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HEARING

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON
LABOR AND PUBLIC WELFARE

UNITED STATES SENATE

NINETY-THIRD CONGRESS

SECOND SESSION

ON

S. 2893

TO AMEND THE PUBLIC HEALTH SERVICE ACT TO IMPROVE
THE NATIONAL CANCER PROGRAM AND TO AUTHORIZE
APPROPRIATIONS FOR SUCH PROGRAM FOR THE NEXT

THREE FISCAL YEARS

JANUARY 30, 1974

Printed for the use of the Committee on Labor and Public Welfare

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Tex

COMMITTEE ON LABOR AND PUBLIC WELFARE

HARRISON A. WILLIAMS, JR., New Jersey, Chairman JENNINGS RANDOLPH, West Virginia JACOB K. JAVITS, New York CLAIBORNE PELL, Rhode Island

PETER H. DOMINICK, Colorado EDWARD M. KENNEDY, Massachusetts RICHARD S. SCHWEIKER, Pennsylvania GAYLORD NELSON, Wisconsin

ROBERT TAFT, JR., Ohio WALTER F. MONDALE, Minnesota

J. GLENN BEALL, JR., Maryland
THOMAS F. EAGLETON, Missouri

ROBERT T. STAFFORD, Vermont
ALAN CRANSTON, California
HAROLD E. HUGHES, Iowa
WILLIAM D. HATHAWAY, Maine

MARIO T. Noto, Staff Director

ROBERT E. NAGLE, General Counsel
Roy H. MILLENSON, Minority Staff Director

EUGENE MITTELMAN, Minority Counsel

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SUBCOMMITTEE ON HEALTH

EDWARD M. KENNEDY, Massachusetts, Chairman
HARRISON A. WILLIAMS, JR., New Jersey RICHARD S. SCHWEIKER, Pennsylvania
GAYLORD NELSON, Wisconsin

JACOB K. JAVITS, New York
THOMAS F. EAGLETON, Missouri

PETER H. DOMINICK, Colorado ALAN CRANSTON, California

J. GLENN BEALL, JR., Maryland HAROLD E. HUGHES, Iowa

ROBERT TAFT, JR., Ohio
CLAIBORNE PELL, Rhode Island

ROBERT T. STAFFORD, Vermont
WALTER F. MONDALE, Minnesota
WILLIAM D. HATHAWAY, Maine

LEROY G. GOLDMAN, Professional Staff Member

JAY B. CUTLER, Minority Counsel

(II)

CONTENTS

Page

Text of:

S. 2893

S. Rept. 93–736.
H. Rept. 93-954_-

3

295
353

CHRONOLOGICAL LIST OF WITNESSES

202

Cooper, Dr. John, president, Association of American Medical Colleges,

Washington, D.C....

Prepared statement-

Frei, Dr. Emil, III, director, Children's Cancer Research Foundation, Bos-

ton, Mass.; accompanied by Dr. John Durant, director, Comprehensive
Cancer Center, University of Alabama, Birmingham, Ala., and Dr. Jesse
L. Steinfeld, chairman, Department of Oncology, Mayo Clinic, Rochester,
Minn

Letton, A. Hamblin, M.D., chairman, Legislative Committee, and past

president, American Cancer Society ---

Schmidt, Benno, Chairman, President's Cancer Panel ; accompanied by

Dr. Ray D. Owens, Department of Biology, California Institute of Tech-
nology, Pasadena, Calif., and Dr. R. Lee Clark, University of Texas

System Cancer Center, Texas Medical Center--
Sullivan, Richard J., and Grace A. Monaco, representing the Candle-
lighters

Prepared statement-
Weinberger, Hon. Caspar W., Secretary of Health, Education, and Wel-

175

189
193

fare; accompanied by Stephen Kurzman, Assistant Secretary for Legis-
lation, DHEW; Charles C. Edwards, M.D., Assistant Secretary for
Health, DHEW; Robert S. Stone, M.D., Director, National Institutes of
Health, DHEW; and Frank J. Rauscher, Ph. D., Director, National Can-
cer Institute, National Institutes of Health, DHEW-
Prepared Statement-

13
43

Page.

235

275

255

254

267

282

277

276

254

258

26

Articles, publications, etc. :

American Cancer Society/National Cancer Institute, Breast Cancer

Demonstration Projects...
Cancer Plan Accused of Stifling Creativity, by Stuart Auerbach, from

the Washington Post, April 17, 1973_-
Cancer: Select Committee Calls Virus Program a Closed Shop, by

Barbara J. Culliton, from Science Magazine, December 14, 1973----
Cancer War's Separate Status a Mistake, Dr. Edwards Says, by Stuart

Auerbach, from the Washington Post, November 21, 1973_-
Federal Assault on Cancer, from the Congressional Record-Senate,

April 18, 1973-
Lines of Cancer Research, from the Medical World News, July 12,

1974
National Cancer Plan: The Wheel and the Issues Go Round, by Bar-

bara J. Culliton, from the Science Magazine, March 30, 1973---Nobel Winner Calls Nixon's Medical Research Policy "Lunacy," by

Richard Knoz, from the Boston Globe, March 7, 1973-
On the Question of Autonomy for NIH, from the Washington Post,

January 24, 1974...
Special Virus Cancer Program: Travails of a Biological Moonshoot,

from Science Magazine, December 24, 1971.-
War on Cancer: Trouble in the Ranks, by Jay A. Winsten, from the

Wall Street Journal, July 23, 1973..
When Worlds Collide : Research and Kņow-Nothingism, by J. D. Wat-

son, from the New York Times, March 22, 1973_-Communications to:

Kennedy, Hon. Edward M., a U.S. Senator from the State of Massachu-
setts, from:
Howard, Ernest B., M.D., executive vice president, American

Medical Association, February 5, 1974--
Nelson, Hon. Gaylord, a U.S. Senator from the State of Wisconsin,

September 30, 1974.--
Weinberger, Caspar W., Secretary, Health, Education, and Wel-

fare (with enclosure)
Nelson, Hon. Gaylord, a U.S. Senator from the State of Wisconsin,
from:
Shimkin, Michael B., M.D., president, University of California,

San Diego School of Medicine, La Jolla, Calif., April 24, 1973

(with attachment). Weinberger, Hon. Caspar, Secretary, Department of Health, Edu

cation, and Welfare (with enclosures).
Nixon, Richard, President of the United States---
Rauscher, Frank J., Jr., Ph. D., Director, National Cancer Program,

National Cancer Institute, from Harold L. Stewart, M.D., chairman,
Ad Hoc Committee on Testing for Environmental Chemical Carcin-

ogens, August 31, 1973 (with enclosures)
Weinberger, Hon. Caspar W., Secretary, Department of Health, Edu-
cation and Welfare, from:
Kennedy, Hon. Edward M., a U.S. Senator from the State of

Massachusetts, February 6, 1974.--
Nelson, Hon. Gaylord, a U.S. Senator from the State of Wisconsin,

February 4, 1974.

APPENDIX

S. Rept. 93–736_
H. Rept. 93-954.-
H. Rept. 93–1164 (Conference Report)
Public Law 93-352, approved July 23, 1974..
Organizational Chart of the National Cancer Institute--Foldin which

appears inside back cover.

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