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CONTENTS

ADMINISTRATION WITNESS
Califano, Hon. Joseph A., Jr., Secretary, Department of Health, Education, Page
and Welfare_.

78

213
372

132

293

432

PUBLIC WITNESSES
AFL-CIO, Bert Seidman, director, social security department, accompanied

by Robert McGlotten, legislative department, and Richard Shoemaker,

social security department -
Ament, Richard, M.D., president, American Society of Anesthesiologists--
American Association for Comprehensive Health Planning, Anthony Mott,

chairman, legislative committee--

American Association of Neurological Surgeons, Donald H. Stewart, Jr.,

M.D

American Association of Nurse Anesthetists, Ruth E. Ecklund, president,

accompanied by Ronald F. Caulk, president-elect; J. Martin Stone, execu-

tive director; and Kenneth Williamson, Washington consultant.-

American Association of Retired Persons, James M. Hacking, assistant leg-

islative counsel.

American College of Nuclear Physicians, Richard C. Reba, M.D., presi-

dent, accompanied by John Dring and Kenneth L. Nicolas, executive

staff

American College of Radiology, Harold N. Schwinger, M.D., chairman,

board of chancellors, accompanied by Frederic D. Lake, M.D., president;

J. T. Rutherford, legislative counsel; and Otha W. Linton, director,

governmental affairs..

American Health Care Association, Bruce D. Thevenot, administrator, gov-

ernment services division.

American Hospital Association, John Alexander McMahon, president, ac-

companied by Alan Manzano, vice president and Leo J. Gehrig, M.D.,

senior vice president----

American Medical Association, Raymond T. Holden, M.D., chairman, board

of trustees, accompanied by Edgar T. Beddingfield, Jr., M.D., chairman,

council on legislation..

American Protestant Hospital Association, Charles D. Phillips, Ed. D.,

president

American Psychiatric Association, Dave M. Davis, M.D., immediate past

president, Georgia Psychiatric Association, director of psychiatric serv-
ices, Peachtree-Parkwood Mental Health Center and Hospitals, Atlanta,

Ga

American Society of Anesthesiologists, Richard Ament, M.D., president--

Asmus, Harry, president, National Council of Health Care Services, accom-

panied by Jack MacDonald, executive vice president-

Association of American Medical Colleges, John A. D. Cooper, M.D., presi-

dent, accompanied by David D. Thompson, M.D., director, New York Hos-
pital, and chairman, Council of Teaching Hospitals, and James D. Bent-

ley, Ph. D., assistant director, Department of Teaching Hospitals------

Association of American Physicians and Surgeons, Thomas G. Dorrity,

M.D., director, accompanied by Maurice A. Kramer, assistant executive

director, Washington office_-

Association of State and Territorial Health Officials, Dr. Robert P.
Whalen

(UI)

228

409

372

156

126
Page 252

170

341 293

156

264

409

Blue Cross Association, Neil Hollander, vice president for health care serv

ices
Bromberg, Michael D., director, national offices, Federation of American

Hospitals, accompanied by Robert J. Samsel, president-
College of American Pathologists, Tyra Hutchens, M.D., president-elect and

chairman, Department of Clinical Pathology, University of Oregon Medi-
cal School, accompanied by Dr. Jerald R. Schenken, Nebraska Methodist

Hospital
Congress of Neurological Surgeons, Donald H. Stewart, Jr., M.D.
Cooper, John A. D., M.D., president, Association of American Medical Col-

leges, accompanied by David D. Thompson, M.D., director, New York Hos-
pital, and chairman, Council of Teaching Hospitals and James D. Bent-

ley, Ph. D., Assistant Director, Department of Teaching Hospitals--Davis, A. B., Jr., executive vice president and chairman, Board of Directors,

Kansas Hospital Association, accompanied by Frank L. Gentry, execu

tive director, Kansas Hospital Association---Davis, Dave M., M.D., immediate past president, Georgia Psychiatric Asso

ciation, director of Psychiatric Services, Peachtree-Parkwood Mental Health Center and Hospitals, Atlanta, Ga., on behalf of the American Psychiatric Association and the National Association of Private Psychi

atric Hospitals.Dorrity, Thomas G., M.D., director, Association of American Physicians and

Surgeons, accompanied by Maurice A. Kramer, assistant executive director, Washington office_Ecklund, Ruth E., president, American Association of Nurse Anesthetists,

accompanied by Ronald F. Caulk, president-elect; J. Martin Stone, execu

tive director; and Kenneth Williamson, Washington consultant_. Federation of American Hospitals, Michael D. Bromberg, director, Na

tional Offices, accompanied by Robert J. Samsel, president.. Filer, John H., chairman and chief executive officer, Aetna Life and Cas

ualty, on behalf of the Insurance Association of Connecticut, accom-
panied by Burton E. Burton, senior vice president, group division,

Aetna
Finger Lakes Health Systems Agency, Anthony Mott, executive director--
Greene, Tom E., III, vice president, Paine, Webber, Jackson & Curtis, Inc.,

on behalf of Hospital Financing Study Group--
Hacking, James M., assistant legislative counsel, National Retired Teach-

ers Association and American Association of Retired Persons.-Hansen, Jacqueline, board chairman, Health Systems Agency, Kansas

City
Health Insurance Association of America, Morton D. Miller, vice chairman,

Equitable Life Assurance Society of the United States, accompanied by
William O. White, Jr., vice president, Prudential Insurance Co. of

America
Health Systems Agency, Kansas City, Jacqueline Hansen, board chair-

403

358

170

398 132

289

432

132

280

man

132

228

252

115

Holden, Raymond T., M.D., chairman, Board of Trustees, American Medi

cal Association, accompanied by Edgar T. Beddingfield, Jr., M.D., chair

man, council on legislation -
Hollander, Neil, vice president for Health Care Services, the Blue Cross

Association
Hollister, Hon. David, on behalf of the National Conference of State

Legislatures
Horty, John F., president, National Council of Community Hospitals, ac-

companied by John Huff, counsel_
Hospital Financing Study Group, Tom E. Greene III, vice president, Paine,

Webber, Jackson & Curtis---
Hutchens, Tyra, M.D., president-elect, College of American Pathologists

and chairman, Department of Clinical Pathology, University of Oregon
Medical School, accompanied by Dr. Jerald R. Schenken, Nebraska
Methodist Hospital---

186

289

341

Insurance Association of Connecticut, John H. Filer, chairman and chief

executive officer, Aetna Life and Casualty, accompanied by Burton E. Page Burton, senior vice president, group division, Aetna-

398 Kansas Hospital Association, A. B. Davis, Jr., executive vice president and

chairman, board of directors, accompanied by Frank L. Gentry, executive director.--.

264 Levetan, Liane, commissioner, De Kalb County, Ga., and member, Health

and Education Policy Steering Committee of the National Association of Counties, accompanied by Mike Gennell, legislative representative---- 307 McMahon, John Alexander, president, American Hospital Association, ac

companied by Alan Manzano, vice president and Leo J. Gehrig, M.D., senior vice president--

139 Miller, Morton D., vice chairman, Equitable Life Assurance Society of the

United States, accompanied by William C. White, Jr., vice president,
Prudential Insurance Co. of America, on behalf of Health Insurance
Association of America ---

280 Moran, M. Gail, staff director, Committee on Human Resources, National Governors' Conference --

317 Mott, Anthony, executive director, Finger Lakes Health Systems Agency,

and chairman, Legislative Committee, American Association for Comprehensive Health Planning

132 Murphy, Richard E., legislative director, Service Employees International

Union, accompanied by Stanley Wisniewski, research director, Service
Employees International Union ---

272 National Association of Counties, Liane Levetan, commissioner, De Kalb

County, Ga., and member, Health and Education Policy Steering Committee, accompanied by Mike Gennell, legislative representative

307 National Association of Private Psychiatric Hospitals, Dave M. Davis,

M.D., immediate past president, Georgia Psychiatric Association, director of psychiatric services, Peachtree-Parkwood Mental Center and Hospitals, Atlanta, Ga----

409 National Conference of State Legislatures, Hon. David Hollister..

115 National Council of Community Hospitals, John F. Horty, president, accompanied by John Huff, counsel..

186 National Council of Health Care Services, Harry Asmus, president, accompanied by Jack MacDonald, executive vice president--

205 National Governors Conference, M. Gail Moran, staff director, committee on human resources..

317 National Retired Teachers Association, James M. Hacking, assistant legislative counsel

432 Phillips, Charles D., Ed.D., president, American Protestant Hospital Association

197 Reba, Richard C., M.D., president, American College of Nuclear Physi

cians, accompanied by John Dring; and Kenneth L. Nicolas, executive staff

401 Schwinger, Harold N., M.D., chairman, Board of Chancellors, American

College of Radiology, accompanied by Fredric D. Lake, M.D., president; J. T. Rutherford, legislative counsel ; and Otha W. Linton, director, governmental relations

332 Seidman, Bert, director, Social Security Department, AFL-CIO, accom

panied by Robert McGlotten, Legislative Department, and Richard Shoemaker, Social Security Department--

213 Service Employees International Union, Richard E. Murphy, legislative

director; accompanied by Stanley Wisniewski, research director.--- 272 Stewart, Donald H., M.D., American Association of Neurological Surgeons- 293 Thevenot, Bruce D., administrator, Government Services Division, American Health Care Association --

200 Whalen, Dr. Robert P., on behalf of the Association of State and Territorial Health Officials

126

COMMUNICATIONS
American Association of Homes for the Aging, David C. Crowley, executive

vice president
American College of Emergency Physicians-
American Dental Association..

452 463 465

Page 470 473

473 476 478

484 485 494 496 499 501 503 504 508 510 512 519 528 533

452
496
478

470
452
473

American Institute of Certified Public Accountants :

Roscoe L. Egger, Jr., chairman, Federal Government Executive Com

mittee;

William Freitag, chairman, health care matters.
American Lung Association, William F. Roberts, acting managing director.
American Osteopathic College of Pathologists, Inc., Allan R. Fox, presi-

dent
American Osteopathic College of Radiology, Mart Landis, president--
American Osteopathic Hospital Association, Michael F. Doody, president--
American Physical Therapy Association, Robert A. Teckemeyer, associate

executive director professional relations.
American Society for Medical Technology --
American Society of Clinical Pathologists.
American Society of Internal Medicine, William P. Daines, M.D.
American Society of Oral Surgeons..
American Speech and Hearing Association.-
Association of Pathology Chairmen, Inc.---
Blue Shield Association -
California Medical Association.-
Catholic Hospital Association.
Caylor-Nickel Hospital, Inc., Charles H. Caylor, M.D., president.
Center on Social Welfare Policy and Law--
Chamber of Commerce of the United States, Jan Peter Ozga--
Committee for a Federal Health Bank..
Crowley, David, executive vice president of the Association of Homes for

the Aging-
Daines, William P., M.D., American Society of Internal Medicine_
Doody, Michael F., president, American Osteopathic Hospital Association.-
Egger, Roscoe L., Jr., chairman, Federal Government executive committee,

American Institute of Certified Public Accountants_.
Federal Trade Commission, Michael Pertschuk, chairman..
Fox, Allan R., president, American Osteopathic College of Pathologists---
Freitag, William, chairman, health care matters, American Institute of

Certified Public Accounts.
Gaspar, Haro'd E., M.D., P.A...
Goldbeck, Willis B., director, Washington Business Group on Health -
Hale, Randolph M., vice president and manager, Industrial Relations De

partment, National Association of Manufacturers--
Hawaii Medical Service Association, Albert H. Yuen, executive vice presi-

dent
Health System Agency of Southwestern Pennsylvania, Matthew Marshall,

Jr., M.D., secretary, board of directors -
Homemakers Home and Health Care Services, Ronald E. Rosenberg, vice

president of planning and development.-
Hospital Association of New York State---
Hospital Financial Management Association.
Landis, Martin S., president, American Osteopathic College of Radiology--
Marshall, Matthew J., M.D., secretary, board of directors, Health System

Agency of Southwestern Pennsylvania---
Massachusetts Eye and Ear Infirmary, Charles T. Wood, director -
National Association of Children's Hospitals and Related Institutions,

Robert H. Sweeney, executive director -
National Association of Manufacturers, Industrial Relations Department,

Randolph M. Hale, vice president and manager..
Nightletter for American Medicine, Robert L. Weinmann, M.D., editor and

publisher
Ozga, Jan Peter, Chamber of Commerce of the United States----
Personnel Pool of America, Inc., John B. Smith, legal and legislative coun-

sel, Medical Personnel Pool Division..
Public Citizen's Health Research Group--
Roberts, William F., acting managing director, American Lung Association.
Rosenberg, Ronald E., vice president of planning and development, Home-

makers Home and Health Care Services.-
Schwartz, Ronald D.--
Scott, Michael, of Cox, Langford & Brown, counsel to ASA.

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Servicemaster Industries, Inc., Kenneth T. Wessner, president and chief Page executive officer

580 Smith, John B., legal and legislative counsel, Medical Personnel Pool Division, Personnel Pool of America, Inc-

567 Sweeney, Robert H., executive director, National Association of Children's Hospitals and Related Institutions -

570 Teckemeyer, Robert A., associate executive director, professional relations, American Physical Therapy Association.

484 Washington Business Group on Health, Willis B. Goldbeck, director.

583 Weinmann, Robert L., editor and publisher, Nightletter for American Medicine

574 Wessner, Kenneth T., president and chief executive officer, Servicemaster Industries, Inc.

580 Wood, Charles T., director, Massachusetts Eye and Ear Infirmary.

563 Yuen, Albert H., executive vice president, Hawaii Medical Service Association

546

APPENDIXES

449

Appendix A-Communications received by the committee expressing an in

terest in these hearings-----
Appendix B-Health Care Expenditures and Their Control, the Health

Staff, Education and Public Welfare Division, Congressional Research
Service, Library of Congress.--

588

ADDITIONAL INFORMATION
Committee press release announcing these hearings-
Text of the bill, S. 1470----

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