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HEARINGS

BEFORE THE

COMMITTEE ON WAYS AND MEANS

HOUSE OF REPRESENTATIVES

EIGHTY-EIGHTH CONGRESS

FIRST AND SECOND SESSIONS

ON

H.R. 3920

A BILL TO PROVIDE UNDER THE SOCIAL SECURITY PROGRAM
FOR PAYMENT FOR HOSPITAL AND RELATED SERVICES TO

AGED BENEFICIARIES

NOVEMBER 18, 19, 20, 21, AND 22, 1963, AND

JANUARY 20, 21, 22, 23, AND 24, 1964

PART 5

MATERIAL SUBMITTED FOR THE PUBLISHED RECORD OF THE

HEARING

Printed for the use of the Committee on Ways and Means

U.S. GOVERNMENT PRINTING OFFICE

27-166 O

WASHINGTON : 1964

For sale by the Superintendent of Documents, U.S. Government Printing Office

Washington, D.C. 20402 Price $1.25

COMMITTEE ON WAYS AND MEANS

WILBUR D. MILLS, Arkansas, Chairman CECIL R. KING, California

JOHN W. BYRNES, Wisconsin THOMAS J. O'BRIEN, Illinois

HOWARD H. BAKER, Tennessee 2 HALE BOGGS, Louisiana

THOMAS B. CURTIS, Missouri EUGENE J. KEOGH, New York

VICTOR A. KNOX, Michigan FRANK M. KARSTEN, Missouri

JAMES B. UTT, California A. S. HERLONG, JR., Florida

JACKSON E. BETTS, Ohio WILLIAM J. GREEN, JR., Pennsylvania 1 BRUCE ALGER, Texas JOHN C. WATTS, Kentucky

STEVEN B. DEROUNIAN, New York AL ULLMAN, Oregon

HERMAN T. SCHNEEBELI, Pennsylvania JAMES A. BURKE, Massachusetts

HAROLD R. COLLIER, Illinois
CLARK W. THOMPSON, Texas

JOEL T. BROYHILL, Virginia 4
MARTHA W. GRIFFITHS, Michigan
ROSS BASS, Tennessee
W. PAT JENNINGS, Virginia
GEORGE M. RHODES, Pennsylvania 3

LEO H. IRWIN, Chief Counsel
JOHN M. MARTIN, Jr., Assistant Chief Counsel
WILLIAM H. QUEALY, Minority Counsel

JOHN P. ER, Professional Staff
THOMAS P. KERESTER, Professional Staff

1 Died Dec. 21, 1963.
2 Died Jan. 7, 1964.
3 Elected Jan. 21, 1964.
4 Elected Jan. 22, 1964.

II

CONTENTS

Table showing contents of each volume by page numbers and dates

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Press release dated October 29, 1963, announcing public hearings on the Pago

subject of medical care for the aged to begin on November 18, 1963---- 1

Examples of bills currently pending before Congress:

H.R. 3920, a bill to provide under the social security program for pay-

ment for hospital and related services to aged beneficiaries ---

3

S.2431, a bill to provide health care for persons 65 years of age and over

through contributory social insurance, and a complementary basic

national private insurance plan.

1243

H.R. 9732, a bill to provide through the Social Security System a

means of financing hospital and related services to aged beneficiaries,

but offering freedom of individual choice to each beneficiary to

select voluntary health plan coverage, and for other purposes. 1812

H.R. 21, a bill to provide for the medical and hospital care of the aged

through a system of voluntary health insurance, and for other

purposes.-

1087

H.R. 766, a bill to provide for the medical and hospital care of the aged

through a system of voluntary health insurance and tax credits, and

for other purposes.

1110

H.R. 4511, a bill to amend titles I and XVI of the Social Security Act

to permit the administration of medical assistance for the aged under
an approved State plan by or under the supervision of a State agency

separate from the State agency administering the rest of the plan - 782
Brief comparison of major types of health insurance proposals pending
before the Committee on Ways and Means, dated November 14, 1963

Faces p. 26

III

STATEMENTS BY GOVERNMENT OFFICIALS

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Agriculture, Department of, Hon. Orville L. Freeman, Secretary --
Health, Education, and Welfare, Department of:

Ball, Hon. Robert M., Commissioner of Social Security Administra-

tion...

Celebrezze, Hon. Anthony J., Secretary-

Cohen, Hon. Wilbur J., Assistant Secretary for Legislation.

Myers, Robert J., Chief Actuary, Social Security Administration..

Nestingen, Hon. Ivan, Under Secretary--

Labor, Department of:

Chase, Arnold, Assistant Commissioner, Bureau of Labor Statistics..

Wirtz, Hon. W. Willard, Secretary----

STATEMENTS BY PUBLIC WITNESSES
Adams, Arlin M., secretary of public welfare, State of Pennsylvania --
Alford, Dr. Dale, a former Representative in Congress from the State of

Arkansas.

Allan, Lillian, Social Security Clubs of America and the National Federa-

tion for Social Security-

American Academy of General Practice, Dr. Albert E. Ritt, president-

American Association of Homes for the Aging, Dr. Herbert Seltzer.--

American Association of Medical Assistants, Judy Coleman, president---

American Association of Workers for the Blind, Irvin P. Schloss, legislative

analyst-

American College of Radiology, Dr. David S. Carroll, chairman, board of

chancellors..
American Dental Association:

Conway, Bernard J., legislative counsel..
Pierson, Dr. Fritz A., president-elect----

Wilson, Dr. John B., chairman, council on legislation.
American Farm Bureau Federation, Mrs. Haven Smith, chairman,

women's committee...
American Federation of Labor and Congress of Industrial Organizations:

Biemiller, Andrew J,. director of legislation.-
Carey, James B., secretary-treasurer, industrial union department
Cruikshank, Nelson H., director of department of social security -

Meany, George, president-
American Foundation for the Blind, Inc., Irvin P. Schloss, legislative

analyst
American Hospital Association:

Williamson, Kenneth, associate director, and director, Washington

service bureau..

Wilson, Dr. David B., chairman, council on government relations-

American Life Convention, H. Lewis Rietz.

American Medical Association:

Annis, Dr. Edward A., president..

Welch, Dr. Norman A., president-elect.

American Nursing Home Association, William E. Beaumont, Jr., president.
American Optometric Association, Dr. Norman Haffner--
American Podiatry Association, Dr. Earl G. Kaplan, president-
American Public Health Association, Dr. Milton Terris.
American Public Welfare Association, Charles I. Schottland, committee on

public welfare policy ...

Americans for Democratic Action, Dr. Frank F. Furstenburg (presented

by David Cohen)..

American Veterans Committee, Chester C. Shore, chairman legislative

committee, statement.--

Andrews, Hon. Mark, a Representative in Congress from the State of

North Dakota.---

Annis, Dr. Edward A., president, American Medical Association.

Arkansas Medical Association, Dr. Joe Verser, president..

Association of American Physicians and Surgeons, Dr. Thomas Parker,

1453

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1205

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349

1127

643

643

1862

909
1692
1382

1635

president.--

1450

643

1514

1080

Page
331

1995

1964

1862

1735

Baldinger, Irving, vice-president for health, education, and welfare, District

65, Řetail Wholesale and Department Store Union, AFL-CIO.

Baring, Hon. Walter S., a Representative in Congress from the State of

Nevada...

Barron, Hon. William W., Governor of West Virginia.

Barry, Hon. Robert R., a Representative in Congress from the State of

New York.

Bartley, E. Russell, director, industrial relations, Illinois Manufacturers

Association

Baskin, Oakley, International Association of Health Underwriters

Beaumont, William E., Jr., president, American Nursing Home Associa-

tion.--

Belden, Joe, Belden Associates, Dallas, Tex.--

Berger, Donald, legislative assistant to the president, New York State

AFL-CIO.

Biemiller, Andrew J., director of legislation, American Federation of Labor

and Congress of Industrial Organizations...

Blackford, Frank, vice chairman, Life Investment Management Co., Inc.

Blake, Dr. Henry S., chairman, board of directors, National Association

of Blue Shield Plans..

Blue Cross Association, Walter J. McNerney, president.

Bober, Joseph C., secretary-treasurer, Connecticut State Labor Council,

AFL-CIO..

Bolling, Hon. Richard, a Representative in Congress from the State of

Missouri...

Bow, Hon. Frank T., a Representative in Congress from the State of Ohio.

Brotzman, Hon. Donald G., a Representative in Congress from the State of

Colorado.

Brown, Hon. Edmund G., Governor, State of California, as presented by

John M. Wedemeyer, director, California Department of Social Welfare -
Brown, H. S. Hank, president, Texas AFL-CIO..
Brown, Hugh, president, Florida State Council for Senior Citizens, Inc.-
Buhler, Dr. Victor B., president, College of American Pathologists -
Bunch, Dr. C. Pardue, president, New Mexico Medical Society (statement

presented by Dr. Emmitt M. Jennings)

Burns, Dr. Eveline M., National Consumers League ---

Burton, Hon. Laurence J., a Representative in Congress from the State of

Utah.

Byers, Clint, Social Security Clubs of America and the National Federation

for Social Security ---

Cafritz, Dr. Hubert L., Hyattsville, Md..
California, State of:

Brown, Hon. Edmund G., Governor...
Wedemeyer, John M., director, Department of Social Welfare, pre-

senting Governor Brown's statement.

California Hospital Association, Clifton H. Linville, president.--

California Medical Association, Dr. Samuel R. Sherman, president.

Carey, James B., president, International Union of Electrical, Radio &

Machine Workers of America, and secretary-treasurer, Industrial Union

Department (AFL-CIO)

Carlton, Winslow, secretary, National Committee on Health Care of the

Aged..

Carroll, Dr. David S., chairman, board of chancellors, American College of

Radiology -

Chamber of Commerce of the United States, Karl Schlotterbeck, manager,

economic security department.
Chapotz, Charles, United Pensioners, IVE Electric Workers Retirees, and

District 15 Steelworker Retirees (read by Guy F. Fain, president, Na-

tional Association of Retired and Veteran Railway Employees)--
Chicago Area Senior Citizens Association, Bessie Gottlieb, vice president.
Christian Science Committee on Publication of the First Church of Christ,

Scientist, Dr. J. Buroughs Stokes, manager, Washington office..
Clement, Dr. Kenneth W., president, National Medical Association. -
Cohen, David (presenting statement of Dr. Frank Furstenburg, Americans

for Democratic Action).

918
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564
1031

1886

292

587

2013

918

1622

594
561

484
1657

1544

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