COSTS AND DELIVERY OF HEALTH
SERVICES TO OLDER AMERICANS

Cost of Health Services to
Older Americans
HEARINGS

BEFORE THE

SUBCOMMITTEE ON

HEALTH OF THE ELDERLY

OF THE

SPECIAL COMMITTEE ON AGING
UNITED STATES SENATE

NINETIETH CONGRESS

FIRST SESSION

83-481 O

PART 1-WASHINGTON D.C.

JUNE 22 AND 23, 1967

Printed for the use of the Special Committee on Aging

U.S. GOVERNMENT PRINTING OFFICE
WASHINGTON: 1967

For sale by the Superintendent of Documents, U.S. Government Printing Office
Washington, D.C. 20402 - Price $1.00

(Additional hearings anticipated but not scheduled at the time of this printing.)

Williams, Harrison A., Jr., chairman, Special Committee on Aging....

David, Alvin M., Assistant Commissioner for Program Evaluation and

Planning, Social Security Administration; Carruth J. Wagner, Assistant

Surgeon General; and George A. Silver, M.D., Deputy Assistant Sec-

retary for Health and Scientific Affairs; accompanied by Jeffrey H.

Weiss, operations research analyst, Office of the Assistant Secretary for

Program Coordination, and John Grupenhof, Legislative unit, Office

of the Secretary--.

Nolen, Dr. William A., Litchfield, Minn...--

Edelman, John W., president, and William R. Hutton, executive director,

National Council of Senior Citizens; and Frank Wallick, legislative

staff of the International Union, United Automobile, Aerospace & Agri-

cultural Implement Workers of America, UAW_-

JUNE 23, 1967

James, George, M.D., dean, Mount Sinai School of Medicine, New York

City, and Milton I. Roemer, M.D., professor, School of Public Health,

University of California, Los Angeles___.

71

Cervantes, Rev. Lucius F., S. J., Ph. D., professor of sociology, St. Louis

(Mo.) University, and assistant to the mayor of St. Louis....

Guiney, Mary K., project director and planning consultant on aging to
United Community Services of Metropolitan Detroit----

110

136

STATEMENTS

Alex, Morris, M.D., medical director, home care program, St. Louis, Mo---

Coe, Rodney M., Ph. D., Washington University, St. Louis_--

127

65

Davis, Mary E., M.S.W., director of social services for the Catholic Hos-

pital Association....

131

Domke, Herbert R., M.D., director, Department of Health and Hospitals,

St. Louis, Mo___.

130

Friedman, Bernard, medical director and superintendent, Robert Koch

Hospital, Koch, Mo..

126

Johnson, Elmer M., associate director of the Metropolitan St. Louis Hos-
pital Planning Commission, Inc____

125

McNerney, Walter J., president, Blue Cross Association_.

104

Ohlendorf, Howard C., chairman, Planning Committee on Aging, Health
and Welfare Council of Metropolitan St. Louis_-_-

Vincent, Sister Mary C.C.V.I., the Cardinal Ritter Institute, St. Louis, Mo.

White, Kerr L., M.D., professor of medical care and hospitals, the Johns

Hopkins University__.

Williams, Cary M., Suncoast Progress, Inc., St. Petersburg, Fla----

COMMUNICATIONS

Cervantes, A. J., mayor, St. Louis, Mo.: Letter to Hon. George A. Smathers,

chairman, Subcommittee on Health of the Elderly, dated June 13, 1967--

Danforth, William H., vice chancellor for medical affairs, Washington Uni-

versity, St. Louis, Mo.: Letter to Alfonso J. Cervantes, mayor--