DIRECTOR UNITED STATES VETERANS' BUREAU

ANNUAL REPORTOF THE

DIRECTORUNITED STATES

VETERANS’ BUREAU

FOR THE FISCAL

ENDED JUNE

1928

YEAR

30

UNITED STATES

GOVERNMENT PRINTING OFFICE

WASHINGTON

1928

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CONTENTS

Listofcllarts -----------------------------------------------------Listoftables --------------------------------------------------- ---Letter oftransmittal -------- --------------------------------------Introduction -----------------------------------------------------Ne\\'legislation---------------------------------------------------Hospitalization ------ -- - - -- -- --- ----- _________ - ---- -- --- - - - - - - - - - -Governmex]thospitalfacilities---------------------------------------Diagnostic centers ------------------------------------------------Future hospital construction ----------------------------------------Development and maintenance of bureau hospitals------- --------------Expenditures and operatingcostsat bureau hospiU_ -----------------Outpatient relief ---------------------------- ----------------------Dental relief --------------- ---------------------- --------- -------Prosthetics ---------------------------- ------------------ ------- -Disability compensation--- ------------------------- --------------Death compensation --------------- --------- -------------------- -_Term and autornati cinsurance ckims---____tit------------------- ___Cor]verted.insurance claims ------------------------------- ---_-----Insurance ------------------------- -------------------------------Adjusted compensation---- ----------------------- ----------------Committees on recoveries---- ----------------------------- --------Central board of appeals ---------------------- --------------------Director’s advisory group on appe@---------------------------- ----Rehabilitation ------------------------------------------------ ----Finance ---------------------------------------------------------kgal ----------------------------- ----------------------------- -I'ersonllel ------------------------------------------------------- -_.4nDendix:

Statistical tables ------ - -------------------------- --------------P(lblic acts ----------------- --------------------------- ------I1ldes -------------------------------------------- -----------

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LIST OF CHARTS FOR THE 1928 ANNUAL REPORT, UNITED STATESVETERANS’ BUREAU, IN ORDER OF APPEARANCE

PamCHART ~o. I.—United States Veterans’ Bureau, actual number of

patients remaining in all hospitals from October, 1919, to July, 1928facing. - 6

CHART No. 2.—United States Veterans’ Bureau, active compensationdisability awards each month from January, 1919, to July, 1928 facing- 19

CHART No. 3.—United States Veterans’ Bureau, personnel from 1917 tol928--------------------------------------------------- facing-- 42

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LIST OF TABLES FOR THE ANNUAL REPORT, FISCAL YEAR 1928

MEDICALTABLES

TABLE No. I.—Clinical laboratory classified tests in the United StatesVeterans’ Bureau dispensaries for fiscal years 1924, 1925, 1926, 1927,and l928-------------------------------------------------------

TABLE No. 2.—Clinical laboratory classified tests in the United Statesveterans’ hospitals for fiscal years 1924 1925, 1926, 1927, and 1928--

TABLE N0.3.— X-ray exaxninations inthe ’United States Veterans’ Bureaudispensaries for fiscal years 1924, 1925, 1926, 1927, and 1928, clas-sifiedby type of examination ----------------------------- ---------

TABLE No. 4.—X-ray examinations in the United States veterans’ hos-pitalsfor the fiscal years 1924, 1925, 1926, 1927, and 1928, classifiedbytype of examination ---------------------------------------------

TABLE No. 5.—Total out-patient medical service, by service rendered, for6scalyears 1924, 1925, 1926, 1927, and 1928-------------------------

TABLE No. 6.—Classification of total examinations by kind of examina-tion for fiscal ears 1924,1925, 1926, 1927, and 1928- ---------------

6TABLE No.7.— lassification of total treatments by kind of treatment forfiscal years 1924,1925, 1926, 1927, and 1928-------------------------

TABLE No. 8.—Total treatments divided into medical and dental, salaryand fee, with percent of fee, for the fiscal years 1924, 1925, 1926, 1927,and l928-------------------------------------------------------

TABLE No. 9.—Total examinations divided into medical and dental, salaryand fee, with per cent of fee, for fiscal years 1924, 1925, 1926, 1927, andl928------------------------------------------------------------

TABLE No. 10.—Physiotherapy activities in hospitals and dispensaries,fiscal year l928-------------------------------------------------

TABLE No. 11.—Regional nursing activities for fiscal years 1925, 1926,1927, atldl928--------------------------------------------------

TABLE No. 12.—Distrib~ltion of patients receiving occupational therapyand classification of hours given to each subject in United Statesveterans’ and contract hospitals for fiscal years 1925, 1926, 1927, andl928------------------------------------------------------------

TABLE No. 13.—Hospital report of United States Veterans’ Bureau pa-tients in Government and civilian institutions, as of June 30, 1928--- -

TABLE No. 14.—Admissions of United States Veterans’ Bureau patientsto allhospitals by fiscal years 1920–1928---------------------------

T~~LE No. 15.— Admissions of United States Veterans’ Bureau patients toall hospitals, by beneficiary, groups of hospitals, and type of patient,fiscal ycarl928-------------------------------------------------

TABLE No, 16,—Admissions of United States Veterans’ Bureau patientsto all hospitals, by branch of service, type of patient, and type of admis-sion, fiscal year l928---------------------------------------------

TABLE No. 17.—Admissions to hospitals of United States veterans of allwars without regard to nature or origin of their disability, as author-ized in paragraph 10, section 202, \Vorld \Var Veterans’ Act, 1924,revised, by type of beneficiary and groups of hospitals, fiscal yearsl92&l928-------------------------------------------------------

TABLE No. 18.— .4dmissions of United States Veterans’ Bureau patientsto all hospitals, by branch of service, type of patient, and sex and color,fiscal year l928-------------------------------------------------

TABLE No. 19.—Yearly turnover of patients in United States veterans’hospitals operating during the entire Y’earfor the fiscal years 1920- 1928--

TABLE No. 20.—Patients of the United States Veterans’ Bureau undertreatment in all hospitals, June 30, 1928, by class of beneficiary, groupsofhospitals, andtype of patient- ---------------------------------

T.4BLE No. 21 .—Patients of the United States Veterans’ Bureau undertreatment in all hospitals, by sex and color, at the close of each fiscalyear, l923-l928-------------------------------------------------

TABLE No. 22.—Patients under treatment by the United States Veterans’Bureau in all hospitals, by branch of service, type of patient, andhome address (State), June 30, 1928 -------------------------------

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VIII LIST OF TABLES

TABLU No. 23 .—Pa+ients of the Unitid States Veterans’ Bureau undertreattient in hospitals in their home Sta+e by groups of hospitals andtype of patient, at the close of each fiscal year 1923–1928----- -------

TABLE No. 24.—Patients of the United States Veterans’ Bureau undertreatment in all hos itals, by State location of hospital and patient’s

?State of residence, une 30, 1928 ----------------------------------TA~E No. 25.—Discharges of United States Veterans’ Bureau patients by

class, of disease and dis osition or condition on disposition, showingavera e days hospitalize

#$ ,fiscal year 1928 --------------------------

TABLE o. 26.— ~lovemeut of patient population, snowing type of admis-sion and result of treatment, fiscal year 1928 -----------------------

TABLE No. 27.—Discharges from hospitals of patients of the United StatesVeterans’ Bureau by disposition or condition on disposition and typeofpatient, fiscal year 1928 -----------------------------------------

TABLE No. 28.—Comparison of principal causes of death (1) of VnitedStates Veterans’ Bureau patienti in all hospitals, fiscal years 1924-1928-

*COMPE~SA’I’IONTABLES

TABLE No. 29.—Summary of regional activities-- ---- _- -_ --- _---------TABLE No. 30.— Number of compensation death and disability. claims re-

ceived by fiscal ears from October 1, 1917, to June 30, 1928, inclusi~re- -4TABLE No. 31.—. umber of compensation death and disability awards by

fiscal ~3~om October 1, 1917, to June 30, 1928, incluslve_ _. _----$TABLE . .—Gross number of compensation a~vartis oIi which pay-

ments have been terminated, analyzed as to reasons for terminationsduring fiscal year 1928- --------- --------- --------- --------- ------

TABLE No. 33.—Compensation, active disability awards; comparative an-alysis of type of major disability by extent of disability, by fiscal yearsl923-l928------------------------------------------------------

TABLE No. 34.—Compensation, active disability a~vards; degree of im-pairment and extent of disability correlated with classification of majordisability, showing number of disabled veterans and amount of monthlypayments, as of June 30, 1928 ------------------------------------

TABLE No. 35.—Compensation, active disability awards; number ofdisabled ve~rans showing relationship of dependents and amount of.monthly payments, asof June 30, 192S ____________________________

TABLE No. 36.— Compensation, active death awards; number of deceasedvetirans, showing relationship of beneficiaries to deceased veteran andamount of monthly payments, as of June 30, 1928--- - _--------- _- _--

TABLE No. 37.—Compensation, active death awards; number of deceasedvetirans whose beneficiaries are receiving compensation or con~pensa-tion and insurance payments, with amount of monthly payments as ofJune 30, 1928 ------------------------ --------- ---------- ---------

INS~RA~CE TABLES

TABLE No. 38.—Nuxnber of United States Governnlcnt term and con-verted insurance claims received by fiscal years from Octobcr, 1917, toJune 30, l928---------------------------------------------------

TABLE No. 39.—Number of ~Tnited States Government term and con-verted insurance death and disability awards, by fiscal years fromOctober, 1917, to June 30, 1928 -----------------------------------

TABLE No. 40.—Term insurance, active disability and death awards;classification of major disability causing permanent total disability ordeath of veteran, as of June 30, 1928 -------------------------------

TABLE No. 41.— Term insurance, terminated disability and death awards;classification of major disability of veterans and reasons for tern]il~a-tion, as of June 30, 1928-_ ---- --------- -------- ---------- --------

TABLE No. 42.—Automatic insurance, active disability and death awards;classification of major disability causing permanent total disabilityordeathof veteran, as of June 30,1928 -----------------------------

TABLE No. 43.—Automatic insurance, terminated disability and deathawards; classification of major disability of veteran and reasons for&rmination, as of June30, 1928 -----------------------------------

TABLE No. 44.—Converted insurance death claims awarded during cal-endar year 1927, classified by plan of insurance- ---------------------

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IJIST OF TABIJES Ix

TABLE No. 45.—Converted insurance disability claims awarded duringcalendar year 1927, classified by plan of insurance- ____---- ___ ------ _

TAFJLE No, 46,—Converted insurance disability claims terminated dur-ing calendar year 1927 on account of cieath of insured, classified byplan ofillsurance ------------------------------------------------

TABLE No. 47.—Converted insurance disability claims terminated dur-ing calendar year 1927 on account of recovery, classified by plan ofinsurax]ce------------------ -------------------------------------

TABLE No. 48.—Converted insurance death claims a}varded during cal-endar year 1927, by class of disability causing death -- ------ -_ -------

TABLE No. 49.—Converted ins{lrance disability claims awarded duringcalendar year 1927, classified by cause of disability- - __--- -- -_ -------

TABLE No. 50.—Converted insurance disability clalms terminated duringcalendar year 1927, on account of death of insured., by class of disability-

TABLE No. 51 .—Converted insurance disability clalms terminated duringcalendar year 1927 on account of recovery, classified by cause of disa-. .. .bility ----------------------------------------------------------

TABLE No. 52.— Report of United States Government life insurance inforce Dece~nber 3f, l927-----------------------------------------

TABLR: No. 53.— Report of United States Government life insurance inforce, bv plan, as of December 31, 1927 ---------------------------

TABLE h-o. 5-t.-Policy loans, L’nited States Government life-insurancefuncl___________________________________________________________

TABLE No. 55.—~inancial statement of the united States Governmentlife-insurance fund by calendar years from origin of fund to December31, 1927---- --------------------------------------------------

TABLE No. 56.-13ond investments of United States Government life-ins~lrance fund as of June 30, 1928 --------------------------------

ADJUSTEDCOMPENSATIONTABLES

TABLE No. 57.— Number of applications for adjusted compensation re-ceived by fiscal years from Septelnber, 1924, to June 30, 1928--- -- _-

TABLE No. 58.—Action taken on applications for adjusted compensationto J~lt]e30, l928------------------------------------------------

TABI.E No. 59.—Death claims a~varded on acco[lnt of adjusted servicecertificates, arranged by beneficiary, as of June 30, 1928 ------ -_ ---

CENTRALBOARDOF APPEALSTABLE

TABLE No. 60.— Appeal cases disposed of by sections of central board ofappeals and appeal group on central office cases for fiscal year 1928---

ADVISORYGROUPON APPEALSTABLE

TABLE No. 61.—~ction by advisory group on appeals for the fiscal yearl928-----------------------------------------------------------

FINANCETABLES

TABLE No. 62. —Appropriations versus disbursements to June 30, 1928--TABLE No. 63.— Analysis of obligations from all appropriations, fiscal

year 1928 ------------------------- -------------------------- ___TABLE No. 64.—Disbursements made from all appropriations by fiscal\,ears-__---______-________-__-___----_w -------------------- -----.

CO~STRUCTIONTABLE

TABLE No. 65.—Statement sho~ving United States veterans’ hospitals,existing facilities, and development of facilities under present appropria-tions or allthorization only (the construction and evacuation programas outlined by this table is tentative, and is subject to such changes asmay be indicated by ftltllre development in the hospital load)__ - _ _- _-

PERSONNEL TABLE

TABLE No. 66.— Comparative statement sho}ving by location the totalpersonnel and aggregate ann~lal salaries paid from all appropriations,together \vith the net increase or decrease, fiscal year 1927–28- -------

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LETTER OF TRANSMITTAL

UNITED STATES VETERANS’ BUREAU,Washington)D. C., December 3,1928.

To the PRESIDENT OF THE SENATE AND THE SPEAKER OF THE HOUSEOF REPRESENTATIVES OF THE SEVENTIETH CONGRESS:

Pursuant to the provisions of section 140ftheactof June7, 1924(Public, ~o.242, 68th Cong.), Ihave the honor to submit the follow-ing report of activities of the United States Veterans’ Bureau for thefiscal year ended June 30, 1928.

This, the Seventh Annual Report of the United States Veterans’Bureau, discloses the extent to which the bureau has carried out thelaws passed by the Congress for the relief of veterans. The reportas prepared for most of the activities having to do with the extensionof direct benefits to veterms, analyzes the load at the close of thatperiod, comments briefly upon the major changes and developmentsduring that year, and shows the trend for the past several years.It also describes the policies and procedures inaugurated during thatperiod which it is believed have resulted in improved service to bene-ficiaries. In addition, it itemizes the new legislation enacted by theCongress during that fiscal year amending the basic laws under whichthe bureau operates. It also contains a final report of the results ofvocational training, which activity terminated by law on July 2, 1928.

Respectfully,FRANK T. HINES, Director.

XI

ANNUAL REPORT FOR THE FISCAL YEAR ENDEDJUNE 30, 1928

INTRODUCTION

The activities for the conduct of which the bureau irresponsibleunder existing laws were increased during the fiscal year endedJune 30, 1928, by the act of May 24, 1928, which made eligible forretirement benefits, under certain conditions, the officers and formerofficers of the Army, Navy, and Marine Corps, other than officersof the Regular Army, Navy, or Marine Corps, who incurred physicaldisabilities in line of duty during the World War. This was the onlylegislation passed during the above period which conferred uponveterans a new type of benefit, although both the World War veterans’act and the World War adjusted compensation act were amended in anumber of important respects. The benefits under this retirementact were so entirely separate and distinct from any heretofore admin-istered by the bureau that it was necessary to perfect a completeorganization in central office to handle all phases of this work. Up toJune 30, 1928, there had been received in the bureau 4,194 informalapplications for retirement benefits. The scope of the amendmentsto both the World War veterans’ act and the World war adjustedcompensation act is shown under the heading, “New legislation,”which appears in another section of this report.

Foremost of the policies inaugurated during this yea!, which it isbelieved will result in improved service to beneficiaries, was thedecentralization of insurance activities to the bureau’s regional offices.under this plan of procedure, which was approved toward the closeof this year, policy holders are to be required in all matters affectingtheir contracts of insurance to establish direct contact with theparticular field office of the bureau located within the State of theirresidence. The advantages of such a plan are obvious, for not onlywill delays be minimized but there will also result closer contact with

rolicy holders, which should permit the Government to conduct its

ife insurance business with a standard of service comparable to thatof the prominent life insurance companies of the United States. Inaddition, premium receipts will be available for investment muchmore rapidly than heretofore, thereby materially increasing theinterest return on the Government life insurance fund. This mattiris treated in detail in that part of this report covering insuranceactivities.

In line with the bureau’s responsibility to provide hospitalizationfor the veterans of all wars, there was presented to the congressduring this year a new hospital construction program, which antici-pated as far as could reasonably be determined the hospital require-

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2 REPORT OF ~ITED STATES VETERANS’ BUREAU

ments of the bureau for the next several years. The program as sub-mitted dealt principally with increased facilities for neuropsychiatric

Batients, for which type of case an unfilled demand for Governmenteds still exists. Perhaps the most noticeable feature of the program

is its adherence to the established policy of the bureau in recom-mending , wh?rever ,a~~arently justified, the expansion and develop-

fment o exlstlng facfities rather than the erection of hospitals at newlocations. In the two instances where the construction of new hospi-t~s was recommended by the burctiu, one is to ~eplace leased facili-ties and the other Government buildings which are structurallyunsuitable for indefinite use. The bureau’s program, with certainadditions, was approved by the Congress, and there was authorizedto be appropriated the sum of $15,000,000, of which amount $7,000,000was actually made available on hlay 29, 1928. The completion ofthis pro ram will be expedited, particularly that part relatin~ to

tincrease facilities for neuropsychlatric patients.During this year much attention has be:n gi~en to. tl?e improve-

ment of the administrative procedure deahng with exlstlng laws, tothe development of a medical program to the end that the physicalimprovement of bureau beneficiaries may be carried out to a greaterdegree, to expediting and improving the adjudication of claims, andb the continuation of the policy of dealing s~rnpatheticall~ andgenerously in all matters of veterans’ relief. For jhe future thebureau will continue these policies, and at the sanle time }Vill devoteconstant study to its established procedure in order that otherpolicies of like purport may be adopted wherever indicated.

In keeping with the announced policy of attempting at all timesto render the highes~ type of medical service, the bureau proposes toestablish supply points throughout the country where its nledicalofficers will be trained to meet the several medical problems beforethe bureau, and from these points assigned JO the various activitiesas needed. It will also be the policy to detail initially newly appointedmedical personnel to veterans’ hospitals for the purpose of practi-cally testing their professional qualifications before being assignedto definite duties and responsibilities.

The director of the bureau has given considerable study to thesubject of veterans’ relief, and has publicly proposed that there beestablished a separate department to handle all matters afiecting theextension of direct benefits to veterans and to the dependents ofveterans; and will vigorously support any legislation that has f{)r itsobject this unified plan of control. In the opinion of the director,the main advantage of such a consolidation would be in bringingtogether in one definite a ?ncy under the President matters which

kare so closely related at t s time as to make it essentitil for thosecharged with the administrative duties to be familiar with 811phasesof the problem.

The director of the bureau is also deeply interested in the questionof employment of veterans. It is the behef of the director that thisresponsibility should be vested in the Veterans’ Bureau alone, insteadof being divided as at present. As this change would require actionby the Congress, steps will be taken to bring the matter to the at ten-$ion of the proper committees of congress.

REPORT OF UNITED STATES VETERANS’ BUREAU 3

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NEW LEGISLATION

There was enacted, on December 22, 1927, Public, No. 2 (70thCong.), making appropriations to supply deficiencies in certain appro-priations for the fiscal year ending June 30, 1928, and prior fiscal years,to provide supplemental appropriations for the fiscal year endingJune 30, 1928, and for other purposes. Of significance to the bureauin this act was the appropriation of $19,400,000 for the payment ofmilitary and naval compensation accruing during the fiscal year 1928or in prior fiscal years. In addition thereto the unexpended balancesof certain appropriations of the bureau for prior fiscal years werereappropriated and made available under the appropriation ‘i Militaryand naval compensation, Veterans’ Bureau, fiscal year 1928 and prioryears. ”

Publi~, No. 400 (70th Cong.), passed on May 16, 1928, included anappropriation of $485! 560,000 for the regular activities of the bureaufor the fiscal year ending June 30, 1929.

The President approved, on May 23, 1928, Public, No. 480 (70thCong.), an act to authorize an appropriation to provide additionalhospital, domiciliary, and out-patient dispensary facilities for personsentitled to hospitalization under the lVorld l~ar veterans’ act, 1924,as amended, and for other purposes. This act authorized an appro-priation of $15,000,000, to be immediately available and to remainavailable until expended.

The Houso and Senate, on May 24, 1928, passed by over the neces-sary two-thirds vote Public, No. 506 (70t,h Cong. ), an act makingehgible for retirement, under certain conditions, officers and formerofficers of the Army, Navy, and hfarine Corps of the United States,other than officers of the Regular Army, Navy, or Marine Corps, whoincurred physical disability in line of duty while in the service of theUnited States during the }Vorld lVar. This act provides for the re-tirement of ex-emergency officers of the JVorld JVar who incurredphysical disability in line of duty and who have been or may here-after, within one year, be rated in accordance with law at not less than30 per cent permanent disability by the United States Veterans’Bureau for disability resulting directly from such war service, withpay at the rate of 75 per cent of the pay to which they were entitledat time of discharge from their commissioned service, this pay to bein lieu of all disability compensation to which they are entitled underthe TYorld l~ar veterans’ act, as amended. This act also accords theseex-emergency officers the privilege of hospitalization and medicaltreatment from the Veterans’ Bureau. It further provides that theseex-officers shall be entitled to the s~me privileges as are now providedor may hereafter be provided for the officers of the Regular Army,h’avy, or .Marine Corps, retired for physical disability incurred inline of duty. The same class of officers who have been, or hereaftermay be, rated less than 30 per cent and more than 10 per cent perma-nently: dis~bled by the United States Veterans’ Bureau for disabilityresultlng directly from such war service and incurred in line of duty,are entitled to have their names plmced on the appropriate emergencyoffic{!’s’ retired list with the rank held by them when dischargedfron~ tht’ir commissioned service, but without retired pay, and areentitled onlay to such compensation ~nd other benefits as are now ormay hereafter be provided by law or regulations of the United StatesVeterans’ Bureau, togetht’r with all privileges as are now or may here-

4 REPORT OF UNITED ST.\TES VETERANS ‘ BUREAU

after be provided by law or regulations for officers of the RegularArmy, Navy, or Marine Corps, who have been retired for physicaldisability incurred in line of duty. The act provides that the retiredlist created thereby of the officers of the Army shall be ublished an-

Enually in the Army Register, and said retired lists of t e Navy and~ea~s~erCorps, respectively, shall be published annually in the Navy

F he ‘President approved, on Ylay 29, 1928, Public, 585 (7~lthCong.), an amendment to the l~orld l~ar veterans’ act, as amended,which contains the following in~portant provisions:

(a) A statute of limitations on insurance suits providing that suitson contracts of insurance must be brought within six years after theclaim accrues or one year after the passage of the act, whichever isthe later. Heretofore, under the Conformity Act the statutes oflimitations of the different States applied.

(b) Authority for pavlnent of expenses of original, appointmentsof guardians, ~~~hensuch pay]nent is authorized by the dirmtor.

(c) A provision relieving disbursing officers fronl liability for anyamount paid by thenl to any person where the recovery of suchamount is waived under the section which provides that there shall beno recovery of payments from any person, who, in the judgment ofthe director, is without fault on hls part, and where, in the judgmentof the director, s[lch recovery }vould defeat the purpose of benefitsotherwise authorized or would be against ec[uity and good conscience.

(d) Authoritv for the director tt~contract for the service of trans-lators. This ~~nendnlent will facilitate translation of foreign mailwhich is received in the l~eterans’ Bureau from practically all thecountries in the world.

(e) Authority ftlr the purchase of transcripts of records includingall evidence of trial of litigated cases.

f) Authority for the payl~~ent of expenses of l~~edical exan~inations,

an inspections when necessar~, in connection with the reinstate] ]~entof insurance or the detern~inatlon of the fact of permanent and totaldisability for insurance p~lrposes, and the date of beginning or termina-tion thereof.

b) Authority for the payn~ent of dependency conlpensation toparents irrespective of the ti~ne the clependency arises, but to continueonly during the existence of act[lal dependency, and not until thedeath of the parent, as forl~~erly provided.

(h) Provision for the pavn]ent of $107 for burial and fun~’ralexpenses in all cases in which the direct(lr,. in his discretion and ~vithdue regard to the circlln~st~nces of the case, n]ay decide. Contractsfor burial services are authorized to be ]~~adewithin the linlits of theamount allowed without regard to the laws prescribing advertise~~lcntfor pro osals for supplies and services or the awarding of contrtiets

Yto the owest bidder. This }rill pcr]nit the bureau to procure thebest funeral for the money, regardless of the provisions of the RevisedStatutes requiring the acceptance of the lowest bid. It is furtherprovided that no de(l~lction shall be ~nade froln the amount allowedbecause of any contribution toward the b[irial by a State, county,municipality, or other political subdivision.

(i) Authoritv for the pay~~l.ent of death con]pensation to childrenafter the age of 18 and until the col~~pletion of education or training(but not after the age of 21 years).


(j) Pro\'isiono to~tlthorize thedirector,i nh~sdiscretion, toappor-tion compensation \vhere the ~’eteran is a patient in the hospital orfor any other reason is separated from his wife and children. Thisamendment, is designed to o~”ercome the difficulty encountered in theformer la~r under which an apportionment \vas mandatory regardlessof the circumstances surrounding the separation, which resultedoccasionally in an apportionment of the ~~eteran’s compensation toan undeser~~ing \\-ife.

(k) The time for filing proof of a claim was extended to April 6,1930, and the director v-as authorized, in his discretion, to extendthe time for filing clain~s to ~lpril 6, 1930.

(1) The rates of compensation for ~vido~vs and children recei~~ingcompensation by }-irtue of an accrued right under the ~-ar-risl<insurance act }vas e(~ualized so as to n~ake them entitled to the sameamount as is pfiyable to wido~~s and children recei~-ing benefitsunder the l~orld ll”ar \-eterans’ act.

on) The provision permitting the payment of Go%-ernment in-surance to a restricted class IVaS amended in so far as con~’ertedinsurance is concerned, there now being no restriction on the desig-nation of ?Jeneficiaries for thfit type of insurance.

(n) Pro~-ision v-as made for recon~-ersion of insurance to policiescarrying a lo}ver rate of premium, \\-herethe insured is in good health,pro~ided, ho~rever, that no reconl-ersion may be made to the 5-yearlevel premium form of policy. This amendment is effecti~~e as ofJune 7, 1924.

(o) Pro~-ision is made for the granting of con~’erted insurance toany person ]vho has heretofore applied or been eligible to apply foryearly rene~~able term insurance or United States Go~~ernnlent lifelnsurancej pro~~idecl such person is in good health and furnishes e~~i-dence satisfactory to the clirector. The pro~~isions of this sectionapply only, to persons in the military or na~~al forces of the UnitedStates during the \Yorld ~Tar, and no more than $10,000 insurancenlay be carried by any. one person at any time, nor can any personwho has surrendered hls United States Go~”ernment life (con}-erted)insurtince for its cash surrender value apply for such insurance to theextent of the amount so surrendered.

(])) I)rovision is n~ade for the inclusion of a new clause in theL“nited St atcs ~o~ernnlent life (converted) insurance policy wherebyan insured t~-ho is totally disabled for a period of 12 consecutive monthsshall be paid disability benefits under the contr~ct as though he }\-erepernlanentl~ and t(~tall~ disabled. This clause trill be inserted onlyupon apphcation and upon paynlent of the necessary prelniun~.Benefits under this clause do not prejudice the rights of an insuredIVhO is other}vise pern~anently anti totally disabled.

(y) Compensation )vhich is uncollected by reason of the provisionsof section 310 of the }1-ar risk insurance act, as aI~~ended, or section~lo of the }~’orld ~~ar ycterans’ act, 1~~~, as arnen~ed, ~-hich ]iI~~itthe period over }vhich retroacti}~e con~pensation is payable, is madea~~ailable for the purpose of the re}-i~-al of insurance under section305 of the ll”orld ~}-ar veterans’ act, as amended. This provisionplaces the legislatil-e stare

rof appro~~al upon the bureau’s construc-

tion of this section, and nu lifies the ruling of the Comptroller Generalthat the law would not permit the use of compensation uncollectible

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6 REPORT OF UNITED STATES VETERANS ‘ BUREAU

by remon of the provision limiting retroactive payments for therevival of insurance.

The President approved, on May 29, 1928, an amendment to theWorld War adjusted compensation act, as amended (Public, 570,70th Cong.), which contains the following important pro~-isions:(a) The time for filing applications for benefits under the \VorldWar adjusted compensation act is extended two y(Iars, from Jfinuary1, 1928, to January 2, 1930. (b) The Secretary of l~ar or theSecretary of the Navy, as the case nlay be, is authorized, where therecords of the department show that an application has been filedwithin the recjuired time, but the application itself can not be found,to certify to the Veterans’ Bureau the adjusted ser~-ice credit of theveteran, the application of the veterfin being presunled in the absenceof affirmative evidence to the contrary to have been yalid whenoriginally filed. This will permit the extension of benefits to \-et-erans and their dependents in cases where the tipplic~t ions hat-ebeen lost after receipt in the proper departnlent. (c) The death ofa veteran is presumed where he has been absent fronl his honle tindfamily for a period of seven years during which no intelligence of hisexistence has been received. (d) Provision is nlade that where the

rerson entitled is a minor, mentally ineon]petent, or under othtlr

egal disability, payment may be I]lade to the legally constitutedguardian, curator, or conservator of the perst)n cnt itled to a}-]~]ent,

Yor to the person found .by the director tt~ be t)th(’rwise legal y vest eciwith the care of the person entitled to p~~-xl~entor of his estate. Itis provided that prior to receipt of notice ?)Y-the bureau that any suchperson entitled to payment is under such legal disnk}ilit~, paymentmay be made to such person direct. (e) ~iuthoritv is given to theveteran to designate more than one beneficiary u~der his adjustedservice certificate. (f) False and fraudu]ellt statenlents in connec-tion with securing duplicate certificates are brought ~~ithin the penalprovisions of the law.

There was enacted, on May 29, 1928, Public, No. 563 (70th Cong. ),making appropriations to supply deficiencies in certain appropria-tions for the fiscal year ending June 30, 1928, and prior fiscal ~-ears,to provide supplemental appropriations for th~’ fiscal ~-e~rs endingJune 30, 1928, and .June 30, 1929, and for other purposes. L)lsigmficance to the United States Veterans’ Bureau in this act \vas theappropriation of $7,000 ~000 for hospital facilities and services, asauthorized by Public, No. 480, apprt)ved hlay 23, 1{J28.

HOSPITALIZATION

Remaining under treatment.—Patients remaining under treatn~entat the end of the fiscal year 1928 numbered 25,899, as compared ~~-ith25,310 hospitalized on June 30, 1927. ii stufi~ of these cases indi-cates that 12,839, or 50 per cent, of these patients are hospitalized fora neuropsychiatric disability; 6,273, or 24 per cent, for tut)erculosis,including 228 cases of extra pulmonary tuberculosis; and 6,787, or26 per cent, for a general medical or surgical disability. There hasbeen a constant decrea~e in the number of pulmona~y tut)ercultlsiscases under hospitalization, and a similarly constant Increase in theneuropsychiatric and general medical and surgical cases.

Of the total patients under hospitalization, 69 per cent ~~-ere inUnited States veterans’ hospitals; -73 per c(~ntitlother GOvernIll~)nt

CHART NO.1

U. S. VETERANS BUREAU

Actual Number of Patients Remaining In All Hospitals

October, 1919–July, 1928

,11-.!;,1, 1.,1I

1’,1 I I 1! I I I I 1[ I I I [:1 1 I I I I I I I I I I 1 I [

AS ON DJt,MAIti JJ/l SO Yi)JF.M.i IM~J AS ON DJFMAMJJ AS ON DJFM4MJJASON DJFMAMJJ

. 1924---- -- 1925-- ---- 1926 ---- —----1 927-- ‘—---1928—-1920 J---1921--–—- 1922 ---- c-—l923-----

FISCAL YEARS

!6119—2S. (Face P. 6)

8 REPORT OF UNITED STATES VETERANS’ BUREAU

the general medical and sur “calgroup, v~here section 202 (10) casesYformed 33.13 percent of the oadin1925, and 69.64 per centin 1928,

or ~n increaseof 36.51 percent.It is to be expected that there ivill be fe~ver hospitalizations for

service-connected tuberculous cases asweget further from the periodof the v-ar, because of the large number of cases reaching a state ofarrest and the high rate of mortali~y of tuberculosis compared }rithneuropsychiatric and general medical and surgical diseases. It isalso expected that hospitalizations for general medical and surgicalcases, w~herethe disability resulted from service, v~ill decrease as timegoes on, as many cases \vill have reached a stage \vhere there can beno benefits from further hospitalization. The fact that there is acomparatively low recovery rate in neuropsychiatric cases requiringhospitalization, as ~vell as a lo~~-death rate, is responsible for the factthat the number of patients hospitalized for neuropsychiatric dis-abilities has consistently increased until it no~~-forms 50 per cent ofthe total hospital load.

.4d~~~issions.—The extent to ~vhich the hospitalization of veteransof the }Yorld \Yar and other v~ars has been carried on first by thePublic Health Service and then by this bureau, is evidenced by thefact that the admissions to all hospitals during the past nine yearstotal 707,384. Reaching a peak in 1922, admissions decreased n~ate-rimlly until 1925, v-hen more than 12,000 adnlissions ~trerereportedth~n for 1924, Beginning ~-ith 1926 the ~dnlissions have increasedapproxin]ately 2,000 annually. The admissions during the fiscal year1928 totaled 73,270, as compared with 71,967 for the preceding year.~tdmissions to State and civil hospitals which formed 19.36 per centof the total during the fiscal year 1924, represented but 3.3 per centof the total for this year. This material decrease in the admissionsto contract hospitals is due largely to the acquisition of additionalGovernment beds.

ild]~].issions for the treatnl.ent of pulmonary tuberculosis formed17 per cent of the total during this year, those for neuropsychiatricdiseases, 16 per cent, and those for general Inedical and surgical con-ditions, 67 per cent. Of the patients admitted for ncuropsychiatricdiseases, 41286 or 37.42 er cent of the total for this type had never

Fbeen prevlc)usly hospita ized by the bureau for any disease or condi-tion, \vhile of the total patients admitted during this year, 35,598 or48.,58 per cent occupiecl a sin}.ilar status. ~~n analysis of the adnlis-sii~ns for the treatn~ent of general medical and surgical conditions,\vhieh formed by far the largest group of the three nlajor types ofcases, show-s thnt diseases of the digestive sysienl, and of the ear,nose, and throat were the most frequently treated, follow-cd in orderof frequency by diseases of joints and bursae, the circulatory systenl,and respirat~}ry systenl. Of the patients admitted for the treatmentof psychiatric diseases, 50 per cent ~vere for dementia prmcox, whilegeneral paralysis of the insane and maniac depressive ps~chosis,together, formed the next largest group, representing 18.61 per centof the total.

.knalyzing the admissions to date of patients under section 202,paragraph 10 of the world V’ar veterans’ act, as amended, \vhichauthority does not question the origin of the disability for whichhospitalization is required, there is found a marked and fairly con-sistent yearly increase since the enactment of this legislation, the

REPORT OF UNITED STATES VETERANS ‘ BUREAU 7

hospitals; and 8 per cent in State and civil institutions. The use ofState institutions is confined almost exclusively to neuropsychiatricpatients, and while the present authorized load in these hospitals isthe smallest in the history of the bureau, it is expected that the comp-letion of the bureau’s new hospital construction program will permitall of the service-connected cases of this type to recei~~e hospitaliza-tion in Government facilities, if desired.

Of the total number of veterans under hospital treatment, 96 percent saw service in the World lVar, and of this number, 66 per centwere receiving treatment for disabilities resulting from service.There were 1,138 veterans of some war, occupation, or expeditionother than the World W7ar, and of this number, 83 per cent wereveterans of the S anish American War.

!Approximately one third of

the total colored ospital population of 1,780 was under treatment inthe veterans’ hospital at Tuskegee, .ila.

The policy of the bureau of hospitalizing veterans as near to theirhomes as possible is evidenced by the fact that 56 per cent of all~~~~~ss are hospitalized within the State of their reported home

Because it is the general belief among tuberculous patientsthat the climate in certain parts of the country is beneficial to thetreatment of their condition, the hospitalization {~f tu})erculousveterans within their home State has been possible in only 51 per centof the tuberculous cases. However, 56 per cent of R1l 1~~’~lrol~s~cl~iatriccases, and 62 per cent of the general medical and surgical cases arehos ltalized within their home State.

J ases hospitalized for nonservice-connected conditions under see-tion 202(10) and remaining under treatment at the end of the fiscalyear 1928, formed 37 per cent of the total hospit al lotid. The followingtable shows the increase in hospitalization under section 202(1 O), classi-fied as to the disability for which such hospitaliz~tion was tiuthorized,for patients under treatment at the end of each fiscal year beginningwith 1925.

I1 Pulmonarytub~r- 1

culosis NeuropsYchiatricj GeneralI

Total

I , ——— ——,

Fiscalyear Per I l~; lII Per 1 Per

All 1202(10) ~;t 1 All 202(10) cent IAll 202(10)‘ of .411 202(lo)jc~t‘w - 202(10) cm cases ~o~lo)/ I cases‘w cm= 202(10)I cm= IW2(10)

c- Casa casesI

cases

— — . — — ——’— ‘- - ~—’——1---

192Js---------- 9,314 898 9.64 11,W5 1,155 9.70 5,391 1,7s6 33.13 26,610 3,839 1 14.4319a3---------- 7,308 1,196 16.37 1Z220 1,387 11.35 , 5,%7 2, ~m 45. @ 24,915 5,012 2(I.121927---------- 6,658 & 046 30.73 I 12,538 1,B2 13.81 I 6,114 3$~o 593? 25.310 j ~,~~ I ~J.fl1928---------- ‘ 6,046 2,532 41.89 12,839 2,211 17.22 \ 7,015 4,885 I 69.64 25, 8% 9,628 37.18

I 1 I

The total number of patients hospitalized for pulmonary tubercu-losis decreased from 9,314 on June 30, 1925, to 9,045 on June 30, 1928,whereas the percentage of these cases hosplttilized under section202 (10) increased from 9.64 per cent to 41.89 per cent during the sti~neperiod. The neuropsychiatric hospital load increased from 11,905 atthe end of 1925 to 12,839 in 1928. Section 202 (1O) neuropsychiatriccases increased from 9.7 per cent in 1925 to 17.22 per cent in 192S,or an increase of 7.52 per cent, as conl.pared with an increase of 32.25per cent in the tuberculous grou~?. ‘rhe greatest increase is seen in

REPORT OF UNITED STATES VETER.4NS’ BUREAU 9

percentage of these cases to the total admissions at the end of eachfiscal year being as follows: 1925, 17.24 percent; 1926,34 .83p ercent;1927, 49.17 percent; and 1928, 62.55 per cent. ~lhnost three timesas many admissions were authorized under the second provision ofsection 202 (10) as under the first provision of that section, due in alarge measure to the fact that admissions under the latter authorityare limited to certain diseases and conditions, and to the further factthat the majority of l~orld JTar veterans admitted to hospitalizationfor tuberculosis and neuropsychiatric diseases, which are specificallymentioned and which form the bulk of admissions under the firstprovision, have had such disabilities connected either directly orpresun~ptively with military service. Spanish-American War veter-ans, as in vears past, form the majority of veterans of wars, otherthan the Ivorld l~ar, who were admitted for treatment during thisyear, numbering 4,384, or 82 per cent of the total. of these Spanish-American \Yar veterans 81 per cent were admitted for generaln~edical and surgical conditions.

The admission of 4,989 colored veterans was authorized during theyear, 98 per cent of these being to Government hospitals. Seventy-oneper cent of these admissions were for the treatment of general medicaland surgical conditions, and 19 per cent for puhnonary tllberculosis.Female patients admitted numbered 508, the n~ajorit,y of these beingtreated in Government hospitals. \Yon~en admitted to hospitals fortreatn~ent of general medical and surgical conditions representedabout 68 per cent of the total, the remainder being abollt equallydivided between tubcrculous and neuropsyehiatric diseases. .~dmis-~ions of ~]lie(~ ~ct{~rans dllring this year nulnbered 482, 86 per cent of\vhoIn were C’anadian veterans. The majority of allied veteranswere treated for general medical and surgical conditions.

.i comparison of the past three years reveals that admissions ofveterans for treatment of service-connected disabilities are steadilyon the de(’line, having decreased 39 per cent since 1926. Thisundoubtedly is due in a large measure to the fact that the disabilitiesof many veterans have reached a stationary level, or are now beingtreated either in hospitals or out-patient chnics, or can not be bene-fitteti by further hospitalization.

Year7y turnoz*er and replace ment.—The yearly per cent of turnoversince 1920 is an excellent index of the stabilization of hospitalizationin bureau hospitals. In 1920 the patient turnover for all types ofveterans’ hospitals was once every three and one-half months, as com-pared with once every six months in 1928, The present low turnoverrate for all types of hospitals is due largely to the increasing number ofpsychotic patients, who, by remainin under continuous treatment,

Foffset the increasing number of genera patients ~vho require but com-paratively short hospital episodes. As is to be expected, hospitalsdevoted largely to the treatInent of neuropsychiatric diseases have thelowest turnover rate, since the majority of psychotic patients requireinstitutional care indefinitely, and the death rate is low. Based uponthe experience of the fiscal years 1927 and 1928, hospitals of the fore-going type have a complete patient turnover once every two years.During this fiscal year the turnover rate for hospitals devoted pri-marily to the treatment of tuberculosis ~vas once every six months.This low rate of turnover is highly desirable among the tuberculousveterans, inasmuch as arrestment of the disease is seldom attained in


less than one year of intensive care, treatment, and exercise. Theturnover rate for hospitals of this type is influenced to a large extentby the restless moving of the tuberculous patient from one hospitalto another, one climate to another, or, irking at long hospital periods,necessary rules and restrictions, he leaves without permission oragainst medical advice. When atients of this type voluntarily ter-

Yminate their hospital episodes by eating withou t permission or againstmedical advice they in most instances negative the good results of thetreatment already obtained. The per cent of turnover in hospitalstreating a majority of general medical and surgical patients is morethan three times as great as in those treating tuberculosis, and about14 times as great as In those caring for neuropsychiatric cases.

Discharges.-The best index of the results of the hospitalization ofveterans is obtained from a eneral survey of the discharges from hospi-

Ftals. Of the 37,285 genera patients who remained in hospitals duringthis period until the completionof the treatmentepisode,5,051 recovered,29,119 were improved, 1,621 were unimproved, and 1,494 died. Itwill thus be seen that of the total discharges above nlentioned, 34,170or 92 per cent improved to a sufficient degree to be discharged as hav-ing received the maximum benefit from hospitalization. The groupof patients who have reached some degree of in~provement fronl hos-pitalization has increased from 37.06 per cent in 1925 to 56.49 percent in 1928, which is due largely to the fact that appro.tinlat ely, 19per cent more

!atients remained under treatn~ent during this period

until the comp etion of the hospital episode. -A con)parison of theresults of treatment and avera e periods of hospit alization is presented

%in the series of tables on disc arges.An analysis of the classes of diseases treated and the results obtained

discloses that the highest per cent of cases showing co]nplete recoverywas reported for patients treated for hernia, in ~rhich surgical inter-vention is usual in approximately two-thirds of the cases. Thisoperation was performed over 1,400 times during this year, find wassuccessful in practically all cases. In the majority of the generalclasses of diseases, approximately 65 per cent of the patients were in~-proved after an average hospital period of 52 days. The highest per-centage of unimproved cases among the general group were thosetreated for abnormalities and con enital malformations, and those of

7the tumor class, which latter inc udes cancers and other n~.alignanttumors. There was the usual increase during this year of ternlinalcases of ulmonary tuberculosis dischfirged with fin unfavorable progn-osis. 4 his number, though conl.paratively Sn]all, has increased over50 er cent since 1925.

# he average period of hospitalization for the tuberculous patientsdischarged from hospitals during this year was 175 da s, for neuro-

rpsychiatric patients 217 days, and for general medics and surgicalpatients 46 days. The experience of the bureau indicates that theaverage time necessary to Improve a pulmonary tuberculous case is367 days, a neuropsychiatric case, 147 days, and a general medicaland surgical case, 49 days.

The high percentage of “discharges against advice” and “wit boutpermission” of the pulmonary tuberculosis patients indicates thatthere comes to patients of this type a period of discouragement anddissatisfaction after an average of 200 days’ hospitalization. If, atthis period, patients demanding discharge could be persuaded to re-


main, much more might be accomplished in the treatment of this dis-ease. A slightly higher percentage of arrested cases this year indi-cates that a few more” patients have been persuaded to remain in thehospital the length of time necessary to bring the disease to a stageof arrestment.

Deaths among veterans under treatment for pulmonar tubercu-rlosis numbered 1,923 or 50 per cent of the total deaths in a 1 hospitals

during this year; for neuropsychiatric diseases 414 or 11 per cent;and for general medical and surgical conditions 1,494 or 39 per cent.The percentage of patients treated for pulmonary tuberculosis whodie in hospitals has increased from 9.03 per cent in 1925 to 14.56 percent in 1928, despite the fact that the number of discharges for thist~~peof case (including deaths) has decreased from 19,752 in 1925 to~3,210 in 1928.

A further analysis of the deaths in hospitals is made by classifyingthe primary cause by the second revision of the International List ofCauses of Death. Table No. 28 offers a comparison of the deathsfor each fiscal year since 1924. In each year, the outstanding primarycause of death is that of tuberculosis of the lungs. The next in pointof numbers is organic diseases of the heart, which has increased from98 or 3.92 per cent of the total deaths in 1924 to 318 or 8.3 per centin 1928. Deaths from cancer and other malignant tumors are on theincrease, ad~-ancing from 55 in 1924 to 220 in 1928. Diseases of therespiratory system, exclusive of tuberculosis, and diseases of the diges-tive system as causes of death are rapidly increasing, having morethan doubled since 1924. The number of deaths from Bright’s diseasecontinues to mount in the same manner as those from cerebralhemorrhage, which is attributed to the admissions for treatment inlarge numbers of Spanish-American Jvar veterans, whose average ageis much higher than that of the TVorld war veterans.

There were 26,167 surgical operations performed in all hospitalsduring this year, or approximately 1 to every 4 patients treated.Of this nllmber, 12,841 or 49.07 per cent were performed in bureauhospitals; 5,2GS or 20.11 per cent in Army hospitals; 5)244 or 20.04per cent in Navy hospitals; 391 or 1.5 per cent in contract hospitals;and the remainder, 2,428 or 9.28 per cent, in other Governmentinstit utlions. Artificial pneumothorax was successfully performedfive hundred and thirty-one times during this year on the moderatelyand far advanced cases of pulmonary tuberculosis.

GOVERNMENT HOSPITAL FACILITIES

On July 1, 1927, the 50 hospitals operated by this bureau had acombined capacity of 20,810 beds. These beds, classified accordingto the type of case for which each hospital was principally used,were as follows: Tuberculosis, 6,387; neuropsychiatric, 9,219; andgeneral medical and surgical, 5,204. On June 30, 1928, the samenumber of hospitals was bein

Yoperated with a total rated capacity

of 22,156 beds. Practically a 1 of this increase of 1,346 beds was athospitals devoted largely to the treatment of neuropsychiatric dis-eases. During this period there was an increase of 1,803 beds inpermanent Government-owned structures. Of particular interest inthis latter connection is the progress that has been made by thebureau in the development of permanent Government-owned hos-


pital facilities. .An analysis of the 22,156 beds in bureau hospitalson June 30, 1928, discloses that 19,921 of that nun~ber were classedas being in permanent Government-ov-ned structures, 1,012 were intemporary Government-ov-ned buildings, and the balance of 1,223were in leased institutions. It is expected that wlthln the next sev-eral years all of the leased institutions will have been evacuated andthe temporary Government facilities materially reduced.

The only new veterans’ hospital opened for the reception of pa-tients during this year was at Northport, Long Island, which h~s apatient capacity of 1,000 beds. Construction worlt, however, hadbeen completed at the expiration of this period on the ne~r 350-bedhospital at Bedford, hIass. .idditional beds were ac(~uired duringthis year at Palo .ilto, Calif., North Chicago, 111.,and hTorthanlpton,h~ass., while facilities for 165 per~~~anenttbeds to replace a like nun~-ber in temporary structures were completed and opened for patientsat Oteen, N. C. The hospital at ~ilgiers, La., which had been operat-ing at a reduced capacity since its reopening sllbsequent to theNlississippi flood, functioned at its full c~pacity for the last thr~~emonths of this period.

In addition to the hospitals operated by this bureau, there was onJune 30, 1928, a total of 8,413 beds reserved for bt’nt’ficiaries of thisbureau in hospitals operated by otht~r Gov(’rnn~t’nt agencies. Thesebeds, classified by individual Governm(?nt agency, l~rere ~S follows:National Holl~es for Disabled Vol{lnteer Soldiers, 2,243; Cmted StatesNavy, 2,720; Llnited States ~lrll:y, 2,684; Intt’rior Depart]~~ent (St.Elizabeth Hospital), 359; and L nited States Public Health Service,407. Of the foregoing beds, 2,008 were for tuberculous conditions;1,868 for neuropsychiatric disorders, and 4,537 for general l~~edicaland surgical conditions. In all Government hospitals, on June 30,1928, there \vas a total of 30,569 beds available to this bureau, ascompared with ?9,425 at the beginning of this fiscal year, represent-ing an increase of 1,144.

DIAGNOSTIC CENTERS

A new United States veterans’ Diagnostic Center ~~-asopenedJanuary 3, 1928, at the bureau’s hospital, Palo .ilto, C’alif. Thereare now three diagnostic centers operated by the bureau, the othersbeing located at Cincinnati, Ohio, and Washln$gton, D. C’. TO thesecenters are referred, for intensive obser~’atl(~n and study, thoseproblem cases in medicine in which there is difference (}f opinion asto diagnosis or appropriate treatment. The new center at Pti10Alto, Calif., will receive such cases from the Pacific coast find South-western States, the centers at Cincinnati, Ohio, and ]Ytishingt~~n,D. C., serving the mid-west, and the eastern an~i southern se[~boardStates, respectively.

Admissions to these centers during the fiscal year 192S totaled1~804 and were divided as follows: 11’ashington, D. C., 1,185; Cin-c~nnati, Ohio, 487; and Palo .Alto, C’alif., 132. Of the tottil patientsadmitted, 1,440, or 80 per cent, had been previously under hos-pit alizatlon by the bureau one or more times. ?n June 30, 1928,the combined patient population of the di~gnost lc centers was 194,consisting of 178 white males, 7 females, mnd 9 colored males.

During the year there were 1,781 patients (lischargcd f’r~)nl thesecenters, of which nun~ber 1,208 were from Ivashington, D. C’., 473


from Cincinnati, and 100 from Palo Alto, the average periods ofhospitalization being 45.5, 15.4, and 35.6 days, respectively. Thecomparatively high average period of hospitalization in the centerat \Yashington, D. C:, is partly the result of administering specialtreatment in conjunction with observation and examination in someof the more dificult medical and surgical cases in the treatmentunit, which was added as an adjunct to the clinic.

The success obtained in subsequent hospitalization through theuse of the clinical findings and the treatments outlined by the diag-nostic centers, reflect in a measure their actual accomplishment.Studies made during the year showing the subsequent action takenon the recommendations made by these centers reveal most grati-fying results, This is particularly true in cases where further treat-ment \vas not recommended, an analysis of these cases showing thatalthough in many instances the period of time elapsing since thepatient was discharged with no further treatment indicated wasapproximately six months, but 19 per cent had applied for furtherhospitalization at the close of the fiscal year. This fact is of greatersignificance when it is considered that the n~ajority of these patientshad had from 1 to 15 previous hospital episodes, this being evidencethat the economy resulting from the elin]ination of unnecessaryhospitalizations, is being effected concurrently with the giving ofgeneral satisfaction to the claimants themselves. Changes inrating status of 40 per cent of the awards were effected, where claimsand rating boards had available the findings of the diagnostic centers,resulting in increased ratings in 73 per cent of the cases and de-creased ratings in the remaining 27 per cent. In those cases whereno further treatment was recomn~ended but the veteran returnedto the hospital within a month, the diagnostic clinics’ findings wereavailable, and in 60 per cent of the cases treatment was institutedwithout the delay occasioned by further diagnostic work. Ananalysis of the cases where further treatlnent was recommendedrevealed that, in 70 per cent of the cases the clinics’ diagnoses wereused by the hospitals furnishing treatment.

The diagnostic center at ~~ashington, D. C., besides its usefulnessin establishing a diagnosis in problem cases, and outlining methodsof treatnlent, has been used during the year as a training school forselected medictil officers to fit them for special work. Intensivespecial training has also been given bureau nurses at this center.

FUTURE HOSPITAL CONSTRUCTION

.It the expiration of this fiscal year construction work was in prog-ress on the following major projects: (a) 26 l-bed hospital at Tucson,Ariz., to replace the existing facilities of temporary construction atthat location; (b) 300-bed hospital at Portland, Oreg., to replace theleased institlltion now operated in that city; and (c) erection of facili-ties at Fargb, N. Dak., to house the regional office and to provide 57hospital beds for ohservntion cases or those patients requiring butbrief hospital episodes. The contract dates of completion of the con-struction on the above projects are as follows: Tucson, Ariz., .iugust16, 1928; Portland, Oreg., November 25, 1928; and Fargo, ~. Dak.,January 2, 1929. with the placing of the foregoing work under con-tract there remains but one other project, Alexandria, La., in orderto complete the program comprehended under the $10,000,000 au-


theorization for hospital construction as pro~tided in Public, No. 587,Sixty-eighth Congress, March3, 1925. It is expected that the con-tract for the new Alexandria hospital will be awarded shortly aftertheclose of this period.

During this year the bureau presented to theCongressthe followingnew hospital construction program: (a) 130 ~dditional beds at Bed-ford, ~lass.; (b) 200 beds ofpermanent construction to replace alikenumber in temporary structure at Oteen, N. C.; (c) 300 additionalbeds, personnel quarters, and utility buildings at North Chicago, Ill.;(d) 100 additional beds at St. Cloud, Llinn.; (e) attendants’ and staffquarters at Palo Alto, Calif.; ~) 100 additional beds at iimericanLake, Wash.; (?) replacement of structurally unsuitable Go\-ernmentfacilities at Philadelphia, Pa., either as one con~plete plant of 800beds in Pennsylvania or New Jersey or as two separate plants of 400beds each in Pennsyl\~ania and New Jersey; (}1) new hospital of 200beds, Atlanta, Ga., to replace the present lntidequate 85-bed Go\’ern-ment-owned institution; (i) 130 additional beds at C’hillicothe, Ohio;G) construction of personnel quarters at hlay\vood, 111.,in order thatspace in m~in building now occupied by personnel may be used forapproximately 430 patients; (k) new infirnlary I)uilfling of 100 bedsat Walla Walla, ~Tash. ; (1) 130 additional beds ~t North Little Itock,Ark.; (m) 100 additional beds at Tusliegee, illfi.; (?t) new hospital of300 beds to ser~-e the States of IIansas, Nel)rfisl<a, lows, and westernMissouri, and to replace the leased institution no}v opernted in IiansasCity, Ylo.; (o) conversion from the general to the neuropsychiatrictype and the enlargement to 300 l)eds of the 125-l~ed Go\-ernn]ent-owned hospital at Excelsior Springs, Ale.; (p) re(’reation building,attendants’ quarters, garage, and storehouse at Tucson, .Ariz. ; (q) oc-cupational therapy t)uilding at Northport, Long Islfind; (r) occupa-tional therapy building, Fort Snelling, Xfinn.; (s) recreation l)uildingand changes in rk]ess building at Sheridan, lY~-i). ; (t) an additionalsum fOr ~~lexandria, IJa., to supplement the alnollnt a}railable underthe fourth construction act for the replacement of the existing tem-porary facilities at that location; and (u) a special fund of $500,000to permit the bureau to re~’anlp existing facilities to Ineet changes inthe hospital load.

This program called for an expenditureof$12,115,000 and pro~-idedfor the accluisition of a gross total of 3,32o l)eds. The actual netincrease in beds under this program, howe~~er, will be but 1,945, asapproximately 40 per cent of the gross total is to replace beds intemporary or structurally unsuital)le Go\Ternnlent facilities or thosein leased institutions. It should be stated that this program deals

Erimarily with the acquisition of beds for psychotic cases, since it haseen possible as a result of the decrease in ser~ice-connected hospital

loads for both the tuberculous and general meclical and surgical casesto meet the demands of these two latter types without any particulardifficulty. The psychotic hospital load, howe~’er, is increasing andshould continue to do so as the a~.erage age of veterans rises. Ofparticular interest in this connection Is the fact that in the instantprogram the bureau has departed from its previous policy of request-ing funds for only such additional beds as were needed to accom-modate the existing load at the time of the submission of its program,and has for the first time, made pro~’ision, in so far as psychotic casesare concerned, for the expected increase in the ser~-ice-connected load


for the next se~'eral years plusanallowance forthesame proportion ofnonservice-connected cases at that time as existed when the programwas prepared.

l~hile it might appear that in reality the bureau’s program con-templates the construction of hospital facilities for nonservice-connected cases, this is for the reason that under existing law whereGovernment facilities are available nonservice-connected cases of theneuropsychiatric and tuberculous types must be hospitalized, andwhereas additional beds may be authorized to be acquired for service-connected cases it must be appreciated that during the process offilling these beds a number of nonservice-connected cases will beadmitted.

The Committee on lYorld War Veterans’ Legislation of the Houseof Representatives accepted the bureau’s program as submitted, butmade the following additions thereto: (a) A new 250-bed hospitalfor southern New England; (b) a new 250-bed hospital for Kentucky;(c) a 100-bed neuropsychiatric unit for the J$Talter Reed Hospitaloperated in ~l~ashington, D. C., by the LTnited States Army; and (d)increased the special fund by $635,oOO to cover the cost of an addi-tional building for women veterans at or near the N!lount AltoHospital in ~~ashington, D. C., as well as to revamp the tuberculousfacilities at Fort Lyon, Colo., to care for neuropsychiatric cases.

These additions by the House committee increased the amount ofthe bureau’s program to $15,00 ?,000, which is the sum carried in theact authorizing an appropriation to provide additional hospital,domiciliary, and out-patient facilities for persons entitled to hospital-ization under the l~orld l~ar }-eterans’ act approved on Alay 23, 1928(Public, No. 480, 70tl~ Cong.). The sum of $7,000,000 under thisauthority was appropriated on hf~y 29, 1928 (Public, N-o. 563, 70thCong. ), and the bureau is now directing its efforts toward placingunder contract at an early date those projects which it has deter-mined should receive priority consideration under this program,

The extent to which additional hospital construction, beyond thatprovided for in the $15,000,000 authorization, will be recommendedto the Congress by the bureau is problematic]. .1s time goes on itbecomes increasingly evident that the Government hospital facilitiesnow nvailable or planned should prove ample under normal conditionsfor both the service-connected and nonservico-connected cases of thetuberculous and general medical and surgical types for some time tocome. The trend of the service connected load for both of these typesis and has been for some time past downward, and there is no apparentreason at, this time to expect anoychange in this condition. The needto-day, as for some time past, 1s additional hospital accommodationsfor psychotic patients since the load for this type of case is increasingand should continue to do so in the future.

It ~~as been previously pointed out that the additional neuro-ps~~chiatric facilities included in the $15,000,000 program v-ill meetthe estimated needs of the bureau for the next several years.

Consideration again was given at the last session of Congress tothe placing of the NTational Homes for Disabled Volunteer Soldiersunder the jurisdiction of this bureau, If this action is taken thefacilities thus acquired would undoubtedly have a derided influenceupon future hospital construction programs of the bureau.

.

G

16 REPORT OF

THE DEVELOPMENT

In addition to the

\

UNITED STATES VETERANS’ BUREAU

AND MAINTENANCE OF BUREAU HOSPITALS

nw construction which provided facilities for

Eatients, the following developnlent program ‘was acconl lished atYureau hospitals during this period: (a) Relnodel.ing bui din s for

fdoctors, nurses, and attendants at ~iugusta, Ga.; (b) recreation uild-in ,

#storehouse, shop buildings, greenhouse, residence for nledical

o cer in charge, gate lodge, and covered walks at S~ln~]~ount,ST. l“.;(c) covered ~~allis at Sheridan, \Tyo.; (d) cnltirging infirl~~ar~~kitchenat Le ion, Tex.;

f(e) attendants’ c[uarters at Livernlore, ~alif.; (f)

atten ants’ cluarters at Northampton, hlass.; Q) storehouse at Chil-licothe, Ohio; (h) l~undry building at Gulfport, Xliss.; and (i) shopbuilding at Jefferson Barracks, Nlo.

The corn letion of the above work is in line with the policy of the/bureau to evelop eventually con~plete and n~odern opertiting plants

at those hospitals which w1ll undoubtedly be continued in operationfor an indefinite period. Llpon the erection of new hospitals it isnecessary at til~~es, principally by reason of lin~ited funds, to deferthe construction of cert~in of the desirable but not absolutely essentialhospital buildings; ~rhile tit older hospitals the requirenlents of thebureau often indicate the need for nlodernizing the facilities.

During this year 6,861 l~~aintenance tind repair re(~uests werereceived frol~~ bureau hospitals, covering new construction tind sup-plies for ]~laintenance repairs and nlinor alterations to bllildings,mechanical ecluipnlent, and the ~lplieep of grounds.

.EXPENDITURES AND OPERATING COSTS AT BUREAU HOSPITALS

Gross expendit(lres at bureau hospitals during this year anlountedto $30,537,235.61, while the net operating expenses totaled $26,091, -386.90. The an~ount shown for net operatin: expenses does notinclude expenditures for ne~v construction, nonexpendable ecjllipn~ent,or those incident to the furnishing of out-patient relief. Through-out this fiscal period there \\-as R daily average of 542 nlore p~tientsof all types under treatment than for the preceding fiscal year. Theaverage

rer dieI]~ rnte for Rll hospitals during this period was $4, the

same as ast year.The cost of operating hospitals used principally for tubereulous

patients decreased $501,486.03 during this as con~pared with thefiscal year 1927, d[le prin~ar~l~ to the closing of one hospital, whichis to be replaced by facilities of pt’rl]~nnent construction) nnd thegeneral decline in the patient lend of this type. ~[lring this yearthese hospitals c~red for n daily average of 342 less patients than in1927, while the per dienl cost of operation was $0.09 Inore for thisyear. .In increase of $855,325.27 in operating expense occurred athospitals of the neuropsychiatric type, the direct result of the open-ing of a ne~v ne~lropsychiatric hospital and a daily avera:e @ 564more patients than in 1927. The per dien~ cost of operation for thesehospitnls during this year was $2.92, an increase of $0.09 over that for1927. The cost of operating hospitals of the general nledical ~ndsurgical type increased $432,978.93 during this year, due largely tothe fact that the finily average of patients increased 330. The perdiem rate for hospitals of this type during this year decreased $0.05over the preceding year.

4

REPORT OF UNITED STATES VETERANS; BUREAU 17

.

OUT-PATIENT RELIEF

Out-patient supervi~ion, care, and treatment of bureau beneficiarieswithin the continental limits of the Llnited States was providedduring this fiscal year through the 54 regional offices located in all ofthe States, except Delaware; through medical treatment stationsstrategically located in smaller centers of population; through theser~’ices of designated examiners located in remoter communities notreadily accessible to the regional office facilities; and through thefacilities of this character established at a number of LTnited StatesVeterans’ hospitals. In addition, contact with sick veterans in theirhomes is maintained through periodical visits of follow-up nurses andsocial workers.

In extending medical relief to beneficiaries resident in the insularand Territorial possessions of the LTnited States the bureau operatesout-patient clinics in conjunction with its offices established atklanila, P. I., San Juan, P. R., and Honolulu, Hawaii. JIedical careand treatment of bureau beneficiaries living in the Panama CanalZone is provided by the LTnited States Public Health Ser~’ice. Inforeign countries, the matter of obtaining suitable medical care andtreatment for bureau beneficiaries is handled by the Department ofState, through its foreign service officers.

The total number of physical examinations in regional officesduring the past fiscal year was 871,756, a reduction of 50,608 fromthe fiscal year ending June 301 1927. Of this number 850,023 weremedical and 21.,733 dental. Eight hundred and thirty thousand ninehundred and slxt y-two or 97 .S per cent of the medical examinationsand 19.,191 or 88.3 per cent of the dental examinations were *made byphysicians on a salary basis. Examinations made by phys~cians onfee basis represented 2.48 per cent of the total examinations as com-pared with 2.59 per cent of the total made by fee bwis physiciansduring the fiscal year 1927. Treatments administered throughregional offices totaled 827,122 as compared with 873,577 for lastyear. of this number 747,019 were n~edical and 80,103 dental.hfedical and dental treatments on salary basis totaled 649,598 and68,366 respefltively, and represented 87 and 85.3 per cent of the totaltreatments. Fee basis treatments represented 13.2 per cent of thetotal treatments made during the past fiscal year, as compared with9.4 per cent for the fiscal year 1927. As of June 30, 1928, there were15,000 beneficiaries under the supervision of follow-up nurses.

DENTAL RELIEF

The ~-olun~eof dental work of the bureau decreased slightly duringthis as compared with the fiscal ye~r 1927. The number of dentalclinics in bureau hospitals on June 30, 1928, was 49, one less than onJune 30, 1927. Patients furnished dental relief in hospitals decreasedfrom 25)149 during the fiscal year 1927 to 18,772 for this year. Thenumber of cases completed however, increased from 13,543 to 15,345,which, particularly in view of the reduction in the total number ofpatients, shows a growing tendency to complete the authorized reliefwhile the patient is still in the hospital. .The actual cost of renderingthis relief was $430,957, which represents an average cost per patientof $22.95, as compared with $16.32 for the fiscal year 1927. The


number of sittings was 177,124 for this year, an increase of 3,076over last year.

Complete reports of the dental relief furnished beneficiaries hos-pitalized for nonservice-connected disabilities under the provisionsof section 202 (1O) of the l~orld War veterans’ act, 1924, as amended,are for the first time available for the entire fiscal year. The followingtable shows the value of this class of dental relief computed on a feebasis, the actual cost thereof, and the percentage it represents of thetotal amount of dental relief rendered in veterans’ hospitals:

_—_— — —.I I ‘- ‘ --

Type of hospital

Valuecomputed .kctual P:fcee;:ge

on fee , costI basis work

I I I ‘-” ‘---Perct nt

Oemrd------------------------------------------------------------ ~ $148,740 $99,M7m~8------------------------------------------------------- 62,798 42012 :;NeW0Wytii8triC--------------------------------------------------- 32,901 22,679 20

Allt~-. --------.---....---..-.----..--------------.------.j 245,439 164,198 38

The dental administrative work in regional offices has, on thewhole~ decreased duting the fiscal year 1928, although along certainlines Increases are shown. For instance, the total number of casesrated for compensation purposes shows an increase of 162, while thenumber of cases entitled to treatment increased by 64. The numberof authorizations for dental relief for service-connected disabilitiesincreased 273, the increase in value being $12,672.25, while thenumber of cases authorized as adjunct to the treatment of physicaldisabilities decreased 752 cases, with a decrease in value of $22,880.71.A decrease of 1,185 occurred in the number of cases referred to bureauctinics for relief, while the number of cases referred to designateddentists on a fee basis increased 259.

The number of dental clinics in regional offices increased from31 h 33, although the number of patients treated decreased from15,290 to 8,272, a reduction of 7,018. The number of completed casesalso decreased from 6,579 in the fiscal year 1927, to 5,089 in thisfiscal year, although the percentage of cases completed increasedmaterially. The number of sittings decreased from 72,670 to 60,156.The net cost of operating dental clinics has been reduced from$21O,W8.22 in the fiscal year 1927 to $172,734.11 in the fiscal year1928, a net reduction of $38,264.11. The average cost of dentalrelief for each beneficiary increased from $14.22 in fiscal year 1927to $20.88 during the fiscal year 1928.

The increase In the average cost of dental relief per individual, inboth hospital and regional ofice clinics, is due, as indicated above,to the greater volume of work accomplished for each beneficiary.

ORTHOPEDIC AND PROSTHETIC APPLIANCES

Durin this year orthopedic and prosthetic appliances were furnished5to a tota of 23,021 beneficiaries at a cost of $288,816.01, an increase

of 2,271 in the number of beneficiaries and $41,665.83 in expendituresover the fiscal year 1927. This increase is due largely to the following:(a) The furnishing of appliances to an added number of clain]ants

CHART NO. 2

U. S. VETERANS BUREAU

ACTIVE COMPENSATION DISABILITY AWARDS

II’:,

I l::60,000 ];-*I] ! ]-I--’~ ~

11’

Each Month from January, 1919, to July, 1928

III,

II

I

30,000 ~“-~’I t

I I<”?J””L’””’ ‘Illl!lljlllllllllI 11(11,!

1 [11 I 1!11II 111111 I I I I I ( I 111 ! ,

‘0 ARJJASON DJFMAMJ JASON DJFMAMJ JASON OJFMAMJ J ASONOJFMAMJ JASONOJFMAMJ JASONDJ FMAMJJASONDJFMAMJ JASONOJFMAMJ JASONOJFMAM

——1922~— ——1924 —+ 925 ~—l 926 ~U927 ~~1928—-1919’ —1920—~ 1921 1923


whose disabilities have not been determined to be of service origin,as authorized under the amendment of July 2, 1926, to the World Warveterans’ act; (b) an increase of 116 in the number of artificial limbsfurnished as replacements of old ones and for reamputation cases;and (c) an increase of 293 in the number of claimants furnished specialshoes, supplies, etc. Approximately 45 per cent of the above-mentioned increase in cost occurred under item (b), due to the furnish-ing of a new type metal limb costing about twice as much as thewood or fiber limb heretofore provided but which due to its lightnessin weight is preferred by many beneficiaries.

Every effort has been made to eliminate travel for claimants insecuring prope~ly fitting appliances of special construction. Afuchtransport ation 1s obviated through a working arrangement with con-tractors from whom special apphances are purchased to have mewure-ments and diagrams of appliances made by a competent representa-tive at the claimant’s home, the contractor accepting all responsibilityfor correctness of fit. This eliminates at least one trip for the veteran,and frequently the appliance can be satisfactorily fitted and adjustedat his home, which eliminates all transportation on the part of theveteran.

The bureau continued to operate orthopedic workshops at Boston,Mass.; New York, N. Y.; Atlanta, Ga.; Chicago, Ill.; and Muskogee,Okla. The cost of operating these shops during this year was approxi-mately $20,000 less than the value of the work accomplished, breedon contract rates. It is expected during the coming fiscal year tomake greater use of these workshops, particularly for major re-pairs which heretofore have been accomplished largely by privatecontractors.

DISABILITY COMPENSATION

Claims for death and disability compensation have been filed byor on behalf of 1,099,803 veterans, representing approximately 20per cent of the men who served in the armed forces of the UnitedStates during the World War, of these claims, 546,619 have beenallowed, and to date there has been disbursed for this purpose$1 ,249~821,507, exclusive of insurance.

During the fiscal year 1928, the rating boards in the variousregional offices were engaged in completing a review of all serviceconnected cases rated at less than 10 per cent, in order to establisha rating in accordance with the new rating schedule. In a number ofcases, the degree of disability had increased since the time of lastrating, and a compensable ratin was given for this reason.

fIn other

instances, disabilities rated at ess than 10 per cent under the oldschedule were rated compensable when the re-war occupation of the

1’veteran was considered utier the Schedu e of Disability’ Ratings,1925. During the fiscal year 1928, 12,262 original awards weremade, and of this number 2,387 were neuropsychiatric cases, 3,104were tuberculosis cases, and 6,771 were general medical and surgicalcases. Of the cases in which original awards were made, 3,704 hadbeen previously disallowed as “not of service” origin” and 3,574 as“less than 10 per cent. ”

The awarding of the $5o statutory award has continued in tuber-culosis cases where the disease has reached a stage of complete arrest-ment, resulting in 9,765 “new statutory awards during 1928. A total


of 40,904 veterans are now receiving this $50 award at an expenditureto date of $32,205,434. This means a monthly increased disburse-ment of $1,472,409 over the compensation previously paid veteranswho have an arrested tuberculous condition. Of the 40,904 veteranswho are now receiving the statutory $50 award, 30,447 were receivingsome compensation for tuberculosis prior to the amendment of July 2,1926. In 9,588 eases, compensation had been discontinued becausethe disability was rated as “less than 10 per cent, ” and in 869 cases,compensation had never been paid. In most of these cases newevidence was presented, and as a result the disability was connectedwith service.

Awards of compensation for disabilities resulting from service arebeing paid to 257,536 veterans at a monthly disbursement of approxi-mately $12,700,000, the actual monthly value of these awards being$11,574,308.. The nun~ber of veterans receiving disability compensa-tion awards increased 13,925 during the past year. On ,June 30, 1928,the average award for all types of nellrc)psyt’l~i~~triccases was $52.78;for tuberculosis cases $64.36; and for general medical and surgicalcases $33.60; or an average for all cases of $44.94.

Neuropsychiatric cases form 21 per cent of the total compensableload, tuberculosis cases 24 per cent, and general medical and surgicalcases 55 per cent. Compensation paid on account of neuropsy-chiatric and tuberculosis disabilities amounts to 59 per cent of thetotal disbursements, whereas these cases form only 45 per cent of thetotal number on which compensation is being paid. This is in partdue to the fact that there are more permanent total cases amen the

fveterans suffering from neuropsychiatric and tuberculosis disabi itiesand to the further fact that a large percentage of general medical andsurgical cases are rated between 10 per cent and 20 per cent. of atotal of 33,307 permanent total cases, 17,080 are neuropsychiatriccases and 10,831 are tuberculosis cases. Adherence to the policy ofrating cases on a permanent basis as soon as the disability reaches astationary level, is shown by the fact that 69 per cent of the con~-pensable case? are rated on a permanent basis. In 61 per cent of allcases now being paid disability compensation, the effective date ofthe original award was prior to December 31, 1919, thus indicating thelarge number of cases which are directly connected with the service.However, the effect of the presumptive period provided by the }VorldWar veterans’ act, 1924, is shown by the material increase in awardson neuropsychiatric and tuberculosis cases. On June 30, 1924, therewere 32,103 neuropsychiatric cases and 39,099 tuberculosis cases.To-day there are 54,958 neuropsychiatric cases and 60,690 tuber-culosis cases, or an increase of 22,855 in neuropsychiatric cases and21,591 in tuberculosis cases. The application of the new ratingschedule has been largely responsible for the increase in the value ofthe average monthly award. There has been an average increase of$7.39 on each award since January 1, 1926, the date of the applica-tion of this schedule.

There are 8,029 compensable cases due to amputations, and ofthis number 563, are rated on a pernlanent total basis.

In addition to compensation p.ayn~ents, 11,201 vet crans who arerated permanent total are receiving payments of insurance. In 58cases, disabled veterans are drawing compensation in the amollnt of


$200 a month for double permanent total ratings, and of this number,37 are receiving payments of insurance in addition to compensation.

A study of type of disease correlated with the age of the veteranindicates that, in neuropsychiatric cases, the percentage is higher asthe age increases; the highest percentage being in the age group over45; whereas in the tuberculosis group, the highest percentage is inthe age roup under 30 years, and the lowest in the group over 45years. f n. general medical and surgical cases, the percentage ofdisability increases as the agelncreases.

Compensation awards are being paid to 1,161 veterans who residein the insular possessions of the United States. These monthlypayments average $64,598. Compensation is also being paid to1,569 veterans who reside in foreign countries, in the monthly amountof $77,966. The largest number of these veterans reside in Italy,where 445 are receiving monthly compensation payments. It isinteresting to note that the incidence of tuberculosis is higher amongthe veterans residing outside the continental limits of the UnitedStates. Tuberculosis cases form 34 per cent of the foreign cases,whereas they form but 23.5 per cent of the total compensable caseload. The percentage of neuropsychiatric cases is only slightly higherfor the veterans residing in foreign countries. This type of case forms21.61 per cent of the foreign compensable cases, as against 21.34 percent of the total compensable cases,

~~onthly compensation payments are being paid to 2,247 women\who served during the }Vorld lVar, these monthly payments averaging$53.66. of this number, 1,895 were Army nurses, 350 were in thenaval service , and 2 were rnarinettes. Of these women, 351 are nowrated as permanently and totally disabled.

DEATH COMPENSATION

On June 30, 1928, monthly payments of compensation were beingmade to the dependents of 85,634 veterans who died in actual serv-ice or from a disability resulting fron~ service during the Jvorld lVar.Approximately 35,5oo of these deaths occurred during service, of which5,400 occurred during September, 1918, 16,600 in October, and 3,000during the first 11 days of No\~ember.

The dependents to w-horn ron~pensation was being paid on June30, 1928, consisted of 78,821 parents, 19,260 widows, and 27,314 chil-dren. hlonthly disbursements for compensation to these dependentsamounted to $2,542,103 in June, 1928.

In addition to (Jonlpensation, 74 per cent of these dependents arereceiving payments of some fornl of Government insurance. Thedependents of 6,686 deceased veterans reside outside the UnitedStates, and monthly con~pensation payments to these beneficiariesamount to $178,155.

TERM AND AUTOMATIC INSURANCE CLAIMS

on June 30, 1928, Inonthly insta]hnents of ter~n insurance ~verebeing paid to ] 1,761 permanently and totally disabled veterans, thepayments averaging $45.44. Veterans suffering frolll a neuropsy -(Ihiatric disabilit~- or fronl tuberculosis w-ere being paid 76 per cent

18119—2s—--3

22 REPORT OF UNITED STATES YETERJiNS’ BURE.4U

of these aw-~rds. I’ayments for permanent and tottil disability havebeen discontinued in 3,561 eases becallse of recovory and in 15,895cases because of the death of the veteran. Tuljerc’ulosis Ivas tl~ecause of death in 11,273 of these (Iases.

The beneficiaries of 13!1,412 de(Ieased v(’tertins \vere receivingmontlhly pn~ments of terln insllrance on ,Jllne 30, 1928, the tivertigepayment being $50.92. ~lonthly ~Ja?-nlents h[ive been (Discontinuedentirely in 7,732 oases [~nd in part in 3,658 cRses, bc(IaIIse of the pay-ment of the insurnn(’t’ in luIIlp SUI]I Il})on the detith of the beneficiar~naIned by the T-cteran. on ,June :~(), 1!)28, n~onthly paynlents werebeing made to l)enefi(’inries resi(ling outside the LJnited States in6,595 cases on insurtince vtilut’d Rt $55,43 S, f302.

Parents of dece~ls(~dT-eter[ins lvere tlh~~})eneii{’iaries in 04 per Centlof all ternl insllr[lnce a}vtirds, the ~~i(lows in 14 per cent, the childrenin 2 per cent, and tile brothersl sisters, and otl~er bene{ici~~ries in thepermitted clmss in 20 per cent.

Automatic insllrance payments }vere being ;nade to 287 pern~a-nently disabled vetertins [~nd to tl~e dependents of 7,477 det’[’asedveterans at the rate of $25 a month on ,June ;;(), 1928. This insur-ance was provided by the (Iovernnlent for veterans ~vho ~vere per-mancntl}’ and totally disal~led or ~vho died t)(’f’ore they ]vcrc ~ble toavail thenlselves of t i]t’ opportunity tt) apply for }!-~~rrisk insurance.

(:ONVERTED INSURANCE CLAIMS

To date, 16, 1S1 converted insurtin~’e clainls ha~-e been filed, re-sulting in 9,236 awards on account of death and 3)551 a~vards 011account of permanent and total dis~]l)ilit~-. These death cltiinls in-volve the p}i~nle~~tof insurance in the an~ount of $44,193,743, find thedisability clal[]~s insurance valued at $18,088,358. l>etith clainls firepaid in lulnp sufn or in installn~cnts ~(~~’t)rdingto th(’ plan sele(’tedby the insured, Of the 9,236 death atrtirds, 7,140 \vere paid in lunlpsum, this insllrance amounting to $34,624,335. Conv~’rted insuranceis being paid in installments in 2,075 (+ases, and in 21 cases thepayment of installments has been {’onlpleted.

During the calendar year 1927, a}vards of insurance \rere made on1,523 death claims and on 795 disability claims, as against 1,288death awards and 769 disability awards for the calendar year 1926.An analysis of the plan of insurance (’arried b,v these deceased veteransindicates that 30.7 per cent carried ordinary-life policies, 22.7 percentl 20-year endov-ment policies, and Z 1 .S per cent 20-pay nlent lifepolicies.

Alonthly payments of converted insur~]nce for permanent total dis-ability were terminated during the c~ilendar yenr 1927 in 147 casesbecause of death and in 46 cases beca[lse of recovery. .~n tinalysisof the CRSL’S terminated be(’allse of death shows that only 47 hadreceived insurance payments for a perit}t~ of l]]t~re thtin tlvo years.

A stlldy of callses of death in cases on ~vhich insurance cltiInls \vereawarded during 1927 indicates that 19.9 per cent of the total resu]tedfrom disetises of the circulatory system, incl~]ding heart disease;20.8 per cent from miscellaneous distibilities, including accidents andinjuries; nncl 14.5 per cent from tuberc[llosis. T}]is pert’ent ag[~ fromtuberculosis tvollld be In{lch higher \vere it n(}[ for the fa(’t thnt alarge Ilulnt)er of tuberculosis vet~’r~llls ret’(’ivc’({ p(’rlnanent total

REI’ORT OF UNITED STATES VETERANS’ BUREAU 23

awards of term insurance, and upon the death of these veterans pay-ments of term insurance are continued to the beneficiaries of theseveterans.

It is interesting to note that while tuberculosis \vas the cause ofdeath ill 14.5 per cent of the death awards, it was the cause of perma-nent total disability in 41. ? per cent of the disability awtirds, indicatingthe disabling effect of this disease.

INSURANCE

~ft the beginning of this fiscal year the bureau was confronted withthe ttisl< of handling an enormous volume of applications for Govern-ment life (ronverted) insurance, which were submitted in the closing~eelis inlmedintely. prior to July 2, 1927, the final date Ilnder the lawfor applying for ths insurance. ~~pproxin~ately 245,000 applicationswrere received, aggregating $1,400,000)000 of insuranc~, which re-flects both the veterans’ tippreciatlon of this valuable right and thesuccess of the hllreau’s efforts, through its nation-wide can~paign, toinduce them to tal<e advantage of the protection oflered. It is sig-nific~nt to note that the majority of these applications were subInittedby veterans who had allow-cd their term (\\-ar time) insl~rance to lapsewhen they \vere {Iischnrged from the scrvlce and who were now rein-stating for the first time, upon evidence of good health, in order heffect con~~ersion to the seven plnns of level premium insllrance ofieredby the {Iovernnlent. Quite a nuinber of these applications were alsofiled }J~ disal)led veterans who were eligible to apply under the specialprovisions of section 304 of the I\”orld I}rar veterans’ act, 1924, asamende(l.

In line with the bureau’s policy of decentralizing to the field suchof its activities as will improve service to beneficiaries, plans wereperfecte(i an[l fipproved in Xlay, 1928, for decentralizing to the re-gional offices the collection of lnsur~nce payments, the insuance ofofficial receipts therefor, and the maintenance of insurance accounts.This step was approved after several months’ successful operation ofthe new systen~ r~-hichwas installed for trial purposes in the Baltimoreregionfil (]ffic(’ covering the insurance accounts of policy holdersresiding in the State of hlaryland, The experience with the newset-up in the l~altimore regional office proved most satisfactory andconsiderable favorable comment from the policyholders and from theservice organizations in the State of hlaryland was received, con-gratulating the bureau on this progressive step in its program ofcooperation and service.

Under this new system the premium and policy loan accounts ofapproximately 630,000 Government life insurance policyholders willbe maintained in the various regional ofFices. These offices willreceive and deposit the insurance payments for collection in the localFederal Reserve branch banks, issue official receipts therefor, andmaintain the necessary insurance accounts. They will completeaction in connection with applications for reinstatement of insurancesubmitted within three months from date of lapse and the preliminarywork incident to applications for policy loans, changes of plans,reinstatements after three months’ lapse and other contract changes,and will be prepared at all times to furnish prompt and efficientservice concerning insurance. In substance, the regional office W

24 REPORT OF UNITED STATES I’ETERANS’ BLTREAU

.

follow the same procedure on a “ State” basis that the central officeis now following nationally with reference to these insurance ~ctivities.

Closer contact with Government life insurance policyholders willDe established by this new facility, which will enable the bureau toconduct its Government life insurance business with a standard ofservice comparable to that of the prominent life insurance companies.Under the improved method of collections the funds involved will bemade available for investment more rapidly than under the presentmethod, thereby increasing the interest retllrn on the C~overnn~entlife insurance fund.

APPLICATIONS FOR UNITED STATES GOVERN}lENT LIFE (COXYERTKD)lNSURANCE

Applications for United States Governl~~el~t iife insur~ulce, approvedduring the fiscal year totaled 187,579, aggreg~ting $1 ,028,923, !)38,compared with 94,775 applications a~nounting to $528,392,81 {1 ap-proved during the fiscal year 1927. ‘I’he total applications apprt}vt’dto June 30, 1928, is 814,853, amounting to $3,636,868,157 insurance,

The following table shows the number nnd an~ount of United Statt’sGovernment life insurance policies issued by 1llt)nths for the fiscal year1928:

...——. —-—Date Number Amount Ii - Date Number ‘ Amount

I ..––—.-—- —--

1927 1928-C ontinuOd

July ----------------------- 33, 2s9 $211,05& 116 February ---------------- 2,361August -------------------- 53,004

$11,746,582312,816,074 March ------------------- 1,983 9,380,879

Sepbmkr ---------------- 55,556 235,133,872 , April --------------------- 1,231October -------------------

6,191,85720,007 95,232,839 May --------------------- 885 3,805,096

November ---------------- 9,612 45,706,207 June --------------------- 465 2,563,529Dwembr ----------------- 4,262 21,369,174

Total ---------------- 187,579 i 1,026, 9X, 938192n ,1

January --------- -------- -- 4,739 23,919,713 I— — ———— —

ANALYSIS BY PLAN OF UNITED STATES GOVE RNhlENT LIFE INSL’ltANCE

The following table shows the number and till]ount, the percentageand the avertige amounts of United States ~lovernnlellt life ins{lrancepolicies issued to June 30, 1928, classified by plan:—.—— — ——

I I per~nt of tots]-1

Number Amount -—– -– - .4 \’eragepolicy

h-umber i Amount.— .—. —.— -—

Ordinary lifeT-----------------------------------Wpayment l!fe----------------------------------

167285- Wfi 791 KJ; I 20. m- 23.81 I $5,175.55

30-pay mentllfe ----------------------------------I m:,,, 87~683; IW 25.07 23.04 4,2C2.39

32,423~-ywendowment ------------------------------ 210,617

;~~yg; I ~: ,;:: ;~;;

Wy~rendowment ------------------------------ 42,000 177,451:290 5:15 4: w 4:224:13Endowment atage 62.- . . . . . . . ------------------- 39,963 192,978,717 4. w 5.31 4,828.935-year convertible terIn -------------------------- , 118,2$5 803,345,204 14.Y2 22.09 6, 791.07

——Total -------------------------------------- 814, S53 3,636, 86% 157 100.00 100.00 I 4, ‘ttiJ.22

I.——— _————.—

REPORT OF UNITED STATES VETERANS’ BURE.4U 25

~T~IT~D STATES GovER~hl~~T LIFE (cONVERTED) lNsuRA~cE IN FORCE

.it the close of the fiscal year 1928 there were in force 660,108ITnited States Government life-insurance policies, amounting to$3,111,994)905 insurance. This represented an increase of 159,228policies, amountingto $891,025,081, compared with the number andanlount of United States Government life-insurance policies in forceat the close of the preceding fiscal year. During the fiscal year 5,554policies, amounting to $25,369,806, were reinstated.

I-NITIJD STATES GOVERNhIENTT LIFE (TERhf AND CONVERTED) INstTR.4h-CE

IN FORCE

The following table shows by fiscal years the number and amo[lntof yearly renewable term and the United States Government, lifeinsurance in force:

— —I I

Yearly renewable term United States Govern-insurance ment life insurance Total

Fiscal yrar cn(}ed June 30-

—1Number .~mount

397,3C4),240,209,177,130,87.

‘yiy40fg:

1:8!54:145:1,609, ON,1,372,091,1,008,511,

672.074.1;654,

,23.5588790&34391344816277

Number Amount II

2,53,‘m,319,353,375,423,500.

852 I 1;033:774 , 1,216,215 1,375,012 1,492,557 1,773,880 2.220.108 3; 111;994;

500

E924338CK14824005

A-umber .Amount

651,581,500,502,552,553,587,Otio,

O.w778065

%

980374

$3,849,3,348,3,070,2, 9W,2,86.5,2,781,2,893,3, 113,

375,400,Zo\),573,o2h,M7,044,049,

73.?474817458729008

——— -—

UNITED STATES GOVE RNMEh”T LIFE-INSLTRANCE POLICIES SURRENDERED

FOR CASH AND PAID-C’P INSURANCE

United States Government life-insurance policies provide that afterhaving been in force one year they may be surrendered for cash orfor paid-up insurance. During the fiscal year ended J~lne 30, 1928,there were 4,555 policies, amounting to $16,348,535.04, surrenderedfor cash. The total number of policies surrendered for cash to June30, 1928, is 38,637, amounting to $102,502,839.85 of insurance.

During this year the value of policies surrendered for paid-upinsurance amounted to $300,000, while 58 paid-up policies, to thevalue of $74,934,16, were issued. Up to June 30, 1928, policies tothe value of $2,239,000 have been surrendered for paid-up insurance,and 441 paid-up policies, amounting to $379,870.74 of insurance,have been issued.

UNITED STATES GOVERNMENT LIFE-INSURANCE PREhlIUM INCO~fE

United States Government life-i~urance premiums are depositedto the credit of the United States Government life-insurance fund,from which are paid claims on account of total permanent disabilityand death, dividends, and refunds. During the fiscal year endingJune 30, 1928, there were 3,593,159 premiums, amounting to $71,113, -025.18, received on United States Government life-insurance policies.The amount of United States Government life-insurance premiunlsreceived to date totals $334,717,696.38.

‘

26 REPORT OF UNITED STATES VETERAN-S ‘ BUREAU

YEARLY RENEWABLE TERM INSIJRANCE P1ik:Nl117XIIXCON1l:

The following table shows, by sources, the total aIllOUIlt Of ~CtiI’1~renewable term insurance premium income to ,JIIne 30, 192S:

Deposited direct irlto the Treasury by: .inlo(illt

War Departr~~ex~t__________________________ . . . . . . . . $272, 332, 051. S3Navy De artn~ent ____________________________ .

$28, 328, 882.87

Marine orbs ---------------------------------- . . . . q, {)~~, 970. 10Coast Gua~d_ --------- T------------------- --- --- . 509, 025. 04U.oS. Publlc Health Service --------- . . . . . . . . . . . . . . . . . . . 230. {)0

Paid direct to bureau _____________________________ . . . . . 14S,51(~,372.O!~————. .—-— —

Gross receipts ___________________ ----- . - . . . . . . 45-l, 7ti0.132. s3hss—

Refunds n~adeby insurance cas}~iers----- $1,555, 171. 4{)Refunds nladeby disbursiI~g clerk _-_... _ 806, {;33. {JO

—— —. __—— 2, 421, S05. 39—..————

Net receipts ------------------------------- ---- . ~~~,~:<s,:<~~. q~

DIVIDENDS PAID ON UNITED STATES GOVB:RN}IKN’I’ LIFE IX S[’1{.IXCE

The fund from ~rhich dividends on [’l}it~’d St ~]tt’sGo~erl~l~lent lifeinsurance are apportioned is accun~ulated frt~l~~t~vt)sourtI(’s--- s~i~il~gsdue to deferred mortality and excess interest On t II(’ amC)IiIIt etirned

on invested funds over the assumed rate of 3 ~~ p(’r c(’nt. ‘1’llt’l’e \Yerc?519,442 dividends amounting to $4,712,528.74 ptiid during tl]e fiscalyear ending June 30, 1928. The total dividends paid t~>date are2,633,202 amounting to $19,858,623,18. ‘rh(~ fOllo\ving ttil)l~’ showsthe dividends paid in 1928 on policies for $1,000 i~s{ied at the age of30 in force on their anniversaries:

——.—E n(i of

Year of issue I ordinary 20-pay - :1()-paj;- ~ ~~j~~~~,[ ipolicyyear nary Iitl’ rnent life Tll(’nt llft’

II lllent I------l--– — I l___ ____ 1

1927------------------IW-. -.-. -... -.......llW-----. --. -.. -..... I;g:024:::::-::::.:::::

1922-... ---: . . . . . . ..-.lW1------------------1820------------------1919----. --- . . . . . . . . .. I

$1.73 $1.76 $1.7! $1. s1: 1.76 1.82 1.7s l,g~ 1

1.t30 1.88 1. s:] ?. 04: 1.83 1.M 1.87 2.165 1.87 2.01 1.V2G 1.00 2.08 1.97 ;“ ;; I

7, I.M 2.15 ~. ~] 2.,56 ]

1.98 2.22 2.07 2. 70 III 2.02 2.30 2.12 2. S3

I 1 I I——— —-— ..—— -.

—I

I— ——.

ADJUSTED COMPENSATION

The original l~orld lVar adjusted col~]pensat iol~ tict fixed ,JanuaIoy1, 1928, as the final date for the filing of applications for benefitsthereunder. At the last session of Congress ~n anlendatory act waspassed, which among other things, extended the time lin~lt for thefig of claims to January 2, 1930.

The claims for benefits under the JITorld l~ar adjusted con~pensa-tion act that had been adjudicated to June 30, 1928, totaled 3,508,549,and were valued at $3,408,643,666. Of this n[~n~ber, 3,302,[)67 rep-resented adjusted service certificates isslled t(> veterans, ~~:~l(ledat$3?372,166,278; 115,016 were cash paylncnts to veterans lrl]~~seadjusted service credit did not exceed $50, amollnting tt) $4,034, !l!l,5;


86,068 were claims on which quarterly payments were made to thedependents of veterans whose adjusted service credit wasrnore than$50, aggregating $31,065,540; and 5,398 were cash payments todependents of veterans whose adjusted service credit was less than$50, anlountlin gto$147,263. The sum of $l,229,590h asbeen paidon claims for the $60 bonus to the dependents of veterans who diedin service and therefore did not recei~-e this benefit upon the ternli-nation of said service. Death claims to the value of $51,139,856have been awarded to the l~eneficiaries of 50,080 deceased veterans\vho had received adjusted ser~-iee certificates. During the fiscal~;ear 1928, 124,175 veterans filed application for adjusted compensa-tion benefits, while 125,019 applications were approved during thissfinle period.

Since :Ipril 1, 1927, a total of 757)706 loans, amounting to $’i3,-884,775, has been made direct by the bureau to veterans upon thesecurity of their adjusted service certificates. Up to and includingJune 30, 1928, collections on these loans totaled $1,120,170.84, whileas of the sanle date the bureau ha(i redeemed loans made direct bybfinl~s to the value of $24,405,242.

COMMITTEES ON RECOVERIES

The committees on recoveries were established under authoritycontained in section 28 of the W’orld T1’ar veterans’ act, as amended.The central committee on recoveries has original jurisdiction to con-sider and adjudicate all overpayment cases arising in the centraloffice, and similar cases arising in the field wherein the overpaymentinvolved is more than $300. The regional committees in the fieldhave authority to adjudicate, finally, subject to appeal, cases involv-ing overpayment of not more $han $300, wherein the overpayment oroverpayments were not discovered within a period of three monthsof the time such overpayment or overpayments were made. Thecentral committee has appellate jurisdiction over all cases appealedfrom the decisions of re~onal committees.

~idjudications by central office and regional committees on recov-eries for this fiscal year were as follows:

Ollerpaymer~ts disposed oj-.

r--–- 1 I

~ Waived!

N’ot waivedi

TotalI ,

Number Amount NumberI

Amount A’umber Amount——— ——— —

— —-1 ! I l—- I

Central committee on recoveries:Central o~ce cases ------------ 848 $235,055.71 7,51Regional—

$522,161.69 1,566 $757,217.40

Onreview cues ----------- 218 175,185.59 620 398,633.34 838 573,818.93On appeal cases ----------- 13 2,392.47 31 8,567.19 44 10,959.66

Total ------------------- 1,079 412,633.77 1,402 — 929,302.22 2,481 1,341,695.96Regional committees on recoveries. 1, 152 w, 313. ?4 2,444 215,366.74 3,596 305,702.40

___ .—Grand total ----------------- 2,231 502,947.51 3,846 , 1,144,750. !36 6,077 1, 647,698.47

—— . —.——. . . , ———

During the fiscal year 6,077 cases of overpayments were actedupon in central office and in regional offices, of which number 2,231,or 36.7 per cent, of the overpayments were waived. The central


office committee on recoveries authorized waivers on 43.5 per cent ofthe cases handled by that section, as compared with 32 per cent ofthe overpayments ~vaived on cases handled in re~onal offices. Theaverage overpayment handled by the central office committee on~eco}7eries amounted to $54o.91, and in regional offices the averagew’as $85.01, The average amount of the overpayment waived bythe central ofice committee v’as $382.42, as compared \vith theaverage of $78.40 for regional office cases on \vhich o~’erpayrnent wasvaived,

CENTRAL BOARD OF APPEALS

The central board of appeals as no~v constituted consists of achairman with legal and medical assistants in the central ofice andfive sections located in Ne\v l-ork, N. l-.; hTetv-Orleans, 1~~.; C’hicago,Ill.; San Francisco, Calif.; and in the central ofice, \Vashington,D. C. The sections are designated as follo~vs: Section ~, section ~,section D, section E, and the appeal group on central of~lce cases,respectively. Section B, in addition to the usual procedure beforethe board of appeals, controls and operates traveling boards fromNew l-ork to Boston for the purpose of granting to clainlants in thatsection of the country personal hearings. The other sectif~ns con-duct their \vork from one central point and all hearings are held inthe offices of the section. The appeal group on central office casesdfiers sorne}vhat from the other sections by reason of regulatoryauthority and handles, in addition to all death cases and insurancequestions, all emergency cases presented in the central office.

The procedure established in these sections is such that a claimantappearing before any one of them may receive a personal hearingand consideration of all phases of his claim over which the board hasappellate jurisdiction under the World 11’ar veterans’ act as amended.

The purpose of this board is to provide an absolutely equitable andfair adjudication in every case coming before it and to effect, underlaws and regulations interpretative thereof, a decision f~ir to theclaimant and just to the bureau, avoiding }vhere possible unneces-sary reviews or revisions of the decisions of the cases previouslyservice connected by properly constituted authority of the bureau.

During the fiscal vear 13,572 cases }vere referred to the board and13,225 eases \vere di~posed of, there ha~-ing been 548 crises on han{i atthe beginning of this year. The number of pending cases before allsections of the board on June 30, 1928, \vfis895 cases.

DIRECTOR’S ADVISORY GROUP ON APPEALS

‘~he purpose of this group is to give impartial study and makeunlimited inquiry intu the merits of cases appealed to the director,and to make recommendations to him on the merits of the appeal.It is composed of specially chosen men with medical or legal trainingand of such as have had wide experience in this class of work. Appealsare entertained from claimants who are dissatisfied with the actionof the regular appellate bodies, and by designated officials of thebureau upon presentation of proper reasons therefor.

11~ the matter of presenting cases no formal appeal is required. Amere request for review, with a statement of the particular featuresappealed fronl and upon what error or defect the appeal is based, issufficient. The claimant or his duly authorized representati~-e mayappear at a hearing before the group and personnall,v present the case.Personal hearing lS had in approximately 17 ~ per sent of all cases.A transcript of the hearing is made a part of the clalmant’s record inorder that it may be given consideration when the case is reviewed.

As to the method of handling cases, upon completion of the studyof the file by individual members of the group, open discussion ISheld until the most tenable conclusion with reference to the questionat issue has been reached. ii n~emorandurn brief, with a discussionof the case followed by the conclusion reached, is then transmittedto the director with recommendation for disposing of the case. Thisaction is tentative, and unless approved by the director it has nonecessary part in the final decision.

At the beginning of this fiscal year there were 533 cases awaitingreview by this group. The number of new cases received during theyear was 5,595, an increase of 1,601 over the number received duringthe fiscal year 1927. During this year decisions were rendered in4,471 cases, and action other than decisions was taken in 994 cases.The total number of cases pending at the close of this year was 663.

29

REHABILITATION

The end of this fiscal year \vitncsscd the cessation of rehabilitationactivities which commenced immediately following the enactmentby Congress on June 27, 1918, of the vocational rehabilitation act(Public 178, 65th Cong.) which provided subst antialll~ under SectionII the~epf, that any enlisted person or officer of the .~rmy,. Navy, or

—. ...

=e Corps, or member of tl~e Army, NalTy, or Alarlne Corps(female) in active service who, after honorable discharge, in theopinion of the board, was unable to carry on in a gainful occupationsuccessfully, should be furnished when vocational rehabilitation wasfeasible such course of rehabilitation as the board should prescribeand provide. The act, among other things, imposed the responsi-

!

bility to provide such facilities, courses, and instructors necessfiryto insure proper training; to prescribe the courses to be followed;to a allowancc~ for maintenance and support of trainees and their

I

*---- ““-epen ents, and other necessary expenses incidental to folroti~ing theprescribed courses; to do all things necessary to insure vocationtilrehabilitation; to provide for the placement of rehabilitated personsin suitable or gainful occupations and to make or cause to have nl[~destudies, investigations, and reports regarding the vocational rehabili-tation of disab[ed persons and their placem~nt in suitable or g~infuloccupations.

Under Section III of that act training was provided to thosehonorably discharged veterans who suffered a com~ensable disabilityM the result of their war service, but who=ere not i“oiationallyKiridiiappbd to the extent that t~aini.ng was required. Persons inthis class were provided with courses of instruction including tuitionand necessary supplies, but not with maintenance ~nd supportallowance while in trfiining.

The responsibility for carrying out these provisions was vested inthe Federal Board for f~ocational Education. On .August 9, 1921,Congress established an independent bureau (Public 47, 67th Cong.)under the President, which was called the United States l~eterans)Bureau. All of the duties, functions, and powers previously con-ferred upon the Federal Board for \Tocational Education and theBureau of lVar-Risk Insurance, were transferred and made a part ofthe United States Veterans’ Bureau. There was organized in thisbureau a rehabilitation division, which took over the work of voca-tional rehabilitation begun by the Federal board.

JVhile numerous changes have been made in the laws by Congressfrom time to time, which materially affected the adrninistration ofthis work, the essentials remained unchanged, that is, that all honor-ably discharged veterans of the \Vorld ~f~ar who, because of service-incurred disabilities, were unable to follow their pre-war occupations,were given the opportunity to learn another at Government expense.

No attempt has been made to ascertain the individual successes inemployment of each of the thousands of veterans whom the FederalGovernment has equipped and ~ssisted into gainful occupations, asthe expense of continuous follow-up’ necessary to determine thiswas unauthorized. A record has been maintained, however, of thecomplete training history and progress of each person tr~ined and of

30

REPORT OF UNITED STATES VETERANS’ BURE.~U 31

the initial employment engaged in by all at the time of rehabilitation.Special studies and criteria respecting all the major phases of thework have been made, however, and are available in the files of thebureau. These include extensive discussions pertaining to the fieldsof agriculture, commercial, professional, and trade and industrialtraining; treatment and training of the tuberculous, treatment andtraining of the neuropsychiatric, special training for the blind, deafand defective speech cases, etc. ; treatises upon the application of voca-tional guidance, intelligence tests, master training programs outliningthe requirements of occupations in all fields, as well as the value ofvarious types of institutional and placement training facilities andmethods of providing emplo~ment for the rehabilitated veterans.

The bureau’s experience In this work has demonstrated that thekey to successful training of the disabled is the aVOC*l advisement principles from the outtfi occuptitlbn ‘or e-rnplo~~~~jective for which training is to begiven, although the subsequent steps in the general procedure areperhaps equally important. Errors in the initial advisement of veter-

and the time wasted

so .~r~~lthe last follr years of the bureau’s supervision of this work f~llowingits adoption of definite principles of advisement prerequisite to ap-proval of training in each individual case and the training of personnelresponsible for the application of those principles.

After the selection of an employment objective that was reasonablypossible of attainment by the veteran, the next step was to ascertainthe various phases and operations involved in that objective up tothe point of initifil employment, and the selection of a training facilityin which these could be taught. This involved a consideration andapproval of appropriate school, college, and university courses ortraining on the job in some establishment under controlled condi-tions, and frequently a combination of both. For each occupationselected a training program was outlined listing and organizing all ofthe units of instruction, including knowledge and skill required foremployability in that occupation, the type of training for each unitand the appropriate time for completion of the same so that theprogress of the trainee might be measured by the supervising officers.The training program thus executed and signed by the trainee, trainor,and the supervising officer of the bureau, constituted an agreementbetween the parties concerned as to the course of training to be pro-vided. Upon satisfactory

Jcompletion of the program, the veteran

was declared rehabilitate .It was the policy during the last several years of this work to place

trainees not requiring institutional instruction in establishments in aposition to guarantee employment to the veteran upon rehabilita-tion. This method of training was the least expensive, the mostpractical, and by far the more satisfactory as to final employment.It provided for instruction on the job, step by step, through the variousoperations of the occupation, with gradual increase of productivevalue to the prospective employer and of the earning power of thetrainee until sufficient ability had been demonstrated to justify pay-ment of the usual entrance wage for the occupation.

The cooperation of schools, colleges, and industrial establishmentswith the bureau both as to arrangements for training, superl’ision,

32 REPORT OF UNITED ST.\TES YETER.-IXS’ BITRE.417

and emp]oj-rncnt was with fcw exceptions excellent, and much creditis due them for their part in restoring the disabled veterans to pro-ductive usefulness. hlany of the schot)ls set up entirely new coursesto meet the needs of the bureau. This }vas particularly the case inthe field of trfide and industrial training becnuse of the lack of existingstandardized collrses of that nfiture and in figriculturnl projecttraining (independent farming upon land leased or {Jwned by the

I l’eteran).

INo Government or other organization has ever before been called

upon to supervise the ~’ocatiofial training of so nlany ndults, in somany places, in so wide a variety of courses. The work denlandcd Rhigh degree of practical Itnowledge of ~ocational training, keen in-sight into human nature, and initiative and res(~{]rcefulness in dealingwith unforeseen perplexities. Sllper~-isi(Jl~by. personfil (Iolltnct withtrainees at institutions once each month and t}vlce n]onthl~ for traineesin industrial establishments W8S condllcted to insure against expi~Jita-tion or failure to follow a constructive plmn of trfiinil]~ and to initiateany changes in t}r ~~ariation of the tr~ining prograln ~s the circllnl-stances reqllired.

The bureall’s early poli(’y of lltilizing 01ll% “existing” institlltionsand courses f~)r training \vas soon ch~nged ~~hen it was found thatmany ~’eterans were unable to profit f’idly f’ro~l~ instr(lction gi~-en

J lq~f~thno-~field showed thfit few fac=s were n}-athis type of disabled ~-eterans. Traininx ct’nters \vI’re thereloreestablished in nearly all districts to n~cet this need for perlimintiryacademic instruction prior to the assign n~ent f~f cases to rc~[lltirinstitutional courses or training on the job. This type of trainingfacility was disc(>ntinued as soon as the need f(>rthis special f~lndan~en-tal training in a district had been n~ct.

Resident ~-ocational schools }vcre also cstal)lished and t)pertited bythe bureau to receive trainees imn~cdintely [ip(~n (lischargc fronl hos-pitals, so that they might receive tryollt lnstr[lction l~nder ct)ntr~}lledconditions in a helpful environment, as nlany n~en c(>nv}~lescing fronltuberculosis? nerl-ous and mental disease’s brol{e down shortly afterentering training tind had to be rehospittilized. The pr!~gram of }~orl{at these schools ~~-asorganized c~refully for those speclnl groups andusually began with two or three hours of instruction or active workdaily, with plenty of rest and recreation, with the time for acti~re ~vorkbeing zradualll- increased until a full day’s worl< ~ould ~~et~l~en in thechos~n”objecti~-e without ill effect. This “ hardening up” process wasunder the close s~lpervision of medical (~fficers. ~~hen the occupationmost suitable had been determined and it was denlonstrated that atrainee was al>le to do a normal day’s worl< he was tr~nsferred toanother suitable training facility where his trfiining could be continuedand completed. Jwell-regulated resident sch~ols of this type made itpossible to e~-entually readjust a large number of trainees whose successwould otherwise hal-e been questionable and who certainly would ha~-ebeen Go\-ernment chfirges for a lnuch longer period of time.

Definite standards go~~erning all types of training in the fields ofagricllltllre, con~ll~creial, tra~~e, Rnfi ~ndllstrial and professiontil werelaid down for the sllpcrvising ofiiccrs to fol]o~v, so that the st~in(]ar<~sfixed for the .leclaration of rehfibilitntion and col]lpleti(~n of tr~iil~ing


wer(’ l)ase(l ~lpon proof of aecluired ability to enter the occupationsfor }~-hich tr~line(l ~vh~’thcr the training IVaS received at an institution,on the jo?}, or a (Jolnbintition of both. Training ]~-as fliscontinued inC8SCS of severe phrsical disability upon advice of nle(lical officers, anclin cases \\hcre fnllurc or u n\\-lllingness to progress FIft cr reasonabletrial It-as evi,{ent, an(i in cas(’s of voluntary Ivithdra]t-al.

Training lln{l.cr section 111 (402) of the act ~s r(’ferre(l to above,grantt~{]. to IJcrsons not vocationally handicappe(i bllt in receipt ofconlpensation for st’rvice-incurred disal)ilities, consiste(l of r[~glllarinstitutional courses or t’orrcspondence collrses of rec(~gnizecl ‘stand-ing, (lcsiognet~ to assist the voter’an to progress in his joi) and to in-crease hls earning po~ver. .\s the veterans recei~-e~i no nlaintenancetin[i sllpport al]o\vancc for th[’n~s(>]vcs or d.epen[lcnts }~-bile fol]o~vingthis type of training, the gcnel.nl ]Jractice was to pursue these collrsesat evening, night school, or I);i- correspondence, so as not to interfere}vith their regl~lar (’lnplo:~’nlent. This type of training ~v~s tern~inatcdin each case ~~hen the prcs(’riijecl collrsc had be[’n completed or thetrainee for various reasons ~~~asunable to nlake nornla] progress in hisstu{ii(’s.

Since th(’ 1):’ginniI?g of this ]~-orl<in 1918, the buretiu has (Ietcrnlincdeli:<il)ility for vocational training and registered 329)969 applicants;of this nlllnl)cr, ho};-cv (’r, only 179,519 actually entered training;48,773 of these ltrere discontinued for various reasons, and 1,999 diedafter (’ntering training. The nunlber declared “ rehnl}ilitated” andel]~]jl(~~:il)]~ I)y reason of training was 118,355 and the nllmbcr classi-fic(l [ks “(’olnplcte(l, ” 10,3{12) l~lal<ing a total of 128,747 }~~ho satis- /

factorii:~~ complete(l the courses prescribed for them.The vett’rans entering tr~iining ~~cre subdivicied as to the type of

facilitic’s utilizc{l, in carrying ol[t th(~ training program. The facilities~ltilize.! consisted of cducutional institlltions, industrial establish-[nents, an(] the vet(’rans’ o}vn farm or business; the t~-pes determinedby the!e facilities lvere institlltional, placenlent anti project training,res~ectlvely. The following table sho~vs the per cent of traineesasslgne~l to tlhe several types of training:

TYpcs of traillillg: Percent of totalIilstitutiollal (sec. BOO)______________________________ 23.06Illstitutiollal (see. 402) _____________________________ 11.14Illstitutio[ltll a~i[l pla{’ellie]lt (sec. 400) ----- ______ _____ 29.63IIlst itutiot]al a~~dproject (sec. 400) -- - _-- ___________ - 5.02Pla(cxllellt (see’. BOO)_______________________________ 29.63Plaeenle]]t ax~dproject (sec. 400) --- - _- _- _- _--------- .35Placen]el]t and il]stitutiol~al (sec. 400) --- -- __-- ___- _-- .68Project (see. 400) __________________________________ .49

The training progranl was further divided by types of industries.The following table sho~vs the per cent of trainees in each of the majorclasses of objective:

Objective: PerCentoftotalAgric{llt~ire--------------------------------------- 13. 12NxtractiI]g nlillerals -------------------------------- , 16hlal]ufacturil]g al]d n~ecllallica] industries____ ____- _- __ 39, 69Tral]sportatioll ------------------------------------ 1.66'rra~e ------------------------------------------- 13.01Plll~lic service ------------------------------------- 23I>rofessiol]al ser\'ice-------------------------------- 16:45Dolllestic al~d personal service- -------------------- - 1.58Clerical occupatioxls ------------------------------- 13.08S])eC’lalstlldellts__- ---------------- ---------------- 1.02


The term “Special students” as used above includes Braille andspeech correction, etc.

The extent and variety of supervision required is best understoodwhen consideration is given to the fact that approximately 420separate and distinct employment objectives were spectied in thetraining program of the 17g,000 veterans who entered training.

The difficulty of advisement is further illustrated by the fact thatthe educational ualifications of the veterans rated eligible for train-

1ing varied from i literacy to college education. The following tableshows the educational qualifications of the veterans under sef’tion400 of the act:

Education: PercentoftotalNotgi\’en _______________________ ______ __________ 7.04NoeducatioI1--------------------- ___ . . . . _________ 1.1Slto3years elementar~----------------- -—-- -- 4.74t08~ears ______________________ ______ .~~_-_-__ 54.71lto2years high school ____________ ________________ 13.2S3t04years high school _________________ __________ 10.936 months or more business school _________ .._. _. -_. - 1.64lto2~ears trade school __. _... ____ _._. ____________ .242t04~ears trade school ______ __ . . .._ . ___________ .05lto2years cO1legeorunivers~ty ---- . . . . . . ---------- 4.013t04Years college oruniverslty..-_. ________________ 2.22

The following table is the result of a study of three groups ofveterans, based on educational (~ualifications, showing the pre-warwage and wage at tilne of en~ployment after rehabilitation:—. -.

\~age scale

-. ————I

1-3 years elemen-tary

I

Before .4fterrehabili- I rehabili-

tation tatiou— —IPer cent I Per cent

upto$7w ------------------------------- 26.21 ~ 14.92$750 to$l,ooo -------------------------------- 21.70 : 20.31$l,oooto $l,250---------------------------- 19.38 24.91$1.250 to $l,m.. -.-... --. -.. ------- ...-.-., 13.31 18.76

9.25$l;wto$l,750----------------------------$l,750to $2,000----------------------------$2,wto$2,m ------------------------$2,250 to$2,5cm)-- _-.. .- . . . ..--- . . . . . . . ..--..$2,500 to$2,750--- . . . . . . . . . . . . . . . . . . . . . . . ,$2,750 to@,ooo-- . . . . ..-. .----- . . . . . . . . . . . .$3,000 to$3,500.. . . . . . . . . . . . . . . . . . . . . . . . .$3,500 to$4,000----------------------------$4,000 andup. ..-.. -.. . . . . . . . . . . . . . . . . . . . .

8,305.822.351.44.53.35.33, 15.13

7.081.861.30. 57.27.37

:;!

—. —.3-4 ;~o:righ 3-4 years college or

university_—— .——

Before \ After Before -Afterrehabili- rehabili- rehabili - r.e~i~;i-tation 1 tation tat ion

—— — __—

Per cent Per ~; Per cent Per c(nt13.82 5.93 3.7119.53 6:98 9.67 4. wYJ. 16 17. 5s 16.W2 12.1614.88 20.72 11.30 11.498.62 13.53 9.34Q.71 20.57 1: Y) 20.313.56 7.06 4. W2 7.782.98 5.29 7.45 12.161, 15 2.01 2.21 1 3.63.W’ 1.11 4.43 5.34.671 .85 2. so 3.11.53 .63 4.89 3.18.51 .65 11.65 3.71

-.——

A review of the nllrnl)er of veterans of eacl~ racc~who availed thel~l-selves of the benefits of the rehabilitation prt~~a]n shows the follow-ing per cent:

Race: Per cent of total

Callctisiti1~________________________________________ 96.2SEthio~)ial). . . ..__ ________________________________ 3.5:]hlo1lgolial]---------------------------------------- .02Indiall ___________________________________________ .05NIalay___________________________________________ . 12

Of the total ntlnlbcr entering trnining, 65.SS per cent sa]v s{’rviceoverseas.

The extent of the training progrfinl is indictited by the “fti(tt that3~9,9~9 ~-eternlls re~zi~t~,l.t,({for trliill~~lgt1~~~,~]~ ~Iltered trailliIl~, ~nd.> .,


a total of 5,000,000 training months were required to complete therehabilitation activities of the bureau, necessitating a total expend-iture of $645,007,450.62.

Following the policy of providing an employment opportunity to .,each trained veteran, the bureau through its emplo~me~k-~rvice ~1.,.......+..- .. .s.established and maintained active “-lIai’ion bet~veen the emplo~~ing \public, the f acfli.timftia~=-tiQ~.~-~bor:~ ‘ernP~OXfieRt service, :

... . .—..

and-a~ lGtaI civic and welfare agencies throughout the country, andthr~ugh those mediums and the individual efforts of its trainingancl employment officers furnished jobs for virtually all rehabilitatedveterans. Much praise is due those agencies for their warm responseand cooperation in this w-ork.

‘1’he primary purpose of the rehabilit ation program, as stated above,was the retraining of the disabled veterans into productive employ-ment in an occupation in which the disability incurred in serviceIvould not be a vocational handicap. The extent to w-hich the read-justment into industry has been effected may be judged by the factthat of the 118,355 completed training <under section 400, approxi-ti~~.+ s~~r vent” ‘~ei~ prticp.d ,.in gainful. e,rn~glent. Nlany ofthe posltlon= herd by veterans subsequent to tralnlng do not carryremuneration on a salary basis but returns are made on a commis-sion or by work accomphshed basis. Therefore, it is difficult to makea comparison of the pre-war and present wage. However, the fol-lowing table show-s a con]parison by per cents of a group of employeesat certain salary ranges before and after retraining:—..

(,

Annual salary Beforetraining

upto$7w-----------------$7Mto$l,o(K.-... -... -- . . . .$l,oooto$l,2M-------------$l,250to$l,5m.. . . . . . . . . . . .$l,500to$l,750.-----------$l,750to$2,00c..-----------$2,000to$2,2.w-------------$2,250to$2,500-------------

I---

1..--..-..

. . .

---

. . .

---

I

Per cent20.3420.06 1;;. :4 1

8:37

————..——

8.052.872.32

I Before I Aftertr~l%;g \ .4nnual salary ~training I training

——Ii

-- -—--”l———Per cent ‘

7.56 I $2,50Qto $2,750. .._. .-- . . . .11.69 $2,7wto $3,w-. .-.. ___...21.50 I $3,000 to$3,50(- . . . . . . . . . . .21.51 $3,5mto w,ooo . . . . . -------13.58 ~ .M,oooto $4,500..-- . . . . . ..-13. 1; .w,500to $5,000. . . . . . . . . .-4.28 ‘ $5,000 and up . . . . . . . . . . . . .3.30

I Per cent Per cent---- 0.80 1.14---- .62 .74..-. .46 .69

.37 .46

1:: . ;!

.-. . . IS .15

1!——.———- .——..——--—. .—

It ~~-illbe noted from the table given above that the salary rangesfrom $4,000 Ilp show a slight decrease. This does not necessarilyn~ean that there has been a decrease in those ranges, since many posi-tions commanding returns equivalent to the ranges indicated arefilled on a commission or amount earned basis.

Theworld Iyar veterans’ act of 1924 states: “The test of rehabili-tation shall be employ ability.” The results of retraining, therefore,may be measured by the per cent of veterans trained into gainfulen~ploynlent. The records pert aining to employment of veteranstrained under section 400 of the act referred to above sho~v that 97,8per cent }vere employed at the time training was terminated.

FINANCE

The net disbursements for all purposes dllring the fiscal year ended<June 30, 1928, tiggregate $439,157,199.63, which represent an in-crease of $33,808,751.93 over those of the preceding fiscal year.‘1’his increas(l is aecollnted for largely by the redenlption of lonns

36 REPORT OF UNITED STATES VETERANS’ BURE.4U

nlade by banl<s to adjusted-service certificate holders, the expendi-tures for v-hich total $35,254,794.80 as con~pared ~vith $14,407,783.32for the fiscal yetir 1{)27. .f ll~titeri:~l inttrt’ase occllrred in dlsburse-n~ents fro]ll the appropritition “ Ililitary :in(l ~~~-al ~(lrll]~(’nsati(~n,”due to the re~-ie}v of’ ser~-ice con[le(’ted cases r:lted, leSS than 1(1 percent ~vhicb resllltcd in nlan~ nciv :llf-}trds, tile fllrther applic~ltion ofanlendatory legisl:ition provldin~ the $5(J st~it~lt(~ry a~vard for arrestedtuberculosis Ctises, ~lnd the incr~~as~’ in the nvert~ge col~~pensationaward dlle to the tipplication of the ne~v disability rating sched~]le.Expenditures fr~)n~ the appropriation LTnited States (iovern]ncnt lifeinsurance fund increased fron~ $11 ,8(;4 ,371.29 to $17,(i(i4,32!l.21, due

to the conversion of all terl~~insllr)il~(’(’, \Yhich increased the convertedinsllrance in force tind resulted in a l~irger n~ll;~ber of clainls.

The net disbllrsel~~ents Illtide froll] all ~i~)])roprii~tiol~s”during thefiscal years 1927 and 1928 are sho~vn belo~f- in conlparati\-e forll~:

—.

~Jnitefl St:~tes (;(lvernnler]t life insurt]nre ftln(i . . . . . 11,$04,371.2!! 17,6(A,3W. 21.krrny :lll~)trnent~. . . . 1hh, !)73,71 I 32,W9. 67. . . . .N[ivy allotments 1 lo, fl12.16 1 1,{)14.78..-. . . . .3ft\rlne (’orl). :lll{ltitlenl~

. . . . . . . . . . . . .I 7h7. k:) 1 I 1, 184,h3

Cortst (;uprtl :lllf)tment~ I 4(;.00 ‘ I 15,00-—. .— —

‘1’otill exi~en(lit{ir(’s !05, 34S,Ai47.70 ~-t:){),137,19!!.63

The abol-e figures include allotnlcnt~ ~~f $4,496,31~.~~ and$4,849,481,54 nladc d~lring the fiscal ~-cars 1927 and 1928, respectively,to the LTnitcd States I)ul)lic 1-Ie/~lth Service, N/ition~l Hon~es forDisabled Volllnt(’cr Soldiers, tind the JYtir, Navy, and Interior Dep~irt-n~ents for the care and treatl]]ent of })~lrei~llbeneficiaries in hospitalsoperated by these Governl~~ent agencies.

The total al]lount of L,nited States (lovern]]~ent life insurance f[]ndsin~-ested in C~overnll~ent securities incretised $9,444,346.76 during thisyear, as conlp}~red with an increase of $27,121 ,f;45 .29 for tht’ ])re(’edin:fiscal year. This decrease in the tin~ollnt in~-ested in 1{123 is d~le toth[’ f’:ict tlltit direct loans by the bllre[il~ on adjl]sted s(’rvic(’ certificate’s,which are pti~-able frol~~ the LTnited States C~overn]n[’nt life insurancefllnd, ~rerc l~~adefor only three nlonths of 1927 as ct]t~iparetl ~vith thewhole of 1928.

REPORT OF ~-NITED ST.ATES YETER.4NS “ BURE.\U 37

The percentage distril)ution of all disbursenlents made during thefiscal year 1928, as col~~pared ~vith th~t for 1927, is gi~-en in the fo]low-ing table. These figures represent disbursenlents only, and when allencunlbr}inccs for this yeilr are recorded slight changes will occur.Included in the salaries ior field ofiices are salaries paid the professionaland technical personnel tit clinic,:, which should be elil~~inated fromadnlinistrative overhead. Deducting the salaries of this personnelat fielcl ofkices the pcrcent~l:e for this item is lllaterially lower.

—. ———.—Sa]aries:

IIospitds ---------------------------------------------------------------------------Fieltl offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~entraloffic[~-... -----------------------------------------------------------------

.id~ninistratit-e cxpenscs (other tl]ans[~laries) -------------------------------------------Vocatimal rehal)ilita[lon:

l'raining llll{)lvances -----------------------------------------------------------------Other training exI>tlr]ses--------------------------------------------------------------

XIedical and hosljital c~pcnscs (other than salari(,s) --------------------------------------l~ospi(al facilities and servic(’s (construction) --------------------------------------------C'ort]pc,nsati()Il . . . . .._-- ._ . . . . . . ..-. ---. -... _____________. -------------------------------‘1’ernl insuranc[~ ..-_. _._.. -... -... -.. ---... -... _-_. --. ---_ -.. --------------- ..-. -.--- . . ..lLlnitcd States (Jovern]]lent lifcins[lrance.. ---. -.--. -.-. ---. --. -.-. ------ .--. -.. -.. -- . . ..i.<djusted ser~’icean(i (Iependcnt pay -----------------------------------------------------A[ijuste(l service certific:lte ftlrl~i . ..----- .-. -.-. ---. -.--... -.----- . . ..--. -..-. ----- .---.-/_—————___ _._——_—— —

19n 1927-~._

3.71 3.572. ,50 3.101.89 1.59.54 .70.04 .46.01 .09

6.87 7. 781.19 1.13

41.39 42. W27.50 29.844, o~ 2.932.31 2.46s. 03 3.55

—

The total filnount appropriatefi for the fiscal year 1929 is$485,560)000 (exclusive of estil]lated expenditures for United StatesGo\-ernnlent life insur:ince, which is n~et by premium receipts). Itis expected, howe~’er, that a deficiency in the approximate amountof $5,650,000 ~~-ill be required in the appropriation “ Nfilitary andnal’al insur}~nce, 1929, ” since the original estimate did not anticipatethe large timollnt of United States Go\~ernnlent life insurance thatwould bc tal<en t)y persons in the militfiry ser~’ice under the con~~erted5-year plan. Such insllrtince requires the transfer of funds fron~ theappropriation “ Nlilitary and na~-al insurance” to the United StatesGox-ernment life insurancp fllnd llnder section 302 of the lVorld \Tar~~eterans’ act on account of the extrti hazard of n~ilitnry and na~~alser~’icc.

~ippropriations for the fiscal ye~~r 1928 total $535,400,000. howe-ver, $33,200,000 of this anlount represent:; a dcticiency encounteredduring the fiscnl )-e[ir 1927. The net ~~ppropri[~tion a~nllal)lc for 1928is, therefore, $502,20 c,000. The appropriations require(~ fflr }liipllrposes for the fisc[~l ~-ear 1930 ha~’e been conservatil-ely estin)~ttcdat $503, !175,000.

LEGAL

LPgislatiOe 21’ork.—During this ~c~r el”ery [Issistan(e v;~ls rell(i(Iredcongressional con~mittecs and indll’idual Xlemt)ers of (’ongrt~ss in thepr(~paratio~l t)f an~endlk]ents to the general stat~ltes. i~sslsttillce w-asalso given tt) the hlclnb~’rs of Congress in the drafting of bills forthe relief of individ{lal veterans. .~t the request of these [’onlmittcesreports were prepared shelving the effect of proposed an~endl]lentson existing legislation and further informing theln as to eircll[nstancessurrounding lndi~-idutil cases in~’~}lving ~’etertins for tl~e relief of Jvhombills were proposed. I{eports of this chflraeter were fl!rnishefi on3(IO bills during this year in addition to those sllbnlit,ted to individualhfembers.

1S119—28—4


[email protected] this period the legal department of centraloffice rendered some 1,541 strictly legal opinions covering all phasesof the World War veterans’ act and the World War adjusted com-pensation act, and affecting every right of bureau beneficiaries underthese laws. An analysis of these opinions disclosed that 321 had todo with insurance benefits of one character or another, 330 con-cenled beneficiaries under legal disability (that is, guardianship cases),164 settled compensation rights, 77 determined ad “usted compensa-

\tion payments, and 649 may be classified as miscel aneous opinions.In point of volume the largest item of the year’s legal activities in~entral office centered about requests for advisory opinions coveringm one way or another virtually every phase of the bureau’s multi-farious affairs. The table for these general submissions for the yearshows the following results:

Number of questions: ,Onhand July l,1927------------------------------ 9(;Wceived ----------------------------------------- 5,736Disposed of ----------------------------------------- 5,734Onhand June 30, 1928 ____________________________ 9s

These figures include the 1,541 strictly legal opinions above men-tioned.

CiwiZ suits.—The defense of actions brought against the VnitedStates in connection with Veterans’ Bureau suits is committed gen-erally to the Department of Justice and the local United Statesattorney for the district in which suit is brought. The bureau inall instances assists the United States attorney in the preparationand trial of cases through the services of its regional attorneys andcentral office attorneys especially trained in this class of litigation.During this fiscal year 21o insurance suits were disposed of, 70 result-ing in judgments for the plaintiffs and 140 terminating m favor ofthe Government. Of those terminating in favor of the Government,25 resulted in judgments, 112 were dismissed either by stipulation oron motion, and 3 were disposed of otherwise. These suits involveda total of $1,918,790.15, while the cases on hand at the close of thisyear involved over $5,000,000. The judgments recovered by plfiin-tiffs in the 70 cases amounted to a total of $342,360.41, although theinsurance involved and which may be payable In future installmentstotals $650,983.02. The suits resulting favorably to the Govern-ment involved insurance to the amount of $1,267,807.13. The fol-lowing table indicates the insurance cases on hand July 1, 1927, thenumber received and disposed of during this year, and the balanceon hand as of June 30, 1928:

—I ‘- ‘-— I

Suits on contrscts of insuranca I On hau(l 1‘e@i’”d 1‘is%sed 1 ‘alance

l——— I——

I 368 425In litigation-.. --. ------ .--. -.------ ..--. ----. -------- .---- ..---l 210 I ~~Threa@nd ----------------------------------------------------- 204 712 513 403

,_—- —

Prosecutwns. —The prosecution of criminal cases is also committedto the Department of Justice, but, as in litigation in civil proceedingson insurance contracts, the bureau prepares the tr~inscript of the casesfor submission to that department, and attorneys from central ofFicehave in several instances assisted in the present at ion of these cases tothe grand juries as well as in the actual trial of the same. ~1 large


proportion of such cases involves some elements of fraud, falling underthe penal provisions of the various acts relating to the bureau; butwhere these statutes do not cover the particular offense, the cases arethen prepared llnder the germane provisions of the Federal CriminalCode.

At the beginning of this fiscal year there were 197 criminal cases onhand. During the year 170 such cases were received and 167 disposedof, leaving a balance on July 1, 1928, of 200 cases. of the casesdisposed of, 119 were dismissed by the Department of Justice or thegrand j ur~ failed to return indictments. Nine were. prosecutionsunder section 35 of the Federal Criminal Code, the maximum penaltyfor which was set by the court as two years in the penitentiary. Twowere prosecuted under section 505 of the \Vorld l~~ar veterans’ act,1924, and both indicted. Two were prosecuted for embezzlementunder section 47 of the Federal Criminal Code; one pleaded guiltyand the other was nol-pressed. Three were prosecut~d for chargingexcessive fees under section 13, article 1, war-risk insurance act, 1917.The nlaximuln penalty was one year in jail. TWO charges wereforgery under section 29, Federal Criminal Code, and both pleadedguilty. Ten were charged with excessive fees under section 500,\T~~rld\Var veterans’ act, 1924, with a maximun~ fine of $250 assessedhy, the (Iourt. Three were prosecuted for making or procuring falseafhdavits, and a maximum penalty of $3OO and six months in jail wasassessed. Four were charged with taking unlawful fees under section309, l~(~rld \Var adjusted compensation act, and all found guilty.Thr[~e ~vere charged with making false affidavits under section 25 ofthe war-risk insurance act and the maximum of 10 months in jailand $~[)0 fine assessed. Five were prosecuted for taking unlawful feesunder sections 304 and 503 of the lVorld lVar adjusted compensationact. one was prosecuted for making false affidavits under sections 25and 27 of the war-risk insurance act. One was fined $350 and costs of$405.7(1 in connection with dental frauds. Two were f~~}nd guiltyunder s~?ction 503 of the IVorld ~~ar veterans’ act for recelvlng moneyfrom the Government to which they were not entitled, and themaximllm penalty of 18 months in the penitentiary was assessed.One was sentenced to jail for removing and concealing records undersection 128 of the Federal Criminal Code, and one was placed onpr~bation for five years for forging records. One was con~icted forfiling false claim under sections 25, 26, and 27 of the war-risk insuranceact, and one was fin~d under section 3?, Federal Criminal Code, on acharge of falsely pretending to be a United States officer.

Suits against bureau ofic~als.-To the legal department of centraloffice also falls the preparation of the defense where bureall officialshave hef’n shed as individuals in connection with their official acts.There were 20 such suits against the bureall and individual officialssettled during the last fiscal year. One of these was for coal deliveredat New York City and resulted in a judgment of $2,042.50 for theplaintiff; one was a suit to recover money paid under an erroneollsadju(l.i(’ation and resulted in a recovery for th~ ~~overnrnent. of$1,870 .96.; one was a suit brollght by a beneficiary for travehn.gexpenses in connection with reporting for physical examination. Thisshit }ras (Iislnissed. Four were injunction sllits and till were dis-misse(l. l<;]f~vell~}-er[~~llmndfilillls proceedings, tind th(’ rlllr in e~chwas dischargetl. one J!as a haheas corplls petition an(l th~’ petition

40 ItEPOItT OF ~NITEIJ ST.\TES VETEI1.lXS’ BUItE.~U

I

———— ———— . .. .——— ‘—---- -1 - -

Total ___________________________________________ ________ 1S,9[)1Judgments in favor of ])lairltiffs, l)eilc~illg J~lr]c 30, l{)ZS _ _ - _ ----- ---- 14Z, 700

Grand total ----------------------------- ----------------- l(;l,(j!)l

REPORT OF LTNITED STiiTES VETER.INS ‘ BURE.4U 41

banks and trust companies and 3,123 individuals serving as legalcustodians of minors and nlentally incompetent beneficiaries. Thebureau endeavor-s to have legal custodians recognized wheneverpossible in order to obviate the payment of court costs and counselfees ordinarily involved in connection with the administration of theestate by a fiduciary.

of the total number of hospitalized incompetent veterans, there are5,254 for whom fiduciaries have not been appointed but for whomth[’ medical oficers in charge of the institutions in which such bene-ficiaries arc receiving treatment are ndministcring the payments ofcompensation received from the Government for the necessities andcomforts of the patients, thus eliminating the costs of securing thefi~JpOintm(’nt of R fiduciary and the expense of subsequent fiduciary’st“tjl~~nlissions and attorney’s fees.

ln ~11 cases where it ]s feasible to do so, the regional attorneyspr~’pare the legal pfipers in connection with the appointments offiduciaries, the filing of petitions, and the prep~ring of accounts.‘1’his legal service results in a saving to the assets of the wnrds whichxnay be estimated as 2 ~2 per cent of the amount paid annually.Tllc policy of the bureau of limiting commissions of fiduciaries to 5pcr cent of the annual income of the trust estates results in an addi-tional saving of approximately 2~2 per rent of the entire amountpaid annually. Therefore, the value of this service to the Govern-r]~(’l~t’s legally disabled wards may be estimated conservatively to bein excess of $2,000,000 annually. In addition to these savings, how- .’ever, there was recovered for the use of these Government wards ‘duril]: the past fiscal year the sum of approximately $619,781, which ‘rec~)}-ery was due in part to the excellent cooperation of the State I

{’ourts.l’he bureau has 18 neuropsychiatrie hospitals, of which but 5 are

allthorized to receive pntients duly conlmitted by the State authori-ties. The other burenu hospitals are without legal authority todetain in custody. any patient received thel$ein for care and treat-nlel]t. .Appreciatlng the necessity for uniformity in the variousStates regarding the conlmitment of patients to bureau hospitalsat~(l the ndministrntion of’ estates of burea~l beneficiaries, the bureaullRS drafted a uniform probfite act to be known ~s the “Uniform~-etcrans’ guardianship act, ” which tentative draft was submitted tothe ~imerlcan 13ar .Association and the national conference of com-missioners on uniform State laws. The association and the confer-ence approved the proposed act with Ininor reservations. This actprovides, in genernl, the method of appointment of a fiduciary for aburetiu beneficiary under legal disability, for the filing of petitionsand accounts, states the grounds upon which fiduciaries may berelnoved, and provides the manner of removal; limits commissions offiduciaries to 5 per cent of the income, outlines the method of safe-guarding trust funds of wards, and provides for commitment ofbureau beneficiaries to United States veterans’ hospitals and, ifpassed by the several State legislatures, will be a material advtincestep in the administration of guardianship matters.

~lpproximately 3,500 social surveys of Government wards underlegal disability are made each month in order to ascertain whetherthe necessary care and treatment, permitted under law and bureauregulations are being accorded incompetent and n~inor beneficiaries.

PERSONNEL

on June 30, 1927 there were 23,696 en~ployees on the bureau’srolls? whose aggregate annual salarles (includlng allowances, but ex-cludln the compensation paid per diem and per hour employees)

ttotale $38,939,054, as compared with 23,933 employees and $39,707, -541 in annual salaries on June 30, 1928. In other words, there wasa net increase of 237 employees and $768,487 in ~nn~lal sa]aries duringthis one-year period.

During this year the nun~ber of personnel in central office increasedfrom 4,338 to 4,508, and the annual pay roll frol~l $7,593,528 to$8,062,085. Tbs represents a net increase of 170 in the total en~-pioyees and $468,557 in annual saltiries. The increase in the nunlberof employees was due largely to the increased activities of the newdivision established toward the C1OSCof the fisctil year 1{)27, for thepurpose of administering, recording, and otherwise htindling the loansnow made direct by the bureau to veterans {Ipon the secl[rity oftheir adjusted-service certificates, and to the ne~~-sul)flivision cretitc(iduring this year for handling the emergency olficers’ retirenlent [~ct.

In regional and allied field offices there was a net redl]ction of365 employees an(] $538,334 in finnual sal~ries. The tot~l personnelassigned to these offices on June 30, 1928, was 5,648 and the finnualpay roll $11,064,543, as compared }vith 6,013 enlployees and $11,602, -877 in annual salaries on June 30, 1927. This nltiterial reductionmay be attributed direc~l~ to a closer supervision of reqlliren~ents anda consolidation of activities and duties wherever indicated.

During this year the personnel on duty at veterans’ hospitals in-creased from 13,079 to 13,542, and the annual pay roll from $19,180, -464 to $20,126,760. This increase of 463 cn~ployees was largely theresult of the opening of one ne]~rhospital anti the operation of addi-tional patient facilities at a number of others.

Study of the nlorale problem among l)uretill personnel has con-tinued. Action with reference to promotions, demotions, an~iodis-continuances has been based on efficiency, length of service, n~llltarypreference, etc. Before discontinuing enlployees who have l)econ~esurplus to the needs of certain bureau activities, ~n etiort has beenmade to place them elsewhere. This practice h~s resulted in the re-assignment of a number of worthy en~pl?yees.

During this year the policy was continued of not pron~oting anyemployee in central office to the next higher grfide unless he had the~ghest efficiency rating in the next lo~ver grade find htid a properCIVI1service status, exception to be ~nade only when the higher posi-tion calls for a person with special, professional, or technical qualifi-cations.

In making new appointments, and in aflecting discontinuances onaccount of reduction programs, the policy of extending preference toex-service employees has been carefully followed. The same prefer-ence has been extended in filling vacancies occurring in the staffpositions of the bureau. Eliminating the so-called floating personnelin bureau hospitals, such as ward attendants, waiters, kitchen helr~ers,etc., 57.96 per cent of the total male enlployees on the bureau’srolls on June 30, 1928, were ex-service, and 10.95 per cent of thefemale personnel had such status, while 34.21 per cent of total per-manent personnel of the bureau was ex-service on the aI)ovc date.

42

CHART NO.3

u. S.VETERANS BUREAU

PERSONNELHospitals Vocational Schools

•1 ❑Administrative

NUMBER

“’”””~

I

L

30,000

25,000

_——

n—

1—————I —1 I

I—

k1,/’

-.~,:;

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___–_ -–- ]g~~.—— —-——t–––––1923 –—

192%——––– –--— J_—.——-—— I(1.~)ltp r ,

FISCA1. YEA? ●

* FIEL.[1 l~,,ard If Appeal%. II Highest peak of each year fmIn 19:7 to 1926

supply 1). ~tsl\ll!,—2s. (}’,,(, [1 12 )

STATISTICAL TABLES

.—43

UNITED

STATES

VETER.\NS’

——

—

—-

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TABLE No. 3.—X-rul/ exuminationg in the United States Veterans’ Bureau dis-pensaries for j,scal ~ears 192J, 1925, 1926, 1927, and 192,9,examination

1 I 1 I 1 IA-um- Tota)

Fiscal her Xr-rav ‘card’ O- y~::” Uro-C host vascu-

yenr cases exami- lar tinal genital Dental Sinusesrayed nations I stripe tract tract

I——1924. . . ...1 120,6901925------ 112,7161926------ 93,9921927. ----- 81, 1311928. ..--- I 67,631

—-l—1 -—I

132,213 49,359 6,601128,355 52, 419 6, 265114,997 46,407 7, 331107,829 43,562 5,759104,836 [ 33, ~ 4,857

I I——_ —_ ____ .

TABLE No. 4.—X-ra:ythe jiscal pegrs 1924,tion

——_____

I h~ey- Tot alFiscal , X-rayyear cases ex:imi-

rayed I nations—. _

1924------ ! 78,713 85,6321925------ 92,304 97, 7651926------ 94,871 103,Wo1927------ 97,298 114,2561928------ 100,389 129,329

7, 6228,4967,8037, 4826,629

-------1 ---I

1,526 17,6361,654 18, 1691,523 , 15,9731,447 10,9041,626 13,561

6,2877,0175,3584, 1594,180

I I I I I—

classi$ed bg type oj

I

Bones ~ For- Miscel-anjoints I be~g~= ‘aneou

l.-.–!38,761 I 1,810 2,61130,979 950 2,40627, 174 810 2,61824,551 9,33024,3921 E: 15,773

1 I

examinations in the (~nited ,States veterans’ hospitals for1925, 1926, 1997, and 1928, classified bg type oj examina-

Cardi& qastro- ~lro. Bones(’best v~ru- ;:$-

For-genital Dental Sinuses and “ hliscel-

tract “~n 1aneousI stripe tract joints bodies

,-__, ____., ~_ _, _____/__ , i5,339 1,615 18,841 3,845 15,9096,395

419 I 1, 6972, 161 , 19,217 4,259 15,511

7, 120353 1,555

2,443 19,014 6,230 19,654 3629,025

1,7712,518 19,225 5,408 20,436 503 9, 7a59

10,281 2, .5Cfi~ 17,097 5,561 22,478 298 22,357

TABLE No. 5.—l’otal out-patient medical serwice, by service rendered, for jiscal years192.4, 1926, 1926, 192?, and 1928

I

Treat- Individ- ~xami-Fiscal year Treated uals Opera- Anesshet- Sent to Hospital Home

ments examined n~tions tlons hospital visits visits

1924--------- 763,789 1,703,317 ---------- 1,363,295 15,312 3,758 47,065192b--------- 568,097 1,257,967 ---------- 1,144,330 5,863

95,992 45, 152

1926---------3,085 59,916 81,680

346, 96~ 1,044, 124 331,947 936,744 4,28938,091

2,177 67,871 49,259 35,0631927---. --.--1 262,420 873,577 338,761 922,364 2,600 1,0811928--------- 260,590 827, 122 322,302

71,340 28,800871,756 2,364 423

34,97273, 472 19,666 38,633

—_——. _ _ _

TABLE No. 6.—Classijicatzon of tolal examinations by kind oj examination for jiscalyears 1924, 1925, 1926, 1927, and 1928

— —.——

Fisml year (Ieneral 1 I,abora- ::’ ~;~ :sycg- Tubcr- Surgicalmedical , tory an(i or- IIeart

thr~at at ric culosis thopedic

i-–-– -;; ‘;wy,-1924-_--. ..-. ._ . . .._. -_. . ..-... - 527,845 . --------- 182,5891925--. -.-. . . . . . . . . . . . . . . . . . . . . . 399254 ‘---------- 147 6Q4

143,452 ---.-.-..-

19M---------------------------- 337’116 ---------- 111:207110;238 176:980 105,463 ----------

1927---------------------------- 374; 684 ----------89, 179 143,317 91,945 ----------

94,475 76,210 138,(?601928. ..-. ----------------------- 208,765 156,597

86,905 ----------8,659 73,267 93,882 79,698 28,750

I I

X-ray‘encreal Genito- ____ Physio-

Fiscsl year and non- urinary I‘- thera- Dental Totsl

venereal Lfedical ; Dental , phy

————_ ___ _ _ _ .— .--—— —.——

1924-- . . . . . . . . . . . . . . . . . . . . . . . . . . 19,222 . . . . . . . . . . 150,469 . . . . . . . . . . 13,4061925. . . . . . . . . . . . . . . . . . . . . . . . . . . .

35,704 1, 3&3,29516,792 . . . . . . . . . . 154,263 . . . . . . . . . . 9,572 24,074 1,144,330

1926. ----------- -... -.. -...--.-’ 14,781 . --------- 109,476 15,336 3,0761927. . . . . . . . . . . . . . . . . . . . . . . . . . . .

21,311 936,74410,684 ..--.. . . . 104,818 15, 180 2,111 19, X7 922,364

1928---------------------------- ‘---------- 7, m 94,064 21, %2 1, 775 21,733 871, 756

46 REPORT OF UNITED ST.4TES l-ETERiiNS’ BUREAU

TABLE No. 7.—Cl(lssijcation of total treutr))ents !)g kind of treatr)letlt for fiscal years1924, 192:;, 1926, 1927, o?)({ 1923

—.

(ien~ral I.abora- Hye, ear, Ncuro- Tuher- SurgicslFiscal year medicai tory nose’, and psychi- culosis I and or- ~ I1eart

throat atric tilopodic——— ———,-..——.–—-—–– - 1-— —.

Id ---------------------------- 568,495 .. . . . . . ..- 191,409 ’43, C27 70,051 1- ‘i78,645 ----------lw5---------------------------- 389,619 . . . . . . . . . . 153,952 38,584 60,004 64,228 . . . . . . . ..-lm---------------------------- 250,548 . --------- 115,4%5 40,042 93,00” 53,156 ‘----------Iw---------------------------- lW, 569 -... i.6%. M, 4bl ~~,~i~I 87,553 ; 40,910 1.- . . . . . . . .lm---------------------------- 166,556 ,’ W2,712 41, W6 74, 556 ! 39, 171 s, 806

— _ —.._———. —. .— — .JL —.— —. . ..—=

I\’enereal (]pnito- _ X-ray Physio-

Fiscal year and non- urinary —’ thera- Dental : ‘i’otai, venereal hIedical I I)cntril ~ phy ,— I

lm ----------------------------

,-_.–-

16,586 ---- . . . ..i 3,7s1 . . . . . . . . . . 542,839 ~ 187,884 1,703,3171925---------------------------- 2,314 . . . . . . . . . 419,589 I lj:! 81; 1,257, Y67Id----------------------------

~ ;;,;;;~:::--1 I4,306 k~q I 3s1, sh~ , 1,044, 124

1927---------------------------- 9:324 . . -.......1 1,3W 706 I 33~, 60S , 50: 1;s 873,5771928------------------------ . . . . . . . . . . ...’ 9,356 1 1,671 512 310,060 ) ho, 103 , W27,122

TABLE No. 8.—l’otal trcat~)~e)its di~vided into ~tledicul al~d derttai, salary u)ld f(’e,with per cent of Jeej for fiscal years 1324, 192.;, 1926, 192T, and 1928

l–— .—-.— —-—-—

i ‘-

! lfedical II

Fiscal year 1Total ~al~y I Fee Per cent

1 I ‘ecTotal

_ .— – 1 --—--—l—–—l—1 ——l —--

19U---------------------- 1,515,433 1,4.56,5S5 58,848 ! 3.9 187,8841925---------------------- 1,141,152 1,099, 0s9 42,063 ~ 3. i’ 116, s1519%---------- .---.. -.....1 950,307 y8, ~; 45,922 4.8 93,727Len---------------------- 793,389 9.5 80, 18S19%---------------------- 747,019 649; 598 2,%: 13.0 ~ 80,103

Dental

Salary1

Fee Per centfee

——179,933 7, 951 4. ~

111, 103 5,712 4.987,446 6,281 .

72, 998 ~, 1~ :;68,366 , 11,737 14.7

—TABLE No. 9.—Total examinatio?~s divided z)tto medical ar~d dental, salary and fee,

with per cent of fee, for fiscal years 1924, 1925, 1926, 1927, and 1928

1hIedical

IDental

Fiscai year I ——. — —.

Total salary Fee Per Wnt Total Salary Per cent

–-j--–”.”-_____ __

fee Fee ‘W

.—.—— . ——

19M--------.-------...-.. 1,327,591 1 1,273,547 : 54,044 35,704 33,111 2,593 7.319%---------------------- 1,120,256 1,084,067 36, 159 ?; ’24,074 22,014 2,066 8.6I’M---------------------- 886,072 28,461lW------.-.---.---....-.I g:g

3.1 21,311 19,830 1,481s80, 956 22,171 I

6.92.5. 19,a? I 17,478 1, 759 9, 1

lW-----..-----.---....--I , 830,962 19,061 ‘2,2I

21,733 19, 191 2,542 11.7

TABLE No. 10.—Physiotherapy acti~tties in hospitals a~td disi)ensaries, fiscal year19JS

IDifferent services I Mas-

sageIi

—-. —— I

United Stat8s veterans’ hos-pitals:

Tuberculosis .-.. .- . . . . ---- 61,571Neuropsychiatric -. . . . . . . . . 33,571Generai ------------------- 83, 130

National soldiers’ homes ------ 10,923United States veterans’dis-

pensaries.-.--- . . . . . . . . . . . . . . 41,506

Electro- tHydro-therapy therapy

40,616 3,01158, 519 346,75985,051 79, 26610,335 I 6,302

56, 7% 2S, 181I.— I —— -———

.kctinic TherIno-~ ~xerciwray therapy ~ Total

I482,472 ‘ YJ,(572I 62, %4 703,52691.645 I 119.338 / 715.4{13 1.365 ?’?fi

N-unl-ber ofdiffer-

ent pa-tients

treated

21,66755. 3%

225; 206 163;500 ,58;os1 ‘6ti’: ~~; 27; 67140,108 20,593 58, 132 146.393 1 7. 7.w

14,91976, 5M j 67, 37,5 2s5, 259 22, 143———. —-.. ———.— —-——. ———

Total -.. -- . . . . . . ..- . . . ..l 230,701 251,249 463,519 915, 9S1 424,354 WS, W 3, 194,743 134,637Average monthly ..-- . . . . 19,225 20, V37 38,627 76, 332 I 35, 365 ~ 75, 742 26(;,2LW 11,~ti~

.. —_— —_.

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REPORT OF UNITED ST.4TES VETERANS’ BUREAU 69

‘1’.ABLE No. 28.—Cornpurison oj principal ca[~ses oj death 1 of LTnited ,States Veterans’13!lrea~l patie)its irI, all ho.sl)itclls, jiscal years 192~–1928

Cause of deathI Fiscal year of death

1924 1925I

~neral (iisc<ases: IITy~Jhoi~i fever --------------------------------------- ----- 3’ IhIdaria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 -------Di~~htl](>ri:l anclcrou]~ . . . . .._. ----------------------------- 1 -------Influenz:>-------------------------------------------------- 1 . . . ..-.Dysentt'ry ------------------------------------------------- 2Leprosy . . . . ..- . . . . . . . ------------------ . . . . . . . . . . . . . . . . . . . 1 ..----4Yt'llow fc'\.cr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -------- . . . . . .Erysilwlas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1()t}ler e~ji[itllnic (lisc~&ses. -. ..-. .---. -.. ---- . . . . . . . . . . . . . . . .Purulent infection tind se~~tict~nli a------------------------- 1;'r[Jtallus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..----.-Pellagra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-Nlycoscs --------------------------------------------------- .-----?-IlcritJ~~ri. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 1'rllbercult)sls oftllelur]gs . ..- . . ..- . . . ---------------------- 1, 556.\cute]niliiiry tub(, rculosis --------------------------------- 7~)Tub~rculous xnerlingitis ------------------------------------ 30.Atrdomina] tuberculosis ----------------------------------- 5Pott'sdisci~se ----------------------------------------------JVllit[>s\v(llings . . . .____ ----------------------------------- .-. -.!:-Tuberctllosls of[)tller organs ..-. -_.. - . . . ..-. ..-. ..- . . ..--.. 14I)issemi~l~]tc,(ltubcrculosis ._.. ___. _... - . . . . . . --------------l{icktts . . . . . . . . . . . . . . . . . . . . . . . . . .Sy[)hdis . . . . . . . . . . ---- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...’ -----:-Go]]ococ~c.usin fc(.tion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- --------Canct~r and other rntdignant tumors of the I,uccal ca~ity...Cancer and other m:llignant tumors of the stomach, liver.. 1;Cancer an{i other malignant tumors of the INritoncum,

intestines, rectum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Cancer an{i oth(,r malignant tumors of the female genital

organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Canw’r and other malignant tumors of the skin.. . . . . . . . . . .Cancer au(l other malignant tUIn(JrS of other organs, or of

orgnnsnot sl)ecifie(l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other tumors (tuulors of tho female gt’nits] organs ekceljted)..\cUt(~art i(,tllar rll(>umatism . . . ----------------------------~hrollic' rilculnatism anci gout. .--. .- . . . ..-. -.. -- . . ..-- . . . .Dilit)ct(.s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ExoIllltllNnli(, goitel _. . . . ----------------------------------.kti(iison’s disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---I.euk(~n]ia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~\nclllia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

------,

3671

-----.10

--------------

1615, Other gen(~ral {iisea~es . . . . . ..-. --.. . . . . . . . . . . . . . . . . . . . . . . . . 5

.Alcoholism (acute or chronic) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~hronic occulJationtd lJoisonin~s. -.. -.-. . . . . . . . . . . . . . . . . . . . ;

Diseases oft he nervous systcm an(i of t he organs of sl~cial sense:Enw'~)h:\litis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Simr)lc meningitis .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Loconlotor ataxla ------------------------------------------ 2Other diseases of thespinal c(,r(l . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Cerebral hcmorrhag(,, a~)of)lcxy. ..-. ..--. .- . . . . . . . --------- 16Softt.ning of the brain . . . . . . . . . . ------ . . . . . . . . . . . . . . . . . . . . . . --------Paralysis fvithouts~)ecified cause --------------------------Oeneral [l~ralyslsof the insane . . . . . . . ..- . . . . . . . . ----------- 10:Other forms of mental alienation . . . ..--- . . . ..--.. -... -.-.-.-’ 24EI)ilepsv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...'Convulsions (nonl]ucr~)crd) .-. ----... -.-. -.. -.---- .-. ----- 1.. ---!4.(’horea ----- ----- ------ ---- . . . . . . . . . . ----- . . . . . . . . . . . . . ---------- .Other dist,,ases of the ner~~ous syste]ll ----------------------- 8l~iseases oft be ear . . . . . . . . . . ------ . ..--. .-- . . . . . . . . . . . . . . . . . 3Disemes of theeyes andtheir annl,xa ------------------------------

Diseases of the circulatory system:Pericartlitis.. -... -.--- .-. --... ----- . . . . . . . ..--- .-------- .--'.kcuteentior:ir< iitis . . . . . . .._.. _.. _- . . . . . ..- . . ..- . . . ..-.. ----` :Organie dlsc:ist, softhti heart ------------------------------- !)8.ingina ])ectoris --------------------- . . . . . . . . . . . . . . . . . . . . . . .Diseases of the e.rt(,rles, athercma, aneurysm, etc... -------1 :~mbolism an(ithrornbosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 16Diseases of tile veins (variccs, hemorrhoifls, ~)hlcbitis, etc.).’Diseaqes of the lymphatic system (Ismphangitis, etc.) -.-.. I ;IIemorrhaSe; other diseases of t hc circulator y system . . . . . - I 11

Diseases of the respiratory system:lJiseoses oftl]ena>al foss3 . . . ------------------------------- ..-.-.--I>isemcs ofth(, l,~rynx. -... -.. ----. . . . . . . . . . . . . . . . . . . . . . . . . .lJis~~mes oftllethyroi<l body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..--.. !..kcutetrronc,hit is. . . ..--- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

-...-.18

-------2

----- .. . . . . .1, MO

9217

1!

1:19

1:----- .

2!

12

--------------

472

--------------

112

------ .1214

:------ .

15102

:

;11744131

-------10

-------------.

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1;7

-------26

----- .--------

2

1926

2.---.-.---------

1----- -------- ..-. . ---- .-

3. ----- . .

24161

----- ---1,850

11026

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. . . ..- -23

------ .

3;

14

----- .-

——1927

2.--.--------

;------

:

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:2

1,73:13129

::364

. -----21

1;46

29

12i 5

76~

9s1 1

------. 1--------

10 I 1112 1 21

-----.-,--------14; 1;!31 1871 tr2 :--------

------- ‘ ------ . .

21 I ‘.20------ -1----- ---

------- ------. .

210 257

2: 4!18 1911 .---. -:.

10 5

------- 1---------- ------------, 2

1 ‘--------I

1928

111241

-------3

3;-------

93

-------1,753

178271181

152

-------21

-------

:

36

;

961

-------

2;3

2;1866

-------

24

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1

5

3?:6

;;

i8

.-..--,. -----

2------

1 Causes of death classified according to second revision of Internation~ List of Caues of Death.

18119—2-6


TABLE No. 28.—Com~)arison oj I)ri)icil)(tl c(buses of (ic(~th o-f V?&it(’d ,Ytates l-et-erans’ Bureau patie?tts in uil hospitals, jiscul years 19L4–19Z8—CoI~tiIl~lc>d

—=-”–-””- —.—

Cause of death1y~.t

_————

Diseases of the res iratory system—Continued.E’“Chronic bronc ltls . . . ------------------------------------- --------

Bronchopueumonia ------------------ . . . . . . . . . . . . . . . . . . . . . 34Pneumon18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Pleurisy -.----- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .’)Pulmonary congestion, pulmonary apoplexy.. . . . . . . . . . . . . . 7Gan~eneo fthelurlg . . . . . . .. T. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~

Pulmonary elllphyst'IIl}l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i 1Other diseases of th[) res~)lratorv s~stern (tul)ercu](),. is

excepted) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Diseases of the digestive systenl:

Diseaws of themouth and annexa. .- . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Diw~s of the pharyn~ . . . . ..-. -.. ---. -... -.-.. -- . . . . . . . . ..l 1

K’iscal }-ear of death

I1Y25 I lw2ti , 1W27

I r

1I----- . . . 4137 ; 49

50 ::)10 710 24 I

,5 ~.4~ 11

. . ..-. -. . . . . . .-. ,

24 21

1 ‘2. . . ..- . .

Diaeases of the6sophlgus . . ..- . . . . . ..- . . . . ..- . . . . . . . . . ..--l. -.- . . . . . . . . . . . . . . . . . . . .Ulmrofthe st{)m:ich . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 I 1: 5Other diseases of the stomach (cancer exc(>uted).. - . . . . . . ..- 2 I 6

Diarrhea anclenteritis . . . . . . . . . . . . . . . . . . ..~ . . . . . . . . . . . . . . 11 (; I 11In@stinal parasites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-iAp~ndicitis an(ityphlitis . . . ..--.. -.. - . . . . . . . . . . . . . . . . . ..-l

1 . . . . . . . .

~1 i) I 10Hernia, inWstinal obstrllctlt)Il . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other diw~sof the intestines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 1~1 11AcuWyellow' atrol)hy cJfttle liver . . . . . . . . . . . . . . . . . . . . . . . . ..~ . . . . . . . . . . ..--..Cirrhosis of the liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ,r) 1:Biliary calruli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-.1 . . . . . . . . 1, 2Other diwawsof ttleliver . . ..- . . . . . . . . ..--. -.. -.. - . . . . . . . ..l 3Diaeases of the spleen. . . . . . . . . . . . . . . . . . ..-- . . . . . . . . . . . . .. I 1 --....5. . . ...!!.~imple peritonitis (nonpuer~wral) . . . . . . . . . . . . . . . . . . . . . . . . . . 13 21 25Other diseaws of the digestive system (cancer and tut~cr-

culosis excepted ~-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3’ 3Nonvenereal diseases of the genitouriniiry systcm anti annexa:

.&cu@nephritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 22 n]Bdght's diwaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 64 Il;Other diseases of the kidneys and :llltle~:~--- . . . . . . . . . . . . . . .Diwawsof the bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ------g- .- . ...!-

103

Calculi of theurinary [massages . . . . . . . . . . . . . . . . . . . . . . . . . ..- 1 l--------Diseases of the urethra, urinary abscess, etc . . . . . ----------- -..--.!. ..-. ----! 2Diwawsof theprostnte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -------- -.. --. --1--------

The puerperal state: .Accidents of l)regntincy . . . . . . . . . . . . . . . . . . . -------- 1 -------.Diseases of the skin and of the c~’llulor tissue:

Gangrene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Furuncle -------------------------------------------------- .--. --!-

11 ---..-!.

Acutiabswss ---------------------------------------------- 4 2Other diseases of the skin and anllextl. ..-. ----------------- 2 1 --.-..2.

Diae=s of the bones and oft he organs of locomotion:Diseases of the bones (tutirculosis excepted).. . . . . . . . ----- 5 2 4Diseases of the joints (tuberculosis and rheumatism ex-

—

d871227

. . . . .51

24

221

1:14

. . . .

1:53

17391

21

2

IN11

:11

mpwd) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 2 --------Other diseases of the organs of locomotion . . . . . . . ----------- ..------ -------- --.---?.

Old age: &nilty ----------------------------------------------- ..--.--- --.----- --------External causes:

Suiddeby piwn ------------------------------------------Suiddeby mphyxia --------------------------------------- ----..:- --.---:-

3

Suicide by hanging or strangulation ------------------------ 1 5 ;Stiddeby drowting . . . . . . . -------------------------------- 1 2Stiddeby fimarnls . . . . . . . ..-.. -.. - . . . . . . . ..-. -.------- .-.-l ; 1 3 -------Suicide by cutting or pierciu instruments . . . . . . . ---------

[ ‘i

1 31 -.-..-3.

2Suicide byjum ing from hlg plains . . . . . . . . . . . . . ..--------’Suicide bycrus lng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l . . . ...3.

12 .---. -!.

Other suicides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 4 ~ :Acu@~isonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IBurns (conflagration e~cepte(i) ------------------ . . . . . . . . . -..--.4.’......!.

~13 . . . ...6

Accidental (browning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- 2 1 1 -------Absorption of deleterious gases (conflagration e~c{i~)ttd). . . . . . . . . . . . . . . . . . . . 2Tmuatism by fircarnls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1’ iTraumatism by cutting or piercing instruments . . . . . . . . . . . .---..--’ 1 ‘-.----?.Tmmatism by fall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ;Traumatism by crushing (vehicles, railways, lands lidl,s,

etc.) -------------------------- . . . . . . . . . . . . . . . . . . . . . . . . . . . . .--... -.1-.. -----,Starvation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -------- . . . . . . . . ....-.!.

41

Effects of heat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -.. -....1 3 l... . . ..- 1Homicide by firenrms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 . . . . ----Homicide byother me:]ns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1 1 . . . . . . ,.... -.!Fmctures, cauwn(]t s[xcifie(i . . . . . . . . . . . . . . . . . . . . . . . . . . . ‘.. -.....’ 2 7 ~Other external violence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 JI 7

Illdefined diseases:8

Cause of death not spet’ified, or Ill defined.. . . . . . . . . . . . . . . . 30 19 15 24. — —

Total ------------------------------------------ . . . . . . . . . . 2,502 2, SW 3,412 3,523

------5

----- .11

5

1----- -

1

------

;1

1928

87,5

100

:;

1:-------

18

:

61118

------ .14214

4----- . .

232

24

s

111591364~6

----- . .

3

56

11

--...--

Q

1I1

------45

24

3,b31

COMPENSATION TABLES

TABLE No. 29.—Sum?nary ojregional acti~’ities

Status of compensation rlaims as of Jlefi,ical treattnents and eY-June 30, IWM .krijn-

amtnatlons during ftscalyear 1928

d ic’fi-

Regional o~cr? tions ——lis{’al ‘1 - ~ndi. I ‘-‘-year In(ii- ~rea+- ~i~ualS ~t~;i;Acti\-elTcrmi- Disnl- ~’;n\~- Totid

cases 1nrit t’(1 1OWC(1I g~~ ~id~lal~l ,IleIlt~

casesCaS(JS treat Q(i ex-‘ amined ‘

/ ---- — —. — .— , -–—- — —.— —.

Boston, hIass. . . . . -Portlan{i, ift’. . . . . . .Jlanchcster, X. 11..Pro~:ificn(.c~, 1{. I.. . -Burlington, Vt . . . ..-Ncv’ York, X. Y . . .Buffalo, N. J-.. . . . . .Iiartforil, (’onn. . . . .N’ewlrli, X.dJ. . . . . .Philadcll]hia, I’a . . .

------- .I ~~,{).93, 7H.52,7205, Jti52, 0s3

47, 2fi(i15,0077,?27

16,31234, i9b16,73413,8429, 4ss9.182

20, Y2fi’

2, 0)61,4702, 895‘1. 1s41

21,83fi1j, 247,1, ‘43414,330

618’33,305’1

ti, 7537,3106, 41(;’

1(,,W:3.5,7777, 46$3, xl!}

-115.51( 34,1,347 2,1, ~.t~ 2,2,110 4.

fiw2,

--..... .1

--------

----- . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

----- . . .

----- . . .

1,,51,8,9,

12,23,1tit

34,

fio!4lfl, 3WI[),S;it3, 4(M’5, ,594

11,7’20?, 665.3,8561

30,,5,4,6,

12,~,7,5!,

21, 7946,81’04, WJ8’5,219

11,rti47, m

16,961‘3,610

,57359833234,56,5124921i3

Pittshuri!l. }’:l.. . . . . . . . . . . . . .\Va~hington, 1). (’ . . . . . ------Ba]timor<>, 31{i. . ..--- . . . . . . . .Richnl(Jn~i,Vri . . . . . . . . . . . . .(’hnr!rston, IV. I-:i . . . . . . . . . ..~thlIlt~, ({:1.. - . . . . . . . . . . . . . .Jackson v:llc, Fla. . . . . . . . . . . . .Charlcltto, N. (’- . . . . . . . . . . . .Columtlia,S .( ’ --------------Nashville,, Tcntl. . . . . . . . . . . . . .New (~rkans, 1.:1 . . . . . . . . . . . .Birmingl,am. 118. . . . . . . . . . . .Jackson, Bliss ----------------Cincinnati, ohio-..--...------Clevelanfl. Ohio --------------Indianapolis, Ind---.------..Louisville, KY --------------[’hicago, 111------------------Detroit, hitch ----------------hfilw’aukee, Avis -------------St. Louis, hlo . . . . . . . . . . . . . . .Kan~as (’ity, Nfo------------I)es Nloincs, Iowa. . ..-. -----(Jmaha, hTf,br . . . . . . . . . . . . . . .Nlinrrear)olis, N[inrr.. . . . . . . . .Ilelena, Nfont . . . . . . . . . . . . . . .Fargo, X.l)nk . . . ..--. . . . . . . .Sioux Falls, S. D,lk ----------IJenver, (’olo. . . . . . . . . . . . . . . .Albur(]urr(llle, h’. Jfex . . . . . . .Salt Lake (’it>-, ~tah. . . . . . . .Casr)or, JV,yo. . . . . . . . . . . . . . . .San Francisco, [’rtlif . . . . . . . . . .I,OS .inuelt~s, (’iilif. . . . . . . . . . . .

l’hot~nix, .kriz. .-. -- . . . . . . ..-.Seattle, JVash. .-- . . . . . . . . ----Boise, Idaho . . . ---------------Portlan{l, oreg---------------l)allas, TeY. . . . . . . . . . . . .IJittlft Rock, .\rk.. . . . . . . . . . .olilahoma Oity, okra. . . . . . . .\Vichita, Kans . . . . . . . . . . . . . .San ~irrtorrio, Tea \ . . . . . . . . . . .Rcno, h’cv . . . . . . . . . . . . . . . . . . .

3, 571/3P1593,1425,9732, (;694,7782, z!)]5, 3%1

1, 7S811,4571, 10b3,4751,4532, 1:Y21,ofi43, ‘2T(j2, 0s92, 3s91, 7756,2483,08913,46513,779

13,7s45,7324,6523,5182, 65s3,0921,6224.037

~, C9411,4414, nx9

11,9!}43, 2U27, f)t;o4, :MJ

] 1,l;og7. 80.5

10,W57, I<W7, 283

16,2504,8128, 1497, fis5

11,2(!212,4X!14,W9,834

23,24319,g~~19,30420,987W, 42722,10613,548m, 305m, hi’712,51418, 12348.314

122 3,8774, 3M~,~~~3, :{97C,4s02, 3308,129 ‘5.02:

4,.47512,345G.220

9;20721,5127, 3s7

14,0877, 979

20,37112,(j~~

2; 5192, 59[;1,8753, ?f~4, Wo6,3312,2865, 889<5,6985,1215, W7

21. m.i

3.0121

~;g~6,421’7,20918. Oal

1(~7(\(i

8,0778,9466,0.547,409

11.226

~jl

77

19712%104I

18,35413,78322,94215,69218, 18723.204

6, 717’5,4759, Stfi’

1$%1

4, 1571192

2,62212,0409, Ocro4.109131

4W’107,71ea48143,70781

14,41923, 164

6,9386, 4U8,7356,3$34, ~2,52, 7,51

13.6941

14; 17616,774’5,0914,7303,6783, fi78‘2, :W39.364

21,4337,7497,4900, 7416, 4(W4, gf~3, fii4

10.105

40. 13;7822, 1452, 7W’5, 1843,507,2,4781

7307.012

20,

1::12,11,

4’-, .

5; 411/16,W921, 79310, 1327, fn41,405

31.395

5; 595’6, 94a.?,9ti5,8792,*22,414

12.7672, C711,2051, 5*OJ5,,5902,739

981

507CB8616

1, {J4050ti

868~17 I

3,0273,010

ma2, 3s7

464], 4291.594’

IMl40w)378

4,67213,6724,576

] ~,9765,3213. 2M

4,9791, 1461,9367, 6{)3,5,2471.412

2,04.54381422

6,6614,001

7%0’

5, 95.5.~7856

15,8677,9092,467

41823, 6;431,2709, 20s

15,229

18, :H11.746

1,847’1,3:81,0985, 13016,788’1,6651

4; 1084, 3.-/35,089

19,2379,0313,6981,343

41,91825,537

12 F61.523

9b26,984

10,1912,9113,,502.

2, ;64,736

191s11%139148

ti’

2,.

%,4,

10,3,

Ii

5171232‘Ma’71989s3042~’22C4‘

1;44411,#2.51,5,5784, %yJ’7, W37I,W52,8725,4199,905s, 3403,0486,381

239

20,14,3,f-l,

749601627,1.535529%’505111,

4.21; 33818,93119,95024, m~14,47518,273

&31

1071391!56,rfl

5, Y24,5,7932, 6723, 8(}1

23?

4, 8fi5!6, 73:3,2,83614, :{37

413

7, Zll3, 4W)4, 33%

mo100

41

I t =--1—-1–-–~—--——_ ~—c

Total . . . . . . . . . . . . . . . . . . 256,.w7 142,653,313,260 ,5,1747 $7,504j3,S,:12,5260,.5tWW27,122 322, W2871,756

&TOTE.—~jgUTeS in this table are taken from regional off]ce reports.

71


TABLE No. 30,—.Y((mbcr ojcornpensation death and disability claims received, byfiscal .yeurs, jrom Octoberl, 1917, to June 90, 1998, inclusive

—— .,— ~‘1’otal to June 30, 191S.... 12,025 ‘ 8,936Fisctil year ended June

3*1919----------------- 1Z,762 94,9371920.. ----... ----..--1 12,242 179,546)921----------------- 4,445 1~7,6381922----------------- 4,343 186,6751923----------------- 4,222 75,0591924----------------- 4,576 36,001

,

TotalI

I

20,961

;9y ;g

212:083191,01879, 2U140,477

Date

I Fiscal year ended June

I 3%~??-d; .-- . . . . 6,693 36,9311926----------------- 8,516 24,9871927----------------- 6,045 20,772

I 1928----------------- 278 28,274— —

Grand total .-. -... 191,147 ~, 656

I

Total

—

43,62433,50335,817%, 552

1,099,803

TABLE No. 31.—.Vumber oj compensation death and disability awards, by $scalyears, jrom October 1, 1917, to June 30, 1928, inclusive

———— . ——I

Total to Jun~30, 1918----------------------------------------Fiscal year ended June 3P

1,664

l9l9------------------------------------------------------ 23,225lwo------------------------------------------------------ 19,6571921------------------------------------------------------ 5,764l9E------------------------------------------------------ 4,734lm ------------------------------------------------------ 2,532l924------------------------------------------------------ 2,011l{+25------------------------------------------------------ 4, W5l926------------------------------------------------------ 9,175lY27------------------------------------------------------ 2,303lm------------------------------------------------------ 1,800

Orand total -------------------------------------------- 77,950——.. . —.———_ — — —

Original Disability I Tot ald::;a~sy changed original

to death awards

1,156 ----------- 2,820

27,128 . . . . . . . . . . . 50,35s156,121 721 175,778m, 905 1,628 104,66972, 402 1,482 77,13632, Y27 3,389 35,35913,251 2,939 15,26223,886 28,88117,605 :E 26, 784)13, 126 3,514 15,42912,262 3,370 14, 152

—— .4W, 669 25,322 546,619

TABLE No. 32.—Gross number oj compensation awards on which pa ments haveYbeen terminated, analyzed as to reasons jor terminations during $sca year 1998

Reason

.Wumber terminated;&ng fi~cal year

Disa- Tota, ;Death ~ilit yI

Reason

h-umber terminateddurtng fiscal ywr192a

Disa- Tota]‘ath bitity

Claims withdrawn ----------- -.--..-Enterwi vocational training-. ----...,Nlarittd status ---------------- 812Payee dead ------------------ 1,845Refuses compensation- ------- -------Erroneous award ------------- 7Pending appointment of

gtlardian ------------------- 167Can not lwate claimant ------ 1sPendinK investifrfltion or

exami-nation.. -.:----------- 71Rwnlistti ------------------- ----..-Disabi]ity less than 10 per

ceIlt ------------------------1-------

841703

1,66846

3,998

I

4;

1,008811

1,73946

3,908

Disability not result of serv -im ------------------------- 8 338 346

hfiwonduct ------------------Child becomes of age--------- 1; .-.. -!- 1;Pending accounting of guar-

dian ------------------------ 13 22Dishonorable discharge. ------ .-. -.!- 1 1Failure to report for exad-

nation --------------------- ------- 1, 521 1,521Nliscellanww ---------------- 8 1,068 1,076

— — —Total ------------------ 2,961 11,413 l% 374

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—,:

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,

I

REPORT OF UNITED STATES VETER.4NS’ BUREAU 77

TABLE h“o. 35.—CO?I1 pcrlsutiorL.—Act ive disability awards; n ttmher of disabledveterajts sholuinq rclatiorish ip of (le))cr[(l~)its arid (1rnou?it of monthly payments, asof J[l)ie 30, 192S

—

NUm- ~SIonthly IBeneficiary relalionshi~j Beneficiary relationship I N#~- 1310nthly

Iler pii~![le!lt payment——.—..—. —

I 1-

Self. ---. . . . . . . . . . . . . . . . . . . . . . . . . 1Se]f~ndrhil(l... . . . . . . . . . . . . . . .~e]f~nd 2chil(lren . . . . . . . . . . . .._ ‘Self an~13chil~ircrl . . . . . . . . . . . . . .Self and 4 chil{iren . . . . . . . . . . . . .Self and 5 rhil~lrerl- . . . . . . . . . . . . .Self and (; cllil{irell . . . . . . . . . . . . . .Self ai]fl l~ife.Self, wife, an(i ch:l(l . . . . . . . . . . . .Self, wife, and 2 t,l]lldren . . . . . . . ‘Self, wife, :lnd :; cl~ll(iren . . . . . . . .Self, v, ife, and 4 [,hil~lren . . . . . . . .Self, wife, and 5 ~,hil(iren ..- . . . ..lSelf, wife, :tnd fi children. . . . . . . .Self, wife, and 7 ch!ldrell . . . . . . . .Self, wife, und 8 chtl{ircrl. . . . . . .Se]f, \vife, arl[i 9 chil~irell . . . . . . . .Self, wife, and 10 chil{iren. . . . . .Self and t)arent or parents . . . . . .Self, parent or ~,alents, and

child. . . . . . . . . . . . . . . . . .Self, parent or I)nrents, anti 2

childrerl ------ . . . . . . . . . . . . . .

:)45. 4C4 I

634,590,533.~)fi,

134<:4,1:.

4, ti26 III

1,622 I

Self,, parent or parents, and 3 Ichll[!ren . . . . . . . . . . . . . . . . . . . . . 4 $163

Self, I,,lren: or parents, and 4chi](lren . . . . . . . . . . . . . . . . . . . . . 4 383

Self, parent or parents, and 5(,hiltiren . . . . . . . . . . . . . -. 22

Self, wife, nn(i parent or parents. g?; 43,386Self, \vife, I)arent or ~~:lrents,

nndchil(]. . . . . . . . . . . . . . . . . . . . 634 35,499Self, \vife, parent or parents,

and 2t, hildrer] . . . . . . . . . . . . . . .. I 415 23,772Self, wife, parent or parents,

:Irl(l:l cllil(lrerl . . . . . . . . .--.....’ 224 13,906Self, \vife, parent or parents,

and4 children . . . . . . ..-. ----- 3,799,Self, wife, parent or parents, I

and<ichil(iren ---------- . . . . . 1: 1,435Self, wife, parent or parents,

an116 children . . . . . . . . . ..- .-.. 9 731Self, wife, parent or parents,

and ?ctlil(lre!] --... ---. -.-.---’ 1 145.—

Total . . . . . . . . . . . . . . ..-.---.= 11!574,308——

/ ~[lnj. 1}[~~th]y ~BellefiCi8rS’ relationshill I her 1payment I Beneficiary relationship Num- Nfonthly

ber payment—.————. — l-__~ 1’--—--—–”——— ‘- ‘-Widow . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,454 $222,90Q ~ Parent or parents and 3 children-. 67 $4, 12b}Yidowandchil(l . . . . . . . . . . . . . . . . ,5,M6 199,510 I’arent or parents and 4 rhildren-- 1; 1,175lVidow and 2 children . . . . . . . . . . . . . 2,310 1 103.750 Parent or parents and 5 children-. 210Widow and 3 chil~iren. . . . . . . . ..- 749 37,929 I)arent or parents and 6 children .-Widow and 4 children .-. . . . . . . . . . 257 14, [)06 lVidow and parent or parents . . . . . 1, 88} 98,51:lVidow and 5 children . . . . . . . . . . . . . 80 , 5, I20 Widow, parent or parents, andWidow and6 children .-. --.. . . . . . 1s 1, ~~5 child. . . . . . . .. - . . . . . . ---------- 993 62, 135Widow and 7 children -.--. . . . . . . . ; 4s0 Widow, parent or parents, and 2Widow and 8 cl~il~iren .- . . -------- 75 children . . . . . . . . . . . . . . . . . . . . . . . . 341 22,865Widow and9 children ------------ 40 Widow, parent or parents, and 3Child ----------------------------- 4, 88; 97,640 children . . .- . . ..- . . . . . ---------- 110 7,7852chjldren ------------------------ 1,354 40,510 Widow, parent or parents, and 43chlldrcn ------------------------ 372 14,875 chddren ------------------------ 33 2,4754ch}ldren ------------------------ 70 3,;: ~ Widow’, parent or parents, and 5bchlldren ------------------------ 1: chddren. . . . . . . . . . . . . . . . . . . . . . . . 11 6006chlldren ------------------------ 220 ~ Widow, parent or parents, and 6Parent or parents . . . . . . . . . . ------- 57,647 1,310, w children ------------------------ 2 150Parent or parents and child . . . ..--l 1, ~~~ 68,710Parent or parents and 2 children --, - 18,005 1 Total ----------------------- 85,634 2,340,040

, ! —! 1

TABLE No. 37.—Compensation.-A ctire death awards; n?~mber of deceased vet-erans whose beneficiaries are rece~ving compensation or compensation and instLr-ance payments, wzth amownt of monthly payments, as of June 30, 1928

Kind of claim ‘ Nb:;- Monthlypayment

Compensation only.. - ------------------------------------------------------ ----------- 21,975 $678,230Compensation and contract jterm) lnsuranw ------------------------------------------ ,? :: 1,5:2 ;;:Compensation and ayt?matlc insurance- .---- ..t--7----------------------------------- “,Compensation and Vnlted States Go\~ernment hfe insurance ------ -------------------- 1, 139 36: h35Comk)ensnt ion and contract (term) insurance and United States Go\-ernment life

insuanCe --------------------------------------------------------------------------- , 166 5,395

Total --------------------------------------------------------------------------- 85,634 2,040,040


INSURANCE TABLES

T.i~~~ No. 38,—.V(~mber of United States Government term and converted insuranceclaims received by fiscal years from October, 1917, to June 30, 1998

Date

Term Con-insur- vertedante insur -

claims anteclaims

Total to June30, l9l8-----------------------------------------------------Fiscal year ended June 3k

13,318 . . . . . . ..-

l9l9------------------------------------------------------------------ 105,382 ,-------.-19X------------------------1921-----. ------------------: ~j~~~~~lll -------------------------------

20,302------------------------------- 21,868 1, E

1922-------------------------19n---. -.--. --.. --------- .--:::::::::::::::::::::::::::::::::::::::::

15,610 1,25214,604

l9u------------------------------------------------------------------1,630

13,086l9%------------------------------------------------------------------

1,59815,788

l9%------------------------------------------------------------------1,795

20,842l9n------------------------------------------------------------------

2,29813,072

19B------------------------------- -& 454

---------------------------------- 446 3,710

Grand total -------------------------------------------------------- 254,318—— .

16,181

Total

13,318

105,38220,52223,09216,86216,23414,68417,58323,14015,5264,156

270, 4W

TABLE No. 39 .—.Y(lnxber of United States Government term and converted insurancedeath and disability at[’ards, by fiscal years, from October, 1917, to June 30, 1928

Date

——To June W,1918--------------------------Fiscal year ended June 3U-

1919----------------19N-. ----....------::::::::::::::::::.1921----. ----- ..-------- .-------- .----,19=--- .----- .-. ------- .--. -.---- .--.-,19N-----------------------------------lea-----------------------------------1925----------------19%--- .-.---.-..--.:::::::::::::::::::1927----------------- ------------------ .1928------------- -------------------- . .

Total ---------------- --------- ------

Date

—.

Insurance awards

1

O:~:hal

5,722

08,69521,9124, m2,8681,676

9081,1661,254

:E

140,432

Term insurance

Originaldisability

----------

4,%7,3105, 7233,5042,671& 8303,0921,303

%7

32,153

Converted insur-ance

Dis-ability

changedto death

To June 30, 1918-------------- 1Fiscal year ended June 30-

------------- ----------

1919----------------------------------- ----------lam-----... -------- .-. ---. -.--------- .!------. -3-1921-----------------------------------1922---. --. ---.. -.--- .----- .------- .---119X------- .-. -.------ .----- .-. -:.-----I 1%1924----------------------------------- 1201925----------------------------------- 1491926----------------------------------- 173lea-----------------------------------19%--- .------- ..------ . ..---- .-----. --’ :E

Total ------------------------------- 994

Totaloriginalawards

---------------- .

105

1, E?1,3191,3461,4641,8501,9572,914

12,787

I Converted insur-ance

!

Dis-ability O::;:a, Original Original

changed cleath disabilityto death awmds

1 I

------ ---- 5,722 --------------------

----------1,867 ~2,6552,6332,456

;:%1,538

852680,

,--------- .104

z883842970

1,0141,1991,822

.........

426

2836

1, EI._ _

16,067 ! 172,585 8,242 4,545

Total

Dis-Original Original ability

death disability changedto death

—. II—-

5,722

98,69522,0165,4713,7702,5591,8402.1362; 2681,8872,310

I---------- .---.--.-

220 ---------4, w 1,8677,389 2,658

2% 2E3,175 1,9343,324 1,7273,028 1,7112,061 1,0421,599 898

——148,674 36,698 17,061

I ,

Grandtotal

originalawards

5,722

98,m26,91412 g

6:589b 015s, 46a6, 1963, W83, m

185,372

REPORT OF UNITED ST.ITES VETERANS ‘ 13URE.4U 79

Clnssificatiorrs

—Abnormalities and congenital

mnlformstions . . . . . . . . . . . . . . . .Blood and blood-formirrg organs.Bones nnd cartilages. . . . . . . . . . . .Circulatory system . . ..- . . . . . .Communicable and infcrtinus

diseases . . . . . ..- . . .._. - . . . . .IJigestive s}stem. ..-. ___________Ear, nose, nnd throat -.. . . . . . . . . .Endocrines . . . . . . . . . . . . . . . . . . . . .Eyenndanne~a . . . . . ..--.. .-. -...Genito.urinary system--- .-... _.I{ernia . . . . . . . . . . . . . . . . . . . . . . . . . .Joints and bursae . . . . . . . . . . . . . . .Lyml}hatic systen . . . . -- . . . . . . _.1Nluscles, fast]=, tencions, and

ten(iorl slletltl]s ----------------Ner\rous systen -----------------Obstetric and gynecological con-

ditions . ---- . . . ..- . ----- ------Parasitic {iiseases. . . ------------Poisonings and intoxications ----Psychiatric dise~$es .-. -... -----Respirntory system. . . . . . . . . . .._Skin and its appendages. . . . . . . .Tuberculosis . . ..- . . . -------------Tumors .---. .._. -.. -... _._- . . . .Venereal diseases -----------------Miscellaneous I------------------Amputations --------------------Fractures. -.-.. -.---- .-. ------.-/

Disability

N-umber Amountof of

vet erans insurance

1:

68566

7.591

E34{)157

3;:1

71,013

113

3,99:148

73,879

4867

166493

5s

$7,000101,?Jb570, WN

4, 05{),632

,5~5,~A\727, 77004!5,2457fitio,138

2, w~B,5%1, 297,374

y4, gl(]2, 617,0s4

10,OIM

62,0007, 733, 672

10,00068,6.5315,000

32, 149,3%)977,948

46,40830, 2.58,107

407,684516,704

1,433, 6074, 4W, 158

4W, 516

92,944,625I

1Includes battle deaths, accidents, and inj uriea.

I)eath

.Numberof

veterans

1236.-!,,

3. of7

110

,.

2, 44;

3:525547

49,05247

15, 290878

57, :;; I

d; I

Amount ofinsurance

$3,0001, W8, 041

456, 11325, 107,881

33,4<4, 12118, 17h,!5882, 107,1744,686, fwti

107,6!5711,h41,.t9ti

345.7$3351, 09HWl, 833

34,S3821,021,605

4,

442

5,

241, 21s769, 133354,988440, 9m———

139,412 1, 234,586,090

Numberof

\’eterans

3, W22, 2ti5

343fj36

3, 4E

6

5:;4,542

49, m,54

19,169926

‘ 534725-—

151, 173

Amount ofinsurance

$Io, ooo2, 00!),2691,026,622

YJ,167,513

34,069,40918,906,3582,752,431,5,43.55,7843,007,245

13, 138,870440, 703

2, 96%,182911,833

96,83828, 755,367

%ZE4,248, W

36,277,671450.258.251

‘441; 663lM, 975,095

7,629,8291,757,922

522,~2, 7404,845, 1465,931,445

1,327,530,715

80 REPORT OF ~ITED STATES VETER.kXS ‘ BURE.LU

TABLE No. 41.— Term insurance, terminated disability (I~i(l dcot]) a )i(Ir[i.Q: cla.~.4i.fi-cat~n oj major diaabilzt y of veterans and reaso~bs jor ter r~~ill at io!l, (IS o.f J I(rte 39,1938

Claesiflcation

-- —Disability awards I ,)eath:Iw[,r(ls

Terminated byrecovery

Number 01vet-

erans

Am;funt

insuranw

I

I$m, (n)O

95,000189,000400,000165, W375,546438,149

20,0001,004,828

10,m

1;401;963

0,661,558

Terminated hycleat h

Num.ber ofvet-

erans

Abnormalities and congeni-talmalformations .-. ------ 2 ------

Blood and blood-forming-------- ----------

Bti~~d ‘-tilages -------- ‘115

132Circulatory system --------- 81 7=Communicable and infec-

tiouadiscaaea----------.--Digestive system ------------ E 2::Ear nose, and throat ------- 43Endmrinw ------------------ 3::Eyeand annexa ------------- ~Genito-urinary system ----- - w?Hernia ----------------------Jointiand bow----------- 1+ :;

3&3ei?:2::iindGni:-64

and tendon sheaths -------- 4Nervouss .stam-.--------.--

d“152 44

Parasitic lseaaea ------------ ; 5Poisonings and intoxications-Psychiatric dfaeases --------- 303 81!Resptitory syst8m - -------- 78 312Skin and its appendages -----TuWtiosis ---------------- 2,03: 1, 27;Tumors -------------------- - 367Venereal di~----..-.--. - :; 94Miscellaneous 1---.-------. - 148 95Amputitio~-.--.----.----- . 54Fractma-----.----.----.-. - :3 17

.—Total ---------------- - 3,,561 5,895

1 Includes battle deaths, acoidenk, and injuries.

Amountof

insurance

1 ‘~Tern~in,]fe(it)V-Tot:Il 1111111)-s1111)‘

------.-. .$946,626

2.51,9326,720,555

705,558 I2,035, 762

314,512 i3,037,333

398,4064,607, 64t5 I

;s, M I516,851 I

I_——

-“—l—-$’)(), 000 -----

1

sol), 5,;s2, 224, 762

714, 5123,202,333

773,9525, 045, 7M

1:\(). 04M)1, 694,957

526, b51

1,692,018745.273

. ---..1..- . . . . . . .

194 1, 00!5,433

41 :;:%4,227 ,22,626,663.----......------1,272 I 7, 83X, 662

66 354,92514 73, S57

4,570 123,673, 180, 4X,828

4; ] 260, W32—— —11,390 ltil, 275, 329

REPORT OF UNITED ST.LTES I-ETERANS’ BURE.AU 81

TABLE X(>. 42.-.1 ILtor)Latic insllrance, (z[’tire llisability and dcalh allqards; clQssifi-cation of ~)~ajor di,sabil~!y ca t~sinq per)r~(trlent total disability or death oj vctera )~,as oj J [1nc ,3[1, l,9?s’

1Disability Death Total

__— . —— —(’lassificat ions Nurn- Num-

ber of Amount of her ofveter- insurnnce veter-

ans ans

Blood and bloorl-forrning organs. -.. ----...’ --------------------- 18}Ionesau{i Carthage< . . . . . . . . . . . . . . . . . . . . . -- . . ..--l.. --$oi20i2-~irculator~- system... . . . . . . . . . . . . -------- 3 23?(’ommllnlcai)le axlci infectious diseases- . . . 2 8:688 456I)lgestive system . . . ..-. ---. . . . . . . . . . . . . . . . ..-.. -- Al------------ 182Ear, no~e, andthroat . ..-... -.. -.--.. -.--..l 41 17,376 26Rndocrlnos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-.. -.j - . . . . . . . . . . . . 39l;yennd annex:] . . . . . . . . . . . . . . . . . . . . . . . . . . 34,752 -.--.-.-(Ienlto-uricary sy>ten. . . . . . . . . . . . . . . . . . . . 2 8,688 ] 8;hernia . . . . . . . . . . -.. -.-. --... - . . . . . . . . . . ..[. ---..3- .--.. i3.032.Joints antll)ursae . . . . . . . . . . . . . . . . . . . . . . . . . 5I.ymphatic system.. . . . . . . . . . . . . . . . . . . . . . . -------- ------------ 3hluscles, fa.~ciae, tendons a n d t e n do n

sheaths.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ----- -------Nervgl\s syster]l- . . . . . . . ..- . . . ..-. -.-... --.l 14 I 60,816 4%:Parasltlcfllsea~es . .. F. . . .. . . . . . . . . . . . . . . . . . -------- ------------ 2Poisonings and mtoxlcatlorrs . . . . . . . . . . . . . --.. i:i. ----i5i-5i2- 92Psychiatric diseases . . . . . . . . . . . . . . . . . . . . . . . 58Respiratory system . . . . . . . . . . . . . . . . . . . . . . . -------- ---. --.:---- 3,563Skin an(ilty appencinges ------------------ . . . ..6i. . ..-.---g-oi6- 4Ttlt~er(’tllL)sis ------------------------------ 719Tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 -4:344 30I-enereal tiiseases . . . . . . . ------------------- 1 4,344Nfiscellaneous l . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4 344 1,4:.imi~lltatlons ------------------------------ 11 47; 784 8Fractures . . . . . . ..-. - . . . . . ------------------ -------- . . . . . . . . . ..- 86

I Num-Amount of ber ofinsurance I veter-

ans.

$34,8,

1,o~~,], 980,

7W,112,163,

752688{),57356571

710

2240458182

3039

--------.... 8372, 164 87

13,03221, 720 i13,032

13

1,86;:39$250,

15,474,

3, 0:;128,

6, I:t34,

373.

44;2

2:3.563

— —— I——.__.—_——. —.

Total ..--. --... -... ---. ---.. --.-----’ 287 ~ 1,2~6,~~ ] 7,477, 3~,3~3,622 ; 7,764—. ———. _.—— —. —— . . _—— .—— .—.

Amount ofinsurance

$34,7528,688

1,037,989], g~g, 044

790,571la. 466163,71034,752

380,85213,03234,75213,032

4,3441,924,392

8,6883W, 648

1, W1,91315,474,878

17,3763,311,047

1;:, ::

6, 184;56482, 1~

373,584

33,620, 3~

1Includes battle deaths, accidents, anti injuries.

T-kBL13 ~(1. 4:3.—.4lfto??latic il~sllrance, ter?ninated disability and (Ieath at~’ards;class ijic(btion oj ~najor disabi~it.ij oj l’eteran a)~d reasons jor ter)ni?~ationt as ojJz~ne 30, 1998

—— — .——-— —Disability awards

Death awards;

Terminated by Term;~;~:d by - no beneficiary in

recovery Tot al permit ted class

(Classification -——Num-Num- Amollnt pr:; A:;yt ber of ‘~~.nt

:e:rn; An]ount ~r ofveter- 0[ in- veter- of in-

suranm surance veter- surance veter-ans ● ans ans suranceans

_——

Blood and blood-forming organs.. ..-. -2. ---- ---- ------- --$34 -ii2- ------- --$ii-4io- $4,344Circulatory system.-- . . . . . . ------ $8,688 8 , 10 ,, 3; 147,6%Communicable and infectious

tilseases . . . . . -------------- .--.- ------- ---------- 4,344 4,344 42 182,081Digestive system.. . . . . . . . . . . . . . . . 4,344 ; ; 13,0Y2 17

; 8,688 --.--i- .---:-:-173,848

Ear, nose and throat .--. . . . . . . . . . 8,688 ------- ----------Endocrines ----------------------- 1 4,344 : 13,032Eye,and qrrnexa . . . . . . . ----------- ----------------- 1 4:344 1! ::4,344 ----ii. -----.-.--(Iemto-urlnarys ystem--- . . . . . . . . . . . . . ------------ 3 13,032 : 13,0J2lIernia . . . . . . . . . . . . . . ----------------------------- ------- ,---------- ------- ----------~

,1 :

Joints an~bl]rsat'.. -... -.-. - . . . . ..l--_ . . ..l ---------- ------- -.---- .-..1 -.-. -.-1 ---------- 2 I :, :;:Lyn~phatlc system.. . . . . . -------- .--. -i- ----~-i~i. -----j. ‘--i~-~3~-1-----4- ‘ --------- 4~ 4,344h’ervous system.. . . . . . . . . . . . . . . . 11 i’,376 ~ 191,136Poisonings and intoxications.. -.. ~-.---ti- ---3g-oi6- ----i~- i---iu:-ii2- ‘---~j-!--ll~-2~~- 1: ~ 69,504Psychiatric diseases . . . . . . . . . . . . . . . 21, 130Respiral[jr~ system.. . . . . . . . . . . . . .-. -ii. -. iiG:ti40. b, 088 -2 ~: (ih8 I 361 1, 567,804Tuberc~dosls- . . . . . . . . . . . . . ------- 18? 786, 920 217 948,960 81 , 342,642‘Humors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ------- . ..-. -.---’ . ..--.. . . . . . . . ...’ 4,34Venereal diseases ------------------------ ---------- 1 4,344 I 1 ‘1,344 ; 8,688hfiscellnn~ous }. . . . . . . . ..- . . . . . . ..(-. . . . . . . . . . . . . . . . -.--.2. ---.g.i%- ‘----.2. \.. -------- 140 608, 160.kmputotl(lns . . . . . . . . ..-. -... ----- ------- .--------- 8\6SS ------- ‘----------Fractl]res . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 4; 344 11 4,344 4 17,376

_ —.. 1—— .—.—— — —Tottil... -.. -.. -.----- .--.---l 52 I 231,.544 225 978,056 277 1,209,600 770 3,332, 8G

_——— .—

1 Includes battle deaths, accidents, and injuries.

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TABLE No. 52.— Report of United Statea Government life insurance in jorce Decem-ber 31, 19~7

TOTAL-ALL PLANS

Insurance in forca Dec. 31, 19%-------------------- 463,520Issued during 19~-------------------------------- q 687

TotN ----------------------------------- ------.-

Terminations:Death claims awarded -------------------- 1,;:Disability claims awarded ----------------Matured endowments ---------------------Surrendered for cash ---------------------- 4, IdSurrendered for paid-up insuranw ---------Lapwd ----------------------------------- 11, 2;Dbhonorable diwh~ges ------------------Redumd ---------------------------------- ;Candled ----------------------------------Expired ----------------------------------- 3, ?4Change in data --------------------------- 4,736

Total terminations ---------------------- 26,380

Additions:Rerated disability claims ------------------ 63Paid-up insurance issued ------------------Revived ---------------------------------- 3, 6~gContinued under extended insurance ------ 4,989Change in data --------------------------- 4,766

Total additions ------------------------- 13,556

Net terminations --------------------------------- . . . ..-. -.

Insurancain force Dec. 31, 1927-------------------- - --------

Amount

1,977,959,452.451,274406,047.00

----------.-.---

8,357,083.063,787,926.69

10, w. 0014304,413.00

402000. a)46, 7% 40s. 00

5,000, m1,100, 135.001.369.067.009; 8s7; 909. (m

21,361,355.00

107,313,296.75

181,566.00%,581. W

16,017,218.0017,066,442.0021,404, 175.00

54,857,982.00

.---------.-------------------.-,

688,218

l%824

075,339

Amount

k 252,455,499.45

52,455,314.75

3, m, 000,134.70

TABLE No. 53.— Report of United States Government life insurance in force, byplan, as of December $1, 1927

Plan Number Amount

I—— .

Ordinary life ---------------------------------------------------------------- 139,390Wpayment life ------------------------------------------------------------- 17%mW-payment life -------------------------------------------------------------Oyearendowment --------------------------------------------------------- la;:%ymendowment --------------------------------------------------------- 35, g30Endowment at@e62-------------------------------5-year convertible term.

-.-. ----. --.. -.-. -----.-, 3~:~;------------- ---------------------------- -----------

Extended bswanm --------------------------------------------------------- \ 16,897

$753,240,352.45759,411,389.07150,005,339.5740&667,563.75la 352466.08173,701,502.957~3:$g

*V.

Total --- .------------- .-.--- .--------- .---. -----------. ----. -------.. -l 675,3S9 3, m, 000,184.70

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96 REPORT OF UNITED ST.ATES VETERANS’ BUREAU

ADJUSTED COMPENSATION TABLES

TABLB No. 57.—,Vumber of application jor adjusted compensation recei~~ed by$acal years from September, 1924, to June 30, 1988

.— —. —. ———-—.__—____

Fiscal year

1925. - ----------------------------------------------------------------------------------- -. 2,845,180l926---------------------------------------------------------------------------------------19n--

;~ ~~9M- -------------------------------------------------------------------------------------

----------------------- -------------------------------------------------------- ------- 124175

Total -------------------------------------------------------------------------------- 3,549,679— ——

TABLE No. 58 .—Actio~z talcen on applications jor adjuated compensation to June30, 19g8

—— —. —l\riinch of service Claim h-umber Amount

.Arrny---.--...------ Cash :(a) Veterans ------------------------------------ 106,993 $3,812664.01(b) Dependents --------------------------------- 4,972 135470.25

Dependents (over $W)------------------------------ 76, 205 26,996,033.21Certificates ----------------------------------------- 2,827,446$Mlump-sum payments ----------------------------- -.---------.

2, 8S8, 456,872.001,114,330. m

Total ----------------------------------------- 3,015,616 2,890,515,369.47

Navy --------------- Cash:(a) ~“eterans ------------------------------------- 7,593(b) Dependents---------------------------------l

208,024.44377 9,365.50

Depended@ (over $5O)------------------------------- 7,743Certificates ------------------------------------------

3,212,148.02

$60 tump-sum payments---412,754 446,191,063. W

-------------------------- --------- . . . 75,300.60

Total ----------------------------------------- 428,467 449,695,900.96

31~lrine Corps ------ Cash:(a) Veterans ------------------------------------ 430 14,306.67(b) Dependents -------------------------------- 1,427.49

Dependents (over $ti)------------------------------ 2,1$ 85%859.35Certificates ------------------------------------------ 61,867 67, 5:~ ~. ~$601ump-sum paynlents ----------------------------- ----------.- /,.

Total ----------------------------------------- 64,466 68,432,396.51

Grand total ----------------------------------- 3,508,549 3,408,643,666.94

TABLE No. 59.—Death claims awarded on account of adi?~sled service cerii$cates,.arranged by beneficiary, as of Jun; SO: 1928

—.—- .-

1 Payments to ‘ Payments toDeaths

I ‘:?:?$ts ; ‘;E:::::’ ‘* bonusIJeneflciary _____

Il—-=- ‘-- -

Num- 1 .4mount ~:e~- ~ I Num-ber Amount , ~er Amount Amount

— — — — —— . — .—-

Pyt~e;~ parents and------------- $13,647 ------- ----------- ------- -------- ----------

Estate ---------------- 2, 8;: 2,998,200 ‘------- ----------- ------- -------- -------..-}Vife or hnaband ------ 24,274 B, 857,607 23,407 $8, W, 783 1, ~ q;: $109,140Child or children ----- 1,135 I 1,105,486 5,583 1,9% 229 110,460Nlother----.---------- 10,628 10,691,246 46,663 16,49%693 &~5 ::: ~: 832, 3!UiFather---------------- %237 2,316, ~4 7,683 2,731,033 159,9alOther relatives ------- 7,372 7,579,497 369 146,091 18 ‘ 491No relative ----------- 966 , 1,047,476 -----.- ---------.- ------- -----.-- ----!-?-Orr)hangage, hospital,

eta------------------ 30,749 ---.--- ---..-.---- ------- -------- ------.-. -ih’o relationship shown 4E 498,864 ,------- ----.--.--- ------- -.------ ----------

— —— . — —‘rotal ----------- 50,080 51,139, W6 83,705 30,100,829 5,384 147,m? 1,215,900

Total

1

‘buwm- Amount

I

30,7402; 4%, 864

.39,169 /82,604,392

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ADVISORY GROUP ON APPEALS TABLE

TAII I.E No. G 1.—.1 ct ion by advisory group on appeals for the $acal year 1928

Cases-on hand at 1)(’ginningof year -------------------------------Cascs~rcceivcd(l\lril]gthe year ------------------------------------ 5,;;;~ascs acted [ll)ol~:

(J. I)(>(tisi()lls rctlclcred _________________________________ 4,471(). ilction other than decisions -------------------------- 992c. l~et(irned, rloactiol] -------------------------------- 2

d. '~otal --------------------------------------------------- 5,465Cases olllla]~datcndof year ------------------------------------- 663Daily aver:ige forgrotl~) d(lring year ------------------------------- 18.3

——— ——.. —-1

I Source of appeals.

Sections—. —.— —_

—— — ——Decisions reverse{i:

Increased ratlag . . . . . . . . . ..-. ----- . . . . ---- 12Permanent total rating... -------- -------- &l :Service corrnection . . . . . . . --------Itetroactive rating --------------- ;Protesting rating ----------------- 4 fil :Iteimbursement for medical treat-

merit --------------------------- ---.---- -------- ------.Question of competency . . . . . . ..- . ------- ---------------l{ating for insurance j)ur~)osw. -.. -------- ------- -1 1(’hange of occui)ational status... - -------- -.--.---1----.--l)e~)en{lency allo}vancw... . . . . . . . _’-------- 1 -------Question of susl)ension {~fcom-

I)ensation ---------------------- - ------- --------1-----.-l’rotcstlng forfeiture of rights. -...1 -------- -.------, -------

. —.Total -------------------------- 8 115 { 117

— .—. — —Decisions sustaine{l:

[ncrcased rating .- . . . ------------- 2 75 64l’rrmancnt total rating . . . . . . . . . . .SerViCe Cull[lectioll. . . --.. .-. . . . . . ‘ : 3: 4tiltetruactive rallng.. . . . . . . . . . . . . . 13 6s 42Itating for instlrancc~)ur{)osw.--- -.--.-.-l’rotesting ratixu . . . . . . . . . . . . . . . . . 1 2 4lt(~irllt)urst:llletlt Illetiical treat-

merit --------------------------- --------- ------- --------Further trailing. .- . . . . . . . . ..--- I--------- ------- 1Ratings ul~(ier s[~(ti(~n213----------------- ------- --------(’hange ofoccul)ntlonfds talus.-.. -------- 4 2i’rt)testing rcco}ery of o\erlJay- I

merit.. --. -.- . . . . ..-. - . . . ..-. -.-’ -------- - ------- --------.!ttendant fillo}vi~rlcl’ ------------- -.------ - ------- -------.~’rtJtesting forfeiture of rights ----- -.-. --. -+-------- 1t/uestion ofeoIIl~)eterlcy ---------- ------------------------l’rot~>sting ~lcclsioIls-------------- .-..----1---------------.Del)endency allowance . . . . . . . . . . . ‘-------- ----.---~------..

——— —Total -------------------------- 23 5MI 553

- - —(irand total -------------------- i 31 I 673 I 670

m - —Perm~llt revemed -------------------- 25.81 17.WI jlfiPercent smtairlt’f~ ------------------- ?4. 19 82.91 .

. —

Number of hearings during the year -- E ‘-------- --------Number of discussions during the

year . . . . . . . . ------ --------- . . . . . . . . . .--..--- .------- -.----- .— ———

Appealgroup

—-—-l————l———I

9 2--------

51 2:28 2266 15

1 l--------l 1---------------- 1--------2 1 2

-------- -------- ------- .-.------ -------- -----.- .-------- -------- ------- .-------- -------- 1

157 70 130- - .

83 4827&7 267

80 1102 -------

47 25

3 ---------------- -------- ;.-------, -------- 2-------- -------- --------.-------,.-------,--------.-------]--. -----1 --------.-------1-------- -----..-

-------- 3:

: l.-.----- --.--.:-

779 I 479 I 469

936 549 589I l—- - —

,------- -------- -----.--

.----------,-------——

ig)

otherWurm

———

78

E60

3

:2

------

1-------

227

25

&;

11:

1321

-------

131

;3

-------

796

1,023

22.1977.81

.------

,-.----

Total

——

44

B7220232

5

;21

11

824

3,647

4,471

18.4381.57

1,127

9ofI——

I Represents cases on which previous decision was made by section A, whi~ was consolidated withsection U on JIaY 15, 19m.


TABLE No. 61. —Action by advisory group on appeals for the fiscal year 1928—Con.——

I

I. —Casw received on appeal by advisory

group from various sections . . . ------ 15 996C NW returned for further considera-

tion --------------------------------- ------- -------— .

Total --------------------------- :-------~----.-.

I

Icl.

D

889

------

1, 3m

.. ---,

, ..--------.

E

717

-.---

-----——

220

---.----——--------

Appealgrrgn

Om~(’ase9

413

,--------

-------- -—.

Total

4,558

1,037

S, M6

1 Represents cases on which previous decision was made by section A, which was consolidated withSection B on hfay 15, 1927.

r.

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18119—28—

8

102 REPORT OF UNITED STATES ~TERANS’ BUREAU

Total——

$35,962,431.523,642, 171.82

43{),353.351,050,078.12

44,273.86807.819.63141;051.9795,685.54

7,587,566.95n7, 010.71

23,478.00124,2%. 1926,408.85

1,932,395.79NO,125.95261,N. 24S41,361.36

122,938.30764,369.37

1,W2,744.133,6b0,355.95

224,127.08

189,551.77182,156,239.5610,160,249.6S20,m, 069.00

120,WJ, 258.34

1,700,000.0024,$W4.51

1,133,!)67.9610$i,{)74.5!)36:),625.58

6,969,076.62

TABLE No. 6a.—Andy8i8 of obligation from d appropriation, jiscal year 1928—

Classifleation

s

Puaoovi~:

-------------------------------- ---------------------------------------------

Y

mdmiso@lla@w pa~en@-------------------------------------------------

'4h%z:?&TsksuPPlia --------------------------------------------------------Mdi@and hmpitdsuppliw -------------------------------------------------------StientMcandeducatioti suppHw---------------------------------------------------md---------------------------------------------------------------------------------Wmtiappud wdwwing suppliw------------------------------------------------

L%hk”::------- -------- . . . . . . . ------- . . . . . . . . . . . . . . . . . . . . . . . ---------- - --------.------------- . . . . . . . . . . . . . . . . . . . . . . . . . . . -------- . . . . . . . . . . . . . . . . . . . . . . . .

Smtiysupplim ----------- ---------- . . . . . . . . . -------- ---------- ---------------------_dcation service:

Td~aphwrdm --------------------------------------------------------------------Tekphonewrvi@-------------------------------------------------------------------Othwmmmunicationwrvim--------------------------------------------------------

Travelexpenses:Transportation--------------------------------------------------------- ------Bubsktince--------

-------------------------------------------------------- -------------- ---

SPMmdmkmHwmw exmmwhcident totra~’el--------------------------------Transportationof things------------------------------------------------ . . ..- . . . . . . . . . . . .Rintingand binding,engravin , lithographing,photographing,and typewriting (serv-

$h) obwork): Printingand indu -------------------------------------------------fFurnis ingof heat,light, power,etc-----------------------------------------------------

titi ------------------------------------------------------------------------------------mddtir8tiom ------------------------------------------------------------------S~admism~mmm cwentex~m ----------------------------------------------Peneion~tirementsalaries,annuitias,World War allowance, and insuranceslHOS:

mmgdowmw -----------------------------------------------------------------Militaryand Naval com~mation for deathand dkability---------------------------OtherWorld War allowanm (~jwted mmwmation)------------------------------Insurancelosses(mnvertid insWanm)-----------------------------------------------MUtary and navalimwanW -------------------------------------------------------

Granta,subsidias,and contributions:Bti&------------------------------------------------------------------------------Ttition.----------. ---. ------------... -----------------. ----------- .---- .------------'

‘ti$=;~, furnishinf,~d5xtuw --------------------------------------------------Educationfd,scienti c, andmcmationd equipment----------------------------------Otherequipment--------------------------------------------------------------------

Structuresand parts and nonstructuralimprovementsto land (includingfixedequij)-mat) ---------------------------------------------------------------------------------

Inveatments(includesworking-capitalfunds):Investmentof trustfunds-

1. Governmentltiei~n@ tmtfund -----------------------------------------2. Adjwted wrvi@mrtifimti fmd---------------------------------------------- ——

ToM------------------------------------------------------------------------------ 58771~~,489.~

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APPENDIX

109

.

.

PUBLIC ACTS

[EXTRA{IT FRO~l PUBLIC L~JV No. 2,

[11.R. 5m]

70TH CONGR~SS]

An Act Xfaking apl)ropriations to supply deficiencies in certain appro])riations for the fiscal year endingJune 30, 1928,and prior fiscal years, to provide supplenlental approl)riations for the fiscal year endingJune 30, 19M,and for other purposes.

UNITHD STATES VETERANS’ BUREAU

Nlilitary and l]aval compensation: For an additional anlount for the paymentof military and Ila\’al conlpensation accr[li~lg during the fiscal year 1928 or inprior fiscal years, $19,400,000~ and in additiorl thereto unexpended balances ofthe appropriations of the Llnlted States J’cteran.s’ B~lreall are hereby rcappro-]~riated and made available llnder the appropriation ‘‘ NXilitary and l]aval colll-pensation, Vetcralls’ 13ureau, fiscal year 192S and prior years, ” as follo~vs:Jlilitary al~d I]aval coll~pe]lsation, fiscal Year 1926, $1,732,000; military andI]aval conlpeusatioll, fiscal year 1927, $239,000; salaries auci expenses, fiscalJcar. 1~~~, $3,13ti,000;salaries and expenses, fiscal year 1927, $5,517,()()0;lllecllc:ll and IIospital services, fiscal year 1926, $1,148,000; nledieal and hos]jitalservices, fiscal vear 1927, $4,499,000; vocational rehal)ilitatioll, fiscal vear 1926,$lti6,()()O; voca~ioflal” rehabilitation, fiscal year 1926, $10, 140,000; pr~]~ting and})i~~ding, fiscal yt’ar 1926, $83,000; lnilittiry and naval insura;~ce, fiscal year1{)~~, $~,g~~,()()()e

Damage claims: To pay claims for damages to or losses of pri~atelv o~vned]Jroperty adjllsted and determined by the LTl]ited States Veteral]s’” l~ureaullnder t Ile provisions of the Act, ellt it le[l ‘‘ An .Act to provide a method for thesettlement of claims arising against the ~ol~erl]ment of tile L-nite(l States insums !)ot exceeding $1,000 in ally one case, ” approved Deceml)er 2S, 1922, asflllly set forth in IIo1lsc Document N’umbercd 731, Sixty -nillt h Congress, $477.02.

Approved, December 22, 1927.

[EXTRACT FRO}X PUBLIC LA\v No. 400, 70TH CONGRESS]

An .kct }Iakillg appropriations for the Executive OffIceand sundry iudeperrdent executi%rebureaus, boards,commissions, and o~lces, for the fiscal year ending June 30, 1929,and for other purposes.

~“NITED STATES VETERANS’ BLTRE.ltT

1+’or carrving ollt the provisions of an Act entitled “.in ,\ct to csta}~]ish a~’ctera~ls’ ljureau and to improve the facilities and services of such burcall andto further amend and n~odify the }Var Risk Ins(lrance Act appro~’cd .lugust 9,1921, ” and to carry ollt tile provisions of the .$ct entitled “ \Vorld }Var Veterans’ilet, 1924, ” approved June 7, 1924, as amended, and for administ rat ive expensesill carrying out the provisions of the \Vorld War Adjustccl Compensation Act ofhIay 19, 1924, including salaries of personnel in the District of Columbia andelse\\-here i]] accordance ~~ith the Classification :\ct of 192t3, and expenses of thecentral off]ce at lYashington, District of Col[lmhi?, and regio~]al offices and silb-Ofrlces, and including salaries, stationery, and minor Office supplies, furniture,e(\uil)ment and s~lpplies, rentals, auci alterations, heat! light, and ~vater, n~is-cellaneous ex])enscst incllldillg telephones, telegrams, frelgllt, express, la~v books,hooks of refer{ ’nee, periodicals, alnbulancc service, to~vel service, laundry servi(e,re])airs to C(lllipnlent, storage, ice, taxi service, car fare, stamps an(l I)ox rent,traveling and s[ll~sistencc, inelllc]ing not to exceed $4,000 for the expenses,ekcept men~bcrship fees, of employees detailed by the director to attend nleetings

111

112 mPORT OF UNITED STATES VETERAXS ‘ 13URE.\U

of associations for the promotion of medical science and annual national conven-tions of such organizations as may be recognized by the director in the presenta-tion or adjudication of claims under authority of section 500 of the l~orld 11’arVeterans’ Act aa amended, and traveling expenses of en~ployees transferred fron~one official station to another when incurred on the written order of the director,salaries and expenses of employees engaged in field investigation and s~lpervision,passenger-carrying and other motor vehicles, including purchase, maintenance,repairs, and operation of same, salaries and operating ex]~enses of the ~lrlingt onBuilding and annex, including repairs and mechanical ccl~lipment, f~lel, electriccurrent, ice, ash removal, and miscellaneous items; :il~d including the salariesand allowances, where applicable, wages, travel and SIII)sistt’nce of (’ivil ernf)loyeesat the United States veterans’ hospitals, supply depots, dispensaries, anti chnit>s,including the furnishing and laundering of white dll(’k sl]its, and ~vhite canvasshoes to employees whose duties make necessary the wearing of same, $40,000,000:Prczrided, That physicians, dentists, and nurses of the medical service of theUnited States Veterans’ Bureau, in addition to their con]pensation, when trans-ferred from one official station to another for permanent dllt y, may he allo~vcd,within the discretion and under written order of the director, the expenses in-curred for packing, crating, drayage, and transport at ion of their llo~lseholdeffects and other personal property not exceeding in all 5,000 pounds.

Such portion of this appropriation as may be necessary shall be allotted fromtime to time by the United States Veterans’ Bureau to tbe Public Health Serviceand shall be available for expenditure by the Public Hcalt h Service for llecessa~y

kersonnel, the pay, allowances, and travel of commissioned officers of the Pubhcealth Service detailed to the United States Veterans’ l~llreau for d ut v.For printing and binding for the United States I’et crans’ Burea(l,’ including

all of its bureaus, offices, institutions, and services located in Washington, Dis-trict of Columbia, and elsewhere, $135,000.

Compensation: For the payment of military and naval compensation accruingduring the fiscal year 1929 or in prior fiscal years for d~’ath or disability providedby the Act approved October 6, 1917, as amended, and the World War Veterans’Act 1924, approved June 7, 1924, as amended, $195,0(J(J,000.

Medical and hospital services: For medical, surgical, dental, dispensary, andhospital services and facilities, convalescent care, necessary and reasonable aftercare, welfare of, nursing, prosthetic appliances (inclu(iing speciaI clothing madenecessary by the wearing of prosthetic appliances prescribed by the b~lreau),medical examinations, funeral, burial, and other incidental expenses (including

#reparation for shipment and transportation of ren]ains) accruing during theseal ear 1929, or in prior fiscal years, traveling expenses, and supplies, and not

iexcee ing $100,000 for library books, magazines, and papers for beneficiaries ofthe Unitid States Veterans’ Bureau, court or other expenses incident to anyinvestigation or court proceeding for the appointment or ren}oval of al] J- gu;irdian,curator, conservator, or other ~rson legally vested \vith tt~e care of the clain~-ant, or his estate, or in connection with the administration of such est at c by suchfiduciaries, including court costs and other expenses incident to proceedingsheretofore or hereafter taken for commitment of mel~tallv incompetent persotlsto hospitals for the care and treatment of the insane, $;11,675,000.

This appropriation shall be disbursed by the United St rites Veterans’ B~lreau,and such portion thereof as may be necessary shall t~c allotte(l frolll 1ill]e totime to the Public Health Service, and the War, N“avy, and I1lterior Dt’l)art Illt’nts,and transferred to their credit for disbursement, by t hexn for the p[irpo>es setforth in the foregoing paragraph.

No part of this appropriation shall be expended for the purchase of any sitefor a new hospital, for or toward the construction of aIIy neiv hospital, or for thepurchase of any hospital; and not more than $3,30 !J,384 of this a~)propriat ionmay be used to alter, improve, or provide facilities in the several hospitals underthe jurisdiction of the United States Veterans’ Bureau so as to furnish adecl uat eaccommodations for its beneficiaries either by contract or by the hire of ten~-porary employees and the purchme of materials.

The allotments made to the Public Health Service, War, Navy, and InteriorDepartments shall be available for ex~enditure for care and treatment of bene-ficiaries of the United States Veterans Bureau, and for necessary n~illor repairsand improvements of existing facilities, under the various headings of aplJropria-tions made to said departments as ma}- be necessary.

Adjusted service certificate fund: For an amount necessary under s~~ction 505of the World War Adjusted Compensation Act of hl ay 19, 1924, to provide forthe payment of the face value of each adjusted service c~lrtificate in t~vent}- years

REPORT O F UNITED STATES T’ETER.4XS’ BUREAU 113

from its date or on the prior death of the veteran, $112,000,000, to remain availa-ble until expended.

For military and naval insurance accruing during the fiscal year 1929 or inprior fiscal rears, $106,750,000.

Total, U~lited States J’eterans’ Bureau, $4 S,5,560,000..4pproved, Jlay 16, 192S.

[PUItLIC-NO. 480-70TH CONCi IiESS]

[H. R. 12&21]

An Act To authorize an appropriation to provide ntlditional hospital, domiciliary< and out-patient dis-pensary faciliti~s for persons entitled to hospitalization under the \VorldWar 1 eterans’Act, 1924,asalnendcd,and for other purposes.

[1( it e~irrct~clb;~ the Scr~ate a?ld Hot~se ofRe~)rese)~tatives oj the United Stales ojA ?)((ric(t i)~ ~or~gi-css assc??)hlcd, That il] order to provicle sufficient hospital,don]iciliar~’, and out-pntient dispensary facilities to care for the increasing loadof mental]y afflicted l\”orld }Yar veterans and to enable the Llnited States \reter-ans’ }~ureuu to care for its beneficiaries in Yetcr,ans’ Bureau hospitals rather thanin contract temporary facilities and otiler institutions, the Director of the UnitedSt:ltcs I’ctcrans’ Bllrenll, s~lbjeet to the a]~proval of the President, is herebyauthorize[l to ljrovi{le ad([itional llos])it:i], don~iciliary, and o(lt-patient dispensaryfacilities for persons entitled to hospitalization under the lVorld lVar J7eterans’Act, 1924, as amended, by purehaset replaccnlcnt, and remodeling, or extensionof existing plants, and by construction on sites no~v o]vned by the Governmentor on sites to l~e acquirecl by pllrchasehospitals, clolliiciliary

, con(iemnation, gift, or other}~ ise, of such, :ind out-patient dispcnsar? facilities, to inclucie the neces-

sary buildings and auxiliary structures, mechanical equipment, approach ~vork,roacls, and trackage facilities~nding thereto; vehicles, livestock, furniture, equip-ment, ant! accc’sscrrieti-; ancl also to provide accommodations for officers, nurses,and :itte~]ding personnel; and 91s0 to provide ]>roper and suitable recreationalcenters; and the Director of the Unite(l St:~tcs \7eterans’ Bureau is authorizedto accept gifts or donations for any of the purposes named herein, Such hospitaland domiciliary plants to be constructed shall be of fireproof constrllction, andexisting plants purcl~}~scri shall be ren]odeled to be fireproof, and the locationand natllre thereof, Ivlletller for domiciliary care or the treatment of tuberculosis,neuropsyclliotric, or general n~edical and surgical cases, shall be in the discretionof the Director of the United States Veterans’ Bureau, subject to the approvalof t!le President.

LSEC.2. The construction of ne}v hospitals, domiciliary facilities or c]ispensaries,or the replacement, extension, alteration, remodeling, or repair of all hospitals,don~i ciliary facilities or dis]~ensaries l]eretofore or hereafter constructed shall bedone in s(lch n~anner as tile President may determine, and he is authorized tore[jllire the architectur:il, engineering, constructing, or other forces of any of thedepartments of the Government to do or assist In sllch ~vork, anc[ to employindividuals and agencies not nolv connected ~vith the Government, if in hisopinion (lesiral~le, at such compensation as he may consider reasonable.

S~Co ~. }/or ~arrJ-ingintoe[fecttheprecedil]g sections relating to additionalhospitals and donliciliary and out-patient ~is])ensary facilities there is herebyauthorized to }Ie :l~)proprlate(i, out of any money in the Treasury not otherwiseQp])rol)ri:lted, t he sllln of $15,000,000, to l~e inlmediatcly available and to remainavailable until exlje]](ie{l. That not to exceed :3 per centum of this sum shall beavailable for tl~e e~l~ploy.ll]ent in tl~e District of Colun~bia and in the field of neces-sary technical ancl cle.rlcal assistants at the custoulary. rates of conlpcnsation,exclusively to aid in the prepariltion of the p]:ins und specifications for the projectsauthorized herein and for tllc supervision of tile execution thereof, an(] for travel-ing expenses, field-oflicc e(lui~~n~cnt, an(i supplit’s in connection there~vith.

S~:u. 4. The President is further aut]lorized to accept from any State or otherpoiiticn] ~[lbdivision, or frol]~ any corl~oratiol~, association, inciividllal or indi-vicill:ils, :iny l)llilding , structl:rej c{luii)ment, or grounds suitable for the careof the [Iis:iblcd, }vith dl]e regard to fire or other hazarcls, state of repair, ancl allother ljc’rtinent considerations and to {iesignate ~vhat department, bllreau,boitr(i, collllnission, or other governn]ental ~igcncy shall have the (Iontrol andmanagenlent thereof.

- The (Iirector is hereby ailthorized to constrllct and lllaintain on!Sk;c. 0.hospital rescr~”utions of the bureau garages for the accommodation of privately

114 REPORT OF UNITED STATES VETERANS ‘ BUREAU

owned automobiles of employees at such hospitals. Elllployees Ilsing SIICI1garages shall make such reimbursement therefor as the director ma~ tiCJCIIIIreasonable. %Ioney received from the use of S(ICI1 g: L~:Lges shall 1)C cc)ycr~~f1into the Treasllry of the United States :is n]iscellantlo{ls receipts.

SEC. 6. The Director of the United States Veter:ills’ B[lreaLl is l~tJrcIJy:,11.thorized to sell at private sale not more than fifty acres of the hos]~ital rt’ser\’::-tion of the Ilnited States Veterans’ Hospital Numberc(l !):]J Legion, ‘~(’x:i<, t llcsize, price, and location thereof to t)e determined b}- t lltI (1]rector.

SEC. 7. The Director of the United States Veteraxls’ l]llrea{l is llc~r(tb~ :1[1-thorized to have appraised and, after advertisement, to sell to the highest bldtic’ror bidders, as a whole or in parcels in his discretion an(l on sl]ch terms as he maydeem proper, the United States Veterans’ Bureau H o.]~it:~l reservation in tht’county of Dekalb, State of Georgia, acquired by tile United States by decttdated April 15, 1920, and to make, execute, and deliver :ill needful conveyances.The director shall have the right to reject any and all Ilicls. The net ~)rocectlsof such sale or sales shall be covered into the Treas~lry of the ~nitc’(i iSt:ttes :1smiscellaneous receipts.

SEC. 8. Section 4 of the Act entitled “An Act to ant Ilorize an a])])ropriatiollto provide additional hospital and out-patient dispells:irv facilities for perst)l]sentitled to hospitalization under the l~-orld \Yar Vetcr:irls; ;\ct, 1924, ” ~ipl~roye(ihlarch 3, 1925 (United States Code, title 38, seetion 43s), is hereby repealed.

Approved, May 23, 1928.

[PUBLI~NO. 506-70TH CONGRESS]

[s. 777]

An Act Makingeligibleforretirement,underoertainconditions,orncersand formerorncersof the Army,Navy, and Marine Corps of the United St8tw~other than o~ers of the RegularArm~, Xav~, orMarineCorps,who incurredphysicaldisabilitym lineof duty whilein theserviceof the L’nitedS~atesdurfngthe World War.

Be it enaded by the Senate and House of Representatives of the United States ofAmerica in Congress assembled, That all persons who have served as officers ofthe Army, Navy, or Marine Corps of the United States during the World Warother than as officers of the Regular Army, Navy, or J IariIle Corps who d~lringsuch service have incurred physical disability in line of duty, and who havebeen, or may hereafter, within one year,. be, rated in accordance with law atnot less than 30 per centum permanent disability by the Llnited States Veterans’Bureau for disability resulting directly from such war service, shall, from dateof receipt o? application by the Director of the United States Veterans’ Bureau,be placed upon, and thereafter continued on, separate retired lists, hereby cre-ated as part of the Army, Navy, and Marine Corps of the United States, to beknown as the emergency officers’ retired list of the Army, Navy, or hlarine Corpsof the United States, respectively, with the rank held by them when dischargedfrom their commissioned service, and shall be entitled to the same privileges asare now or may hereafter be provided for by law or reglllations for officers of theRegular Army, Navy, or Marine Corps who have been rt~tired for physical ciis-ability incurred in line of duty, and shall be entitled to all hospitalization priv-ileges and medical treatment as are now or may hereafter I]e authorized t>y theUnited States Veterans’ Bureau, and shall receive from [late of receipt of theirapplication retired pay at the rate of 75 per centum of the pay to whit h theywere entitled at the time of their discharge from their commissioned service,except pay under the Act of May 18, 1920: ProL~zded, That all pa,y and allowancesto which such persons or officers may be entitled Ilnder the provisions of thislaw shall be paid solely out of the military and naval compensation appropria-tion fund of the United ,States Veterans’ Bureau, and shall be in lieu of all dis-ability compensation benefits to such officers or persons pro vialed in tIle Worl(iWar Veterans’ Act, 1924, and amendments thereto, except as otherwise author-ized herein, and except ~ provided by the Act of Decenlber 18, 1922: Providedfurther, That all persons who have served as officers of the Army, Navy, orMarine Corps of the United States during the World War, other than as officersof the Regular Army, Navy, or Marine Cor s, who during such service have

xincurred physical disability in line of duty, an who have heretofore or may here-after be rated less than 30 per centum and more than 10 per centum permanentdisability by the United States Veterans’ Bureau, for disahilit y result ing directlyfrom such war service, shall, from date of receipt of application by the Director

REPORT OF UNITED STATES VETERANS’ BURE.AU 115

of the [“!lited states Veterans’ Bureall, be placed upon, and thereafter continued01), the appropriate cl~lergc[lcy oficers’ retired list, created by this Act, with therank hcl(l l)y tl)c’11~J1-llcnr]ischarged from their conllllissioned service, but withoutretirc(l pay, and shall l)e entitlerl only to such compensation and other benefitsas arc Ilow or Illay llercafter I)c provided bv law or regulations of the UnitedStates Yetcrans’ B~]rea\l, together with all privileges as are now or may hereafterbe provided by la~v or regulations for oficers of the lleg~dar Army, Navy, orLlarille Corps who have t)cen retired for physical disability incurred in line ofduty : .-1rbfi [)ro)idcfl f ~lrther, ‘1’hatthe retired list created by this Act of officersof the ~lrll~y shall be pl~})lishe~ annually in the Army Regi;ter, and said retiredlists of officers of the Navy and Nlarine Corps, respectively, shall be publishedannllallv ill the Navy Register.

SEC. ~. NTOperson shall be entitled to benefits undrr the provisions of thisAct exce~)t he n]ake application as hcreinbcfore providc(l and his application isreceivrd in the [Tnitecl St~~tes Veterans’ Bureau within twelve months after thepassage of this Act: Prolided, That the said director shall establish a register,and a~)plicatiol~s ]nade hcreun(ier shall be entered therein as of the actual date ofreceipt, in the order of receipt in the Veterans’ Bureau, and such register shallbe conclusi~~e as to date of receipt of any application filed under this Act. Theterln ‘‘ \Vorld lyar,” as used herein, is defined as including the period from April6, 1917, to .July 2, 1921.

NICHOLAS LONGWORTHSpeaker of the Hot(se of Representat~ces.

CHARLES G. DAW~SI’ice President of the United )9tates and

President of the Senate.

IN THE SENATE OF THE U~IT~D STATES

J{ay 3 (calendar day .Ilay 24), 1998

The Senate having proceeded, in pursuance of the Constitution, to reconsiderthe hill (S, 777) entitled “An Act making eligible for retirement, under certainconditions, officers and former officers of the Army, Navy, and Marine Corps ofthe United States, other than officers of the Regular Army, h’avy, or MarineCorps, who incurred physical disability in line of duty whale in the service ofthe Pllited States during the World }TTar,” returned to the Senate by the Presidentof the L;nited States, \vith his objections tl~ereto, with the message of the Presidentreturning the bill; and

Reso/red, That the bill do pass, two-thirds of the Senate agreeing to pass thesame.

Attest:EDWIN P. THAYER, Secretary.

IN THE HOUSE OF REPRESENTATIVES, UNITED STATES

May $4, 1928

The House having proceeded, in pursuance of the Constitution, to reconsiderthe bill (S. 777) entitled “An Act making eligible for retirement, under certainconditions, officers and former officers of the Army, Navy, and Marine Corps ofthe United States, other than officers of the Regular Army, Navy, or MarineCorps, who incurred physical disability in line of duty while in the service of theUnited States during the World War,i’ returned by the President of the UnitedStates to the Senate, in which it originated, with his objections, and passed bythe Senate on a reconsideration of the same, it was

Resell’ed, That the bill pass, two-thirds of the Representatives present havingvoted in the affirmative.

Attest:WM. TYLER PAaE, Clerk.

116 REPORT OF UNITED STATES VETERANS’

[PUBLIhNO. 585-70TH CONGRESS]

BUREAU

[H. R. 13039]

An Act To amendthe World Wsr Veterans’.kct, 1924

Be d m&d by the Senate and House oj Representatives oj the United States ojAticu in Congree8 a88e~bled, That section 19 of the World War J’eterans’ Act,1924, = amended (section 445, title 38, of the United States Code), be amendedby adding the followin :

f“No suit shall be a owed under this section unless the same shall have beenbrought within six years after the right accrued for which the claim is made, orwithin one year from the date of the approval of this amendatory Act, whicheverh the later date: Prw”ded, That for the purposes of this section it shall be deemedthat the right accrued on the happening of the contingency on which the claimis founded: Provided jurther, That this limitation is suspended for the periodelapsing between the filing in the bureau of the claim sued upon and the denialof said claim by the director. Infants, insane persons, or persons under otherlegal disability, or persons rated as incompetent or insane by the b(lreau shallhave three years in which to bring suit after the removal of their disabilities.If suit is seasonably begun and fails for defect in process, or for other reasonsnot affecting the merits? a new action, if one lies, may be brought ~~itllin a yearthough the period of imitations has elapsed. Judgn]cnt,s heretofore renderedagainet the person or persons claiming under the contract of war-risk ills~lra ]lceon the ground that the claim was barred by the statute of limitations shall l~otbe a bar to the institution of another suit on the same clainl. No St:itc or otherstatuti of limitations shall be applicable to suits filed under this section. “~llissection shall apply to all suits now pending against the IJli ited Stat es u]~dcr theprovisions of this section.”

SEC. 2. That section 21, subdivision (2), of the World War Jreterans’ Act,1924, as amended (section 450, title 38, of the United States Code), be hercl]ymended to read as follows:

“(2) Whenever it appears that any guardian, curator, conservator, or other

rn is not, in the opinion of the director, properly executing the dllties of his

st or has collected or is attempting to collect fees, commissions, or allo}v:~nces@t are inequitable or are in excess of those allowed by law for the duties per-formed or expenses incurred or has failed to make SUCh payments as may benecessary for the benefit of tke ward or the dependents of the ward, then and inthat event the director is hereby empowered by his duly authorized at torl~ey toAppear in the court which has appointed such fiduciary and make proper pre-sentation of such matters to the court: Provided, That the director, in his dis-cretion, may suspend payments to any such guardian, curator, co[lservator, orother person who shaU neglect or refuse, af tir reasonable notice, to rcn tier anaccount to the director from time to time showing the application of such pay-ments for the benefit of such minor or incompetent beneficiary.

~~AUthority is hereby granted for the payment of an}’ Collrt Or other expensesincident to any investigation or court proceeding for” the appoint n~ent of allyguardian, curator, conservator, or other person legally ~csted wit 11 the care ofthe claimant or his estate or the removal of such fiduciary and a]jpoil]t Il]ent ofanother, and of expenses in connection with the administ r:ition of s[lch estatesby such fiduciaries, when such payment is authorized by the director. ”

SEC. 3. That section 28 of the World War }’eterans’ Act, as am{’n(iefl (section453, title 38, of the United States Code), is hereby amended to read as fol]o~vs:

1($Ec. 28, There shall be no recovery of payments f roln [tny per~on) ~~1101i11

the judgment of the director, is without fault on his ]>art, and wll(’rc, in thejudgment of the director, suoh recovery would defeat the purpose of benefitsotherwise authorized or would be against equity and good conscience. No dis-bursing officer shali be held liable for any amount paid by him to any ]jersonwhere the recover of such amount is waived under this section.

{“ When under t e provisions Qf this section the recoverv of a p:~ynlent n~adefrom the United States GovernWent life-insurance fund is waive(l, the1“nitc(iStatis Government life-insurance fund shall be reinlbursed for t lle tilllollntinvolved from the current appropriation for military and naval ins(lr:lnce. ”

SEC. 4. That a new section be added to Title I of tile \Vorld \l”:~r \’(~ter:~ns’Act, ‘1924, as amended (title 38, United States Code), to be known :is scrti~)n 34and to read as foil ows:

“ SEC. 34. The director is hereby authorized to contr~ict for tllc services oftranslators ~vitbout regard to the provisions of the Act of August .5, 1SS2 (sec-



which shall be made by any State, county, or municipality, but the aggrt’gutc ofthe sum allowed plus such contribution or contributions shall not excee(l theactual cost of tll(’ burial.

“ (2) The ];aylnellt of compensation to a l~idolv shall [’ollt inue until 1(cr fit’:it 11or remarriage.

“ (3) ‘1’ht’ ]~a)l]lent of compensation to or for a cllilfl shall continue ll]~til ~ut’hchild reaches tile age’ of eighteell }-ears or nlarries, or if SU(’11rhild be perl]l:t]]c]itiyincapable of self-support by reason of nlental or physi(’fil flcfcct, then dllril]g silt’hincapacity: l’~f)?’i(lcd, That the payment of com]jensatioll shall be further (’ol,ti~]-ued after tile age of eighteen years and until com]jletion of education t)r tr:iilling(but not aft(~r sllch child reaches the age of t~vcx)ty-on(l ~ears), to any child ~t11{)isor may hereafter be pursuing a course of i]lstru(’tloll at a s(’11001,college, a(’:l{!enly,semin “y, techr]ical institute, or university, particularly designated bj IIinl nlid

?appro ed by the director, which shall have agreed to report to the d]re~tor theterminatioli of attendance of such child, al]d if any s1lc1l i]lstitution of lt~arl)il~gfails to make sil(’1~ report promptly the al~]~ro~.al shall }~e Jvithdra}vn.’”

SEC. 8. g’hat section 202, subdivision ( 1), paragr:lpil (e) of the Yi’tj!”l{l ‘}!’:lrVeterans’ A~’t, 1!)24, as amended (section 475, title 3s, I’nite(l States ~’il(lr’, I)ehereby amcljdt’d to read as follows:

“ (e) If li( l~:is a nlother or father, either or l)oth depentl[~]]t on him for sll])]lo~t,then, in adt!ition to the al)ove al]~oul~ts, $10 for each par(’lit so dept~n[l{’]lt: i’) tJ-vided, That t 11[’ ,~tat us of dependency shall be determillc(l as of the first (l:~y l)feach year, al]d the director is authorized to re(~uire the submission of s(Jch l)r{~l~fof dependen(’y as he, in his discretion, deems ]lecessar~-: l’rot~ided f~~rll~~r, Thatupon refusal (lr neglect of the claimant to supply sLlch proof of dependency i~l areasonable time, tile payment of such additional con]pel]sation as hereiri l)ruti(l~’dshall be suspcllded or dlscontinlled. ”

SEC. 9. That section 202, subdivision 12, of the J\-orld JYar Veter:l]]s” .Itt,1924, as an~en(lc’d (section 486, title 3S, [-nited States Code), be herebl’ anlcrldcdto read as follo~vs:

“ (12) Where the disabled person is a patient in a hospital, or where for arlyother reason tllc clisabled person and his wife are not living together, or ‘,rllerethe children arc not in the custody of the disabled persoli, the amount of the c~>n}-pensation may be apportioned as may be prescribed by reg(llations.”

SEC. 10. That section 206 of the ~ orld JJ”ar Veterans’ Actt 1924, as anlelllied(section 495, title 38, lTnited States Code), is amended to read as follo~vs:

“ SEC. 206. That no compensation shall be payable for death or disabilit)- ~illi{’hdoes not occur ])rior to or }vithill, one year after discharge or resignation fr(~m theservice, except aS provided in section 200 of this Act, and e~eept ~vhere tilere isan oficial record of the injury during servirc or at the time of separation fr~]nlactive service, or where prior to April 6, 1930, satisfactory evidence is fur]lishedthe bureau to estalllish that the injury was suffered or aggravated during a[tiveservice. }Yher(~ there is oficial record of injury durit)g service conjpcllsati(~nshall be payable in accordance with the provisions of this title, for death or dis-ability whene~”er occurring, proximately resulting from sllch injury.”

SEC. 11. Tl~at the second paragraph of section 209 of thc l\”orld War T“eterans’Act, 1924, as amended (section 498, title 38, United States Code), is an]elldedto read as folloivs:

“ The time herein provided may be extended by the director up to .\])ril (;,1930, for good cause shown. If at the time that any rigilt accrues to ally personunder the provisions of this title such person is a minor, or is of unso(in(i n~indor physically unable to make a claim, the time herein provided shall Ilot beginto run until s~lch disability ceases.”

SEC. 12. That section 212 of the JYorld l~ar Veterans’ Act, 1924, as alnt’Il(it’(i(section 422, title 38, United States Code), be amended by adding thcr~to tllcfollowing proviso:

“ Provided f l~rt~ler, That where the widow, chilci, or children, of a ~lc(easedveteran are cnt itled to compensation by virtue of an accrued right uli(i~’r t lleW’ar Risk Insurance Act, as amended, the rates of compensation shall l~e tilesame as those provided by section 201 of this Act, ”

SEC. 13. That section 300 of the W’orld War Veterans’ Act, 1924, as :~nl(’n[ie~i(section 511, tit le 38, of the United States Code), be hereby amended to rca(i :ksfollows :

“ SEC. 300. In order to give to every commissioned ofi]cer and enliste(] n~anand to every member of the Army Nurse Corps (female) and of the Navy A“urscCorps (fenlale) ~vhen employed in active service under the }Var Depart nlel~t orNavy Depart nlent protection for themselves and their dependents, the 1’ !Iited

REPORT OF UNITED STA~S VETERANS’ BUREAU 119

States, upon application to the bureau and without medical examination, shallgrant Llnited States Government life insurance (converted insurance) againstthe death or t{~tal pernlanent disability of ally- such person in any multiple of$500, and not less than $1,000 or more than $10,000 upon the p~yrnent of thepremi~lnls as hereinafter provicied. S(lch it]surauce must be apphcd for withinone hundred and twellt~ days after eldist]tlent or after elltral~(’e i]ltfl or en~ploy-mcnt ill tile active servlcc arid I)efore discharge or resigt]atioll: ~>rol’iclc’[l, ‘rhatany nlcnlbcr of the rcscr~-c forres ~r!lose :Ll~plication \Yasacreptcd at a tinle whenhe was i]) attclld:~llce at a nlilitary or J)aval training can~p or station, and fromwhom premiums ~vcre collected, and ~vho becomes or has beeonlc totally andperma]lently dismbled, or ~iies or has died, shall be cicen~ed to have n~ade validapplication therefore This proviso shall not allthorizc the gral~ting of more than$10,000 insurance to any one person: l’ro~i(ie(l j{~rtl~er, ‘1’hat each officer andenlisted man of the Coast Guard who is scrvill~ on acti~’e dllty at the tilnc ofthe p: Lss:tgc of this aI~~cl~datory Act, or Ivl}{) s~lbsc(}~}el~t thereto enters the CoastGuard service, shall be granted ins(lraIl(c ill a(>cordanre with the terms of thissection IIpOII application lvithin one hlln(lrcd an(l twenty davs of the passage ofthis al~lcl~(latory .lvt, or date of eulistnlellt or elltr?’ into tl~e coast Guard, which-ever is tllc later date, and before retirement, discharge, or resignation.

“ l-early rcne~val~le terln insural~(:e shall IJ(’ paj-:Ll~lc OIIIY to a spouse, child,grandchi~d, parent, brotilcr, sister, [lncle, auIlt, Ilcpl)elv, lliecc, br,)tller-in-law,or sister-ill-latv, or to ally or all of the[n, allcf also during total an(l permanentdisability to the injured person.

‘$lVhere the beneficiary for yearly rcnetvat)le tcrn~ insurance at the tilne ofdesignation by the insured is wlthill the pernlitted class of bclleficiarics and isthe designated t)e]lcfi~jiary at the time of tl]e Iutitllrity of the insurance becauseof the death of tllc insured, such beneficiary shall be cieemed to be within theperluitted class even tho(lgh the stat[ls of such beneficiary shall have been changed.

“‘~hc [~llited States shall l)ear the ex~~e]lses of adn~ll~istration atld the excessmortality and disal)ility cost res~lltillg fr[)m tl~c hazards of ~var. ‘l’lie prcmillmrates shall I)c tile Ilet rates based l]l)on tllc ~lnlerical~ I;x~)criellce Tal)le of Jlor-tality and il~tercst at 3% per ce!lt~lm ]~cr al~ll{Inl, ‘1’his section, as amended,shall be decll~ed tt) I)(I il] effect as of J[ine i’, 1(~24,”

S1;C. 14. ‘~lla,t section 301 of the JVorld \\-ar Ycterans’ ilct, 1924, as an~cnded(section 512, title 38, ~Tnited States Code), be hereby anlendecl to read as follows:

“ SJ:C. 301. Excel)t as ~)rovidcd in the second paragral~ll of this section, notlater than J[l~~ 2, 1927, all tern) yearly rellc~val)le ins~lranee held by persons \vhowere in the mllltary scrvicc after .ipril 6, 1917, shall IJCconverted, wltho(lt n~edicalexalnination, into such form or forlns of illsllran~”e as may I)e prescribed by regu-lations :in(] us t}le illsllred nlaj- re(~llest, ltcgl~latio[ls shall provide for the rightto convert into ordinary life, t~rcnty-paynlcnt life, cndo~vn~cnt nlatllring at agesixty -t~vo, five-year level premium terln, and into other us(lal forms of insurance,and for recon~rcrsion of any such policies to a lligller pren~iunl rate or, upon proofof good health satisfactory to the Director, to a lo~ver premiunl rate, in accordancewith regulations to be issued by the director, and shall l)rescribe the time andmethod of ~)aynlent of the pren~i~lnls thereon, bllt paynlcnts of prenliums inadvance shall not l)e rec{llircd for periods of more than one m(~nth each, and rna.ybe, deducted fronl the pay or deposit of the insllred or he otherwise made at hlselection: Prooicle(l, ‘rhatno reconversion shall be made to the five-year levelprenlillnl form of policy.

‘[ All yearly renefvable term insurance shall cease on July 2, 1927, except whendeath or total permanent disability shall hat’e occurred before Jujy 2, 1927: Pro-uiie(l, ho~~~rrer,‘1’hat the director may by regulatioxl extend the tln]e for the con-tinlling of yearly rencwal)le term insllrance anti the conversion tilereof in anycase }vhere on Jlllv 2, 1927, conversion of such yearly renc~~al)lc term insllran(’e isilnpractical)le or ~mpossil)le due to the mental condition or disappearan(’e of theinsured.

“In case where an insured whose ytcarly. rene~val)le terlll insurance has maturedby reason of total permanent disabdit~- 1s follnd and declared to l~e no longerpernlanently and totally disal)lcd, and where the insllred is rec~llired llnder reg~~-lations to renetr paylnent of prcmiulns on saicl term in}jllranec, and ~vhere thiscontingency is extended t)eyond the period d(lri~~g ~vhich said yearly rene}vableterm insllrance (~ther~rise mllst be converted, there shall I)c given s(lch il~s~lrcd anadditional pcri~)d of t~vo years from the date on ~~’l~ichhe is re(lliircd to renewpaym(’ilt of l)renlilln~s in whit’h to convert said term ins(lrance as hereinbeforeprovided: I’~~i’i(/(’(1, ‘1’Ilat ~vhere the tin~e for conversion has been extended underthe second paragraph of this section because of the mental condition or disap-

120 REPORT OF UNITED STATES VETER.\N S ‘ Dl~RE.t~7

pearance of the insured, there shall be allowed to the ins~lred an addit illnal

Eeriod of two years from the date on which he rect)vers from his nlel~tal disa-ility or reappears in which to convert.

“ The insurance except as provided herein shall be l~:]yal~le il] two huudr(’d andforty equal monthly installments: Pro/ided, That JYII(Int11(’amolll)t of al) in(ii-vidual monthly payment is less than $5, such amount III:I~r in th(’ (ii~cr(’tioll ofthe director I)c allo~ved to accumu]atc without int crest :t Ild IJC (lisburs(~d am~LI:dly.Provisions for maturity at certain ages, for Continut)u> illstalhne~~ts flurillg ~holife of the insured or beneficiaries, or both, for cash, lt):i]~. l)aid up an(l e~t~’llci~’dvalues, dividends from gains and savings, and such ot llt’r ]Jrovisioxls for thc’ ]jro-tection and advantage of and for alternative benefit> to t }lc insured an(l tllcbeneficiaries as may be found to be reasonable :]nd pr:lt’i i(-:~1)lt’, ma} I)CI])rovid~’dfor in the contract of insurance, or from time to tixue l)}’ r(’gulations. ,\ll c~:Llc~~la-tions shall be based upon the American Expcricnt’t’ ‘~;t})l(’ of hIort:tlity andinterest at 3~2 per centum per annum, except that no (It’tluct ion shal 1I)c nlfide forcontinuous installments during the life of the insured iIl c:isc~his tottil :~tld pt~rnl:i-nent disability continues more than two hundred an~l fort:” l]; onths. ~S{ll)j{’ct toregulations, the insured shall at all tim{’s have tht’ right to (’ll:!,llge til(” 1)(’!lt,fici:iryor beneficiaries without the consent of such bcn(~fi(’i;~rj or l)(,lleticiari(~s, IJllt onlywithin the classes herein provided.

“If no beneficiary \Je designated by the insured :~s })(’1~(’ficiary for convertedinsurance granted under the provisions of Article I\r of {1][’ \l’ar l{isk Il~s~lr:il~t’eAct, or Title III of this Act, either in his lifetime or }JY l~is liist }vill and t~st:~nlellt,or If the designated beneficiary does not survive th(’ itlsure(t, then tilt’rc shall I)(’paid to the estate of the insured the present valu(’ of tll~’ relna,ining u[lpni(imonthly installments; or if the designated bencfici:~rj’ ~llryil.es the il~surc’(i :LI1(Idies before receiving all of the installments of rol~v(~rl(Jd il~suranc(’ }):ty:~lJILI:L1)(Iapplicable, then there shall be paid to the estate of su(’11 I)t’lleficiary the l)r(’~elltvalue of the remaining unpaid monthly installments: l)rorided) That 1~()p:tY-ments shall be made to any estate which under the’ Ialvs of the residence of theinsured or the beneficiary, as the case may be, Tvoul(i (Isch(’at, I)ut s:~mcI sh:~lleScheat to t}le ~~nitcd States aI~d be credited to t]l(, lTIlit~~(~ states Goy(JrI~Ill(’lltlife insurauce fund.

“The bureau may make provision in the contr:~(,t for (“onvert(’(1 illsllr:kll(’[’for optional settlements! to be selected by tile iIISlil”(’(i, ~v]l(trcby s1l(o1lillsurallt’emay be made payab}c clther in one SUIII or in inst:~llul(’llts ~or thirt:-~ix luolltllsor more. The bllrcau may also include in said cont r:~(l :1 provisiO1l allillt)rizingthe beneficiary to elect to receive payment of the ills{lr;~u(’c in ill.~t:~lll]l(>l~tsforthirty-six months or more, but only if the insured l~:i> ]lot (“;(~rcis(’fl th(’ right ofelect]on as hereinbefore provided; and cvt’n though tl](’ ill.ured l]i:Lv Il:ivt’ (’xtIr-cised his right of election the said contra{:t may autlloriztl th(~ ben(’fi;i:irv to electh receive such insurance in installments spread over a gr(~:~ttr perio(i of ~ill]~~t l~allthat selected bv the insured. This section, as an~en(l(l(i, sh:~ll be (ie~~llic(i to I)c ineffect as of Ju~;e 7, 1924. ”

SEC. 15. That a ncw section be added to the lYorl[l \\’:ir t’eterall?:’ .\(’t, 1{)2!,as amended (title 38, L-nited States Code), to be Iitlotvll :1~ SeCtiOll ;jlo :lll(i tOread as follows:

“ SEC. 310. N“ot~vithstanding the provisions of so(’t iol]s :100 :Lu(i i301 of t 11(’World War J7etcrwns’ Act, 1924, as amended (se(”tiol]> 511 an(i 512, titie :\S,United States Code), the l“nited States, upon :]p])li(:Ll ion to th(’ I)ur(’au, sh:il 1grant United States Government life (cou~rertcd} illsllral~(’c agaill~t (Ie:{t h orpermanent total disability in any nlultil~le of $50[) :Lrld not less than $1 ,01)(~ormore than $10,000 to any person who has hert’toft~r{~ :L])])li(’(i or I)e(’11t’ligil )lc~toapply for ~“early renewable term insurance or l’rlit~>{i St:~tes C,ov[>rl~ln~’nt Iif(’(converted) insurance: Prorided, That such person i~ ill good health au(i fllrl~isl~(~sevidence satisfactory to the director to this (Iite(*t: l’r(~rit~ed f~~r~he~.,‘1’h:it 1!(Jperson ma,y carry more than $10,000 of [Jnited Statt’s Government lift’ il]s[lr:~ncf~at one time: Provided jt~rther, That no ~}erson ~vho h:I.s surrendered his 1‘l~it~’(iStates Government life (converted) insurnnce for its ():Is1l ~[irrer](l~’r ~’alu(~ ~h:ll[be entitled to apply for insurance under this scctiol~ tothe(~xtent of tht’ aluo~ll~tof the insurance so surrendered: Proz~ided f l~rther, ‘1’h:~t the provisioIls of tl~issection shall not appll” to any person Ivho did not ~crv(’ ill t he nlilit:kry or II: LV:L1forces of the United states in the course c~fthe \frorl(i l~nr. ”

SEC. 16. That a ne~v section be added to the JYt)rlci \\’:tr Veterans’ lot, 1!121,as amended (title 38, LTnited States Code), to be l;lll)~~]~ as secti(~ll 311 ~i]~(itoread as foilows:

“SEc. 311. The director is hereby allthorizeci an(i (iirect(’d to il~(’lu(i(’ ill tll(United States Government life (convertcd~ i]~sura]~c(: policy, provi~ioll tvi~er~ll)y

REPORT OF UNITEI) sT.\TES lrETElti\NS’ BURE.AU 121

.4n Act To amend the \Yorld \Yar.Adjusted ~om~)erlsatiorl.ict, as amexlde(i.

I{r ~i enacteti by i}~e Senate and IIotise OJ Rc]~re,serit(rti~t.vof tl~e Cnitc(i States oj.4 rr~(rit a i?? Co?/~rcss assc?tlhlcd, That subdivisions (b) and (c) of section 302 ofthe }I”or]d War ~ldjusted ~onlpensatioll .lct, as amended, are amended, to takeeflvct as of Decenll>er :;l, 1927, to read as fo]lo~vs:

“ (1)I Such application shall t)e nlmde and filed on or before .Januarl-. 2, 1930, (1)pers(~llallv by the ~~eteran, or (2) in case physical or mental ineapnclty preventsthe making or filing of a personal application, then by sIlch representative of theveteran and in sllch ltlanncr as lnay t~e by regulations pres[rihert. .AIAapplica-tion madc by a person other than the representative allthorized by any sllchreglllai iol~, or not filed on or before Jarl~lary 2, 1{)130,shall IJe held }’oid. If theVcterall (hes after tile applic:~tiol~ is Illadc and before it ix filed it may l)e filed byany p(’r~on: Pro2~iflc/1,hrr?r(’1’cr,That if the veteran died bct~!een A[ay 10, 1924,and .JI1lY 1, 192+, ~vithout n~aking the application, leaving a \vido\v survivinghinl, the applicatl(~n n~~y be ~nade by the ~~ido~v and shall I)e ~ulid ]vith the sameforce and ef~ect in e~’ery respect as if the application 118c1I)ecIl rnadc by thevet cra]l.

‘ L((1’) If the veterat~ dies after t l~c a])plieal ion is madc, it shall be valici if theSe(’retary of Jyar or the Secretary of the .\’avy, as Illc case nlay be, finds that itbears the bona fide sig[lature of the nppli(antl disclost~s an intention to elailn thebenefits of this ,Ict on behalf of the veteran, and is tilec~ on or before .Januar-y 2,]{}~](), ,~het}ler or not f~)e yetcrall is alive at t]le tilllc it is fil~d. If ~he ~[:terandies a~ld payments arc nAadc to his depc[l(lents under Title \’1, and thereafter avalid application is filed ~lnder this secti{)n, t i~en if the a(ljusted service credit ofthe vet(~ran is more than $,50, payl~lent shall t)e n]ade in necor(lance \vith Title V,less any amounts already paid under ‘l’itIt’ 1’1.

SEC. 2. Section 602 of the \Vorld \Yar ~idj~lsl cd Con~pcnsntion .Act, as alnended,is an]eIlded, to take effect as of December 31, 1{)27, to read as follok~s:,. ,hI?CT.602. (a) N’o payn]ent {Illder section [;01 shall t)(>n~a{lc to a ~vido~r if shehas rell]arried before n]aking and filing application, or if at the tinle of tllc deathof the veteran Ivas living apart frolll hiul t}y reason of her o~vn ~villf~d act; norunless dependent at the tilnc of the death of the veteran or at any tin]c thereafter

122 ,REPORT OF UNITED STATES VETER:\NS’ BITtiE\lT

and before January 3, 1930. The widow shall be preslln]ed to have been depend-ent at the time of the death of the veteran UPO1] a sllo~villg of the nlaritulcohabitation.

“ (b) Payment under section 601 shall be made t{) a child if (1) under eighteenyears of age at the time of the death of the veteran, or (2) at any time thereafterand before January 3, 1930, incapable of self-support by reason of mclltal orphysical defect.

“ (c) No payment under section 601 shall be macic to a nlother or fatherunless dependent at the time of the death of the vetera[) or at any tin]e there-after and before January 3, 1930. If at the time of the death of the veteranor at any time thereafter and before January 3, l\~30, the n]t)t i~er is (Illnlarriedor over sixty years of age, or the father is over sixty yc’:irs of age, s{lch nlotheror father, respectively, shall be presumecl to be depe Ildcl]t. ”

SEC. 3. Subdivision (b) and (c) of section 60-1 of s{lch ;Ict, ns an~ended, areamended, to take effect as of December 31, 1927, to read as follo}rs:

“ (b) Applications for such benefits, whether vcst~’[1 or contingent, shall bemade and filed by the dependents of the veteral~ 011 or before Jal~uary 2, 1930;except that in the case of the death of the veteratl d{lri r~gt]]e six months in~n]e-diatel y precedin

tsuch date the application shall be nl:i(]e alld filed at at~~ tin~e

within six mont s after the death of the vet erall. l’aylllents un([er this titleshall be made only to dependents who have made art{] fil(’d apl)licatiol) ill n(’corcl-ance with the provisions of this subdivision.

“ (c) An application shall be made and filed (1) persol~ally I)y the ({cl)~’lldel]tif sixteen years of age or over, or (2) in case ~~hysic:~l or nlrl]tal i]]cap:icity orlegal disability prevents the making or filing of a ]jersol~al al)l~licatio~l, thell bysuch representative of the dependent and in s1lc1l n]al~ller as the Se(’r[’t ary ofWar and the Secretary of the Navy shall jointly }~y rcglllatioll ~)r~seril)~. .~napplication made or filed by a person other thnn the rcpresel~tativc authorizedby such regulation shall be held void.”

SEC. 4. Title III of such Act, as amended, is amcl}fle(l, to take c[Fc(t as ofMay 19, 1924? by adding at the end thereof nclv se(!tiolls to r~ii(l as follotvs:”

“ SEC. 311. JVhere the records of the War Departn~cl~t t)r tl~e Navy J)c’l)artllientshow that an application, disclosing an intelltio]) tt~ claill~ the I)ellctits of anyprovision of this Act, has been filed on or before January 2, 1930, all(l the applica-tion can not be found, such application shall be ~)rcs{lllle(l, il] tllc* al)sctice ofaffirmative evidence to the contrary, to have been vali(i \vhcn origil~ally filed. Illsuch case the Secretary of lTar or the secretary of the Xayy, as the case Jnaybe, shall not be required to transmit to the Dire(ttor tile :~pl)llc:itioll (as ljr(l~itlcdin sections 303 and 605) unless a ne}v applicatit)~l is file(l, ill i~}licll c:~s(’ tllc Ilclvapplication shall be considered to have been filed ol~ tl~c (iate of iilil]g of tile lostap~lication.

SEC. 312. (a) If satisfactory evidence is prod~lcc(l est al )lishing the fact ofthe continued and unexplained absence of ally. il]divi(lual froxll his llf~nle a~ldfamily for a period of seven years, during whlcll p~)rit)(l 110 itltclligellcc flf hisexistence has been received, the death of such indivi(l[lal as of t lle ciate of t beexpiration of such period shall, for the purposes of this .I(’t, IJC col]sid(’red assufficiently proved.

“ (b) If in the case of any such individual who is a ~et(r:il~ it a])])ears that hisapplication was not made and filed prior to tllc llcgil~llillg of silcl~ sevell-year~riod, or that altl~ou.gh entitled to receive adj~lstetl scrvic( pay lIC di~l l~ot receiveIt pr~or to the be~nnlng of such seven-year period, t llcl~ l~is de]~ellde[lts \vllo i]avemade and filed application before the date of t 11(’ex])irat io]l of SLICIIsc’veil-y(’arperiod (if such period began before Jan~lar~ 3, 19;)0) shall I)(’ el}title{] to rc’(’civet&l~~Iunt of his adjusted service credit in acct}rd:~llce ]vith the }~rovisit)lls of

“ (c) For the purposes of subdivision (b) of this scction-“ (1) The widow shall be considered to be del)el~(l(’llt, ]iitllin tl)c’nit’;il)i]]g of

section 602, if she was dependent at the beginl~il~g t:f s{lt”ll sc~ ~~1~-year~)(’riod orat any time thereafter and before the expirat iorl of sl](’1~ ])cri{ )(i, ‘1’lic J!i(ioJ*-shall be presumed to have been dependent at the l)egil~lling ~~fs1lc}l SCVC1l-)earperiod upon a showing of the marital cohabit at ion.

“ (2) A child shall be considered incapable of self -sllpl)(}rt, ~~it hi]] t1)(’ nlc:tllingof section 602~ if incapable of self-s(lpport by reasol~ t~f nle]ltal or ])l]ysical (i(’it’ctat the beginmng of such seven-year period or at aIly tiIl)c tl](~r(~aft(~rmlcl I)eforethe expiration of such period.

“ (3) The mother or father shall be considere(l t{) l)c’ (icpend(l~t, ]vitllin themeaning of section 602, if dependent at the begillllillg of s~lcll scvel~-~”ear l)t~rit~dor at any time thereafter and before the exl)iration of s[lcI1 ~)eriocl. If :lt tile

REPORT OF UNITE]) ST;ITES VETERANS’ BURE44U 123

expirfition of sllch seven-year period the mother is llnmarricd or over sixty yearsof age, or the father is o~cr sixty years of age, sllch mother or father, respectively,shall be presumed to be dependent.

“ (d) In the case of a veteran, if it appears that he is still living, payments todependents in res]~cct of his death shall cease, and, if he has filed a I’slid aljplica-ti~on Iln(lcr the provisions of section 30ti, any payments alreaciy made shall bedcd~lctcd from tile face val(lc of his aclj(lsted service certificate, or from thealllollnt of his adjllsted serviee credit if such credit is not more than fiSO. Intile case of a dependent, if it appears tl]at slleh dcpcn(icnt is still li~in~, pay-Inents to de]jcndents later in l)referencc under this ~lct shall cease, and, lf suchdependent .1)2s filed a valid application Ilnder the provisions of seetion (;t)~l, theremainder of the payments shall be made in accordance ~vith the provisions ofTitle J’1.

“ SI:(,. 1113. Tl)at Tvhcre anv pa~-nlent under this .Iet is to he made to a nlinor,otllcr than a person in the nl;litary or naval forces of the (Tnited States, or to aperson mentally incompct ent, or under other legal disal)ility adj[ldged by aco[lrt of com]~ctent jllrisdiction, s~lch payment may l]c made to the legally con-stitllted gllardial~, cllrator, or conservator of the person entitled to payn]ent, orto the person fflllnd hy the Director to he othcrlf-ise legally Yested tvitll tile careof tile person entitled to pa~ ment or of his estate. }}rior to the reccil)t of noticeby tl~e B~lreall that any s{lch person eniitied to payment is lllldcr sllch legaldlsal}ility, payment ma)- IJe made to such person direct. ”

?’L.l,c. 5. Title V of sllch .~ct, as amended, is amended by adding at the endthereof a nc~v secti~)n to read as follo~vs:

“ Nl;(’. .508. Not~~ithstanding any other provision of this .Ict a veteran may,lllldt~r rcglllati{~ns l)rescril)ed by the Director, name more than (llle beneficiary,an(l ll]~y frtlln tinle to time, ~vith the a])l)roval of tile Director, change SIICILl)ellcficlaries. If the Director is llnal~le to ascertain the beneficiary na]ncd bythe veteran, l)?)n][~]lt shfill I)c ma(lc to tllc estate of tile veteran. ”

Si4:~. (i. Scctlon 702 of gllcll ..~~t, as anl(,]ldc(l, is anlcnde~ to read as fO]lo~ys:“ SI?C. 702, \Trhocvcr ]inolvingly n~akcs any false or fraudulent stat(!nlent of a

nlat(,rial f:i(’1 ill nny application, c(’rtificaie, or document lnade llnd(’r tho pro-~’isions of Title III, IV, l’, TI, or VII, or of any regulation n]ade llnder any suchtitle, ~hall, llpon conviction tht’rcof, he fined not more than $1,000, or illlprlsonednot nlore than five yenrs, or I>oth.”

Sl:c’. 7. This .\ct shall l]ot invali(late an) payments I)lodc or apl)licationsrcr~’ive(l, }~efore tile enactment of this .4ct, uncier the 1~’orld lYar ~~dj~lstc(lC’olll~)ens:Ltion Jlct, as amended. 1’ayniel]ts 11.llder awards heretofore or ll~rc-aftcr ]l]:]dc shall l)e n)ade to the cl(’pc]ld(’nt elltltl(~d thereto r(’gardlcss of changeill status, unless another cl(~])rndent estal)li<hes to the satisfaction of th(l I)irectorn priority of prrfercnce uncler such ~!ct, a~ amel~ded. {-pOII th(’ estalJiishIileIltof sllcl~ ]~r(’frrcnee the r(~ll]aining instnllm(’nts shall I)c paid to sIIch d(’p(’]ld(’nt,l~llt in no ease shall the total ])nynlents [Ind(,r Title VI of s{lch ,\ct, as alllt~l)(lecl!exce!)t sc,ction 60X), Cxcecd the a(ljusted service cre(]it of the veteran.

.~pproved, Jlay 29, 1928.

[ExTR.4c11 I~ROII l>L’T~I.IC LA\V No. S63, ?OTII ~ON(iI{J.;ss]

[H. R. 13873]

An .lut Ira’.ing appropriations to SIIPPIY deficiencies in certain appropriations for the ftsrrtl year cn(iingJllnc 30, 19Js, anti I,rior fiscal years, to provi{le supl)lflnental appro~,riatiorrs f,)r the !istiil years en(ling.Jl]ne 30, 1928, an(i J tine 30, 1929, ancl for other pllrposes.

D:illlage rlain:s: To pay a claim for danlagcs to or loss of pri~-fite]y o~vnedproperty adjusted and dctcrnlined l~y the ~nitcd States Veterans’ Bureau,illlder tile provisio[ls of the .A(’t e[]titled “ ,In .~ct to provide :h lilethod for thes~ltTl(’ment of claims arisi)~g against the Governn~ent of the [’nite(i States insulli~ I)ot excccding $1,000 in a,lly ollc case, ” approved Decell~l)cLr 28, 1!)22, a,sfully set forth ill 11ouse Docun)c’nt nulnbercd 271, Seventieth (~ol~gress, S[j17.(~9.

1! ,}s}~ita! faciliti(’s and services: For carrj-ing out the provisions of the .lctCntitli’d “ .\n ifet to authori~e an al~propriatioll to provide additional h(j~lJital,donli[ i liar:, , all(l out-patient dispen~ary facilities for persons cntitlt’d to hospi-tali,!:~tioll {Inder the Ivorld l~ar Veterans’ .4ct 1924, as amended, and for otherpllrlJos( s.” fipprovcd IIay 2;3, 192S, fiscal ~-ears 192S and 1929, $7,000,000.

.4pproved, hlay 29, 192S.

IA’DEX

.lcljllstt’{l eollllJc,rls:~tioIl _______________ _________ ___________________.\ci, anlt’lltlnlt,lltb to, and nlost illl]~orta]lt ]Jr{lv~sions of _____________.i(’t, aIl:l(’t to aIllL~Il(i_______ ____ ______________________ _________~!etiontnkeIl oIlaJ~l)lieatiollsfor, t~}J1il~c~30, 192S, Table No. 5S----~\p])licatioI~s r(’c(~ivcrl, l)y fiscal ~’c~:lrs, ‘1’ai>]e h-o. S7-_- ___ __ __ ___ ---.i)cath elaiIlis alvar(leci on accoilntl of a(ijllste[] service certificates,

‘I’~})]e \-[ J__________________________ -----

.lclnliskiol]s:---- ---- ---- ---- ___

]~j” l~f’nc~fici;lry, grollps of llosl)itals, and t~’])(’ CIfllati(’lit, Ta}>le So. 15_IIy l)ratl(’}1 of st’ryiie, tyl)c of l):iti(,]~t, aIIfl t~])c of ac?nlissiol], ‘~a})le

h-o. lo;____________________ _____________________ ____________BJ’ llra!~{’11of servile, type of ))ati(~rlt, ali(l s~~x:ln(l rolor, Talllc No, 1S_lly tis,Ial years 1!J20-1!12S, ‘1’at]l(~ X(). n__________________________13Y tvpe of a(lnlissioll, Tal~lc No. if; ________________________ _____llo~~iital, :~llal.y~is ()f___________________________________________(Tllficr a~ltl~orlt}’ of paragrallil 10, settioll 2(12, l~r(jrl(i 11’ar veterans’

art, ‘1’nl)l(’ NT(I.lo ________________ _________________________{rlltlt,r alttllority of par:lgr:il)ll lo, s~’rt-iol~ 202, 11’orl[i \\rar vctc~ransz

act, a!lai~-~is of--------------- -------------------------------.-~(lvistlr}’ gr(JllJ) OTI a])pt)als. (,$CC al)])[,als.)

.\lliefl vt’tt~r:]lls, ‘1’al)lt~ So. 20______________________________________

.!ppeals :;iction I)y a(lvisory grol]p 011:]]JI)(’LIIs,‘1’aljle NcJ. [;l - _ --- _ ----------

.Idvisorv gro[lp 011 :ippeals, pilrpos(~ of :iI)(i ]Jroce(itlre- -------------(’as(’s cli51)ostI(i of l)y s(’cti{)!ls of ce]itra] I)o:lr[i of a\)pcals ant] api]eal

grollps 0]1 central ofiicc c:~s(’s, ‘] ’:~j)]~xT(). 6()_____________________C(L]~tr:il l)o:lr[i of n~)l)cals, organizatiol~, i>r(lre(lllre an{] I)llrpose of ----

.+ppropriations:ilna]ysis of ot~ligaliol~s froln tiil, Ta})lc No. 63__ --- _________ ______.\lll tlorize,l ill I’lll)lir, No. -ioo,” Seventieth CoI~grc~>- ______________.\lltllorize(i in l>~ll~lic, No. 4S0, Se~elltiet h Congress- _ --- _ __ _____ --~~efi(’iency an(i sll~)l)l(~nlenfal, alltllorize(i in I}[lijli(’, No. 2, Sevel~tieth

Congress ______________________ _____________________________D(’fi(iel~(”y :]llci sll~]l]lt’l~ll~llt:~l,a~ltllorized in l}~ll)lie, No, 563, Seventieth

(<{JIlgrews---------------------------------------------------Dis!)llrbcIll~,l]ts I]lacie from all, Ta!)le No. 64- ---------------------l+l+tilllate(i for fis(.alycar 19110----------------------------------Forfiscaly~Jars 1928 an(i 1929 ----------------------------------Vers~l& (iis})~lrsexllel~t}:, ‘~a}~le No. 62.. ----- ----- ----- ------- _____ -

~~ltonlati(~ ill+llraI](’c. (,$( t Inhliran(’e.,).%~var(ls:

C’onlp(’llsatioll. (i$ee ~onlpc’nsation a~varcis.)lIlsllr:illce. (,Sre Illsllranc(> a~vards.)

Be[is, oc(tllpiecl, llnocc~lpied, and availa}>le, l)y t ype, Taljle Xo. 13----- _Benefi(kinry:

(lln~< of, a(inlitte(i to l]ospifnls, Tal)le No. lo ---------------------Claks of, ren)aining in hospitals, Ta])le No. 20------------- -_ - _ - __Rclationsl]ii~ of, and an~ollnt of nlonthly paynlents, in conlpensation

active (disability a~vards, Tal)lc A-o. 35-------------------------Relatioll*hip of, to (ie(~ease[i veteran, and alno(lnt of monthly pay-

ments, in (’ornpensation a(’tive (ieath a~var(is, Tal)le No. 36----- _l~onci i nYest nlents of lJnite(i States Go~ernn~ent Iife-insllranee f~lnd,

Tal)le Xo.5[j ---------------------------------------------------Callse of (ieat h, prinlary, of patiel~ts, fiscal years 1924 -192S, Tal~le A-o. 2S -Central I)oar(l of al)peals. (,See .ip~)ealh.)

125

I’age

26

12;9696 ,

96

49

505148 ‘6(;8

51

s

5:3

;:

::

102111113

111

12310337

1;6

48

4953

77

77

9569

126

Claims:Compensation. (See Compensation claims.)Insurance. (See Insurance claims.)

Clinical laborator~- classified tests: Pa80In United States Veterans’ Bureau dispensaries, Table No. 1._. ---- 44In United States veterans’ hospitals, Table No. 2- _ _. - ____ -- ______ 44

Colored patients (see:lso Sex and color) _____________________________ QCommittee onrecoverles------: -.---: ---------- ---------------------- ~~Compensable beneficiaries remalnlng in hospitals, 1 able No. 20----------Compensation:

Activities _________________________________________________ 19,21,26Adjusted. (See Adjusted compensation.)

Corn nsation awards:E oath, active, by relationship of beneficiary to deceased veteran,

Table No. 36-_ --7-- _-._ -_-. -_-:___ _________________________Death, active, showing kind of clalm, number of deceased veterans,

and amount of monthly payments, Table No. 37_ _ --- _ --- _ --- _ _Death, active, analysis of --------------------------------------D~ath and disability, by fiscal years, “~ablc No. 31----------------Dlsablllty, active, analysis of--- __. -_.____ 7___________ -,_J________Disability, active, by beneficiary relatlonshlp, Table No” ~~ --------Disability, active, comparative analysis of type of major disability by

.extent, Table No. 33-. _-_- ___-- _-=------------------------ ---Dlsablllty, active, showing degree of impairment and extent of disa-

bility correlated with classification of major disability, Tal)le N-O.34Disability, active, terminated and disalloweci, in regional offices, Table

.No..29----------------------------------------------------Dlsablhty, by fiscal years, Table No. Al ---------------- _________Disability, each month, January, 1919-July, 1927, Chart

.No.. Z--___ -:------------------------------ ---------- FacingD?sab?l?ty, m?nthly disbursement for ----------------------------Dlsablht y ratings, review of cases rated at less than 10 per cent____ -Statu~ory-- _-_ T________________________________ .---_--7___.__-Termlnated during fiscal year, analyze(l as to reason for termlnatlon,

Table No. 32-----------------------------------------------Corn ensatlon clalms:

L eath and disability, received by fis(’al }Tcars fronl Oct(Jbcr 1, 1917, toJune 30, 1928, inclusive, Table No. DO-------------------------

Regiol~al activities, Table No.2~-------------------------------Construction:

Development and maintenance of bilrcall hospitals __ --- _ -- ___ --- __Hospital, facilities existing and de~clopmcnt of, llnder present :ipl]ro-

priations, Tal}leh-o. 65---------------------------------------Hospital, f~~tllre (see also Public Acts, No. 480 anfl 563, i~]~p~n~lls) ---

Converted insllrance. (See Insurance.)Costs at bureall hospitals, expenditures and o~)erat ing _ _ _ _ __- _ _ _ -- ____ -Death and disability compensation awards. (,See Conll)ens:ltion a~varcls.)Death and disability compensation claixns. (See Conl]lcnsation claims.)Death and disability insllrance awards. (See In~llrancc.)Death claims awarded on accollnt of adj ~lst.cd scrvicc cert ificatcs, ‘1’able

No.59---------------------------------------------------------~e;~~scompensation awards. (ASecConll)cnsation tiwar{is.)

Analysis of__ ---------------------------:----T----------------In hospitals, by fiscal years 1924–192X, s}lo\vlng primary ca(lsc, Table

No. 28----------------------------------------------------Decentralization of insurance activities -_ -- _ ------- ---- -- _ --- _ --- _ ---Dental rehef (see also Tables Nos. 3, 4, 6, 7, 8, an(l 9)__ -- _ ---- _ --- _ ---Diagnostic centers, functions of, analysis of acco~lli)lisllll~(~nts _ - _ _- ___ - _ -Disability and death insurance awards. (See Insurance aw?rds.)Disability compensation awards, active. (SCCJCompensation awards.)Disability compensat~?n awards, active, showing, degree of i:npairnlent

.andoextentof disablllty, Table No. 34-----------------------------~sablllt y compensation clalms received by fiscal years, ‘~ablc NTO.30----Disability ratings, review of cases rated less tllal~ 10 per cent_ -- _ - ___ _--

77

772172

;;

73

74

7172

;:1919

72

y~71

16

1051:3

16

96

11

69231712

747219

—.-—— 197

Disbursen]ents:l~ron~ all appropriations dllring fiscal year. ---------- _ -_._ - _ ------Illcrcase ill, cl~lriIlg fiscal ~ear -----------------------------------hladc from all ap~)ropriatlolls, by fiscal years, Table INO. 64_ _ _ _----Perccn,tage, distril)lltion during fiscal year--- ---------------------}rerslls appropriations, Table No. 62-----------------------------

Discharges:By class of disease and disposition, or condition 011disposition, Table

No. 25_____________________________________________________By disposition and t~-l)t’ of patient, sho~ving average days hospitalized,

Tal)le No. 27-----------------------------------------------l~rol~~:lll l]os~)it:~ls, sllo}vil~greslllt of treatnle]lt, Table No, 26_______Gctleral n~edical slid surgical patients, analysis of_ - -_ - _ -- _ - _ ------llosI)it:il, :illalysis of -------------------------------------------Nlleropsychiatric patie:lts, analysis of ----- -------------------- ___Pldnlt)llary tlll}ercl]losis patients, anal}sis of ------- _____ ----------

Disease, class of, of patients discharge(l duril]g fiscal year, Table No. 25_ - _ -DispcIlsarics:

~;linicnl la])oratory classified tests in, Table N-o. 1-- __ _- -_ -_ -------X-ray exan]il]ation in, Table No. 3-----------------------------

Dividell(is paid 01) l-llited States <loverlln~ent life ins~]rance- --- _ -------Esanlinations:

hlc[licnl an(l dclltal, salary nn(l fee, Tti})lc No. g -_ ----------------out-] )atient (see also Tal)les h’os. h, G, and 9)---- ------------------Totalt l)Y liind of exan~ination for fiscal Years 1924–1{)28, TalJle No. 6_~X ray, in llos])itals and dis]lensaricx, f;scal ~ears 1924--1928, Tables

N(Js.3all{l 4-----------------------------------------------

Esl)ell(litllres f{)rall ])~~r]Jo~es-- _____________________________________Expenditures and o~)erating ci)sls at t)[lreali llos])itals- ----- _ _ --- _------Facilities, llos])itul. (Srfi llos]~ilal facilities.)Fee exan]inat io~]s an(l ireat n}ents, Tal)les Nos. s an(l 9___-_-_----------Fcn]alc ~)aiients (S(C t(lso Sex and color) -------------------------------Fixl:lll(e----------------------------------------------------------

i!na]ysis of ol)ligali~)ns fronl all appropriations) Tal)lc K(). 63- _ -----if])~)r(~priat ions verfills clisbllrsenlentsl TalJle No. 62-_ - _ ----- _ ------DislJ~lrson~ellls n]a(le fronl all apl)ro]Jriations, l}y fiscal years, Ta~)le

so. u4-----------------------------------------------------Financial statenlent, I“nited States Govcrnnlent life il]s[lrance f~lnd, by

caleI]d:tr years, r~al)le h-o, 55-------------------------------------General nlc(lical and sl]rgica] 1)ati(nts:

.kdl]litted, Tables Nos. 15, 16, and lo------------------------- 49, 50, 51

.Anal~sisof a(ln]issi()ns (,f_______________________________________}lllalysis of(liscllargt’s of_ ---------------------- ---------------- 1:I)is(’llarges, Tal)lc N(). 27______________________________________ 68Renlaining, ‘~a])lc!s >-OR. 20, 22, and 23---------------- ------- 53, 54, 58

G(:ar(iial~sl}il) :~{tivitics --------------- ----------------------------- 40HoI~Ic acl(lress of l)atients renlaining ~ln(]cr treatn~ent:

AA4

Pnm35

1:!37

100

64

6S6610

;:

i:

444526

461745

453516

469

35102100

103

94

13y type of ]J;ttient anfi l)rancll’ of scrvi(’c, ‘~~i)le No. 22- _____ _ -----~ho}vil~g /Lr~:Lan(] Stat(> in Iv]li(,h p~tient is hospitalizc(l, Tal)lc .WO. 24_ ::

Hollle St ate, n(in~ber of patients h(~s~)italized in, l)y fiscal years 192 S–192S,Table N"(J.2S --------------------------------------------------- 5S

Hospital:.ldnlissior~s. (See i\dInissio]ls. )C~)l~struction, future. (,Sce Constrllction; sce (11:,0 l’ublic Nos. 480

and 5(;3, .Ippel]dixo)Dcv(’lo])lllcllt aIId Illailltenallce of })llreau l]ospita]s __ -.-- __________ 16Dis(~l]arges. (Sc~JDischarges.)l~;xl)e]lditurcs and operating costs. (,Sec ~x])endit~lres.)Fa(”ilities-

:ld(litioIial appropriations for, I’[]ljlic 480_________ __. ---- -_ - __- 113l;xisting and clevelopn]e~lt of, under ])resent appropriatio~ls,

'~at~lc No. ti5___________________________________________ 105(;()vc'rllIl)eIlt ---------------------------------------------- 11

130slJitalizati( )l]--------------------------------- __________________ 6.Ivc’rage ~)erio(i (jf, Tallles ~os

Insura]lce:.Ztj,Z6,alJd27---_---- .-. ____ G4,G6,6S

~ctiI'itics ---------------------------------------------------- 23.Ipl)licatiolls for Vnited States Govcrl]nleIlt life (converted)_ - _ - _ _- _ 21

128

.

.INDEX

Insurance-Continued.Automatic—

Active disability and death a\vaYds, ‘1’at)lc Xt). 42.. ______ . . .._Terminated disability and death a~varcis, shf)lvillg reason for tcr-

mination, Table No. 43----------- . . . . . . ________ ._.. __Awards—

Active, disability and death, auton~ati( ir]~l~rarl~’c,Tal)l[> A“(). 42. _Active, disability and death, ter]n ills(lr:ill(’c, ‘~:~l)lc No. 40-----Death and disability, United States (lov{’rlll]lcl~t term a!ld con-

verted, by fiscal years, 1918–1928, Tal)le Xo. 39--- _.. - _.. . _Term and automatic, analysis of. - _... --------Terminated, disability and death, :~tlt‘llll:~t ic illsllr:~ll(;(~, }ly

----

reason for termination, Table .Yo. 4;]_ . . _. _ - _ - ___ ___ _ __ - _ __Terminated, disability and death, tcrnl il~s~lr:~l~ce,})Y rc:is{)n for

@ruination, Table No.41 _______________________________United States Government, term an(i c(~nvt’rte(l, (l[~ath and dis-

ability, by fiscal years 1918- 192S, ‘1’nl)lcI ~-f). 3{1______________Clai~e~~~~ded, converted insurance-

By class of disabilit~’ callsil~g dc’:Ltll, ‘ra})le No. 4R. -------By plan of insurance, Tal)le NCJ.lo____________________

Disability—By cause of disat)ility, Tat )Ic X(). !{)_____________________By. plan of insurance, Tal)le X’o. 45. _. -.. --------------

Claims received, United States G(JverI~mellt, tc’rl~l an(] [I{)llv(’rtcd, I)yfiscal years 1918-1928, Table No.3S ___ ______________________

Claims terminated—Converted insurance, disability—

On account of death of insured, t)y ~Jltinof ins~lr:~nce, Tal)leNo. 46--------------------------------------------

On account of death of insured, I)y class of dis:~i)ility, TableNo.50 ---------------------------------------------

On account of recovery, by plnll of il]sllrance, ‘1’al~lt’ h’(~. 47--On account of recovery, by callsc of disal)ili~y. T:~l)lc N{). 51_

Term insurance, disability and death, {’lassificatl~)n of Inajor disa-bility and reasons for termination, Ta})lc Xo. 41- _ __ _ -------

Converted insurance claims (see also Ta})les ~“t>s. -!4, 45, -16, 47, 48,49,5o,5l)-------------------------------------------------

Death claims awarded, converted ins[lr:~l~(’t’ –By class of disability causing death, Tal)lc’ S-(). IS. . .By plan of insllrance, Table No. 44_ ---- _

Decentralization of insurance activities ---- . . . ~ ~ ..-. ~Disabili~y and death awards, term insllr:~l~re -–

Active, classification of major (iisal)ilit~, Tal~le X(>. -10. - ..- -Terminate, classification of nlajor filsal)ilit y a]l(l rcllsi)l~s for

termination, Table No. 41--------- . . . . . . . . . . ___ . . . .Disability claims awarded, converted i tlsur:il]tc -

By cause of disability, Table No. 49__ -- _ - . - - - _ . _ _By plan of insurance, Table No. 45. _ - _ - _ - . _ - . - .._-

Disability claims terminated, con~’ertc(l illsllr:~ll(e --On account of death of ins{lrc(i, I)y (’l:Lss {)f (!is:il~ilit~-, T:illl(’

No. 50_________________ ----- . . . . . - .On account of death of insllred, I)y pl:~l~-of i[lsur:~ll(’{’, ‘~:11)1~

No. 46-------------------- - -On account of recovery, by callse of (lis:~l)ilit y, ‘~~~~1~‘~(). 51 -~ ~On account of recovery, by plan of il]sllr:~ll[’e, ‘~:~l~le N(). !7. ---

Financial statement, United States Govcrl]n~t~I~t life insl~ral~cc f~lll(i,bycalendar years, Table No.55J ________ . . . . . .___.. . . . . . _

Term and automatic insurance cIalnls.. --- _. -.. _. ___ _. . . . . . . _Term insurance-

.4ctive disability and death a~vards, Table XC}. 40 _ . . . . . . . -Premium income (*yearly renewable) ---- .Terminated disability and death a~vards, ‘~b lt);vil~~ ;c’nsL);~ f(~;

termination, Table No. 41- _ _ -- _ -.. . . _United States Government life—

Applications and policies, analysis of- -. _ . - . . . . . . ---------Bond investments of fund, Ta}]le No. 5(;_ . _ . _ _ _. ___ . _ ._. ____Dividends paid --------------------------------------------

S179

7S

87S3

7s

S4

so

‘>, >.“

79

so

792t;

INDEX

Il)sllr:lrlce –-C’(Jllti1lll(’d.l“llite(l ~tat{s Govcrl~l~)ellt life-–Co11ti1ll1((].

l~illall(’ial ~t atelllellt of f~llld, by (’alc’l~t[ar years, Taljle No. 55__ -1~(11~(1,policy loans, Ta})lc No. h4----------------------------III forc(’ (tsc~ (~ls(~‘1’al~l(s Nos. 152all(l S3)- -------------- -- _____l’lal] of policy, .lTlal~-~i*cJf-..---_---__ --------------------- -l’olici(’s sllrr(’n(ltreci for cash all(l pai(i-(lp illsllrall(e.- _ -> _ - _ -- __l’r(Jll~i{llll ill(’cJ1ll(’. . . ________ _________________________ _______

{’llit(’(1 Stai~,s {ltJverlllllt’llt, terxll all(l (’ollvcrtef!-—(Xlainls r(~c(’ilecl lj~ fiscal yl’ars, 1918–1{)2s, Ta!)le No. 3s------l~eatll aI~(l (Iisal)lllty a~rar~ls, by fiscal yc’ars, 191 S- 1928, Tat)lc

s(). :3!) ________________________________________________Yc~arly r(Jl~t’~ral)l(’,allal}sis of. __________________________________

IJl\esl]]](~llts, IJO1l(l, of ~~llltc(l Nateh (it)verlllllt’l~t life-il~sllrall(>c full(l,'r:ll)lc N-(). .5(;--___ -__ -__---------*-------------------------------

Lal)oratory Iests, clitli(’al, ill (Tllite(l States Vetcralls’ I)ospitals axl(l dis-p(l~sari(~, Tables ISos. lall(i 2.______ -__- _-_- __----, _______________

L~’gala(’tivitit’s -------------------------------------------------Legi~lati(~]l, l~c~lv----------- ___________________________ ------------Life ill+llr:ll~[e. (,SCCI])~ilr:il]~(*.)LontI~ 011acljllste(i s(~r~’it’~~((~rtifi(’att’~________________________________hIailltellfil~(’c (~i }Jllrea~i hospitals, (1cVC101J111C’11IiiIlci___--_____---_----_-hlilitary n]l(l Ilaval col~~pellsatioll, illcrt’a~c ill (iisl)llrsc’l~lcllts ------------NIol)tllly ])ayl)l(’llt:

(’c}lll]>cllsatic)l~, active (Ieatil a~var(ls, ‘[’:11 )1(’sN-es. 36, all(l 37________C~~ltll)t>llsati(ll~,active (li~at)ility a~var(ls, Tal)lcs SOS, 33, 34, an[l 35--

74

7773,

1, 77N“(\lrt~l)-J (,llint ric l)atiellth:

.\(il)litt(’(1, ‘1’at)l(s SOS. 15, 16, al)(i I s _________________________ 49, 50, 51

.\llal~sis of:i(llllissiol~ s----- ------------------------ ____________

.~ii:ll~sis( ~f(lisc}l:lrg(’s ------------------- ----- . --------------- 1:lji>cllar~c<, 'ril})lc x-(). 27______________________________________ 68I{(lllaillillg, ‘1’al)les Xos. 20, 22, alici 21;. _ . _____ --------------- 53, 54, 5S

Xelylcgi,lafit)ll __ _- _ ------------- 3XC)lico]l~l~C’tis:il)lt> (Iisat)ili(ics, paticllts \vitli, ~ill~;l~ - ~rt;at~;l;;li: - ~-ai~ll

X(). 2()----- ----- ___ ---- ----- -------------------------------- 53ASllr*iliq acti~’iti~>s, regio]ial, ‘ral)lc xo,l l ________________________ ---- 4,;Ot)jec[ ives of 111(>\’cteralls’ Bureau (lurillj< fiscal year- -- . . . . . . _. _. . _ __Occ~ll)at iol~al f Il{ra!)}, sllo~villg llflllrs gi~t>ll to f’acll ,Qll})j{’et, Ta)Jle No. 12-_ 47Oflicer~’ retire[llt’[~t lJcllc'fits _______________________________________ 1,3,114Opcrat ion costs allci cxl)cll(litures in ~~nii(’{i States v(terans’ l~ospiials - _ _ 16Operations, s~irgical, l~~llllt)er ~JerforllleCl in hospitals (luring fiscal year,

‘1’al)lc’ No.2t; --------------------------------------------------- 66Orgal]i~ati(~llal n:l(l I)rt)c(’(lllrfil cllallgcs, lllajor ----------------- -------- 1Ortll(~pcfli(! all(i I)ros(llcti(” al~l~liallct’s-- ______________________________ 18Out-])at icl}t Illedical service (s( ~ ({Is(JTables Nos. 5, 6, 7, 8, al~d 9)_ __ --- 17overpay lll(’Ilts. (,$(( t;ollllllittee on rt>cov(’ries. )Paragral)ll 10, st’cti{~ll 202, ll”orlcl }Yar \-ctcralls’ act, 1~~~, a(llllishiolls

all(l r(’ll~ainitlg, ‘1’al~l(’s Xos. 1? an(l Z()_ -------- --- ____________ ___ El, b~Pati(:)t+. (,sfo .-lcllllis<iol)s, (li~cllarg~~s, turnover, relilaining, (lcatbs, all(i

sur~ical ol)cratiolis.)Paylilellts, 1]1o]1Itll)-, for col]ll)cl)satioll active (Ieat 1] a~i(l (lisa~ility a~varcls,

‘i’a})les .X(}S. ;;;;, :-1, ;j5, ;3[}, a~){l ;~7------------------------------ 73, 7“!, 77P(’rs(}l~~lel:

;lcti\ities ---------------------------------------------------- 42lly location) aggregatd a]lll~lal salaries, togctller ~~itt~ l~et il~crease

or {I(>ci.(’:ise for fiscal year, Ta}Jlc hTo. 66___ _. __ -_ ____________ ___ 108Of tl~e l’l~itc’d Statcls Yctcrans’ Bureau, frol~~ 1917 to 1928,

ellart _ . . - . . . . _ ._ .-- _._. _______________________ --_-_facillg_- 4~

Pllysiotller:lp!- activitit~s, Table No. lo_______________________________ 46Pollcics, tl[lit~’(1 Stat(’s G(~vc~llllellt life , sllrren{lere(l for cash al~d paici-up

illsllrallce- - - -—-- ---- ---- ---- — 25—--—- .- .-— --————-—-Polic\ lo:~rls, lyl;tt~(l ~~ates Goverl]n~cllt life-il~sural~cc f~ll~(i, Tal)le No. 54. 93Prell;illlll illc(~n~e, Llllitecl States Governlllent lif(’ ills~lrallce and ytarly

re],e~val)lc t{’rl~l il~s~lr:~~~cc._-_---____ --------------------- _________ 25,26Prt)ceClllral al]cl orgal~izatiollal clla]lges ,~~~ajor____________ _____________ 1Prostilctics-- =--..71 __-+- 71----- ------------------------- _________ 18Psycllot ic pat Iellts ,ac(l~l~slt lol~ofbe(isf or___ ----------------------- __ 14

I

130 INDEX

Public: PamNo.2, extract froln -------------------------------------------- 111No. 400, extract from-- ---- ---- ---- ---- ---- --- ---- ------- ---- _- 111No. 480----------------------- ------------------------------ _ 113No. 506---- ------------------- ---- -------------------------- - 114No. 563, extract from ------------- ---- ---------------------- ___ 1Q3No. 570------------------------- ----------------------------- 121No. 585----------------------- ------ ------------------------ _ 116

Pulmonary tuberculosis:Arrested, numberandcostof statutory awards -------------- ----- 19Patients—

Admitted, Tables Nos. 15,16, and lo--- ------------------ 49,50,51Analvsis of admissions ---------- ---- ---------------------- - 8A1lal~sis of discharges -------- -------- ------------------ ---- 10Discharges, Table No. 27------- ---------------------------- ‘Remaining, Tables Nos. 20,22, and 23----- --------------- 53,54,;:

Rating acti~-ities, regional offices- ----- ----------------------- -------Rating schedule, new) increasein value of average mo~lthly award------Recoveries, committee on____ ____ ________________ -----------------

-Rehabilitation, discharge of responsibi]iti(’s ir~ regard to----------- ---ApplicaIlts registered for training___ ____ _____________________ ----Entered training ------------- ---- -------------------------- ___Expendit~lres for training ------ ---- --------------------- --------Objectives intraitling, per cent of trainees in each major class ------

1Re at>ilitated and compacted training-_ ---- ----------------------Types of training, per centof trainees resigned to---- -------------Wages oftrainces, pre-war and after rehabilitation ------------- ---

Relief:Dental ----------------------- ------------------------------ --Out-patient (see ulso Nos. 5, 6, 7, 8, and 9)---------- -------------OfWorld War veterans, lawsenacted for, during fiscal year --------

Remaining patients:By branch of service) typeof patient, and home State, Table No.22.By class of beneficiary, group of hospital, and type of patient, Table

No. 20____ _____________________ ------ ----------------------By fiscal years, showing number of patients hospitalized in their

home Statebygroup of hospital and type ofpatiellt, Table No;23-By sex and color, and fiscal year, Table A“o. 21-- -----------------By State location of hospital and patient’s State of residence, Table

No. 24------------------------- ---- ------------------------Retirement benefits. (See Officers’ retirement.)Review ofdisabilityr atingso fcasesr atedlessthan 10~~crcel~t-_--_-_-__Salaries, aggregate annual, of personnel by location, andcstinlated)of per

diem and per hour employees, Table No. 66------------------------Sex and color (see also Admissions):

Of patients admitted to hospitals, fiscal year 1928, Table o. 18____!Of patients remaining under treatment, fiscal years 1923–1 28, Table

No.21-----------------------------------------------------Statutory awards. (See Compensation awards.)Surgical operations:

Analysis of ---------------------------------------------------Number performed inhospitals during fiscal year, Tat>le No. 26-----

Term insurance. (See Insurance.)Terminated compensation awards. (See Compensation awards.)Terminated insurance awards. (See Insurance.)Treatments:

In-patien$. (See Admissions, discharges, and remaining.)Medical anddental, salary and fee, Table No. 8------------------Out-patient (see also Tables Nos. 5,7, at~d 8)----------------------

Tuberculosis, pulmonary. (See Pulmol~ary tuberculosis.)Turnover in United States veterans’ hospitals, by hospital and fiscal years,

Table No. l9---------------------------------------------------United States Government life insurance. (See Insurance. )World Waradjusted compensation act, amendment to------------------World Warveterans’ act, 1924, anact to amend ----------------------World War veterans, laws enacted for the relief of --- -- _ --- __ ----------x-ray examinations inhospitals and dispensaries, Tables Nos. 3and 4---

0

19~()

2730 r33;33:3533:33:;334

1717

111

-4i)

53

5854

60

19

10s

51

54

1166

4617

52

121

11611145

Documents

DIRECTOR UNITED STATES VETERANS' BUREAU