162 



witness to give us the results of a study of the Center on Addiction 

 and Substance Abuse which Mr. Califano chairs. 



I am pleased to have you here again before our subcommittee. 



Mr. Califano was Secretary of Health, Education, and Welfare. In 

 1979, he issued the most comprehensive report on the adverse 

 health effects of tobacco published to that date, and he noted the 

 fact that there was a shocking increase in smoking among children 

 and young teens. 



Today Mr. Califano is here to tell us about the concern for an- 

 other generation, the seniors who are under the Medicare program. 



Mr. Califano, as is our custom in these tobacco control hearings, 

 we would like to swear in all witnesses, and I want to inform you 

 that at the desk there are the applicable rules, or should be the ap- 

 plicable rules, of the House and of this committee which informs 

 you of the limits of the power of this subcommittee and the extent 

 of your rights during your appearance. 



Do you or any of those accompanying you have any desire to be 

 represented by counsel or advised by counsel during your appear- 

 ance here today? 



Mr. Califano. No, Mr. Chairman. 



Mr. Waxman. ok. Do you or any of those who are with you ob- 

 ject to appearing before this subcommittee under oath? 



Mr. Califano. No, Mr. Chairman. 



Mr. Waxman. OK. If you have no objection to appearing under 

 oath, I would like you to stand and raise your hand. 



[Witness sworn.] 



Mr. Waxman. Please consider yourself to be under oath, identify 

 yourself for the record, and then we would like to have you proceed 

 with your testimony. 



TESTIMONY OF JOSEPH A. CALIFANO, JR., PRESIDENT, CEN- 

 TER ON ADDICTION AND SUBSTANCE ABUSE, COLUMBIA 

 UNIVERSITY 



Mr. Califano. Mr. Chairman, if I may just — ^there was one 

 phrase that was left out of the statement, just for those who have 

 it, on page 5 in the second full paragraph where the sentence 

 should read: "The word 'addiction' does not appear in the first Sur- 

 geon General's report, except to be rejected in connection with 

 smoking." 



Mr. Chairman, my name is Joseph Anthony Califano, Jr. I am 

 president and chairman of the Center on Addiction and Substance 

 Abuse at Columbia University. This is my full-time occupation. I 

 gave up the practice of law about 2V2 years ago to pursue this. 



Mr. Chairman and members of the committee, it is a privilege to 

 be invited to testify before you this morning. I was Secretary of 

 Health, Education, and Welfare when you became chair of this sub- 

 committee. I admired and respected your work and the work of this 

 committee, all of you — Congressman Wyden and others — then, and 

 I have ever since. 



As I said, I am now full-time chairman and president of the Cen- 

 ter on Addiction and Substance Abuse at Columbia University. I 

 was Secretary of HEW under President Jimmy Carter and Presi- 

 dent Lyndon Johnson's assistant for domestic affairs. 



