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Mr. HARRIS, from the Committee on Commerce, submitted the

following

REPORT

[To accompany S. 4531)

The Committee on Commerce, to whom was referred the bill (S. 4531) authorizing a survey in connection with the control of cancer, having considered the same, report favorably thereon, and recommend that the bill do pass without amendment.

The bill is as follows:

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That the Surgeon General of the United States Public Health Service is authorized and directed to make a general survey in connection with the control of cancer and submit a report thereon to the Congress as soon as practicable, together with his recommendations for necessary Federal legislation. Such survey shall include (1) an investigation of the researches being carried on with respect to the control of cancer in the various institutions in the United States and abroad, (2) an investigation of the existing methods of treatment of cancer with a view to determining and encouraging the use of the best methods of treatment to the exclusion of those that are worthless or fraudulent, (3) the ascertaining of the best methods of increasing the number of physicians skilled in the diagnosis and treatment of cancer, (4) the ascertaining of the best means of educating the public with respect to the signs and symptoms of cancer in its early stages in order to prevent neglect and delay in treatment, (5) the ascertaining of the extent to which provision now exists for furnishing optimum treatment for cancer for all sufferers, together with an estimate of what would be needed to make this adequate, and the cost thereof, and (6) the collection of any other pertinent data to enable the Congress to act advisedly in this matter,

Sec. 2. There is hereby authorized to be appropriated the sum of $100,000. or so much thereof as may be necessary, for carrying out the provisions of this act.

The following explanatory statement was submitted at the time of the introduction of the bill:

DISCUSSION OF A PROPOSED Bill AUTHORIZING A SURVEY IN CONNECTION WITH

THE CONTROL OF CANCER Item 1: An investigation of the researches being carried on with respect to the control of cancer in the various institutions in the United States and abroad.

Ultimate successful control of cancer, beyond what is now feasible under the best conditions, must be dependent upon research into the nature and causes of the disease, and the means by which it may be avoided, prevented, and cured. Since cancer is a matter of national concern, the Government should be informed as to how extensively and how well such researches are now being provided for throughout this country and abroad in order that it may lend its influence to the improvement, if necessary, of conditions.

This study would be prosecuted by both a questionnaire addressed to all institutions which could be ascertained by inquiry to be engaged in such work and by personal visits of persons having expert knowledge of cancer research, in cases where such supp emental information appeared advisable. A good deal of information has already been secured on this topic.

Item 2: An investigation of the existing methods of treatment of cancer with a view to determining and encouraging the use of the best methods of treatment to the exclusion of those that are worthless or fraudulent.

The purpose is stated in the item sufficiently clearly The methods would be to secure records of a large number of persons suffering from bona fide cancer, who have been treated by various methods, and to compare the results secured. Much care will be necessary to determine the kind, location, and duration of each case in order to make the results comparable. It is understood that not many institutions in this country have sufficiently detailed records to furnish material for this purpose, but the total cases will probably be considerable, and will require statistical analysis.

Item 3: The ascertaining of the best methods of increasing the number of physicians skilled in the diagnosis and treatment of cancer.

İt is generally believed, by specialists who are in a position to know, that the number of physicians throughout the country who have the special skill necessary for the prompt recognition and best treatment of cancer is not sufficient for the increased needs of the public. In studying the question of how to meet this need, those organizations having to do with medical education, both undergraduate and post graduate, and with agencies providing fellowship facilities for special studies, will be consulted. Also the role of State medical examining boards will be investigated. The possibilities of furnishing timely and authoritative information concerning cancer to practicing physicians will be studied.

Item 4: The ascertaining of the best means of educating the public with respect to the signs and symptoms of cancer in its early stages in order to prevent neglect and delay in treatment.

A large and influential voluntary, association and some of the State and city health organizations have had large experience in this feature, and it will be necessary to assemble and evaluate the methods used and their results.

Item 5: The ascertaining of the extent to which provision now exists for furnishing optimum treatment for cancer for all sufferers, together with an estimate of what would be needed to make this adequate, and the cost thereof.

This is in many respects the most important item. It is generally believed by those of extensive experience that facilities for optimum treatment are quite inadequate for the public needs, and that they are not equably distributed geographically. The result is believed to be that even of those sufferers from cancer who seek treatment promptly, only a minority are able to secure medical aid calculated to give the best chances for life and health. If this is so, it would be a most valuable service to give it quantitative expression, pointing out the extent and location of the greatest need, in order that local provision for optimum treatment could be undertaken.

The methods of survey would be by questionnaire, supplemented by personal visits by persons expert in evaluating facilities for diagnosing and treating cancer. The cost of adequate provision could be estimated on the basis of unit treatment-cost per unit of population—and the estimated prevalence of cancer in various areas.

Item 6: The collection any other pertinent data to enable the Congress to act advisedly in this matter.

The purpose of this item is self-evident. In the course of the investigation, factors may be encountered which would promise information of great value to the Congress, although not enumerated in the foregoing items. This is to enable their investigation without further authority.

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TO AUTHORIZE THE SECRETARY OF THE NAVY TO LEASE THE

UNITED STATES NAVAL DESTROYER AND SUBMARINE BASE, SQUANTUM, MASS.

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Mr. Walsh of Massachusetts, from the Committee on Naval Affairs,

submitted the following

REPORT

[To accompany H. R. 6142]

The Committee on Naval Affairs, to whom was referred the bill (H. R. 6142) to authorize the Secretary of the Navy to lease the United States naval destroyer and submarine base, Squantum, Mass., having considered the same, report favorably thereon without amendment and with the recommendation that the bill do pass.

The purpose of the bill is to authorize the Secretary of the Navy, when in his discretion it will be for the public good, to lease such parts of the naval destroyer and submarine base, Squantum, Mass., as are not required for immediate naval purposes. The bill meets with the approval of the Navy Department, as shown by the Secretary's letter to the Speaker of the House, below.

The report of the Committee on Naval Affairs of the House of Representatives gives the facts in the case, and is herewith made a part of this report, as follows:

(House Report No. 866, Seventy-first Congress, second session) The Committee on Naval Affairs of the House of Representatives, to whom was referred the bill (H. R. 6142) to authorize the Secretary of the Navy to lease the United States naval destroyer and submarine base, Squantum, Mass., having had the same under consideration, report favorably thereon, without amendment, and with the recommendation that the bill do pass.

A somewhat similar bill was reported out by this committee favorably in the Seventieth Congress. This bill differs only in that it specifies that agreement may be made for annual rental considerations payable in cash or in the form of repairs, maintenance, and upkeep of property. This additional language is incorporated to remove any doubt the accounting officers may have as to the authority for inviting and accepting annual rental considerations in the form of repairs, maintenance, and upkeep of such property.

The biú H. R. 6142 was initiated in the Navy Department, as shown by the following letter from the Secretary of the Navy, addressed to the chairman of the Committee on Naval Affairs, and which clearly sets forth the facts relating to the leasing of this land, as well as the views and favorable recommendations of the department:

Navy DEPARTMENT,

Washington, November 19, 1929. The CHAIRMAN COMMITTEE ON NAVAL AFFAIRS,

House of Representatives, Washington, D. C. MY DEAR MR. CHAIRMAN: There is inclosed herewith a copy of a letter, with accompanying copy of a proposed bill “To authorize the Secretary of the Navy to lease the United States naval destroyer and submarine base, Squantum, Mass.," this day forwarded to the Speaker of the House of Representatives. Sincerely yours,

C. F. Adams, Secretary of the Navy.

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NOVEMBER 19, 1929. The SPEAKER OF THE HOUSE OF REPRESENTATIVES,

Washington, D. C. MY DEAR MR. SPEAKER: There is inclosed herewith a draft of proposed bill "To authorize the Secretary of the Navy to lease the United States naval destroyer and submarine base, Squantum, Mass.”

The proposed bill if enacted would authorize the Secretary of the Navy, when in his discretion it will be for the public good, to lease for periods not exceeding 25 years such parts of the United States naval destroyer and submarine base, Squantum, Mass., as are not required for immediate naval purposes.

This property originally consisted of 732 acres of land, more or less, that were acquired on October 6, 1917, for a consideration of $645,000; the improvements thereon cost $12,738,837.82; and the dredging of the channel cost $219,260. The total cost of this property, therefore, was $13,603,097.82. The plant was designed for the construction of destroyers and submarines.

Subsequent to the discontinuance of active operation of this plant the Navy Department decided to dispose of the property and accordingly by its letters dated July 26, 1923, the other executive departments of the Government were advised that

it having been determined that the land (732 acres) and improvements constituting the United States naval destroyer and submarine base, Squantum, Mass., are no longer required for naval purposes, this department comtemplates offering the same for sale, provided the property is not required for any purpose under the cognizance of any other Government department or office."

In reply the other executive departments uniformly advised that this property was not required for any purposes under their jurisdiction.

It was therefore decided to take further action in disposing of this property by inviting sealed bids to be opened on May 27, 1925. The advertisement therefore contained the information that alternate bids would be considered for the sale of the land and all buildings and improvements as an entirety, or the sale of the land independently of the buildings and other improvements, or the sale of the buildings and other improvements independently of the land, or the sale of the buildings independently of the land and other improvements, or the lease of the land and all buildings and improvements for a period not exceeding five years. No satisfactory bid was received.

In September, 1926, owing to the interest expressed by certain parties concerning the lease of this property, the Navy Department decided to again advertise it for lease, excepting an area of 140 acres reserved for naval aviation purposes. Accordingly sealed bids were invited on a lease for a term of five years, revocable at any time which the Navy Department offered on the remaining 592 acres with the buildings and improvements thereon. Sealed bids were opened on April 27. 1927, and the Victory Terminal Corporation, Boston, Mass., was the successful bidder, its bid being the highest and best received. Accordingly on August 2, 1927, there was executed a lease to run for a period not to exceed five years but revocable at any time in the discretion of the Secretary of the Navy. Under its terms and conditions the Victory Terminal Corporation was obligated to the extent of $50,000 per annum as rental, with the proviso that said rental or such portion thereof as may be deemed necessary to prevent physical deterioration of the property as determined by the Government's representative shall be applied toward the restoration and upkeep thereof. This arrangement was made to insure upkeep of the property without cost to the Government and keep it available in good condition for immediate use in case of an emergency.

However, on account of the failure of the Victory Terminal Corporation to fulfill the terms of the lease, due in a large measure to its financial insolvency, the Secretary of the Navy canceled the lease as of May 16, 1929. Since then a considerable area constituting the vacant land on the south side of and including Victory Road has been transferred to the control and jurisdiction of the War Department, leaving the remaining area, containing practically all of the improvements on the north side of Victory Road, under the control and jurisdiction of the Navy Department. It is this latter area that it is intended to lease the whole or in part if the terms of the draft of proposed bill are enacted into law.

The above-mentioned lease of August 2, 1927, was entered into under authority of the act of Congress of August 29, 1916 (39 Stat. 559–560), and its period was necessarily indefinite and limited to conform to provisions of said act which require that such a lease must be revocable at any time and is authorized only for a period not exceeding five years. It is believed that it would be much more advantageous to the Government and to the Navy if the Secretary of the Navy were given authority to enter into leases for all or certain parts of the property concerned for longer periods, as provided in the draft of proposed bill herewith submitted.

A draft of proposed bill somewhat similar to the inclosed draft was transmitted to the Speaker of the House of Representatives, by Navy Department's letter of March 8, 1928. It was introduced in the House of Representatives on March 9, 1928, as K. R. 11922 but failed of passage by the Congress. The inclosed draft differs only in that it specifies that agreement may be made for annual rental considerations payable in cash or in the form of repairs, maintenance, and upkeep of such property. This additional language is incorporated to remove any doubt the accounting officers may have as to the authority for inviting and accepting, annual rental considerations in the form of repairs, maintenance, and upkeep of such property.

This proposed legislation will result in no additional cost to the Government, and the Navy Department recommends its enactment. Sincerely yours,

C. F. ADAMS, Secretary of the Navy.

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