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I have a bill which I introduced yesterday or day before yesterday which is before this committee providing for adjusted compensation for those men for, I believe, $3 per day for service in the United States and $4 a day for overseas service.

What is the attitude of your organization on that proposition?
Mr. COLFLESH. As I understand it, that is a bonus.
Mr. RANKIN. No sir; it is adjusted compensation.
Mr. COLFLESH. Adjusted compensation?
Mr. RANKIN. Yes, sir.

Mr. COLFLESH. I accept the correction. I remember we urged the matter before and we were careful to call it adjusted compensation.

Mr. RANKIN. Yes, sir.

Mr. COLFLESH. May I say, Congressman, we are here presenting the mandates of the American Legion, that is, mandates in our organization, and the American Legon has not spoken on this subject and we will have no mandate.

Mr. RANKIN. When will they meet again?
Mr. COLFLESH. This fall in Miami, Fla.

Mr. RANKIN. Don't you think you could have a special session to look into this proposition?

Mr. COLFLESH. The American Legion has never held other than its annual conventions and I doubt if that would ever be done, Congressman.

Mr. RANKIN. You take the resolution on chronic tropical diseases and the other, arrested tuberculosis.

Now, neither one of those resolutions, as I read the statement here, would cover a case of cancer, arthritis, neuritis and other chronic diseases that have nothing to do with the tropical situation.

The CHAIRMAN. Will the gentleman yield?
Mr. RANKIN. Yes, Madam.
The CHAIRMAN. There are certain diseases enumerated.

The CLERK. Certain chronic, tropical and constitutional diseases. I think that cancer, arthritis, and so forth, is covered under that bill.

The CHAIRMAN. Let us get a copy.

Mr. Rankin. To be perfectly frank, hot weather doesn't cause a man to have a disease.

Mr. PATTERSON. It isn't in the Tropics?
Mr. PATTERSON. What do you think of Burma, Mr. Rankin?

Mr. Rankin. Burma. It is not caused altogether by the climate. One of the great writers of ancient times gave us the reason for the high health rate in Egypt as the climate these people live in. The Tropics don't cause cancer or tuberculosis, and you can get just as much in Louisiana or Mississippi, as in the Tropics.

Philadelphia was almost depopulated by yellow fever a great many years ago, and it is a northern city. It is not a question of climate. There may be some diseases those people have because of no health service. You take the question of tuberculosis, cancer, malaria, arthritis. I am very doubtful if you would cover them all by just writing the word "tropical” in there.

So, my suggestion would be that we use the same terms as we used in the bill of 1924, "chronic constitutional diseases." I think that covers all those chronic diseases of veterans that cause them to break

down, and I think, that will cover all the diseases veterans are breaking down with now.

There are one or two other things. I see you marked out socialized medicine. Did you get a mandate on that, or did they recall the mandate or what happened to that?

Mr. COLFLESH. Congressman, in answer to that question, and, I take it, it is a question?

Mr. RANKIN. Yes.

Mr. COLFLESH. My thought about it is that we have an affirmative program and I wanted to present the position of the American Legion affirmatively. There are certain things to which the American Legion is opposed and we will present them later.

I did not present that because it is a negative matter and I want to be affirmative today.

Mr. RANKIN. It is likely to come up at any time. What I am afraid of is it will probably hit the floor of the House before we hear from you again.

Mr. COLFLESH. I will say this, that the American Legion in its last convention did pass a resolution in opposition to socialized medicine, but that is not an affirmative program.

Mr. Rankin. It is just as legitimate and necessary to keep down bad legislation as it is to promote good legislation.

Mr. COLFLESH. I understand that.

Mr. RANKIN. And what I want to know is whether or not that is the will of the Legion.

Mr. COLFLESH. Yes. It is.
Mr. RANKIN. Thank you.
The Chairman. The gentleman from Ohio, Mr. Ramey.

Mr. Ramey. Mr. Colflesh, you spoke of presumptive diseases. As a lawyer, speaking of presumptive diseases, that is somewhat amazing

May I have the medical definition of a presumptive disease and also the legal definition for the record?

Mr. Rankin. Will the gentleman from Ohio yield?
Mr. RAMEY. Yes, sir.
Mr. RANKIN. I think I can answer your question.

It is not a presumptive disease. The presumption is that it is service-connected or growing out of the service.

Mr. RAMEY. What I mean is within 5 years a person has an alleged disease.

Mr. RANKIN. Tuberculosis, we will say.
Mr. RAMEY. He is classed as having that in the service.
Mr. RANKIN. It is presumed to have been contracted in the service.
Mr. COLFLESH. Or aggravated by service.

Mr. RANKIN. Or aggravated by service, and that will give him service-connected disability.

Mr. RAMEY. Thank you. That clears it for the record.
The CHAIRMAN. The gentleman from Louisiana.

Mr. ALLEN. Madam Chairman, I don't know that I care to ask any further questions, but I simply want to emphasize something the gentleman from Wisconsin said a few moments ago and that is that we are vitally concerned with getting legislation passed that we have already reported out.

Mr. COLFLESH. That is our concern too.

Mr. ALLEN. And I have been hammering away at this effort to increase the subsistence allowance and offered a number of bills on it, hammering and hammering for 2 or 3 years. We have a bill. The Senate has acted and we got nowhere.

Have you gentlemen of the Legion given any thought to that? If you gentlemen of the Legion can help us pry that bill loose and some others, we will be glad of it.

Mr. COLFLESH. Congressman, I am happy to hear you say that. That is what we are here to try to do.

The CHAIRMAN. Without objection I will ask to have included in the record a list of tropical diseases as enumerated in the bill that passed the House, and also the list of chronic diseases.

(The list of tropical diseases and the list of chronic diseases follow:)


That, subject to the limitations of this subparagraph, tropical diseases, such as cholera; dysentery, amebic or bacillary; filariasis; fungus diseases; lieshmaniasis; leprosy; loiasis; malaria; black water fever; onchocerciasis; oroya fever; oracontiasis (or dracontiasis); pinta; plague; relapsing fever; schistosomiasis; yaws; yellow fever and others and the resultant disorders or diseases originating because of therapy, administered in connection with such diseases, or as a preventative thereof, shall be accorded service connection when shown to exist within one year after separation from active service or at a time when standard and accepted treatises indicate that the incubation period thereof commenced during active service. Nothing in this paragraph shall be construed to prevent service connection for any disease or disorder otherwise show by sound judgment to have been incurred in or aggravated by active service.


Provided further, That the term "chronic disease” as used in this paragraph shall include anemia, primary; arteriosclerosis; arthritis; bronchiectasis; calculi of the kidney, bladder, or gall bladder; cardiovascular-renal disease, including hypertension, Buerger's disease and Raynaud's disease; cirrhosis of the liver; coccidiomycosis; endocarditis; diabetes, mellitus; endocrinopathies; epilepsies; Hodgkin's disease; leukemia, nephritis; osteitis, deformans; osteomalacia; organic diseases of the nervous system, including tumors of the brain, cord, or peripheral nerves; functional disorders of the nervous system; scleroderma; tuberculosis, active; tumors, malignant; ulcers, peptic (gastric or duodenal) and such other chronic diseases as the Administrator of Veterans' Affairs may add to this list: And provided further, That tropical diseases, such as cholera; dysentery, emabic or bacillary; filariasis; fungus diseases; leishmaniasis; leprosy; loiasis; malaria; black water fever; onchocerciasis; oroya fever; oracontiasis (or dracontiasis); pinta; plague; relapsing fever; schistosomiasis; yaws; yellow fever and others and the resultant disorders or diseases of the integumentary, digestive, special sense, or nervous system because of suppressive therapy shall be accorded service connection when shown to exist to a degree of 10 percentum or more within the incubation period thereof as set out in standard and accepted treatises. Nothing in this paragraph shall be construed to prevent service connection for any of the diseases or disorders herein cited when shown subsequent to the delimiting date if sound judgment, within the realm of reasonable probability and the known facts, indicates the existence of the disease or disorder within the time limit herein provided, the benefit of all reasonable doubt to be resolved in favor of the veteran

The CHAIRMAN. The gentleman from Pennsylvania, Mr. Crow.

Mr: Crow. Mr. Colflesh, as I understand your resolution on page 3, it is H. R. 488.

We passed H. R. 246 raising the ceilings. That is in connection with on-the-job training, and do I understand you are still urging H. R. 488 and are not satisfied with 246?

Mr. COLFLESH. We are still urging the adoption of H. R. 488.

Mr. ALLEN. What are the provisions of that? Do you know?
General TAYLOR. To repeal Public Law 679.

Mr. ALLEN. Is that setting a ceiling on students in school and in training, a ceiling on the amount they might earn?

General Taylor. There is no ceiling on it.
Mr. Phillips. Does that set the ceiling on training on the job?
General TAYLOR. Yes, sir.
Mr. Phillips. And H. R. 488 would repeal that?

General TAYLOR. Repeal Public Law 679. There was no need for 679.

Mr. Crow. In other words, the American Legion is for the elimination of ceilings?

Mr. COLFLESH. Yes, sir.

The CHAIRMAN. The idea being, if there are any abuses it would be up to the Administrator of the Veterans’ Administration to eliminate it. He has full authority to not accept any undesirable schools also. Mr. COLFLESH. He possibly has. Mr. ALLEN. Will the gentleman yield at this point? The CHAIRMAN. Will the gentleman yield? Mr. CROW. Yes; Madam.

Mr. ALLEN. That has been my understanding all the way through, that the Veterans' Administration has the authority to do this.

Now that Public Law 679 was passed, and I believe it placed a burden upon a lot of fellows because in a few cases it was being abused.

If the Veterans' Administration can correct that abuse, it ought to be done.

Mr. Ramey. Suppose someone "goes south” with money and papers from some school; who has authority to issue a subpena and bring him to time?

General TAYLOR. I don't follow you.

Mr. RAMEY. I see the Veterans' Administration has full authority to correct this. If someone "went south” and appropriated money, or made a racket out of it, what authority does the Veterans' Administration have to correct this?

General TAYLOR. You mean some educational institution?
Mr. RamEY. Yes, it so happens that I know of one.

General TAYLOR. The Director of the Veterans' Administration has full authority to turn that matter over to the Attorney General.

The CHAIRMAN. The gentleman from Tennessee, Mr. Evins.

Mr. Evins. I have no questions but I would like to observe, Mr. Colflesh, you have made a very fine presentation.

The ChairMAN. The gentleman from Illinois, Mr. Vail.
Mr. Vail. I have no questions.
The CHAIRMAN. The gentlewoman from New Mexico, Mrs. Lusk.

Mrs. Lusk. I have no questions, but I think it is a very fine statement.

The CHAIRMAN. The gentleman from Connecticut, Mr. Patterson.
Mr. Patterson. No questions, Madam Chairman.
The CHAIRMAN. The gentleman from North Carolina, Mr. Jones.

Mr. Jones. I have no questions, but on the question of on-the-job ceiling, if you have a ceiling you want it as high as you can get it.

Are you in favor of the bill as passed if they do have a ceiling?

Mr. COLFLESH. Of course we are asking for repeal of legislation that does have those ceilings. We are rapidly changing economic errors. As it is, we feel those ceilings are too low to take advantage of the GI bill you adopted and pursue the educational opportunities which they would have if there was sufficient funds to enable them to do so.

The CHAIRMAN. The gentleman from Pennsylvania, Mr. Sarbacher.
Mr. SARBACHER. I have no questions, Madam Chairman.
The CHAIRMAN. The gentleman from Massachusetts, Mr. Donohue.
Mr. DONOHUE. I have no questions.
The CHAIRMAN. The gentleman from Tennessee, Mr. Phillips.
Mr. Phillips. I have no questions.

Mr. COLFLESH. Madam Chairman and ladies and gentlemen of the committee, I want to express my appreciation on behalf of the national legislative commission for the courtesy you extended me this morning

Before closing I would like to introduce another gentleman who is a member of the Legion's national rehabilitation committee and serves as chairman.

This is Mr. Rex McCrosson of New Jersey.

The CHAIRMAN. We are glad to have you. I think you are a constituent of Judge Mathews,

Mr. McCrosson. That is right. I think the last time I appeared before the committee I distinguished myself by introducing every person present except my wife, and today she is not here.

The CHAIRMAN. Will you present any other members of your committee, General Taylor?

Mr. RANKIN. Before leaving the stand, let me ask one more question.

I was reading here this list of tropical diseases. I want to know if the Legion would be satisfied with the passage of the same bill we passed for World War I veterans?

Mr. COLFLESH. Let me ask Mr. T. 0. Kraabel, director of the national rehabilitation committee, to answer.



Mr. KRAABEL. Madam Chairman, and Congressmen:

In order to assist the Legion in its analysis and study of the everchanging conditions, we have instituted a medical advisory committee which consists of Dr. Charles W. Mayo, of the Mayo Clinic; Dr. George N. Lull, executive manager, American Medical Association, and former Deputy Surgeon General, United States Army.

Dr. William Stroud of Pennsylvania, a noted cardiologist, Dr. Leonard W. Rowntree, for 15 years head of the medical clinic of Mayo Clinic; Dr. Esmond Long, and Admiral Pugh, Deputy Surgeon General, United States Navy.

They had their last meeting yesterday afternoon, and we have presented to them the experience of medical officers and doctors as they dealt with disabilities and wounds of veterans, and we get the history on the time it takes a disease to incubate, and we present the facts to them and they meet every other month.

We also have a full-time medical consultant and a part time.

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