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1 financial contributions of such donated commodities in such

2 public or private nonprofit institutions or organizations,

3 agencies, or political subdivisions of a State.

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"APPROPRIATIONS AUTHORIZED

"SEC. 708. (a) The Secretary of Agriculture may uti6 lize the programs authorized under this title in carrying out 7 the provisions of clause (2) of section 32 of the Act ap

8 proved August 24, 1935, as amended (49 Stat. 774, 7 9 U.S.C. 614c).

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"(b) In addition to any other funds which may available, there are authorized to be appropriated such sums as may be necessary to carry out the purposes of this title.

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"PROGRAM EXPENDITURES

"SEC. 709. Of the sums appropriated for any fiscal year pursuant to the authorization contained in section 708 of this

title, not to exceed $50,000,000 shall be made available for 17 the fiscal year ending June 30, 1972, not to exceed $100,18 000,000 for the fiscal year ending June 30, 1973, not to exceed $150,000,000 for the fiscal year ending June 30, 20 1974, for grants-in-aid pursuant to the provisions of this

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title, less

"(1) not to exceed 3 per centum thereof which

per centum is hereby made available to the Secretary

for his administrative expenses under this title;

"(2) direct expenditures by the Secretary for agri

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cultural commodities and other foods to be distributed

among the States and such public or private nonprofit institutions or organizations, agencies, or political subdivisions of a State, participating in the nutrition program under this title.

"RELATIONSHIP TO OTHER LAWS

"SEC. 710. No part of the cost of any program under

8 this title may be treated as income or benefits to any eligible 9 individual for the purpose of any other program or provision 10 of State or Federal law.

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"MISCELLANEOUS

"SEC. 711. None of the provisions of this title shall be 13 construed to prevent a recipient of a grant or a contract from 14 entering into an agreement with a profitmaking organiza15 tion to carry out the provisions and purposes of this title."

White House Conference on Food, Nutrition

and Health

FINAL REPORT

GAX

PANEL 11-4: THE AGING

Chairman: Edward L. Bortz, M.D., Senior Consultant in Medicine, Lankenau Hospital, Philadelphia, Pa., former President, American Medical Association. Vice Chairman: Donald M. Watkin, M.D., Staff Physician, Veterans Administration Hospital, West Roxbury, Mass., former Program Chief, Research in Nutrition and Clinical Research in Gerontology, Veterans Administration.

Panel members:

Rev. Richard Cartwright Austin, Director, West Virginia Mountain Project, The United Presbyterian Church, Whitesville, W. Va.

James E. Birren, Ph. D., Director, Gerontology Center, University of Southern California, Los Angeles, Calif. W. E. Cornatzer, M.D., Ph. D., Professor and Chairman, Department of Biochemistry, and Director, Ireland Research Laboratory, School of Medicine, University of North Dakota, Grand Forks, N. Dak.

Nylda Gemple (Mrs. Herbert Gemple), Nutritionist, Bureau of Adult Health and Disease Control, Department of Public Health, City and County of San Francisco, Calif.

William Hutton, Executive Director, National Council of Senior Citizens, Washington, D.C.

Juanita M. Kreps (Mrs. Clifton H. Kreps, Jr.), Ph. D., Dean of the Woman's College, Duke University, Durham, N.C.

Alfred H. Lawton, M.D., Ph. D., Associate Dean of Academic Affairs, University of South Florida, Tampa, Fla. George Mann, Ph. D., Associate Professor of Biochemistry and Medicine, Vanderbilt University School of Medicine, Nashville, Tenn.

Father Anthony Rocha, Chaplain, Catholic Memorial Home, Fall River, Mass.

Russel B. Roth, M.D., Urologist, Erie, Pa. Also Speaker, House of Delegates, American Medical Association.

All those associated with the Conference noted with sorrow the death of the Chairman of the Panel on Aging, Dr. Edward L. Bortz, on February 24, 1970. The recommendations of the Panel reflect his knowledge and dedication to alleviating the problems of the aging.

Sylvia Sherwood (Mrs. Clarence Sherwood), Ph. D., rector of Social Gerontological Research, Hebrew habilitation Center for Aged, Roslindale, Mass. Leola G. Williams (Mrs. Wilburn Williams), Direct Greenwood Center, Star, Inc., Greenwood, Miss. Consultants:

Ruebin Andres, M.D., Assistant Chief, Gerontology search Center, National Institutes of Health, U.S. partment of Health, Education, and Welfare, Baltim Md.

William L. Holmes, Ph. D., Director, Division of Resea: Lankenau Hospital, Philadelphia, Pa.

Caro E. Luhrs, M.D., Medical Advisor to the Secret U.S. Department of Agriculture, Washington, D.O. Constance McCarthy, Chief, Public Health Nutrition S ices, Rhode Island State Department of Health, Pr dence, R.I.

Marie C. McGuire, Assistant for Problems of the Eld and Handicapped, Renewal and Housing Assistant, Department of Housing and Urban Development, W ington, D.C.

John B. Martin, U.S. Commissioner, Administration Aging, U.S. Department of Health, Education, and fare, Washington, D.C. Also Special Assistant to President for the Aging and Director, 1971 White H Conference on Aging.

Gladys H. Matthewson, Nutrition Consultant, Commu Health Service, Medical Care Administration, Re 6, U.S. Public Health Service, Kansas City, Mo. Charles E. Odell, Director, Office of Systems Support, Training and Employment Service, Manpower Adm tration, U.S. Department of Labor, Washington, Mollie Orshansky, Economist, Office of Research and tistics, Social Security Administration, U.S. Depart of Health, Education, and Welfare, Washington, Nathan W. Shock, M.D., Chief, Gerontology Resid Center, National Institutes of Health, U.S. Depart of Health, Education, and Welfare, Baltimore, Md. Marvin J. Taves, Ph. D., Director, Research and Dev ment Grants, Administration on Aging, U.S. Depart of Health, Education, and Welfare, Washington,

PREAMBLE

REPORT OF PANEL 11-4

The present crisis among the aged demands immediate national action to relieve poverty, hunger, malnutrition and poor health. Furthermore, positive measures are required throughout life to retard the premature debilitating aspects of aging. Certain priorities exist:

1. Provision of adequate income to the aging. 2. Provision of adequate nutrition to the aging. 3. Provision of adequate health services to the aging.

4. Federal, State and local funding to insure immediate implementation of the above.

5. Prompt provision of substantial increases in Federal funding for support of education, research and development in nutrition and gerontology.

Recommendation No. 1: MEAL DELIVERY

The U.S. Government, having acknowledged the right of every resident to adequate health and nutrition, must now accept its obligation to provide the opportunity for adequate nutrition to every aged resident. Immediate attention must be given to developing a new system of food delivery based on modern technical capability by which meals supplying a substantial proportion of nutrient requirements can be distributed to the aged through restaurants, institutions and private homes when this is necessary. Regional, urban and cultural differences in the United States will require that a variety of systems may be necessary to accomplish this goal.

The Administration on Aging within the Department of Health, Education, and Welfare and the Department of Agriculture should begin at once to implement a variety of meal delivery systems in the following ways:

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1. Assemble a working party of scientists, industrialists and representative aged persons with experience in nutrition science, food preparation, food habits, and meal service who will review existing experience with low cost meals and meal delivery service.

2. Undertake permanent funding programs of daily meal delivery service, initially consisting of at least one meal for all the aged needing this service and desiring it, in both urban and rural locations emphasizing the importance of the values of eating in group settings where possible. This service may be provided in restaurants, institutions or other suitable sites for the well aged or at home for the homebound.

8. Develop a system of reimbursement with either food stamps or coupons, as outlined in Recommendation No. 3 of this Panel, or credit cards which will be acceptable to the recipients and efficient for the system, and which will retain freedom of choice for the

user.

4. Develop surveillance systems that will insure both the nutritional quality and the acceptability of the meals. The single daily meal will furnish at least one-half of the daily Recommended Dietary Allowance of the Food and Nutrition Board of the National Research Council. It may include foods to be eaten at other times during the day. The remaining allowance, especially of calories, may be obtained by the individual's initiative facilitated by income supplements and the revised food stamp program when necessary. The meal delivery system should extend to all areas as feasible systems are developed. Recommendation No. 2: INCREASED INCOME

Because diet quality and income are related, and because many older people do not have the income to provide adequate nutritious diets, immediate increases in the incomes of elderly people are a vital first step in freeing the aged from hunger and malnutrition.

Therefore it is recommended:

1. That social security benefits be increased by 50 percent and the minimum benefit raised from $55 to $120 monthly within this next 2

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