WASTE AND INEQUITY: A CALL FOR IMPROVED COMMITTEE ON SMALL BUSINESS ONE HUNDRED THIRD CONGRESS SECOND SESSION 85-774 CC WASHINGTON, DC, DECEMBER 19, 1994 Printed for the use of the Committee on Small Business Serial No. 103-112 U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1995 For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 ISBN 0-16-046853-1 NEAL SMITH, Iowa COMMITTEE ON SMALL BUSINESS JOHN J. LAFALCE, New York, Chairman IKE SKELTON, Missouri EVA M. CLAYTON, North Carolina TED STRICKLAND, Ohio NYDIA M. VELAZQUEZ, New York MARJORIE MÁRGOLIES-MEZVINSKY, WALTER R. TUCKER III, California LUCILLE ROYBAL-ALLARD, California EARL F. HILLIARD, Alabama H. MARTIN LANCASTER, North Carolina THOMAS H. ANDREWS, Maine MAXINE WATERS, California BENNIE G. THOMPSON, Mississippi JAN MEYERS, Kansas RICHARD H. BAKER, Louisiana JOEL HEFLEY, Colorado RONALD K. MACHTLEY, Rhode Island JIM RAMSTAD, Minnesota SAM JOHNSON, Texas WILLIAM H. ZELIFF, JR., New Hampshire MICHAEL A. "MAC" COLLINS, Georgia SCOTT McINNIS, Colorado MICHAEL HUFFINGTON, California JAMES M. TALENT, Missouri JOE KNOLLENBERG, Michigan JAY KIM, California DONALD A. MANZULLO, Illinois PETER G. TORKILDSEN, Massachusetts ROB PORTMAN, Ohio STEVE JENNING, Subcommittee Staff Director 95-159113 (II) KF27 CONTENTS Hearing held on December 19, 1994 WITNESSES Archer, Diane, executive director, Medicare Beneficiaries Defense Fund Hedrick, Dr. Terry E., Assistant Comptroller General, Program Evaluation and Methodology Division, U.S. General Accounting Office Vladeck, Bruce, administrator, Health Care Financing Administration |