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cases as there is no place to send them. The soldiers' homes are asking for increased domiciliary facilities.
The records of the National Soldiers' Homes during the entire period of their existence show that the percentage of domiciliary members as compared with those requiring hospital care run pretty uniform. The facilities of the various branches have been developed on that basis and operated to the maximum at a low cost. In this connection a statement of financial operations for the past year and organization chart of the home are entered into the record. A statement of estimates and appropriations for repairs is also submitted
The CHAIRMAN. Colonel, proceed in your own way.
Colonel WADSWORTH. I think the ground has been pretty well covered and all of the proposition from the home standpoint has been covered, except perhaps this: That the development of the homes, maintaining domiciliary care of members, is the most comfortable and satisfying thing for the members themselves. Therefore, anything that tends to disturb that will be going against what is giving members the treatment that satisfies most of them. The records of the homes show that during the entire existence of the home, the percentage of domiciliary as compared with the percentage of those requiring care in a hospital runs pretty uniform, varying from 70 to 75 per cent.
The facilities of the home have been developed on that line.
At present all of the buildings in the homes are filled up. There is not any overbuilding of hospitals at any place within the homes.
The home is full in all of its branches, except the eastern branch. When I say the homes are full, I mean that the the home is filled with domiciliary members and with hospital members. So certainly up to the present moment the fact that the two organizations, the Veterans' Bureau and the soldiers' homes have been operating, has not resulted in the Government making any useless expenditure within the homes, because every facility that the homes have is taken, and more are being asked for.
Whatever disposition may be made of these questions as to unification it is hoped that this committee will see its way to continue à policy that meets the requirement of the veterans.
The CHAIRMAN. Assuming that you are not overbuilding in the domiciliary section, and I think that is true, is there not a tendency on the part of the Veterans' Bureau to retain a lot of patients in their hospitals who, in fact, are domiciliary cases, and who will remain there at a very much greater expense than would be necessary if we had all this under one head, so that these patients would be definitely segregated from the hospital cases and put into homes?
Colonel WADSWORTH. Of that I have no knowledge whatever. I know nothing of the workings of the Veterans' Bub'eau, having visited but two of their plants and going through those just casually. So I could not answer that question.
However, it is a situation that might happen with any hospital that does not have a free place of putting out those men who have received the maximum hospital benefit and may develop into a chronic state that will still require institutional care. happen.
Statement of operations and analysis of expenditures, National Hmme for Dis.
abled Volunteer Soldiers, fiscal year 1929, compared with 1928
Average number of members present.
15, 194 $8,794, 854. 14 $8, 114, 856.87 $519. 12
ANALYSIS OF EACH DOLLAR EXPENDED
Expenses of Board of Managers, including salaries of officers and em
ployees headquarters office, traveling expenses of the board, office
furniture, stationery, telegraph, and telephone service, etc.. Current expenses:
Salaries of all officers and employees engaged in connection with the
management of the branch, including supervision, statistics, purchase
music, books, library equipment, etc..
All expenditures for food supplies, for kitchen and dining-room equip
ment, and for wages of all employees engaged in connection with the
preparation and serving of meals. Household:
All expenditures for coal, gas, water, laundry supplies, equipment, beds,
bedding, and other furniture and household supplies for barracks and
heating, lighting, water system, laundry, and dry-cleaning plant.-----
Salaries of assistant surgeons, trained nurses, and all other employees
engaged in the care of the sick; expenditures for drugs, special diet,
hospital equipment, caskets, and other hospital supplies..
Pay of transportation of applicants reporting, members transferred, etc..
All expenditures for lumber, paints, oils, boilers, machinery, parts, and
the general upkeep of buildings and equipment, and salaries of chief
buildings, steam lines, water lines, etc...
Salaries of all employees engaged in connection with farming operations,
dairy, vegetable garden, repair of roads, park system, cemetery, etc.,
All expenditures for the purchase of cloth, shoes, hats, and all other
articles and materials used in the fabrication and repair of clothing,
Colonel WADSWORTH. I would also like to introduce a chart of the organization of the home.
The CHAIRMAN. I have just been examining this chart as the hearings have been proceeding and I think the chart is a valuable one and should also be in the record. By unanimous consent, gentlemen, it may go in the record at this point.
(The chart referred to is inserted facing this page :)
Colonel WADSWORTH. From this statement it will be seen that a domiciliary member during the past year cost 94 cents.
Mr. BEEDY. Per day?
Colonel WADSWORTH. Per day. A hospital member at the home cost $2.39.
The CHAIRMAN. In neither case are you taking into consideration the investment in buildings and equipment, I take it?
Responsible for preparation and submission of estimates for appropriations for all expenditures, for services and supplies, and for supervision of the procurement and caring for all property. Assists the president of the board in the general administration of the home.
Responsible for general supervi. sion of the hospital and medical service or the home, including personnel, equipment, and supplies, and treatment given. Assists the president of the board in the general administration of the home.
Central, Dayton, Ohio.
Pacific, Sawtelle, ('alil.
Danville, Danville, III.
Mountain, Johnson City, Tenn.
Springs, 8. Dak.
Bath, Bath, N. Y.
ORGANIZATION OF CENTRAL BRANCH (TYPICAL OF ALL). ACTIVITIES
GROUPED UNDER SUBHEAD OF APPROPRIATION
August, 1929: Managers and clerks, 16; officers and employees-headquarters office, 15; clothin
Colonel W ADSWORTH. Neither, sir. In that statement, though, we are taking into consideration every item of expense, including the entire overhead, the clothing of the member, and a repair appropriation intended to keep the buildings in a satisfactory state of repair, so there is no depreciation on them. The buildings are kept right up.
Mr. SCHAFER. With reference to those repairs, have repairs proceeded as rapidly as they might? Is it not a fact that you have been curtailed in your expenditures by the Budget Bureau and by the Appropriations Committee who have not furnished you the funds you have asked for to make all of the repairs which you thought necessary?
Colonel WapSWORTH. I would say this: I suspect that repairs is one of the hard problems with anybody, with any business management. You probably would never do as much as you would quite like to do. I would say that in the main the home has obtained sufficient funds to keep things going, to keep the buildings in a comfortable state.
Mr. SCHAFER. But you did not obtain all of the funds that you asked for? I believe, if my information is correct, that the governors of the homes make their recommendations for repairs to the board. The board meets, and taking into consideration various things, it submits estimates, does it not?
Colonel WADSWORTH. Yes, sir. Mr. SCHAFER. And those are submitted to the Budget? Colonel WADSWORTH. Yes, sir. Mr. SCHAFER. And you have not received all of the appropriations for repairs that you originally estimated for, have you?
Colonel WADSWORTH. That is quite likely. I would not be prepared to say, however, how far we may have been disappointed in that. There are quite likely to be differences of opinion on that. But what I do mean to say is that the repairs that have been furnished have in the main been sufficient to keep things in a good working state. I might want to put on more paint than somebody else would want to put on, or I might want to put on less.
Mr. SCHAFER. Is it not a fact that the Board of Managers and the governors of the homes, having first-hand knowledge of the need of repairs, are in a better position to judge how much is necessary and should be appropriated for repairs than some petty underofficial in the Budget Bureau a thousand miles away?
Colonel WADSWORTH. The board submits what in their judgment they think they should have. As I say, in many things they may not get every dollar that they have asked for. However, the home has fared exceedingly well.
Mr. SCHAFER. I ask unanimous consent at this point that there be inserted the estimates submitted for the past three years by the Board of Managers for repairs for the national homes, together with the amount of money for repairs recommended by the Budget Bureau and the amounts appropriated.
The CHAIRMAN. If that information is available, I can see no objection to its going in the record.
Colonel WADSWORTH. We have no objection to getting that for you. Of course, those figures will have to be assembled. We have the data from which we could assemble those figures. The CHAIRMAN. They may be inserted in the record at this point.