<DOC> [DOCID: f:47203.wais] THE NEED FOR BETTER FOCUS IN THE RURAL HEALTH CARE CLINIC PROGRAM--PART II ======================================================================= HEARING before the SUBCOMMITTEE ON HUMAN RESOURCES of the COMMITTEE ON GOVERNMENT REFORM AND OVERSIGHT HOUSE OF REPRESENTATIVES ONE HUNDRED FIFTH CONGRESS FIRST SESSION __________ SEPTEMBER 11, 1997 __________ Serial No. 105-90 __________ Printed for the use of the Committee on Government Reform and Oversight U.S. GOVERNMENT PRINTING OFFICE 47-203 WASHINGTON : 2003 _______________________________________________________________________ For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512-1800, DC area (202) 512-1800 Fax: (202) 512-2250 Mail: stop SSOP, Washington, DC 20402-0001 COMMITTEE ON GOVERNMENT REFORM AND OVERSIGHT DAN BURTON, Indiana, Chairman BENJAMIN A. GILMAN, New York HENRY A. WAXMAN, California J. DENNIS HASTERT, Illinois TOM LANTOS, California CONSTANCE A. MORELLA, Maryland ROBERT E. WISE, Jr., West Virginia CHRISTOPHER SHAYS, Connecticut MAJOR R. OWENS, New York STEVEN SCHIFF, New Mexico EDOLPHUS TOWNS, New York CHRISTOPHER COX, California PAUL E. KANJORSKI, Pennsylvania ILEANA ROS-LEHTINEN, Florida GARY A. CONDIT, California JOHN M. McHUGH, New York CAROLYN B. MALONEY, New York STEPHEN HORN, California THOMAS M. BARRETT, Wisconsin JOHN L. MICA, Florida ELEANOR HOLMES NORTON, Washington, THOMAS M. DAVIS, Virginia DC DAVID M. McINTOSH, Indiana CHAKA FATTAH, Pennsylvania MARK E. SOUDER, Indiana ELIJAH E. CUMMINGS, Maryland JOE SCARBOROUGH, Florida DENNIS J. KUCINICH, Ohio JOHN B. SHADEGG, Arizona ROD R. BLAGOJEVICH, Illinois STEVEN C. LaTOURETTE, Ohio DANNY K. DAVIS, Illinois MARSHALL ``MARK'' SANFORD, South JOHN F. TIERNEY, Massachusetts Carolina JIM TURNER, Texas JOHN E. SUNUNU, New Hampshire THOMAS H. ALLEN, Maine PETE SESSIONS, Texas HAROLD E. FORD, Jr., Tennessee MICHAEL PAPPAS, New Jersey ------ VINCE SNOWBARGER, Kansas BERNARD SANDERS, Vermont BOB BARR, Georgia (Independent) ROB PORTMAN, Ohio Kevin Binger, Staff Director Daniel R. Moll, Deputy Staff Director William Moschella, Deputy Counsel and Parliamentarian Judith McCoy, Chief Clerk Phil Schiliro, Minority Staff Director ------ Subcommittee on Human Resources CHRISTOPHER SHAYS, Connecticut, Chairman VINCE SNOWBARGER, Kansas EDOLPHUS TOWNS, New York BENJAMIN A. GILMAN, New York DENNIS J. KUCINICH, Ohio DAVID M. McINTOSH, Indiana THOMAS H. ALLEN, Maine MARK E. SOUDER, Indiana TOM LANTOS, California MICHAEL PAPPAS, New Jersey BERNARD SANDERS, Vermont (Ind.) STEVEN SCHIFF, New Mexico THOMAS M. BARRETT, Wisconsin Ex Officio DAN BURTON, Indiana HENRY A. WAXMAN, California Lawrence J. Halloran, Staff Director and Counsel Marcia Sayer, Professional Staff Member R. Jared Carpenter, Clerk Cherri Branson, Minority Counsel C O N T E N T S ---------- Page Hearing held on September 11, 1997............................... 1 Statement of: Feehan, Edward B., M.D., pediatrician, private practice, Merced, CA; Douglas Slater, internal medicine and pediatrician, Grayling, MI; and Ron Nelson, physician assistant, White Clouds, MI................................ 37 Fox, Claude Earl, acting administrator, Health Resource Services Administration, accompanied by Marilyn Gaston, associate administrator for Primary Health Care, Health Resource Services Administration........................... 101 Steinhardt, Bernice, Director, Health Services Quality and Public Health Issues, Health, Education and Human Services Division, accompanied by Frank Pasquier, Assistant Director, Health Issues, Seattle General Accounting Office, and Lucinda Baumgartner, senior evaluator, General Accounting Office.......................................... 9 Letters, statements, etc., submitted for the record by: Feehan, Edward B., M.D., pediatrician, private practice, Merced, CA, prepared statement of.......................... 42 Fox, Claude Earl, acting administrator, Health Resource Services Administration, prepared statement of............. 105 Shays, Hon. Christopher, a Representative in Congress from the State of Connecticut, prepared statement of............ 3 Nelson, Ron, physician assistant, White Clouds, MI: Letter dated November 26, 1997........................... 95 Prepared statement of.................................... 75 Slater, Douglas, internal medicine and pediatrician, Grayling, MI, prepared statement of........................ 64 Steinhardt, Bernice, Director, Health Services Quality and Public Health Issues, Health, Education and Human Services Division, prepared statement of............................ 13 Towns, Hon. Edolphus, a Representative in Congress from the State of New York, prepared statement of................... 7 [GRAPHICS NOT AVAILABLE IN TIFF FORMAT]