Articles, publications, etc.-Continued "NAT-CENT NEWS," a quarterly review of the National Center for Page 1453 1510 1380 1181 1113 "Prevention of Deafness," by Robert J. Ruben, M.D., professor and 1109 1154 1131 Statutory committee on placement--. 1038 "The Deaf Man and Employment," by Arthur G. Norris, Vitro Laboratories, Silver Spring, Md--- 1352 "The Hearing Family of a Deaf Child," by Dr. Rosslyn Gaines Suchman, Institute of Human Development, University of California, Berkeley, Calif.. 1376 "The Severely Handicapped," prepared by the National Rehabilitation Association, June 1, 1972__ "Underemployment," by Abraham Stahler, Deputy Director, Office of Evaluation, Office of the Associate Manpower Administrator, Manpower Administration, U.S. Department of Labor, Washington, D.C Communications to: Burns, Michael, staff assistant to Senator Alan Cranston, Subcommit- Fellendorf, George W., executive director, Alexander Graham Bell 1603 1343 1388 Roberts, Charles L., executive vice president, International Association of Rehabilitation Facilities, June 23, 1972---Cranston, Hon. Alan, a U.S. Senator from the State of California, from: 1504 Biemiller, Andrew J., director, Department of Legislation, Ameri- 1597 Carney, Edward C., executive director, Council of Organizations 1141 1593 Harmon, John C., Jr., general counsel, Goodwill Industries of 984 Hobbs, Mrs. Patricia, executive director, Hope for Retarded Chil- 1599 1724 1608 1726 Schweikert, Harry A., Jr., acting executive vice president, on be- 1008 Won Pat, Antonio B., representative, Territory of Guam, May 22, 1564 Communications to-Continued Gellman, Mrs. Rhoda, National Easter Seal Society for Crippled Chil- Lawless, George E., professional staff member, Subcommittee on the Magnuson, Hon. Warren G., a U.S. Senator from the State of Washing- McClellan, Hon. John L., a U.S. Senator from the State of Arkansas, from Dale Bumpers, Governor, State of Arkansas, Little Rock, Ark., May 18 and 2, 1972__. Page 896 999 1581 1550, 1551 Randolph, Hon. Jennings, a U.S. Senator from the State of West Vir- Hughes, Hon. Harold E., a U.S. Senator from the State of Iowa, 1571 McClellan, Hon. John L., a U.S. Senator from the State of Ar- 1549 Magnuson, Warren G., a U.S. Senator from the State of Washing- 1580 Ray, David B., Jr., legislative chairman, National Association of 1553 Staats, Hon. Elmer B., Comptroller General of the United States, from 1544 Barnum, John W., General Counsel, Office of the Secretary of 1730 Keller, B. F., Deputy Comptroller General of the United States, May 15, 1972__ 1731 May 25, 1972__. 1728 Maxwell, David O., the General Counsel of Housing and Urban 1731 Pierce, Samuel R., Jr., General Counsel of the Treasury, Washing- 1729 Rommel, Wilfred H., Assistant Director for Legislative Reference, Schubert, Richard F., Solicitor, U.S. Department of Labor, Office 1728 1731 Questions and answers: Questions submitted by Senator Cranston to George W. Fellendorf, executive director, Alexander Graham Bell Association for the Deaf, Inc., Washington, D.C., with responses-- 1388 Questions submitted by the Subcommittee on the Handicapped to Edward C. Carney, executive director of the Council of Organizations Serving the Deaf, with responses-- 1142 Selected charts: Functional survival of related kidney-- Addendum B-Projected figures under Garrahy plan as attested by ease Governors' committees on employment of the handicapped executive secretaries and supporting staff. Table 1.-Instructional emphasis, certificates awarded, and number of full-time deaf students in each of 22 operational programs___ Table 2.-Indication of some of the special services offered deaf students by each of the 22 operational programs__. 1184 1185 Table 15-Appointment of all handicapped persons, by agency, calendar years 1970 and 1971 (excluding all agencies under 2,500) ---- 1044 REHABILITATION ACT OF 1972 FRIDAY, JUNE 2, 1972 U.S. SENATE, SUBCOMMITTEE ON THE HANDICAPPED OF THE COMMITTEE ON LABOR AND PUBLIC WELFARE, Washington, D.C. The subcommittee met, pursuant to recess, at 9:05 a.m., in room 4232, New Senate Office Building, Senator Alan Cranston, presiding pro tempore. Present: Senators Cranston and Stevenson. Committee staff members present: George E. Lawless, professional staff member; Robert R. Humphreys, special counsel; Jonathan R. Steinberg, counsel; and Roy H. Millenson, minority professional staff member. Senator CRANSTON. The hearing will please come to order. This morning we are resuming the hearings on H.R. 8395 and related amendments to the Rehabilitation Act. Our first witness this morning is the Honorable Stewart B. McKinney, Congressman from Connecticut. Congressman, we welcome you. STATEMENT OF HON. STEWART B. MCKINNEY, A REPRESENTATIVE IN CONGRESS FROM THE FOURTH DISTRICT OF THE STATE OF CONNECTICUT Mr. MCKINNEY. Mr. Chairman, I would like to preface my remarks by thanking you and the committee for inviting me to testify. I simply cannot overemphasize from my years of involvement with the handicapped the importance of your task in dealing with the problems of the handicapped and also to express the gratitude of many Americans for the progressive steps which you have taken in the past to alleviate their problems. I am here to discuss H.R. 8395, the Vocational Rehabilitation Act of 1972, and the effects it will have on one specific area of great concern to me, the spinal cord injured. In this legislation, we define the "severely handicapped" as one whose injury is so serious that he can no longer function in his community and that "vocational rehabilitation" will make a "substantial contribution" in restoring the individual's chances for a new life. Like all definitions, there is a very wide area of discretion here regarding who qualifies under this assistance. I find it ironic that the very system which is called upon to make this decision is itself "severely handicapped" that is, unable to function in the behalf of one particular segment of the community, and that if we don't recognize this state of affairs, then all we do here is lost. (881) I think the most blatant example of this "state of affairs" is exhibited in the care and treatment of the spinal-cord injured and the belief by some that we have a comprehensive rehabilitation system for them. In this regard, this Nation, like many of my friends, lies paralyzed, the only difference being that the latter are hidden in private homes and general hospitals. Most spinal-cord injured are energetic and brilliant, but unable to help themselves. And their family and friends ask, Why? With all our riches. And how? What we lack in this Nation, when it comes to the care of the severely handicapped, is the comprehensiveness to which we seem to give such emphasis in our discussions of rehabilitation. How can we pretend to have comprehensive services when in fact all the different agencies who are working with the problem of the spinal-cord injured are holding meetings just to find out what the other is doing? In fact, we are just beginning to communicate. But this does not mean that we are not capable of setting up a coordinated system of spinal-cord centers. It means that this Congress has failed to recognize that the concept of "centers" has been proven in other parts of the world and in some areas of this country. But up to this time, we have spread our riches so thin that we expect one doctor to do the work of a team of specialists, or that a million dollars can care for the handicapped of an entire State. In regard to the problems of the spinal-cord injured, I do not speak as a member of the medical profession or as one who has personally experienced this debilitating injury; but as a legislator who has witnessed the destruction of families, not so much by the actual fact of the injury, but by the incompetence of this Nation to cope with the totality of this injury-its physical, sociological, psychological, and financial hardships. First, let me commend this committee for recognizing this problem and including section 414 in H.R. 8395. I would like to point out the significance of this action and the start realities which face us in this area: We know that the majority of spinal-cord injured are young men who are just beginning to contribute or who have already contributed to the welfare and security of this Nation; We know that some 1,500 boys have already returned from Vietnam with this injury; We know that we don't know how many spinal-cord injured people we have in the United States. Approximations by experts put the figure at between 125,000 and 150,000, with some 4,000 new cases each year. What we must remember here is that 20 years ago, the spinal-cord injured usually died within a short period of time; but today, we are keeping them alive with little hope for the future-in most cases, with 75 percent of normal life expectancy. We know that the chief vehicle of this injury in the United States is the automobile; and yet, we have an almost totally inadequate system of saving these people from an accident, or the automobile itself. |