DEPARTMENT OF DEFENSE APPROPRIATIONS FOR 1993 HEARINGS BEFORE A SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS ONE HUNDRED SECOND CONGRESS DONALD E. RICHBOURG, J. David Willson, JOHN G. PLAShal, Robert V. DAVIS, SANDRA A. GIL- PART 2 Page Medical Programs... 1 Drug Interdiction and Counter-Drug Activities, Defense........ 267 385 Testimony of Members of Congress and Other Interested 457 59-855 O Printed for the use of the Committee on Appropriations U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1992 For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 ·A6 1949 COMMITTEE ON APPROPRIATIONS JAMIE L. WHITTEN, Mississippi, Chairman WILLIAM H. NATCHER, Kentucky, Vice Chairman NEAL SMITH, Iowa SIDNEY R. YATES, Illinois EDWARD R. ROYBAL, California W. G. (BILL) HEFNER, North Carolina LES AUCOIN, Oregon BERNARD J. DWYER, New Jersey STENY H. HOYER, Maryland BOB CARR, Michigan ROBERT J. MRAZEK, New York RICHARD J. DURBIN, Illinois RONALD D. COLEMAN, Texas ALAN B. MOLLOHAN, West Virginia LINDSAY THOMAS, Georgia CHESTER G. ATKINS, Massachusetts JIM CHAPMAN, Texas MARCY KAPTUR, Ohio LAWRENCE J. SMITH, Florida DAVID E. SKAGGS, Colorado DAVID E. PRICE, North Carolina NANCY PELOSI, California PETER J. VISCLOSKY, Indiana JOSEPH M. McDADE, Pennsylvania JIM KOLBE, Arizona DEAN A. GALLO, New Jersey BARBARA F. VUCANOVICH, Nevada JIM LIGHTFOOT, Iowa FREDERICK G. MOHRMAN, Clerk and Staff Director NOTES: The Honorable Silvio O. Conte was Ranking Minority Member of the Committee until his death on February 8, 1991. The Honorable William H. Gray III resigned from the Committee on September 11, 1991. DEPARTMENT OF DEFENSE APPROPRIATIONS FOR 1993 THURSDAY, MARCH 12, 1992. MEDICAL PROGRAMS-DEPARTMENT OF DEFENSE WITNESSES HON. ENRIQUE MENDEZ, JR., ASSISTANT SECRETARY OF DEFENSE FOR HEALTH AFFAIRS, DEPARTMENT OF DEFENSE LT. GEN. FRANK F. LEDFORD, JR., SURGEON GENERAL, U.S. ARMY VICE ADM. DONALD F. HAGEN, SURGEON GENERAL, U.S. NAVY LT. GEN. ALEXANDER M. SLOAN, SURGEON GENERAL, U.S. AIR FORCE INTRODUCTION Mr. MURTHA. The Committee will come to order. We want to welcome Dr. Enrique Mendez, the Assistant Secretary of Defense for Health Affairs, and the three Services' Surgeons General. I know we always have an interesting hearing, but this morning at our public witness medical hearing, a number of problems came up in talking about the CHAMPUS Reform program that was instituted in California as a demonstration project by the Department, which we feel has worked very successfully. We are looking forward to your testimony, and then getting to questions. So we will put your full testimony in the record and if you would summarize your remarks, we will get right to the questions. SUMMARY STATEMENT OF DR. MENDEZ Dr. MENDEZ. Mr. Chairman, distinguished Members of the Committee, I am pleased to be here this afternoon, and I thank you for the substantial support and thoughtful guidance your Committee has provided over the years. I want to thank you also for the opportunity to discuss with you the programs and initiatives under way within the Military Health Services System. Mr. Chairman, I will proceed with a summary of my testimony. Our efforts this year span all avenues of health care pursuit: management, structure, organization, budget, delivery, quality, and systems. In each endeavor, this Committee has maintained active |