Testimony issued by the General Accounting Office with an abstract that begins "Medicare faces many challenges. The overarching issue is how to sustain the program for future generations. Meeting that challenge will require difficult decisions that will affect beneficiaries, providers, and taxpayers. However, the financing issue should not obscure other important challenges. Medicare's current cost-sharing arrangements do not encourage the efficient use of services without discouraging necessary care. Moreover, the lack of catastrophic coverage can leave some beneficiaries liable for substantial Medicare expenses. Finally, some aspects of Medicare's program management are inefficient and lag behind modern private sector practices. Changes in Medicare's program management could improve both the delivery of health care to beneficiaries and the program's ability to pay providers appropriately. Some view restructuring of the relationship between parts A and B as an important element of overall Medicare reform. Fundamentally, assessing the program as a whole is an important first step in addressing Medicare's challenges. Solutions to many of these challenges could be crafted without restructuring. However, restructuring may provide opportunities to implement desired reforms--with or without unifying the Hospital Insurance and Supplemental Medical Insurance trust funds--while undoubtedly raising issues that will have to be considered."

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the procedural and analytical rulemaking requirements applicable to the Occupational Safety and Health Administration (OSHA) and other federal regulatory agencies. GAO found that the rulemaking requirements that have been placed on OSHA and other agencies are voluminous and require a wide range of procedural, consultative, and analytical actions on the part of the agencies. Federal agencies sometimes take years to develop final rules, and the requirements are not as effective as expected or as they could be. This lack of effectiveness can be traced to how the requirements have been implemented and the requirements themselves."

Testimony issued by the General Accounting Office with an abstract that begins "Three years ago, the Department of Veterans Affairs (VA) characterized hepatitis C as a serious national health problem that needs early detection to reduce transmission risks, ensure timely treatment, and prevent progression of liver disease. In a 1988 letter, VA outlined the process clinicians should use when (1) screening veterans for known risk factors for exposure to hepatitis C and (2) ordering tests to detect antibodies and diagnose hepatitis C infection as part of a plan to evaluate and assess risk factors for VA patients. This testimony discusses VA's progress in screening and testing veterans for hepatitis C during fiscal years 1999 and 2000. GAO found that VA missed opportunities to screen as many as three million veterans when they visited medical facilities during fiscal years 1999 and 2000, potentially leaving as many as 200,000 veterans unaware that they have hepatitis C infections. Of those screened, an unknown number likely remain undiagnosed because of flawed procedures. Although the pace of screening and testing appears to be improving, many currently undiagnosed veterans may not be identified expeditiously unless VA (1) establishes early detection of hepatitis C as a standard …

The National Museum of the Pacific War presents an oral interview with Fred Haschel. Haschel was born in Winamac, Indiana in 1918 and grew up during the Depression. After graduating from high school, he enlisted in the Navy in September 1941. Upon completing basic training at Great Lakes, he was assigned to the USS Honolulu (CL-48) a few days following the Japanese attack. The Honolulu was damaged in the attack and went to Mare Island for repairs. Over the following months he describes the Honolulu serving as a convoy escort for troop ships sailing back and forth from Pearl Harbor to New Caledonia and Fiji. Next, the ship sailed to the Aleutians in mid-1942 for gunfire support followed by a transit to Espiritu Santo, where the Honolulu provided escort duty for Marine and Army troops landing on Guadalcanal. Haschel recalls the night of 30 November when the Honolulu, with the USS Northampton (CG-26) and other vessels, disrupted an attempt to resupply Japanese troops on Guadalcanal during the Battle of Tassafaronga. His next assignment was shore duty in Miami training sub chaser and patrol boat crews. He was transferred to the USS Augusta (CA-31) in 1945. Haschel was aboard when the …

News release concerning a celebration of the fifth anniversary of the opening of DART light rail transit.