SPEAKER INDEX CONTENTS INSERTS BACKHUS 40 48 49 51 52 53 54 CLYBURN 6 COHEN 56 62 CUMMINGS 13 30 37 EVANS 7 EVERETT 2 11 35 36 37 51 52 55 63 64 65 GOFF 19 28 GUTIERREZ 4 29 31 KIZER 8 11 26 27 28 32 34 35 36 37 38 39 PETERSON 32 33 34 35 SMITH 23 SNYDER 38 39 53 54 STARR 46 50 55 STEARNS 1 3 6 7 11 13 17 19 23 25 27 28 31 32 35 37 39 40 42 46 48 49 50 52 55 59 62 63 65 TERRENCE 17 VITIKACS 59 63 64 WIDERLITE 42 49 54 CONTENTS SPEAKERS INSERTS OPENING STATEMENT OF HON. CLIFF STEARNS, CHAIRMAN, SUBCOMMITTEE ON HEALTH PAGE 1 OPENING STATEMENT OF HON. TERRY EVERETT, CHAIRMAN, SUBCOMITTEE ON OVERSIGHT AND INVESTIGATIONS PAGE 2 OPENING STATEMENT OF HON. LUIS V. GUTIERREZ PAGE 4 OPENING STATEMENT OF HON. JAMES E. CLYBURN PAGE 6 STATEMENTS OF KENNETH W. KIZER, M.D., M.P.H., UNDER SECRETARY FOR HEALTH, DEPARTMENT OF VETERANS AFFAIRS; DR. JOAN CUMMINGS, M.D., DIRECTOR, VETERANS INTEGRATED SERVICE NETWORK (VISN) 12, DEPARTMENT OF VETERANS AFFAIRS; DR. CHRISTOPHER TERRENCE, M.D., CHAIRMAN, INTEGRATION COORDINATING COMMITTEE, VA CHICAGO HEALTH CARE SYSTEM, DEPARTMENT OF VETERANS AFFAIRS; JIM GOFF, DIRECTOR, PALO ALTO DIVISION, VA PALO ALTO HEALTH CARE SYSTEM, DEPARTMENT OF VETERANS AFFAIRS; AND DENNIS SMITH, DIRECTOR, BALTIMORE DIVISION, VA MARYLAND HEALTH CARE SYSTEM, DEPARTMENT OF VETERANS AFFAIRS PAGE 8 STATEMENT OF DR. KIZER PAGE 8 STATEMENT OF JOAN E. CUMMINGS, M.D. PAGE 13 STATEMENT OF DR. CHRISTOPHER F. TERRENCE PAGE 17 STATEMENT OF JAMES A. GOFF PAGE 19 STATEMENT OF DENNIS H. SMITH PAGE 23 STATEMENTS OF STEPHEN BACKHUS, DIRECTOR, VETERANS' AFFAIRS AND MILITARY HEALTH CARE ISSUES, HEALTH, EDUCATION, AND HUMAN SERVICES DIVISION, U.S. GENERAL ACCOUNTING OFFICE; ACCOMPANIED BY PAUL REYNOLDS, ASSISTANT DIRECTOR, HEALTH CARE DELIVERY AND QUALITY ISSUES, HEALTH, EDUCATION, AND HUMAN SERVICES DIVISION, U.S. GENERAL ACCOUNTING OFFICE; PAULA WIDERLITE, SENIOR DIRECTOR FOR SYSTEM STRATEGY, ADVENTIST HEALTHCARE; AND JAMES E. STARR, SENIOR ASSOCIATE, MCMANIS ASSOCIATES, INC., ACCOMPANIED BY LINDA WENDT, PRINCIPAL ASSOCIATE MCMANIS ASSOCIATES, INC. PAGE 40 STATEMENT OF STEPHEN BACKHUS PAGE 40 STATEMENT OF PAULA WIDERLITE PAGE 42 STATEMENT OF JAMES E. STARR PAGE 46 STATEMENTS OF DR. JORDAN J. COHEN, PRESIDENT, ASSOCIATION OF AMERICAN MEDICAL COLLEGES; JOHN VITIKACS, ASSISTANT DIRECTOR, NATIONAL LEGISLATIVE COMMISSION, THE AMERICAN LEGION PAGE 56 STATEMENT OF DR. JORDAN J. COHEN PAGE 56 STATEMENT OF JOHN VITIKACS PAGE 59 INSERTS SPEAKERS CONTENTS NO INSERTS IN THIS HEARING