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Volume 113-Part 22

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Volume 113-Part 22 UNITED STATES OF AMERICA <EongressionalRerord tb PROCEEDINGS AND DEBATES OF THE 90 CONGRESS FIRST SESSION VOLUME 113-PART 22 OCTOBER 18, 1967, TO OcrOBER 31, 1967 (PAGES 29209 TO 30688) UNITED STATES GOVERNMENT PRINTING OFFICE, WASHINGTON, 1967 October 80, 1967' CONGRESSIONAL RECORD - SENATE 30427 pire. The rest of the press took a dim view In short, the Koreans have taken U.S. ory; his party and historians of the Eisen­ of this. ideas and modified 'them to fit local circum­ hower administration would rightly acknowl­ Some things the press can't do. "lost im­ stances. Most have worked. edge subsUmtial debts to Alexander Wiley of portantly, it can't violate the anti-Commu­ Wisconsin. nism Jaw, which is an extremely broad stat­ ute. I was told, as an example, that a local SENATOR ALEXANDER WILEY dealer handling a Time or Newsweek issue FOREIGN MEDICAL PERSONNEL containing "pretty pictures" of North Korea Mr. PROXI-.1:IRE. Mr. President, I ask or China had better rip them out or expect unanimous consent that an eloquent edi­ Mr. MONDALE. Mr. President, Mr. a ban on distribution. torial on the career of the late Senator Richard D. Lyons- wrote an excellent Highly blatant or exceedingly reckless crit­ Alexander Wiley, who died last week, article on the brain drain involving for­ icism of the government is almost sure to published in the Milwaukee Journal, be .eign medical personnel. bring action. Exanlple: a magazine editor printed in the RECORD. The situation Mr. Lyons outlines would was jailed for falsely calling the President There being no objection, the editorial be serious indeed if the only ramifica­ the mastermind of a smuggling ring. tions were on the quality and compe­ Too often, several sources observed to me, was ordered to be printed in the RECORD, some Korean newspapers will print rumors as follows: tence of medical care in the United without chceking tllCJn out. Since adYertis­ ALEXANDER 'VILEY States. But it involves :ar more than ing revenue is small, n10st papers depend on The distinction that Wisconsin voters ac­ that. Each one of the foreign doctors who circulation income and tend toward sensa­ corded to Alexander Wiley, Who died Thurs­ comes to the United States and remains tionalism in news treatment. day in his 84th year, was to keep him in the here constitutes the loss of an extremely u.s. AID NOW CAN CUT BACK United States senate longer than any other valuable resource to his native country. U.S. aid to Korea has taken two forms­ senator in the history of the state-four full It is a loss, not only in terms of health money and advice. Both have been of great terms, 24 years. The Senators La Follette, sr. services and standards in his country, but help. and Jr., served 19V:, and 22 years. also a loss of a potential leader to a de­ From 1957 until 1966, the U.S. put in $200 Seniority thus made the proudly self­ veloping nation, which desperately needs to $250 million a year in direct economic styled country boy from Chippewa Falls the Wghest ranking senator Wisconsin ever had. every bit of its talent and leadership aid-on top of the substantial military aid working for national development. (exclusive of our own military costs there). He was the longtime ranking Republican on Now, direct economic grant aid has both the judiciary and the foreign relations Mr. President, I ask unanimous con­ dropped to $45 million a year and is declin­ committees of the senate and chaired each sent that this well-documented article be ing annually. Mllitary aid has dropped some, one at a different time of party ascendancy­ printed in the RECORD. but still enables Korea to support 28 divi­ the latter in the important early years of the There being no objection, the article sions. Korea has thus made up many millions Eisenhower administration. was ordered to be print.ed in the RECORD, a year that used to come from America. Sen. Wiley won two splendid distinctions as follows: (In 1956-60, for example, the country ex­ for himself. He became a conv.ert to high ported only $24 to $32 million annually, prineipledlnternationalist views that served FOREIGN PHYSICIANS, MANY UNQUALIFIED, FILL mostly such primary items as tungsten and his country well In the postwar era. And he VACUUM IN UNITED STATES other materials, seaweed and fish. Last year became officially a father of the St. Lawrence (By Richard D. Lyons) exports reached $250 million, with more than seaway, a great boon to his home state, by The national shortage of doct0rs and the half in manufactured goods). assuming the leadership for it at the time of rising demand for health services has led to U.S. economic aid has been going through ripening. His name is perpetuated in one of the immigration of thousands of foreign phy­ several phases, similar to the program in the seaway works, the Wiley-Dondelo canal. sicians, many of doubtful ability who may Taiwan, which phased out two years ago this After a warmup run for governor' in 1936, arrive to practice in American medical in­ JUly. Wiley became a party hero two years later by stitutions sight unseen and quality untested. The first step involves grants for the recapturing a senate seat from the New Deal, The infiux of doctors from overseas has be­ "foundation"-harbors, railroads, power, defeating F. Ryan Duffy, sr. Three terms come so great in the last 20 years that as agriculture. later. in 1956, he was the central figure in one many foreign-trained physicians enter the Next come "soft loans"-that is, long­ of Wisconsin's most memorable political health care system of the United States each term, extremely low-int£rest loans, both to dramas, from which he came out bruised but year as are graduated from American medicai government and private enterprise. Gradu­ triumphant. sohools. ally, as private investment grows, loans get In a bitter irony, he was the intended About 45,000 doctors who were trained in "harder," shorter terms and higher interest victim of his own loyalty to the first Republi­ foreign medical schools now reside in this rates. At some point, the local government can national administration in 20 years. The country, and the number is increasing at the and industry can do just as well obtaining party still had its Eisenhower and Taft wings, rate of 10 per cent a year. money elsewhere. and Taftites were in command of a strong Many of the foreign doctors, possibly as (When Taiwan p!1ased out, its credit rating Wisconsin machine. Shabbily and cruelly many as 5,000, have been unable to pass tests was such that It could go to the World Bank they set out to get rid of Alex Wiley for of basic medical knowledge and are practic­ or other world financing sources for loans). his "betrayal" of isolationism and his inde­ ing medicine Without llcenses, sometimes be­ Presently, Korea Is still in the "soft loan" pendence of bossism. An apparently doomed, cause of loopholes in state certification rules stage, but it's clear the loans will get almost pathetic figure, he found a majority and sometimes with the knowledge of the "harder." of Republican primary voters still with him; hospitals in which they work. A few years from now, one high Korean they turned aside the grab for his seat by Interviews with medical educators, hospi­ official said to me, the half-billlon dollars in the organization man, Congressman Glenn tal executives and public officials showed that foreign aid on which they used to depend Davis. some American hospitals were so short-staffed will gradually be cut to zero. When he tried for still another term In that they were advertising for doctors o\'er­ 1962 he was overtaken by his irascible old "presiden~. seas and paying their travel expenses to come Park has urged the people to age and by Gaylord Nelson. Wisconsin knew find their own way. The people and govern­ here, ostensibly for post-graduate study but him no more; he lived out his last years a often for use as cheap help. ment must work together." recluse in ",rashin"ton. For a populatJon of Korea's siz~, there are Sen. Wiley macle up for a lack of intellec­ MORE FROM POO!! NATIONS many competent technical people for gov­ tual pretensions with wisdom to be a learner The paradox of the migrant doctor problem ernment sen:ice. and with COUIa5;e of conviction. World War II is that the countries with the better medical At the same time, the Korean administra­ shook him conlpletely out of his instinctive schools and standards of health care have far tors have been eager for U.S. CO'.1p.sel, much rural midwestern isolationism. As a disciple fewer physicians migrating to the United of which they have put to gOOd use. of the great Se:l. Vandenberg he came to gi\'e States than those nations whose levels of Four years ago each gO\'~rnment depart­ both Presidents Truman and Eisenhower medical education and senices .arp poor. ment had its own set of statistics. The U.S. valiant a::d \'aluable bac!:ir;g in all manifes­ Engla1Id, France, Japan and the Scandina­ suggested 0:1e set and they went to it. People tations of America's world role-:Marshall vian nations enjoy higher longe,'ity and lower in different departments working on the same plan. Atlp.nt:c treaty and all-'rel'Y nearly infant mortality rates than the United States, probiems met. in many cases, for the first earni:lg the name of st:i.tesrnan in that \vork.
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