4.AG 4:1 34/9/pt.1

COSTS AND DELIVERY OF HEALTH
SERVICES TO OLDER AMERICANS

(Additional hearings anticipated but not scheduled at the time of this printing.)

CONTENTS

Opening statement by the chairman..

CHRONOLOGICAL LIST OF WITNESSES

JUNE 22, 1967

Williams, Harrison A., Jr., chairman, Special Committee on Aging-

David, Alvin M., Assistant Commissioner for Program Evaluation and

Planning, Social Security Administration; Carruth J. Wagner, Assistant

Surgeon General; and George A. Silver, M.D., Deputy Assistant Sec-

retary for Health and Scientific Affairs; accompanied by Jeffrey H.

Weiss, operations research analyst, Office of the Assistant Secretary for

Program Coordination, and John Grupenhof, Legislative unit, Office

of the Secretary--.

Nolen, Dr. William A., Litchfield, Minn..

Edelman, John W., president, and William R. Hutton, executive director,

National Council of Senior Citizens; and Frank Wallick, legislative

staff of the International Union, United Automobile, Aerospace & Agri-

cultural Implement Workers of America, UAW..

JUNE 23, 1967

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51

James, George, M.D., dean, Mount Sinai School of Medicine, New York

City, and Milton I. Roemer, M.D., professor, School of Public Health,

University of California, Los Angeles----

71

Cervantes, Rev. Lucius F., S. J., Ph. D., professor of sociology, St. Louis

(Mo.) University, and assistant to the mayor of St. Louis..

Guiney, Mary K., project director and planning consultant on aging to
United Community Services of Metropolitan Detroit__.

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136

STATEMENTS

Alex, Morris, M.D., medical director, home care program, St. Louis, Mo---

Coe, Rodney M., Ph. D., Washington University, St. Louis..

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65

Davis, Mary E., M.S.W., director of social services for the Catholic Hos-

pital Association___

131

Domke, Herbert R., M.D., director, Department of Health and Hospitals,

St. Louis, Mo____

130

Friedman, Bernard, medical director and superintendent, Robert Koch
Hospital, Koch, Mo‒‒‒‒

126

Johnson, Elmer M., associate director of the Metropolitan St. Louis Hos-

pital Planning Commission, Inc.

125

McNerney, Walter J., president, Blue Cross Association____

104

Ohlendorf, Howard C., chairman, Planning Committee on Aging, Health

and Welfare Council of Metropolitan St. Louis...

133

Vincent, Sister Mary C.C.V.I., the Cardinal Ritter Institute, St. Louis, Mo.
White, Kerr L., M.D., professor of medical care and hospitals, the Johns
Hopkins University.

132

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64

Williams, Cary M., Suncoast Progress, Inc., St. Petersburg, Fla

COMMUNICATIONS

Cervantes, A. J., mayor, St. Louis, Mo.: Letter to Hon. George A. Smathers,
chairman, Subcommittee on Health of the Elderly, dated June 13, 1967__
Danforth, William H., vice chancellor for medical affairs, Washington Uni-
versity, St. Louis, Mo.: Letter to Alfonso J. Cervantes, mayor..

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132

III

Kern, Father Clement, Most Holy Trinity Rectory, Detroit, Mich. : Letter
to Hon. George A. Smathers, chairman, Subcommittee on Health of the
Elderly, dated June 17, 1967.

Slattery, Rev. Robert P., director, the Cardinal Ritter Institute, St. Louis,
Mo.: Letter to Alfonso J. Cervantes, mayor__
Zibit, Samuel, executive director, Jewish Center for Aged, St. Louis, Mo.:
Letter to Mayor Alfonso J. Cervantes__

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Articles:

ADDITIONAL INFORMATION

"Are Doctors Profiteering on Medicare?"-by William A. Nolen, M.D_

Cases from the files of UAW medicare counselling centers___.

"Doctors Urged To Combat Government Planning-New A.M.A. Head

Asks Steps To Fulfill Local Needs Convention Exhorted To Bar

"Threat' of Centralization," by Donald Janson, from the New York
Times, June 21, 1967__

Excerpts from evaluation report of the well-being project for the
aging of the United Community Services of Metropolitan Detroit, by
the National Council on the Aging-

"Patients Wait for Hours for Hospital Treatment," by Jim Floyd,

Globe-Democrat, June 20, 1967.

"The Rising Cost of Medical Care," by Marquis Childs, from the Wash-
ington Post, June 23, 1967.

"U.S. Health Care Termed Chaotic-Doctor Warns the House of Mono-

lithic Service Peril," by Harold M. Schmeck, Jr., from the New York

Times, June 23, 1967.

APPENDIXES

Appendix 1-Additional material from witnesses:

Item 1. Information from representatives of Department of Health,

Education, and Welfare___..

Item 2. Exhibits related to Mr. William R. Hutton's testimony.

Item 3. Reports submitted by Dr. Rodney M. Coe--‒‒‒

Item 4. Material supplied by Dr. Milton I. Roemer..

Item 5. Material supplied by Dr. George James..

Appendix 2-Letters and statements from individuals and organizations:

Bachrach, Samuel, M.D., Age Center of Worcester (Mass.) Area, Inc-

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225

232

236

251

269

Barker, C. T., Dover General Hospital, Inc.---.

Birren, James E., University of Southern California.

Larson, William R., Ph. D., University of Southern California.

Densen, Paul M., Health Services Administration, New York, N.Y.

Furstenburg, Frank F., M.D., Sinai Hospital of Baltimore, Inc_.

Goldman, Ralph, M.D., University of California, Los Angeles__.

Harris, Raymond, M.D., Center for the Study of Aging, Albany, N.Y__

Hudson, Milton W., Morgan Guaranty Trust Co. of New York..

Koretz, Sidney.

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278

281

282

283

288

Mosher, David R., Florida Nursing Home Association.

291

Muller, Charlotte, Ph. D., Public Health Association of New York City-

Mushkin, Dr. Selma J., the George Washington University.

Plaza, Rhoda W., the Providence District Nursing Association_

Koch, Russell, American Optometric Association...

Haney, Richard L., Colorado Optometric Association__.

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294

295

298

White House Conference Report on the Senior Citizen and Optometry-

Steinberg, Franz U., M.D., Jewish Hospital of St. Louis, Mo___.

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309

Yerby, Alonzo S., M.D., Harvard University School of Public Health__
Williamson, Kenneth, American Hospital Association__
Stromberg, Warren, Anchor Bay Beacon, New Baltimore, Mich.

Appendix 3-A report to the President on Medical Prices by the Depart-

ment of Health, Education, and Welfare, dated February 1967-

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