We realize those whose experience is great in this area--and many of them are to testify before you today-can make helpful suggestions for improvement in the bill and its administrative provisions. We want to see this surplus used to help raise standards of health and education and thus of living in areas where our abundance is evident. I know your committee will look kindly on this idea and I hope will act favorably on legislation to this end before this session of Congress is concluded. Senator GRUENING. Well, Senator Hart, certainly the objectives of this bill are undeniably worthy, and we will certainly give it the fullest consideration. I wonder if there are any sections in this bill, either actual or proposed, that will prevent the execution from falling into some of the errors and wastages of our foreign aid program. I think it is quite important that we safeguard this as much as we can, at the same time without delaying the expedition in respect to this usable property if the committee should decide in favor of this bill? Senator HART. No one in this Congress has been more eloquent in his illustrations of waste in the foreign aid program than has the chairman of this subcommittee, and I would share with him the hope that safeguards could be provided. Several approaches occur to us immediately: Certification, postaudit, use to which put, basic agreement between the U.S. agency which makes the disposition of the property with the receiving agency of the foreign government, permitting a postaudit. I think we ought to be careful, in our concern lest there be waste or misuse, not to so formalize the operation that we provide more headaches because of the redtape we build in than we are saving ourselves embarrassment and misuse. I am sure that the ICA, for example, can make some suggestions as to administrative methods. I know that Senator Humphrey has introduced a bill aimed in the same direction as the bill that Senator Bartlett and I have submitted. We have slightly different approaches in our methods of handling this, but it seemed to me-and this would reply directly to your questionthat the last four lines of S. 2732, which provide that— The President or his designee may provide for the imposition of reasonable terms, conditions, reservations, and restrictions upon the use of any property donated under this section give us the handhold with which any conscientious administrator would find the means of insuring against improper use. Senator GRUENING. I think that is true. It might be useful, and I am going to ask the subcommittee staff to secure a list of the organizations and institutions abroad which have been sponsored or supported by American citizens. We are all familiar with some of these institutions. Senator HART. Yes. Senator GRUENING. If we had a complete list and could estimate. their distribution and character, it would further facilitate our action on this bill. I think that should be done, Mr. Shriver.2 Mr. SHRIVER. Yes, sir. Senator GRUENING. Thank you very much, Senator Hart. 2 This information has been incorporated into the files of the subcommittee, Senator HART. Thank you again, sir. Senator GRUENING. We certainly appreciate your remarks. Senator HART. May I add for the record as a case study in how things happen the correspondence which produced my interest in this? It begins with this letter by Dr. Henry A. Archambault of Providence Hospital in Detroit. Senator GRUENING. Would you like to have them put in the record at this point? Senator HART. Or the committee file, whichever you would prefer. Senator GRUENING. Well, if you would like to have them in the record, we will incorporate them at this point. Senator HART. Very well; thank you. (The material referred to follows:) Hon. PHILIP A. HART, U.S. Senate, Washington, D.C. PROVIDENCE HOSPITAL, Detroit, Mich., June 16, 1959. DEAR SENATOR HART: As I was formerly a Detroit doctor and now practicing in Ghana, West Africa, I would appreciate help from you on the following matter: There is a great need for a hospital in the Upper Volta region of French West Africa. Already permission has been granted to the bishop for the erection of this hospital. Due to the high cost of erecting permanent buildings our solution at the present time would be to use quonset huts. Is foreign aid available for such a project in undeveloped countries? If not, would you help us to locate (surplus) quonset huts to be shipped over there. I am grateful to you for this information. Very truly yours, HENRY A. ARCHAMBAULT, M.D. JULY 14, 1959. Dr. HENRY A. ARCHAMBAULT, Providence Hospital, Detroit, Mich. DEAR DR. ARCHAMBAULT: Thank you for letter of June 16, 1959. I am looking into the possibilities for foreign aid for a hospital in Ghana, and you will hear from me as soon as I have something to report. This is a project to which I would like to give an assist. PROVIDENCE HOSPITAL, Detroit, Mich., July 17, 1959. Senator PHILIP A. HART, U.S. Senate Building, Washington, D.C. DEAR SENATOR HART: Thank you for your letter of July 14, 1959. However I hope that my first letter to you was not misleading. I have spent more than 4 years in Jirapa, Ghana, and will soon be returning there. However, I am presently doing all that I can to help establish a hospital in the Upper Volta region of French West Africa. It is for this purpose that I have asked you to help in locating some quonset huts. Any help that you can give to me in this matter will be greatly appreciated. Sincerely, HENRY A. ARCHAMBAULT, M.D. JULY 21, 1959. Dr. HENRY A. ARCHAMBAULT, Detroit, Mich. DEAR DR. ARCHAMBAULT: You need not worry, I understood your letter and the inquiry was correctly conveyed to the International Cooperation Adminis tration as you will note by the attached interim reply. By a "slip of the pen" I wrote Ghana to you where it should have been French West Africa. We will hope for any early report. Sincerely, INTERNATIONAL COOPERATION ADMINISTRATION, Hon. PHILIP A. HART, U.S. Senate, Washington, D.C. DEAR SENATOR HART: On behalf of Mr. Saccio, I am pleased to acknowledge receipt of your communication of July 14, 1959, with which you enclose a letter from Dr. Henry A. Archambault of Providence Hospital, 2500 West Grand Boulevard, Detroit, Mich., who requests assistance in acquiring quonset huts for a hospital project in the Upper Volta region of French West Africa. Please be assured that your request for our comments on this matter will receive our prompt attention and I will write you again with reference thereto at the earliest practicable date. With assurances of my highest esteem, I remain, GUILFORD JAMESON, Deputy Director for Congressional Relations. Dr. HENRY A. ARCHAMBAULT, AUGUST 14, 1959. Detroit, Mich. DEAR DR. ARCHAMBAULT: Enclosed is a letter which has come to me from the International Cooperation Administration about the possibility of quonset huts for a hospital in the Upper Volta region of French West Africa. In addition, my office has explored every avenue we could think of here in Washington: General Services Administration, the Department of Defense, the Development Loan Fund, and the American Hospital Association. We come up with this unhappy picture. ICA provides aid only governmentto-government, and in any event it does not operate in French West Africa. GSA has no quonset huts available. The Defense Department, by law, must at present confine its donation of surplus property to that which has no commercial value. If you are willing to pay for surplus property, you could write to U.S. Army Property Disposal Detachment, APO 757, care of Postmaster, New York. They are located in Frankfurt, Germany, and you could bid on any property you were interested in. Perhaps you have already contacted Voltaic authorities or one of the American religious or voluntary agencies. If this would be a Catholic hospital you could try the Catholic Relief Services, 350 Fifth Avenue, New York, N.Y. Another possibility which you might want to pursue is the World Health Organization, which is operating in this field. I suggest you get in touch with: Dr. F. Cambournac, Regional Director, Office for Africa, WHO, Brazzaville, French Equatorial Africa. I hope one of these leads will be helpful to you. There is a bill currently in the House Government Operations Committee, H.R. 8398, which would make oversea surplus property available to medical institutions. This might really be your answer, but unfortunately it probably will not get through Congress this session. This has turned out to be a rather lengthy letter, but I have tried to be of as much help as possible. Please let me know if there is anything further I can do. Sincerely, Hon. PHILIP A. HART, INTERNATIONAL COOPERATION ADMINISTRATION, U.S. Senate, Washington, D.C. DEAR SENATOR HART: It is a pleasure to provide you now with the information requested in your communication of July 14 regarding the possibility of U.S. assistance to supply quonset huts to a proposed hospital project in the upper Volta region of French West Africa. It will be noted that all U.S. aid provided through ICA is administered on a government-to-government basis. Any assistance to a private group would have to be for a project specifically agreed upon and requested by the government of the recipient country. Since ICA does not presently administer aid programs in the Voltaic Republic (upper Volta) or the other member states of the French community, it would not be feasible for us to supply the quonset huts. Although ICA cannot supply them, it is possible that the local French and Voltaic authorities might be of some help. Contact with American religious and other voluntary agencies which may be working in the Voltaic Republic might also prove rewarding. If Dr. Archambault and his associates are desirous of obtaining U.S. Government surplus huts with their own resources, we would suggest that they contact the General Services Administration. We are hopeful that Dr. Archambault and his colleagues will meet with success in their efforts. With continued assurance of my highest esteem, I remain, Sincerely yours, GUILFORD JAMESON, Deputy Director for Congressional Relations. PROVIDENCE HOSPITAL, Detroit, Mich., August 20, 1959. Senator PHILIP A. HART, U.S. Senate, Washington, D.C. DEAR SENATOR HART: Thank you for Dr. Archambault and our organization for all the trouble you have taken to obtain information for him about the quonset huts. I am forwarding the letter to him today. Dr. Archambault left from New York on August the 3d for Jirapa, Ghana, West Africa. We have formed a group here which we call the Providence Association for African Missions. We hope to be able to help him in some small way in his good and generous work and in the tremendous sacrifice which he is making. I feel sure that the leads will be of some use to him. Thank you again. Very truly yours, Mrs. ALICE RALSTON, Chairman, Providence Association for African Missions. P.S. Our group is strictly interested in the medical side of missionary work. Senator GRUENING. Is there anyone else here who wishes to testify on S. 2732? We have a list of witnesses, but in order to keep in sequence, we would be very glad to have those who will testify specifically on this. Is Miss Helen Ann Byerlein, of Providence Hospital, here? Would you be kind enough to come forward, please? STATEMENT OF HELEN ANN BYERLEIN, REGISTERED NURSE, PROVIDENCE HOSPITAL, DETROIT, MICH. Miss BYERLEIN. Senator Gruening, my name is Helen Ann Byerlein. I am a registered nurse in the State of Michigan and the State of California. I reside in Detroit where I work in a doctor's office there. Approximately a year ago, a group of 15 people from Providence Hospital who had formerly been associated with Dr. Archambault decided to try and help him financially in improving facilities in the area of Ghana called the Northern Territories, where he has been. So through the use of card parties and dances and social activities, we have been able to raise funds totaling $2,000. Thanks to Senator Hart's interest in our project and his notifying us, I was delegated by my friends at Providence Hospital to come here to relate what I know of Dr. Archambault's work in Africa, to show what this one dedicated man has accomplished against untold odds and to indicate what he needs to help the people of that continent. I first met Henry Archambault in 1946, at which time I was in training as a student nurse at Providence Hospital and Dr. Archambault was an instructor and a member of the staff of the hospital. I consider Dr. Archambault a man dedicated to God, his country, and his fellow man, motivated to do for others the things he was trained to do as a doctor of medicine and a general surgeon. Dr. Archambault was born in Barre, Vt., on October 31, 1911. He was graduated from Creighton University Medical School in Omaha, Nebr., and began his residency at Providence Hospital in 1939. He was a resident in surgery and pathology for 5 years. His start in private practice was delayed, because of tuberculosis, one kidney having been removed because of TB, for 3 years. Dr. Archambault received his fellowship in the American College of Surgeons in 1953. Because of his interest in the work being done by the White Fathers in Africa, Dr. Archambault left his private practice in Detroit and proceeded to Ghana in August 1954. Ghana at that time was under the protection of the British Commonwealth, and Dr. Archambault received a salary of $3,500 per year. When Ghana became independent he no longer received remuneration from Britain, and the only payment he receives at this time is the maximum of 5 pounds per surgical case sent him by the Government of Ghana. His reputation Senator GRUENING. May I interrupt you at this point? Miss BYERLEIN. Yes. Senator GRUENING. Why is his salary discontinued. Does not the Government of Ghana consider it worth paying? Miss BYERLEIN. The Government of Ghana evidently does not have the funds to pay it. Senator GRUENING. Well, it was paid by the British and it was $3,500 a year, is that correct? Miss BYERLEIN. Yes. Senator GRUENING. And you say the Government of Ghana does not feel it can pay that amount? Miss BYERLEIN. Well, I really do not know why the Government of Ghana is not paying the doctor. All I know is that they do set a maximum fee of 5 pounds per surgical case. Senator GRUENING. In other words, they are paying him for individual treatment? Miss BYERLEIN. Yes. These are patients which the Government would specifically send him; natives of the northern territories in Ghana do not pay, except in the exchange of eggs or guinea hens. Senator GRUENING. Well, the question that arises in my mind at this point is whether we should not reasonably expect some participation on the part of the Government that receives services that are, |