IN POOR HEALTH: THE FEDERAL COMMITMENT TO TBRARY ON CONGRESS JAN 9 1991 HEARING COPY. Printed for the use of the Select Committee on Aging U.S. GOVERNMENT PRINTING OFFICE WASHINGTON : 1990 36-336 For sale by the Superintendent of Documents, Congressional Sales Office U.S. Government Printing Office, Washington, DC 20402 SELECT COMMITTEE ON AGING EDWARD R. ROYBAL, California, Chairman THOMAS J. DOWNEY, New York MATTHEW J. RINALDO, New Jersey, HAROLD E. FORD, Tennessee Ranking Minority Member WILLIAM J. HUGHES, New Jersey JOHN PAUL HAMMERSCHMIDT, Arkansas MARILYN LLOYD, Tennessee RALPH REGULA, Ohio MARY ROSE OAKAR, Ohio NORMAN D. SHUMWAY, California THOMAS A. LUKEN, Ohio OLYMPIA J. SNOWE, Maine BEVERLY B. BYRON, Maryland THOMAS J. TAUKE, Iowa HENRY A. WAXMAN, California JIM COURTER, New Jersey MIKE SYNAR, Oklahoma CLAUDINE SCHNEIDER, Rhode Island BUTLER DERRICK, South Carolina THOMAS J. RIDGE, Pennsylvania BRUCE F. VENTO, Minnesota CHRISTOPHER H. SMITH, New Jersey BARNEY FRANK, Massachusetts SHERWOOD L. BOEHLERT, New York TOM LANTOS, California JIM SAXTON, New Jersey RON WYDEN, Oregon HELEN DELICH BENTLEY, Maryland GEO. W. CROCKETT, JR., Michigan JIM LIGHTFOOT, Iowa IKE SKELTON, Missouri HARRIS W. FAWELL, Illinois DENNIS M. HERTEL, Michigan JAN MEYERS, Kansas ROBERT A. BORSKI, Pennsylvania BEN BLAZ, Guam BEN ERDREICH, Alabama PAUL B. HENRY, Michigan NORMAN SISISKY, Virginia BILL SCHUETTE, Michigan ROBERT E. WISE, JR., West Virginia FLOYD SPENCE, South Carolina BILL RICHARDSON, New Mexico WILLIAM F. CLINGER, JR., Pennsylvania HAROLD L. VOLKMER, Missouri CONSTANCE A. MORELLA, Maryland BART GORDON, Tennessee PATRICIA F. SAIKI, Hawaii THOMAS J. MANTON, New York JOHN EDWARD PORTER, Illinois JOHN J. DUNCAN, JR., Tennessee RICHARD A. VELOZ, M.P.H., J.D., Staff Director PAUL SCHLEGEL, Minority Staff Director (11) 90-6037 Additional material received for the record: Appendix I. "Emptying the Elderly's Pocketbook-Growing Impact of Rising Health Care Costs," submitted for the record by Chairman Edward Appendix II. Recommendations to the Congress by the Pepper Commission (U.S. Bipartisan Commission on Comprehensive Health Care), submitted for the record by Chairman Edward R. Roybal... Appendix III. Written answers submitted for the record by Louis W. Sulli- van, M.D., Secretary of Health and Human Services in response to writ- ten questions submitted by Chairman Edward R. Roybal and Ralph |