743 



It is unfortunate from the political point of view that we 

 have not made sufficient study of the yield from the group of 

 American health professionals who have served abroad in the 

 bilateral programs of the United States since the 2nd Woild 

 War, nor of the large yield from returned military who lia\e 

 had this experience and avIio developed while abroad both 

 increased adaptability and motivitation. The public is mifor- 

 tunately also quite unaware of the returns to our country from 

 service with the international multi-lateral organizations and 

 with the many volimtary organizations. Yet we can put our 

 fingers on large numbers of individuals in key positions and 

 say, on the basis of individual case studies, that their exper- 

 ience abroad was crucial to them. It is essential that we docu- 

 ment this very much more, and publicize it ; because otherwise 

 we shall continue to see further cuts in the U-S. budget for 

 health work in the foreign aid programs. 



166 



IV. International Health Organizations and the U.S. Congress 



The U.S. share of funding supjx)rt of the World Health Organiza- 

 tion and the Pan American Health Organization is implemented 

 through the Department of State, under "Contributions to Interna- 

 tional Organizations." The Department presents a budget justification 

 each year before two committees of the Congress : In the House, before 

 the Subcommittee on Department of State, Justice, Commerce, the 

 Judiciary, and Related Agencies Appropriations of the Committee 

 on Appropriations; "^ and in the Senate, before the Subcommittee of 

 the Committee on Appropriations ^^^ (same agency units as in the 

 House) . 



The Problem of U.S. Fumding of World Health Programs 



The State Department presents its request for funds in support of 

 WHO as part of a total package that includes the United Nations 

 and its nine specialized agencies (of which WHO is one) . The package 

 also includes six inter- American organizations (including the Pan 

 American Health Organization) ; seven regional organizations (in- 

 cluding NATO) ; and 15 miscellaneous bodies. So far as WHO and 

 PAHO are concerned, the Committees see two tables, one on Con- 

 tributions to International Organizations (see Table 10) and one 

 on Voluntary Contributions to Multilateral Organizations and Pro 

 grams (see Table 11). There are back-up tables on legislative authori- 

 zation, a formal budgetary defense, and some discussion. 



W9 John C. Cutler. "Dividends to Americans from Experience Abroad." American Review 

 of World Health. (Published by the American Association for World Health, Inc., Vol. 18, 

 No. 1, 1970), pages 16-17. (Quoted in part. Dr. Cutler is Professor of International Health 

 and Director of the Population Division, University of Pittsburgh.) 



^'' U.S. Congress. House. Committee on Appropriations. "Departments of State, Justice, 

 Commerce, the Judiciary, and Related Agencies Appropriataon® for 1971." Hearings before 

 a Subcommittee of the . . . Pant 2. 91&t Congress, second session. (Washington, U.S. 

 Government Printing Office, 1970), pages 349-414. 



"« U.S. Congress. Senate. Committee on Appropriations. "State, Justice, Commerce, the 

 Judiciary and Related Agencies Appropriations. FY 1971 on H.R. 17575." 91st Congress, 

 second session. (Washington, U.S. Government Printing Office, 1970), pages 436-^78. 



