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LABOR AND PUBLIC WELFARE

UNITED STATES SENATE

NINETY-FIRST CONGRESS

SECOND SESSION

Health.

SEPTEMBER 2, 1970
ST. LOUIS, MO.

SEPTEMBER 4, 1970

KANSAS CITY, MO.

Printed for the use of the Committee on Labor and Public Welfare

52-314 O

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1970

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KF26 L354 1970h

COMMITTEE ON LABOR AND PUBLIC WELFARE

RALPH YARBOROUGH, Texas, Chairman

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Symington, Hon. Stuart, a U.S. Senator from the State of Missouri...

Symington, Hon. James W., a Representative in Congress from the State

of Missouri...

Jackson, Ben F., chairman, Medical Center Committee, St. Louis Univer-

sity Board of Trustees.

Reinert, Rev. Paul C., S.J., president, St. Louis University..

Drummond, Edward J., S.J., vice president, St. Louis University Medical

Center..

Felix, Robert H., M.D., M.P.H., dean, St. Louis University School of

Medicine

Danforth, William H., M.D., vice chancellor for medical affairs, Washing-

ton University; accompanied by Dr. Roy Vagelos, chairman, department

of biochemistry; Dr. Gerald Perkoff, professor of medicine, and director,

division of health care research; and Dr. David A. Bensinger, assistant

dean, Washington University School of Dentistry..

Bensinger, David A., D.D.S., assistant dean, Washington University School

of Dentistry.

Edwards, Joseph C., M.D., president, St. Louis Medical Society.

Fiordelisi, Rocco, M.D., intern, St. Louis University Hospitals..

Whittico, James M., M.D., past president, National Medical Association__

Mosley, Julian, third-year medical student, Washington University.

Scruggs, Karen, second-year medical student, Washington University-

Bond, William, second-year medical student, St. Louis University-

Nichols, Henry, M.D., resident, Washington University Medical Center..

Franzel, G. A., O.D., vice president, Missouri Optometric Association;

accompanied by Gordon G. Heath, O.D., director, Division of Optom-

etry, Indiana University.

Henley, A. J., director, Yeatman Medical Health Center

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Smull Ned W., M.D., director and chairman of pediatrics, Children's Mercy Hospital, on behalf of Herman R. Sutherland, president, central governing board of Children's Mercy Hospital, Kansas City Mo.... Cross, Edward B., M.D., vice provost for the health sciences, University of Missouri-Kansas City; former Assistant Surgeon General of the United States__

Noback, Richardson K., M.D., acting dean, School of Medicine, University of Missouri-Kansas City..

Strickland, William A., Jr., Ph. D., dean, School of Pharmacy, University of Missouri-Kansas City

Wagner, Myron, Ph. D., chairman, Department of Chemistry University of Missouri-Kansas City..

Burgess, Michael M., Ph. D., chairman, Department of Psychology, University of Missouri-Kansas City..

Curry, Hon. Charles E., presiding judge, Jackson County Mo.; accompanied by Albert P. Mauro, director, planning and development, Kansas City General Hospital..

Twin, Edward J., M.D., executive director, Kansas City General Hospital
Bremen, Rudolph S., Ph. D., president, Kansas City College of Osteo-
pathy; and Morris Thompson, D.O., president, Kirksville College of
Osteopathy and Surgery; accompanied by Richard O. Spavins, D.O.,
dean, medical affairs, Kansas City College of Osteopathy and Surgery..
Miller, Gerald L., M.D., president-elect, Missouri State Medical Associa-
tion; Wallace P. McKee, M.D., president, Jackson County (Mo.)
Medical Society; Maxwell G. Berry, chairman of the Board of Gov-
ernors, American College of Physicians, and past president, American
Society of Internal Medicine; and Francis M. Maple, M.D., president,
Missouri Society of Internal Medicine, and chief of staff, St. John's
Hospital, Springfield, Mo..---

McKee, Wallace P., M.D., president, Jackson County (Mo.) Medical
Society

Rodgers, Samuel U., M.D., director, Wayne Miner Neighborhood Health
Center; Mrs. Pauline Smith, president of the Advisory Board, Wayne
Miner Neighborhood Health Center; and James I. Threatt, director,
Model Cities Program, Kansas City, Mo..

Robinson, Hamilton B. G., D.D.S., dean, University of Missouri-Kansas
City School of Dentistry.

Page

239

261

313

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336

337

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346

359

378

381

385

478

Yeckel, George H., president, Kansas City Area Hospital Association and executive director, Menorah Medical Center...

489

Koltai, Leslie, Ph. D., chancellor, District Metropolitan Junior College,
Kansas City, Mo...

Smull, Ned W., M.D., president, Health Resources Institute, Kansas
City, Mo

503

511

Harkins, Joseph F., executive vice president, Health Resources Institute,
Kansas City, Mo..

563

Wilkinson, Charles B., M.D., executive director, Greater Kansas City
Mental Health Foundation.

571

STATEMENTS

Bensinger, David A., D.D.S., assistant dean, Washington University
School of Dentistry.

81

Prepared statement_

86

Berry, Charles E., A.B., M.Sc. H.A., J.D., associate dean, Sshool of Nursing and Allied Health Professions, St. Louis University, St. Louis, Mo.. Prepared statement...

208

211

149

Bond, William, second-year medical student, St. Louis University-
Bremen, Rudolph S., Ph. D., president, Kansas City College of Osteop-
athy; and Morris Thompson, D.O., president, Kirksville College of
Osteopathy and Surgery; accompanied by Richard O. Spavins, D.O.,
dean, medical affairs, Kansas City College of Osteopathy and Surgery –
Prepared statement..

Burgess, Michael M., Ph. D., chairman, Department of Psychology,
University of Missouri-Kansas City....

359

362

337

Cross, Edward B., M.D., vice provost for the health sciences, University of Missouri-Kansas City; former Assistant Surgeon General of the United States.

261

Prepared statement..

300

Duggins, Oliver H., Ph. D., chairman, Life Sciences Division, Forest
Park Community College..

Prepared statement.

Edwards, Joseph C., M.D., president, St. Louis Medical Society.

Prepared statement..

Felix, Robert H., M.D., M.P.H., dean, St. Louis University School of
Medicine.

Curry, Hon. Charles E., presiding judge, Jackson County, Mo.; accompanied by Albert P. Mauro, director, planning and development, Kansas City General Hospital..

Prepared statement__

Danforth, William H., vice chancellor for medical affairs, Washington
University; accompanied by Dr. Roy Vagelos, chairman, Department
of Biochemistry; Dr. Gerald Perkoff, professor of medicine, and director,
Division of Health Care Research; and Dr. David A. Bensinger, assist-
ant dean, Washington University School of Dentistry

Drummond, Edward J., S.J., vice president, St. Louis University Medical
Center

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Prepared statement.

32

Fiordelisi, Rocco, M.D., intern, St. Louis University Hospitals

131

Franzel, G. A., O.D., vice president, Missouri Optometric Association; accompanied by Gordon G. Heath, O.D., director, Division of Optometry, Indiana University..

159

Harkins, Joseph F., executive vice president, Health Resources Institute,
Kansas City, Mo..

563

Prepared statement.

564

Henley, A. J. director, Yeatman Medical Health Center.

164

Prepared statement_

169

Jackson, Ben F., chairman, Medical Center Committee, St. Louis University Board of Trustees

12

Prepared statement....

16

Koltai, Leslie, Ph.D., chancellor, District Metropolitan Junior College,
Kansas City, Mo..

503

Prepared statement_

506

381

McKee, Wallace P., M.D., president, Jackson County (Mo.) Medical
Society.

Miller, Gerald L., M.D., president-elect, Missouri State Medical Asso-
ciation; Wallace P. McKee, M.D., president, Jackson County (Mo.)
Medical Society: Maxwell G. Berry, chairman of the Board of Gover-
nors, American College of Physicians, and past president, American
Society of Internal Medicine; and Francis M. Maple, M.D., president,
Missouri Society of Internal Medicine, and Chief of Staff, St. John's
Hospital, Springfield, Mo..

Prepared statement, with attachment_

Mosley, Julian, third-year medical student, Washington University.
Nichols, Henry, M.D., resident, Washington University Medical Center
Noback, Richardson K., M.D., acting dean, School of Medicine, Uni-
versity of Missouri-Kansas City.

Prepared statement..

Noth, Sister Mary Stephen, S.S.M., School of Nursing and Allied Health
Professions, St. Louis University; William Stoneman, M.D., program
coordinator, bistate regional medical program; Charles E. Berry, A.B.,
M.Sc.H.A., J.D., associate dean, School of Nursing and Allied Health
Professions, St. Louis University; Oliver H. Duggins, Ph.D., chairman,
Life Sciences Division, Forest Park Community College.
Noth, Sister Mary Stephen, prepared statement.

Pagano, Sam, D.D.S., president, Greater St. Louis Dental Society, and
Dr. Russell Buchert, D.D.S., president, Missouri Dental Association...
Pepper, Max, M.D., Department of Community Medicine, St. Louis
University.

Prepared statement_

Perkoff, Dr. Gerald, professor of medicine and director, Division of Health
Care Research, Washington University School of Medicine, prepared

statement

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313

322

182

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179

225

758

71

Randall, Hon. William, a Representative in Congress from the State of
Missouri..

231

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