Jr... 1578
American Association of Colleges of Nursing, Dr. Evelyn R. Barritt and
Charmaline Kirilla___.

924

1620

1107

1934

American Association of Homes for the Aging, Rev. Richard Reichard,
Dr. Robert Butler, and Constance Beaumont-

2676

American Association of Medical Clinics, Dr. Loman C. Trover, James
Cobb, and Lawrence Hoffheimer..

2219

American Association of Psychiatric Services for Children, Inc., Dr. James
N. Sussex and Debora D. Kramer

989

American Association of Retired Persons and National Retired Teachers
Association, Cyril F. Brickfield, James Hacking, and Laurence Lane__ 2520

(III)

2341

3223

American Association of Workers for the Blind, American Foundation for Page
the Blind, and Blinded Veterans Association, Irvin P. Schloss___
American Baptist Churches in the USA, Rev. Richard E. Ice..
American Chiropractic Association, Dr. Stephen E. Owens, Gerald M.
Brassard, and Harry N. Rosenfeld

American College of Nursing Home Administrators, Edward Brody and
J. Albin Yokie...

American Congress of Rehabilitation Medicine, and American Academy of Physical Medicine and Rehabilitation, Dr. William Spencer and Richard E. Verville_

2728

2731

924

American Council of the Blind, Durward K. McDaniel.
American Dental Association, Dr. Carlton H. Williams, Eric Bishop, and
Hal M. Christensen_

American Dietetic Association, Annie Galbraith.

American Federation of Labor-Congress of Industrial Organizations,
Andrew J. Biemiller, Bert Seidman, and Richard Shoemaker..
American Federation of Physicians & Dentists:

2362

1173

3404

1361

Dr. Stanley S. Peterson, Dr. Gerald J. Lustig, Dr. Donald C. Meyer,
Dr. Robert E. Kellener, Dr. Robert L. Amstadter, Dr. Patrick
Jones, and Max Lilly__

1257

1452

Dr. Sanford A. Marcus, William Glass, and Joseph Glass
American Foundation for the Blind, American Association of Workers for
the Blind, and Blinded Veterans Association, Irvin P. Schloss----
American Hospital Association, John Alexander McMahon, Dr. Leo J.
Gehrig, and Paul W. Earle_

2341

838

American Institute of Certified Public Accountants, Willard H. Erwin,
Thomas Hanley, and Robert Landauer..

2906

American Legion, Robert E. Lyngh and Edward J. Lord

3227

American Life Insurance Association, Health Insurance Association of
America, and Life Insurers Conference, Frederick E. Rathgeber, Leslie
P. Hemry, and Daniel W. Pettengill.

1525

American Medical Association, Dr. Russell N. Roth, Dr. Malcolm C. Todd,
Dr. Ernest T. Livingstone, and Harry N. Peterson...
American Mutual Insurance Alliance, Andre Maisonpierre_

804

American Nurses' Association, Rosamond Gabrielson, Dr. Eileen M.
Jacobi, and Constance Holleran_

1589

1582

American Nursing Home Association, Thomas G. Bell and Peter Balitsaris_
American Occupational Therapy Association, Dr. Jerry A. Johnson, Leo
Fanning, and Cozette Barker..

2053

1346

American Optometric Association, Dr. Bernard J. Shannon and Richard
W. Averill____

1207

American Osteopathic Association, Dr. John C. Taylor and Dr. Edward
Crowell.

1088

American Pharmaceutical Association, George D. Denmark, Dr. William
S. Apple, and Carl Roberts-

1921

American Physical Therapy Association, Royce P. Noland.

1626

American Podiatry Association, Dr. Charles H. Johnson, Dr. Seward P.
Nyman, and John R. Carson...

1092

American Psychiatric Association, Dr. Robert W. Gibson, Dr. W. Payton
Kolb, Dr. Jay S. Reibel, and Evelyn S. Myers-

957

American Psychological Association, Albert Bandura and Arthur Centor-
American Public Health Association, Dr. C. Arden Miller_

997

2066

American Public Welfare Association, Hon. Wilbur J. Cohen, Gail Huecker,
Sam Bauer, and Paul Nelson_

2761

American Society for Medical Technology, Annamarie Barros and Dennis
W. Weissman.

1722

American Society of Internal Medicine, Dr. William Campbell Felch, Dr.
Glenn Molyneaux, Dr. William R. Felts, and William R. Ramsey.
American Society of Oral Surgeons, Dr. I. Lawrence Kerr and Bernard J.
Degen II...

1203

1198

American Speech & Hearing Association, Richard J. Dowling-
Americans for Democratic Action, Hon. Donald M. Fraser, a Repre-
sentative in Congress from the State of Minnesota..

2429

1068

Amstadter, Dr. Robert L., American Federation of Physicians and
Dentists...

1257

Andrews, Dr. Rawle, National Medical Association, Inc.

1097

V

Apple, Dr. William S., American Pharmaceutical Association.
Arkansas Committee for National Health Insurance, W. Guy Delaney
and Peter Hobbie..

Association for Hospital Medical Education, Dr. Woodbury Perkins,
Dr. Clement R. Brown, Jr., Dr. Robert B. Carbeck, and Dr. Jack H.
Hall
Association for the Advancement of Psychology, Allen V. Williams.
Association of American Medical Colleges, Dr. James F. Kelly, Dr. John
A. D. Cooper, and Dr. Richard M. Knapp..

Association of American Physicians and Surgeons, Dr. Donald Quinlan,
Dr. Thomas G. Dorrity, and Frank K. Woolley

Page

1921

2097

1327

997

1332

910

Association of Children and Youth Project Directors, Dr. Fred Seligman and Dr. Frederick Tunick

1508

Association of Kidney Patients, Shep Glazer

2426

Association of State and Territorial Health Officials, Dr. Maurice S.
Reizen...

2687

Association of Trial Lawyers of America, Leonard M. Ring-
Averill, Richard W., American Optometric Association.

3086

1207

Bagby, Dr. Grover, National Council of Churches of Christ in the U.S.A_

3262

Balitsaris, Peter, American Nursing Home Association_

2053

Bandura, Albert, American Psychological Association__

997

Banes, Dr. Daniel, United States Pharmacopeial Convention.

1941

Banta, Dr. David, Community Council of Greater New York.

2242

Barker, Cozette, American Occupational Therapy Association..
Barr, Dr. Samuel J., Winter Haven, Fla

1346

2254

Barritt, Dr. Evelyn R., American Association of Colleges of Nursing.
Barros, Annamarie, American Society for Medical Technology-
Bartlett, William, National Association of Life Underwriters
Bauer, Sam, American Public Welfare Association __

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Beaumont, Constance, American Association of Homes for the Aging.

2676

Becker, Dr. E. Lovell, National Kidney Foundation__.
Bell, Thomas G., American Nursing Home Association

2406

2053

Bennett, Berkeley V., National Council of Health Care Services__.

1112

Bennett, Hon. Charles E., a Representative in Congress from the State of
Florida

3459

Berson, Dr. Samuel L., Federation of American Hospitals.

877

Biemiller, Andrew J., American Federal of Labor-Congress of Industrial
Organizations____

1361

Binkley, Howard L., Pharmaceutical Manufacturers Association
Birenbaum, David, American Association of Bioanalysts..

1842

1620

Bischoff, James, Homemakers Home and Health Care Services, Inc.

1746

Bishop, Eric, American Dental Association.

1173

Blinded Veterans Association, American Foundation for the Blind, and
American Association of Workers for the Blind, Irvin P. Schloss..
Blue Cross Association, Walter J. McNerney-

2341

1037

Boggs, Dr. Elizabeth M., National Association for Retarded Citizens.
Bowyer, Rev. Richard, West Virginia Committee for the Health Security
Act...

2297

2110

Bradley, Dr. Robert H., Jr., American Association of Clinical Urologists.
Brassard, Gerald M., American Chiropractic Association__-.
Bray, Edward A., International Association of Health Underwriters.
Brennan, Bruce J., Pharmaceutical Manufacturers Association___
Brickfield, Cyril F., American Association of Retired Persons and National
Retired Teachers Association.

1578

2728

1612

1842

2520

Brock, Hon. Bill, a U.S. Senator from the State of Tennessee_
Brody, Edward, American College of Nursing Home Administrators-
Bromberg, Michael D., Federation of American Hospitals

3461

2731

877

Brown, Dr. Clement R., Jr., Association for Hospital Medical Education_
Brown, Ronald H., National Urban League_

1327

3051

Brown, Thomas H., Hospital Service, Inc__.

1354

Brown, William, Council of State Chambers of Commerce.

1426

Buckley, Irene G., National Cancer Foundation, Inc.

2328

Burris, Carol, Women's Lobby, Inc___

3066

Butler, Dr. Robert, American Association of Homes for the Aging.
Capistrant, Gary F., National Council of Senior Citizens.

2676

3029

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