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