SUBCOMMITTEE ON DEPARTMENTS OF LABOR AND HEALTH, EDUCATION, AND WELFARE AND RELATED AGENCIES APPROPRIATIONS WILLIAM P. McCAHILL, EXECUTIVE SECRETARY OF THE PRESIDENT'S COMMITTEE ON EMPLOYMENT OF THE HANDICAPPED PRESIDENT'S COMMITTEE ON EMPLOYMENT OF THE HANDICAPPED Mr. FOGARTY. The subcommittee will come to order. We have two supplemental requests this morning, one from the Department of Labor and one from the Public Health Service. We will start first with the Department of Labor and the estimate of $60,000 for the President's Committee on the Employment of the Handicapped. The estimate is contained in House Document 338. GENERAL STATEMENT Do you have a statement, Mr. McCahill? Mr. McCAHILL. I have a brief statement, which I will file for the record. I believe it is self-explanatory. (The statement follows:) Mr. Chairman, members of the Appropriations Subcommittee, for the past 2 fiscal years the President's Committee has been handicapped by its previous ceiling of $300,000. With passage of Public Law 88-321, 88th Congress, Senate Joint Resolution 103, and its signature by the President this summer, our ceiling was raised to $400,000. The funds requested, $60,000 above those submitted to the Congress previously, will enable the Committee to move forward in increasing job opportunities for the mentally retarded and the mentally restored. No further increases are contemplated for fiscal year 1966. The increase will enable the Committee to stimulate additional employment opportunities for both the mentally retarded and the mentally restored; for increasing the size, quality, and circulation of our monthly magazine, Performance; for budgeting for the first time the cost of exhibits and exhibiting at major national and regional meetings; for increased travel to State and local committees under a new program which will deemphasize regional meetings in favor of State help and for a modest staff increase with which to handle the tremendous overload which has been forced upon us due to recently adopted promotional programs and those being planned in the field of jobs for handicapped teachers and more opportunities for the handicapped in an agricultural environment, not to mention the greatly expanded activities of the Women's Committee. Mr. McCAHILL. You may recall, the last time the general sent up a statement, he indicated the importance of this program, and the need for finding more job opportunities for the retarded and restored. This is an endeavor to go forward with that request under the new legislation, which permits us to ask for more money. Mr. FOGERTY. There is $309,300 in the Labor-HEW bill as it passed the House, and this supplemental request is for an additional $60,000. The increase of $60,000 is primarily to encourage employment of the mentally retarded and mentally restored. Just what do you plan to do to encourage this? PROPOSED UTILIZATION OF FUNDS Mr. McCAHILL. We plan to make additional travel in the States. We expect to do a great deal more printing than we presently are able to do, and we expect to expand our monthly magazine to an additional four pages and more copies and the extra page value and the extra copies will go in these areas we haven't been able to touch before, and we will have a few extra people. Mr. FOGARTY. To secure employment of the mentally retarded is not an easy task. Mr. McCAHILL. No, sir; but it has to be faced. Mr. FOGARTY. Do you differentiate between educable and the trainable individuals? Mr. McCAHILL. We take the group between 50 and 75 percent who can be trained and who can be employed, and we emphasize that group, which by far is the larger group of the retarded. Mr. FOGARTY. Have you done any work in this field so far? Mr. McCAHILL. In promotional effort? Yes, sir. In fact, we have just about the only promotional material that is available. One is the "Job Guide to the Retarded," which is going into an extra printing, and two little fliers which I believe we gave to the committee the last time we were up here. One, "So You're Going To Hire the Mentally Retarded," and another one, "So You're Going To Hire the Mentally Restored." We have another document which has been prepared and is just about ready for the printer. The second section is aimed at employers and the first section will be aimed at professionals in the field. We have been told this is an excellent document, and we think it will be very helpful. T SUCCESS IN EMPLOYMENT OF MENTALLY RETARDED INDIVIDUALS Mr. FOGARTY. What success have you had in placing these people?: Mr. McCAHILL. Sir, as you know, we do no placing or training. We do the drumbeating and promotional efforts. The President's program, which the Civil Service Commission is working on, in cooperation with VRA and HEW, has placed more than 130 in Government employment in the last 3 months. The great value of this is that we are trying to show the way, and we hope we will have a very splendid pilot program to which we can point with pride, for industry and business. Mr. FOGARTY. What is the Women's Committee, whose activities, as indicated on page 6, has greatly expanded? Mr. McCAHILL. The Women's Committee is a group of presidents of the major women's organizations, which General Maas formed, as one of his last acts while chairman, and during the last year or so, it has been extremely active. Mrs. Willard Wirtz has taken over the chairmanship of our Committee on Arts and Crafts. We have had an exhibit in the Labor Department lobby for the past 3 months of arts and crafts by the handicapped, a great many of those done by the retarded, incidentally, and many by people in psychiatric hospitals, which has caused a great deal of favorable comment. We are hoping to have this as a permanent exhibit, possibly, at the World's Fair, next year. We are working with the Women's Committee on a film to publicize the training of arts and crafts, and Mrs. Johnson has accepted the honorary chairmanship of the Arts and Crafts Committee. Mrs. Goldberg is working with us on this, since she is interested in this sort of thing. ESTIMATE FOR EXHIBIT PROGRAM We sometimes have a hard time keeping up with our volunteers. Mr. FOGARTY. You are asking for $8,000 for the previously unbudgeted exhibit program. How was it previously funded and why do you need to shift it to appropriated funds, now? Mr. McCAHILL. It was previously financed by pretty much robbing Peter to pay Paul, taking money out of printing funds and other funds which we had which could be transferred. The exhibits program has burgeoned into a rather professional and sophisticated program. We have gotten away from the early days of just setting up a table exhibit, and in the kind of places we are asked to exhibit, we have to have professional exhibits, and it was felt this was the time to make it a permanent part of our program. That is why it is listed this way, sir. Mr. FOGARTY. Mr. Laird. Mr. LAIRD. I have no questions, Mr. Chairman. USE OF INCREASED FUNDS Mr. MICHEL. I notice that the increase, the bulk of it, will be for travel, printing, and a few extra people. Now, I appreciate that your responsibility is principally one of "drumbeating," but we have to sell this program to our colleagues. They look at those three items and they say, "Well, this is just going through so many motions." What can we really point to? More training, more travel, and more magazines. Are they ever read, or are we just going through the motions? What do we tell these people, that the real work of implementing the program comes at the State level and down? Mr. McCAHILL. Yes, sir, and all of this material and all of our services concern the Governors' committees in the 50 States, plus the possessions. Everything we are getting here will be used at the State and local level. In fact this extra travel is for the specific purpose of trying to be more helpful to those State committees which need help. Mr. MICHEL. Could you enumerate those States in which progress hasn't been as good as it ought to be? Mr. McCAHILL. I don't think that would be so judicious. I would prefer to comment on the ones who have done a splendid job, like Mr. Laird's State of Wisconsin and your State of Illinois, and Mr. Fogarty's State of Rhode Island. Mr. MICHEL. Is the gentleman suggesting that we ought to have more representation from the different States on this committee? Mr. McCAHILL. No, sir. It just happens those three are good. The Pennsylvania section, and California are good too. There are many places where there is an exchange, a change in personalities-this is a voluntary program, and sometimes you don't always get the best volunteer. We try to keep our comments of an individual's nature to ourselves, sir. Mr. FOGARTY. Is there anything else you want to say, Mr. McCahill? Mr. McCAHILL. No, sir, except I know if General Maas were here he would second my request. Mr. FOGARTY. Thank you, very much. Mr. McCAHILL. Thank you, Mr. Chairman. FRIDAY, AUGUST 14, 1964. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE PUBLIC HEALTH SERVICE CHRONIC DISEASES AND HEALTH OF THE AGED WITNESSES DR. JAMES M. HUNDLEY, ASSISTANT SURGEON GENERAL FOR OPERATIONS DR. WILFRED D. DAVID, ACTING CHIEF, DIVISION OF CHRONIC DISEASES DR. PAUL Q. PETERSON, ASSOCIATE CHIEF FOR OPERATIONS FOR COMMUNITY HEALTH PROGRAMS DR. DANIEL HORN, ASSISTANT CHIEF, CANCER CONTROL BRANCH, DIVISION OF CHRONIC DISEASES HANNAH E. HOFF, ACTING FINANCIAL MANAGEMENT OFFICER FOR COMMUNITY HEALTH PROGRAMS HARRY L. DORAN, CHIEF FINANCE OFFICER MARY BLAKE, ASSISTANT TO THE CHIEF OF THE CHILDREN'S BUREAU JAMES F. KELLY, DEPARTMENT BUDGET OFFICER NATIONAL CLEARINGHOUSE FOR SMOKING AND HEALTH Mr. FOGARTY. The first item we shall hear for the Department of Health, Education, and Welfare is for $1,920,000 for chronic diseases and health of the aged (H. Doc. 338). Dr. Hundley, you may proceed. Dr. HUNDLEY. I would like to speak informally, Mr. Chairman, and submit a formal statement, later. It is my pleasure, Mr. Chairman, to serve as Vice Chairman of the Surgeon General's Advisory Committee on Smoking and Health, in addition to my official capacity as Assistant Surgeon General for Operations. Consequently, it is a double pleasure to represent the Surgeon General before this committee. We are requesting the resources that will be necessary to carry out the main findings and recommendations of the Advisory Committee in mounting a national program on the smoking and health problem. FINDINGS OF THE ADVISORY COMMITTEE ON SMOKING AND HEALTH I am sure the committee will recall that last January 11, the Advisory Committee made its report. The essence of the report can be summarized most simply in quoting the principal finding of the Committee that "Cigarette smoking is a health hazard of sufficient importance in the United States to warrant appropriate remedial action." Mr. Chairman, that is a strong and clear statement. It emerged after nearly a year and a half of deliberation by 10 of the Nation's top scientists who considered all available evidence, published and unpublished, from this country and from abroad. Their conclusions, and more specific findings, have been widely accepted by the health fraternity in this country, by the health and medical professions, by |