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committee, pertaining to the medical aspects of this proposed legislation. I shall comment briefly, as a layman, on the salient features of the bill so that there will be a complete understanding of the objective.

The American Legion adheres to its fixed policy that there must be a substantial basis and need for any legislation which the organization sponsors.

The bill requires that the tuberculous disease must have been active, as the basis for service connection, prior to attainment of arrest, before the proposed minimium rating is assigned. Such cases as the 4,442 mentioned previously would not be comprehended in that an active process preceding complete arrest must be established. The 39,798 cases cited would be included.

I cannot furnish an estimate of the number of veterans who would benefit. It would, and should be, a substantial number. The Veterans Administration, with full access to the best available data covering the over-all picture, should be in position to furnish the committee a reasonable estimate of the probable number of veterans affected and of the possible annual cost.

The chairman voiced in the June 12 hearing his personal desire that, insofar as it was feasible and possible, there be a common basis for award of benefits to veterans of all wars and their dependents. It will be noted that the rating of not less than 50 percent would be applicable in the adjudication of claims for disability compensation of veterans of all wars and of peacetime service.

In the conference last Thursday of veterans' organizations, it was decided that the provisions of this bill should be applicable alike to the cases of veterans of all wars and of peacetime service, having service connections, established so that disability evaluations are based upon appropriate rating schedules. As it is sound legislation for one group, medically and economically, it s sound for all.

In the June 12 hearing, Veterans Administration spokesmen mentioned an issue being coordinated in that agency which would provide for the continuance of a full compensaton award for a period up to 2 years upon attainment of complete arrest, after a veteran has had hospital treatment, from which discharged with maximum benefit, for a service-connected, active tuberculous disease.

Undoubtedly, there will be limitations imposed in the regulation as to duration of the award within the 2-year period, as to conditions of employment in which the veteran may engage, and presumably, periodical medical examinations and follow-up within the period will be required. As Dr. Shapiro has told you our medical advisory board carefully considered and voiced approval, in the monthly meeting held April 10, 1947, of such a proposal as contemplated by the Veterans' Administration. With this committee's approval the pertinent extract of the minutes of that meeting have been inserted in the record of hearings on this bill.

The first proviso of this bill would not preclude the assignment of such a total rating for the period mentioned, or the assignment of any rating in excess of 50 percent, whether partial or total, as might be deemed equitable in the individual case. Conceivably there will be in the future, as there have been in the past and are now, beneficiaries who will continue, for many years or for a lifetime to be held to be permanently and totally disabled by reason of tuberculosis even though complete arrest of the active disease has been reached because the damage done is so extensive that these veterans cannot hope ever to engage in a substantially gainful occupation continuously.

It is the obvious desire of the Congress that there be compensation awarded for each service-connected disability of compensable degree. Provision for a minimum rating for arrested tuberculosis rather than a minimum monthly award, will permit recognition for compensation purposes of each service-connected disability. On the basis of a rating of not less than 50 percent, this rating for arrested tuberculosis may be combined, under the tables in the disability rating schedules with the percentage evaluations for other disabilities of service origin.

A veteran might have, for example, a service-connected residual disability resulting from shrapnel wounds sustained in combat evaluated at 20 percent; a deafness occasioned by the trauma of the concussion of the shell burst disabling to the extent of 10 percent; organic heart disease of 10 percent degree; and malaria of 10 percent degree; in addition to the tuberculosis. Granted that arrested tuberculosis should have a minimum percentage evaluation of disability of 50, there would then be disabilities of the degrees of 50, 20, 10, 10, and 10. The Schedule for Rating Disabilities, 1945 edition, grants that there is a combined partial disability of 71 percent, which would be adjusted to 70 percent to meet the compensation rate table. The monthly disability compensation award would recognize that there are five service-connected disabilities, not just one, and the amount payable would be $96.60.

This would not be the case were a minimum statutory award established. The statutory award for arrested tuberculosis, payable in World War I veterans' cases, was provided as recognition of the minimum disability compensation payment required as protection for those disabled by this disease. However, considering the example cited, payment of the $60 statutory award for arrested tuberculosis would actually deny compensation recognition of the disabilities named-wound residuals, deafness, heart disease, and malaria, although each increased the handicap suffered the result of service.

In closing I want to express my personal appreciation, and the appreciation of the organization I represent, the American Legion, for this opportunity of presenting the views of the Legion on the subject matter now being considered and for the exacting and meticulous effort the committee expends in weighing the merits of all proposals made in the interest of effecting the rehabilitation of veterans and their dependents.

Mr. MATHEWS. You may give me three more copies of your statement, Mr. Kraabel, if you will, for the other members of the committee.

Mr. KRAABEL. I will. Here they are.

Mr. STANDISH. Here is a telegram, Mr. Mathews, that was sent to the chairman of the full committee.

Mr. MATHEWS. Thank you. It is from Kendall E. Emerson, managing director, National Tuberculosis Association, and it will be inserted in the record. (The telegram is as follows:)

SAN FRANCISCO, CALIF., June 18, 19.17. Hon. EDITH N. ROGERS, Chairman, Committee on Veterans Affairs,

House of Representatives, Washington, D. C.: The board of directors of the National Tuberculosis Association and its medical section representing over 3,000 physicians in annual session at San Francisco on June 17 expressed their opposition to the following bills before your committee: H. R. 1200, 1696, 2621, 3349, and 3418. In the opinion of the board provisions guaranteeing adequate individualized medical treatment and rehabilitation for the requisite number of years will accomplish more for the health and welfare of the veteran than the legislation proposed in the foregoing bills. With this in mind we have today adopted resolution recommending to the Administrator of Veterans Affairs administrative medical changes within the present law providing for the extension of the period of compensation following discharge with arrest beyond 6 months. Copies of this telegram are being sent to members of your committee, the Administrato Veterans Affairs, and the national headquarters of service organizations.

Managing Director, National Tuberculosis Association,

1790 Broadway, New York 19, N. Y. Mr. KRAABEL. Mr. Chairman, I have a supplemental statement I would like to make.

Mr. MATHEWS. Mr. Kraabel.

Mr. KRAABEL. I understand that the conference held at your invitation also treated H. R. 1200 and that this statement is a product of the conference rather than of any one organization, with the exception of one organization, which wants to be heard on it specially. Is that right!

Mr. MATHEWS. That is, I understand, the Veterans of Foreign Wars. That is the reason I asked if there was anyone here from that organization. I wanted to give them a chance to be heard on their side. Thank you for that information.

Mr. CAMP. You have incorporated the statement into the record on tropical diseases

Mr. Mathews. Was there a letter from you on that?
Mr. Camp. Mr. Kraabel.
Mr. Jones. There was a letter from Mr. Kraabel on that.
Mr. MATHEWS. It will be incorporated, too.
(The papers referred to are as follows:)


Washington 6, D. C., June 13, 1947. Hon. FRANK A. MATHEWS, Jr., Member of Congress, old House Office Building,

Washington, D. C. DEAR FRANK: I feel that I should report to you the result of the conference of veterans' organizations, which followed the hearing by your committee Thursday, June 12.

In conference were representatives of the American Legion, Veterans of Foreign Wars of the United States, Disabled American Veterans, and Regular Veterans Association. Casey Jones, of the staff of the Committee on Veterans Affairs, presided.

The four organizations agreed on a substitute draft pertaining to chronic diseases to accomplish the purpose sought by the Honorable James T. Patterson, M. C., who introduced H. R. 3650.

The VFW did not agree with the American Legion, DAV, and RVA on the proposed substitute for H. R. 1200, which Mr. Patterson introduced on behalf of the American Legion. There is complete agreement, with the exception of the VFW, with the draft which is attached for your information, which will provide a rating of not less than 50 percent for a service-connected arrested tuberculosis.

Representing in the conference the American Legion were Harry Hayden, of, the legislative division, and Charles W. Stevens and H. D. Shapiro, M. D., of the rehabilitation division; the VFW, John C. Williamson and Elmer Richter; the DAV, Francis M. Sullivan, Clayton Wood, M. D., and Q. E. Camp; the RVA, William F. Floyd and Victor E. Devereaux. Kindest personal regards. Sincerely yours,

T. 0. KRAABEL, National Director,

A BILL To provide a minimum rating for service-connected cases of arrested tuberculosis

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That any ex-service person shown to have had an active tuberculosis disease which is or shall be held to be the result of active military or naval service, who in the judgment of the Administrator of Veterans' Affairs has reached a condition of complete arrest of his disease, shall receive compensation based upon a rating of not less than 50 per centum therefor: Provided, however, That nothing in this provision shall deny a beneficiary the right to any higher rating otherwise provided : Provided further, That no ratings under this Act shall be retroactive.

Mr. MATHEW :. Is there anyone here that wants to be heard on these tuberculosis bills? If not, is there anyone who wants to be heard on the income-limitation bills?

Mr. STANDISH. The Veterans of Foreign Wars want to be heard on it. They had to go to another meeting on the Committee on Civil Service, and they will be here later.

Mr. MATHEWS. We will defer it, if there is nobody here at the present time wanting to be heard on either of these various tuberculosis bills or the income limitations bills that haven't been heard

Mr. STANDISH. The Amvets want to be heard, also, and Mr. McLaughlin is on his way up here.

Mr. MATHEWS. We will take a 5-minute recess at the present time and convene in 5 minutes to see if these people who want to be heard are here by that time.

Mr. STANDISH. I believe Mr. Williamson is here.
Mr. MATHEWS. We will proceed, then.



Mr. WILLIAMSON. John C. Williamson, assistant legislative director of the Veterans of Foreign Wars.

Mr. MATHEWS. Did you get on the record who you represent?
Mr. WILLIAMSON. Yes, sir.

Mr. MATHEWS. You want to be heard with reference to the tuberculosis and other chronic disease bills?

Mr. WILLIAMSON. Well, as I understand it, the bill relating to service-connected presumption for chronic diseases and tropical diseases, is now the product of a joint conference of the three major veterans' organizations.

Mr. MATHEWS. I understand there are one or more points on which your organization did not agree with the conference. This is to give you opportunity to present that point, or those pointş, if that statement to correct.

Mr. WILLIAMSON. I was under the impression—let me put it this way. The Veterans of Foreign Wars is in accord with the final draft of the bill as set forth at this joint conference. I understand that that bill has been reintroduced by Mr. Patterson.

Mr. MATHEWS. That is right. That is as far as the tropical diseases.

Mr. WILLIAMSON. That is right. Of course, if that bill still represents the decisions of that joint conference, we are still in accord with it. That is still the same bill?

Mr. KRABEL. Yes.
Mr. WILLIAMSON. We are still in accord with that bill.

Mr. MATHEWS. Mr. Patterson introduced that bill, I think, yesterday, and the committee will take that under consideration.

Mr. WILLIAMSON. With reference to the statutory award for arrested tuberculosis, the Veterans of Foreign Wars by an encampment mandate urges the favorable consideration of H. Ř. 1200, with an amendment changing the statutory award from $50 to $60. I understand that is the present statutory award for World War I Veterans, and this will make it equal.

We have given considerable thought to setting forth a minimum disability rating for arrested tuberculosis, 30, 40, or 50 percent. We did refer that to our national rehabilitation service and they strongly advised against it and recommended that we adhere to our national mandate.

The representative of our rehabilitation service did make a recommendation that it would be desirable to provide a minimum disability rating as a cushion, in the event an individual had a disability in addition to arrested tuberculosis; and should the committee in its wisdom decide to provide such a cushion rating we recommend that it not be in excess of 20 percent.

In other words, if the veteran has just arrested tuberculosis, he would draw the $60 statutory award, but if he has a combination of disabilities, the arrested tuberculosis would be considered as at most 20 percent. That is all I have on that, Mr. Chairman.

Mr. MATHEWS. Is there anyone else who wants to be heard on the bills before us in regard to tuberculosis and other chronic diseases?

(No response.)
Mr. MATHEWS. Thank

you; if not, we will continue with the hearings on the income limitation bill.

Is there anyone who hasn't been heard on the various income limitation bills?

Mr. WILLIAMSON. We have not been heard on that.
Mr. MATHEWS. Is there anyone else now?
(No response.)

Mr. MATHEWS. You will separate this! This is a hearing on the other bill.

Mr. WILLIAMSON. For the purpose of discussion, Mr. Chairman, I would like to take up H. R. 1352. Mr. Chairman, before proceeding with that bill, I would like to state that in accordance with a mandate of our national encampment, we drafted the bill H. R. 460 that was introduced by Mr. Johnson of Indiana at our request. Mr. Johnson was advised of the pending hearings on his bill and gave me a prepared statement to present for the record. I would like to present that to the committee at this time.

Mr. MATHEWS. If there is no objection, that will be incorporated in the record at this point.

(The paper referred is as follows:)



Mr. Chairman and members of the committee, I appreciate very much this opportunity to testify before this committee in regard to the bill H. R. 460, which was introduced by me on January 6, 1947.

Under existing law the widow of a World War I or World War II veteran whose death is not service connected is entitled to a pension of $42.50 per month provided that her annual income, if she has no dependents, does not exceed $1,000, or, if she has a child or children, does not exceed $2,500.

The purpose of the bill H. R. 460 is to increase this income limitation to $2,000 for the widow without a child or children and $3,000 if the widow has a child or children. Since these income limitations were made a part of the basic law relating to World War widows pensions on June 28, 1934, the Congress has on several occasions recognized the increase in the cost of living by increasing the pensions for both windows and children. However, the Congress in increasing these pensions did not raise the income limitation for determining eligibility. Consequently, many widows have been denied these pensions while at the same time their incomes, although in excess of the limitation set by the act of June 28, 1934, were still insufficient to meet the basic necessities of life. It must be conceded that an income of $1,000, when this limitation was placed in the basic law, meant considerably more in providing for the necessities of life than an annual income of $1,000 would at present.

I therefore strongly urge this committee to favorably consider this particular provision of H. R. 460 in order that a widow might still be eligible for a pension provided her annual income does not exceed $2,000. In the case of a widow with a child or children, the bill proposes that the income limitation be increased by $500, to $3,000.

Section 2 of the bill provides that in determining annual income for pension entitlement that the expenses borne by the widow in connection with the last illness of the veteran and burial expenses in excess of $150 would be deductible

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