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NATIONAL CANCER ACT OF 1974

HEARING

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON

LABOR AND PUBLIC WELFARE

UNITED STATES SENATE

NINETY-THIRD CONGRESS

SECOND SESSION

ON

S. 2893

TO AMEND THE PUBLIC HEALTH SERVICE ACT TO IMPROVE
THE NATIONAL CANCER PROGRAM AND TO AUTHORIZE
APPROPRIATIONS FOR SUCH PROGRAM FOR THE NEXT
THREE FISCAL YEARS

JANUARY 30, 1974

Printed for the use of the Committee on Labor and Public Welfare

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COMMITTEE ON LABOR AND PUBLIC WELFARE

HARRISON A. WILLIAMS, JR., New Jersey, Chairman

JENNINGS RANDOLPH, West Virginia
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
WALTER F. MONDALE, Minnesota
THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
HAROLD E. HUGHES, Iowa
WILLIAM D. HATHAWAY, Maine

JACOB K. JAVITS, New York
PETER H. DOMINICK, Colorado
RICHARD S. SCHWEIKER, Pennsylvania
ROBERT TAFT, JR., Ohio

J. GLENN BEALL, JR., Maryland
ROBERT T. STAFFORD, Vermont

MARIO T. Noro, Staff Director

ROBERT E. NAGLE, General Counsel

ROY H. MILLENSON, Minority Staff Director
EUGENE MITTELMAN, Minority Counsel

SUBCOMMITTEE ON HEALTH

EDWARD M. KENNEDY, Massachusetts, Chairman

HARRISON A. WILLIAMS, JR., New Jersey RICHARD S. SCHWEIKER, Pennsylvania GAYLORD NELSON, Wisconsin

THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
HAROLD E. HUGHES, Iowa
CLAIBORNE PELL, Rhode Island
WALTER F. MONDALE, Minnesota
WILLIAM D. HATHAWAY, Maine

JACOB K. JAVITS, New York
PETER H. DOMINICK, Colorado
J. GLENN BEALL, JR., Maryland
ROBERT TAFT, JR., Ohio

ROBERT T. STAFFORD, Vermont

LEROY G. GOLDMAN, Professional Staff Member
JAY B. CUTLER, Minority Counsel

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Frei, Dr. Emil, III, director, Children's Cancer Research Foundation, Bos-
ton, Mass.; accompanied by Dr. John Durant, director, Comprehensive
Cancer Center, University of Alabama, Birmingham, Ala., and Dr. Jesse
L. Steinfeld, chairman, Department of Oncology, Mayo Clinic, Rochester,
Minn

Letton, A. Hamblin, M.D., chairman, Legislative Committee, and past

president, American Cancer Society-.

Schmidt, Benno, Chairman, President's Cancer Panel; accompanied by
Dr. Ray D. Owens, Department of Biology, California Institute of Tech-
nology, Pasadena, Calif., and Dr. R. Lee Clark, University of Texas
System Cancer Center, Texas Medical Center---
Sullivan, Richard J., and Grace A. Monaco, representing the Candle-
lighters

Prepared statement..

Weinberger, Hon. Caspar W., Secretary of Health, Education, and Wel-
fare; accompanied by Stephen Kurzman, Assistant Secretary for Legis-
lation, DHEW; Charles C. Edwards, M.D., Assistant Secretary for
Health, DHEW; Robert S. Stone, M.D., Director, National Institutes of
Health, DHEW; and Frank J. Rauscher, Ph. D., Director, National Can-
cer Institute, National Institutes of Health, DHEW---

Prepared Statement----

202

175

189

193

13

43

Articles, publications, etc.:

Page.

American Cancer Society/National Cancer Institute, Breast Cancer
Demonstration Projects__

235

Cancer Plan Accused of Stifling Creativity, by Stuart Auerbach, from
the Washington Post, April 17, 1973--

275

255

Cancer: Select Committee Calls Virus Program a Closed Shop, by
Barbara J. Culliton, from Science Magazine, December 14, 1973.
Cancer War's Separate Status a Mistake, Dr. Edwards Says, by Stuart
Auerbach, from the Washington Post, November 21, 1973--
Federal Assault on Cancer, from the Congressional Record-Senate,
April 18, 1973___

254

267

Lines of Cancer Research, from the Medical World News, July 12,
1974

282

National Cancer Plan: The Wheel and the Issues Go Round, by Bar-
bara J. Culliton, from the Science Magazine, March 30, 1973---
Nobel Winner Calls Nixon's Medical Research Policy "Lunacy," by
Richard Knoz, from the Boston Globe, March 7, 1973__.
On the Question of Autonomy for NIH, from the Washington Post,
January 24, 1974.

277

276

254

Special Virus Cancer Program: Travails of a Biological Moonshoot,
from Science Magazine, December 24, 1971__.

258

War on Cancer: Trouble in the Ranks, by Jay A. Winsten, from the
Wall Street Journal, July 23, 1973_.

26

When Worlds Collide: Research and Know-Nothingism, by J. D. Watson, from the New York Times, March 22, 1973--Communications to:

Kennedy, Hon. Edward M., a U.S. Senator from the State of Massachu-
setts, from:

Howard, Ernest B., M.D., executive vice president, American
Medical Association, February 5, 1974_.

Nelson, Hon. Gaylord, a U.S. Senator from the State of Wisconsin,
September 30, 1974---

Weinberger, Caspar W., Secretary, Health, Education, and Wel-
fare (with enclosure).

Nelson, Hon. Gaylord, a U.S. Senator from the State of Wisconsin,
from:

Shimkin, Michael B., M.D., president, University of California,
San Diego School of Medicine, La Jolla, Calif., April 24, 1973
(with attachment) --.

Weinberger, Hon. Caspar, Secretary, Department of Health, Edu-
Ication, and Welfare (with enclosures).

Nixon, Richard, President of the United States--

Rauscher, Frank J., Jr., Ph. D., Director, National Cancer Program,
National Cancer Institute, from Harold L. Stewart, M.D., chairman,
Ad Hoc Committee on Testing for Environmental Chemical Carcin-
ogens, August 31, 1973 (with enclosures) ____.

Weinberger, Hon. Caspar W., Secretary, Department of Health, Edu-
cation and Welfare, from:

Kennedy, Hon. Edward M., a U.S. Senator from the State of
Massachusetts, February 6, 1974.

Nelson, Hon. Gaylord, a U.S. Senator from the State of Wisconsin,
February 4, 1974__.

S. Rept. 93–736.

H. Rept. 93–954__.

APPENDIX

H. Rept. 93-1164 (Conference Report)

Public Law 93-352, approved July 23, 1974

Organizational Chart of the National Cancer Institute-Foldin which appears inside back cover.

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