HIV INFECTION AND AIDS

HEARINGS

BEFORE THE

HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS SUBCOMMITTEE

OF THE

COMMITTEE ON

GOVERNMENT OPERATIONS
HOUSE OF REPRESENTATIVES

ONE HUNDRED FIRST CONGRESS

FIRST SESSION

JULY 28 AND AUGUST 1, 1989

Printed for the use of the Committee on Government Operations

For sale by the Superintendent of Documents, Congressional Sales Office
U.S. Government Printing Office, Washington, DC 20402

COMMITTEE ON GOVERNMENT OPERATIONS

JOHN CONYERS, JR., Michigan, Chairman

CONTENTS

Hearings held on:
July 28, 1989..
August 1, 1989.

Statement of:

Arno, Peter S., Ph.D., health economist, department of epidemiology and social medicine, Montefiore Medical Center, Albert Einstein College of Medicine.

Brown, Lawrence S., Jr., M.D., M.P.H., senior vice president for research
and medical affairs, Urban Resource Institute, Addiction Research and
Treatment Corp

Christen, Pat, acting executive director, San Francisco AIDS Foundation..
Craven, Donald E., M.D., director, clinical AIDS programs, Boston City
Hospital..

El-Sadr, Wafaa, M.D., chief, infectious disease section, Harlem Hospital
Center

Jellinek, Paul S., Ph.D., senior program officer, the Robert Wood Johnson
Foundation.....

Mason, James O., M.D., Assistant Secretary for Health, Department of
Health and Human Services, accompanied by Dr. Samuel C. Matheny,
Associate Administrator for AIDS, Health Resources and Services Ad-
ministration; Dr. Edward D. Martin, Director, Bureau of Health Care
Delivery and Assistance, Health Resources and Services Administra-
tion; Dr. Anthony S. Fauci, Director, National Institute of Allergy and
Infectious Diseases, National Institutes of Health; Dr. Frank Young,
Commissioner, Food and Drug Administration; Dr. Ellen C. Cooper,
Director, Division of Antiviral Drug Products, Office of Drug Evalua-
tion, Center for Drug Evaluation and Research, Food and Drug Admin-
istration; and Elmer Smith, Director, Office of Eligibility Policy,
Bureau of Policy Development, Health Care Financing Administration..
McGuire, Jean F., executive director, AIDS Action Council
Overrocker, John Page, accompanied by Bill Ceyrolles, social worker,
Whitman-Walker Clinic.

Rango, Nicholas, M.D., director, AIDS Institute, New York State Depart-
ment of Health...

Scott, Cornell, executive director, Hill Health Center, New Haven, CT.
Smith, David, M.D., medical director, community oriented primary care,
Parkland Memorial Hospital, Dallas, TX..

198

124

Volberding, Paul A., M.D., associate professor of medicine, University of
California, San Francisco, CA, and chief, AIDS program, San Francisco
General Hospital........

223

Weiss, Hon. Ted, a Representative in Congress from the State of New York, and chairman, Human Resources and Intergovernmental Relations Subcommittee: Opening statement..

1

Letters, statements, etc., submitted for the record by:

Arno, Peter S., Ph.D., health economist, department of epidemiology and social medicine, Montefiore Medical Center, Albert Einstein College of Medicine: Prepared statement.

18-65

Brown, Lawrence S., Jr., M.D., M.P.H., senior vice president for research and medical affairs, Urban Resource Institute, Addiction Research and Treatment Corp.: Prepared statement

70-89

Christen, Pat, acting executive director, San Francisco AIDS Foundation:
Prepared statement..

172-187

Craven, Donald E., M.D., director, clinical AIDS programs, Boston City
Hospital: Prepared statement............

137-144

HIV INFECTION AND AIDS

HEARINGS

BEFORE THE

HUMAN RESOURCES AND INTERGOVERNMENTAL
RELATIONS SUBCOMMITTEE

OF THE

COMMITTEE ON

GOVERNMENT OPERATIONS
HOUSE OF REPRESENTATIVES

ONE HUNDRED FIRST CONGRESS

FIRST SESSION

JULY 28 AND AUGUST 1, 1989

Printed for the use of the Committee on Government Operations

For sale by the Superintendent of Documents, Congressional Sales Office
U.S. Government Printing Office, Washington, DC 20402