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under 19 years of age. Ninety-eight percent (98.0%) of the total migrant population did not receive any dental care.
One-hundred seven (107) migrants were in-hospital patients at a cost of $22,611.13, and only $13,200.00 was allocated by the migrant hospital health grant. Even though part of the costs were paid for by County Welfare and Title XIX programs, there was still $12,150.54 of outstanding hospital bills. The in-hospital portion of the Migrant Health Grants is inadequate as it only pays 58 percent of what balance is remaining after other state and local funds are exhausted.
For a complete picture of the utilization of the health services by the migrants offered by the five health projects, see Attachments #1, #11, and #111.
NUMBER AND PERCENT OF MIGRANTS RECEIVING HEALTH SERVICES, WISCONSIN
1 84 percent of those receiving dental care were children ages 2 to 19.
Note.—23,229 migrants did not receive any medical services-94 percent of population; 24,396 migrants did not receive any dental services—98 percent of population.
UTILIZATION OF IN-HOSPITAL AND PHYSICIAN IN-HOSPITAL CARE, WISCONSIN
Senator Williams. Thank you very much, gentlemen.
Subsequent to the conclusion of the hearings, the following letter was received from Dr. Radebaugh:
THE UNIVERSITY OF ROCHESTER
AND STRONG MEMORIAL HOSPITAL,
Rochester, N.Y., January 25, 1968. SENATE SUBCOMMITTEE ON MIGRATORY LABOR, New Senate Office Building, Washington, D.C.
GENTLEMEN: My testimony to the Senate Subcommittee on Migratory Labor on December 7, 1967 has aroused considerable controversy in Wayne County. The Curtice-Burns Company and the Wayne County physicians are justifiably upset.
In reference to the testimony concerning J. C. Gonzales, this was obtained shortly after forty men had left the Curtice-Burns Company in Bergen, N.Y. in Genesee County. This man, as the others, was upset and presented this check as evidence. Further information from the Curtice-Burns Company indicates that this man may have received another check for the same period. I understand that the Senate Subcommittee on Migratory Labor is in communication with the Curtice-Burns Company to clarify this matter.
In reference to the patient, Mr. John Cowart, who had difficulty in obtaining medical care in Wayne County, there is a need for me to correct some of my statements. Mr. Reginald Carter, who works for Basic Education for Adult Migrants, BEAM, was called to try to help Mr. Cowart obtain medical care. Mr. Carter informed me that he transported Mr. Cowart to three hospital emergency rooms, before he was able to find help. Two of these hospital emergency rooms have no record of seeing Mr. Cowart; the third referred him to the office of Drs. Reed and Davis. Dr. Davis, in Newark, New York, did, according to Mr. Carter, see Mr. Cowart, a fact unknown to me at the time of testimony. On the following day, Dr. Davis called the Veteran's Administration Hospital in Syracuse, New York to arrange for Mr. Cowart's admission.
Mr. Carter has been called upon to transport a number of seasonal workers for medical care; this patient is an example of some of the difficulties. However, it in no way absolves me from trying to obtain all of the facts before using material to illustrate a need.
I met with a number of Wayne County physicians and Dr. Davis, and was made aware of other details in relation to Mr. Čowart. I apologized to Dr. Davis for not realizing his interest and efforts on behalf of this patient.
This testimony to the Senate Subcommittee on Migratory Labor was used to illustrate a need for further medical efforts on behalf of the seasonal farm worker. It is not an attempt to reflect upon any one physician or group of physicians; for all of us as a profession, have a responsibility. Whether we are in a medical school setting or a practicing physician who extends major efforts in trying to provide care for the seasonal worker, we need to cooperate in making medical care more accessible to the seasonal worker. To accomplish this end more support is clearly needed to solve the serious problems presented to all responsible for health care. Sincerely yours,
John RADEBAUGH, M.D. (Whereupon, at 1:24 p.m., the subcommittee adjourned subject to the call of the Chair.)
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