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                                              THE JOHNS  HOPKINS HOSPITALa.""4,

                                                          BALTIMORE, MARYLAND 21205

                                                                 RUSSELL A. NELSON. M. 0.
                                                                         PRESIDENT


                 ALLAN C. NARNKS. M. D.                          GEORGE D. ZUIDEMA, M. 0.                         A. RDWARD MAUMENEE. M. 0.
            syNKCaLOOIST-OBITRTPttClAM4N-C"IKIP                       OUPt*UON-IN-CHIEr                              OPHTHALMOLOGIST-IN-CHIER
                                                                  ROBERT E. COOKE, M. D.                           RUSSELL H. MORGAN. M. 0.
                                                                    PUDIATRICIAN.IN.CHIRR                              RADIOLOGIST-I"-CH19F
            IVAN L. DRNN%TR JR.. M. 0.                           A. MCGEHER HARVKY. M. 0.                              JOEL ELKKO, M. 0.
                                                                      PHYSICIAN-IN-CHISP                              PSYCHIATRIST-IN-CHIEF

                                                                   DAVID L. KVERMANT
                                                                       ADMINISTRATOR

                                                                 December 10, 1965




                 Dr. William Stewart
                 Surgeon General of
                 The United States
                 Department of Health,
                 Education and Welfare
                 Washington, D. C.

                 Dear Doctor Stewart:


                              In behalf of the American Heart Association I wish to thank you for inviting
                 me and Dr. James Warren to your meeting at the National Institutes of Health yesterday
                 afternoon,  Thursday,  December  9th.

                              We are extremely pleased with the first draft of the regulations. May  we  urge
                 you and your Advisory Committee to keep the regulations as broad and as flexible as
                 possible, with the maximum possible control with the local committees.  The great
                 variation in the conditions throughout our country makes flexibility in the various programs
                 highly desirable. The success of the're 'onal prqgrams will ultimately depend upon the
                                                                     91
                 spirit and the determination with which the various local committees undertake the  task.
                 The more flexible the regulations are in development of the various programs to meet
                 local needs, the greater will be the enthusiasm'of the participants to make the  programs
                 a  success.


                              I trust you will be so kind as to keep @s informed of these regulations as they
                 become formalized and advise us when they are published in the federal  registry,  before
                -they become law.

                                                                             Most sincerely,



                                                                             Helen B. Taussig, M.D.
                                                                             President, American Heart Association


                 HBT:K