8692 CONGRESSIONAL RECORD- SENATE May 23 Garmon, Betty L., N792333. lar Army of the United States, in the grade Dougherty, Charles H . McLaughlin, Charles, Hernandez, Nilza R., N2291970. and corps specified, under the provisions of Eckman, Philip L. III McCormack, Winifred R., N5003710. title 10, United States Code, sections 3283, Elan, John N. McNamara, William P . To be first lieutenants, Medical Corps 3284, 3285, 3286, 3287, 3288, and 3290: FitzPatrick, Thomas Meek, John E. Flory, Richard A. Miner, Ellis D., Jr. Andrews, Frank B ., Jr., 02300486. To be second lieutenants, Medical Service Corps Fox, Edwin F., Jr. Modine, Kent A. Epling, John P., Jr., 02300464. Fryday, Jack C. Moore, John K. Ewald, Roger A., 02298304. Dawley, Donald D., Jr. Reilly, William F., Jr. Garrison, David M. More, Angus S., Jr. Feagin, John A., Jr., 072048. Fladd, Frederic H. Schultz, Paul L. Goldman, Paul J . Natkowski, Leonard J . Herrington, Jack K., 02300465. Foulds, David G. Harbach, David V. O'Connell, Joseph Raffety, John E., 02300495. The following-named distinguished mili­ Ff:armon, Charles E. Osterman, Gerard D. Rapoport, Morton I., 05206067. Harper, Jack R. Patterson, Freddie L. Stambaugh, Roy A., 05501070. tary students for appointment in the Regu­ lar Army of the United States in the grade Hill, George R. Ragin, William D. H. To be first lieutenant, Veterinary Corps of second lieutenants, under the provisions Hitchcock, DiC'key Sager, David W. Voelker, Richard W., Jr., 02297929. of title 10, United States Code, sections 3283, Hitt, Gary C. Shimer, Preston L. 3284, 3285, 3286, 3287, and 3288: Holder, Arthur T. Simpson, William A. To be second lieutenants, Medical Service Howard, Barry Skiles, Carl L. Corps Aikman, Peter R. Burwell, Rodney P . Ioanidis, Gabriel Smock, Jimmie E. Carnahan, Robert P ., 05306173. Allred, James R. 05513516 Jones, William L. Spencer, James I. Fulton, William R., Jr., 05409958. Atkinson, John M. Byrn, Noel R . Kelly, Benjamin E., Jr. Stewart, Michael 0. Harling, John T., 05300471. Avery, John, Jr. Campbell, Larry D. Lane, Stanley W. Sulzen, Robert H. Bailey, Fred E. Cavezza, Carmen J. Heaton, Billy A. Larens, James M. 'Taylor, Hazel H., Jr. Lanham, Richard H., Jr., 02300453. Biggers, Homer L. H., Chester, Michael Q. Jr. Chronis, Nicholas N. Luff, Gary M. Thompson, Charles R. To be second lieutenants, Women's ATmy Bissell, Norman M. Corson, John R . Mack, Donald J. Weaver, Kenneth J., Corps Blanke, Richard C. Crigger, Donald E. Malone, William K. Jr. Ball, Elizabeth C., L2298584. Bone, David M. Cundiff, Brian H . Matz, Stanford Westerbeke, John H.; Kelly, Jacquelin J., L2300221. Bossart, Walter R. Dickinson, Curtis L. McCormick, Allen L ., Jr. The following-named distinguished mili­ Bradley, Sylvan K. Dierking, Irwin S., Jr. III Williamson, Robert F. tary students for appointment in the Regu- Burns, Frederick A. Dittmar, Richard S. McGough, Robert E. Zerby, John G., Jr. EXTENSIONS OF REMARKS The Cost of Health Care The problem of providing adequate health relationship between the quality of medical coverage for the aged has aroused public care, medical financing and the optimum opinion and controversy. The aged in the doctor-patient relationship is clearly in EXTENSION OF REMARKS population are increasing at the rate of more . order. OF than 1,000 per day and by 1970 there will be Federal employees will be reassured by nearly 20 million persons 65 and over. the comments on the Federal employees HON. CLINTON P. ANDERSON Three-fifths of the aged had less than health benefits program administered by OF NEW MEXICO $1,000 in total income in 1958, according to the U.S. Civil Service Commission. The au­ the Bureau of the Census, and nearly four­ thors also endorse the closed-panel, group IN THE SENATE OF THE UNITED STATES fifths had income of less than $2,000 the practice type of health coverage such as is Tuesday, May 23, 1961 same year. operated by Group Health Association in the In a well-reasoned chapter the Somers Washington area, Health Insurance Plan of Mr. ANDERSON. Mr. President, I argue that the social security financed health New York and the Kaiser Foundation health ask unanimous consent that a review coverage will best meet the needs of the aged. plans on the west coast. which appeared in the Washington Post They point out that meaningful insurance The entire varied field of personal health of May 21 be printed in the CoNGRES­ must meet at least 75 percent of an aged care is carefully explored with chapters de­ SIONAL RECORD. It was written by the person's health expenses and should embrace voted to the role of modern hospitals, the 85 percent of the aged population. They drug industry, the growing doctor need and junior Senator from Oregon and relates shortage, health carriers and the strengths some of the most significant points in also argue that it is unreasonable to expect older persons to spend more than 12 percent and needs in the medical insurance indus­ "Doctors, Patients, and Health Insur­ of their incomes for medical care, which is try. The book is well documented by ex­ ance," by Herman Somers and Anne R. double the national average. The husband tensive footnotes, tables and charts. Somers. I also ask that a news report and wife team says: The authors carefully chart the pattern on this book from the Washington Post "The probable average level preinium re­ of change and direction in medical care of May 22 be printed in the RECORD. quired for 75 percent protection with 12 per­ and have produced a valuable study 1n a There being no objection, the review cent of income would exclude more than highly complex and controversial field. I and news report were ordered to be three-quarters of this age group. This makes am sure this volume will be carefully read printed in the RECORD, as follows: no allowance for the additional 25 percent by all those dealing with medical care costs to be met out of pocket. Even allow­ problems. TOTTING UP THE COST OF HEALTH CARE ing a substantial margin for error, the situ­ (Reviewed by MAURINE B. NEUBERGER) ation reveals a dead end." STUDY BACKS EXPANDED MEDICAL AID Medical and health care costs now total Dr. Basil C. McLean, recently retired presi­ (By Lewis Hawkins) over $25 billion annually and take 5.4 per­ dent of the Blue Cross Association, is quoted Mounting public pressure for providing cent of our Nation's total gross national as saying that "a lifetime's experience has led adequate medical care to all Americans makes product. me at last to conclude that the costs of care expanded Federal aid inevitable, it was re­ These figures are likely to rise, with medi­ for the aged cannot be met, unaided, by the ported in a research study released yester­ cal care costs since World War II increasing mechanisms of insurance or prepayment as day. far more rapidly than the general cost of, they exist today. The aged simply cannot · Part of this aid should be old age health living. In the last decade the increase was afford to buy from any of these the scope of insurance under the social security system twice as fast as all prices and between June care that is required, nor do the stern reali­ but this is no sound basis for alarm among 1958 and June 1960 the rate was three and ties permit any carrier, whether nonprofit or physicians or private insurance systems, the a half times. The American people are show­ commercial, to provide benefits which are book says. ing a growing concern with the organization adequate at a price which is feasible for "Doctors, Patients and Health Insurance," and financing of medical care. any but a small proportion of the aged." released by the Brookings Institution, is a To help supply some of the answers in One of the most interesting and reward­ 534-page volume resulting from 3 years' re­ this complex field, Mr. and Mrs. Herman ing sections of the book deals with the search by Herman M. Somers and his wife, Somers have written a particularly valuable changing pattern of medical practice and Anne R. Somers. Somers is head of the po­ and penetrating analysis of the organiza­ the doctor-patient relationship. The tech­ litical science department at Haverford Col­ tion, distribution, and financing of personal nological revolution in medicine, growing lege, Haverford, Pa., and was a member of medical care. I do not believe that anyone specialization in the profession, the role of PTesident Kennedy's preinauguration Task should argue the pros and cons of the Ken­ clinics and combined practice have all done Force on Health and Social Security. nedy administration's proposed health cov­ much to change the image of the tradi­ erage legislation for the retired under the tional doctor-patient relationship. FORD BACKED STUDY social security system until he has read this The authors conclude that an inversion Research and publication were financed by book. · of some popular slogans with respect· to the the institution with assistance from the 1961 CONGRESSIONAL RECORD- SENATE 8693 Ford Foundation. Brookings is a privat~ or­ pears that educational and library serv­ There are many library services which ganization engaged in research and educa­ ice projects cannot in any way be a are possible on an interstate basis. tion in the social sciences. As usual, the "clear and present danger to the sov­ Those of the large metropolitan district institution notes that the conclusions reached in studies it finances do not neces­ ereignty of the United States"; in any may be somewhat different but many of sarily represent the institution's views.