1 aren't gotten the money yet? Tou pe vatus of your application, if I may ask! si vereral plans. The one they prefer is mi participation, in which you would find a Vis no would lend the money and service the vi give a guarantee of 75 to 90 percent, and *OURS le 11., to 2 percent brokerage. - to note that several of the lending agencies ... ent of the SBA. So, they questioned me as to risk. They liked the FHA type of loan. nsurt, and it is coming, we can go to the SBA por pe cutal sum on 6 percent interest for a period not all the loan need not be amortized. most te best instrument, in my judgment. We should theaty to twenty-five years is what we really need. doi the loan would stretch out over that period of time. the spent Trin Ion, sir; absolutely. We don't want to be given any. M. WER. Do you have any other questions? 8.113 1111. No, That is all. in CO DWATER. Would you study that and, within the next con uns an info within the next week, at your convenience, let the com inst what you think of that language? with mother, but I think your problem is answered in the Hipide poolest there, at least as far as answering the problem of the manent being in competition with the private nursing home. is the committee would appreciate your opinion on that, be- Hotels in Duur. Do you have any other statement to make? tripartimity to have appeared before you and to congratulate Per primiteres in wediul Representative Wolverton's committee, for The man immer aflorts they are making relative to the public health that all the l'ated States, PARA Ilu Didn't you have some other statements or some other Hi Vand I have a statement from a young lady from Washington, Hilinin türle Murphy, that I would like to have extended upon Wher crisis and if it would be possible to presume upon the com if it it iery short statement--I would like to ask that she Hilties this committee. Posterfont tou. Vy problem is that I have an appointment at lion moule care to be chairman and remain here, Senator Senator Hill. You have to be on time. STATEMENT OF MRS. LUCIA FORDE MURPHY, REPRESENTING THE INLAND EMPIRE ASSOCIATION OF LICENSED NURSING HOMES Mrs. Murphy. Thank you very much. I am Lucia Forde Murphy from Spokane, Wash., Mr. Chairman. I am here in the Nation's Capital at the request of certain nursingbome administrators who comprise the Inland Empire Association of Licensed Nursing Homes, with headquarters in Spokane, Wash. The group is an affiliate of the Washington Association of Licensed Nursing Homes. I have traveled across the country for the privilege of joining with others to appear before and alert your committee, Mr. Chairman, to certain aspects of S. 2758 that seem ill advised, economically unfeasible, and socially unsound. That there has not been sufficient research into the whole area of nursing homes and the health problems that they must solve is adequately testified to by what the Secretary of Health, Education, and Welfare has not been able to tell this committee or Representative Wolverton's committee in the House. 1 urge you, Mr. Chairman, when you reread the Secretary's testimons you will discover little factual data on the construction cost of nursing homes; vague reference to the cost for per-patient day care. This cost is estimated between $2 per day to $8 per day, leaving us in doubt as to whether the Secretary's committee was referring to boarding homes for the aged or nursing homes. I think that as you reread the testimony concerning nursing homes you will find that the basis of the study is predicated on trends, theories, estimates, and speculation. , On this basis you are being asked to venture into a field completely foreign to the original intent of the Hill-Burton Act. As was pointed out by Representative Pelley when he addressed the House of Representatives on March 9, there is no need for Federal gtants of money to care for the aged population in the State of Washington. At that time he said: Dr. Cronin, of the Department of Health, Education, and Welfare assured tue in our State of Washington a good job is being done by private enterprise. From an economic point of view, this bill would appear to waste your taxpayers' money, at least as far as the State of Washington is concerned. That portion of $2 million that would be made available to individual States for survey, contemplated under the terms of this bill, is not needed in my State. In keeping with the initiative of a well-informed citizenry, there has been formed in Spokane, Wash., the Spokane Gerontology Volunteers composed of citizens representing 100 local organizations and who have already begun a survey into the needs of our elder citizens. In that connection, Mr. Chairman, I would like to submit this chart for the record. Senator Hill. It may be received. (The chart referred to is as follows:) SPOKANE GERONTOLOGY VOLUNTEERS "Every man should be encouraged to live his whole lifen T. E. Dorpat, Gen. Chairman zone member act as -ADVISORY BOARD 3 Mombers Secretary - Treas. One Momber Ch. Ch. Social ch. Visitation Ch. Contact Transportation Parties Church facilities erators Ch. tated Pa- Books Movics slides 16 m.m. Vicwmastors Travelogues 8 m.m. Dances Guests ties away from Home Cheer Bas kets Contact Ch. Ch. Records tated members in all Homes Chr. Crafts(Rehab.) all Homes tal Service Chaitman Report Each month, Oporation Policy 1. Service to Receptive Homos Only 2. Volunteers must maintain service Record. 3. Volunteer Workor must have ID Card Workers must be screened by Organization Representative. Each Organization must serve under its own identity. Service avards prosented appropriately Mrs. Murphy. The $2 million appropriation for survey is unneces- Upon completion of this enterprising venture, these volunteers will This is an example of what communities of enterprising people will It is also with some interest that we in the State of Washington The idea of a nursing home is everything that those words imply, It is easy to become too altruistic about the problems of our aged In our homes in Washington we have created an atmosphere for our the heart of our cities and townships. Here they are within easy communication of their families, local town and city officials, and in most cases close to medical and hospital facilities in the event these facilities are needed. Mr. Chairman and gentlemen, the Hill-Burton Act, we in Washington feel, has served its most worthwhile purpose in rural areas, An extension of this act, we feel, into the field of nursing home care will be the first step toward integrating nursing homes with hospital facilities and thereby destroying the very concept of the nursing homes. Such integration is bound to bring the nursing homes into the heart of the metropolitan area wherein are usually situated the hospital facility, and this very great and humane measure, the Hill-Burton Act, will have deviated from its original purpose, from service to the people to the paradoxical purpose of causing the aged and chronically ill to go where the facilities are in order to make them economically sound. idoxid. Thank you. Senator Hill. How many homes do you have in the State of Washington, Mrs. Murphy? Mrs. Muruy. We have 262 licensed nursing homes, I think Mrs. MURPHY. Two hundred and sixty-two. We have 51 in Mrs. MrrPuy. A great many of the aged people have been put in what they call senile institutions, which are State regulated. Senator Hull Do you have any questions, Mr. Sneed? Senator Iluz. That concludes the presentation for the American Mr. MUSE. Yes, sir. Senator Il'li. Mr. Latham, I don't want to have to rush you, but I am going to have to leave here very shortly. I suppose you are here all the way from Indiana and you want to be heard. Mr. LATHAM. Yes; we in Indiana usunlly like to be heard, and we are kind of loud sometimes. Senator Hill. You may proceed, Mr. Latham. STATEMENT OF HARRY T. LATHAM, JR., LEGAL ADVISER TO EXECUTIVE DIRECTOR OF THE INDIANA ASSOCIATION OF Mr. Litum. Thank you, sir. I will make every effort to be brief. I might say, supplemental to the American Association's statement, we have specific statisties that insofar as Indiana is concerned refute certain claims in Birs. Hobby's report before the House of Representatives. The admini-tration's decision to injert Federal aid into the nursinghome field, as announced in President Eisenhower's state of the l'nion mensave on January 18, 1954, was received by those of us in and con. nected with the nursing home profession with disbelief, consternation, and shock. Even today, the motivation, therefore, is somewhat obscure, although, from recent events, exemplified by certain press publications, we feel we may conjecture, almost to the point of certainty, as to the moving force behind this unwarranted invasion of the field of private enterprise, That the administration itself is somewhat uncertain as to the efficacy of this more may be inferred from the first section of the bill, section 611, S. 2758, which provides in part as follows: |