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Powers, Dr. Lee, associate director, Association of American Medical

Colleges

Pratt, Charles Orlando, general counsel, National Health Federation.
Rubin, Dr. Abe, executive secretary and editor of the journal, Ameri-
can Podiatry Association.

236

349

Terry, Dr. Luther L., Surgeon General, Public Health Service, Depart-
ment of Health, Education, and Welfare____
Thompson, Julia C., Washington representative, American Nurses'
Association, Inc.

37,76

345

155

253

Medical education loan guarantee program, progress report
through December 31, 1962.

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Geographic distribution of osteopathic students, 1962, table_____
Letters from-

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Number of full- and part-time specialists, by type of specialty,
1962, table.-

217

Number of physicians (M.D. and D.O.) and physician-population
ratios, 1931-62, table-

216

Summary of application, admission, and enrollment data for each
of the 5 schools of osteopathy for the 6-year period, 1957-58
to 1962-63, table...

218

Additional information submitted for the record by-Continued
American Osteopathic Association-Continued

Type of practice of physicians (M.D. and D.O.), 1962, table..
Type of specialty of physicians (M.D. and D.O.), 1962, table.......
Where osteopathic first-year students received undergraduate
training, fall 1962, table..

Andelman, Dr. Samuel L., letter from

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216

217

211

373

Berson, Dr. Robert C., letter from, transmitting additional statement
of Association of American Medical Colleges.
Bucher, Dr. Robert M., letter from..

339

363

California Department of Public Health, letter from Dr. Malcolm H.
Merrill, director..

378

California State Board of Public Health, letter from Dr. Charles E.
Smith, president...

379

Carr, Dr. W. Kelley, letter from, transmitting summary of recent
dental manpower history of the United States

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Illinois Department of Mental Health, telegram from Dr. Francis J.
Gerty, director..

364

International Chiropractors Association, telegram from Dr. John Q.
Thaxton, president-

364

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Michigan State Nurses Association, letter from Susan M. Bruno,
assistant executive secretary...

365

Mississippi State Medical Association, letter from Dr. C. P. Crenshaw,
president_

374

Mullane, Mary K., letter from__.

372

National Chiropractic Association, statement of Dr. Emmett J.
Murphy, director of industrial relations____.

National Farmers Union:

366

National Tuberculosis Association, letter from Dr. James E. Perkins,
managing director...

384

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Payne, Anthony M. M., telegram from..

372

Pharmaceutical Manufacturers Association, letter from Dr. Austin
Smith_.

377

Student American Medical Association, letter from James A. Brooks,
national president....

362

Trussell, Dr. Ray E., telegram from...

372

U.S. Conference of City Health Officers, letter from Dr. Eugene A.
Gillis__

385

Washington State Nurses Association, telegram from Helen Hanson,
president__

370

Woodhall, Dr. Barnes, letters from..

Yager, Dr. J. Allen, letter from_.

367, 368

378

Young, Dr. M. M., letter from_.

372

The committee met, pursuant to notice, at 10 a.m., in room 1334,

New House Office Building, Hon. Oren Harris (chairman) presiding.

The CHAIRMAN. The committee will come to order.

Today the committee begins hearings on H.R. 12, a bill to increase
the training opportunities for physicians, dentists, and other profes-
sional health personnel. This bill, which I introduced at the outset
of this session of Congress, is identical to H.R. 4999, which was re-
ported by this committee last year, after extensive hearings and
several days in executive session, except, of course, for the deletion of a
provision relating to a 3-year extension of grants for the construction
of health research facilities.

It will be recalled that that program was enacted during the last

Congress.

Identical bills have been introduced by our colleague from Cali-

fornia, a member of this committee, Mr. Moss, H.R. 2527; the gentle-
man from Pennsylvania, Mr. Fulton, H.R. 3182. In addition, bills
on the same subject were introduced by our colleague from Florida,
Mr. Bennett, H.R. 180; our colleague from Rhode Island, Mr. Fogarty,
H.R. 3180. The latter bill limits its aid to construction of medical,
dental, and public health teaching facilities only.

I think all of us realize that the bills under consideration provide
Federal aid for the construction of teaching facilities for medical,
dental, public health, and other professional health personnel. Ex-
cept for H.R. 3180, they also provide for liberal loans, with some for-
giveness features, to students pursuing a full-time course of study in
a school of medicine, osteopathy, or dentistry. This was by committee
amendment in the last Congress.

Our committee has jurisdiction over public health matters, and we

are concerned in the case of this legislation with the problem of meet-

ing a severe shortage of health personnel. This is, therefore, clearly

a problem which the country should meet. If our Nation is to benefit

fully from its medical research programs and maintain present levels

of physicians and dentists in proportion to the population, action must

be taken now to provide facilities for the training of such additional

health personnel.

The President in his state of the Union message to Congress alluded

to this problem in stating that over the next 10 years we must increase

the capacity of our medical schools by 50 percent and our dental schools

by 100 percent, if we want to keep the present ratio of doctors and

1

dentists from declining. It seems to me that we are now at the cross-
roads in dealing with the health needs of generations of Americans to
come. The record which this committee made during the last Con-
gress is very clear on this point. I am hopeful that the record which
we shall make during these hearings will further strengthen the record
that was made during that time.

Now, in these hearings we are dealing with the question of what the
Federal role shall be with regard to health manpower. In future hear-
ings which we have already planned or are scheduling, this committee
will attempt to take an inventory of the multiplicity of Federal pro-
grams dealing with health matters because we want to make certain
that these programs are reasonably consistent and balanced to meet
the health needs of the people of the Nation.

At this point, H.R. 12 and the other bills to be considered, which I
have just mentioned, will be included in the record, together with
departmental reports.

H.R. 12, H.R. 180, H.R. 3180, H.R. 3182, and H.R. 2527, and the
reports thereon, follow :)

[H.R. 12, 88th Cong., 1st sess.]

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