OVERSIGHT OF BIOMEDICAL AND BEHAVIORAL
RESEARCH IN THE UNITED STATES, 1977

HEARINGS

BEFORE THE

SUBCOMMITTEE ON

HEALTH AND SCIENTIFIC RESEARCH

OF THE

COMMITTEE ON HUMAN RESOURCES
UNITED STATES SENATE

NINETY-FIFTH CONGRESS

FIRST SESSION

ON

OVERSIGHT OF BIOMEDICAL AND BEHAVIORAL RESEARCH
IN THE UNITED STATES

91-853 O

MARCH 31 AND APRIL 1. 1977

LAW LIBRARY
DOCUMENTS DEPARTMENT

NOV 02 1977

UNIVERSITY OF CALIFORNIA
BERKELEY

Printed for the use of the Committee on Human Resources

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1977

COMMITTEE ON HUMAN RESOURCES

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

JENNINGS RANDOLPH, West Virginia
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
WILLIAM D. HATHAWAY, Maine
DONALD W. RIEGLE, JR., Michigan

JACOB K. JAVITS, New York

RICHARD S. SCHWEIKER, Pennsylvania
ROBERT T. STAFFORD, Vermont

ORRIN G. HATCH, Utah

JOHN H. CHAFEE, Rhode Island
S. I. HAYAKAWA, California

STEPHEN J. PARADISE, General Counsel and Staff Director
MARJORIE M. Whittaker, Chief Clerk
JAY B. CUTLER, Minority Counsel

CONTENTS

CHRONOLOGICAL LIST OF WITNESSES

THURSDAY, MARCH 31, 1977

Rice, Mrs. Dorothy P., Director, National Center for Health Statistics,

accompanied by Dr. Jacob Feldman, Associate Director for analysis;

and John Patterson, Director, Division of Vital Statistics--

White, Kerr L., M.D., director, Institute for Health Care Studies, United

Hospital Fund of New York and chairman, U.S. Committee on Vital and

Health Statistics__.

Page

3

83

Salk, Dr. Jonas, founding director, the Salk Institute for Biological

Studies

123

Selikoff, Dr. Irving, professor of environmental health sciences, Mount

Sinai School of Medicine____

158

FRIDAY, APRIL 1, 1977

Woodcock, Leonard, president, United Auto Workers, accompanied by

Melvin A. Glasser, director, social security department, United Auto

Workers

Pettengill, Daniel W., vice president, group division, Aetna Life and

Casualty Company, accompanied by Howard Berman, M.D., vice presi-

dent for research and development, Blue Cross Association-----

Huffman, B. Leslie, Jr., M.D., president, American Academy of Family

Physicians; James G. Price, M.D., past president, American Academy of

Family Physicians; and George W. Bostwick, M.D., family physician and

speaker, House of Delegates of the Maine Medical Association, a panel__

STATEMENTS

Berman, Howard, M.D., vice president, research and development, Blue

Cross Association, prepared statement---

Blue Cross Association, Howard Berman, vice president for research and

development, prepared statement--.

Huffman, B. Leslie, Jr., M.D., president, American Academy of Family

Physicians; James G. Price, M.D., past president, American Academy of

Family Physicians; and George W. Bostwick, M.D., family physician and

speaker, House of Delegates of the Maine Medical Association, a panel__

Kaiser-Permanente Medical Care Program, John G. Smilie, M.D., pre-

pared statement_-_-

National Center for Health Statistics, Mrs. Dorothy P. Rice, Director,

prepared statement_-_.

Pettengill, Daniel W., vice president, group division, Aetna Life and
Casualty Company, accompanied by Howard Berman, M.D., vice presi-
dent for research and development, Blue Cross Association--

Rice, Mrs. Dorothy P., Director, National Center for Health Statistics,

accompanied by Dr. Jacob Feldman, Associate Director for Analysis; and

John Patterson, Director, Division of Vital Statistics---

Prepared statement..

Salk, Dr. Jonas, founding director, the Salk Institute for Biological

Studies

Prepared statement---.

130

Selikoff, Dr. Irving, professor of environmental health sciences, Mount

Sinai School of Medicine..

158