HEARINGS BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON LABOR AND PUBLIC WELFARE UNITED STATES SENATE NINETY-FIRST CONGRESS SECOND SESSION SEPTEMBER 2, 1970 SEPTEMBER 4, 1970 KANSAS CITY, MO. Printed for the use of the Committee on Labor and Public Welfare 52-314 O U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1970 CHRONOLOGICAL LIST OF WITNESSES ymington, Hon. Stuart, a U.S. Senator from the State of Missouri__ ymington, Hon. James W., a Representative in Congress from the State ackson, Ben F., chairman, Medical Center Committee, St. Louis Univer- Reinert, Rev. Paul C., S.J., president, St. Louis University. Drummond, Edward J., S.J., vice president, St. Louis University Medical Felix, Robert H., M.D., M.P.H., dean, St. Louis University School of Danforth, William H., M.D., vice chancellor for medical affairs, Washing- ton University; accompanied by Dr. Roy Vagelos, chairman, department of biochemistry; Dr. Gerald Perkoff, professor of medicine, and director, division of health care research; and Dr. David A. Bensinger, assistant dean, Washington University School of Dentistry- Bensinger, David A., D.D.S., assistant dean, Washington University School Edwards, Joseph C., M.D., president, St. Louis Medical Society.. Fiordelisi, Rocco, M.D., intern, St. Louis University Hospitals. Whittico, James M., M.D., past president, National Medical Association__ Mosley, Julian, third-year medical student, Washington University- Scruggs, Karen, second-year medical student, Washington University. Bond, William, second-year medical student, St. Louis University Nichols, Henry, M.D., resident, Washington University Medical Center. Franzel, G. A., O.D., vice president, Missouri Optometric Association; accompanied by Gordon G. Heath, O.D., director, Division of Optom- Henley, A. J., director, Yeatman Medical Health Center Pagano, Sam, D.D.S., president, Greater St. Louis Dental Society, and Dr. Russell Buchert, D.D.S., president, Missouri Dental Association. North, Sister Mary Stephen, S.S.M., School of Nursing and Allied Health Professions, St. Louis University; William Stoneman, M.D., program coordinator bistate regional medical program; Charles E. Berry, A.B., M.Sc.H.A., J.D., associate dean, School of Nursing and Allied Health Professions, St. Louis University; Oliver H. Duggins, Ph. D., chairman, Berry, Charles E., A.B., M.Sc., H.A., J.D., associate dean, School of Nursing and Allied Health Professions, St. Louis University- Duggins, Oliver H., Ph. D., chairman, Life Sciences Division, Forest Park Smull Ned W., M.D., director and chairman of pediatrics, Children's Mercy Hospital, on behalf of Herman R. Sutherland, president, central governing board of Children's Mercy Hospital, Kansas City Mo.... Cross, Edward B., M.D., vice provost for the health sciences, University of Missouri-Kansas City; former Assistant Surgeon General of the United States__ Noback, Richardson K., M.D., acting dean, School of Medicine, University of Missouri-Kansas City Strickland, William A., Jr., Ph. D., dean, School of Pharmacy, University of Missouri-Kansas City. Wagner, Myron, Ph. D., chairman, Department of Chemistry University of Missouri-Kansas City Burgess, Michael M., Ph. D., chairman, Department of Psychology, University of Missouri-Kansas City. Curry, Hon. Charles E., presiding judge, Jackson County Mo.; accom- Twin, Edward J., M.D., executive director, Kansas City General Hospital_ pathy; and Morris Thompson, D.O., president, Kirksville College of Osteopathy and Surgery; accompanied by Richard O. Spavins, Ď.O., dean, medical affairs, Kansas City College of Osteopathy and Surgery -Miller, Gerald L., M.D., president-elect, Missouri State Medical Association; Wallace P. McKee, M.D., president, Jackson County (Mo.) Medical Society; Maxwell G. Berry, chairman of the Board of Governors, American College of Physicians, and past president, American Society of Internal Medicine; and Francis M. Maple, M.D., president, Missouri Society of Internal Medicine, and chief of staff, St. John's Hospital, Springfield, Mo.___ McKee, Wallace P., M.D., president, Jackson County (Mo.) Medical Rodgers, Samuel U., M.D., director, Wayne Miner Neighborhood Health Yeckel, George H., president, Kansas City Area Hospital Association and executive director, Menorah Medical Center. Page 239 261 313 335 336 337 338 346 359 378 381 385 Robinson, Hamilton B. G., D.D.S., dean, University of Missouri-Kansas 478 489 Smull, Ned W., M.D., president, Health Resources Institute, Kansas Koltai, Leslie, Ph. D., chancellor, District Metropolitan Junior College, 503 511 Harkins, Joseph F., executive vice president, Health Resources Institute, 563 Wilkinson, Charles B., M.D., executive director, Greater Kansas City 571 STATEMENTS Bensinger, David A., D.D.S., assistant dean, Washington University 81 Prepared statement_ 86 Berry, Charles E., A.B., M.Sc.H.A., J.D., associate dean, Sshool of Nursing and Allied Health Professions, St. Louis University, St. Louis, Mo.Prepared statement.. 208 211 149 Bond, William, second-year medical student, St. Louis University Burgess, Michael M., Ph. D., chairman, Department of Psychology, Cross, Edward B., M.D., vice provost for the health sciences, University Prepared statement__ 359 362 337 261 300 Curry, Hon. Charles E., presiding judge, Jackson County, Mo.; accompanied by Albert P. Mauro, director, planning and development, Kansas City General Hospital.. Prepared statement. Danforth, William H., vice chancellor for medical affairs, Washington Drummond, Edward J., S.J., vice president, St. Louis University Medical Duggins, Oliver H., Ph. D., chairman, Life Sciences Division, Forest Prepared statement.. Edwards, Joseph C., M.D., president, St. Louis Medical Society. Prepared statement... Felix, Robert H., M.D., M.P.H., dean, St. Louis University School of Prepared statement.. Fiordelisi, Rocco, M.D., intern, St. Louis University Hospitals. Page 338 342 56 25 216 221 94 108 27 32 131 159 Harkins, Joseph F., executive vice president, Health Resources Institute, 563 Prepared statement.. 564 Henley, A. J. director, Yeatman Medical Health Center.. 164 Prepared statement.. 169 Jackson, Ben F., chairman, Medical Center Committee, St. Louis University Board of Trustees. 12 Prepared statement__ 16 Koltai, Leslie, Ph.D., chancellor, District Metropolitan Junior College, 503 Prepared statement. 506 381 McKee, Wallace P., M.D., president, Jackson County (Mo.) Medical Miller, Gerald L., M.D., president-elect, Missouri State Medical Asso- Prepared statement, with attachment_. Mosley, Julian, third-year medical student, Washington University. Prepared statement.. Noth, Sister Mary Stephen, S.S.M., School of Nursing and Allied Health Pagano, Sam, D.D.S., president, Greater St. Louis Dental Society, and Prepared statement. Perkoff, Dr. Gerald, professor of medicine and director, Division of Health statement_ _ Randall, Hon. William, a Representative in Congress from the State of |