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HEARINGS

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON

LABOR AND PUBLIC WELFARE
UNITED STATES SENATE

NINETY-SECOND CONGRESS

FIRST SESSION

ON

EXAMINATION OF THE HEALTH CARE CRISIS IN AMERICA

MARCH 23, 24, 31, AND APRIL 6, 1971

PART 5

Printed for the use of the Committee on Labor and Public Welfare

59-661 O

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1971

COMMITTEE ON LABOR AND PUBLIC WELFARE

HARRISON A. WILLIAMS, JR., New Jersey, Chairman

JENNINGS RANDOLPH, West Virginia
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
WALTER F. MONDALE, Minnesota
THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
HAROLD E. HUGHES, Iowa

JACOB K. JAVITS, New York
WINSTON PROUTY, Vermont
PETER H. DOMINICK, Colorado
RICHARD S. SCHWEIKER, Pennsylvania
BOB PACKWOOD, Oregon

ROBERT TAFT, JR., Ohio

J. GLENN BEALL, JR., Maryland

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Connelly, D. John P., associate professor of pediatrics, Harvard Medical
School, and executive director, Bunker Hill Center of the Massachusetts
General Hospital_.

Prepared statement..

Dechant, Tony, president, National Farmers' Union, Washington, D.C.,
accompanied by Weldon Barton____

Hansen, Dr. Christian, assistant professor, Department of Community
Medicine, Burgess University Medical School, New Brunswick, N.J____
Hart, Hon. Philip A., a U.S. Senator from the State of Michigan.......
Prepared statement-----

Hurst, J. Willis, M.D., professor and chairman, Department of Medicine,
Emory University, Atlanta, Ga---.

McNerney, Walter, president, Blue Cross Association; accompanied by
Bernard Tresnowski, senior vice president, Government operations, Blue
Cross

Prepared statement.

Mondale, Hon. Walter F., a U.S. Senator from the State of Minnesota---
Nolan, Robert L., M.D., professor and chairman, Division of Public Health
and Preventive Medicine, West Virginia University Medical Center-----
Parish, Ned F., executive vice president (president-elect), the National
Association of Blue Shield Plans, accompanied by James D. Knebel, as-
sistant executive vice president, and Lawrence C. Morris, Jr., vice
president

Prouty, Hon. Winston, a U.S. Senator from the State of Vermont____
Randolph, Hon. Jennings, a U.S. Senator from the State of West
Virginia

Page

973

976

1046

1025

846

852

1112

855 896

954

1094

925

1118

1093

Snyder, Leopold J., M.D., chairman, Committee on Rural Health, American Medical Association; accompanied by Harry N. Peterson, director, AMA, department of legislation___

1062

Stubbs, John, M.D., general surgeon and Sloan fellow, Sloan School of
Management, Massachusetts Institute of Technology-.

1174

Prepared statement----

1183

Weed, Lawrence L., M.D., professor of medicine, University of Vermont, Burlington, Vt.; accompanied by Dr. Harold D. Cross, Hampden Highlands, Maine___

1120

Weil, Dr. William, chairman, Department of Human Development, Michigan State University, East Lansing, Mich__-.

955

ADDITIONAL INFORMATION

Articles, publications, etc.:

Background paper for concept of national library of displays.
Blue Cross income disclosure requirements---.

1133

891

Blue Cross methods of payment to participating and nonparticipating hospitals

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"Economic Incentives for Social Progress in Medicine," by John P.
Bunker, M.D., professor and chairman of the Department of Anes-
thesiology at the Stanford University Medical School__.
"Effectiveness of Patient Care in an Emergency Room," by Robert
H. Brook, M.D., and Robert L. Stevenson, Jr., B.S----
"Health Care Delivery in Rural Areas-Selected Models," by the
American Medical Association___

1171

1223

1069

936

931

National Association of Blue Shield plans membership standards_.
Number of physicians serving national Blue Shield plan__---
Number of practicing physicians serving Washington, D.C., and the
four adjoining counties by Washington Blue Shield plan_-_-
"Pennsylvania Insurance Head Favors Consumer-Blue Cross, Hos-
pitals Blasted," by Donald Janson, from Sunday Herald (Boston,
Mass.) Traveler, March 28, 1971----.

930

1230

"Society of University Surgeons," by James V. Maloney, M.D., from Surgery, July 1970.

1204

"Surgical Manpower," by John P. Bunker, M.D.

1161

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