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2o clar attention to the effectiveness of this new cytology ' the Miami experiment has demonstrated its 3-year suc

CONNECTICUT STATE Hospital

Middletoun, Conn., April 14, 1954. 14N A PIBIELI, 1.c* Art Building, Washington, I). C.

** PURTEIL: I have recently become aware of the fact that Senate Ton now under consideration by the Senate Subcommittee on Health

:1 14****, replace separate grants for various mental health purposes na Plieral health grant. *4. grantw-in-aid for mental health services in this State hare, in the past,

valed by our mental health anthority. Where the mental health problem in a 1 health problem in the country today, I feel that every effort should be rl with the aim in mind of reducing this problem at the earliest possible time *!?" better mental health preventative programs. Thir standards of treatment and care for the mentally ill in this country have

Is far below those in other health fields and, in my opinion, it is time we should t: 1kp a concentrated effort to bring about better facilities, treatment and care for those with emotional, mental, social and related illnesses.

I am writing to you so that you can give serious consideration to the question oof berping the mental health grants-in-aid for community services set up and susierated as they have been in the past. Sincerely yours,

EDGAR ('. YFRBURY, M. D., Superintendent.

imes muntry this type of program will be catalyzed by the

ilde for construction of nonprofit diagnostic centers. The esh to be said on its behalf. Of greatest importance is • out early cancer in the population. It is accepted by S. Isciation and private medicine because the patient stands, and a private fee is charged on private patients.

Tell the same service gratis. - Es conviction that the small application of the cytologic rhin reach of the routine hospital laboratory is most inadevexationary new method of detection. To perform its func

e into play to protect the apparently well patient, and this 2 u wichtis office. However, the doctor's office is relatively less

oss unless he is served by a cytology center equipped to tember of people. - 20, bothing visible on the cancer horizon today could ac

Tease tbe number of cancers found early enough for sucIn the establishment of regional cytology centers throughout

le further information if I may be able to help in any

J. ERNEST AYRE, M. D.

Smartfolozy diagnostic center operates.

mation.

surance companies. that the Southern Medical Journal. 2 dention: A health economy.

Pference on Training and Education, Southern Society of

AMERICAN MEDICAL ASSOCIATION,

Washington 5, D. ('., Jpril 16, 1954 Hon. II. ALEXANDER SMITH, Chairman, Sonate Labor and Public Welfare ('ommittee,

Washington, D. C. L'EAR SHVATOR SMH : The attention of the American Medical Association has been called to the effect of S. 2778, 3d Congress, on krants-in aid for mental health. This bill would lump together public health grants-in-aid, including the grant-in aid for mental health, and require that state mental health authorItles submit requests for such aid through the State health authority. We corur in the opinion that the scope of the mental health problem and the independ: ent administration of State mental health programs in most areas warrant separate treatment in this bill. We would support, therefore, any amenilment do-hned to serogate krants in-aid for mental health or to pure a reasonable alt propriation for this purpose in relation to the appropriations for general Tublic health grants,

We appreciate that we have already submitted a statement on this bill and that the Renate comunittee has given considerable attention to it. This matter, h* esor, was brought to our attention by the committee on mental health of the Alperican Mestical Axolation on April 15, so that the information on which to buse this recommendation was not available at an earlier date.

t would be appreciated if this statement could be made a part of the record on this bill. Sincerely yours,

F. E. Wilsov, M. D., Director,

e der cancer program. * * eommittee.)

ARIZONA STATE DEPARTMENT OF HEALTH,

Phoenix, Ariz., April 16, 1954.

1 *w9te, Washington, D.C. =t95: We have been studying the provisions of H. R. 8149,

utter and construction Act of 1954. Section 646 prosi 9 million to assist States in carrying out the survey *** the new act. Each State within the allotment made to Supire 3) percent of its expenditures in carrying out the

the art, that is survey and planning. It specifies that set to any State shall be $25,000. This appears to be a *", and it is, if all the States can match the minimum of :39 Pussilily other State health departments have limited

some ting funds. Would it be possible to have the minimum 500 $13,150, which Arizona might match with salaries

Tu (AVOR I BUTID AT MIAMI.
CANCER RESEARCH AND CYTOLOWY CENTER,

Miami, Fla., April 16. 1951 Senator WinX A. PIRTYTI, (Chairman, Nenale Public Ilealth Subcommittee,

Labor and Public Welfare l'ommittee, Washington, D.C. DAR SVATOR PIRIL: Senator Smathers has advised that we submit the enclosed information in support of your forthcoming bill, S. 27518.

It is our bow that this splendid bill will puts without substantial chance, be (Au-e it will indultedis do so much in the interests of national health, pre sentive medicine, and improved caner control through early diagnosis.

The Cancer Institute at Miami is conducting an active cytology diagnostic center on a nonprofit basis It is seeking funds for construction purposes, and It is our hope that approximately half a million dollars may be made available to the center throuzh the new bill.

* * a ved to our division of hospital planning, survey and con*** ti me liivpsing law became effective a year ago. The pre

arveying the conditions of this type of institution and e lirensing indicate the importance of a further study of

Tipk is needed to bring them up to minimum standards for

espera interest in the suggested change.

C. G. SALSBURY, M. D., Commissioner. 13p.m., the committee adjourned until 10 a. m.,

May I draw your particular attention to the effectiveness of this new cytology center system now that the Miami experiment has demonstrated its 3-year suc

cess.

In other parts of the country this type of program will be catalyzed by the new funds made available for construction of nonprofit diagnostic centers. The Cytology Center has much to be said on its behalf. Of greatest importance is its effectiveness in seeking out early cancer in the population. It is accepted by the American Medical Association and private medicine because the patient remains in the doctor's hands, and a private fee is charged on private patients. The charity patient is given the same service gratis.

I would like to stress my conviction that the small application of the cytologic method to patients within reach of the routine hospital laboratory is most inadequate to apply this revolutionary new method of detection. To perform its function, it must be brought into play to protect the apparently well patient, and this is possible in the physician's office. However, the doctor's office is relatively less effective in early diagnosis unless he is served by a cytology center equipped to perform tests on large numbers of people.

In the writer's opinion, nothing visible on the cancer horizon today could accomplish so much to increase the number of cancers found early enough for successful treatment than the establishment of regional cytology centers throughout the country.

Please call upon me for further information if I may be able to help in any way or at any time. Sincerely yours,

J. ERNEST AYRE, M. D. Enclosures :

(1) Memo—How a cytology diagnostic center operates. (2) Points of information. (3) Challenge to insurance companies. (4) Editorial from the Southern Medical Journal. (5) Early cancer detection: A health economy. (6) Report of Conference on Training and Education, Southern Society of

Cancer Cytology. (7) An effective modern cancer program. (Enclosures filed with committee.)

ARIZONA STATE DEPARTMENT OF HEALTH,

Phoenix, Ariz., April 16, 1954. The Honorable CARL HAYDEN,

United States Senate, Washington, D. C. DEAB SENATOR HAYDEN : We have been studying the provisions of H. R. 8119, Medical Facilities Survey and Construction Act of 1954. Section 646 provides an authorization of $2 million to assist States in carrying out the survey and planning aspects of the new act. Each State within the allotment made to it shall be entitled to receive 50 percent of its expenditures in carrying out the purpose of section 641 of the act, that is survey and planning. It specifies that the minimum allotment to any State shall be $25,000. This appears to be a generous Federal grant, and it is, if all the States can match the minimum of $25,000. Arizona cannot. Possibly other State health departments have limited appropriations for matching funds. Would it be possible to have the minimum grant reduced to $10,000 or $15,000, which Arizona might match with salaries and travel appropriated to our division of hospital planning, survey and construction ?

The Arizona nursing home licensing law became effective a year ago. The preliminary work done in surveying the conditions of this type of institution and reinspections made for licensing indicate the importance of a further study of these homes. Much work is needed to bring them up to minimum standards for good patient care. We will appreciate your interest in the suggested change. Very sincerely yours,

C. G. SALSBURY, M, D., Commissioner. (Whereupon, at 12:15 p. m., the committee adjourned until 10 a. m., Tuesday, March 30, 1954.)

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