emphasis on research at the same time that we are building a very strong emphasis on delivery of services. It is my belief that we have in the NIH possibly the most distinguished unit within our Department, perhaps the most distinguished unit in Government, and we want to keep it that way and do everything possible to strengthen it.

As for the totality of the Public Health Service's activities, I have not yet run into anyone who doubts that some kind of reorganization is needed if we are to move on and take these great next steps. Nor have I run into anyone who doubts that reorganization will very much involve the NIH as a central factor. In my view the integrity of the NIH should be maintained. It should come much closer than it has in the past to the totality of the Public Health Service's concerns, and together they are going to have to work out with the universities, with the university hospitals, and with community hospitals, a new pattern of health activities involving both public and private resources and both public and private institutions, in order to more adequately serve the people of this country. I think the regional medical complexes provide an example of some of the kinds of problems you face in developing this new pattern. We are going to have to make health care more widely available. We are going to have to make it as available to people in the outlying areas as it is now available to people who are nearby and can afford care in the great medical

centers.

SUBCOMMITTEE CHAIRMAN'S GENERAL ASSESSMENT OF THE BUDGET Mr. FOGARTY. That is a pretty general statement.

I, personally, am not at all satisfied with the health part of the budget that is now before us. The funds requested for a number of these important programs will only provide for a level of activity that is substantially lower than it has been during the past year. In a few cases, the amount requested is substantially below the amount specifically authorized by the Congress. During the course of these hearings I shall ask those responsible for operating these programs to explain in detail to the committee exactly how these inadequate budget requests were arrived at. I would like to have your comments, Mr. Secretary, on the way in which this budget was developed and to hear your explanation of the philosophy underlying all of these budget cuts. I notice in your prepared text this morning you talk about progress in the field of health and education. But I would not term this a budget of progress. I think we are going backward. I would think the President is interested in going ahead, knowing all the legislation that was passed in the last session of Congress, much of which he recommended.

PRESIDENT'S INTEREST IN HEALTH BUDGET

This report just came to my attention this morning, a report to the people on health-"Foundation for All Our Aspirations." The foreword by the President reads like this:

It is imperative that we give first attention to our opportunities-and our obligations for advancing the Nation's health. For the health of our people is, inescapably, the foundation for the fulfillment of all our aspirations *

Our first concern must be to assure that the advance of medical knowledge leaves none behind. We can-and we must-strive now to assure the availability of and accessibility to the best health care for all Americans, regardless of age or geography or economic status.

With this as our goal, we must strengthen our Nation's health facilities and services, assure the adequacy and quality of our health manpower, continue to assist our States and communities in meeting their health responsibilities, and respond alertly to the new hazards of our new and complex environment.— Lyndon B. Johnson.

That is what the President said in the foreword of this pamphlet I am reading from, but this budget does not go along with that statement. I can think of many instances where this budget does not fit in with this statement at all. We are not doing enough to train more nurses. We are not doing enough to train more physicians. In health research facilities you practically cut the program entirely. We thought during the Korean situation that President Truman was wrong in cutting back construction at that time because we have been told that cutting back construction on some of these programs like this will set the programs back 10 years. So after your general statement on health, and your prepared statement about progress, and the President's interest in all these fields, then you come up with a budget that is one of the most conservative I have seen since I have been on this committee. Talking about progress-I do not see any progress in this budget at all. I think you are going backward with the budget you are up here to defend. Now you go ahead. I made my speech.

Secretary GARDNER. I would like to have you view this budget against the backdrop of our total national situation this year. I have been drawn in the last 2 or 3 weeks into a good deal of attention to what is going on in Vietnam, so I am even more aware of it now than I was before. This is inescapably the background against which we carried on our discussions and examinations of what we could do this year. Now if you look at how HEW fared in this very difficult year compared with other departments, and if you look at how the health activities of this Department fared compared with other activities, I think you will very clearly discern that the President's strong personal interest in this program is still very much alive and has left its mark on the budget.

EXECUTIVE REDUCTIONS MADE IN BUDGET REQUESTS

Mr. FOGARTY. I do not think that is a very good answer as far as I am concerned. I still think it is a very poor budget. I think it is one of the poorest that has been sent up here. When I look at some of the requests that were made by your agencies and how they were cut back I am just amazed. We will put this table that shows these

cuts in the record.

Office of Education

3,304, 747, 455 6, 409, 772, 455 5, 300, 472, 455 3, 478, 900, 455-2, 930, 872, 000 -1,821,572,000

Includes proposed supplementals.