22986 EXTENSIONS OF REMARKS August 6, 1987 EXTENSIONS OF REMARKS INTRODUCTION OF ALZHEI- counseling, education, and respite care-in- research breakthroughs relative to causes of MER'S "CARE" LEGISLATIVE eluding home health, day, and companion and treatment for Alzheimer's Disease and PACKAGE care; related disorders make it apparent that the Expands family support and service delivery research, treatment and management of these disorders have reached a point where HON. EDWARD R. ROYBAL research and demonstration projects; a coordinated effort, including the states, OF CALIFORNIA Expands Medicare and Medicaid research the federal government and private groups, IN THE HOUSE OF REPRESENTATIVES and demonstration projects on how to provide is warranted. better financial assistance to victims in the Responding to the overwhelming need to Thursday, August 6, 1987 form of community based and in home care, assist the victims of Alzheimer's disease and Mr. ROYBAL. Mr. Speaker, I, along with my alternative methods of health care delivery, related disorders, the CARE legislative esteemed colleagues, Mr. WAXMAN and Mr. and improved nursing home care; and package, developed in partnership with the STARK, are today introducing a major new Alz Expands training of health care profession Alzheimer's Disease and Related Disorder heimer's legislative initiative, the CARE [Com als and paraprofessionals to improve the diag Association
e This "bullet" symbol identifies statements or insertions which are not spoken by a Member of the Senate on the floor. Matter set in this typeface indicates words inserted or appended, rather than spoken, by a Member of the House on the floor. August 6, 1987 EXTENSIONS OF REMARKS 22987 information; conducting community educa other policy changes that would improve ices and outreach for the elderly and for AD tion on AD; and coordinating with other the care of patients with AD. victims and their families. Centers and related public/private facilities. Disseminates information to victims, their Training of health professionals and Provides for coordination and dissemina families, health care providers, organiza research on manpower tion of research both within DHHS and to tions established for patients with AD and other relevant agencies. to the general public on services available to Increases training of health care profes Establishes research and demonstration AD victims as well as on rights of and sionals and paraprofessionals to improve programs to develop methods of service de sources of assistance for AD victims and the diagnosis, treatment and management livery that will promote the health and their families. of AD. well-being of AD victims and their families Makes initial grants available for 3 years Provides NIA Grants to medical, psycholo by encouraging care in the home and reduc with funding at a minimum of $250,000 per gy, nursing, social work, gerontology, and ing the stress on the families of AD pa year and subject to an annual evaluation by health administration schools, to training tients. the Department of Health and Human Serv programs for home health, homemaker, and NIMH Family Support and Stress Re ices. other home care providers, and to AD re search: $25 million per year with increments Total program funding is set at $30 mil search centers for training and continuing for inflation to support joint research and lion in the first year, $50 million in the education on health and long term care demonstration projects with public and pri second year, and $80 million in the third using AD as an illustrative case. Authorizes vate organizations. year. $10 million/year with increments for infla NIA Long Term Care Research: $12 mil States are required to provide matching tion. Grantees shall coordinate their pro lion per year with increments for inflation funds at a 50-50 rate. grams with AD research centers. Grantees shall make training and education programs to support long term care research on Alz Medicare and Medicaid Program Modifica heimer's Disease and related disorders and available to family caregivers as well as to tions and Research and Demonstration health care professionals and paraprofes on the coordination of long term care. Projects NCHSR Model Delivery Systems Re sionals. Grants s~all be awarded so as to search: $5 million per year with increments Improves Medicare and Medicaid access, ensure appropriate geographic coverage. for inflation to conduct research on models quality and reimbursement with respect to Provides NIA Grants to AD Research Cen for improving the delivery of supportive Medicare and Medicaid covered AD victims. ters to assist schools in developing curricula services to AD patients and their families, Directs HCFA to modify the Medicare and for training and continuing education and with particular attention to ethnic and cul Medicaid programs to: review and, as to ensure transfer of the most up-to-date re tural groups. needed, modify reimbursement for home search information. Authorizes $2 million AoA Family Support Demonstrations: $12 health services, extended care services and per year with increments for inflation. million per year with increments for infla inpatient hospital services to reflect more Requires that HRSA conduct a manpower tion to support joint demonstration projects accurately the cost of caring for advanced study to determine the adequacy of health with public and private organizations exam stages of AD: upgrade quality of care and manpower for meeting the ongoing care ining innovative family support and service utilization reviews for heavy care patients needs of AD and other long term care pa delivery approaches with special emphasis such as AD patients; and ensure that access tients as well as the adequacy of training, of on stress inducing disorders such as AD. to nursing home and health care for AD vic geographic distribution by discipline, and of tims is not being limited by the practices of minority and ethnic personnel and to deter National Alzheimer's Education Program nursing home and home health agencies. mine mechanisms for coordinating its man Establishes a national program
91 - 059 0-89-46 (Pt. 16) 22990 EXTENSIONS OF REMARKS August 6, 1987 current widespread fear of cancer, these After his retirement from a long and distin The second amendment states: "A well reg numbers were certain to scare many people. guished career in public service, Brian devot ulated Militia, being necessary to the security Before this horrifying scenario goes too ed many hours working to provide a life of dig far, however, EPA might explain why more of a free State, the right of the people to keep effort wasn't made to place these numbers nity and worth for the mentally retarded. and bear Arms, shall not be infringed." in more perspective. For example, these risk In 1981, he was elected to the board of di It would be a grave injustice to compromise assessments are based on what EPA calls rectors of the Montgomery County Association or surrender the rights for which our Founding the statistical ''upper bound"-the most ex of Retarded Citizens [MCARC]. He served Fathers fought so hard. There are few issues treme scenario. But the agency has another, from 1981 to 1984 as treasurer, and from in this country that are more emotional or less more reasonable standard of cancer risk 1984 to 1986 as president. He also served on understood than an individual's right to keep known as the "maximum likelihood est i the board of the A.A. Bancroft Development and bear arms, and it is disheartening to see mate." A look at these figures tells a much Corp., an organization that helps provide any erosion of these rights when the framers less frightening tale. housing for the retarded. At the time of his EPA's "likely estimate" for cancer risks of our Constitution clearly intended to guaran from formaldehyde exposure among gar death, Brian was vice president of Bancroft. tee an individual's freedom to protect himself. ment workers is actually 4 in 1 billion. Simi Brian actively sought high-quality residential Our criminal justice system has far higher pri larly, for mobile-home dwellers the "likely" and vocational placement for those with ority pursuits, especially given the excessive estimate is 2 in 10 billion, and for conven mental retardation. He was deeply concerned Federal budget deficit, than to spend its time tional-home residents 6 in 100 billion. about making a commitment to these special and money depriving people of the right to The agency's exaggerated claims are pri people. marily based on laboratory experiments on use a gun for hunting, target shooting, and Mr. Speaker, it has been said that "if we do lawfully protecting themselves against tres rats exposed to extreme doses of formalde not lay out ourselves in the service of man hyde. These test animals inhale concentra pass. tions of formaldehyde up to 15 parts per kind, whom should we serve?" Through We must reject any attempts to restrict million (ppm) for long durations through Brian's selfless efforts, hundreds of mentally American citizens from defending themselves out their confined lifetimes. In some cases, retarded citizens were able to live as produc and their property. This is a severe threat to these test rats have contracted nasal cancer. tive members of the community. one of our basic freedoms as citizens of the Thus EPA worries that humans, too, may On behalf of the Congress of the United United States. Currently police protection is develop cancer due to formaldehyde expo States, I would like to extend our heartfelt sure. reactive and is only guaranteed in broad gratitude to Brian's wife, Lois, and to his chil terms. There is nothing in the law that guaran But that extreme assessment doesn't dren, Kevin and Tracey, for all that he did for square with EPA's own report on formalde tees personal protection to any particular hyde. It admits that humans won't tolerate his community and fellow man. person. Since the U.S. criminal justice system the noxious chemical fumes above 3 ppm has obviously not demonstrated the ability to for "more than short periods" because of A CONGRESSIONAL SALUTE TO provide adequate public safety, we simply eye, nose and throat irritation. It adds that cannot in all good conscience prevent individ "these acute effects are usually reversible." VERLY AND LOUISE BRANN The EPA report goes on to say that its evi WOSEPKA uals from protecting themselves. dence of cancer risk is "limited," meaning Gun control advocates believe that taking that "a causal interpretation is credible, but HON. TIM JOHNSON away everybody's guns will reduce crime. If that alternative explanations, such as [sta OF SOUTH DAKOTA everybody's guns were confiscated, crime tistical] chance, bias or confounding, could IN THE HOUSE OF REPRESENTATIVES might go down, just as it might if all knives not adequately be excluded." were confiscated. However, it would be an im Thursday, August 6, 1987 A recent Harvard School of Public Health possible task to get "everybody" to turn in his analysis criticized harshly the federal gov Mr. JOHNSON of South Dakota. Mr. Speak gun. Why would a criminal, who breaks the ernment's handling of formaldehyde risk as er, it brings me great pleasure to be joined by sessment. It said that "the true extent of law by using a gun on someone else, comply uncertainty about the magnitude of esti my colleagues in saluting the 50th wedding with this law, especially if he wants to use the mated cancer risk is not conveyed to policy anniversary of two of my constituents. gun again. If we deny anyone his second makers." As a result, it concluded, "policy I am honored to pay tribute· to Verly and amendment rights, we will only be creating a guidelines are substituted for scientific Louise Brann Wosepka on this wonderful oc bigger black market. Furthermore, if people judgment in the governmental risk-assess casion in their lives. Through their 50 years of cannot protect themselves, there will be an in ment process." life and love together, they have become well crease rather than a decrease in crime. Take Yet EPA continues to frighten the public. known in their community for dedication to It has pushed its standard of cancer risk to away from the law-abiding citizen his right to such an extreme that even ambient air in civic activity and unselfish contribution to their that protection and the criminals will have a rural regions of the U.S. would have to be hometown of Pierre, SD. field day. Moreover, our law-enforcement classified as carcinogenic due to the natural I am proud and pleased to congratulate agencies would be so busy checking up on presence of formaldehyde. Do we need Verly and Louise Brann Wosepka and their guns they would have little time to do much "Don't Breathe Deeply" signs in Yellow family, Col. Jim and Nora Wosepka. about it. stone National Park? Let's face the facts. Guns do not kill The EPA's administrator, Lee Thomas, will soon make a decision on proposed form CONGRESS SUPPORTS THE people, people kill people. An inanimate aldehyde regulations. Before any regulatory SECOND AMENDMENT RIGHT object should not be blamed for the crime of a action is taken, we'd suggest that Mr. human. After all, do we blame the automobile Thomas get a sensible review of formalde HON. PHILIP M. CRANE or the driver in a hit-and-run accident? hyde risk. Most people have enough to Criminals will have access to guns no worry about without EPA discovering new OF ILLINOIS IN THE HOUSE OF REPRESENTATIVES matter what we legislate. The innocent, law scares. abiding citizen gets hurt the most with gun Thursday, August 6, 1987 control for he would become easy prey. Crimi TRIBUTE TO BRIAN J. HESSLER Mr. CRANE. Mr. Speaker, I have sponsored nals, in turn, should be given harsher manda legislation, House Concurrent Resolution 6, to tory sentences when committing a crime with reaffirm that it is the sense of Congress to a gun. I suggest that States implement "Use a HON. CONSTANCE A. MORELLA support the second amendment right to the gun, go to prison" and other similar legislation OF MARYLAND Constitution of the United States. Because to punish those who abuse their second IN THE HOUSE OF REPRESENTATIVES this is the 200th Bicentennial of our Constitu amendment rights by committing crimes with a tion, I feel it is imperative that we reaffirm our gun. Thursday, August 6, 1987 belief in the rights that all Americans are enti In this the year of the bicentennial of our Mrs. MORELLA. Mr. Speaker, on June 29, tled to through the Constitution. The purpose Constitution, it is very important that we reaf Brian J. Hessler of Potomac, MD, died sud of House Concurrent Resolution 6 is to ensure firm our Nation's belief in the second amend denly in Baltimore after suffering a stroke. He that our Founding Fathers' intentions on the ment right to keep and bear arms. I welcome was 60 years of age. second amendment remain intact. my colleagues cosponsoring my legislation. August 6, 1987 EXTENSIONS OF REMARKS 22991 THE FUTURE OF NATO for some American politicians. teach Euro Although British Prime Minister Margaret pean ingrates to pay for their own defense Thatcher helped get Mr. Reagan to bury instead of freeloading off the US. the suggestion shortly after the summit, the HON. ROBERT GARCIA In Bonn, the conservatives' deputy parlia fact that an American president could even OF NEW YORK mentary leader, Volker Rtlhe, terms this the float such an idea shocked the Europeans IN THE HOUSE OF REPRESENTATIVES end of one strategic era and the beginning especially the conservative bulwark of pro Thursday, August 6, 1987 of another. American politicians there. The profound uncertainty that this tran Suddenly the American Strategic Defense Mr. GARCIA. Mr. Speaker, I would like to sition arouses is perhaps the major stimulus Initiative ("star wars"> no longer looked to draw the attention of my colleagues to a to today's resurrection of the moribund idea its initial supporters in Europe like the wel series of articles by Elizabeth Pond which ap of joint European security. come protection that would stiffen Ameri peared recently in the Christian Science Moni The shock that Europeans felt in the can backbone to risk Chicago in order to tor examining the future of the NATO Alliance. wake of the superpower summit in Iceland save Hamburg. It looked instead like the un The current arms negotiations between the last October and that they now feel from welcome protection that would turn the two the Euromissile arms control deal that is in superpowers into sanctuaries and leave United States and the Soviet Union hold rami view is helping to some extent to drive West fications far beyond the immediate concerns Europe, and especially Germany, as the Germany, France, and Britain into more co "limited" but razed nuclear battlefield. of thes~ superpowers. Landmark proposals operative defense. The principle is the same Suddenly the Pentagon hard-liners no for the complete elimination of nuclear mis one that drove the squabbling American longer appeared to West German hardliners siles from Europe have raised questions about states together 200 years ago: If you don't as fellow crusaders against Soviet empire in the future strategic policy of NATO. Specula hang together, you are apt to hang sepa Europe. Rather, they appeared to be unila tion about a reduced United States nuclear rately. teralists, who wanted to write off an encum and conventional presence on the continent This series, based on some two dozen bering Europe. have prompted the Europeans to explore al interviews with senior diplomats, military And suddenly the complaint of a George officers, politicians, and academics in ternative means of defending themselves. town University strategist, Edward Luttwak, London, Paris, Bonn, and Brussels, explores that the American lack of will to use nucle As chairman of the Civilian Affairs Commit the causes and prospects of the present tee of the North Atlantic Assembly, I have ar weapons has already created a "postnu jerky efforts to hang together. clear" world took on the aura of reality. come to realize the vital importance of our Europe's nuclear predicament is a result If the current Euromissile deal is clinched, longstanding commitment to our European of a number of factors like geography, the NATO will rely more heavily on land-based allies. Our contribution to NATO is crucial to total vulnerability of all nations in the nu nuclear missiles in the under-500-kilometer the security of the free world. Europe remains clear age, and the widely perceived insanity
person employed by, or assigned or detailed SECTION 437 ~ECTION 438 to, an intelligence commercial entity be in Section 437(a) provides that intelligence Section 438 provides that the Secretary of formed prior to employment, assignment, or commercial entities are instrumentalities of Defense may delegate his authority, func detail that the entity is an instrumentality the United States. As such, they enjoy tions, and duties under sections 431, of the United States engaged in foreign in within the constitutional scheme the same 434(b), 436(a), and 437 of Title 10 of the telligence collection activities. The provision immunities and privileges enjoyed by other United States Code, as enacted by the legis thus prohibits unwitting employment, as Federal instrumentalities. Thus, for exam lation, only to the Deputy Secretary of De signment, or detail of United States persons. ple, they share in the sovereign immunity to fense. By requiring that only the Secretary Section 435