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HEALTH, EDUCATION, AND WELFARE ACCOMPLISHMENTS 1963-1968,
PROBLEMS AND CHALLENGES, AND A LOOK TO THE FUTURE

by

Wilbur J. Cohen
Secretary of Health, Education, and Welfare

This report outlines some of the recent major accomplishments in health, education, and welfare; reviews some of the major challenges facing the Nation in these areas; and discusses some of the opportunities the future holds.

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The Department of Health, Education, and Welfare was created in 1953. Its major predecessor agencies were established many years ago: the Public Health Service in 1789; the Office of Education, 1867; the Food and Drug Administration, 1906; the Children's Bureau, 1912; Vocational Rehabilitation, 1920; the Social Security Board, 1935; and the Federal Security Agency in 1939.

The Department's responsibilities for the well-being of Americans have expanded greatly during its fifteen year history, especially in recent years. When it was established in 1953, for example, the Department administered fewer than 70 programs. By 1960 the number reached 100; by 1963 it was about 130. Today the Department administers over 250 programs.

Expenditures by the Department show similar growth. For the fiscal years 1953, 1960, 1963 and 1968, annual expenditures were $4.6 billion, $14.3 billion, $20.3 billion and $40.8 billion respectively. Perhaps more significantly, the expenditures have also grown as a percent of the Gross National Product. In 1968, expenditures by the Department of Health, Education, and Welfare represent 4.8 percent of the GNP, compared to 3.4 percent in 1963, 2.8 percent in 1960, and 1.5 percent in 1953.

These figures tell part of the story of the growing investments America is making in the health, education and well-being of its citizens. They reflect the desire of the American people for sustained attacks on the problems described in this report.

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