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4. AG 414 34/9/pt./

COSTS AND DELIVERY OF HEALTH
SERVICES TO OLDER AMERICANS

1009

SPECIAL COMMITTEE ON AGING

HARRISON A. WILLIAMS, JR., New Jersey, Chairman GEORGE A. SMATHERS, Florida

EVERETT MCKINLEY DIRKSEN, Illinois WAYNE MOKSE, Oregon

FRANK CARLSON, Kansas ALAN BIBLE, Nevada

WINSTON L. PROUTY, Vermont FRANK CHURCH, Idaho

HIRAM L. FONG, Hawaii JENNINGS RANDOLPH, West Virginia JACK MILLER, Iowa EDMUND S. MUSKIE, Maine

THRUSTON B. MORTON, Kentucky
EDWARD V. LONG, Missouri

CLIFFORD P. HANSEN, Wyoming
FRANK E. MOSS, Utah
EDWARD M. KENNEDY, Massachusetts
RALPH YARBOROUGH, Texas
STEPHEN M. YOUNG, Ohio
WALTER F. MONDALE, Minnesota

WILLIAM E. ORIOL, Staji Director
JOHN GUY MILLER, Minority Staff Director

SUBCOMMITTEE ON HEALTH OF THE ELDERLY

GEORGE A. SMATHERS, Florida, Chairman WAYNE MORSE, Oregon

EVERETT MCKINLEY DIRKSEN, Illinois EDMUND S. MUSKIE, Maine

FRANK CARUSON, Kansas EDWARD V. LONG, Missouri

HIRAM L. FONG, Hawaii
FRANK E. MOSS, Utah

THRUSTON B. MORTON, Kentucky
RALPH YARBOROUGH, Texas
HARRISON A. WILLIAMS, JR., New Jersey
EDWARD M. KENNEDY, Massachusetts
WALTER F. MONDALE, Minnesota

Part 1 - Washington, D.C.
Part 2-New York, N.Y.
(Additional hearings anticipated but not scheduled at the time of this printing.)

II

CONTENTS

Page

1

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---

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---

136

126

133

132

99

64

110

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---

Kern, Father Clement, Most Holy Trinity Rectory, Detroit, Mich.: Letter

to Hon. George A. Smathers, chairman, Subcommittee on Health of the Page
Elderly, dated June 17, 1967 -

158
Slattery, Rev. Robert P., director, the Cardinal Ritter Institute, St. Louis,
Mo.: Letter to Alfonso J. Cervantes, mayor---

135
Zibit, Samuel, executive director, Jewish Center for Aged, St. Louis, Mo.:
Letter to Mayor Alfonso J. Cervantes.-

134

ADDITIONAL INFORMATION

Articles:

“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-

114

83

98

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-

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--

Mosher, David R., Florida Nursing Home Association ---

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..

White House Conference Report on the Senior Citizen and Optometry-

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

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

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

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