Women's health issues : hearings before a subcommittee of the Committee on Appropriations, United States Senate, One Hundred Fourth Congress, second session, special hearings, May 6, 1996--Philadelphia, PA, May 29, 1996--Beverly Hills, CA, November 15, 1996--Pittsburch, PA

United States. Congress. Senate. Committee On Appropriations. Subcommittee On Departments Of Labor Health And Human Services Education And Related Agencies

Sujets

• United States
• Women
• Breast

Informations

• Publié par: les_archives_du_savoir
• Nombre de lectures: 18
• Langue: English
• Poids de l'ouvrage: 11 Mo

Extrait

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S. Hrg. 104-754
WOMEN'S HEALTH ISSUES
104-754Y 4. AP 6/2; S. HRG.
Honen's Health Issues, S. Hrg. 104-. .
HEAKINGS
BEFORE A
SUBCOMMITTEE OP THE
COMMITTEE ON APPROPRIATIONS
UNITED STATES SENATE
ONE HUNDRED FOURTH CONGRESS
SECOND SESSION
SPECIAL HEARINGS
MAY 6, 1996—PHILADELPHIA, PA
MAY 29,BEVERLY HILLS, CA
NOVEMBER 15, 1996—PITTSBURGH, PA
Printed for the use of the Committee on Appropriations
^^^I9t227
U.S. GOVERNMENT PRINTING OFFICE
26-57Ice WASHINGTON : 1997
For sale by the U.S. Government Printing Office
Superintendent ofDocuments, Congressional Sales Office. Washington, DC 20402
ISBN 0-16-054074-7.
23l A\ S. Hrg. 104-754
U\VJ^ WOMEN'S HEALTH ISSUES
104-754Y 4. AP 6/2: S. HRG.
S. Hrg. 104-. .Honen's Heslth Issues*
HEAKiNGS
BEFORE A
SUBCOMMITTEE OF THE
COMMITTEE ON APPROPRIATIONS
UNITED STATES SENATE
ONE HUNDRED FOURTH CONGRESS
SECOND SESSION
SPECIAL HEARINGS
MAY 6, 1996—PHILADELPHIA, PA
MAY 29,BEVERLY HILLS, CA
NOVEMBER 1996—PITTSBURGH,15, PA
Printed for the use of the Committee on Appropriations
'tnih^
.•n
U.S. GOVERNMENT PRINTING OFFICE
26-57Ice WASHINGTON : 1997
For sale by the U.S. Government Printing Office
Superintendent ofDocuments, Congressional Sales Office, Washington, DC 20402
ISBN 0-16-054074-7COMMITTEE ON APPROPRIATIONS
MARK O. HATFIELD, Oregon, Chairman
TED STEVENS, Alaska ROBERT C. BYRD, West Virginia
THAD COCHRAN, Mississippi DANIEL K INOUYE, Hawaii
ARLEN SPECTER, Pennsylvania ERNEST F. HOLLINGS, South CaroUna
PETE V. DOMENICI, New Mexico J. BENNETT JOHNSTON, Louisiana
CHRISTOPHER S. BOND, Missouri PATRICK J. LEAHY, Vermont
SLADE GORTON, Washington DALE BUMPERS, Arkansas
MITCH McCONNELL, Kentucky FRANK R. LAUTENBERG, New Jersey
CONNIE MACK, Florida TOM HARKIN, Iowa
CONRAD BURNS, Montana BARBARA A. MIKULSKI, Maryland
RICHARD C. SHELBY, Alabama HARRY REID, Nevada
JAMES M. JEFFORDS, Vermont J. ROBERT KERREY, Nebraska
JUDD GREGG, New Hampshire HERB KOHL, Wisconsin
ROBERT F. BENNETT, Utah PATTY MURRAY, Washington
BEN NIGHTHORSE CAMPBELL, Colorado
J. Keith Kennedy, Staff Director
Mark Van de Water, Deputy Staff Director
James H. English, Minority
Subcommittee on Departments of Labor, Health and Human Services, and
Education, and Related Agencies
ARLEN SPECTER, Pennsylvania, Chairman
MARK O. HATFIELD, Oregon TOM HARKIN, Iowa
THAD COCHRAN, Mississippi ROBERT C. BYRD, West Virginia
SLADE GORTON, Washington ERNEST F. HOLLINGS, South Carolina
CONNIE MACK, Florida DANIEL K INOUYE, Hawaii
CHRISTOPHER S. BOND, Missouri DALE BUMPERS, Arkansas
JAMES M. JEFFORDS, Vermont HARRY REID, Nevada
JUDD GREGG, New Hampshire HERB KOHL, Wisconsin
Majority Professional Staff
Craig A. Higgins and Bettilou Taylor
Minority Professional Staff
Marsha Simon
Administrative Support
Meg Snyder
(II)CONTENTS
Monday, May 6, 1996
Page
remarks of Senator Arlen Specter 1Opening
Prepared statement 2
Opening remarks of Senator Joseph Biden 3 ofCongressman Jon Fox 5
Estelle B. Richman, commissioner of health, Department ofStatement of
Philadelphia, PA 6Pubhc Health,
Prepared statement 8
Remarks ofCongressman Chaka Fattah 10
Statement of Glenda Donoghue, M.D., FACP, executive vice provost. Medical
College ofPennsylvania and Hahnemann University 11
Prepared statement 12
Statement of Barbara Weber, M.D., associate professor of medicine and genet-
ics, director, breast cancer program. University of Pennsylvania Cancer
Center 13
Prepared statement 16
Fitzsimmons, M.D., Graduate Hospital of Philadelphia 27Statement ofAmy 30 of Dorothy Mann, executive director. Family Planning Council
of Southeastern Pennsylvania, Inc., Philadelphia, PA 32
Prepared statement 35
executive director, women'sStatement of Kathryn M. Lindsay, R.N., M.S.N.,
mental health program, Pennsylvania Hospital, Philadelphia, PA 38
Prepared statement 41
Letter from 45
Mental health legislation , 51
Statement of Cynthia M. Boehmer, director. People's Place, Milford, DE 59
Prepared statement 62 ofNancy Durborow, health projects coordinator, Pennsylvania Coa-
lition Against Domestic Violence, Harrisburg, PA 63
Prepared statement 66
Statement ofMarilyn Levan, New Castle, DE 74 76
Violence against women legislation 76
Additional committee questions 81
Questions submitted by Senator Joseph R. Biden, Jr 81
Material Submitted Subsequent to Conclusion of Hearing
Statement ofPharmacia & Upjohn, Inc 85
Statement of Kathleen Sazama, M.D., J.D., American Association of Blood
Banks 86 of Mark Bencivengo, assistant health commissioner, Philadelphia
Department of Public Health, Philadelphia, PA 88
Letter from Patricia R. Cooney 89
Statement of Michelle Etkin, director. Amicus Curiae Program, Operation
Z, Washington, DC 91
Wednesday, May 29, 1996
Opening remarks of Senator Arlen Specter Ill
Prepared statement 112
Opening remarks of Senator Barbara Boxer 113 115
Appropriations bill 115
(III)IV
Page
Cantor-UCLA Women'sStatement of Mitzi R. Krockover, M.D., director, Iris
116Health Center
statement 119Prepared
professor of radiology, University ofStatement of David J. Sartoris, M.D.,
California, San Diego 124
126Prepared statement
Statement of Paula Poundstone, comedienne 130
131Prepared of Dina Merrill, on behalf of Planned Parenthood Federation of
America 132
134Prepared statement
planning 134Family
139Scleroderma research
Sharon Monsky, founder. Scleroderma Research Foundation 139Statement of
Prepared statement 141
actor 144 ofBob Saget,
Prepared 145
actress 146Statement ofDana Delany,
147 statement ofJason Alexander, actor 148
149Prepared
149Scleroderma
of Jeannie Brewer, M.D., assistant professor, Department of Fam-Statement
Practice, University of Southern California 152ily
154Prepared statement
155Increase in funding
Victoria Principal, actress 156Statement of
157Prepared statement ofRod Steiger, actor 158
Friday, November 15, 1996
vice president of Magee-Womens Hospital andStatement of Mary Zubrow,
Women 169cochair of the Celebration of
170Opening remarks of Senator Specter
statement 171Prepared
president, Ambulatory Care and Strate-Statement of Debra W. Linhart, vice
Hospital 173gic Development, Magee-Womens
175Prepared statement
Roberts, director, Magee-Womens Research Insti-Statement of Dr. James
177tute
179Prepared statement
NIH funding 180Increase of
executive director. Women's Center andStatement of Martha A. Friday,
PA 180Shelter ofGreater Pittsburgh, Pittsburgh,
183Prepared statement
Miller, R.N., clinical supervisor. Perinatal AddictionStatement of Janice M.
Medical Center 186Center, St. Francis
189Prepared statement
of crack cocaine 193Impact on children
board member. Mom's House 201Statement ofPeggy Finnegan, advisory
204Prepared statement
R.N., coordinator, breast health outreach to of Ebony Hughes,
Hospital, Braddock, PA 207African American women, Magee-Womens
•••• 210Prepared statement
assistant professor ofepidemiology and assist-Statement of Dr. Roberta Ness,
of Obstetrics, Gynecology, and Reproduc-ant professor at the Department
Pittsbiu-gh 213tive Science, University of
215Prepared statement
Steven Reis, associate director of coronary care unit, assist-Statement of Dr.
University of Pittsburgh 220ant professor of medicine.
223Prepared statement
225Heart disease
University ofPittsburgh 230Statement of Patricia Barnes, research associate,HEALTH ISSUESWOMEN'S
MONDAY, MAY 6, 1996
U.S. Senate,
Labor, Health and HumanSubcommittee on
and Related Agencies,Services, and Education,
Committee on Appropriations,
Philadelphia, PA.
The subcommittee met at 9:42 a.m., in the Ceremonial Court-
room, Federal Courthouse, Philadelphia, PA, Hon. Arlen Specter
(chairman) presiding.
Present: Senator Specter.
Congressman Fattah, and Congress-Also present: Senator Biden,
man Fox.
NONDEPARTMENTALWITNESSES
STATEMENT OF ESTELLE B. RICHMAN, COMMISSIONER OF HEALTH,
departmentof public health, PHILADELPHIA, PA
OPENING REMARKS OF SENATOR ARLEN SPECTER
willSenator Specter. Good morning, ladies and gentlemen. We
Appropriations Committee, thebegin the hearing of the Senate
on Labor, Health and Human Services, and Edu-Subcommittee
cation.
At the outset I want to thank my distinguished colleagues who
are joining me here today: my distinguished colleague Senator Jo-
seph Biden from the neighboring State of Delaware, who has had
an illustrious career in the Senate, having been elected in 1972 at
the age of 29, defying the U.S. Constitution, although the rule is
not date of election, it is date of swearing in. And Senator Biden
sworn in, andhad reached the mandatory age of 30 before he was
Committee,he has served as chairman of the Senate Judiciary
on crimes, violencewhere he has been a leader, the leader really,
leader on other women's medical issues,against women, and also a
notably breast cancer, and others.
I also welcome my distinguished colleague from Montgomery
County, Congressman Jon Fox, who is completing his first very dis-
tinguished career in the U.S. House of