STANDING COMMITTEES OF THE HOUSE Committee on Agriculture Messrs. Cooley (chairman), Poage, Grant, Gathings, McMillan, Abernethy, Abbitt, Jones of Missouri, Hagen of California, Johnson of Wisconsin, Matthews, Stubblefield, Harding, Hagan of Georgia, Purcell, Morrison, Rosenthal, Duncan, Olson of Minnesota, Leggett, Matsunaga, Hoeven, Dague, Belcher, McIntire, Teague of California, Qule, Short, Mrs. May, Messrs. Latta, Harvey of Indiana, Findley, Dole, Beermann, Hutchinson, and Fernós-Isern. Committee on Appropriations Messrs. Cannon (chairman), Mahon, Sheppard, Thomas, Kirwan, Whitten, Andrews of Alabama, Rooney of New York, Gary, Fogarty, Sikes, Passman, Evins, Boland, Natcher, Flood, Denton, Steed, Montoya, Shipley, Slack, Lesinski, Flynt, Smith of Iowa, Giaimo, Mrs. Hansen, Messrs. Finnegan, Joelson, Addabbo, McFall, Jensen, Horan, Ford, Ostertag, Bow, Jonas, Laird, Cederberg, Lipscomb, Rhodes of Arizona, Pillion, Minshall, Michel, Conte, Milliken, Wilson of Indiana, Langen, Harrison, Reifel, and Wyman. of Committee on Armed Services Messrs. Vinson (chairman), Rivers South Carolina, Philbin, Hébert, Winstead, Price, Fisher, Hardy, Bennett of Florida, Lankford, Huddleston, Byrne of Pennsylvania, Stratton, Cohelan, Wickersham, Pike, Kilgore, Ichord, Nedzi, Long of Maryland, Burkhalter, Arends, Norblad, Bates, O'Konski, Bray, Bob Wilson, Osmers, Gubser, Becker, Chamberlain, Pirnie, Hall, Clancy, Stafford, Foreman, Schweiker, and Fernós-Isern. Committee on Banking and Currency Messrs. Patman (chairman), Rains, Multer, Barrett, Mrs. Sullivan, Messrs. Reuss, Ashley, Vanik, Moorhead, Stephens, St Germain, Gonzalez, Pepper, Minish, Weltner, Hanna, Grabowski, Charles H. Wilson, White, Kilburn, Widnall, Siler, Fino, Mrs. Dwyer, Messrs. Halpern, Harvey of Michigan, Oliver P. Bolton, Brock, Taft, McDade, Lloyd, Talcott, and Del Clawson. Committee on the District of Columbia Messrs. McMillan (chairman), Abernethy, Smith of Virginia, Dawson, Williams, Multer, Dowdy, Huddleston, Whitener, Cohelan, St Germain, Trimble, Sisk, Diggs, Hagan of Georgia, Auchincloss, Springer, Nelsen, O'Konski, Harsha, Mathias, Schwengel, Horton, Roudebush, and Committee on Education and Labor Messrs. Powell (chairman), Perkins, Landrum, Mrs. Green of Oregon, Messrs. Roosevelt, Thompson of New Jersey, Holland, Dent, Pucinski, Daniels, Brademas, O'Hara of Michigan, Scott, Carey, Hawkins, Sickles, Gibbons, Gill, Brown of California, Frelinghuysen, Ayres, Griffin, Quie, Goodell, Bruce, Ashbrook, Martin of Nebraska, Bell, Snyder, Findley, and Taft. Committee on Foreign Affairs Messrs. Morgan (chairman), Zablocki, Burleson, Mrs. Kelly, Messrs. Hays, Selden, Pilcher, O'Hara of Illinois, Fountain, Fascell, Farbstein, Diggs, Beckworth, McDowell, Murphy of Illinois, Gallagher, Nix, Monagan, Fraser, Cameron, Mrs. Frances P. Bolton, Messrs. Adair, Mailliard, Frelinghuysen, Broomfield, Barry, Whalley, Gross, Berry, Derwinski, Morse, Battin, and Thomson of Wisconsin. Committee on Government Operations Messrs. Dawson (chairman), Holifield, Brooks, Fountain, Hardy, Blatnik, Jones of Alabama, Garmatz, Moss, Fascell, Reuss, Monagan, Lankford, Macdonald, Roush, Moorhead, Gallagher, Randall, Rosenthal, Riehlman, Meader, Brown of Ohio, Mrs. Dwyer, Messrs. Griffin, Wallhauser, Anderson, Reid of New York, Horton, Stinson, McClory, and Johnson of Pennsylvania. Committee on House Administration Messrs. Burleson (chairman), Friedel, Ashmore, Hays, Jones of Missouri, Thompson of New Jersey, Abbitt, Everett, Waggonner, Perkins, Dent, Gibbons, Nedzi, Brademas, Davis of Georgia, Schenck, Corbett, Bennett of Michigan, Lipscomb, Chamberlain, Goodell, Kyl, Curtin, Škubitz, and Devine. Committee on Interior and Insular Affairs Messrs. Aspinall (chairman), O'Brien of New York, Rogers of Texas, Haley, Edmond- ́ son, Baring, Morris, Rivers of Alaska, Taylor, Johnson of California, Carey, Udall, Mrs. Kee, Messrs. Duncan, White, Marsh, Roybal, Gill, Burton of California, Saylor, Wharton, Berry, Westland, Hosmer, Chenoweth, Kyl, Abele, Skubitz, Mrs. Reid of Illinois, Messrs. Burton of California, Morton, Martin of California, Andrews of North Dakota, and Fernós-Isern. Committee on Interstate and Foreign Commerce Messrs. Harris (chairman), Williams, Roberts of Alabama, Staggers, Rogers of Texas, Friedel, Macdonald, Jarman, O'Brien of New York, Moss, Dingell, Rogers of Florida, Hemphill, Rostenkowski, Healey, Kornegay, Hull, Long of Louisiana, Van Deerlin, Pickle, Bennett of Michigan, Springer, Schenck, Younger, Glenn, Devine, Nelsen, Keith, Curtin, Sibal, Cunningham, Broyhill of North Carolina, and Brotzman. Committee on the Judiciary Messrs. Celler (chairman), Feighan, Chelf, Willis, Rodino, Forrester, Rogers of Colorado, Donohue, Brooks, Tuck, Ashmore, Dowdy, Whitener, Libonati, Toll, Kastenmeier, Gilbert, Corman, St. Onge, Senner, Edwards, McCulloch, Miller of New York, Poff, Cramer, Moore, Meader, Lindsay, Cahill, Shriver, MacGregor, Mathias, Bromwell, King of New York, and Martin of California. Committee on Merchant Marine and Messrs. Bonner (chairman), Garmatz, Mrs. Sullivan, Messrs. Thompson of Louisiana, Clark, Ashley, Dingell, Rivers of South Carolina, Lennon, Downing, Casey, Byrne of Pennsylvania, Vanik, Hagen of California, Mrs. Green of Oregon, Messrs. Rogers of Florida, Stubblefield, Murphy of New York, Gilbert, Tollefson, Van Pelt, Mailliard, Pelly, Glenn, Ellsworth, Goodling, Tupper, Mosher, Grover, Morton, and Keith. Committee on Post Office and Civil Service Messrs. Murray (chairman), Morrison, Dulski, Henderson, Olsen of Montana, Udall, Daniels, Beckworth, Staggers, Nix, Pool, Watson, Roybal, Charles H. Wilson, Corbett, Gross, Johansen, Cunningham, Wallhauser, Barry, Mrs. St. George, Messrs. Derwinski, Dulski, Libonati, McDowell, Kornegay, Roberts of Texas, Secrest, Marsh, Brown of California, Rooney of Pennsylvania, Ayres, Adair, Fino, Saylor, Teague of California, Halpern, Schadeberg, Ellsworth, Bromwell, and Committee on Ways and Means Messrs. Mills (chairman), King of California, Boggs, Keogh, Karsten, Herlong, Watts, Ullman, Burke, Thompson of Texas, Mrs. Griffiths, Messrs. Bass, Jennings, Rhodes of Pennsylvania, Byrnes of Wisconsin, Curtis, Knox, Utt, Betts, Alger, Derounian, Schneebeli, Collier, and Broyhill of Virginia. UNITED STATES COURT OF APPEALS FOR Office telephone: STerling 3-5700 David L. Bazelon Circuit Judges Wilbur K. Miller George T. Washington COURT OF CUSTOMS AND PATENT (Internal Revenue Building. Phone, Chief Judge-Eugene Worley, of Texas, 4745 32d St. North, Arlington, Va. Judge Giles S. Rich, of New York, 4949 Judge I. Jack Martin, of Ohio, 9614 Hillridge THE UNITED STATES COURT OF CLAIMS (Pennsylvania Ave. and 17th St. Phone, District 7-0642) Chief Judge-Marvin Jones, of Texas, University Club. Ellsworth, Abele, and Johnson of Pennsyl- Judge Samuel E. Whitaker, of Tennessee, vània. Committee on Public Works Messrs. Buckley (chairman), Fallon, Davis of Tennessee, Blatnik, Jones of Alabama, Kluczynski, Thompson of Louisiana, Wright, Gray, Clark, Edmondson, Johnson of California, Dorn, Henderson, Olsen of Montana, Ryan of Michigan, Tuten, Murphy of New York, Rivers of Alaska, Roberts of Texas, Auchincloss, Cramer, Baldwin, Schwengel, Robison, Harsha, Harvey of Michigan, Kunkel, McLoskey, Grover, Quillen, Rich, Cleveland, and Don H. Clausen. mer, Committee on Rules Messrs. Smith of Virginia (chairman), ColMadden, Delaney, Trimble, Bolling, O'Neill, Elliott, Sisk, Young, Brown of Ohio, Mrs. St. George, Messrs. Smith of California, Hoffman, and Avery. Committee on Science and Astronautics Messrs. Miller of California (chairman), Teague of Texas, Karth, Hechler, Daddario, Roush, Morris, Casey, Randall, Davis of Georgia, Ryan of New York, Downing, Waggonner, Patten, Fulton of Tennessee, Fuqua, Staebler, Albert, Martin of Massachusetts, Fulton of Pennsylvania, Chenoweth, Van Pelt, Riehlman, Mosher; Roudebush, Bell, Pelly, Rumsfeld, Weaver, Gurney, and Wydler. Committee on Un-American Activities Messrs. Willis (chairman), Tuck, Pool, Ichord, Senner, Johansen, Bruce, Schadeberg, and Ashbrook. Committee on Veterans' Affairs Messrs. Teague of Texas (chairman), Dorn, Mrs. Kee, Messrs. Haley, Baring, Everett, 4921 Quebec St. (Mrs.), Mich. Gross, H. R., Iowa.. Grover, James R., Jr., N.Y__ Gubser, Charles S., Calif_ Halleck, Charles A., Ind__-4926 Upton St. (Mrs.), Wash. Wyo. 11-1 __1627 Myrtle St. Holifield, Chet, Calif. Holland, Elmer J., Pa____ Horan, Walt, Wash... Hoeven, Charles B., Iowa__100 Maryland Ave. NE. --- Horton, Frank J., N.Y. Hosmer, Craig, Calif-----Huddleston, George, Jr., Ala. Hull, W. R., Jr., Mo___ Hutchinson, Edward, Mich. Ichord, Richard (Dick), Mo. Jarman, John, Okla............. ---- Jennings, W. Pat, Va_‒‒‒‒‒ Jensen, Ben F., Iowa..-. 2120 16th St. Johansen, August E., Mich. -1111 Army-Navy Dr., Arlington, Va. Jones, Robert E., Ala.... Karsten, Frank M., Mo.Karth, Joseph E., Minn____ Kastenmeier, Robert W., Wis. Kee, Elizabeth (Mrs.), W. Va. The Mayflower 4807 Newport Keith, Hastings, Mass-----5906 Harwick Rd., Laird, Melvin R., Wis_- Latta, Delbert L., Ohio__ Leggett, Robert L., Calif___ Lennon, Alton, N.C.. Lesinski, John, Mich.... Libonati, Roland V., Ill. Lindsay, John V., N.Y.. Calif. Rostenkowski, Dan, Ill_--- Roush, J. Edward, Ind--- St Germain, Fernand J., St. Onge, William L., Conn_ Schadeberg, Henry C., Wis. Schenck, Paul F., Ohio----2601 Woodley Pl. Senner, George F., Jr., Ariz. Sheppard, Harry R., Calif__ Shipley, George E., Ill--Short, Don L., N. Dak. Shriver, Garner E., Kans__. Sibal, Abner W., Conn_. Sickles, Carlton R., Md_- 1213 Lily Dhu Lane, Falls Church, Va. Thompson, Frank, Jr., N.J Thompson, T. A., La......... Thomson, Vernon, W., Wis_ Waggonner, Joe D., Jr., La.. 1600 Kenwood Ave., Alexandria, Va. 4 Primrose St., Chevy Chase, Md. Norblad, Walter, Oreg O'Brien, Leo W., N.Y Sikes, Robert L. F., Fla... Siler, Eugene, Ky.. Sisk, B. F., Calif. ------129 6th St. NE. Slack, John M., Jr., W. Va_800 4th St. SW. O'Hara, Barratt, Ill-The Congressional Smith, H. Allen, Calif O'Hara, James G., Mich--- O'Konski, Alvin E., Wis. Olsen, Arnold, Mont_ Olson, Alec G., Minn.. Smith, Howard W,, Va__--_204 W. Walnut St., Charles J. Drescher, 3738 North 4th St., Francis J. Attig, 3919 Livingston St. Joseph J. Sweeney, 101 G St. SW., Apt. A118. Francis J. McSwiggan, Dodge Hotel. Elmer L. Koons (assistant), 826 Aspen St. Willard W. Pruett (clerk), 701 North Harrison St., Arlington, Va. Placidino Zagami (clerk), 5805 10th Pl., Chillum, Md. HOUSE F. S. Milberg, 3 Pooks Hill Rd., Bethesda, Md. E. B. Clark, 604 Bennington Dr., Silver Spring, Md. Frank E. Battaglia, 957 East-West Highway. Albert Schneider, 2737 Devonshire Pl. Cleveland Tucker, 1 Athens Rd., Burke, Va. Jack Rund, 2389 N. Quincy St., Arlington, Va. Julian R. Serles, Jr., 4225 North 31st St., Arlington, Va. Sidney W. Williston (clerk), 1830 Longford Dr., Hyattsville, Md. Bjarne J. Sigurdsen (assistant clerk), 1921 U Place SE. James W. Lea (assistant clerk), Prince Frederick, Calvert County, Md. Prescription for Hospitals: Dollars EXTENSION OF REMARKS OF HON. EDWARD J. PATTEN OF NEW JERSEY IN THE HOUSE OF REPRESENTATIVES Wednesday, April 22, 1964 Mr. PATTEN. Mr. Speaker, a series of five articles outlining today's hospital problems appeared in the Home News, of New Brunswick, N.J., from March 29, 1964, to April 2, 1964. The articles were written by Ralph Soda, who did an excellent job in reporting and analyzing one of our Nation's serious problems. The Daily Home News and Mr. Soda should be commended for this outstanding series, which has received praise from many individuals and groups. The series was well written, informative and comprehensive and called: "Prescription for Hospitals: Dollars." In the hope that this five-part series will make Members of Congress more aware of the problems facing hospitals today and perhaps increase our interest in helping to find a solution, the articles will appear in the CONGRESSIONAL RECORD in five instances. The first is called: "Hospitals: Hour of Crisis." PRESCRIPTION FOR HOSPITALS: DOLLARS-HOSPITALS: HOUR OF CRISIS-PART 1 (By Ralph Soda). Don't look now, but your hospital is sick. The strain of carrying the indigent patient load without receiving adequate reimbursement for so many years has taken its toll. The financial lifeblood of the hospital is draining away. It needs a new dollar transfusion. But there are no donors. PUBLIC CLAMOR RISES Public resentment to the hospital has risen in proportion to the spiraling rise in hospital costs, the increase in hospitalization insurance rates, and the staggering need for more improvements, better equipment, more beds. In short, the patient is critical and in hospital jargon "going bad." But the public for its own sake cannot ignore the situation for long. This year one out of every eight patients in the Twin County Area will go to a hospital. Then the hospitals' problem becomes his problem. What caused the sickness? Is the public criticism of hospital costs justified? hospital costs too high? THE OTHER SIDE Are Discussing the last two questions, an offclal of the New Jersey State Hospital Association says, "No." He was emphatic. "Why doesn't someone have the guts to come straight out and write that hospital costs aren't too high?" he asked when interviewed in connection with this series. Biased? No. Our hospital man is sincere in his belief that hospital costs aren't too high and he has some convincing facts to prove it. Appendix But equally sincere is another man with a few grim facts of his own that support the opposite view. For years, JO and his wife labored long, hard hours at their small neighborhood grocery in South Amboy. To say that they prospered would be an exaggeration, but by dint of industry and thrift they managed to scrape together a sizable enough nest egg in preparation for that day when they could "take it easy." When the day came, they sold their little business, bought a small home in Edison and settled down to a comfortable, if not luxurious, retirement. And then it happened. JO's wife fell ill with a rare kidney ailment that was not immediately diagnosed. By the time the illness was identified, expensive specialists' fees had gnawed deeply into the couple's savings. Then followed a long, and even more expensive stay in the hospital where the needed intensive care and special drugs spiraled costs to an average of $80 a day. * and JO had no hospitali zation insurance. A TRAGIC ENDING In the end, his wife died. Their modest fortune was wiped out. JO-now 68 and in poor health himself-went back to work. Ask him today about hospital costs and he'll give you an opinion far different from that voiced by the hospital spokesman quoted above. Who then is right? Actually, both are. Our hospital man can show you down to the last penny-the last decimal point—that hospital costs are justified. But, at the same time, he'll admit quite frankly that in the case of JO's wife and similar self-paying patients, the hospital bill was, in all probability, too high. A MATTER OF ECONOMICS In other words, JO's hospital bill was more than what it actually cost the hospital to care for his wife. A shocking admission? Perhaps. But to understand it requires a knowledge of basic hospital economics. There are three kinds of hospitals: Voluntary hospitals, nonprofit organizations run by a governing board of community leaders who serve without pay, such as Middlesex General Hospital, Perth Amboy General Hospital, Princeton Hospital, St. Peter's General Hospital, Somerset Hospital, Middlesex Rehabilitation Hospital and South Amboy Memorial Hospital in this area. Government hospitals operated by Federal, State, or county governments and of which Roosevelt Hospital and the Veterans' Hospital in Lyons are examples in this area. Proprietary hospitals, run by an individual, partnership, or corporation and operated for a profit. PATIENTS FOOT THE BILL The hospital receives some money from grants, donations, and fund drives but most of the income comes from the patient. Ideally, the donations are reserved to finance capital improvement expansion, the purchase of new equipment and research. The money paid by the patient is supposed to cover the actual costs of operation. But it doesn't always happen that way. Patients come in three varieties, too: The Blue Cross, or other insurance patlents, with prepaid hospitalization insurance. The self-paying patient, like JO's wife, who pays out of private funds. And the indigent patient, who has no insurance and no money of his own with which to pay hospital costs. WELFARE FALLS SHORT Here's the rub. Although some form of welfare or governmental assistance is available to the hospital to reimburse it for the costs of caring for the indigent, this assistance in the Twin-County area doesn't even pay half the actual cost to the hospital. Blue Cross pays the cost of the patient's treatment but it does not pay the hospital's charge, which is the actual cost of caring for the patient plus a small amount to cover losses. For example, assume that in the same room with JO's wife was a woman with Blue Cross and in the bed next to her was a medically indigent woman. Assume all required the same care treatment and the hospital charge as $40 a day for each. But Blue Cross would only pay $37 a day for its patient, and the donations for indigent care to the hospital amounted to only $20 a day. The hospital is left holding the bag to the tune of $23 a day and you can't go on losing that kind of money and stay in business. The result is that the hospital hikes the bill of the self-paying patient to make up some of the deficit and uses needed development or expansion funds to pay the rest. So JO paid extra because somebody else didn't pay at all, or, at best, didn't pay enough. This fact is even harder to accept when you realize the unlucky self-paying patient also helped pay the taxes that financed part of the indigent's bill. BLUE CROSS SEEKS RATE INCREASE Not even the patient with prepaid hospitalization can afford to be complacent. Right now a lively debate is raging over an application by the New Jersey Blue Cross for an average 32.6-percent increase in rates. There are many who claim the rates are already too high. But Blue Cross counters that it needs the increase to keep solvent in the face of increasing hospital costs and hospital usage. Here is an example of how hospital costs have risen in this State. In 1958 the average New Jersey Blue Cross hospital cost was $27.44 a day. Last year it was $36.27 a day and in its current application for an increase Blue Cross estimates it will go to about $40.75 a day in 2 years. Although the Blue Cross average last year was $36.27 a day, the average daily charge by hospitals in this area was $40 a day. For instance, at St. Peter's General Hospital the figure was $38.86 a day; at Middlesex General Hospital, $39.71; and at Princeton Hospital, $41.90. CHARGES DUE TO SKYROCKET All are expected to climb over the $41 a day mark this year. And, in the words of the carnival barker, "Brother, you ain't seen nothin' yet." A survey of 98 hospitals in the New York Metropolitan area indicates that by 1967 the average cost per patient will be about $55.35. This is the predicament both the hospital and the public find themselves in today. As Sister Dorothy Reece, administrator of St. Peter's General Hospital, expressed it in her annual address to the board of directors, "Will hospital care become a luxury in the next 10 years?" |