CONTENTS H.R. 10042, text of--- CHRONOLOGICAL LIST OF WITNESSES TUESDAY, JUNE 6, 1972 Javits, Hon. Jacob K., a U.S. Senator from the State of New York___. Bryant, Dr. John, director of the school of public health, Columbia Univer- sity, and Dr. Carl Taylor, chairman of the department of international Sackler, Arthur, M.D., publisher of the Medical Tribune, and chairman of the International Task Force on World Health Manpower for the World Health Organization, accompanied by John T. Grupenhoff, Ph. D. execu- tive secretary, International Task Force on World Health Manpower, Ehrlich, Dr. Paul S., director of the Office of International Health of the Department of Health, Education, and Welfare____ Howard, Dr. Lee, Office of Health Technical Assistance Bureau, Agency 125 Bryant, Dr. John, director of the school of public health, Columbia Univer- Cahill, Kevin M., M.D., director, the Tropical Disease Center, New York, and professor and chairman, Department of Tropical Disease Medicine, Ehrlich, Dr. Paul S., director of the Office of International Health of the Howard, Dr. Lee, Office of Health Technical Assistance Bureau, Agency for International Development__ Javits, Hon. Jacob K., a U.S. Senator from the State of New York__ Sackler, Arthur, M.D., publisher of the Medical Tribune, and chairman of the International Task Force on World Health Manpower for the World Health Organization, accompanied by John T. Grupenhoff, Ph. D., exe- cutive secretary, International Task Force on World Health Manpower, Selected charts: Department of Health, Education, and Welfare organizational chart Growth of world population, geographic regions with projections_. Selected table: Reported cases and deaths from communicable diseases in the three regions of the Americas, 1965 and 1966. 123 64 61 63 62 INTERNATIONAL HEALTH PROGRAMS, 1972 TUESDAY, JUNE 6, 1972 U.S. SENATE, SPECIAL SUBCOMMITTEE ON INTERNATIONAL HEALTH, The subcommittee met, pursuant to notice, at 10:15 a.m. in room 4232, New Senate Office Building, Senator Harold E. Hughes (chairman of the special subcommittee) presiding. Present: Senator Hughes. Also present: Senator Javits. Staff members present: Mary Ellen Miller, professional staff member; Marvin B. Jones, professional staff member; and Jay Cutler, minority counsel. Senator HUGHES. The Special Subcommittee on International Health, Education, and Labor Programs will come to order. I have a statement which I will read, for the record, and I believe Senator Javits will have one later. I would like to have it incorporated in the record.. I want to welcome you gentlemen, Dr. Bryant and Dr. Taylor, for appearing before the subcommittee. We appreciate your willingness to come and lay out for us your consideration of what you think we ought to be doing. For the next 2 days, the Special Subcommittee on International Health, Education, and Labor Programs will conduct hearings on the health needs and resources of developing countries. World health programs have always offered a great potential for improving peaceful relations among nations. Unfortunately, we have not made full use of that potential. At a time when a shocking percentage of our resources is being used to destroy human life, it is time to explore what can be done internationally to preserve life. We can assist developing nations in their health programs and can gain knowledge from them that will be of advantage to our programs. It is a two-way street and should be so regarded. We have before us Senator Javits' international health care bill, S. 3023. At a time when there is a growing recognition and concern for the inadequacies of health care, Senator Javits is to be congratulated for his foresight in calling attention to this issue. The Senator from New York has said that health care is the developing nation's most critical basic need. The health subcommittee, under the able chairmanship of Senator Kennedy, is pointing out that this is a problem of commanding urgency. What are the needs? What are the resources? What should be the objectives? What programs and organizational structure will be most effective in meeting these objectives? How can the effectiveness of systems be evaluated? It is my hope that the answers to these questions will provide guidelines for the decisionmakers in their use of funds to serve the sick and disabled people of the developing world. We will now receive a statement from the senior Senator from New York who is also the ranking minority member of the Committee on Labor and Public Welfare of which this subcommittee is part of. STATEMENT OF HON. JACOB K. JAVITS, A U.S. SENATOR FROM THE STATE OF NEW YORK Senator JAVITS. I commend the chairman for his leadership and initiative in commencing hearings to explore what can be done internationally to preserve human life by assisting developing nations in their health problems. The hearings will focus national attention on the urgent need to herald a new diplomacy. As Dr. Kevin Cahill, the author of the idea in my bill entitled the "International Health Agency Act of 1971" (S. 3023). so aptly put it: "Medicine is our untapped resource. In deference to the number of distinguished medical and international experts whom the chairman has scheduled as witnesses, I shall confine my opening statement to a reaffirmation of my belief that if our Nation is to be truly great, it will be measured best by acts it performs for the benefit of mankind. It is only fitting that America make a commitment to utilize its tremendous medical might to make the right of good health for all peoples a reality. I would then ask unanimous consent: First, that the full text of S. 3023, an amended companion measure to H.R. 10024, introduced by Mr. Carey and Mr. Fraser and cosponsored by more than 20 Members of the House of Representatives be inserted in the record at this point; Second, that the full text of my remarks when I introduced the bill in the Senate on December 14, 1971, which provides a description of the bill, the basis of support for the legislation, the problems of our Nation's health shortages, the concept of medical diplomacy, the need for self-help programs and the problems of environmental health be inserted in the record; and Third, that full text of my prepared statement when I testified before the Subcommittee on International Organizations and Movements of the Committee on Foreign Affairs of the House of Representatives, on October 6, 1971, in support of H.R. 10042, the companion bill to S. 3023, be inserted in the record. (The information referred to follows:) 92D CONGRESS 1ST SESSION S. 3023 IN THE SENATE OF THE UNITED STATES DECEMBER 14, 1971 Mr. JAVITS introduced the following bill; which was read twice and referred to the Committee on Labor and Public Welfare A BILL To amend the Public Health Service Act so as to permit greater involvement of American medical organizations and personnel in the furnishing of health services and assistance to the developing nations of the world, and for other purposes. 1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 3 That the Public Health Service Act is amended by adding at 4 the end thereof the following new title: 5 6 "TITLE XI-INTERNATIONAL HEALTH CARE "SHORT TITLE 7 "SEC. 1101. This title may be cited as the 'International 8 Health Agency Act of 1971'. |