COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE HARLEY O. STAGGERS, West Virginia, Chairman TORBERT H. MACDONALD, Massachusetts JOHN JARMAN, Oklahoma LIONEL VAN DEERLIN, California FRED B. ROONEY, Pennsylvania DAVID E. SATTERFIELD III, Virginia W. S. (BILL) STUCKEY, JR., Georgia JOHN BRECKINRIDGE, Kentucky SAMUEL L. DEVINE, Ohio JOHN WARE, Pennsylvania JOHN Y. MCCOLLISTER, Nebraska BARRY M. GOLDWATER, JR., California H. JOHN HEINZ III, Pennsylvania SUBCOMMITTEE ON PUBLIC HEALTH AND ENVIRONMENT PAUL G. ROGERS, Florida, Chairman DAVID E. SATTERFIELD III, Virginia 1 Mr. Harvey resigned January 31, 1974. ANCHER NELSEN, Minnesota February 1, 1974 (St. Louis, Mo.). Andrus, Len Hughes, M.D., professor and chairman, Department of 134, 167 Becker, Dr. Martin M., past president, Missouri Podiatry Association 475, 492 523, 538 Bradley, Dr. Robert, president, St. Louis City Medical Society. Brechler, Frederick C., representing Dr. Joseph R. Hartley, chancellor, Brian, Dr. Earl W., secretary, Health and Welfare Agency, State of 233, 304 Cassell, Eric, M.D., clinical professor of public health, Cornell Uni- 11, 77 Commoner, Barry, Ph.D., director, Center for the Biology of Natural 11, 66 Davis, Karen, Ph.D., research associate, the Brookings Institution... 203 233 Feldstein, Martin, Ph.D., associate professor, Department of Eco- nomics, Harvard University-- Franzel, Dr. Gerald A., president, Missouri Optometric Association 475, 480 Gabrielson, Rosamond, president, American Nurses' Association__ Gee, Dr. David A., administrator, Jewish Hospital of St. Louis....... Glasser, Melvin A., director, Social Security Department, Interna- tional Union, United Automobile, Aerospace & Agricultural Imple- Hagen, Dr. Joseph, president, Greater St. Louis Dental Society - 425, 428 Haughton, James G., M.D., executive director, Health and Hospitals 389, 401 134, 159 475, 477 Statement of-Continued Henley, A. J., project director, Yeatman Neighborhood Health Page Center Hepner, Dr. Jim, director of Washington University Health Care 389, 399 389, 393 Hogeman, George A., president, Paul Revere Life Insurance Co., Jones, Wellington, executive vice president, Blue Cross-Blue Shield of 233, 314 523, 533 Jorgensen, G. Jerome, vice president, Kansas Hospital Association. 523, 536 Kersting, Vincent H., secretary, Local No. 6310, Communications Workers of America.... 475 Klarman, Herbert E., Ph. D., professor of economics, New York 203, 220 Klippel, Dr. Allen, assistant professor of surgery, Washington University.. 389 Komanetsky, Dr. William M., Council of Medical Staffs.. 425, 432 McDonald, Mrs. Charlotte, executive director, Missouri Nurses 425, 431 551 McGee, Ralph, executive secretary-treasurer, Kansas State Federa- 564, 566 Miller, C. Arden, M.D., professor, Maternal and Child Health, 134 456, 470 Miller, Jefferson L., St. Louis, Mo.. 233, 308 Oliver, John, director, Employee Relations Department, E. I. du Pont Parker, Robert, executive director, Alliance for Regional Community 334 408, 419 Patterson, Jacqueline J., assistant director of health and social welfare, 456 456, 460 Perrin, Edward B., Ph. D., director, National Center for Health Sta- 334 334, 357 456, 471 Rocklage, Sister Mary Roch, president, St. John's Mercy Medical 564 456, 466 Ross, Richard M., chairman of the board, Medserco, Inc... 408, 411 408, 414 Rule, Joseph, community affairs consultant, E. I. du Pont de Nemours & Co., Wilmington, Del. 334, 367 Saunders, Paul N., project director, Joint Community Health Services, Inc... 475, 489 Silver, George A., M.D., professor of public health, Yale University 134, 140 Sommer, Bruce T., New Democratic Coalition of Metropolitan St. Louis 408, 416 Stalnaker, Armand C., president, General American Life Insurance 498 Stoneman, Dr. William, associate dean, St. Louis University Medical Taylor, Dr. Thomas, president, Kansas Medical Society... 456, 463 523, 541 Statement of-Continued Tikwart, Al W., Jr., Shawnee Mission, Kans... Page 551, 559 389, 397 User, Dr. J. Richardson, governmental activities committee, United 498, 501 Visotsky, Harold M., M.D., professor and chairman, department of White, Kerr L., M.D., professor of medical care and hospitals, Johns Additional material submitted for the record by American Federation of Physicians and Dentists, letter dated Feb- American Nurses' Association, attachment to Ms. Gabrielson's Anderson, Ronald, Ph. D., professor, Center for Health Administra- statement: Table 1.-Percent distribution of families in the United States by Table 3.-Aggregate family outlay for medical care as a percent of 11, 50 11 517 532 350 350 351 352 Table 5.-Poverty level of families with large outlays for medical 352 Table 6.-Race of families with large outlays for medical care: 353 Table 7.-Employment status of families with large outlays for 353 Table 8.-Age of oldest person in families with large outlays for 354 Table 9.-Residence of families with large outlays for medical 354 Definition of terms. 355 Brian, Dr. Earl W., secretary, Health and Welfare Agency, State of Cassell, Eric, M.D., clinical professor of public health, Cornell Uni- "Doctor Surplus' Leads Edwards to Predict Cut in U.S. Fund- 330 80 443 448 "Much is Taken ***," by Emily Winter from the Reporter, 446 "Review and Outlook-No Time for Patients?," article from the 447 "Snoopers Can See Your Medical Record," editorial from the St. 445 Summary of PSRO (fact sheet) – 444 "The Mood in Congress," address by Congressman David Satter- 435 Additional material submitted for the record by-Continued Davis, Karen, Ph. D., research associate, the Brookings Institution, Page tables contained in Ms. Davis' prepared statement: Table 1.-Medicare reimbursement per enrollee for selected Table 2.-Hospital costs and three-party payments, 1950-72, Table 3.-Cost per day per patient in short-term community Denenberg, Herbert S., commissioner, Insurance Department, Com- "Our Health Delivery System: Dr. Strangelove Meets Alice-in- E. I. du Pont de Nemours & Co., letter dated January 4, 1974, from Figure 2.-Male life expectancy at birth_ Figure 4.-The gaps in private health insurance coverage.. Table 1.-Percent of persons with private health insurance Table 3.-Percent of persons under 65 years of age with private 208 210 211 211 243 260 385 9 10 10 11 342 342 343 Table 4.-Percent of persons 17-64 years of age in the labor force 343 Table 5.-Percent of persons under 65 years of age with private 344 Table 6B.-Distribution of hospital discharges for which at least part of the bill was paid by private hospital insurance by proportion paid by private insurance, for persons under 65 years of age according to selected characteristics: United States, 1972 Table 7.-Number and percent distribution of persons under 65 years with no health insurance by reason for having no coverage, according to family income and age: United States, 1968Paul Revere Life Insurance Co., George A. Hogeman, president, letter dated January 8, 1974, from Mr. Hogeman to Chairman Rogers re answers to written questions submitted by the chairman___ Kansas Catholic Conference, Vincent DeCoursey, executive director, letter dated January 31, 1974, to Congressman Roy----Logan College of Chiropractic, William N. Coggins, statement... Missouri Optometric Association, position paper on health manpower funding, American Optometric Association-October 1973.. Missouri Podiatry Association, proposals for national health insurance status of podiatrists' services-a summary 344 345 345 325 578 514 485 497 National Association of Retail Druggists, William E. Woods, Washington representative and associate general counsel, statement____ 579 |