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COMMITTEE ON APPROPRIATIONS

GEORGE H. MAHON, Texas, Chairman

JAMIE L. WHITTEN, Mississippi
ROBERT L. F. SIKES, Florida
EDWARD P. BOLAND, Massachusetts
WILLIAM H. NATCHER, Kentucky
DANIEL J. FLOOD, Pennsylvania
TOM STEED, Oklahoma

GEORGE E. SHIPLEY, Illinois
JOHN M. SLACK, West Virginia
JOHN J. FLYNT, JR., Georgia
NEAL SMITH, Iowa

ROBERT N. GIAIMO, Connecticut
JOSEPH P. ADDABBO, New York
JOHN J. MCFALL, California
EDWARD J. PATTEN, New Jersey
CLARENCE D. LONG, Maryland
SIDNEY R. YATES, Illinois
FRANK E. EVANS, Colorado

DAVID R. OBEY, Wisconsin

EDWARD R. ROYBAL, California
LOUIS STOKES, Ohio
GUNN MCKAY, Utah

TOM BEVILL, Alabama

BILL CHAPPELL, JR., Florida

BILL D. BURLISON, Missouri

BILL ALEXANDER, Arkansas

YVONNE BRATHWAITE BURKE,

California

JOHN P. MURTHA, Pennsylvania

BOB TRAXLER, Michigan

ROBERT B. DUNCAN, Oregon

JOSEPH D. EARLY, Massachusetts

MAX BAUCUS, Montana

CHARLES WILSON, Texas

LINDY (MRS. HALE) BOGGS, Louisiana

ADAM BENJAMIN, JR., Indiana

NORMAN D. DICKS, Washington

MATTHEW F. MCHUGH, New York

ELFORD A. CEDERBERG, Michigan
ROBERT H. MICHEL, Illinois
SILVIO O. CONTE, Massachusetts
JOSEPH M. McDADE, Pennsylvania
MARK ANDREWS, North Dakota
JACK EDWARDS, Alabama
ROBERT C. MCEWEN, New York
JOHN T. MYERS, Indiana

J. KENNETH ROBINSON, Virginia
CLARENCE E. MILLER, Ohio
LAWRENCE COUGHLIN, Pennsylvania
C. W. BILL YOUNG, Florida
JACK F. KEMP, New York

WILLIAM L. ARMSTRONG, Colorado
RALPH S. REGULA, Ohio

CLAIR W. BURGENER, California
GEORGE M. O'BRIEN, Illinois
VIRGINIA SMITH, Nebraska

KEITH F. MAINLAND, Clerk and Staff Director

MILITARY CONSTRUCTION APPROPRIATIONS FOR

FISCAL YEAR 1979

WEDNESDAY, MARCH 8, 1978.

DEFENSE MEDICAL CONSTRUCTION PROGRAM

WITNESSES

DEPARTMENT OF DEFENSE

MAJ. GEN. BENJAMIN R. BAKER, USAF, MC, DEPUTY ASSISTANT SECRETARY OF DEFENSE (HR&P), OFFICE OF THE ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS)

COL. THEODORE D. WOOD, MSC, USA, DIRECTOR, RESOURCES ADMIN-
ISTRATION, OFFICE OF THE DEPUTY ASSISTANT SECRETARY OF
DEFENSE (HEALTH AFFAIRS)

MAJ. SANDERS W. GRADY, USAF, DEPUTY DIRECTOR FACILITIES
PLANNING AND MATERIEL, OFFICE OF THE DEPUTY ASSISTANT
SECRETARY OF DEFENSE (HEALTH AFFAIRS)
THOMAS KERLEY, OSD (MRA&L)

DEPARTMENT OF THE ARMY

MAJ. GEN. ENRIQUE MENDEZ, JR., MC, USA, DEPUTY SURGEON GENERAL OFFICE OF THE SURGEON GENERAL

MAJ. GEN. SURINDAR N. BHASKAR, MC, USA, ASSISTANT SURGEON GENERAL FOR DENTAL SERVICES, OFFICE OF THE SURGEON GENERAL

MAJ. GEN. WILLIAM R. WRAY, ASSISTANT CHIEF OF ENGINEERS, OFFICE OF THE CHIEF OF ENGINEERS

ALLEN M. CARTON, PROGRAM DIVISION, OFFICE OF THE ASSISTANT CHIEF OF ENGINEERS

JAMES V. ALLRED, ENGINEERING BRANCH, OFFICE OF THE CHIEF OF ENGINEERS

LT. COL. HAROLD V. HOOKS, PROGRAMING DIVISION, OFFICE OF THE ASSISTANT CHIEF OF ENGINEERS

COL. JAMES J. GENOVA, DENTAL REPRESENTATIVE, U.S. ARMY HEALTH FACILITY PLANNING AGENCY

LT. COL. NEAL H. WALLS, DIRECTOR, U.S. ARMY HEALTH FACILITY PLANNING AGENCY

BRIG. GEN. QUINN H. BECKER, DIRECTOR OF HEALTH CARE OPERATIONS, OFFICE OF THE SURGEON GENERAL

DEPARTMENT OF THE NAVY

REAR ADM. ALMON C. WILSON, ASSISTANT CHIEF FOR MATERIEL RESOURCES, BUREAU OF MEDICINE AND SURGERY

REAR ADM. DONALD G. ISELIN, COMMANDER, NAVAL FACILITIES ENGINEERING COMMAND

DEPARTMENT OF THE AIR FORCE

COL. ROBERT R. ROLFS, USAF, MSC, CHIEF, FACILITIES DIVISION, DIRECTORATE OF HEALTH CARE SUPPORT, OFFICE OF THE SUR

GEON GENERAL

COL..ERNEST D. STRAIT, USAF, DIRECTORATE OF ENGINEERING AND SERVICES

LT. COL. CHARLES L. SILLIMAN, USAF, MSC, OFFICE OF THE SURGEON GENERAL

MAJ. EARL D. McCLAIN, USAF, MSC, OFFICE OF THE SURGEON GENERAL

JAMES R. PENNINO, DIRECTORATE OF ENGINEERING AND SERVICES

Mr. MCKAY. The committee will come to order.

This morning the committee will review the Fiscal Year 1979 request for medical facilities for the Department of Defense. This request includes hospitals, health clinics, dental clinics and other projects totalling $230 million.

We are pleased to have with us this morning Major General Benjamin R. Baker, Deputy Assistant Secretary of Defense for Health Resources and Programs, and representatives from each of the Services. This will continue the committee's efforts to conduct combined hearings on issues of a common nature, which we feel has value in coordinating and getting an attitude as to where we are going with the Services.

We are supposed to have a "United Service". I guess we have to put that in quotes. We still think everybody is separate in our forces, but we try to get a coordinated effort.

The committee will consider today the progress which the Department of Defense has made in developing adequate standards for sizing of military hospitals, the sharing of medical resources. and coordinated planning of medical facilities. Throughout its review of medical facilities the committee will be looking carefully at each of the proposals to assure that proper coordination and long-term justification has taken place.

The committee feels that providing modern, safe and professional medical facilities should be a high priority of the Defense Department. Because of the limited funds that are available, it becomes increasingly important for us to assure that funds for medical projects are appropriated for the most needed purposes.

General Baker, we will now turn to you for your statement. Please introduce any support staff you have with you and feel free to call upon them as necessary at any point you so choose.

At this point, a summary of each of the fiscal year 1979 Medical Proiects will be placed in the record.

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