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DEPARTMENTS OF LABOR, AND HEALTH, EDUCATION,
AND WELFARE, AND RELATED AGENCIES APPROPRI-

ATIONS FOR FISCAL YEAR 1971

HEARINGS

BEFORE THE

SUBCOMMITTEE OF THE
U.S. Congresite
COMMITTEE ON APPROPRIATIONS.

UNITED STATES SENATE

NINETY-FIRST CONGRESS

SECOND SESSION

ON

H.R. 18515

AN ACT MAKING APPROPRIATIONS FOR THE DEPARTMENTS
OF LABOR, AND HEALTH, EDUCATION, AND WELFARE, AND
RELATED AGENCIES, FOR THE FISCAL YEAR ENDING JUNE 30,

1971, AND FOR OTHER PURPOSES

Printed for the use of the Committee on Appropriations

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 1970

49-433 O

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SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS

WARREN G. MAGNUSON, Washington, Chairman
RICHARD B. RUSSELL, Georgia

NORRIS COTTON, New Hampshire
JOHN STENNIS, Mississippi

CLIFFORD P. CASE, New Jersey
ALAN BIBLE, Nevada

HIRAM L. FONG, Hawaii
ROBERT C. BYRD, West Virginia

J. CALEB BOGGS, Delaware
SPESSARD L. HOLLAND, Florida

MILTON R. YOUNG, North Dakota

ex officio
PROFESSIONAL STAFF

HARLEY M. DIRKS
WM. J. KENNEDY

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DEPARTMENTS OF LABOR, AND HEALTH, EDUCATION, AND WELFARE AND RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 1971

WEDNESDAY, AUGUST 12, 1970

U.S. SENATE,
SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS,

Washington, D.C. The subcommittee met at 10:15 a.m., in room 1114, New Senate Office Building, Hon. Warren G. Magnuson (chairman) presiding.

Present: Senators Magnuson and Cotton. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

NATIONAL INSTITUTES OF HEALTH

STATEMENT OF DR. ROBERT Q. MARSTON, DIRECTOR

ACCOMPANIED BY:

DR. JOHN F. SHERMAN, DEPUTY DIRECTOR
DR. ROBERT W. BERLINER, DEPUTY DIRECTOR FOR SCIENCE
DR. KENNETH M. ENDICOTT, DIRECTOR, BUREAU OF HEALTH

PROFESSIONS EDUCATION AND MANPOWER TRAINING
DR. MARTIN M. CUMMINGS, DIRECTOR, NATIONAL LIBRARY

OF MEDICINE
DR. THOMAS J. KENNEDY, JR., ASSOCIATE DIRECTOR FOR PRO-

GRAM PLANNING AND EVALUATION
RICHARD SEGGEL, ASSOCIATE DIRECTOR FOR ADMINISTRA-

TION
DR. CARL G. BAKER, DIRECTOR, NATIONAL CANCER INSTITUTE
DR. THEODORE COOPER, DIRECTOR, NATIONAL HEART AND

LUNG INSTITUTE
DR. SEYMOUR J. KRESHOVER, DIRECTOR, NATIONAL INSTI-

TUTE OF DENTAL RESEARCH
DR. G. DONALD WHEDON, DIRECTOR, NATIONAL INSTITUTE

OF ARTHRITIS AND METABOLIC DISEASES
DR. EDWARD F. MacNICHOL, JR., DIRECTOR, NATIONAL INSTI-

TUTE OF NEUROLOGICAL DISEASES AND STROKE
DR. DORTLAND J. DAVIS, DIRECTOR, NATIONAL INSTITUTE OF

ALLERGY AND INFECTIOUS DISEASES
DR. J. H. U. BROWN, ACTING DIRECTOR, NATIONAL INSTITUTE

OF GENERAL MEDICAL SCIENCES
DR. GERALD D. LA VECK, DIRECTOR, NATIONAL INSTITUTE OF

CHILD HEALTH AND HUMAN DEVELOPMENT
DR. CARL KUPFER, DIRECTOR, NATIONAL EYE INSTITUTE

DR. PAUL KOTIN, DIRECTOR, NATIONAL INSTITUTE OF EN

VIRONMENTAL HEALTH SCIENCES
DR. MILO LEAVITT, JR., DIRECTOR, FOGARTY INTERNATIONAL

CENTER
DR. JOHN GREENE, ACTING DIRECTOR, DIVISION OF DENTAL

HEALTH
DR. THOMAS G. BOWERY, DIRECTOR, DIVISION OF RESEARCH

RESOURCES
DR. HARRY W. BRUCE, DIRECTOR, DIVISION OF EDUCATIONAL

AND RESEARCH FACILITIES
MISS JESSIE SCOTT, DIRECTOR, DIVISION OF NURSING,

HEALTH MANPOWER JAMES B. CARDWELL, DEPUTY ASSISTANT SECRETARY,

BUDGET

BUDGET REQUEST, HOUSE INCREASE AND PARTIAL APPEAL Senator MAGNUSON. The subcommittee will come to order.

This morning we begin to hear the testimony of the National Institutes of Health and Dr. Marston, the Director, is here, with his colleagues.

For the record, the budget request for 1971 is $1,542,039,000 which is $120,417,000 over comparable 1970 figures. The House has allowed an additional $92.7 million, bringing the total to $1,634,739,000.

Are those the correct figures ?
Mr. CARDWELL. That is correct.

Senator MAGNUSON. The Department is here today to appeal for $30,928,000 on that $92.7 million increase.

I don't like the word “appeal.” You are going to discuss it. We are not an appeal group. This leaves the total departmental request before the Senate at $1,572,967,000.

Dr. Marston, you may proceed at this time.

FEDERAL SUPPORT OF BIOMEDICAL RESEARCH AND COMMUNICATIONS

AND HEALTH PROFESSION EDUCATION

Dr. MARSTON. Thank you, Mr. Chairman and members of the committee.

I am pleased to have the opportunity to appear before you again to testify about the goals, plans, and needs of NIH for carrying out its responsibilities for Federal support of biomedical research, for education in health professions, and for biomedical communications.

TOP LEVEL STAFF CHANGES

During the past year there have been a number of important changes in the top level staff at NIH.

Dr. Leonard Fenninger, who testified last year as Director of the Bureau of Health Professions Education and Manpower Training, has become Associate Director for Health Manpower which is a new position in the Office of the Director, NIH.

He has been succeeded as Director of the Bureau by Dr. Kenneth Endicott who has been Director of the National Cancer Institute since

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