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Board of National Missions miners hospitals discussions, April 1963, tape 3.
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- speaker[Kenneth Glenn Neigh] We don't have, I think,
- speakerthe original of this action. But
- speakerhere are the actions as they came to us from the
- speakerexecutive secretary of the Kentucky Medical Association.
- speakerResolved that the Kentucky State Medical Association wishes to commend the
- speakerPresbyterian Church for the humanitarian effort to keep these talks with an
- speakeroperation. Resolved further that we feel that the members
- speakerof the Kentucky Medical Association will provide medical care to the patients in those
- speakerhospitals. Then there are three provisions.
- speakerMost of the three are have
- speakerbeen outlined or have been discussed
- speakerby Dr Rosenfeld [Rosenfeld, Eugene D.] in his,
- speakerin his statement and which,
- speakerI think, open the door almost
- speakercompletely for the complete cooperation and understanding
- speakerof the State Medical Association, subject to certain
- speakernegotiations about principle. Following and then further,
- speakerthat the Board of Trustees of the Kentucky Medical Society
- speakerJim [Gailey, James R.], this is like the Board of Christian Education. I can never understand what the initial mean.
- speakerK. S. M. A., which is the medical association,
- speakerstands ready to cooperate in the future with the concerned parties
- speakerin implementing this program in keeping with these policies.
- speakerThis would seem to say that the Kentucky
- speakerMedical Association. Well, it does say we are congratulated
- speakeron the humanitarian effort to keep the thing in operation. [Rosenfeld, Eugene D.] Dr. Neigh,
- speakerthat has been confirmed, we just haven't been able to keep in communication fast enough but I
- speakerdo have a signed letter from the chairman of the hospital committee and it's exactly as you
- speakerread it. [Neigh, Kenneth Glenn speaking] I'll be. The one, the
- speakerone further thing. And, I think it, Bob [Barrie, Bob], would
- speakerbe good if we introduced the
- speakergentlemen from the Welfare Fund, who are in the back. [Barrie, Bob] It would be a
- speakerpleasure. Before I doing that, may I say that from the very first
- speakerday that I met one of the gentlemen I'm going to introduce to you. This has been
- speakerour principal contact with the United Mine Workers Welfare and Retirement Fund and the Miners
- speakerMemorial Hospital Association. And, I can say to you in all candor. And, I do it with considerable
- speakerfeeling, that the kind of cooperation and assistance which this gentleman has given to
- speakerus has been a huge factor in our being able to
- speakerreport to you even as much progress as we have been able to this afternoon. I'm going to
- speakercall on Dr. Newdorp [Newdorp, John] to introduce his colleague, but I want the
- speakerpleasure of introducing to you the Director of the Miners Memorial Hospital Association, Dr John
- speakerNewdorp.
- speaker[applause] with me is of the United
- speakerMine Workers of America Welfare and Retirement Fund, Mr. Thomas Bryant.
- speaker[Barrie, Bob] Dr. Neigh, I
- speakerhave just been reminded by my good friend Corbett [Gordon Corbett] that it is extremely important
- speakerat this stage of our discussion of this problem, as it has been from the very first
- speakervisit which Dr Heydinger [Heydinger, David K.] and I made to Harlan, that there be no publicity about
- speakerwhat we are saying here this afternoon except the very limited amount which
- speakergoes through the very careful hands of Mildred Herman. This this is important.
- speaker[Kenneth Neigh] Well, one thing about Presbyterians, they only talk about a
- speakerlittle thing. May I
- speakercontinue. What I have continuing upon the
- speakerintroduciton of these gentlemen. The question, I'm sure, is in your
- speakerminds, concerning the presence of the availability
- speakerof the hospitals by
- speakerthe Welfare Fund.
- speakerThere's a good deal of question and
- speakerheat in Kentucky over this question. However it is
- speakersomething that ought to be completely understandable to the Board of National Missions.
- speakerAs you know, they're still hanging us in effigy in Haines, Alaska, for
- speakerclosing Haines House. And, it was it was closed because that
- speakerparticular function that the Board was seeking to fulfill, at that time, seemed to be,
- speakerbe seemed finished
- speakeras a church organization. And, this has been the thing, the
- speakerphilosophy of the Board of National Missions from the beginning, to supply
- speakerservices when they were not being supplied by the community, but then
- speakerwithdrawal when they were when they were supplied by the community. Now,
- speakerI think, Mr Chairman, that
- speakerthis is an awful lot of material to assimilate.
- speakerDr. Neigh, I think there are two other guests that I would like the privilege
- speakerof introducing. They are members of the governor's [Bert T. Combs] staff. Mr John Westman is his
- speakerspecial assistant, who has given splendid cooperation from very early days. It
- speakerwas our privilege to meet him at that first conference in Harlan and Mr Felix
- speakerJoyner [Joyner, L. Felix] . Mr Joyner, I know you are Commissioner of
- speakerCommissioner of Health, Education and Welfare in the Commonwealth of Kentucky. Mr. Joyner.
- speakerIt
- speakerlooks like an old vaudevile act, doesn't it?
- speakerThe presentation is before you. I think that I
- speakermay remind you again, that the action we're to take
- speakerone way or another is on the white sheet that the balance that
- speakerDr Rosenfeld's [Rosenfeld, Eugene D.] report is available for you to study overnight.
- speakerThe action is, will be will be
- speakerdocketed for tomorrow morning at this
- speakertime and as long as you wish to ask questions
- speakerof the people, who have been kind enough to come or any of the rest of us.
- speakerThe docket is yours. Recognizing full well that we
- speakerhave a very important report from the Division of Education, but I think
- speakerit is this can be docketed at any
- speakertime or when the Board feels that it will move to that.
- speakerbe.
- speakerAre there any questions on this? We'll will not take action on this until tomorrow morning. But, are there any
- speakerquestions on it before we go one to special report of
- speakerthe Division on Education? Mr. Jaezz? then Dr. McConnell [McConnell, H. H.] , in respect whose first?
- speaker"Are any other hospitals in this area? Do you know if the federal government proposes building a
- speakerhospitals in this area?" [Kenneth Neigh] There are other hospitals in this area.
- speakerFor detail on that I would refer to Dr Rosenfeld as to whether or not the federal
- speakergovernment intends to build any additional ones. I can say that in our whole several
- speakerweeks of investigating this, this has not come to our knowledge. [B. D. Rosenfeld] I would say No. To the best of my knowledge at the
- speakermoment." I think we can say categorically the federal government will not and has no
- speakerplan.
- speaker[Bob Barrie] "Is it proposed that the money
- speakerbe given the money that will be available by the government be made to the
- speakerchurch or will the money be paid in such a way that we can
- speakeradminister it? But, will it be government money paid to the
- speakerchurch in order to handle it?" [Kenneth Neigh] This is the Church and Society question, Bob [Bob Barrie].
- speakerAs nearly as we can answer that question
- speakerIt falls within basically a philosophy that is already established by the General
- speakerAssembly and the Board of Nation Missions in the use of Hill-Burton Funds.
- speaker"These would be Hill-Burton funds?" They would not be Hill-Burton funds, would they, Bob?
- speakerNo sir. They would not. The principle is the same. As to which
- speakeragency, what agency would actually receive the funds from the federal government. This is
- speakera matter in which no final determination has been made. I would say it is highly
- speakerprobable that it would be the new corporate body, the Appalachian Regional
- speakerHospital board or the new corporation by whatever name it is called.
- speaker[Kenneth Neigh] You'll find a specific
- speakerstatement with reference to the corporate aspect of this thing, but
- speakerI don't think that we ought to be in a position and
- speakerI hope that it is. Again this is
- speakerexecutive session within the family. We cannot allow
- speakerourselves to get into a position where the federal government would purchase the hospitals and then sell them
- speakerto the church for a dollar. As a matter of fact
- speakerone of the assistant secretaries, in a
- speakerlaughing aside, said that this is what we've been trying to do with parochial schools.
- speakerNow the point is that at every point
- speakerwhere we have been involved in these, we have made it
- speakerperfectly clear that it A had to be done within
- speakerthe kind of legislation that the Presbyterian Church already
- speakerascribed too and probably, although
- speakerthis is your decision, which we didn't make, would
- speakernot be directed to the Board of National Missions, but to a corporation.
- speakerInvolved in the corporate aspect of this thing is it is also
- speakerthe fact of the deficit, you see. The Board of National Missions could
- speakernot reasonably be expected to be involved in a corporate
- speakersituation where it would be liable for the deficit of these
- speakerhospitals. It would be. It would be the corporation within
- speakerthese areas. Mr Chairman, we have many Presbyterian
- speakerhospitals, like the one in New York, where we have only
- speakerhistorical connection. Each of these is independent.
- speakerThe one in Frenchburg in this area, which is a mission hospital, I gather, under the Synod of Kentucky. Now
- speakeris this a third and different pattern? It sounds to me as if it is. But
- speakerdoes it resemble either of the other two. or where are we on this?
- speakerThe hospital at Frenchburg is a Board of National Missions owned and operated hospital. And,
- speakerI cite that as the extreme
- speakerend of a spectrum of direct responsibility for the Board of National Missions. This is one of
- speakerour Board owned and operated properties, and our responsibility is direct. Our
- speakeradministrative lines very straight to Frenchburg. At the other end of the
- speakerspectrum of direct responsibility might be some of the hospitals that you've mentioned. They are
- speakerPresbyterian hospitals. The Presbyterian aspect of them is in the
- speakermain historical and in name. And, there are varying
- speakerdegrees of relatedness to the Presbyterian church. The Presbyterian Medical
- speakerCenter in San Francisco, a more recent one, is an example of where the relationship is closer, where the
- speakerpresbytery has a direct responsibility for the nomination and
- speakerelection of the governing body. This is true in many hospitals. This
- speakercorporation, which Dr Rosenfeld [Rosenfeld, Eugene D.] has proposed we create, is
- speakersomewhere in the middle of the spectrum, I would say. And, the details of it
- speakerare something which our attorneys would have to work out in drafting the articles of
- speakerincorporation and the bylaws. There are many questions which could be raised here.
- speakerIn my own judgment, a minimum requirement would be that this body, this Board of
- speakerNational Missions, have the power to nominate and elect the board of
- speakertrustees or at least a fifty one percent of it. Even this is a matter of
- speakerjudgment, however.
- speakerMr. Chairman. Is this appropriate for us to address? No, not until tomorrow morning.
- speakerI couldn't I couldn't help but wonder what the present admissions
- speakerpolicies, racially, of hospitals in this area might be.
- speakerI'm sure I can answer that. And I know Dr Newdorp [Newdorp, John] will be listening to see that I answer it correctly. I am
- speakercertain that the admission policy is completely without regard
- speakerto race religion or any other factor. See mission on the basis of need. Am I right,
- speakerDr Newdorp? And the same policy applies to the staffing of the hospital.
- speakerI have a question. May I ask this question of Bob?
- speaker[Neigh] Yes sir. [Board member] Can the "C" under two on this white sheet
- speakerThat the Board receive assurances from the said governments of the states of
- speakerKentucky, Virginia, and West Virginia and any of them
- speakersatisfactory to the executive officers. Now, does this mean that one state
- speakercan commit us? Or does this mean we do not go ahead until all three
- speakerstates commit us? [Barrie] No, sir. Commit themselves. First, a word
- speakeror two about the use to which we think this resolution may be part
- speakerif the board chooses to adopt it as it is or wit
- speakeramendments. We hope that this can be the instrument of negotiation
- speakerwith the United Mine Workers Welfare and Retirement Fund trustees. Now as to the particular point you mention with
- speakerregard to the fact that we are involved here with three states, not just the state of
- speakerKentucky. As a matter of fact, the immediacy of this problem
- speakerrelates only to the state of Kentucky. All four hospitals, which have been announced
- speakerfor closure, plus the fifth one which Dr Rosenfeld and his staff
- speakerinsists be acquired with the four remaining to be closed, if they are to be operated with efficiency,
- speakerare within the state of Kentucky. It has been and it's
- speakerit's an open secret as a matter of fact it's almost a public announcement that the
- speakerremaining five hospitals in the chain are scheduled to close at some time in the future. We
- speakerdon't know when that will be. Perhaps Dr Newdorp, [Newdorp, John] if you care to speak to this. But when
- speakerthat happens, if it does, the present expectation is that it will, the
- speakersame kind of assurances would have to be entered into. However the
- speakerimmediate action concerns only the Kentucky
- speakerhospitals. Yes, Mr. Chairman. I would like to ask what
- speakeris the average population of these hospitals. And, if they are opened
- speakerfor the entire community law, what do you think will be the
- speakerpotential of the numbers of non indigents served? I would like to have
- speakerDr Rosenfeld answer that, if I may. [Rosenfeld, Eugene D.] That
- speakerquestion requires a rather detailed answer. And, it is in the report in great
- speakerdetail, but just in general. These hospitals,
- speakerfour of the five that we surveyed, the smaller ones have been
- speakeroperating at between sixty and eighty percent. The large one, the Harlan General's, been operating
- speakerhigher than eighty five percent, about eighty seven percent as I recall. Most of the
- speakerhospitals have been operating about seventy five percent and up of Fund
- speakerbeneficiaries. The remaining twenty five percent or so, being
- speakeremergency cases, non Fund beneficiaries and the like. As a matter of
- speakerpolicy, the hospitals have not accepted
- speakernon Fund beneficiaries, except in emergencies beyond twenty five
- speakerpercent of their load, as I understand the policy. Although I think, in certain instances, it's simply been
- speakerwaived. In point of fact, the actual operation that
- speakerwe foresee. We think that these hospitals can operate
- speakerefficiently, the four smaller ones, at between seventy and eighty percent
- speakeroccupancy and that Harlan General, Howard Memorial, can operate around eighty to eighty five
- speakerpercent at efficiency. Now beyond that they can all operate up to eighty five and
- speakereven ninety percent, but if they do, it'll be largely for medically indigent people.
- speakerOur projection of income is based upon,
- speakerin each instance, our knowledge of the numbers of people in each classification. In other words,
- speakerBlue Cross subscribers, Blue Cross groups, self pay on the
- speakerbasis of the experience of other hospitals in the community. The numbers of Miner
- speakerbeneficiaries, who will continue to have Fund benefits. Now, this number
- speakerdecreases each year, but we have theFund's own projections of how many there will
- speakerbe. And, they still represent and will continue to represent a major
- speakerproportion of the total numbers of people who will be hospitalized. And then finally
- speakerthere's going to be a drive by the state Blue Cross Association to
- speakersign up the eligible employees in the area, employee
- speakergroups that are not yet signed up. And, we have the numbers of these already signed
- speakerand to be signed. And, of course, we've been very conservative about expecting one hundred percent
- speakerenrollment. But, nonetheless we've gone through all of this in determining anticipated
- speakerincome. The balance, of course, will have to come as you've heard from the medically indigent.
- speakerI guess I should address this to Dr. Barrie, but
- speakerit seems to me that one of the great binds in this problem deals with the
- speakerthe necessity to act prior to the sending out of severance notices. As
- speakeryou say when the legislature cannot act until after the first of June,
- speakerwhen there are so many unbuttoned up aspects
- speakerof the whole problem. We have only a report of a conversation
- speakerwith one octogenarian, a member of the Welfare
- speakerBoard of the United Mine Workers [Roche, Josephine A.]. I'm wondering if there could not be negotiation
- speakerwith the group, now possession the rights
- speakerhere to do something about the delay of sending out severance?
- speakerMr. Chairman, if I may respond to that by saying that this resolution
- speakerhas been drawn for presentation to this Board on the assumption
- speakerthat it would be possible to negotiate a legal document by
- speakernext Tuesday which would incorporate these contingencies.
- speakerHowever this may be the point which we want to call on Dr. Newdorp [Newdorp, John] or Mr Ryan to make a
- speakercomment, Mr Chairman. May we hear from
- speakerDr. Newdorp? Dr. Newdorp?
- speaker[John Newdorp] I'll get up here where I can be heard. I don't speak very loudly otherwise. The
- speakerquestion is primarily as to the possibility of a delay of this action.
- speakerIn the discussions that were held, I am
- speakercertain that Miss Roche [Roche, Josephine A.] spoke for the other two trustees.
- speakerThis was not a the first time that
- speakerrequests for such delay had been made. They have been made
- speakerrepeatedly and by a number of different
- speakerparties and the position of the Fund has consistently been
- speakerthat it cannot extend itself any further.
- speakerThis to some has seemed unreasonable
- speakerbut the position of the Fund is, as Dr Neigh [Neigh, Kenneth Glenn]
- speakerhas indicated, somewhat parallel to situations which you may be familiar with from your own
- speakerexperience. It is a trust fund and the trustees
- speakerhave their primary responsibility to the trust. These hospitals were built
- speakerat a time when the need for them was desperate on the part of the
- speakerbeneficiaries of this trust fund. Over the course of the years, it's been
- speakertwelve years since the hospitals were first programmed and the authority for their
- speakerstarting has occurred. A number of beneficiaries has
- speakerdropped and dropped and dropped. And at the present time without
- speakerany authorization and contrary to the trust regulations under which they operate,
- speakerboth morally and legally, they have no right to be
- speakerincurring a deficit in the continued operation of these hospitals.
- speakerThey feel this responsibility very heavily. They
- speakerfeel, in effect, that they may have already gone much farther than they
- speakercan. The tendency I think was to
- speakertake this action prior to this. And, it was only
- speakerbecause they realized that it would require a considerable amount of
- speakertime that the decision was made nine months prior to the action.
- speakerI think I can speak with complete
- speakeraccuracy on the point that questions addressed to the
- speakertrustees of the United Mine Workers Welfare and Retirement Fund
- speakerabout the change in that date and schedule closings would be of
- speakerno avail. I'm sorry to have to say that but I think it is completely factual.
- speakerAnd, I wouldn't be honest with you unless I told you exactly that. [Kenneth Neigh] Mr
- speakerDr. Newdorp, before you leave, I think it is important that the
- speakerissue involved here with reference
- speakerto the statement that Bob [Barrie, Bob] made previously be clarified.
- speakerThat has to do with, as I understand it, and in our conversations
- speakerto do with a statement or a some
- speakerkind of an agreement entered into with the Fund
- speakerby the, by next week,
- speakerwhich at which point the amount of money involved is
- speakernegotiable, but which would be made on certain
- speakerother contingencies that are in incorporated within
- speakerthe document that we have before us. The thing I am saying is
- speakerthis. That in our projection I would not like to leave
- speakerthe idea current and unanswered
- speakerthat the Fund itself
- speakeris unwilling to do something about
- speakera later date in terms of. We talked about I think
- speakerit on October first date, something like that in terms of the staffing of the
- speakerhospital and that, in our negotiations with both the
- speakerfederal and state governments. And, I haven't been in all of the
- speakernegotiations with the Fund, the matter of this deficit has been an
- speakerimportant point. So that the
- speakerquestion of the turnover, Jack, in
- speakerterms of the deficit has been a
- speakerpoint of discussion with both the state and federal government.
- speakerAnd, it is my understanding that the Fund itself,
- speakerfrom our conversation, is prepared to help
- speakerup until a specified date in terms of the turnover. Is that not
- speakerright? [Newdorp, John] That is correct. Subject to the signing of a
- speakersatisfactory agreement by April thirty. And, I won't try to go into
- speakerthe details of what that would be. The Fund is willing to continue
- speakerthe operation of these hospitals until the first of October,
- speakerinstead of a sensual closing
- speakerdeadline of July one. It does so knowing full well
- speakerthat it will have to spend funds beyond those which are spent on its
- speakerown beneficiaries during that three month period. Our original discussions
- speakerenvision the possibility that the deficit above and beyond the care of its
- speakerbeneficiaries would be underwritten by someone else. But since the time we
- speakerdiscussed this, the Fund has agreed to
- speakeroperate these hospitals for that additional three month period,
- speakerpending a satisfactory agreement
- speakerestablished by the first of May.
- speakerMay I just say here before we have any other questions.
- speakerTime is going. I don't feel that
- speakerwe should neglect any questions that can really add to our knowledge
- speakerhere, but let's make sure that it is something that will add to
- speakerour knowledge before we ask it, please, so that we may be able to
- speakerterminate this and get on to our next report as soon as possible. Dr. McConnell [McConnell, H. H., Jr.]
- speakerDr, did you infer that you had had
- speakerDid you infer that you had conferences and
- speakerconsultations with other groups about this
- speakertaking over the hospitals and that
- speakerthey withdrew from this
- speakernegotiation? Would you be at liberty at all to disclose any reasons why they did withdraw?
- speaker[H. H. McConnell speaking] I think perhaps you inferred from my reference that
- speakerthere had been requests previously for a postponement of this deadline. This did not come
- speakerfrom other groups. This came from people in the
- speakerstate of Kentucky ,who knew of the interest of the Presbyterian Church and the
- speakerproblems which the United Presbyterian Church faced in trying to come to grips
- speakerwith this problem at this time.
- speakerNow admittedly there was one other group which I think was
- speakersignificantly interested in these hospitals.
- speakerIt was a group which has considerably different aspirations than the
- speakerchurch. It is
- speakerthe kind of operation which just doesn't fit into their present pattern of operations and once
- speakerhaving established that that was the case they lost their interest.
- speakerI think I can describe it as a group which depends largely on a large
- speakerindustrial payroll with payroll deduction, prepayment, that type of
- speakeroperation. And, the economy
- speakerof that area doesn't provide the kind of base in which they like to operate.
- speakerChairman, I've been asked by Dr. Rosenfeld to make a.
- speakerI'd like to take a question from Dr. Newdorp. Just one point.
- speakerWould you let Dr. Barrie make? Just one point of information, Mr Rogers [Rogers, Lon B.]. This will help matters for your question
- speakerJust to make it very clear that this schedule of
- speakerdates the purchase, the agreement to purchase by May first, the transfer of
- speakertitle by July one, assumption responsibility operation of October one pertains
- speakeronly to the five hospitals. We are not talking as of now about all
- speakerten. Now on. I understand this,
- speakerin the context of the total program, I want to ask Dr. Newdorp
- speakerif it isn't a fact that the Methodists at Pikeville have asked for a
- speakerrefusal of the right to buy the hospital at Pikeville?
- speaker[Newdorp, John]. Yes that is the
- speakercase. We have also in our offices at the present time an
- speakeroffer for the whole chain of ten by a
- speakerbroker who is interested in running them.
- speakerWell I'm not sure that this is the case but the inference is that they would be run as hospitals for
- speakerprofit.
- speakerThere have been some expressions by other groups.
- speakerMost of them have concerned themselves with coming up and expressing interest.
- speakerVery few of them, only the two groups, United Presbyterian Church and this
- speakerother one that I mentioned have gone into such matters as finding out what our budget
- speakeris, what our operating problems are, and really come to grips with the problem. I'm sorry that I didn't
- speakerconstrue expressions of interest, such as you mention in exactly the same light.
- speakerAnd, most of these however had to do with individual
- speakerhospitals, single hospitals, rather than with a group.
- speakerTime seems to be being made very much of the essence. I. I'm
- speakerjust a little question here.
- speakerWe're setting up seventy five; we're guaranteeing seventy-five thousand dollars
- speakerPer year. That we may be called upon
- speakerto find,
- speakerfor a period of not to exceed five years.
- speakerWhen we come spending that kind of money, much as
- speakerI am
- speakerin favor of hospitals, I want
- speakera little more time to think it over myself.
- speaker[Kenneth Neigh] I'll give you until tomorrow morning, anyway, Ralph.
- speakerThat is very fine but I didn't make up my mind to marry my wife
- speakerin
- speakerthat short a time.
- speakerShe probably was the one that was slow in deciding.
- speakerI think
- speakerYes
- speakerDon't mind me. May I ask if we
- speakerthe design to comply for the
- speakeroccasion that it would be possible [Mildred Herman]
- speakerto protect us
- speakerfrom the possibility that we might obtain a hospital in a state
- speakerwhich would not give us corresponding funds. Does this
- speakertake care of that? In other words it would be possible that Kentucky would give us assurance of
- speakermaking funds available for indigent patients, then we might find ourselves with a hospital in West Virginia.
- speaker"C" takes care of that. [Rosenfeld] Precisely. [Barrie] There will be a different kind of problem that each of the other
- speakerstates. Wouldn't it be fair to say, Dr Rosenfeld, that quantitatively
- speakerthe deficit problem is much larger in Kentucky than I was going to be in Virginia
- speakerand West Virginia, if for no other reason than the number of hospitals? [Rosenfeld] I am led to believe that's correct, Mr. Barry.
- speakerAnd, the hospital in Beckley, I understand, is so
- speakerfilled now that their problem is going to be to find additional hospital beds. We won't know until
- speakerwe look at the detailed records. Do you want to take it?
- speakerMr. Neigh, we thought it would be appropriate to throw in at
- speakerthis stage an announcement or it is related a bit.
- speakerWe all know that the Ford Foundation put this money into the original study.
- speakerThe Centers have been following up the study and is appreciative of what we have done in our
- speakerpolicy statement. On Tuesday I was with one of the members of the staff,
- speakerwho is considering now an application from the
- speakerCouncil of Southern Mountains, incorporated, for a considerable sum of money,
- speakerwhich, if granted by the
- speakerFoundation, would enable the setting up of a regional planning process in the
- speakerwhole Appalachian area, which would certainly be very definitely related to the
- speakerdeeds we're talking about here today. Two men will be spending a week in Kentucky.
- speakerin the area, from the Foundation to investigate whether
- speakerthey feel that this need is. The need is sufficient, the opportunities are appropriate for the
- speakerFoundation to make another grant, which would be very definitely related
- speakerto this. As I say, the Foundation was interested that we
- speakerwere involved in this kind of thing and will want to know what we have decided here today
- speakeror tomorrow. And, our decisions will perhaps have a bearing on what
- speakerthey may feel they can do it as they look forward to the larger aspects of this region.
- speakerAnd, they were interested also in the Board. In the Division of Home Missions of the
- speakerNational Council of Churches had taken similar action. It may be, Bob Barrie and I
- speakerare thinking, that perhaps the Foundation would be interested helpin in this help aspect
- speakeras well, since they have such similar interests in this whole field. Mr Chairman, if I might add
- speakerright here, that had this time schedule been different and I hope it's apparent to all of you now that this
- speakerwas not of our choosing. Probably an approach to several
- speakerfoundations would have been one of the first things we would have done. As of this afternoon literally
- speakerno foundation has even. This this word from Dr Comfort is the first
- speakerknowledge that I have had over the approach to a foundation. I think these problems are going to be of extreme interest
- speakerto many foundations.
- speakerNow, unless we have
- speakersome very specific
- speaker[Neigh] I've got one specific thing I want to say. Because I think it's
- speakergermane, as we think about this thing. One thing
- speakerhas not been mentioned. And that is the fact of the hostility that
- speakerexists among the people in this mountain area. They're. They're shooting there.
- speakerIt is
- speakerSome of the some of the stories that
- speakerBob has brought back from that area in terms
- speakerof what was happening around Harlan and so forth, which
- speakerreally prompted a think, a letter to the minister there are somewhat
- speakerappalling. I think that the Board of National Missions
- speakerHe
- speakerHas a responsibility in terms of historic interest in
- speakermedical missions. But there is another
- speakerimportant factor.
- speakerAnd that is the thing that we're all called upon to be a reconciling
- speakerforce within the community. And it seems to me, and this
- speakerwas called to my attention by Dr Rosenfeld,
- speakerwho by his name, you readily understand it is not a Presbyterian.
- speakerBut one of the most pointed evangelistic
- speakerstatements that was ever made to me was made by
- speakerDr Rosenfeld at the end of his presentation.
- speakerAnd, I simply Mr Chairman
- speakercouldn't let this rest overnight without adding the
- speakerfactor that important in the whole business is, is the
- speakerreconciling influence that the Church of Jesus
- speakerMr. Chairman, a specific question.
- speakerIn. If you'd all look at your
- speakerat your first page. It is a question of interpretation.
- speakerBut I think it's important. On the whole, it seems to me, that this whole business
- speakerhas a good deal of sense to it. A good deal of commitment
- speakerabout it. This is rather a legal question. In the first paragraph
- speakermaybe at the very end. I am not a lawyer.
- speakerThe first paragraph says take whatever action is necessary to establish a separate
- speakercorporation for the ownership. Now then, down in C. and D. it talks about
- speakerbefore the corporation be created or the Board of National Missions takes title,
- speakerand in D it says, before said corporation or the Board of National Missions takes title,
- speakerI would feel considerably more secure about this if in C and
- speakerD, for The Board of National Missions could
- speakerbe omitted. It would seem to be an even more consistent with what is said in one
- speakerand I do not believe, in the siscussion we have had, that it is envisages
- speakerthat the Board of National Missions ever will take title.
- speakerMr. Chairman, I will refer that to Mr. Triboux. I think part of the problem, Bill, is
- speakerthat the corporation can't take title till it is in existence.
- speakerAnd. The option is left open
- speakerfor the creation of the, the title. Meanwhile there has to be some corporate
- speakerentity to deal with the title facts of life.
- speakerI think, however. Is Luke here? He's right here.
- speakerI think Luke framed this. Did you, Luke?
- speakerI must say that my department did all that
- speakerprovide help and myself. This was an emergency document.
- speakerWe had to drop many of these in our office, which are now
- speakerthere and give for a time to getting this document out
- speakerAt the time, this document was prepared. My own. many of the facts
- speakerthat are now presented to the Board, various representatives of the Union,
- speakerand others. When you have a deadline
- speakersuch as we have been presented
- speakercan't draft a corporation overnight. The corporation
- speakeris created by a state.
- speakerThe charter has to be approved by the Secretary of the State in which it is incorporated. And that has to be signed.
- speakerSo, in the interim, if this is to be an emergency
- speakeraction, to be acted upon by the Board, there has to be some place where the
- speakertitle can temporarily rest. Myself,
- speakeras an attorney. I do not see how we could possibly
- speakermeet the legal requirements within the time schedule that Dr. Barrie has
- speakermentioned. All I can say is we will do the best that we can.
- speakerI don't think we can defeat.
- speakerOne possible place where the title can rest by amending this provision
- speakerat the present time. I agree with the statement.
- speakeras its holding, but I don't know
- speakerwhere else you would put the title. I'd like to have Mr. Rogers. Lon Rogers
- speakerand I have discussed this matter somewhat. At that is just the point
- speakerThe review committee, if you so desired
- speakerover there. There, there couldn't be a corporation in Kentucky
- speakerwithin the deadline that we face. So possibly,
- speakerwe might have to put it in the Board of National Missions
- speakertemporarily. But I think it ought to be spelled out that it won't stay there. I think so too.
- speakerBut it will be, as soon as the machinery can be perfected transferred to this corporation
- speakerenvisaged on this chart here. I'll say we pounded this out in
- speakerdrafting this pointed out.
- speakerThere
- speakerBoard was very strong insisting that it go in.
- speakerMr. Chairman. May I say that perhaps in my naivete of lack of
- speakerlegal knowledge, I have assumed that the doucment which is before you
- speakerwe interpret to be a statement of intention. And, if the
- speakerBoard adopts it, we hope in turn that the trustees of the United Welfare
- speakerand Retirement Fund will accept it as just that. And that, and that statement of
- speakerintention a sufficiently binding legal document can be drawn. May I,
- speakerMr. Chairman? Yes. Perhaps a couple of questions.
- speakerIt is my understanding of what is being proposed,
- speakerthat this would, practically no sense, resemble a mission hospital as
- speakerwe have known the term hitherto. I am correct in that understanding? Yes. May I
- speakerask if the plan that is being outlined would be adversely affected if the Methodists
- speakerwere allowed in on the deal to puchase the Pikeville Hospital?
- speakerWell. Dr. Heydinger [Heydinger, David] and I have said from our very first
- speakerexplorations of this that we regard this is the kind of project which
- speakerought to be ecumenical. In response to specific questions I have said that we,
- speakerat the appropriate time, would welcome cooperation from other
- speakerdenominations. I think you'll realize a lot of the kind of things we've had to accomplish over the past
- speakerseveral months, it's been fortunate that we have not had to do it ecumenically.
- speakerenough. To
- speaker[Lon B. Rogers] Mr Chairman. Yes. May I observe
- speakeron that consultation in Lexington that has been referred to. The
- speakerrepresentative of the Disciples of Christ in Kentucky was there. He said his church had
- speakera hundred and sixty three churches in Kentucky, wich is somewhat
- speakerdouble the number that we have, but they could not do it. And, he knew of no other group that
- speakercould do it. I believe there was an Episcopal professor at Danville
- speakerthere, who
- speakerconfirmed that statement. And, if we don't do it, it won't
- speakerbe done. But I would like to make perfectly
- speakerclear that.
- speakerI will not support this proposal unless the Pikeville situation is dealt with
- speakerfor this reason. The Methodists have a good hospital there.
- speakerIt is right next door to Pikeville College, which I think you know
- speakerheart is very much in. Because we believe that you cannot raise the economic standing of
- speakerany area until you improve its educational status.
- speakerNow, they want to abandon that hospital.
- speakerFour members of the board of trustees have told me this. One of them is one of our
- speakertrustees of Pikeville College and an elder in our church. And,
- speakerI think that they should not be asked to come in all of them, if they don't want in on
- speakerall of them. The one in Pikeville is an independent corporation
- speakercalled the Methodist Hospital of Kentucky.
- speakerI can support this if that provision is made clear, but
- speakerotherwise I cannot support it. What provision?
- speakerLon, would you?
- speakerLon, would you explain that a little more? Some of them here are
- speakernot sure.
- speakerWhat provision, Lon? Just briefly that in the event, we take the other five
- speakerhospitals that the Methodists would be given the opportunity, the refusal, the opportunity to
- speakerbuy the one in Pikeville, according to representation they've already made to the
- speakerUnion, they are not honoring. See they were
- speakerassured that they could have the refusal of that. And I feel that in all good faith, and
- speakerthe interest of ecumenicity that we talk so much about, that they should be given the opportunity of
- speakernegotiating for that one there. The support for any
- speakerhospital comes from the total community. The supprt of the Pikeville College
- speakercomes from the total community. We educate not only the Presbyterian youth, but
- speakerof the youth of the area there. And there is no other four year college within the radius of one
- speakerhundred miles. There are other hospitals within a radius of one hundred miles,
- speakerbut there is no college. And so this is a public relations problem that we have in
- speakerPikeville.
- speakerThank you. May I ask a question of Lon [Lon B. Rogers]? Are
- speakeryou talking about. This this is down the road with a
- speakerhospital with an arm he calls homegrown.
- speakerLawyer
- speakerYes indeed it's in the second group. Now,
- speakerare you saying, Lon, that, that
- speakeryou're interested in the Methodist
- speakerpeople.