COMMITTEE ON VETERANS' AFFAIRS
UNITED STATES SENATE

ONE HUNDREDTH CONGRESS

FIRST SESSION

JUNE 24, 1987

Printed for the use of the Committee on Veterans' Affairs

81-465

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1988

For sale by the Superintendent of Documents, Congressional Sales Office
U.S. Government Printing Office, Washington, DC 20402

COMMITTEE ON VETERANS' AFFAIRS

ALAN CRANSTON, California, Chairman

SPARK M. MATSUNAGA, Hawaii
DENNIS DECONCINI, Arizona
GEORGE J. MITCHELL, Maine
JOHN D. ROCKEFELLER IV, West Virginia
BOB GRAHAM, Florida

FRANK H. MURKOWSKI, Alaska
ALAN K. SIMPSON, Wyoming
STROM THURMOND, South Carolina
ROBERT T. STAFFORD, Vermont
ARLEN SPECTER, Pennsylvania

JONATHAN R. STEINBERG, Chief Counsel/Staff Director
ANTHONY J. PRINCIPI, Minority Chief Counsel/Staff Director

Clinton, Dr. J. Jarrett, Deputy Assistant Secretary of Defense (Professional

Affairs and Quality Assurance), Office of the Assistant Secretary of Defense

for Health Affairs, accompanied by Col. William Bancroft, Medical Corps,

U.S. Army

Prepared statement of Dr. Clinton

Crow, Dr. W.A., III, Associate Chief of Staff for Ambulatory Services, Houston

Veterans' Administration Medical Center

Curran, Dr. James W., Director, AIDS Program, Center for Infectious Dis-

eases, Centers for Disease Control, Public Health Service, U.S. Department

of Health and Human Services.

Prepared statement of Dr. Curran...

Foley, Mary E., Chairman, Cabinet on Economic and General Welfare, Ameri-

can Nurses' Association, accompanied by Thomas Nickels, Director, Con-

gressional and Agency Relations; and Donna Richardson, Assistant Direc-

tor, Congressional and Agency Relations...

Prepared statement of Ms. Foley

Gordon, Dr. Earl, Chief of Staff, West Los Angeles Veterans' Administration

Medical Center.......

Gronvall, Dr. John A., Chief Medical Director, Department of Medicine and

Surgery, Veterans' Administration, accompanied by Dr. Howard Cohn,

Deputy Assistant Chief Medical Director for Clinical Affairs; Robert Lind-

sey, Director of Operations; Dr. Susan Mather, Chief of Pulmonary and

Infectious Diseases; Dr. Richard Greene, Assistant Chief Medical Director

for Research and Development; and Ralph Ibson, Deputy Assistant General

Counsel.

Prepared statement of Dr. Gronvall.

McFarren, Ann E., Executive Director, AIDS Action Council.

Prepared statement of Ms. McFarren.

48

177

Myers, Dr. Woodrow A., Jr., State Health Commissioner, State of Indiana,

and President, Association of State and Territorial Health Officials.

Prepared statement of Dr. Myers........

46

166

Schafer, Dr. Paul W., Executive Director, National Association of VA Physi-
cians...

49

Prepared statement of Dr. Schafer.

186

Simberkoff, Dr. Michael, Chief, Infectious Disease Section, New York City

Veterans' Administration Medical Center.....

55