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DECEMBER 7, 1967
Dr. John Venable, president, Association of State and Territorial Health

Officers, Georgia; Dr. James Peavy, president-elect, Association of
State and Territorial Officers; Dr. Wilson Sowder, State health officer of
Florida; Dr. Lester Breslow, State health officer of California; and

Dr. Roscoe Kandle, State health officer of New Jersey -
Dr. John Radebaugh, assistant professor, School of Medicine, University

of Rochester, New York; also director of migrant health programs,

Monroe County, New York State..
Helen Johnson, Chief, Migrant Health Branch, Public Health Service,

HEW.

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DECEMBER 13, 1967
Dr. William H. Stewart, Surgeon General, Public Health Service, Wash-

ington, D.C.----
Dr. C. L. Brumback, project director, Palm Beach County, Health De-

partment, West Palm Beach, Fla., and Leonard E. White, vice president,

Flavor Pict Co-op, Inc., Delray Beach, Fla --
Dr. Jose L. Gonzales, director, Laredo-Webb County Health Department,

Dr. Virgil Gianelli, Stockton, Calif., and Dr. Robert P. Locey, St.

Joseph, Mich...
Leonard 'White, vice president, Flavor Pict Co-op, Inc., Delray Beach,

Fla.

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STATEMENTS
Breslow, Dr. Lester, State health officer of California-
Brumback, C. L., project director, Palm Beach County Health Depart-

ment, West Palm Beach, Fla.; and Leonard E. White, vice president,
Flavor Pict Co-op, Inc., Delray Beach, Fla.----

Prepared statement..
Gonzales, Dr. Jose L., director, Laredo-Webb County Health Depart-

ment, Dr. Virgil Gianelli, Stockton, Calif., and Dr. Robert P. Locey,

St. Joseph, Mich.
Johnston, Helen, Chief, Migrant Health Branch, Public Health Service,

Department of Health, Education, and Welfare
Kandle, Dr. Roscoe, State health officer of New Jersey -
Logsdon, Dr. Donald M...
Peavy, Dr. James, president-elect, Association of State and Territorial

Officers, Texas.
Pratt, David N., medical social worker, migrant health services, Cumber-

land County, N.J., prepared statement..
Radebaugh, Dr. John, assistant professor, School of Medicine, University

of Rochester, New York; also director of migrant health program,

Monroe County, New York State -
Sowder, Dr. Wilson, state health officer of Florida -
Stewart, Dr. William H., Surgeon General, Public Health Service, Wash-

ington, D.C.
Venable, Dr. John, president, Association of State and Territorial Health

Officers, Georgia; Dr. James Peavy, president-elect, Association of
State and Territorial Officers; Dr. Wilson Sowder, State health officer
of Florida; Dr. Lester Breslow, State health officer of California; and
Dr. Roscoe Kandle, State health officer of New Jersey.

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White, Leonard, vice president, Flavor Pict Co-op., Inc., Delray Beach, Page Fla...

65 Prepared statement.

73 ADDITIONAL INFORMATION Appendix A-Provision of comprehensive health services for migrant agricultural workers and families in San Joaquin County --

78 Articles entitled:

"By Ambulance, If Necessary-Migrant Camp Bill Given a Chance," by Earl Josephson.--

12 “Hughes' Pet' Project- Assembly OK's Migrant Labor Reform Bill'.

13 “Migrant Health Care,' from the Courier-News, Plainfield, of December 29, 1967

148 “Western Conference on Future Directions and Decisions in Medical

Care," by Dr. John Morzumi, president, San Joaquin County
Medical Society

83 “Who Should Pay?".

12 Letters from:

Blackwell, Frederick R., counsel, to R. A. Myers, personnel director,
Curtice-Burns, Inc., dated December 21, 1967-..

36 Breslow, Lester, M.D., director, California Department of Public

Health, Berkeley, to Senator Williams, dated December 14, 1967.. 25
Myers, R. A., personnel director, Curtice-Burns, Inc., Rochester,
N.Y., to Senator Williams, dated December 7, 1967-

35 Radebaugh, John, M.D., to: Fred Blackwell, counsel, dated December 14, 1967..

36 Florida State Department of Health, Migrant Health Division, Jacksonville, Fla., dated September 14, 1967-

40 Senate Subcommittee on Migratory Labor, Washington, D. C., dated January 25, 1968.

173 Letters from (by States): Arizona:

Spendlove, George, M.D., commissioner, Arizona State Depart-
ment of Health, Phoenix..

122 Schoen, R. F., M.D., Casa Grande Clinic, Casa Grande

124 California: Skillicom, Stanley A., M.D., San Jose.-

124 Colorado:

Cleere, R. L., M.D., director, Department of Public Health,
Denver

126 Talbott, Mrs. H. A., secretary-treasurer, Talbott Farms, Inc., Palisade..

126 Talbott, Mrs. H. A., chairman, Migrant Ilealth Committee, Mesa County Migrant Council, Inc.

127 Florida:

Crane, David L., M.D., director, Sarasota County Health
Department

127 Wineberg, Ted, Delray Beach.

128 Ferline, Pat F., Fancee Farms, Sarasota

129 Illinois: Yoder, Franklin D., M.D., director, Department of Public Health, Springfield..-

129 Iowa:

Manton, Mrs. Thomas B., migrant program coordinator, Musca-
line Migrant Committee..

131
McNally, James M., executive director, Iowa Catholic Con-
ference, Des Moines..

131 Kansas:

Dierker, Hugh, M.D., director, State department of health,
Topeka.

132
Schloesser, Patricia T., M.D., director, division of maternal
and child health, Topeka..

131 Woodin, Dorothy, director, public health nursing, TopekaKentucky: Teague, Russell E., M.D., department of health, Frankfort.

133 Louisiana: Hedmeg, Andrew, M.D., department of health, New

Orleans..
Maryland: Peeples, William J., M.D., commissioner, Department of
Health, Baltimore..

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Letters from (by States) —Continued

Michigan: Řice, R. Gerald, M.D., acting director, department of

public health, Lansing--
Minnesota: Barr, Robert N., M.D., secretary, department of health,

Minneapolis..
Missouri: Garrett, Michael D., State director, Missouri Associated

Migrant Opportunity Services, Inc., Jefferson City--
New Jersey:

Doherty, William P., director, migrant health project, Cumber

land County Department of Health, Bridgeton.-
Linka, Claire M., Swell..
Sherman, Walter R., executive secretary, Family Counseling

Service in Middlesex County, Highland Park..
Darrah, Winona E., executive director, Monmouth County Orga-

nization for Social Service, Red Bank..
Zwemer, Susanna P., president, Consumers League of New Jersey,

Montclair.
New York: Votypha, Bernard M., president, Steuben Area Potato

Growers Cooperative, Wayland..
North Carolina:

Koomen, Jacob, M.D., State health director, Raleigh.
Burson, Claire H., project director, Migrant Family Health

Service, Hendersonville..
Ohio:

Arnold, E. W., M.D., director of health.--
Marsh, Robert D., Governor's Committee on Migrant Labor,

Cygnet.-
Oklahoma: Colyar, A. B., M.D., commissioner of health, department

of health, Oklahoma City
Oregon: Press, Edward, M.D., State health officer, Portland, Oreg.-
Pennsylvania: Georges, Thomas W., Jr., M.D., secretary of health,

Harrisburg -
Utah: Thompson, G. D. Carlyle, director, division of health, Salt

Lake City -
Washington: Bucove, Bernard, M.D., director, department of

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health, Olympia

Wisconsin: Jonris, E. H., M.D., State health officer, Madison -States in which migrant health projects have agreements with hospitals.

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MIGRANT HEALTH SERVICES

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THURSDAY, DECEMBER 7, 1967

U.S. SENATE,
SUBCOMMITTEE ON MIGRATORY LABOR OF THE
LABOR AND PUBLIC WELFARE COMMITTEE,

Washington, D.C. The subcommittee met at 10 a.m., pursuant to call, in room 4232, New Senate Office Building, Senator Harrison A. Williams, Jr. (chairman of the subcommittee), presiding.

Present: Senator Williams.

Also present: Frederick R. Blackwell, counsel; and Boren Chertkov, associate counsel.

Senator WILLIAMS. We will convene this hearing of the Subcommittee on Migratory Labor of the Labor and Public Welfare Committee.

I know that we are the beneficiary of the fact that many of our witnesses today were gathered in Washington for other purposes and made themselves available for our hearings today. We certainly appreciate it.

Existing authority for the migrant health program expires June 30, 1968. Some $9 million is authorized for the program for this fiscal year, but only about $7.2 million was appropriated.

The proposed legislation would authorize $13 million for fiscal 1969, $15 million for fiscal 1970, $20 million for fiscal 1971, and such amounts as may be necessary for fiscal 1972 and 1973.

The migrant health program was enacted into law in 1962 and by the end of the first year of operation we had 31 projects serving migrants in 114 counties in 20 States. The program has been steadily expanded since then and we now have 115 projects serving migrant farmworkers in 300 counties in 36 States and Puerto Rico.

Yet the need far outdistances the available services.

We are operating this year with $7.2 million. We could use almost double that amount of money simply to do a more effective job in the existing projects. In addition, we have many applications for new projects which the Public Health Service has been forced to turn down because of lack of funds.

The migrant health program provides the kind of health care which most families have long regarded as routine care. That is, prenatal and postnatal care, obstetrics service, immunizations, examinations, and treatment for ordinary ailments.

But it does this with a difference. The migrant health program, operating through the various State health departments, goes out into the migrant labor camps and, indeed, into the field sometimes, to find its patients and bring the care to them.

Before this program was launched, there simply was no medical care available for migrant farmworkers, except for grave emergencies and frequently not even then.

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