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CANCER, STROKE, AND OTHER DISEASES

HEARINGS

BEFORE THE

COMMITTEE ON

INTERSTATE AND FOREIGN COMMERCE HOUSE OF REPRESENTATIVES

EIGHTY-NINTH CONGRESS

FIRST SESSION

ON

H.R. 3140

A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT
TO ASSIST IN COMBATING HEART DISEASE, CANCER,
STROKE, AND OTHER MAJOR DISEASES

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COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE

OREN HARRIS, Arkansas, Chairman

HARLEY O. STAGGERS, West Virginia
WALTER ROGERS, Texas
SAMUEL N. FRIEDEL, Maryland
TORBERT H. MACDONALD, Massachusetts
JOHN JARMAN, Oklahoma

LEO W. O'BRIEN, New York

JOHN E. MOSS, California

JOHN D. DINGELL, Michigan

PAUL G. ROGERS, Florida

HORACE R. KORNEGAY, North Carolina

LIONEL VAN DEERLIN, California

J. J. PICKLE, Texas

FRED B. ROONEY, Pennsylvania
JOHN M. MURPHY, New York

DAVID E. SATTERFIELD III, Virginia
DANIEL J. RONAN, Illinois

J. OLIVA HUOT, New Hampshire
JAMES A. MACKAY, Georgia
JOHN J. GILLIGAN, Ohio

CHARLES P. FARNSLEY, Kentucky
JOHN BELL WILLIAMS, Mississippi

WILLIAM L. SPRINGER, Illinois
J. ARTHUR YOUNGER, California
SAMUEL L. DEVINE, Ohio
ANCHER NELSEN, Minnesota
HASTINGS KEITH, Massachusetts
WILLARD S. CURTIN, Pennsylvania
GLENN CUNNINGHAM, Nebraska
JAMES T. BROYHILL, North Carolina
JAMES HARVEY, Michigan
ALBERT W. WATSON, South Carolina
TIM LEE CARTER, Kentucky

W. E. WILLIAMSON, Clerk

KENNETH J. PAINTER, Assistant Clerk

ANDREW STEVENSON KURT BORCHARDT

II

Professional Staff

JAMES M. MENGER, Jr. WILLIAM J. DIXON

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Andrews, Dr. Mason C., chairman, Norfolk (Va.) Area Medical
Center Authority-

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408

293, 338

Appel, Dr. James Z., president, American Medical Association__
Berson, Dr. Robert C., executive director, Johns Hopkins--
Betts, Rome A., executive director, American Heart Association__--
Celebrezze, Hon. Anthony J., Secretary of Health, Education, and
Welfare

Chapman, Dr. Carleton B., president, American Heart Association__
Christensen, Dr. Aaron W., Deputy Chief, Community Health,
Bureau of State Services, Public Health Service, Department of
Health, Education, and Welfare___..

Clark, Dr. Benjamin, member, Governor's Advisory Board to Medical
School, University of Vermont

185

380

10

380

35

270

Clark, Dr. R. Lee, director and surgeon in chief, Anderson Hospital & Tumor Institute, University of Texas..

250

Cooper, Prof. Joseph D., School of Government and Public Administration, American University..

362

244

408

Copeland, Dr. Murray M., president, American Cancer Society - -
Crispell, Dr. Kenneth R., dean, Medical School, University of Vir-
ginia.

DeBakey, Dr. Michael E., Chairman, President's Commission on
Heart Disease, Cancer, and Stroke..

Dempsey, Dr. Edward W., Special Assistant to the Secretary, Health
and Medical Affairs, Department of Health, Education, and
Welfare

94, 146

10

Eichman, Dr. Peter, dean, University of Wisconsin Medical School - 400 Farber, Dr. Sidney, chairman, Cancer Subcommittee, President's Commission on Heart Disease, Cancer, and Stroke...

94, 146

Fogarty, Hon. John E., a Representative in Congress from the State of Rhode Island..

138

Gruenther, Gen. Alfred, member, President's Commission on Heart
Disease, Cancer, and Stroke__.

146

Hadley, Dr. Henry G., director, Research Foundation, Inc..
Hall, Hon. Durward G., a Representative in Congress from the
State of Missouri

445

173

Hardy, Hon. Porter J., a Representative in Congress from the State of Virginia....

407

Harrison, Bernard P., director, Legislative Department, American
Medical Association

338

Statement of-Continued

Helstoski, Hon. Henry, a Representative in Congress from the State of New Jersey..

Havel, Richard J., president, American Federation for Clinical
Research

Page

211

144

398

Hirschboeck, Dr. John, vice president, Marquette University Medical
School.

Howard, Dr. Ernest B., assistant executive vice president, American
Medical Association.

293, 338

Hussey, Dr. Hugh H., director, Division of Scientific Activities,
American Medical Association..

Johnson, Dr. Amos N., president, American Academy of General
Practice__

Jordan, Dr. Edwin P., executive director, American Association
of Medical Clinics.

Lane, Dr. Warren Zeph, representing the Norwalk Hospital, Norwalk,
Conn..

293

234

208

194

Meyer, Dr. John S., member, Subcommittee on Research and Cancer,
President's Commission on Heart Disease, Cancer, and Stroke... 94, 146
Miller, Clinton R., legislative advocate, National Health Federation
Moore, Dr. Raymond..

Nelson, Dr. Kinloch, dean, Medical College of Virginia..

423

445

408

Reuss, Hon. Henry S., a Representative in Congress from the State of Wisconsin.......

397

Roncalio, Hon. Teno, a Representative in Congress from the State of Wyoming

137

Sarnoff, Gen. David, member, Subcommittee on Research and Cancer,
President's Commission on Heart Disease, Cancer, and Stroke...- -
Satterfield, Hon. David E., a Representative in Congress from the
State of Virginia..

Schenken, Dr. J. R., Omaha, Nebr-

Shannon, Dr. James A., director, National Institutes of Health,
Public Health Service, Department of Health, Education, and
Welfare..

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Slater, Dr. Robert J., dean, College of Medicine, University of Ver

mont..

270

Stewart, Dr. William H., Assistant to the Special Assistant to the Secretary, Health and Medical Affairs, Department of Health, Education, and Welfare__

10

Tenzer, Hon. Herbert, a Representative in Congress from the State of New York.

140

Terry, Dr. Luther L., Surgeon General, Public Health Service, Department of Health, Education, and Welfare.........

10

Thompson, Dr. Gregg, Jr., president, American Association of Medical
Clinics

Townsend, Dr. Thomas E..

Turner, Dr. Thomas B., dean, Johns Hopkins Medical School-
Wakerlin, Dr. George, medical director, American Heart Association.
Welch, Dr. Claude E., president, Massachusetts Medical Society - - - -
White, Hon. Richard C., a Representative in Congress from the State
of Texas..

208

214

185

380

389

183

Zablocki, Hon. Clement J., a Representative in Congress from the
State of Wisconsin..

405

Additional information submitted for the record by

American Academy of General Practice, letter from Dr. Amos N.
Johnson, president__

177

American Association of Retired Persons, letter from Ernest Giddings,

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American Hospital Association, letter from Kenneth Williamson, associate director__

493

Additional information submitted for the record by-Continued
American Medical Association:

Blasingame, Dr. F. J. L.:

"A

Page

Letter from, dated August 6, 1965..

345

Revised Guide to Function"-Association of
Hospital Directors of Medical Education

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Exhibit C-Statements on H.R. 2986, H.R. 2984, H.R.
2985, and H.R. 2987.

326

Ward, Dr. Donovan, letter from...

497

American Osteopathic Association, statement of Dr. Carl E. Morrison_
American Public Health Association:

475

Statement of Dr. Russell E. Teague..
Summary of statement.__

461

463

Arkansas Heart Association, telegram from Dr. C. F. Wilkins, Jr.,
president-

486

Bakst, Dr. Henry J., professor of preventive medicine and associate
dean, Boston University School of Medicine, letter from.......
Black, Norman R., telegram from__.

496

484

Bunten, Dr. W. Andrew, telegram from__.

484

Clark, Dr. R. Lee, attachment A to prepared statement.-

260

Commission on Heart Disease, Cancer, and Stroke, the President's,

letter attachment re attendance at committee meetings, from Stephen
Ackerman, executive Secretary..

502

Cooper, Prof. Joseph D., School of Government and Public Adminis-
tration. American University:

"All-Inclusive Health Plan Is Hard on Czech Doctors," article
from Medical Tribune, July 3-4, 1965-..

Fifty leading causes of hospitalization, table_

Letter from..

Day, Dr. F. Douglas, telegram from_

DeBakey, Dr. Michael E., chairman, record of attendance of various
committees of the President's Commission on Heart, Cancer, and
Stroke

369

368

504

485

502

Diamond, Dr. E. Gray, letter from

489

Fenninger, Dr. Leonard D., medical director, University of Rochester
School of Medicine and Dentistry, letter from..

500

Flett, Dr. David M., telegram from...

483

Flocks, Dr. Rubin, chairman, executive committee, College of Medi-
cine, University of Iowa, statement of___

473

Florida State Board of Health, letters from Dr. Wilson T. Sowder,
State health officer_

497

Godwin, Dr., president-elect of Fulton County Medical Society of
Atlanta, Ga., comments on S. 596 and establishment of regional
medical complexes.

166

Statistical tables.

Hadley, Dr. Henry G.:

Cancer articles accepted for publication, list of

Cancer Theory Challenged, letter from Medical Tribune, June 28,

1965__

Haggerty, Dr. Robert J., professor and chairman, Department of
Pediatrics, University of Rochester School of Medicine and Den-
tistry, letter from__..

Hall, Hon. Durward G.:

458

461

456, 458

501

Article from Springfield (Mo.) News & Leader, July 18, 1965---.
Letter, dated July 23, 1965 _ _ _

176

182

Hardin, Dr. Robert Č., vice president for medical services, and dean,
College of Medicine, University of Iowa, statement of...
Hawaii Medical Association, letter from Dr. O. D. Pinkerton, presi-
dent__

473

489

Health, Education, and Welfare, Department of:

Dempsey, Dr. Edward W., Special Assistant to the Secretary,
Health and Medical Affairs:

Letter from, re Dr. Chapman's testimony..
Letter from, re Dr. Hussey's statement..

387

304

Statement of...

84

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