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NATIONAL HEALTH INSURANCE

FIELD HEARINGS

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON WAYS AND MEANS

HOUSE OF REPRESENTATIVES

NINETY-SIXTH CONGRESS

SECOND SESSION

ON

NATIONAL HEALTH INSURANCE AND PROPOSALS TO RE-
STRUCTURE INCENTIVES IN THE PRIVATE HEALTH CARE

SECTOR

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Printed for the use of the Committee on Ways and Means

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1980

63-970 O

U.S. Depository Copa

COMMITTEE ON WAYS AND MEANS

AL ULLMAN, Oregon, Chairman DAN ROSTENKOWSKI, Illinois

BARBER B. CONABLE, JR., New York CHARLES A. VANIK, Ohio

JOHN J. DUNCAN, Tennessee JAMES C. CORMAN, California

BILL ARCHER, Texas SAM M. GIBBONS, Florida

GUY VANDER JAGT, Michigan J. J. PICKLE, Texas

PHILIP M. CRANE, Illinois CHARLES B. RANGEL, New York

BILL FRENZEL, Minnesota WILLIAM R. COTTER, Connecticut

JAMES G. MARTIN, North Carolina FORTNEY H. (PETE) STARK, California L. A. (SKIP) BAFALIS, Florida JAMES R. JONES, Oklahoma

RICHARD T. SCHULZE, Pennsylvania ANDY JACOBS, JR., Indiana

BILL GRADISON, Ohio JOSEPH L. FISHER, Virginia

JOHN H. ROUSSELOT, California HAROLD FORD, Tennessee

W. HENSON MOORE, Louisiana
KEN HOLLAND, South Carolina
WILLIAM M. BRODHEAD, Michigan
ED JENKINS, Georgia
RICHARD A. GEPHARDT, Missouri
RAYMOND F. LEDERER, Pennsylvania
THOMAS J. DOWNEY, New York
CECIL (CEC) HEFTEL, Hawaii
WYCHE FOWLER, JR., Georgia
FRANK J. GUARINI, New Jersey
JAMES M. SHANNON, Massachusetts
MARTY RUSSO, Illinois

JOHN M. MARTIN, Jr., Chief Counsel
J. P. BAKER, Assistant Chief Counsel
John K. MEAGHER, Minority Counsel

SUBCOMMITTEE ON HEALTH

CHARLES B. RANGEL, New York, Chairman JAMES C. CORMAN, California

PHILIP M. CRANE, Illinois CHARLES A. VANIK, Ohio

JOHN J. DUNCAN, Tennessee HAROLD FORD, Tennessee

JAMES G. MARTIN, North Carolina CECIL (CEC) HEFTEL, Hawaii JAMES M. SHANNON, Massachusetts

(II)

CONTENTS

Page

1

Ambulatory Surgical Facilities of Florida, Jeffry Faine.

American Society of Anesthesiologists, John S. Hattox, Jr., M.D.

Barry College, Lola Scheuer, Paul T. Copp, and Gilbert Raiford...

Catholic Service Bureau, Msgr. Bryan Walsh.

Christian Hospital, George Simpson, M.D.

Copp, Paul T., Barry College

Dade County Consumers Fighting Inflation, Naomi Shaw-

Dade County Council of Senior Citizens, Max Serchuk.--.

Dade County Department of Human Resources, Bill Hampton...

Faine, Jeffry, Ambulatory Surgical Facilities of Florida ---

Fauntroy, Raymond C., Southern Christian Leadership Conference.

Florida Association of Home Health Agencies, Inc., Terry Justice----

Florida State Legislature, Jack D. Gordon, Senate Committee on Ways and

Means.

Gordon, Jack D., Florida State Legislature, Sentate Committee on Ways

and Means

Gray Panthers, Elena Herrschaft on behalf of Brian Peterson.--

Hampton, Bill, Dade County Department of Human Resources.

Hattox, John S., Jr., M.D., American Society of Anesthesiologists.

Herrschaft, Elena, on behalf of Brian Peterson, Gray Panthers..

Hospice of South Florida, Inc., Hugh A. Westbrook --

Justice, Terry, Florida Association of Home Health Agencies, Inc.---

Levitt, Melvin L., National Retired Teachers Association and the American

Association of Retired Persons in the State of Florida..

Lutz, Alton E., Miami, Fla---

National Retired Teachers Association and the American Association of

Retired Persons in the State of Florida, Melvin L. Levitt---

Pepper, Hon. Claude, a Representative' in Congress from the State of

Florida..

Peterson, Brian. (See Gray Panthers.)

Public Health Trust of Dade County, Fla., Leon W. Zucker.

Raiford, Gilbert, Barry College

Scheuer, Lola, Barry College-

Serchuk, Max, Dade County Council of Senior Citizens

Shaw, Naomi, Dade County Consumers Fighting Inflation.

Simpson, George, M.D., Christian Hospital.

Southern Christian Leadership Conference, Raymond C. Fauntroy.

Walsh, Msgr. Bryan, Catholic Service Bureau.

Westbrook, Hugh A., Hospice of South Florida, Inc.-

Zucker, Leon W., Public Health Trust of Dade County, Fla-

27

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40

69

27

HONOLULU, HAWAII, APRIL 11, 1980

Press releases of March 21 and 31, 1980, announcing hearing-

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WITNESSES
American Association of Retired Persons, Edward B. Webster.
American Federation of State, County, and Municipal Employees, Henry

Epstein, United Pubiic Workers.--
Anderson, Audrey Fox, Honolulu, Hawaii..
Ariyoshi, Hon. George R., Governor, State of Hawaii, as presented by

George Yuen and Andy Chang--
Bell, Douglas B., II, M.D., Hawaii Medical Association -
Boland, Patrick J., on behalf of James L. Swenson, Hawaii State Health

Planning and Development Agency
Bond, John R., Hawaii Psychological Association...
Burns, Mary Margaret, Hawaii Psychological Association..
Carpenter, Dante K., Hawaii State Legislature, Senate Committee on

Health
Chang, Andy, on behalf of Governor George R. Ariyoshi, State of Hawaii.
Epstein, Henry, United Public Workers and the American Federation of

State, County, and Municipal Employees---
Fo, Walter S. O., Hawaii Psychological Association.
Gibson, Robert E. (See, Kokua Council for Senior Citizens.)
Gust, Tim, Hawaii Psychological Association...
Hailperin, Celia M., Health and Community Services Council of Hawaii.
Hawaii Dental Service, Wallace Loo, D.D.Š.
Hawaii Medical Association, Douglas B. Bell II, M.D.-
Hawaii Medical Service Association, Albert H. Yuen.
Hawaii Psychological Association:

Walter S. O. Fo..
John R. Bond...
Arthur L. Walker III.
William T. Tsushima--
Tim Gust.-t
Barbara Sloggett-

Mary Margaret Burns.
Hawaii State Health Planning and Development Agency, Patrick J. Boland

on behalf of James L. Swenson
Hawaii State Legislature, Senate Committee on Health, Dante K. Car-

penter-
Hawaii, State of, Hon. George R. Ariyoshi, Governor, as presented by

George Yuen and Andy Chang--
Health and Community Services Council of Hawaii, Celia M. Hailperin -
Hospital Association of Hawaii, Stanley B. Snodgrass-
Imy, Harry H., Honolulu, Hawaii.
International Longshoremen's & Warehousemen's Union, Local 142, Ah

Quon McElrath
J. Walter Cameron Center, James Stoll
Kaiser Permanente Medical Care Program, Robert Willcox.
Kokua Council for Senior Citizens, Mabel McConnell on behalf of Robert

E. Gibson..
Loo, Wallace, D.D.S., Hawaii Dental Service..
McConnell, Mabel, on behalf of Robert E. Gibson, Kokua Council for

Senior Citizens.
McElrath, Ah Quon, Local 142, International Longshoremen's & Ware-

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housemen's Union..
Michael, Jerrold M., School of Public Health, University of Hawaii_
Reigh, Maile C., Kaneohi, Hawaii.-
St. Francis Hospital, Eugene Tiwanak--
Schattenburg, Myrtle, Honolulu, Hawaii.--
Sloggett, Barbara, Hawaii Psychological Association.
Snodgrass, Stanley B., Hospital Association of Hawaii
Stoll, James, J. Walter Cameron Center
Swenson, James L. (See, Hawaii State Health Planning and Development

Agency.)

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