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ANNUAL REPORT OF THE ADMINISTRATOR OF VETERANS’ AFFAIRS FOR THE FISCAL ENDED JUNE YEAR 30 1934 UNITED STATES GOVERNhlENT PRINTING OFFICE WASHINGTON :1935 For sale by the Su[)erintendent of Documents, Washington, D. C. - Prim 15 cents (pnper cwer)

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Page 1: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

ANNUAL REPORTOF THE

ADMINISTRATOROF VETERANS’

AFFAIRSFOR THE FISCAL

ENDED JUNEYEAR30

1934

UNITED STATES

GOVERNhlENT PRINTING OFFICE

WASHINGTON :1935

For sale by the Su[)erintendent of Documents, Washington, D. C. - Prim 15 cents (pnper cwer)

Page 2: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or
Page 3: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

c

List of tables __________________

ON TENTS

----- ----- ----- ----- --- ---- ---- ---- -Letter oftransmitta1--------------------------------------------------Introdugtiorl --------------- ---- ---------------------- ---------------Ne~vleglslatioll ______________ ____ _________________________ ----------Medical and domiciliary carc and treatment:

Hospita~ization ________________ ----- -------------------- _--------Domiciliary care ----------- ---- ---------------------- ----------Hospital and domiciliary facilities---- ----- -------------------- _-Future hospital and domiciliary construction ------- ------------- ----Operating and per dien]costs for hospital and domiciliary facilities_-Physical examinations and out-patient treatment ----- _____________Dental relief -------------------- ----- -------------------------

Pensions and cornpensatiol]:Veterans ___________________ ---------------------------- ------Dependents -------------------- ----------------------------- ----S~lmmary __________________ ------- ---------------------- -------Retirement ofemcrgency officers of the World War----------- -----

Adjusted compensation -------------- ---------------------------------Insurance ----------------------- ____ _____________________ _________Retirement of civil employees:

Civil Ser\’ice ---------------- _____ ____________________ ---------Canal Zone ------------------- ---- -------------------------- -----

Guardlanshlp --------------- ---- ---------------------- ------------Flnallce----------_______- ____ _____________________ -----------------Personnel ---------------------- ____ ______________________ __________Ix)dex ---------------------- -------------------------- ------------

111

2829

323637383993

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LIST OF TABLES FOR THE ANNUAL REPORT, FISCAL YEAR 1934

Table31EDICAL AND DOMICILIARY TABLES

1. Clinical laboratory tests and X-ray examinations, fiscal years 1924-34-2. Out-patient medi~al service, by service rendered, fiscal years 1924-34-3. Number of out-patient treatments divided into medical and dental,

salary and fee, with percent of fee, fiscal years 1924-34 ---------- _4, Number of out-patient examinations divided into medical and dental,

salarv and fee, with percent of fee, fiscal years 1924–34- ------- _ -5. Admissions of U]litcd States veterans for hospital treatment and domi-

ciliary care, fiscal years 192@34-------------------------------6. Patiellts admitted for hospital treatment or domiciliary care during

fiscal year 1934, by class of beneficiary, groups of hospitals, andtype of])atiel]t ----------------------------------------------

7. Domiciliary and hospital admissions of United States veterans, byLrallch of service, type of patient, sex and color, fiscal year 1934----

8. Patients remainil~g llndcr hospital treatment or domiciliary care June30, 1934, by class of beneficiary, groups of hospitals, and type ofpatient -----------------------------------------------------

9. United States veterans receiving hospital treatment or domiciliarycare, by sex and color, at end of each fiscal year 1919-34 ---------

10. Domiciliary and hospital discharges of United States veterans, showingreslllts of hospital treatment and type of patient, fiscal year 1934--

11. Average present by major wars at all homes during each fiscal yearfrom date of organization to 1934 ------------------------------

PENSION AND COMPENSATION TABLES

12, Number of veterans and deceased veterans whose dependents werereceiving pensions, compensation, disability allowance, or emer-gency officers’ retirement pay, by wars, at the end of each fiscalyear, l9l&34-----------------------------------------------

13. Statement showing the average annual value of pensions compensation,disability allowance or emergency officers’ retired pay, for each warand all wars, at the end of each fiscal year 1910–34-- ------------

14. Pensioners on the roll June 30, 1934, and the aggregate annual value ofthe roll, showing by wars the number of living veterans and deceasedveterans whose dependents receive pension benefits- -- _ ---- _ _ ---

15, Compensation, active disability awards; comparative analysis of typeof major disability, by extent of disability, at the end of each fiscalvear, l923-34-----------------------------------------------

16. W~rld War compensation, service-connected active disability awards;extent of disability and degree of impairment correlated with clas-sification of major disability showing number of disabled veteransand monthly value of awards, as of June 30, 1934____ -- _ - ---- ---

17. World War compensation, active disability awards; number of dis-abled veterans rated on a temporary basis receiving additional com-pensation for dependents, showing number of dependents, as ofJune 30, l934-----------------------------------------------

18. World War compensation, active disability and death awards; numberof disabled veterans and number of deceased veterans whose de-pendents are receiving compensation, showing number of cases onwhich insurance payments are also being made, as of June 30, 1934_

19. ~~-orld War compensation, active death awards; number of deceasedveterans whose dependents are receiving compensation, showingnumber of dependents, as of June 30, 1934 ---------------------

20. World War compensation, active death awards; number of deceasedveterans whose dependents were receiving compensation, showingnumber of dependents, as of the end of each fiscal year, 1923–34---

V

Page

::

43

44

44

45

46

47

48

48

49

50

51

53

54

56

58

58

58

58

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VI LIST OF TABLES

Page

21. World War veterans receiving pensions for nonservice-connected dis-abilities, classified by type of major disability, as of Ju!~e 30, 1934-- 59

22. Spanish-American War veterans receiving peniions paid under Public,No. 2, and Public, No. 141, for nonservice-col: nected disabilities, asof June 30, l934_____________________________________________ 59

23. Spanish-American War vetirans receiving pensiol}s paid ul]der Public,No. 2, for service-connected disabilities, as of Jutle 30, 1934_ - _ --- 59

24. United States veterans receiving pensions for disabilities incurred inpeace-time service, as of June 30, 1934 ------------------------- 60

RETIREMENT OF EMERGENCY OFFICERS’ TABLE

25. Emergency officers on the roll for retirement with pay as of June 30,1934, classified by organization and rank, and showing increasedcost due to retirement ------------------ ---------------------- 61

ADJUSTED COMPENSATION TABLES

26. Number of applications for adjusted compensation received by fiscalyears from September 1924 to June 30, 1934 --------------------- 62

27. Action taken on applications for adjusted compensation to June 30,l934------------------------------------------------------- 62

28. Death claims awarded on account of adjusted compensation, showingbeneficiary asof June 30, 1934 ________________________________ 63

INSURANCE TABLES

29. Number of United States Government term and col]verted insuranceclaims received and awarded by fiscal years fron~ october 1917 toJune 30, l934----------------------------------------------- 63

30. Term and automatic insurance-active disability a[ld death awards asof June 30, l934--------------------------------------------- 64

31. Term and automatic insurance-terminated disability and deathawards by reason of termination, as of June 30, 1934 ___________ - 64

32. Converted insurance claims awarded and ternlinated during thecalendar year 1933, by plan of insurance _______________________ 65

33. Report of United States Government life insurance in force December31, l933____________________________________________________ 67

34. Report of United States Government life insurance in force by plan asof December 31, 1933 ________________________________________ 67

CIVIL SERVICE RETIREMENT TABLES

35. Statement showing the number of annuitants retired, dropped, antion the roll by cause of retirement and average annual value, fiscalyears l92l-34----------------------------------------------- 6S

36. Statement showing by departments the aggregate rate of annuitiesand number of annuitants on the roll June 30, 1934- ._. -- ___ --- _ _ - 69

37. Statement showing by vocation, sex, and cause of retirement, thenumber and average annuities of the annuitants on the roll June 30,l934------------------------------------------------------- 70

FINANCE TABLES

38. Analysis of reported obligations from all appropriations, by purpose,fiscal year l934---------------------------------------------- 72

39. Appropriations and other receipts versus disburselllents to June 30,l934------------------------------------------------------- 73

40. Disbursements made by Veterans’ Administration, former Veterans’Bureau, National Home for Disabled Volunteer Soldiers, andPension Bureau, for all wars and annuities and refunds to civilemployees under civil service and Canal Zone ret irement acts_____ 76

41. An approximate distribution of expenditures by States during fiscalyear 1934, showing the number of beneficiaries as of Jllne 30, 1934-- 78

42. An approximate distribution of expenditures by United States Posses-sions and foreign countries during fiscal year 1934, showing thenumber of beneficiaries as of June 30, 1934- ____ ---------------- 84

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LIST OF TABLES

Page43. Policy loans, United States Government life insurance fund, summary

for fiscal year l934------------------------------------------ 8744. Financial statement of the United States Government life insurance

fund by calendar years from origin of fund to December 31, 1933__ 8845. Financial statement of the ci~il service retirement and disability fund,

by fiscal years, from origin of f{lnd to June 30, 1934__ ------- ____ 9046. Financial statement of the Canal Zone retirement and disability fund,

by fiscal years, from origin of fund to Jllnc 30, 1934 --- _ ---- -- ___ 91

CONSTRUCTION TABLE

47. Statement sho}ving by State and location, the hospital and domiciliarybeds under the control of the Veterans’ Administration at the closeof the fiscal years 1933 and 1934, and the authorized development(}f facilities under present appropriations through the fiscal yearl935------------------------------------------------------- 91

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— —-

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LETTER OF TRANSMITTAL

JANUARY 3, 1935.To the PRESIDENT OF THE SENATE .4 ND THE SPEAKER OF THV HOUSE

OF REPRESENTATIVES OF THE SEVENT~~-FOURTH CONGR SS:Pursuant to the provisions of section 6 (c) of the act of July 3,1930

(Public, No. 536, 71st Cong.), I have the honor to submit the followingreport of activities of the Veterans’ Administration for the fiscal yearended June 30, 1934.

This, the Fourth Annual Report of the Veterans’ Administration,discloses the extent to ~vhich the United States Government hasfurnished relief to veterans and their dependents. The report asprepared sho~vs the major changes and developments in each type ofbenefit during this fiscal year and in most instances the number ofbeneficiaries at the close of each fiscal year since the benefit was firstauthorized. It also summarizes the principal provisions of the legis-lation enacted and the Presidential regulations issued during thisyear, and comments upon their effect insofar as measurable at thistime.

Respectfully,FRANK T, HINES, Administrator,

lx

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ANNUAL REPORT FOR THE FISCAL YEAR ENDEDJUNE 30, 1934

INTRODUCTION

‘rhe fi~(’iil~ei~r 19:34 \~ason~of COntinllOUSrC\”iCl$-[iIld adjustnlentin t)el~efits ~]~~tl]orizedfor veteri~]~sa]~d their clependents and of studyof the ei~~’ct of progressi~-ell- protecti~-c find liberalizing legislation orreg~il:ltitl]~s. The co~nlnel~ce~~~cntof this year found the Veterans’.!tll]~i~~istr:itio]l cleep in the application of new pro~’isions of entitle-lllent and rates. The rcvie~~-si~~~-olveclin this change of systelll weresu}~stantially conlpleted by Novclnber of this year. Contcn~porane-ously with these re~-ie~vs,stlldics were constantly being made of anyresultant group ineqllalitics in order that remedial action nlight betal<en through I>residential regulation. The first important result ofthese st[ldies was the issuance of the liberalizing Presidential regula-tion of ,Jtinllary 19, 1934, ~vhich in~-olved readjustment of mconsider-able nul~lber of clailns of ~~ctcra~~sof both the Spanish-.lmerican andl~orld \Yars. Shortly thereafter, namely, ~Iarch 28, 1934, there wasenacted Public, .No. 141, which largely restored the pro}-isions of thelaws in effect prior to Xlarch 20, 1933, as to the veterans of the l~arwith Spain, including the Boxer Rebellion and Philippine Insurrec-tion, and the lYorld ll~ar. At the close of this year these increasedbenefits had been awa:ded in the great majority of cases.

While it is unquestlonahly true that in the main under the pro-visions of liberalizing legislation and regulation, material benefits haveaccrued to veterans and their dependents, it is also true that there nowobtain in the adjudication of claims for the various groups of ~~eteransunder the several laws in effect material inconsistencies, inequalities,and complications ~vhich will require correction.

~Tnder public, No. 2, by veterans’ regulations, a uniform scheduleof ratings was established for disability rates on account of ser~~iceonand after April 21, 1898. By vir!ue of Public? No. 141, the occupa-tional schedule of disability ratln~s, 1925, IS reestablished as to\l’orld l~ar cases. As for the Spanish-American l~ar~ including theBoxer Rebellion and Philippine Insurrection, the pension rates exist-ing prior to Public, No. 2, are restored as provided by statute. Fur-ther, under the prior pension laws there is no requirement for aschedule for rating disabilities. Public, No. 141, did not modify theveterans’ regulations with reference to pension for non-service-con-nected disability pertaining to l~orld l~ar veterans. The disabilityallowance law having been repealed, for non-service-connected dis-ability the only entitlenlent is found in the veterans’ regulations issuedby the President. Public, No. 141, did not restore prior rights forpeace-time service-connected cases so that as to such service on andafter iipril 21, 1898, the ~-eterans’ regulations are for application.

1

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2 ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFF.41RS

Inasmuch as the veterans’ regulations in sol~le instances are moreliberal than thelaws in effect on March 19, 1933, in case of service-connected disabilities, the veteran or his dependents in many instanceselect to take under Public, No. 2, and the veterans’ regulationsrather than prior laws. Furthermore, due to the right of election,in those cases where there is entitlement under both the prior lawsand Public, No. 2, and the veterans’ regulations., the clainl is notlimited to one election. For examp~e, under prior pension laws re-enacted under Public, No. 141, a child can receive pension only tothe age of 16 years, whereas under Public, NTO.2, find the veterans’regulations the child may receive pension to the tige of 18 years, l~itha provision for the continuance of such pension until the age of 21years if attendi.n an approved school.

EShould the child be entitled

to a greater bene t under the prior ension laws, election will be nlade?to that benefit until attainment o the age of 16, when the right to

take under the veterans’ regulations beyond the age of 16 is exercised.This same situation arises In connection with other rights.

The law which restores prior benefits with certain limit ationsrequires the Veterans’ Administration to adjudic[ite clainls under thelaws in effect on March 19, 1933, and under l’ublic, N’o. 2, andveterans’ regulations to determine under which set of laws the veteranor his dependents can be paid a greater benefit,.

Certain special awards and allowances under laws in effect onMarch 19, 1933, are restored under Public, No. 141.

The revisions of the ension laws in effect on Nfarch 19, 1933, areY igeneraloy applicable to t ose persons entitled to benefits on account

of service prior to the Spanish-American ~l-}~r, and Public, No. 2,carried forward the administrative provisions in the pension laws, aswell as certain administrative provisions of the lYorld T\-arVetersns’Act, 1924, as amended, for ap lication to those ~rith ser~-ice o]~ ~ndfafter April 21, 1898. As a resu t, there have arisen nunlt’rous incqual-ltles and legal questions indicatin

Tthe need for specific [~tl~~~i]listr[iti~-e

correction by Presidential regu ations or b~- legislation if foundnecessary.

Some of the disparities can be taken care of I)Y veterans’ regulationsand to the extent to which this can be accon~p~ished appropriate rec-ommendations are being made to the President. The following isgiven as an illustration: Under the veterans’ regultitions there is aprovision for reduction of 50 percent of pension or elIlergency officers’retirement pay of persons who reside outside the continental linlitsof the United States, exclusive of Hawaii, Alasl{~, Puerto Rico,Virgin Islands, and the Panama Canal Zone. Due to the fact thatPublic, No. 141, in restoring benefits under prior laws on account ofservice in the War with Spain, including the Boxer Rebellion andPhilippine Insurrection and the World War, does not provide for theapplication of this regulation to those benefits, appropriatee recom-mendations have been made to the President for establishn~ent ofun~fo~mlty by cancellation of this particular regu]at i(~n, now affectinga hmlted number of persons, many of whonl are receiving benefits onaccount of service-connected disabilit y or den th.

As an example of legislative than e, this adn]inist,r~tion expectstto recommend legislation to establis unifornlity with reference to

Federal taxation of pension, inasmuch as the present law requirestaxation of pension benefits paid to veterans, including such benefits

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A~~UAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 3

under the pension laws in effect on March 19, 1933, and pensionunder Public, No. 2, Seventy-third Congress, whereas compensationto }Vorld JVar veterans is not taxable. The taxation of pensiondefinitely affects eligibility to monetary benefits in certain caseswhere exemption from Federal income tax is required.

The Veterans’ .idn~inistration is conducting a study of inequalitiesand complications under the existing laws for the purpose of makingappropriate recommendations for legislation and/or veterans’ regula-tions which will serve to establish as far w practicable uniformity inthe granting of veterans’ relief and simplicity of administrativeprocedure.

Organization.—The Board of Veterans’ Appeals was establishedeffective December 1, 1933, by Executive Order No. 6230, T’eterans’Regulation h’o. 2 (a), promulgated July 28, 1933, to determinefinally all questions on claims inv?lying benefits under the lawsadministered by the Veterans’ Adrnlnlstratlon. Such questions aresubject to but one review on appeal and the decision of the Board isfinal except that it may on its own Inotion C?rrect -an obvious errorin the record, or may upon the basis of additional information fromthe l~ar or Navy Department proceed to a reconsideration of itsprior decision. The Board does not assume jurisdiction over a claimon appeal-until the evidence has been fully developed and the agencyhaving orlglnal custody of the file has certified to lts completenessand readiness for consideration by the Board. On June 30, 1934,the Board hfid rendered decisions in 7,523 cases and had a pendingload of 7,358.

On December 14, 1933? the Office of the Assistant Administratorhaving charge of the ad~udication of clalms for pension was reor-ganized so as to consist of the followlng: A veterans: claims service,responsible for the adjudication of all claims of livlng veterans ofall wars and expeditions, as well as peace-time ex-soldiers; a widows’and dependents’ claims service, responsible for the adjudication of allclaims of widows and other dependents of deceased veterans; and acentral committee on waivers and forfeitures, responsible for the ad-judication of all questions of forfeiture of clamants’ rights because ofthe submission of false evidence and the determination of questionsof waiver of recovery of overpayments. The new organization wasestablished to concentrate responsibility for adjudicating claims ofbeneficiaries of the same classes, and there is being accomplishedthrough this medium a uniform system of claims adjudication, uni-form evidence requirements, and uniform treatment generally ofclaims of veterans and their dependents, insofar as consistent withthe varying provisions of existing laws.

There was continued during this year the policy of consolidatingfield activities when this was possible without impairment of serviceto beneficiaries and to the advantage of the Government from thestandpoint of cost of operation. During this year consolidationswere effected in the States of Iowa, California, Alabama, l~yoming,Maine, and New York, and the District of Columbia. To date thereha~[e been 27 of ~hese consolidations. It is roughly estimated that asaving of approxunately 10 percent in operating costs is obtained inmal~ing these consolidations and, in total, this recurring annual sav-ing has reached an aggregate of more than $2,000,000. These sav-ings are reflected in such items as salaries, miscellaneous medical-fee

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4 ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

services, supplies, telephone service, rentals, tind n~iscellaneous con-tract services.

Perh~ps the best example of savings already efiected and to beef~ected as the result of reorganizations and consolidations is foundin all analysis of our estimated budget requirements for personalservices for the fiscal years 1936, 1935, and 1934. Tvhile the estimatefor 1936 is larger than that for either of the t~vo preceding fisc~l yearsit cannot be conlpared therewith as it alone is based upon 100 percentof the basic rates of pay. There is also to be considered the fact thatmaterial savings \\-ereaccomplished in 1934 through lapses and adn]in-istrative furloughs due to the great reduction in personnel nlade underrestricted operation. If the estimates for all 3 years are tidjustedso as to include the full 100-percent basic. rates of pay and limitedto the average annual saving estimated fron~ turnover in personnelduring the past 2 years, the amount for 1936 represents an actualreduction of $792,026 compared with 1935 and $4,632,053 con~paredTvith 1934. This reduction is accomplished notwithstanding that theaverage nun~ber of hospital beds to be available in 1936 is an increaseof 1,693 over the average to be available in 1935 and an increase of4,576 o~er the actual average number available in 1934.

During November 1933 the Civil l~orks Administrate ion requestedthe Administrator of Veterans’ Affairs to utilize the services of thecorps of disbursing officers throughout the United States to efiectdisburselnel~ts of (~ivil IVorlis Adn~inistration funds. It ~vassuggestedthat the facilities of the Veterans’ fidministr~tion could be utilized toeffect a ~~ide and immediate distribution of ~vages ~veelily to personsenlployed upon the Civil 11’orks ildn~inistration projects. All pay-ments \\Tereto be made by check. Instructions to disbursing oflicersin each State ~~-eredispatched by the Administrator of J“eterans’Aff:~irs on November 16, 1933. The proposed plan of operation re-quired the appointment eventually of sonic 4,000 deputy disbursingofficers to be deputized to make payl]~cnts for the 47 disbursing officersof the Veterans) ;Idministration, \vho qualified as disbursing officersof the Civil JYorl:s Administration. The development of the orgtini-zation \\-asa ~vork of great nlagnitude, }vhich it }vas necessary toaccomplish ~~ith the greatest possible celerity. The organization\vas acco]~]plishcd pron]ptly and it ~vaspossible t)n Saturday, Noven~-ber 25, 193;3, to place in the h~nds of employees on Civil }~orl~s projectschecks covering the \vages earned during the wee]<. During the par-ticipation of the Veterans’ Administration in the activities of theCivil }Yorks ;fdministration payments }vere nlade requiring theissuance of nlore than 58,000,000 checks, involving a total expenditurein excess of $800,000,000. The period of n~aximull~ activity \rasexperienced during the month of February 1934, when ~~pproxln~ately4,1oo,OOO checks having a value of over $57,400,000 were issued duringa single \veek. Operations \vere conducted bet}veen A-ovenlber 1933and August 1934. The Administrator of Veterans’ Affairs welcomedthe opportunity to be of service in the en]ergency by n~aking availablethe services of the disbursing activities of this Administration through-out the United States.

Transfers oj junctions. —Executive Order No. 6166 promulgatedJune 10, 1933, pursuant to the provisions of section 2, title 111, ofl’ublic No: 2, Seventy-third Congress, “An act to maintain the creditof the L’nlted States Government” , provided, among other things,

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ANNUAL REPORT ADMINISTRATOR OF VETERANS 1 AFFAIRS 5

for the transfer to the Department of Justice of all functions of prose-cuting in the courts of the United States claims and demands by, andoffenses against, the Government of the United States, and of de-fending claims and demands against the Government; and for thetransfer to the Treasury Department of the functions of disburse-ment of moneys of the United States. The legal work, performed bythe Veterans’ Administration in connection with the defense of suitsagainst the United States arising under section 19 of the World WarVeterans’ Act, 1924, as amended, was transferred to the Departmentof Justice on September 10, 1933; and the disbursement activities ofVeterans’ Administration (central office) were transferred to the divi-sion of disbursement, Treasury Department, on January 16? 1934.Under the terms of this Executive order it is also proposed durm the

fnext fist al year to transfer the field disbursement activities o theVeterans’ Administration to the Treasury Department. The firsttransfer of this kind was New I“ork City on October 16, 1934, and itis expected that by the end of the fiscal year 1935 practically all ofour field disbursement activities will have been transferred.

Executive Order No. 667o, promulgated April 7, 1934, underthe same authority as hereinbefore mentioned, provided for thetransfer to the Civil Service Commission of the functions of the~~eterans’ Administration pertaining to civil-service-retirement ac-tivities. Executive Order No. 6731, issued June 5, 1934, extendedthe time of transfer beyond the efiective date of Executive Order No.667o, and provided that such transfer may be made operative andeffective between June 7, 1934, and October 1, 1934. The transferwas effected as of September 1, 1934.

Improved sertice in the medical care of bene$ciaries.—~ farkedprogress was made during this fiscal year in perfecting the efficiencyof the medical care of beneficiaries. From November 1933 to NIay1934 intensive training in roelltgenology and pathology was givenclasses of full-time physicians in the facilities at Hines, Ill., hlinne-apolis, Minn., and Oteen, N. C.; and the two 4-months’ courses ofpostgraduate trainin

Tin general medicine and administrative pro-

cedure, given annual y at the diagnostic cente~, l~ashington, D. C.,were held as usual for classes of 10 physicians. The physiciansassigned to these courses are selected from field facilities and, uponreturn to their stations, are required to impart their newly acquiredtraining to their staff associates. Plans are being formulated forextens+on of this postgraduate training to other branches—cardiology,thoraclc surgery, urology, and eye, car, nose, and throat work—the courses to be available in l~eterans’ Administration facilities,supplemented by training in the larger civilian clinics of the country.The medical officers are in this way kept abreast of advances inmedicine, and the training they acquire is reflected in improved careof beneficiaries.

hluch new equipment was installed in Veterans’ Administrationfacilities during this fiscal year to replace obsolete or worn-outequipment. The new installations include particularly electro-cardiographic equipment and modern .X-ray machines, for bothdiagnostic and therapeutic purposes. Special+ equipment was alsosupplied for thoracic surgery at those facllltles In which such surgeryis being highly developed for patients suffering from pulmonarytuberculosis. A number of modern electro-surgical units were

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6 ANNUAL ~PORT ADMINISTRATOR OF VETERANS) AFFAIRS

purchased. O~gen tents were furnished facilities for treatment of

bneumonia. The resources of the cancer clinic in the facilit at

iines, Ill.-one of the largest and best equipped clinics of this indin the world—were augmented by the purchase of sticient additionalradium element to provide a radium bomb of 2 grams besides sti-cient radium in solution to provide emanations which are shippedby air mail from Hines for use at other facilities in the treatment ofmalignant tumors. Plans were worked out for further developmentof ~ancer-treatment equipment—dee X-ray and radium—at other

8faclhties (located in Washington, D. .; New York City; Los Angeles,Calif.; Da ton, Ohio; Portland, Oreg.; and Atlanta, Ga.).

iE~tablti ment of camp site for veterans’ convention.—During thisyear the President approved the establishment of a temporary campat Fort Hunt, Vs., for the pur ose of housing dele ates to a veterans’

f 8convention scheduled to be he d in the District of olumbia from May10 to May 24, 1934. The closing date of the convention was extendedsubsequently to May 27, 1934. The Federal Emergency ReliefAdministration was charged with the responsibility of organizing andoperating the camp. However, the actual operation was superin-tended by the Veterans’ Administration by reason of its experiencegained in a similar capacity in 1933. In addition to a site, the Gov-ernment f~n~shed meals, shelter, ~ransportation between the campand the Dlstmct of Columbla, medical care, and office equipment andsupplies. Approximately 1,500 delegates were registered for theconvention and of these about 300 gave the District of Columbia astheir residence. However, but 1,062 complete units of equipmentwere issued at camp, which would ap ear to be a true index of the

fma :imum number of veterans actua ly residing there. Upon theclosing of the camp on May 27, 1934, appro imately 600 veteransexpressed a desire to enroll in the veterans’ contingent for emer ency

Yconservation work, and of this number 565 were accepted. Inc udedin the number accepted were veterans with reported home addressesin 41 States and the District of Columbia. In addition, 354 veteranswere furnished transportation to the places shown on their registra-tion cards or to laces within equal distance. The cost of operating

f’the camp was s i htly in excess of $30,000 which expenditure wasfmade from fun s available to the Federal Emergency Relief

Administration.Enrollment of veterans jor emergency conservation work.—Pursuant

to authority contained in Executive order dated May 11, 1933, andamended Ma 24, 1933, and under the direction of the DirectorEmergency J observation Work, the Veterans’ Administration onJune 12, 1933, began the selection of veterans to compose the veterans’contingent for emer ency conservation work. These Executive orders

fauthorized the enro lment of 25,000 veterans of the World War and

rrior wars. Selections were made on the basis of State quotas estab-

lished in accordance with the 1930 census; As of July 6, 1933, theclosing date of the original enrollment period, 24,902 veterans hadbeen selechd by the Veterans’ Administration and enrolled by theWar Department. The veterans’ quota was subsequently increasedto 28,225 by authorit of the Director of Emergency Conservation

JWork. The peak loa for veterans under enrollment was reached inMay of this year when there were 26,970 veterans occupying suchstatus. During this year approximately 26,000 veterans were

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ANNUAL REPORT ADhlINISTRATOR OF VETERANS) AFFAIRS 7

enrolled or reenrolled as replacements for veterans discharged toaccept other employment or otherwise separated from the CivilianConservation Corps. As of June 30, 1934, there w~ere21,732 veteransin enrollment status in 138 Civi]ifin Conservation Corps companieslocated in 41 States. 11~June of this year the Veterans’ Adminis-tration began the selection of 11,968 veterans to fill 6,968 vacanciesin the previously authorized contingent, and, by authority of thePresident, an additional c~uota of 5,000 for the 22 States comprisingthe then drought-stricken area as designated by the Department ofAgriculture. The lTar Dcpartn~ent began the enrollment of thesequotas on July 2, 1934.

NEW LEGISLATION

The provisions of Public, No. 2, Seventy-third Congressl approvedJlarch 20, 1933, “An act to maintain the credit of the Umted StatesGovernment”, which established a new policy in the administrationof veterans’ relief, were explained in the 1933 annual report, as werealso veterans’ regulations promulgated thereunder by the Presidenton March 31, 1933, and June 6, 1933.

The Independent OffIces Appropriation Act, 1934 (Public, No. 78,73d Cong.), approved June 16, 1933, contained certain amendmentsaffecting veterans’ benefits. Section 6 of the Economy Act wasamended to provide domiciliary care and medical and hospital treat-ment for members of the Regular Establishment discharged for disa-bilities incurred in line of duty. Authority was given t~~eAttorneyGeneral of the United States to effect compromise In certain insurancesuits pending on March 20, 1933. Pensions under private relief actswere reduced by the same percentage as that prescribed for reductionof compensation for oficers and employees of the Federal Govern-ment. Authority was granted the President to establish specialboards, the majority of members of which were not in the employ ofthe Veterans’ Admlnistrtition on the date of enactment of this act.These boards were established by Presidential regulation July 28,1933, with broad authority in the review of certain claims whereinpresumptive service connection was granted under the Jvorld lVarVeterans’ Ac!, on which payments were being made on March 20,1933, and w-hch were held to be not service connected under Public,No. 2, Seventy-third Congress, and veterans’ regulations thereunder.Under the provisions of this law, as to claims referred to the specialboards for disposition, 75 percent of the compensation paymentsbeing made on March 20, 1933, were authorized to be continued untilOctober 31, 1933, or the date of the special board’s decision, whicheverwas the earlier. Under authority contained in this act, the Presidentextended this period to h’overnber 30, 1933. This act also provided .authority to adjudicate claims for yearly renewable term insuranceon which premium payments had been made to date of death of theinsured and in original claims for pension, compensation allowance, oremerqency officers’ retirement pay, filed before March 20, 1933, topermt adjudication on the basis of proof and evidence received bythe Veterans’ Administration before March 20, 1933, and if an awardwas in order payments to continue until June 30, 1933. Thereafterthe case would have to be determined under the existing law andregulations. This act further provided that the rates of compensa-

10021%35—2

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8 AN NT-TAL REPORT ADMINISTRATOR OF VETERANS $ AFFAIRS

tion payable for direct service-connected disabilities to World Warveterans \vho entered the service prior to No\’ember 11, 1918, and who}~ere in receipt of compensation on March 20, 1933, should not be ~reduced more than 25 percent, with-the exception of Federal employ-ees, hospitalized c:ises, and beneficiaries residing outside the conti-nental limits of the United States. Compensation benefits being paidto dependents of deceased World l~ar veterans on hlarch 20, 1933,were protected from any reduction or discontinuance whether thedeath of the \-eteran on whose account compensation was being paidwas direct ly or presumptively connected with service. This act alsocarried ~~provision for the payment of pension of not less than $15per month to i~n.y\-eteran of the Spanish-American War, includingthe Boxer Rebelhon and Philippine Insurrection, who served 90 daysor more, ]\-ashonorably discharged from service, is 55 years of age oro~~er,is 50 percent disabled, and in need as defined by the President.

Under dmte of July 28, 1933, the President pron~ulgated regulationsplacing in effect the ~~arious pro~’isions of the Independent OfficesAppropriation Act. These regulations created a Board of Veterans’Appeals and established the organization and procedure in connectiontherewith.

In accordance with the authority contained in Public, No. 2,Seventy-third Congress, the President promulgated additionalveterans’ regulations as follows:

January 2, 1934, a regulation which increased the maximum num-ber of associate members of the Board of I’eterans) Appeals from 15to 30.

January 19, 1934, four regulations which increased the rate forwar time sem’ice connected total disability from $90 to $100 permonth with proportionate increase for partial disability; liberalized therates of pension to widows of persons whose death is shown to haveresulted from a disease or injury connected with peace-time service;permitted the acceptance of discharge for disability incurred in lineof duty as a requisite to pension, hospital and domiciliary care fornonservice-connected disability in those cases where the veteran servedless than 90 da,~s; enlarged the group of veterans of the Spanish-American ~~ar, Including the Boxer Rebellion, and Philippine Insur-rection, entitled to pension for nonser~’ice-connected disability byeliminating the age requirement of 55 years; authorized hospital carefor veterans requiring emergency or extensi~-e treatment regardlessof whether such conditions are permanent; enlnrged discretionaryauthority of the Administrator of Veterans’ Affairs in the pa~mentof transportation to and from Veterans’ Administration facilities;increased the burial allowance from $75 to $100; permitted receipt ofpension or emergency oficers’ retirement p~y by Government em-ployees otherwise entitled where the income 1s not in excess of $1,000per annum, computed monthly, in the case of single persons, or not inexcess of $2,500 per annum, computed monthly, in the case of marriedpersons or persons with dependents (the prior salary or compensationlimitation was $50 per month); and permitted persons entitled tobenefits to renounce their rights thereto in order to be allowed toparticipate in determination or decision with respect to claims forbenefits.

February 17, 1934, a regulation which extended the time hmit forappeal to the Administrator from 6 months to 1 year.

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 9

March 27, 1934, two regulations pertaining to IVorld }Var andSpanish-American lVar veterans, which authorized pension benefitspending final determination of service connection in cases underreview. In view of the enactment of Public, No. 141, Seventy-thirdCongress, March 28, 1934, these regulations were canceled April 6,1934, effective March 28, 1934.

) ~ Public, No. 140, Seventy-third Congress, an act to authorize the‘ Postmaster General to accept and use equipment landing fields, men,

and material of the \Yar Department, for carr~-lng the mails by air,and for other purposes, approved ~Iarch 27, 1934, authorizes anddirects the ~~dministrator of Veterans’ Aflairs to pay any oficer orenlisted man (including warrant and reserve officers) who is injuredwhile performing duty under the act, a pension at the rate prescribedin part I, Veterans’ Regulation No. 1 (a), and amendments thereto.In the event such officer or enlisted man is killed, his dependents shallbe paid a pension under part I, ~~eterans’ Regulation hTo. 1 (a), andamendments thereto. Choice must be made between the benefitsheretofore described and those provided by law for officers of theRegular Army and{or their dependents and beneficiaries.

Public? No. 141, Seventy-third Congress, passed by Congress overthe President’s veto on Lfarch 28, 1934, known as the IndependentOffIces Appropriation Act, 1935, reestablished certain rights to bene-fits which had been withdrawn or modified by the provisions ofPublic, No. 2: Seventy-third Congress approved March 20, 1933,and the Presidential Regulations promulgated thereunder. Theprovisions aflecting veterans are contained in title III, and are brieflyas follows:

Section 26 reinstates the former compensation rates for totallyblind }~orld l~ar veterans except where the veteran is being furnishedhospital care by the. Government!, and except as to cases involvingfraud, mistake, or misrepresentation.

Section 27 provides for the payment of compensation to thosepersons who on March 19, 1933, had established service connectionunder section 200 of the lVorld \Var Veterans’ Act, 1924, as amended,and reenacts the provisions of that section as to such cases, except\yhe_rethe person entered the serviee.:pbsequent to Novernbe.r .11,1918, where clear and unmistakable evidence discloses that the dis-e=ie~ injury, or disability had inception before or after the period ofservice, unless there was aggravation, or where the prior service con-nection had’ been established by fraud, clear or unmistakable error,or rnisreprcsentation. But, as to all cases embraced by these threeexceptions, all reasonable doubt is to be resolved in favor of theveteran and the burden of proof is to be upon the Government. Asprovided in section 28, the payment is 75 percent of the amountpayable in such cases on March 19, 1933.

Section 28 provides for the restoration of the World ~Yar rates ofcompensation in effect on March 19, 1933, for ser~~ice-connecteddisability, except that reduction is permitted in cases under sections27 and 28 in accordance with regulations pertaining to hospitalizedcases. It perpetuates the rating schedule in effect on March 19,1933, under which ratings are based as far as practicable upon theaverage impairment of earning capacity in civil occupations similarto the occupation of the veteran at time of enlistment. It furtherprovides for payments to the widows and children of veterans whose

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10 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS

death is established as due to service under its provisions. Thelimitations imposed by veterans’ regulations as to receipt of eitherpension or emergency officers’ retirement pay and salary by Govern-ment employees and to the 50 percent reduction in pension or emer-gency officers’ retirement pay while persons entitled thereto resideoutside the continental limits of the United States are not for appli-cation to benefits authorized b this section, except that compensa-

Ltion granted widows, child or c “ldren~ and/or dependent parents noton the rolls on March 19? 1933, is subject to the regulations.

Section 29 amends section 6 of the Economy Act of March 20, 1933,as amended, by adding a proviso authorizing hospitalization or dom-iciliary care within the limitations existing In Veterans’ Administra-tion facilities, including transportation to and from the facility, ofany veteran of any war not dishonorably discharged who is sufferingfrom disability, disease, or defect, and who is in need of hospitaliza-tion or domiciliary care and is unable to defray the necessary expensetherefor. It provides that the statement under oath of the applicantas to his inability to pay for the service sought shall be accepted assufficient.

Section 30 provides that veterans of the Spanish-~imerican War whoentered service on or before August 12, 1898, or who served in theBoxer Rebellion or Philippine Insurrection, their llnmarried widowsand/or other dependents who were receiving pension on March 19,1933? are entitled to receive not less than 75 percent of the amount ofpension being paid on that date. Such pension, however, is subjectto the limitation requiring exemption from Federal income tax, andas to Federal employees, the law requires that not more than $6 permonth can be paid if their salary, if single, exceeds $1,000, or if mar-ried, $?,500 per annum. The provisions pertaining to the ayment

8of pension to men in hospitals established by Public, No. 2, eventy-third Congress, and the veterans’ regulations promulgated pursuantthereto, are for application. The benefits authorized by this sectiondo not extend to persons for which pension was paid under prior lawson account of disabilities resulting from willful misconduct, nor to

Fersons to whom pension was being paid on March 19, 1933, throughraud, clear or unmistakable error as to conclusions of fact or law,

or misrepresentation of a material fact. The limitation as to 50percent reduciion required by veterans’ regulations in pension oremergency officers’ retirement pay while any person entitled theretoresides outside the continental limits of the United States is not forap lication in these cases.

! he laws in effect on March 191 1933, granting monetary benefitsto veterans of the Spanish-Ame~can War, including the Boxer Re-bellion and the Philippine Insurrection, were reenacted subject to theabove limitations.

Section 31 reestablishes the provisions of section 213 of the WorldWar Veterans’ Act whereby a person who is injured as a resdt oftraining, hospitalization or medical or surgical treatment, or examina-tion under the War Risk Insurance Act or the World War Veterans’Act, 1924, as amende~, is awarded compensation on the same basis asif the condition were recurred in the military or naval service. Theapplication must be made within 2 years after the injury or aggrava-tion or death or after the passage of the act, whichever is the laterdate.

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ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS 11

Section 32 repeals the last sentence of section 9 of the Economy Actwhich barred persons in receipt of benefits from participating in anydetermination or decision with respect to claims for benefits.

Section 33 changes the title of payments to be made in service-con-nected cases of World l~ar veterans from “pension” to “ compensa-tion”.

Section 34 provides that payments shall be effective from date ofpassage of the act.

Section 35 provides for the payment of those insurance claims whichhad been determined to be payable prior to, but in which paymenthad not commenced on, March 19, 1933.

Title II, Public, No. 141, Seventy-third Congress, hlarch 28, 1934,applies to pensions paid to war veterans and their dependents basedupon service prior to the Spanish-American Jvar, benefits paicl underprivate relief nets, and emergency officers’ re~irem~nt pay, the samepercentage re(luction as is applicable to salarles paid to Federal em-ployees. This reduction is 10 percent from February 1, 1934, throughJune 30, 1934, and not more than 5 percent from July 1, 1934, throughJune 30, 1935.

May 2, 1934, a veterans’ regulation was promulgated permitting thepayment of burial allowance in the case of certain war veterans whosecompensation rights were reestablished by Public, No. 141.

June 30, 1934, veterans regulations were promulgated placing ineff~ct the provisions of section 29, title III, Public, No. 141, Seventy-tlnrcl Congress, hberalizing eligibility for domlciliar~ or hospital care,including medical treatment, together with certain administrativechanges found necessary by experience, including the granting. ofauthority to the Administrator under certain conchtlons to furnishhospital trentment in Veterans’ A(lministro tion facilities to retiredofficers and enlisted men of the regular establishment.

The United States Supreme Court in an opinion rendered June 4,1934, in the cases of blargaret Shea Lynch v. United States; SamWilner, etc., v. United States, held that the due process clause of theConstitution prohibits the Unitecl States from annulling the contractsof war risl< insurance, and that the following clause in section 17,Publicf, No. 2, Seventy-third Congress, “ * * * all laws grantingor pertaining to yearly renewable term insurance are hereby re-pealocl * * *”, was Ineffectual to relieve the Unitecl States from allliability on the contracts without making compensation to the bene-ficiaries. In view of this decision the veterans’ regulation governingyearly renewable term insurance was canceled as of the date thereof. -

On April 26, 1934, the President approved Public, No. 176 (73dCong.), an act mal<ing appropriations for the military and nonmilitaryactivities of the ~l~ar Department for the fiscal year ending ?June 30,1935, an~i for other purposes. This act provided that no part of theappropriations macle shall be available for pay, allowances, or travel-ing or other expenses of any officer or enlisted man of the NationalGuarcl or any officer of the organized reserves who may be drawing apension, disability allowance, disability compensation, or retirefl pmy(where retirement has been made on account of physical disability orage), unless such officer or enlisted n~an of the NTational Guarcl sur-renders said pension, disability allowance, clisabilit y compensation, orretired pay for the periofl of his service in the hTational Gumrcl. Thisact further provided that present adj utnnts general who may be

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12 -4NNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

drawing such emoluments may be continued in a federally recognizedstatus without pay.

House Resolution 409 was passed by the House of Representativeson ,June 4., 1934. It authorizes and directs the Committee on Veter-ans’ Affairs of the House of Representatives, or a subcommitteethereof, to investigate the methods and manner of handling of fundsand the financial affairs of veterans receiving money as compensationor pensions from the United Sttites Government wh]le under guardian-ship and subject to the supervision of the l~eterans’ Administration;the losses to the estates of sucl~ veterans from negligence, neglect, ormisappropriation of funds by guar(] l:~ns arid/or conservators; themanner and method of appointing saifl :Ilardians, conservators, orother persons, the losses sllstained by sllch veterans while unclerguardians by reason of the sale of worthless securities by the guardiansto such wards; the responsibility for the mishandling of the estates ofveterans under guardians; the adequacy of guardians’ bonds as pro-vided under the regulations of the Veterans’ Administration, and allother questions in relation to the estates of such veterans as are un(lerguardians and receiving compensation, pension:, or other money orthings of value from the Government of the United Stntes by reflsonof veterans’ legislation, that would aid the Congress in any necessaryremedial legislation. The committee is required to report to theHouse not later than ,January 10, 1935, the results of its investigation,together with such recommendations for legislation as it deems advis-able.

Public, No. 484, Seventy-third Congress, approved June 28, 1934,provides for the payment of monthly compensation to the widowsand children of any World War veterans who served prior to hTovem-ber 12, 1918, or if the veteran was serving with the United Statesmilitary forces in Russia before April 2, 1920, who dies or has diedfrom a disease or disability not service connected and not the resultof the veteran’s own misconduct, while receiving or entitled to receivecompensation, pension, or retirement pay for 30 per-cent disabilityor more directly incurred in or aggravated by service in the WorldWar.

MEDICAL AND DOMICILIARY CARE AND TREATMENT.

HOSPITALIZATION

Remaining under treatment.—At the expiration of this fiscal year thetotal hospital load of the Veterans’ Administration was 40,059, anincrease of 6,264, or approximately 19 percent, in the number onJune 30, 1933. This material increase is due largely to the nlodifica-tion and liberalization by le~slation during this year of the originalPresidential regulations on entitlement issued under I’l]blic, ATO.2,approved hlarch 20, 1933. All of this increase occurred in the non-service-connected group, the patients of this class having increasedfrom 18,931 on June 30, 1933, to 27,055 at the C1OSCof this year. Withthe exception of 1932 the patient population on June 30, 1934, is thehighest recorded at the close of any fiscal year since 1917, whenhospitalization for World War veterans was first authorized.

The total patient load at the expiration of this year consisted of39,445 United States veterans, classified by service as follows: lVorldWar, 35,754; Spanish-American War, 2,229; Civil War, 194; all other

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 13

wars, expeditions, and occupations, 97; and peace-time service, 1,171.Of the 35,754 World l~ar veterans but 1\,799 were under treatmentfor disabilities determined to be of service origin. In addition to~Tnited St~tes veterans there were llnder treatment 80 veterans ofcountries allied with the United States in the l~orld \lTar, 492 mem-bers of Federal agencies, principally the Civilian Conservation Corpsand Civil Worl{s Administration, and 42 miscellaneolls beneficiaries.Incluclecl in the 39)445 United Stfites veterans fire 250 female and3,188 colored beneficiaries.

Of the patients in hospitfils at the close of this year 13 percent weresuffering from tllberclllosis, 56 percent from neuropsychintric dis-eases, mnd 31 percent from general medical nnd surgical conditions.This represents a marl{ed chnnge in the character of the pmtient popula-tion since Jllne 1923 when 41 percent of the patients were under treat-ment for tllberculosis, 39 percent for neuropsychiatric diseases, and2(I percent for general conditions.

Adrnissio?~s.-Since hlarch 3, 1919, when the acquisition of govern-ment hospital facilities \\Tas first a(lthorize(l for the treatment ofveterans of the World War, there have been 1,341,524 admissions tohospitals of which 63,900 were made during this year. The admissionsfor this year represent a decrease of more than 53 percent in the num-ber for 1933 and is the lowest number recorded since 1920. Thematerial decrease in admissions for this year is due to the legislation ofMarch 20, 1933, and the Presidential reglllations issued therellnderwhich denied hospitalization to veterans with non-service-connecteddis~bilities of n temporary nmture, operations of choice, etc., which~onditions were largely responsible for the rapid turnover and greatlyIncreased admission rate during recent years. During the last sever~lmonths of this year, however, there was a material increase in admis-sions due to the application of Public, .No. 141, approved March 28,1934? which extended this benefit to groups not entitled under thePresidential regulations in effect at that time, so as to authorizehospitalization particularly in non-service-connected cases on a basisnearly comparable to that which existed under the World WarVeterans’ Act, 1924, as amended, in effect prior to March 20, 1933.

Since June 7, 1924, when hospitalization was first authorized forthe veterans of all wars without regard to the origin of their disabil-ities, 583,328, or 63 percent, of all admissions have been for thetreatment of the non-service-connected class. Approximately 80percent of the admissions this year were for nonservice disabilities.

Of the United States veternns admitted to hospitals during thisyear approximately 89 percent had service in the World War and7.2 percent in the Spanish-American War. In addition to UnitedStates veteran~, there were 10,155 admissions of other patients, in-cluding 258 alhed veterans and 9,631 members of the Civilian Con-servation Corps, Civil Works Administration, and Public WorksAdministration.

An analysis of the type of hospital admissions durin~ this yearshows that 26,286 or 41.14 percent of the total, were first admis-sions; 36,220, or 56.68 percent, re~dmissions; find 1,394, or 2,18percent, admissions by transfer from other facilities.

During this year 8,889 admissions were authorized for the observa-tion or treatment of pulmonary tuberculosis, 5,695 for psychotic ormental diseases, 6,841 for other neurops~chl~tric disorders, and42,475 for general medical and surgical conditions,

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14 ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

There were 422 female and 6,092 colored veterans admitted tohospitals during this year.

Included in the 63,900 admissions during this year are 299 casesin which the veteran was ori@ally admitted for hospital treatmentand later transferred h domiciliary status within the same facility.

Yearly turnooer.—During the fiscal- year 1934 the patient turnoverin all types of Veterans’ Administration hospitals was approximatel~once every 7 months. Based upon the experience of this year, hospi-tals devoted principally to the treatment of neuropsychiatric diseaseshave a complete patient turnover once every 3 years. The relativelylow turnover rate e~erienced for this t pe of case is due to the long

iand continuous hospital treatment usua y required and a low mortal-ity rate. During this fiscal year the turnover rate for hospitalsutilized primarily for the treatment of tuberculosis was about onceevery 6~ months. The attainment of a low rate of turnover is highlydesirable among the tuberculosis veterans, inasmuch as arrest of thisdisease is seldom obtained in less than 1 year of intensive care, treat-ment and exercise. The t~over rate for this year in hospitalstreatm~ a majority of general medical and surgical patients wasapproximately once every 3~ months.

~schrges.—During this year 108,676 patients were under hospital-ization, a decrease of approximately 39 percent in the number during1933. Of those treated 58,713 were discharged after an average of122.1 in-patient days. Patients who remained until the completionof treatment numbered 44,657, or 76 percent, of the total discharges.The incomplete cases totaled 14,056 and include 2,792 cases in whichfurther treatment or care was required in the same or another facilityor out- atient clinic;

210,952 cases in *which the patient was dis-

charge for personal reasons, i. e., against me+cal advice, leavingwithout permission, etc.; and 312 cases not entitled to hospitaliza-tion under the revisions of Public, No. 2, approved March 20~ 1933.

rApproximate y 66 percent of patients discharged during tlus yearhad been under treatment for general diseases or conditions; 11,341,or 19 percent, for neuropsychiatric diseases; and 15 percent for pul-monary tuberculosis. In 69 percent of the completed and 51 percentof the incomplete cases recovery or some improvement was effected.

Deaths in the hospital during the year totaled 5,334, or 9 percentof the discharges as compared with 7,375, or 5 percent, in 1933. ofthe total deaths, 2,901, or 54 percent, occurred among patients undertreatment for general conditions; 1,660, or 31 percent, for pulmonarytube~culosis; and 773, or 15 percent, for neuropsychiatric diseases.Considering the total treated for each type of disability during thisyear, 19 percent of the pulmonary tuberculosis cases resulted indeath, 7 percent of the general and 7 percent of the neuropsychiatric.of the 2,901 deaths among general patients, more than 38 percentwere caused by diseases of the circulatory system, including organicheart disease, and approximately 30 percent by malignant tumorsand disea~s of the genito-urinary system.

During this year 37,609 World War veterans were discharged aftertreatment for diseases or conditions not connected with service and11,694 for disabilities of service origin. In 212 cases there was noreport as to whether or not the disability was service connected.There were 2,599 cases in which the veteran was examined or observedfor pension or insurance purposes. The remaining 6,599 discharges

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 15

of United States veterans were classified by service as follows:Spanish-American War, 4,271; ~eace-time service, 1,830; Civil War,351; andmisce~aneous occupations, expeditions, and rebellions, 147.In addition to United States veterans there were 9,904 discharges ofother patients, including 268 veterans of countries allied with theUnited States in the World War and 9,374 members of the CivilianConservation Corps, Public Works Administration, and Civil WorksAdministration.

Included in the 58,713 discharges during this year are 488 cases bwhich the veteran was originally admitted for hospital treatment andlater transferred to domicdiary status within the same facility.

DOMICILIARY CARE

Remaining. —On June 30, 1934, the veteran population reported aspresent in domiciliary status in facilities under the jurisdiction andcontrol of the Veterans’ Administration totaled 9,4o4, as comparedwith 11,187 on June 30, 1933, a decrease of 1,783 d{lring this fiscalperiod.

The number present in domiciliary status on J~lne 30, 1934, wasdivided as to color and sex as follows: White males, 8,408; whitefemales, 34; and colored males 962. All but 1 of the 34 white femalemembers were receiving care in the facility at Dayton, Ohio. col-ored members were present as of June 30, 1934, in all but three ofthe facilities used principally for domiciliary care.

Tho approximate average age of the veterans of each of the majorwars who were present in domiciliary status at the close of this fiscalyear was as follows: Civil, 88; Spanish-~4merican, 60; and World, 41.

The percentage distribution of the membership by wars as of June30, 1934, was as follows: Civil, 0.56; Spanish-American and Philip-pine Insurrection, 15.58; World, 76.71; other wars, 0.45; and peace-time, 6.70.

In conformity with the act of August 27, 1888 (U. S. C., title 24,sec. 134), the Federal Government is required to reimburse State orTerritorial homes for disabled volunteer soldiers at the rate of $120per year for each person domiciled therein who is eligible for similarcare in facilities controlled by the Veterans’ Administration. Duringthis year an averfige of 4,357 such persons were cared for, therebycreating an obligation of approximately $522,840 on the part of theFederal Government.

Admissions .—During this year there were 8,305 admissions fordomiciliary care, including 123 cases in which the veteran was orig-inally admitted for this purpose and later transferred to hospitalstatus within the same facility.

An analysis of the type of admissions shows that 3,064, or 36.9percent, of the tottil were first admissions; 5,096, or 61.4 percent,re~dmission~; and 145, or 1.7 percent, admissions by transfer fromother facilities.

Of the veteruns admitted during this year approximately 74 percenthad service in the TJ”orld l~ar and 21 percent in the Spanish-AmericanIYar.

There were 9 female and 675 colored veterans admitted for dom-iciliar~- care during this year.

Approximately 85 percent of the admissions this ~-ear were fornon-service-connected disabilities.

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16 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS

D&cbrges.—During this year 9)806 veterans were discharged afteran average period of 5 months’ domiciliary care. These dischargeswere classtied as follows: 6,995 routine or transfers within the sameor to other facilities; 112 deaths; 1,287 ineligible for further care underthe provisions of Public, No. 2, approved hfarch 20, 1933; 1,076voluntary without formal discharge; and 336 disciplinary. .4pprox-imately 80 percent of the discharges were for veterans \vith generalmedical and surgical conditions. Of the total discharged, 6,707 wereWorld War veterans, and of these 5,709 }vere disabled by non-service-connected disabilities. The other discharges were classified as toservice as follows: Spanish-American Wa{, 2,282; peace-tinle, 674;Civil War, 96; and occupations and exp(’ditlons, 47. Included in the9,806 discharges during this year are 372 cases in which the veteranwas originally admitted for domiciliary care and later transferred tohospital status within the same facility.

HOSPITAL AND DOMICILIARY FACILITIES

On June 30, 1934, the l’eterans’ Administrfition was operatinghospital facilities at 77 locations in 43 States nnd the District ofColumbia. These facilities provided a total of 43 ,2!12 beds, an in-crease of 3,079 in the number available on J~lne 30, 1!)33.

Seven newly constructed facilities proviflin: hospital beds in thenumber shown were opened during this year-l?ayet teville, Ark,, 258;Des Moines, Iow’a, 300; Wichita, Kans., 166; Biloxi, Afiss., 207;Batavia, N. Y., 297; Roseburg, oreg., 191; and Cheyenne, WYO.,1O8.

Additional hospital beds were acquired during this year throughnew construction, alterations or readjustment, of space at Tuscaloosa,Ala.; Tuskegee, Ala.; Fort Lyon, Colo .; St. Petersburg, Fla.; Leaven-worth, Kans.; Northampton, Moss.; Rutlan(l IIeight5, Alass.; CRmpCuster, Mich.; Minneapohs, Xfinll.; AspiIl\~-illl, Pa.; Coate~~rille,Pa.; and Walla Walla, Wash.

On June 30, 1934, there were 23?547 beds available for domiciliarymembers in facilities under the jurisdiction of the Veterans’ Adminis-tration, an increase of 1,245 in the number on June 30, 1933.

Two newly constructed facilities providing domiciliary beds in thenumber shown were opened during this yefir-Biloxl, hfiss., 350;and Roseburg, Oreg., 350.

Additional domiciliary beds were acquired during this year thro!lghnew construction, alterations, or readj llstment of space at Danvllle,III.; Leavenworth, Kans.; Augusta, Maine; and Johnson City, Term.However, the domiciliary beds at Danville will soon be lost throughthe conversion of this facility to a neuropsychiatric hospital.

The total beds in facilities controlled by the Veter~ins’ Administra-tion on June 30, 1934; was 66,839, ns compared ~rith 62,515 on J[]ne30, 1933, an increase of 4,324 during this fiscal period.

Since February 1919, the Congress has specifically i~uthorized thesum of $127,972,000 for new hospit all [domiciliary, and out-patientdispensary facilities, of which $123,047,000 has been appropriated.In addition, there has been expended since 1923 approximately $18,-000,000 from regular fiscal funds for perl~]anent in~proven~ents andextensions to Veterans’ Administration facilities. This latter figure,

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 17

however, does not include expenditures for the purpose mentionedat the fornler National Homes for Disabled Volunteer Soldiers priorto their consolidation with the Pension and Veterans’ I]ureaus inJuly 193o. Further, the Veterans’ Aclrninistration has been allottedfor impro~”en~ents an(l nefv construction, the sum of $3,006,650 underthe provisions of the Nationnl Recovery Act of 1933.

FUTURE HOSPITAL AND DOMICILIARY CONSTRLTCTION

At the close of this fiscal year there were two facilities underconstruction-a 334-becl l]ospital of the general type at San Francisco,Calif., an(l [~472-be(l hospital of the ne~lropsychintric type at Roanolie,Va. The contract (late for completion of San Francisco is July 29,1934, an(l for Roanol<e, February 14, 1935.

Looliing to the future it may be state(l that the Veterans’ j4dminis-tration controls in the aggregate sllficient beds to meet its estim.ateclrequirements for both hospital treatment and domiciliary care forthe next several years. There is for determination, however, thequestion as to whether these facilities are sufficiently flexible to meetchanging conditions in the institutional loac{; or putting it anotherway, the need for additional construction ~lithin the next severalyears would appear to be depen(lent upon the extent to which it ispossible to adapt existing facilities to meet these changes. Certainfacilities, particularly those acquired through purchase or transferfrom other Government agencies in the early days of hospitalizationfor ~~orld ~~ar veterans, are not suitable structurally or otherwisefor other tl~an the type of institutional case for which now use~l, an(las a consequence cannot be consi(lered as being generally available.In recent years, facilities have been (Iesignetl anti erecte(i so that theymay with minor alterations an(l at comparatively little expense beuse[l for all types of institution:ll cases. Stuclies to c[etermine thebest possible use of existing facilities are being macle constantly andwithin this year several major con~’ersions have been authorized.The facility at Danville~ Ill,, ~vhich has been used as a sol{liers’ homesince its establishment In 1898 ‘}ras recently approve(l for conversionto a hospital of the neuropsychia,tric type. Similarly, a barrackbuil(ling erecte(l in 1933 at Tuskegee, Ala., is being converte(l tohospital use.

OPERATING AND PER DIEM COSTS FOR HOSPITAL AND DOMICILIARY

FACILITIES

During this year the net operating expense for all hospital anddomiciliary facilities controlled by the Veterans’ Administrationtotaled $36,269,054.9?, of which $32,620,447.39 was for hospital and$3 ,648, ~07.60 for domiciliary facilities. This amount does not includeexpenditures for new construction, major alterations, nonexpendableequipment, or tl~ose for the diagnostic centers at Palo Alto, Calif.,and Hines? Ill. Throughout this year there was a daily average of35,220 patlent~ of all types under treatment, and a daily average of10,190 beneficiaries receiving domicilia~y care.

The per diem cost of operation for hospital facilities used principallyfor the treatment of t(lberc,ulosis W:IS $3.98 for this year, a reduction of .

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1$ ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

24 cents over last year. For hospital facilities devoted exclusively tothe treatmentof neuropsychiatric diseases the per diem rate for this

%earwas$l.76 ascompared with $l.94 for 1933, a decrease of 18 cents.he per diem rate for hospital facilities used largely for the treatment

of general medical and surgical conditions was $2.99 for this year,a reduction of 14 cents over last year, For all hospital facilities theper diem rate this year was $2.51 as compared with $2.71 in 1933.The per diem cost of operation for domicili ?ry facilities this year was97 cents. The rates shown are for facilities which functioned theentire year and include the authorized legislative reductions in salariesduring both 1933 and 1934.

PHYSICAL EXAMINATIONS AND OUT-PATIENT TREATMENT

During this fiscal year the field facilities under the control of theVeterans’ Administration made a total of 559,554 physical examina-tions for out-patient purposes, a decrease of 790,898 in the numberaccomplished during the preceding fiscal period. of the number madeduring this year, 548,320 were medical and 11,234 dental. Approxi-mately 92 percent of the medical and 85 percent of the dental examina-tions were made by physicians on a salary basis. Treatmentsfurnished during this year totaled 575,816, as compared with 830,115last year, a decrease of 254,299, Of the number furnished duringthis year, 540,384 were medical and 35,432 dental. Medical anddental treatments rendered by physicians on a salary basis represented64 percent and 83.2 percent, respectively, of the total for this year.

DENTAL RELIEF

The value of dental services rendered in Veterans’ Administrationclinics during this fiscal year computed on a fee basis was $1,509)228,~ compared with $1,700,910 for the fiscal year 1933, n reduction of$191,682. The actual cost of furnishing this relief was $811,677,thereby resulting in a net saving of $697,551, or about 46 percentthrou h the operation of Government clinics. Of the total value of

3dent services rendered in clinics $700,678 was in connection with thetreatment of service-connected disabilities and $808,550 or 53.5 per-cent as auxiliary to the treatment of nonservice-connected disabilities.

The number of beneficiaries that received dental relief in clinicsduring this year totaled 55,318, as compared with 57,018 in 1933., adecrease of 1,700, The cost per case of rendering this relief duringthis year was $14.67 as compared with $15.25 in 1933 and $25.93 in1930.

Authorizations for dental treatment by private practitioners inthose service-connected cases in which lt \vas more economical tofurnish relief in this manner decreased from 4,829 coses at a value of$187,655 in the fiscal ear 1933 to 1,825 cases at a value of $66,038

tin 1934. Since 1931 t e value of dental worl< performed by fee-basisexaminers hag decreased 77 ercent.fAt the close of this fisca year there were 164 full-time and 1part-time dental officers on duty with the l-eterans’ Administrationas compared with 177 full-time and 4 part-time on June 30, 1933.

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ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS 19

PENSIONS AND COMPENSATION

VETERANS

CiviZ War.—Out of a total of 2,213,365 that served in this war,which terminated 69 years ago, pensions were being paid to 18,455veterans on June 30, 1934. This represents areductlon of5,422inthe number of veterans on June 30, 1933. Of those on the pensionroll at the close of this year 7,134 werei reclptof $75 permonth and

>eleven $85 per month, as authorized by tie-act of June9, 1930, while11,102 were being paid $100 per month and eight $125 per month underthe same authority by reason of bein helpless or blind or so nearly help-

fless or blind as to require the regu ar aid and attendance of anotherperson. The balance of the pension roll consisted of 31 veterans whowere in receipt of pensions under the general laws for service-connecteddisabilities and 169 veterans who were beneficiaries of special acts ofCongress. The disbursements for pensions to veterans during thisfiscal period totaled $20,051,397.35 as compared with $31,300,417.78for the previous year, a reduction of $11,249,020.43.

Indian wars. -On account of Indian-war service 4,370 veteranswere in receipt of pension on June 30, 1934, and to this class $2,178, -191.07 was paid during this year. This represents a decrease of 404in the number of veterans on the roll June 30, 1933, and a decreaseof $729,920.33 in disbursements over last year.

Eject of new legtilation~ars prior to Spanish-American .—Theveterans of wars prior to April 20, 1898, including the Civil War andIndian wars, were not affected by the legislation of the Seventy-third Congress except as regards a 10-percent reduction in pensionrates and were consequently not involved in the extensive reviewsconducted during the year as a result of this legislation. The onlyrespect in which an effort was made to bring this group into line withthe principle of equal benefits for veterans of all wars having similardisabilities acquired under similar circumstances was through appli-cation of the presidential regulation reducing the pension to $15 permonth in the event of the veteran, having no de~endents, being fur-nished hospital treatment, institutional, or domlciliar~ care by theLTnited Stfites or any political subdivision thereof. Since the wholenumber furnished treatment or care in this reamer by the UnitedStates on June 30, 1934, was but 327 it is apparent that this itiuencewas unimportant.

Spanish-Ametican War. —The close of the fiscal year 1933 found194,473 veterans on the rolls under Spanish War pension legislation,enacted prior to the so-called Economy Act of March 20, 1933, ofwhom 453 were classified as service-connected and the remainderwithout regard to service origin. The small number classfied asservice-connected did not of course represent the entire numberhaving service-connected disabilities, since under the then prevailinglegislation, generally higher rates of pension could be secured for disa-bility under the so-called service pension acts, i. e., without regard tosermce origin, than upon proof of service connection, The originalpolic under Public, No, 2, Seventy-third Congress, having in mind

requa ization of benefits for veterans of all wars with similar disabili-ties acquired under similar circumstances as a plan into which themuch larger group of World War veterans could eventually be fitted,called for a reclassification of cases according to whether or not then

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20 ANNtTAIJ REPORT .4DNIINISTRATOR OF VETERANS’ AFFAIRS

disabilities were service-connected or nonservice-connected, with amaximum of $30 per month in the latter class, bringing them to aparity with ~~orld lVtir veterans. The review for this purpose ww

rendered extraordinarily difficult by the remoteness in point of time,and by the incomplete and unstandardized character of the mostrecent medical examination of record, in the majority of such cases,and by the fact that it had not been necessary since the act of June5, 1920, to submit proof of service connection. It is estimated thatover three-fourths of these veterans had not been medically examinedor had their claims reviewed, except for Increase in rates under newlegislation, since the filing of the original claim, in many cases 12 to15 years ago. The conduct of such a review of all clams, in a fewshort months, t}~rew an unprecedented strain on the adjudicationactivities, and since reductions and findings of non-entitlement werenecessarily common, created apprehension in the minds of veteranswho had for years had a cent inuous record of increases in pensions.A broad regulatory presumption permitted the continuance of thepension being received subject to rebuttal of service connection, andthere were further lib~ralizations, over the original plan, to permitpayments for nonservlce-connected partial disability (50 percent ormore) at firs~, if 55 years of nge, and later without regard to age, or,without specific disability, on attaining the age of 62 years, in bothcases at $15 per month or one-half the rate prescribed for totaldisability ($3o per month).

This review resulted in the elimination of 71,686 veter~s from therolls before November 30, 1933, of whom 25,678 were dropped becausefound to be not 50 percent disabled; 23,333 because not 55 years ofage; 13,880 for nonparticipation (period of war reduced by Presi-dential regulation issued under Public, No. 2), and less than 90 days’service; and 2,607 for Income provisions or Federal employment.

Public, No. 141, approved Lfarch 28, 1934, restored to the rolls at75 percent of former pension rates, all of the original grou of 194,473who could show actual participation in war service, ancl’ exemptionfrom the payment of a Federal income tax for the ~rec?ding year,except that veterans in Federal employment recelvlng m excess of$1,000 per annum, if single, or $2,500 per annum, if married, areentitled to only $6 per month. There are also restrictions relat~ tofraud, mistake, misrepresentation, and misconduct. The eventualeflect of the foregoing legislation and the reviews incident theretowas to eliminate approximately 12,000 veterans as not hav~g par-ticipated in war-time service and having no peace-time sermc?Tcon-nected disability, and about 17,000 on account of income provltions,deaths, and other reasons, and further to pay ensions at the rate of

F75 percent of the benefits formerly apphcab e whenever a greateramount did not result from the general plan.

The number of veterans on the rolls at the close of this fiscal yearwas 165,231, as compared with 194,473 on June 30, 1933, a decreaseof 29,242. The disbursements for this purpose during 1934 totaled$47,933,272.1O, as compared with $109,016,660 in 1933, a reductionof $61,083,387.90.

of the 165,231 veterans on the roll 161,438 were receiving pensionpayments for disabilities of nonservice origin, 3,197 for conditionsdetermined to be the result of service, and 596 under private reliefacts.

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ANNUAL REPORT ADIIINISTRATOR OF VETERANS 7 AFFAIRS 21

On June 30, 1934, the average monthly value of all pension awardsfor nonservice-connected disabilities was $32.17, and for service-connected disabilities $49.30.

In addition to the 165,231 veterans of this war on the rolls at theclose of this year there were on the same date 1,299 veterans w-hoformerly were classed as Spanish War veterans but who are nowre-ceiving payments at peace-time rates due to the shortening of thewar period by Presidential regulation issued under authority of Public,No. 2. The average monthly payment being received by this groupon June 30, 1934, was $15.41.

JVorld J~7ar.—The close of the preceding fiscal year, June 30, 1933,marked the last day payments of disability compensation and dis-ability allowance to World War veterans under the World WarVeterans’ Act, 1924, could be made. On that date *there were inreceipt of disability compensation 336,710 veterans, with an averagemonthly award of $43.70, and 412,482 veterans receiving disabilityallowance with an average monthly award of $15.75. The reviewauthorized by Public, No. 2, and Executive orders issued pursuantthereto was well under way when new legislation providing protec-tion both as to rates and as to service connection, incorporated inPllblic, hTo. 782 approved June 16, 1933, was enacted. This newlegislation required on the part of the administration the preparationof a more flexible rating schedule, which was released towards theclose of the fiscal y-ear 1933. Thus, although a large number of thecases had been reviewed under Public, No. 2, practically all awardsfor disability compensation, disability allowance at permanent andtotal rntes, and claims for these benefits pending as of ,June 30, 1933,in all 379,120 cases, required either an initial, or a second completereview, during the year covered by this report. Cases wherein dis-ability compensation had been disallowed or terminated under theWorld War Veterans’ Act, and awards for disability allowan~e at lessthan total rates, except those showing service-connected disabilitiesof record, were dropped from the records, and subject to review onlyon filing a new claim.

In the administration of Publics, hTos. 2 find 78, disabilities pre-viously classed as directly service connected were handled as regardstheir service connection on the same basis as under the World WarVeterans’ Act, except that persons who enlisted after November 11,19] 8, and before February 9, 1922, under the War Risk InsuranceAct, or July 2, 1921, under the World War Veterans’ Act, 1924, whohad previously had all the rights of World War veterans with respectto compensation, were regarded as having only peace-time serviceconnection, entitling to approximately one-half rates, for their dis-abilities. The first Presidential regulation promulgated under Public,No. 2, which was not substantially altered as to ~rvice qonnection~granted a rebuttable presumption of service orign for diseases ap-proved by medical advisors as chronic diseases (previously conclusiveas to certain diseases) in the event of 90 days’ active war-time service.Under instructions promulgated May 19, 1933, appro~imately 1month before the enactment of Public, No. 78 in that year, servimconnections previously granted for diseases on the basis that theyexisted prior to enlistment (and were ~ggravated by service) or duringservice, or within 1 year following discharge, where veterans served90 days or more during a war enlistment, were continued unless

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22 ANNUAL REPORT ADMINISTRATOR OF VETERANS7 AFFAIRS

medical judgment supported by a showing of clear and unmistakableerror determined that the continuance of such connections was clearlyerroneous and unwarranted. All disabilities connected under any ofthe preceding rules were considered directl service connected. Addi-

ttionally, under Public, No. 78, special oards were authorized togrant service connection despite denial by the regular agencies, witha broad authority to determine date of onset of disease, or causationby service, in the absence of strict proof. Directly service-connected&sabilities (war-time service) including those granted service con-nection by the special boards which upon review conformed to thestandards of direct service connection, were entitled to be rated underthe rating schedule adopted pursuant to Public, No. 2, with first $9oper month, and after Janua~ 19, 1934, $100, for total disability, andproportionate parts for partial disability in multiples of 10 ercent,

ior alternately, to receive compensation at three-quarters of t e ratesprovided as of March 19, 1933, if this provided a greater benefit.Disabilities for which service connection was allowed by the specialboards were entitled to the full benefit of the 1933 schedule, but noelection of 75 percent former rates was provided. As the reviewproceeded it was the policy to remedy defects of the program byPresidential regdation and otherwise, and as a matter of fact, Presi-dential regulations restoring former presumptive cases to the rolls

ending review by the final appellate agency had been promulgatedb arch 27, 1934.

On the next day, March 28, 1934, Public, No. 141 restored to thecompensation rolls those veterans removed as a result of the previousreviews, p;ovid<d they served before November 11, 19@ and providedtheir semce cofiectiorihad not been ‘e=lshed through fraud, mis-take, or misrepresentation, or, if established by presumption, couldnot be rebutted by a clear and unmistakable showing of inceptionprior to service, and not aggravated thereby, or subsequent to service,and the disabilities were not due to their own misconduct. This actalso prohibited reductions in compensation as compared with theformer World War Veterans’ Act rates in all war-time service-wn-nected cases as long as the physical condition remains unchanged,except certain resumptive cases retained on the ro~s solel by virtue

$ iof special boar decisions, and except as to reductions in t e event ofhospitalization. This act also in the main, restored the provisions ofsection 200 of the World War Veterans’ Act as to service connectionin favor of those whose cases might be adjudicated subse uent to

%March 28 1934, except that all presumptions are rebutta le, and(iauthorize compensation under that act m such cases. Under this

legislation 202,359 service-connected cases were automatically re-stored to the rates of pay in effect March 19, 1933.

The original review under Public, No. 2 was substantially com-pleted October 31, 1933, and covered 347,572 formerly service-con-nected cases having an aggregate monthly award, June 30, 1933, of$15,2451891. Of these ?76,406 were ~.ed as having direct serviceconnection with war-tue service; &OQ>as having direct serviceconnection with peace-time sbrvice~ and 817 as being permanentlyand totally disabled from nonsemce-connected causes, hamg noservice-connected disability entitling to a larger monthly award.Awards numbering 10,087 were discontinued as not service connected,less than 10 percent, due to willful misconduct, or for other reasons,

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 23

and 51,213 awards were discontinued as nonservice-connected by theregular rating agencies acting under Public, No. 2, and Executiveorders issued pursuant thereto, and referred to special boards withprotected awards at 75 percent of the former rates pending finalallowance or disallowance by the special boards. Of the 51,’.213 casesreferred to special boards, 21,955 were finally allowed, and 29)258disallowed.

Of the 31,546 disability allowance claims reviewed, comprising26,363, rated permanent total, and 5,183 new claims, out of a total of412,482 on the rolls June 30, 1933, having an aggregate monthl value

rof $6,498,326, 21,988 were continued as permanent and tota ly dis-abled, 2,696 were granted war-time service connection, and 78 wereawarded peace-time service connection for lesser disabilities.

On June 30, 1934, compensation was being paid in 332,216 war-timeservice-connected cases at an averfige monthly payment of $39.67, andpension in 29,903 nonservice-connected cases in wluch the veteran wastotally disabled at an average monthly payment of $25.61. Addi-tional compensation was being allowed 60,690 veterans on account of56,340 wives, 111,313 children and, 5,107 parents at an average of $7.29per month additional to each veteran for dependents. The disburse-ments for both groups during 1934 totaled $149,230,401.61 as comparedwith $270,020,446.13 in 1933, a decrease of $120,790.044.52.

Peace tzme,—On June 30, 1934, there were 29,484 veterans receivingpensions on account of disabilities determined to be the result ofdiseases or injuries originating in line of duty in the military or navalservice in time of eace.

xThis represents an increase of 9,925 for the

fiscal year 1934, ue almost entirely to the shortening of both theSpanish-American and World War periods by Presidential regulationissued under Public, No. 2. Some 9,958 persons who did not serveuntil after November 11, 1918, and who had previousl

Jbeen con- 1

sidered World War veterans were reclassified as entitle to benefitson the basis of direct service-connection with peace-time service, atthe lower rates provided for disabilities incident to such service. Thisreclassification was the only chief. gain in the whole field of veteranpensions toward coordination of benefits on the basis of equal benefitsfor similar disabilities acquired under like conditions. The disburse-ments for this purpose in 1934 totaled $6,223,411.08, as comparedwith $5,241,451.38 in 1933, an increase of $981,959.70.

DEPENDENTS

W“ar oj 1812.—Although over 119 years have elapsed since the closeof the ~Var of 1812, there were at the close of this year 7 persons stillreceiving pensions on accollnt of service rendered by soldiers in thiswar—5 widows, 1 remarried widow, and 1 daughter. They are asfollows:

Arminia I. Anderson, Cedar Grove, Ga.; husband, Robert Anderson,fifer, Nabor’s Company, South Carolina Militia.

Marion A. Clark, Iowa City, Iowa; husband, John R. Clark,private, kfcClella,n’s Co~npany, h[assachusctts hfilitia.

Lydia Ann Graham, Brushy Run? W. Va,.; husband, Isaac Graham,musician, Bodkin’s Company, Virglnin ~lilitia.

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2A ANNUAL REPORT ADX~INISTRATOR OF VETER.4NS) AFFAIRS

Mary Isgrigg, 588 Delta Avenue, Cincinnati, Ohio; husband, DanielIsgrigg, private, Cullum’sCompnny, Ohio hIilitia.

Carolina King, East Aurora, N. Y..; husband, Darius Iiing, private,Steven’s Company, New York lfilitla.

Elizabeth Huron, 1621 Ashland .kvenlle, Indianapolis, lnd.; formerwidow of Sylvester T. Sibley, privtlte, North)s LXOnlpaIly, New YorkMilitia. (hlrs. Huron died July 7, 1934. )

Esther Ann Hill kforgan, Independence, Oreg.; dallgl~ter of .Jo!lnHill, private, Clark’s and hIcCun~ber’s Companies, New 1 o~li Mdltla.

Five of the above-named persons receive a montldy pension of $50,one $3o, and tl~e otl~er $20, and a total of $3,222.50 was disbursedfor such purpose during tlus year.

Mexican lf’ar.—.4t the close of t!]is year t~~erewere 351 widows ofMexican War veterans on tl~e pension roll nnd tl~e payments to tl~emin 1934 totaled $198,558.20. These figures show a decrease of 64 inthe number of pensioners on Jllne 30, 1933, and a redllction of$86,660.48 in the disbursements for last year.

Civil lJ’ar.—On June 30, 1934, there were on the pension rol!,112)577 widows and minor or helpless cl!ild~en of veterans of thiswar, as comptired with 125,638 at the beglnnlng of the fiscal year, adecrease of 13,061.

Of the widows and other dependents on the pension roll at theclose of this year 15,786 were in receipt of $30 per month.; 82,628 werebeing paid $4o per month as provided by law for widows of theattained age of 70 years ~and 4,115 were receiving $50 per month asauthorized by law: for widows who were the ~ives of soldiers duringthew service in this war. There were 9,674 widows in receipt of pen-sions under special acts of Congress, and 374 were being paid pen-sions under the general laws because of the death of their soldierhusbands from causes due to I!lilitilry service. ?he disbursementsfor pensions to widows and minor or helpless children during thisfiscal period totaled $49,763,325.78, as compared with $66,972,158.65for the previous yenr, a decrease of $17,208,832.87 due not only tothe reduction in the number of pensioners but also to the 10 percentreduction in rates provided by Publi!, No. 2, npprovcd Xlarch 20,1933. The penk in the number of widows on the roll was reachedin 1912 when 304,373 were receiving pension.

Of the pensioners of the Civil }~ar on the roll June 30, 1934, therewas one mother of a soldier, Clinton D. ltorer! who at the age of 16enlisted Februa~ 23, 1864, in Company H, Eighth Illinois Cavalry,and died in service June 4, 1864, of typhoid fever. This mother,Samantha R. Button, was born December 12, 1830. She was gr~;~;~a pension of $3o per month under a special act of Congress. ~ .Button died on the 22d of July 1934.)

During this year 3,577 widow and 255 other dependent claims wereunder consideration, of which 2,112 were disposed of, leaving 1,559widow, and 161. other dependel~t claims pending on June 30, 1934.The number of widows dropped from the pension roll during this yearby reason of death was 14,530, or 11.56 percent, of the number on therolls at the beginning of the fiscal year.

Indian M’ars.—On account of Indian Iyar service 4,606 widows anddependents were in receipt of pension on June 30, 1934, and to thisclass $1,537,856.10 was paid duriI.~g this year. This represents anincrease of 160 in the number of widow and dependent pensioners on

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 25

theroll June 30, 1933, andadecrefise of$269,740.07 indisbursenlentsover last year due principally to the 10 percent reduction in rates

‘~ appro~’ed llarch 20, 1933. During thisauthorized by l>ublic) No. #,yefir 926 claims were considered of which 543 were disposed of.

E#ect of new legislation-–wars prior to Spanish American .—Section18 of the act of hlarch 20, 1933, provided that for the fiscal-year endingJune 30, 1934, any pension, and/or other monetary gratuity, payableto former members of the milita~y or naval service In wars prior to theSpanish-.\ merican ~~ar, and their dependents, for service, age, disease,or injury, except retired pay of officers and enlisted men of the Regu-lar ~lrmy, Navy, hfarine Corps, or (’east Guard, shall be reduced by10 percent of the amount, payable. Section 21 (c), of title II ofPublic, No. 141, hfarch 28, 1934, continues this reduction at therate of 5 per centum of the amount payable for the fiscal year endingJune 30, 1935.

Spanitsh-American War.-—On ,Junc 30, 1934, there were on the pen-sion roll 35,022 widows, minor children, and dependents of veteransof this war as compared with 38,797 on June 30, 1933., a decrease of3,775. To these beneficiaries $7,680,839.78 was paid during thisyear as compared with $16,288,992.48 in the previous year, a decreaseof $8,608,152.70. The decrease in the number of beneficiaries wasdue largely to the discontinuance of payments to remarried widowssubsequent to June 30, 1!)33, and in disbursements to the reductionin rate to widows and minor children in claims in which the veteran’sdeath was due to causes not of service origin, as provided by Public,No. 2, approved Nfarch 20, 1933.

The claims of widows, minor children, and dependents of veteransunder consideration during this year numbered 5,991, of which 3,616were disposed of, leaving 2,375 pending at the close of the year,awaiting receipt of necessary proofs to establish title to pension.

M’orld M7ar.—On June 30, 1934, compensation was being paid tothe widows, children, and dependent parents of 99,229 veterans ofthe ~~orld ~~ar who died in service or as a result of diseases or injuriesincurred either directly or presumptively in service during said war,as compared with 98,628 at the close of the fiscal year 1933, an increaseof 601 cases. This compensation is being paid to 26,090 widows,39,314 children, and 85,477 parents. Death claims have been paidto date to the widows and dependents of 130,867 deceased veterans.

The disbursements for this purpose during the fiscal year 1934totaled $32,785,871.92 as compared with $35,586,376.21 in 1933, areduction of $2,800,504.29.

An analysis of the principal c~uses of death of veterans who clied asa result of service, and whose dependents are now receiving benefits,discloses that. 30 percent died from tuberculosis, 28 percen~ frominjuries, principally wounds in action, and 25 percent from diseasesof the respiratory system, other than tuberculosis.

A study of the awards for this benefit indicfites that 43 percent ofthe deaths on account of which payments were being ma[le on June30, 1934, occurred prior to July 2, 1921, the official ending date of the11’orld ~Var.

At the close of this year death compensation payments were beingmade in 5,518 cases where the dependents reside in foreign countries,the monthly value of these awar(is being $130,143.

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26 ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

In addition to compensation, monthly payments of insurance werebeing made on June30, 1934, to the beneficiaries of 63,462 deceasedveterans, orin approximately 64 percent of the total active cases.

Peace iime.-On June3O, 1934, the~e were 5,838 persona receivingpensions on account of death c{etermned to be the result of diseaseor injuries originatingin line of duty in the military or naval servicein time of peace. This represents an increaseof 1,031 for the fiscalyear1934. These pensioners received during thisperiod $l,6O9,l89.39an increase of $450,162.71 over last year. Claims considered duringthis year totaled 3,434, of which number final action was taken in1,514 cases.

E$ect of new legislation, war-or peace-time sert~icesubsequent to April20, 1898.—The act of March 20, 1933, established the basis of a newpension system effective July 1, 1933, for all persons except retiredofficers and enlisted men of the Regula~ Army, Navy, Marine Corps,or Coast Guard, who served in the mdltary or naval service on orafter April 21, 1898, the beginning date of the Spanish-American JVar.Under this new legislation, pension is awarded for disability or deathresulting from disease or inju~ -incurred or aggravated in line of dutyin war-time service; for clisablhty or death resulting from disease orinjury incurred or aggravated in line of duty in peace-time service;and under certain limitation~, for disability or death not incurred inmilitary or naval service. The rate of pension prescribed by regula-tions for widows of veterans who die or have died as the result of war-time service-connected disabilities was $30 per month. For peace-timeservice-connected disabilities the rate allowed a widow was $22 permonth. Where death of a war veteran was not the result of service,the rate to the widow Was $15 per month. Additional allo Wanceswere provided for each child under 18 years of age, each child under 21attending school or college, and each child incapable of self-supportbecause of a physical or mental defect. Pension was also payable todependent parents of war-time and peace-time veterans, who die ofservice-connected disabilities. However, the act of March 28, 1934,restored 75 percent of the rates formerly paid to these widows anddependents, from date of the act, in cases where enlistment wasentered into prior to August’ 13, 1898, or there was service in the BoxerRebellion or Philippine Insurrection, except in cases where paymentshad theretofore been made through fraud, clear or unmistakableerror as to conclusions of fact or law or misrepresentation of a materialfact. Restoration was also barred to any person who pa~d income taxfor the preceding year, remarried widows, and cases in Which thedeath of the veteran was due to misconduct.

Section 17 of the act of March 20, 1933 (Public, No. 2) repealed tilllaws granting compensation to the dependents of the World l~arveterans who died as the result of disease or injuries directly or pre-sumptively incurred in service and in lieu thereof provided for thepayment of pension to such dependents only in the event the veteran’sdeath was directly connected with service. The effect of this repealwas largely nullified by provisions of section 20 of the act of June 16)1933(Public, No. 78), which provided that in no event should deathcompensation being paid to the dependents of deceased World l~arveterans on March 20, 1933, be reduced or discontinued whether thedeath of the veteran on whose account compensation was being paidwas directly or presumptively connected with service. The protectionof this act was continued in section 28 of the act of March 28, 1934,

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ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 27

(Public, No. 141). This section also provided that where death isestablished as service connected under section 200 of the lTorld ~~”arveterans’ act, 1924, as amended, in claims where entry into the servicewas accomplished prior to November 12, 1918, that the benefits ofVeterans’ Regulation No. 1 (a), part I, paragraph 1~, shall be payableto widows and dependents.

Public, No. 484, Seventy-third Congress, became a law on June 28,1934, 2 days before the end of this fiscal year. Under this art benefitsare authorized and payable to the surviving widow, child, or childrenof any deceased person who served with the United States military ornaval forces in the World l~ar before November 12, 1918, or if servicewas in Russia, before .April 2, 1920. The cause of death is immaterialif not due to misconduct, but benefits may be paid only where theveteran was receiving or entitled to receive at the time of his death,compensation, pension, or retirement pay for a disability of 30 per-centum or more, directly incurred in or aggravated by service ren-dered prior to July 2, 1921. The existence of the directly service-connected disease or lnj ury must have been established to the satis-faction of the l~eterans’ .4dministration prior to the date of the vet-eran’s death, but tl~e determination of a 30 percenturn disability,resulting from such disease or injury may be based upon evidencefiled subsequent to deatl}, and the proof of 30 percentum or more disa-bility must be filed within 3 years from the date of death or from June28, 1934, whichever is the later date.

s~TM~lARy

The following table shows by wars and peace-time service the num-ber of living veterans in receipt of monetary benefits (compensation,pension, emergency officers’ retirement pay, and disability allowance)on June 30, 1934, and June 30, 1933, and the disbursements for thesepurposes during the fiscal years 1934 and 1933, together with thenumber of deceased veterans on whose account dependents werereceiving compensation and pension benefits on June 30, 1934, andJune 30, 1933, and the payments to dependents for these purposesduring the fiscal years 1934 and 1933:

JVars NO;~$

June 30

Total:Living veterans ---------------------------- 581,225Deceased veterans ------------------------- 257,630

War of 1812—deceasedveterans ----------------Mexican }~ar—deceased veterans -------------- 35!Indian Wars:

Living veterans ---------------------------- 4,370Demased veterans -------------------------

Civil War:4,606

Living vetirms ---------------------------- 18,455Demased ~reterans------------------------- 112,577

Spanish--AmericanWar:Living veterans---------------------------- 165,231Deceasedveterans------------------------- 35,022

Peace time:LivinK veterans---------------------------- 29.484Decea;ed ~’eterans------------------------- 5;838

lVorld \Yar:Living veterans---------------------------- 363,6S5Deceasedveterans------------------------- 99,229

1934 I 1933

Disbursementsduring fiscal

year

$227,797,923.2193,578,S63.67

3,222.w198,558.20

2,178,191.071,537,856.10

20,051,397.3549,763,325.78

47,933,272.107,680,839.78

6,223,411.081,609,189.39

151,411,651.6132,785,871.92

h’umberon rollJune 30

997,918272,749

7415

4,7744,446

23,877125,638

194,473w, 797

19,5594,bo7

755,23598,639

Disbursementsduring fiscal

year

$428,456,066.69122,10J,275.54

3,906.67285,218.68

2,908,111.401,807,596.17

31,300,417.7866,972,158.65

109,016,660.0016,2W,W2;48

5,241,451.381,159,026.68

279,989,426.1335,W6,376.21

h’oTE.—Living veteransof World War include beneficiariesreceiving emergencyo~cers’ retirement pay.

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28 ANNUAL REPORT ADMINISTRATOR OF ~’ETERANS) AFFAIRS

RETIREMENT OF EMERGENCY OFFICERS OF TIIE WORLD WAR

Public, No. 2, (73d Cong.), approved Nlarch 20, 1933, limited en-titlement to this benefit to officers whose dis~bilitics directly resultedfrom the performance of military or naval duty. The apphcation ofthis so-called causative factor resllltcd in reducing the number ofofficers entitled to retirement pay from 6,304 to 1,595, a decrease ofapproximately 75 percent. As of ,June 30, 1{)34, the nunlber entitledto retirement pay had been further red{lced to 1,583 by reason ofdeaths. Of the 1,583 officers on the activo roll at the close of thisyear, 1,559 were receiving full paynlent, less the same reduction incompensation as prescribed for governent employees. In 22 of theremaining 24 cases there was a partial forfeiture of retirement pay in7 and a complete forfeiture in 15 d~lc to the application of section 212of Public, No. 212, (72d Cong. ), approved ,J~~ne30, 1932, which pro-vided that in case the sal~ry of fi!~y retired ofFicer (except, those withdisabilities incurred in combat with nn enenly of the United States)in the employ of the Federal Government, togcthcr with the retirementpay exceeds $3,OOOper anum, the retirenlent p[]~- should be reducedor discontinued to the extent to which the slln~ of the two shouldequal $3,000. In the other two c~ises there }vas a co]~lpletc sllrrenderof retirement posy because of [~ctive dllty in the hTational CTUard,dueto the application of Pllblic, No. 441 (72d Cong. ), approved hfarch4, 1933, which prol-ided th~t no part of the tippropri~tions made forthe military nnd nonnlilitary~ mcti~-itics of the }1’l~r Department forthe fiscal yenr ending June 30, 1934, shal! be ~]v~lil:iblefor pay, allow-ances, or traveling or other expenses of tiny officer or enlisted man ofthe National Gllard or fiJ?yofficer of the Orgnnizcd Itescrves who maybe drawing a pension, disability [~llo~vancc, dis~~bility compensation,or retired pay, unless such ofIiccr or enlisted ln~in of the hTationalGuard surrenders said pension, disabiiit?- allowance, distibility com-pensation, or retired pay for the period of his sert-icc in the NationalGuard.

The average monthly payment for rctircmcnt was $135.20 basedon the annual value of the roll at the close of’ this year as comp~redwith $138.58 on June 30, 1933. This reduction is d~le largely to thefact that a good many of the higher ranliinx ofhccrs who had beenretired for diseases were dropped from tbc rolls (Indcr the provisionsof Publig, No. 2.

The disbursements for this p{lrpose d[lring this fisc~d year totaled$2,181,250 as compared with $9,968,980 in 193~3,a decrease of $7,787, -730, or approximately 78 percent.

ADJUSTED COMPENSATION

As of June 30, 193?, a total of 129,4s2 beneficiaries htid been awardedadjusted compensation in cases in ~vhich veterans died before applyingfor the benefits of the act~ an amollnt [iggrcgating $44,954,309 and155,536 vetermns had been awfircled $5,245,237.96 becauso of theiradjusted service credits being $50 or less. A total of 3,719,568 cer-tificates with a maturity value of $3,673,61 o,o59 had been issued toJune 30, 1934, and of this n~ln~bcr 178,568 had been matured onaccount of death find $178,092,200 hfid been awar(led to the designatedbeneficiaries, leaving 3,541,000 certificates in force with a maturity

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ANNUAL REPORT ADMINISTR.4TOR OF VETERANS) AFFAIRS 29

value of $3,495,517,859 and a present loan value of approximately$1,750,000,000. .4 total of 2,884,504 certificates have been pledgedand ~re held by the ~~eterans’ .4dministration for loans and interestaggregating $1,614,220,289. In addition, it is estimated that loansmade by banl<s to the vallle of $60,000,000 are outstanding,

INSURANCE

At the close of this fiscal year there were 598,226 Government life(converted) insurance polities in force, aggregating $2,666,733,150of insurance as compared with 616,069 policies in force, aggregating$2,782,708,583 of ~nsurance ~t the close of the preceding fiscal year.

The centralization of lnsurnnce activities was accomplished duringthe fisctil year and all operations in connection with the granting ofpolicy loan;, and the collection of premiums, loans and loan interest,are now being conducted at the centr~ll ofice.

There has been reserved for the payment of dividends in 1934 thesum of $6,463,000 to be distributed to policyl]olders in accordancewith a new schedule of dividends adopt e(l cffectlve January 1, 1934.

The ] 934 dividend schedule is bas~d on the results of the evaluationbeglln during the fiscal Tear 1933, of the t’nited States Governmentlife insurance fund and 1s the first scheclule to be developed on theactllnl experience under Government life insurance. Under thisschedule, those policies on which the premiums and earnings to datehave been adequate to bllild l~p the reserves req~lired on account ofboth the death and total permanent (Disability benefits provided inthe policy, will receive a dividend representing their equitable shareof the amount of the surplus , g+~ins an{l savings to be (Distributed.Those policies which have not vet accumulated the necessary reserveswill not become entitled to dividends unless and until the reservesrequired have been accumldnted. “

Heretofore, a portion of the earnings of the United States Govern-ment life insurance fund has been assigned to the contingency reserveto provide for future total permanent disability payments, nnd a por-tion returned to the policyholders as dividends. The stu(ly of theexperience under Government life insur[~nce discloses that at certainages, under certain plans of insurance, n larger portion of the earningsshould be npplied toward the total permanent disability liability andin some cases the entire earnings should be so appliecI until the requiredreserves are accumulated; therefore, some policies which receiveddividends under previous schedules will not recei~’e a dividend duringthe fiscal year 1934.

Applicatio~~s,—Applications for United States Gol’ernment life(convertecl) insurance, approved during this fisct~l ve[~r totaled13,774, figgregating $41,295,750, as compared with ~0,917 appli-cations amounting to $80,565,934 approve(l cluring the fiscal year1933. The total applications approved to Juue 30, 1934, is 913,556amounting to $4,036,743,487 insurance,

Policies itssued.—The following table shows the number and amountof Unite(l States Government life (convertecl) insurance policiesisslled by months for the fiscal year 1934.

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—-.—

30 ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

Data Ng:- Amount Date Nbui Amount

July... --.---!-?--------------1934

876 $3,492,482 Jauw ----------------------- 1, 24J7 $2,943, %9August ------------------------ ;; 3,467,616 Februmy --------------------- 1,333Septimkr --------------------

%@9, m2,035,777 M~ch ------------------------ 1,602

Octokr -----------------------4,746,295

953 3,533,432 A ril-------------------------- 1,133Novemkr -------------------- 1,083 3,111,301 day ----------------------- 1,216 ;!2EDe@mbr --------------------- 1,(349 2,783,718 June -------------------------- 1,565 4, l=, 467

I I Ii l—l

I I II Total -------------------- 13,774 $41,295,750

Analya~ by plan. —The following table shows the number andamount, the ercentage, and the average amounts of United States

f’Government ife insurance policies issued to J~]ne 30, 1934, classfiedby plan.

To date Pereent of totalAver~e

Numberpolicy

Amount Number Amount

Ordina~ life---------------------------------- 192,55620-payment life-------------------------------- 219,743

$966,016,323 21.08 23.93 $5,016.81918,607,027 24.05

Wpayment life--------------------------------22.76 4, 180.37

Wymmdowment ---------------------------- g fit175,650,923 4,987.11593,w, 933 2?: 1:: E

3Gy~ endowment ----------------------------2,625.28

44, 2$s 185,227,222Endowment at~e62--------------------------

4.85 4.59 4, 182.33

&yemmnvwtible term ------------------------ 12:;m, 479,191 5.07 4,730.03960,349,711 1; z

5-yMr level premium tern--------------------- 7, 3g623.79 6, 62S,08

32,468,157 .81 .80 4,395.91

Total ------------------------------------ 913,556 4,036,743, 48~ 100.m 100.m 4,418.71

Poltiie8 in force. —At the close of this fiscal year there were in force598,226 United States Government life (converted) insurance policiesamounting to $2,666,733,150 insurance. During this fiscal year1,911 ohcies amounting to $9,250,196 insurance were reinstated.

rThe fo lowing table shows by fiscal ears the number and amount ofiyearly renewable term and United tates Government life insurance

Fiscal yearendedJune30

lWI---------------------.lea----------------------In----------------------19H-------.-----------.-.19%----------------------19%---------------------.1927----------------------19%---------------------.Ire ----------------------

:&:: -:::::::::::: ------------- .

1932-.:------------_-----.19W-.-----.-----.----..-.19U-----------.-----.---.

-—

Number

397,890300,9%240,291m, 385177,328130, 10387, IW

266229m9129

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

Amount

$2, %0,w, 235z 314,663,5881,854,146,7961,609,030,5341,372091,3911, m 511,344

672,074,8161,654,2771,342, W1,142,314

506,276246,134

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

United States Govern-ment life insuranoe Total

Number

253,164280,852319,774353,215375,012423,557

%E649,837M044645,964641,218616, M9598,226

Amount Number Amounti I

~ 782; 708; 5832,666,733,150

646;055641,247616,069598,226

3; 042; 743;4153, 02~ 4* 6272,977,320,601~ 7827@ 5832,668,733,150

Policies surrendered for cash and paid-u insurance .—United StatesfGovernment life insurance policies provi e that after having been in

force 1 year they may be surrendered for cash or paid-up insurance.

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ANNUAL REPORT ADMINISTRATOR OF VETERANS 1 AFFAIRS 31

During this fiscal year there were 12,059 policies; representing$38.,786,301 .91insurance, surrendered for cash. Thetotal number ofpohciess urrenderedf orc ash through June 30, 1934, is 91,015, repre-senting $292,075,242.04 insurance.

During this fiscal year policies having a total face amount of$4,778,387 weresurrenderedf orpaid-upi nsurance, while 853 policieshaving a total face amount of $997,155 paid-up insurance were issued.Through June 30, 1934, policies having a total face amount of$1?,819,386 have been surrendered forpaid-up insurance, and 3,238pohcies havinga total face amount of $3,296,054 .04paid-up insurancehave been issued.

Premium income.—United States Government life insurance pre-miums are deposited to the credit of the United States Governmentlife insurance fund from which fire paid claims on account of totalpermanent disability and death, dividends, and refunds. During thefiscal year ending June 30, 1934, premiums amounting to $68,241, -487.96 were received on United States Government life insurancepolicies. The amount of United States Government life insurancepremiums received to date totals $745,795,366.10.

Dloidends.—The fund. from which dividends on United StatesGovernment life insurance are apportioned is accumulated from twosources—savings due to deferred mortality and excess interest on theamount earned on invested funds over the assumed rate of 3}i percent.There w’ere 475,427 dividends amounting to $4,626,467.55 paid duringthis fiscal year. The total dividends paid to date are 6,156,030,amounting to $57,410,310.07,

Converted claims .—Through June 30, 1934, a total of 24,920 awairdshad been made on account of death and 9,538 by reason of permanentand total disability. These death awards involve the payment ofinsurance in the amount of $139,398,074, of which $106,716,965 wasdisbursed in lump-sum payments to 19,365 beneficiaries. Paymentsof converted insurance averaging $35.23 monthly are being made to8,854 permanently and totally disabled veterans.

During the calendar year 1933 awards were made to the bene-ficiaries of 2,805 deceased veterans, and 1,499 awards were made toveterans with permanent and total disabilities as compared with 2,752and 1,989, respectively, during the calendar year 1932.

An analysis of the principal plans of insurance on which death claimswere paid during the calendar year 1933 shows that 29 percent of thepolicies were ordinary life, 21 percent were 20-payment life, 15 percent20-year endowmen!, and 18 percent 5-year convertible term. Of thepolicies on which disability claims were paid during the same period,26 percent were 5-year convertible term, 27 percent were ordinary life,20 percent 20-payment life, and 15 percent were 20-year endowment.

Term and automatic claims.—The disbursements for term and auto-matic insurance during this year totaled $103,268,273, and to date$1,7?4,052,438, ~$:hichis $1,270,103,632 in excess of the $453,948,806received in premiums.

on June 30, 1934, monthly installments of term insurance werebeing paid to 12,976 permanently and totally disabled veterans andto the beneficiaries of 127,551 deceased veterans, as compared with12,972 disability and 129,287 death awards on June 30, 1933. Thedecrease in the number of death awards is due to the operation ofsection 303 of the l~orld l~ar Veterans’ Act, which provides for the

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32 A~~uALREPORTADM1~lsTRATOROF VETERANS’ AFFA~S

payment inlump sum of the commuted valueof the unpaid install-ments upon the death of the beneficiary named in the policy. Theselump-sum payments totaled $9,839,716 during this year and $153,-046,117 to date.

Permanent total disability payments averaging $47.45 per monthare being made on insurance valued at $10?,081,209. The Stateshaving the largest number of veterans receiving these payments areas follows: California, 1,134; New York, 1,107; Pennsylvania, 702;Illinois, 628; and Massachusetts, 549. An analysis of the disabilitiesfor which term insurance is being paid discloses that neuropsychiatricdiseases arethedisabling cause in46 percent of the awards, tubercu-losis in 28 percent, and general medical and surgical conditions in26percent. Todate24,183 disability awards have been terminated—20,652 by death, 3,509 by recovery? and 22 for other reasons. Ap-proximately 57 percent of the terminations by recovery and 68 per-cent of the term~natlons by death were in the tuberculous group.

Itisinteresting to note that of the 127,551 death claims on whichinstallments are now being paid, 111,904, or 88 percent, of the veter-ans died prior to the official closing date of the l~orld JVar, July 2,1921. These payments are being made to 75,041 parents, 20,438widows, 2,208 children, and 29,864 other beneficiaries. The largestnumber of death awards have been made in the following States:New York, 11,782; Pennsylvania, 9, 299; and Illinois, 7,063.

Payments of automatic insurance (provided for those who werepermanently and totally disabled or who died within 120 days afterentrance into service and before making application for term insurance)are being made to 299 permanently and totally disabled veterans, ofwhom 195, or 65 percent, are suffering from neuropsychiatricdiseases; 61, or 21 percent, from tuberculosis; and 43, or 14 percent,from general medical and surgical conditions. In the cases of 7,010deceased veterans, this insurance is being paid to their beneficiaries,classfied as follows: 5,921 parents, 596 widows, and 493 children.

RETIREMENT OF CIVIL EMPLOYEES

CIVIL SERVICE

The fiscal year ending June 30, 1934, marked the first year ofoperation under section 8 (a) of the Independent Offices AppropriationAc!, approved June 16, 1933 (Public, No. 78, 73d Cong.). Thislegislation, designed to prevent undue hardship upon employeesinvoluntarily separated from the Government service, provided that

Tprior to Ju y 1, 1935, employees involuntarily separated from theservice for reasons other than misconduct, after aggre ate service

fof at least 30 years, were to receive the annuity they wou d otherwisehave received if regularly retired for age (less 3Ji percent until attain-ment of statutory retirement age), instead of the reduced annuity towhich they would have been entitled under section 7 of the retirementacts as amended May 2?, 1930. During this fiscal year 7,080 claimsfor retirement under this provision were approved, of which 6,993were active on June 30, 1934. The average annual value of theseannuity awards on June 30, 1934, was $1,153.11.

The President, by Executive order dated April 7, 1934, directedthe transfer of all Civil Service and Canal Zone retirement activitiesfrom the Veterans’ Administration to the Civil Service Commission.

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ANNUAL REPORT ADMINISTRATOR OF VETERANS> AFFAIRS 33

This order became effective after 60 days unless modified or extendedby subsequent order. On June 5, 1934, the President, by Executiveorder, directed the transfer “be delayed until October 1, 1934:Provided that such transfer may be made operative and effectivebetween June 7, 1934, and October 1, 1934, by order of the UnitedStates Civil Service Commission, approved by the President .“ OnAugust 24, 1934, the President, by Executive order, directed that,“pursuant to the provisions of the last paragraph of the order ofJune 5, 1934, it is hereby ordered that this transfer shall take effecton September 1, 1934. ”

Public, No. 448 (73d Cong.), approved June 22, 1934, amended theCivil Service Retirement Act of hlay 29, 1939, by permitting em-ployees and annuitants to designate beneficiaries of the amount totheir credit in the retirement fund at their death, and, except in casesof incompetency, removed the restriction limiting to $1,000 the amountwhich may be paid to the heirs or beneficiaries of such estates, withoutthe appointment of an administrator. This fimendment becameeffective September 1, 1934, upon the transfer of Civil Service retire-ment functions to the Civil Service Commission.

/innuitants on roll.—The number of annuitants added to the rollduring this fiscal year reached the unprecedented total of 14,477 ascompared with 9,480 in 1933, 4,997 in 1932, and 2,096 in 1924. hloreannuitants were added to the roll during this fiscal year than duringthe entire 6 years from July 1, 1922, to June 30, 1928. Of the 14,477added to the roll, 2,770 were retired for age, 2,505 for disability,1,652 for voluntary separation after 30 Tears’ service (within 2 yearsof statutory retirement age), 7,080 for Involuntary separation after30 years’ service, and 47o for involuntary separation with less than30 years’ service. The number of terminations from the roll duringthis fiscal year was 2,604 as compared with 2,212 in 1933. Thenumber of terminations because of death was 2,473 and for othercauses 131. There were 44,708 annuitants on the roll June 30, 1934,of whom 22,969 had been retired for age, 8.,941 for disability, 3,944for voluntary separation after 30 years’ servlce~ 6,993 for involuntaryseparation after 30 years’ service, and 1,861 for involuntary separationwith less than 30 years’ service.

Value oj annuities.—The average annuity paid annuitants on theroll June 30, 1934, was $989.89, as compared with $965.16 in 1933,and $955.32 in 1932. At the close of this year, the number of annul-tants receiving $1,200 per annum was 13,772, or 30.8 percent of thetotal, as compared with 11,783, or 35.9 percent on June 30, 1933.The annual value of the roll as of June 30, 1934, was $44,232,753.96,as compared with $31,691,028.60 the preceding year.

Status oj -fund.—The balance in the civil service retirement anddisability fund as of June 30, 1934, was $262,561 ,642.G4. Receiptsto the credit of the fund during this fiscal year totmled $60,258,809.57,as compared with $61,246,090.74 last year. Of this amount, $28,740, -450.78 represented deductions from tl~e compensation of employees(inclllding service credit pa}~ments), $10,518,358.79 interest on invest-.ments, and $21,000,000 an fippropriation *by Congress. Receipts onaccount of deductions from tl]e compensation of employees (includingservice credit payments) were $1,753,341.43 less than the amountreceived during 1933, and $3,112,254.82 less than the anlo~lnt re-ceived during the peal: year of 1932, thus reflecting a contin(led

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34 ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

decrease in the number of employees entitled to the benefits of theretirement act. Income on account of interest and profits increased$766,060.260ver the fiscal year ~933. Total disbursements from thefund duringthisyear were $47,656,699.54, ascomparedwith $34,837,-692.05in 1933, $27,470,075.06in 1932, and $23,992,317.41 in 1931.Disbursements this yearon accountof annuitiesincreased to$39,620,-913.80, as compared with $30,048,405.96 in 1933 and $23,545,700.19in1932. Disbursement so naccol]ntofrefunds were $8,035,785.74, ascompared with $4,789,286.09 in 1933 and $3,924,374.87 in 1932.

CZaims.-The total number of claims for annui!y received duringthis year totaled 15,269, as compared with 10,197 In 1933, and 5,465in 1932. There was an increase in all classes of annuity claims filedduring this year as compared with the previous year, with the excep-tion of claims for retirement on account of age, which decreasedfrom 6,396 in 1933 to 2,827 in 1934. Applications for refund of retire-ment deductions on account of separation from the service totaled18,204 as con~pared with 13,259 in 1933, and 17,379 in 1932.

The following is a summary of the claims received and disposed ofduring the fiscal year 1934:

Classification On hand Received D~u~gd On hand

July 1,1933 during June 30,year year 1934

Age.. -------------------------------------------------- 255 2,827 2,865 217Di=bility ---------------------------------------------- 704 2,917 3,089 632Voluntary, after30 years’ Mrvim ----------------------- in 1,598Involuntary, aftir30 years’ wr~~i~--------------------- 7,310 $$ lRInvoluntary, 1= than 30 years’ wrvim.--.------------- 4: 617 129Accrued annuity (due from last pay to death) ---------- 184 2,170 2, Fd 191Refunde (return of retirement deductions) -------------- 225 18, ~ 18,241Accumulated deductions (death in Servim)-----.------- ’291 2,738 2,774 EServica credit (deposit of belated deductions)----------- 270 3,578 3,784Unexpended balance (credit of deceasedannuitant)---- 83 1,282 1,227 1:

I I 1

Total -------------------------------------------- 2,178 43,241 43,497 1,922

Report oj actuaries.—-The Thirteenth Annllal Report of the Boardof Actuaries, provided for in section 16 of the Retirement Act, wastransmit ted to the Congress on January 10, 1934? and printed asHouse Document No. 215, (73d Cong.), second session. This reportgave the results of the 5-year valuation of the fund prepared as ofJune 30,1930, and was predicated upon the retirement law as amendedby the act of hfay 20, 193o. Tl~e valuation by the Board did notinclude the cost of either the provision for compulsory retirement forage embodied in section 204 of the act of ~June30, 1932 (Public, hTo.212, 72d Cong. ), or the provision for involunttiry retirement after30 years’ service of section 8 (a) of the act of J~lne 16, 1933, (Public,No. 78, 73d Cong.). l~ithout considering the effect of either ofthese enactments, the conclusion of the Board of Actuaries was thatas of June 30, 1930, the annual appropriation which should be madeby the government to meet its liability to the fund for both the normalcost and the accrued liability was $52,053,664. This appropriationby the Government would be necessfiry for approximatley 68 yearsfrom 1930, after which time the annual appropriation would be reducedto the normnl or continuing cost of $20,638,S50.

The following excerpt concerning the liability of the Governmentto the fund is quoted from pages 13, 14, and 15 of the report of theBoard of Actuaries:

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! ANNUAL REPORT ADMINISTRATOR OF VETERANS J AFFAIRS 35

PROVISION FOR ACCRUED LIABILITY

The preceding balance sheet shows the total liabilities of the civil serviceretirement and disability fund have a present value of $1,496,881,303 on June30, 1930, of which $121,552,338 ($86,113,602 plus $35,438,736) represents theliabilities on account of benefits alrea~~y granted and the balance Of $l~375J328~965represents the liabilities on account of annuities and other benefits to be grantedin the future on account of active members. To meet its liabilities the fund haspresent assets amounting to $156,546,419. The present value of the respectivecontributions of employees at 3.5 percent amounts to $356,929,516. 8 ubtractingthe value of these contributions and the present assets from the total liabilities,we have $983,405,368 as the liabilities to be met by contributions by the Govern-ment.

If the Government were to make normal contriblltions on account of eachgroup, which now represents a contribution of 2.45 percent of the total pay rollannually, this contribution together with that of 3.5 percent by the employeeswould equal 5.95 percent, which is the average normal contribution. Thiscontribution wollld be sufficient to cover the continuing or normal cost, but itwould not be sufficient to cover the liability on account of service rendered byemployees prior to the establishment of the fund in 1920, when no contributionswere made, nor would it cot’er credit for service since that date on account ofwhich the Government has not made regular contriblltions related to the largerbenefits of the later law. The liabilitv on account of this past service may beobtained by deducting from the total liabilities of the Government to be met byGovernment contributions the value of the future contributions which wouldbe payable by the Government to cover the normal costo

An actllarial calcldation shows that a contriblltion from the Governnlent at thenormal rate for the various groups on accollnt of the pay roll of present employeeshas a present vallle of $253,212,571. If the latter amount be deducteci from theitem of $983,405,368 shown as the value of the Government’s prospective appro-priations, $7:+0, 192,797 is left as the arnollnt which must be placed in the fund tooffset the lack of contriblltions in the past.

This amo~lnt technically is known as the “accrued liability.” ln order toamortize this accrlled liabdit~- by means of annllal payments dlstribllted over aperiod of years in the fut~lre In accordance with the plan adopted by the Govern-ment in 1927, an annual pa~mcnt of $31,414,814 for approximately 6S years from1930 is needed. This is eqlllvalent to 3.73 percent of the present pay roll annllally.

The following table has been prepared to summarize the annual contributionrequired for the support of the fund from both employees and the Government.

TABLE 8.—A~~nual cost of eil’il-serlice retirer?lenta~iddisa~ililyjund as percentageoj pay roll

Normal cost az— Deficiency costas— Total cost as—

Group Annual .knnual AnnualPercentage amount as Percentage amount m Percentage amount asof pay roll of June30, of pay roll of J;9U1030, of pay roll of Jy9&o30,

1930’——

Employees with normalretire-mentage 62----------------- 6.71 $8,222,293 4.96 $6,077,880 11.67 $14,300,173

Letter carriers and postalclerks with normal retire-mentage 66----------------- 6.53 24,212,166 3.81 14,126,853 10.34

Mechanim, laborers,andother38,339,019

employees with normal re-tirement age 65--------------- 5.83 5,520,578 4.69 4,630,468 10.72 10,151,046

Employee9 with normal retire-ment ~e 70----------------- 4.78 12,190,137 2.58 6,579,613 7.36 18,769,750

——Total ------------------- 6.95 50,145, 174 3.73 31,414,814 9.68 81,559,988

Payable by employees -------- 3.50 B, 506,324 ------------ ------------ 3.50 29,506,324

Payable by Government ------ 2.45 20,638,850 3.73 31,414,814 6. 1S 52,053,664

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.

36 ANNuALnEF’ORTADMINISTRATOR OF VETERANS) AFFAIRS

CONCLUSIONS AND RECOMMENDATIONS OF THE BOARD

Table 8,011 page 35 gives the appropriation which should be made by theGovernment in order to s{lpport the plan. The most important recommendationthat the Board can make is that the annual appropriations by the Government beadjusted in accordance with this table as soon as possible.

The Board of Actuaries has pointed out in previous reports the importance tothe Government in meeting the accr[ling cost of the fund annually and in makingsyshmatic provision for the accrued liability. The amounts by which the appro-priations are short will have to be made up eventually with intereat and the mosteconomical course for the Government is to meet the cost as it accrues. lVhenonce the accrued liability is liquidated, the fund will be supported by a normalcontribution of only Z.45 percent of the pay roll. The higher cost at present islargely because of the years of service prior to 1920 when no contributions weremade. If the present generation will shoulder its share of the accruing cost andmake some provision for the liquidation of the accrued liability, the fund is on itsway to financial stability. On the other hand, if only part of the obligations aremet from year to year, the fund is going to represent an increasingly heavyfinancial bllrden. True economy would demand that the appropriation of thefull amo~lnt be made. If the full appropriations are too heavy now, naturally thefuture increasing appropriations will be too heavy and the situation will becomeincreasingly difficult. If the Government and its employees are willing to supportthe present plan of benefits, then their contributions should be immediately ad-j usted to meet the re[~uirement,s of the fund. If they cannot meet the require-ments of the fund, then the benefits should be adjusted to a basis that can besupported.

CANAL ZONE

Annuitants on roll.—During this year 99 applications for retirementunder the Canal Zone Retirement ~ict were approved. Of these, 27were for age, 47 for disability, 1 by voluntary separation after 30 years’service, 2 by voluntary. separation after 25 years’ service, 14 becauseof involuntary separation after 30 years’ service, and 8 because ofinvoluntary separation with less than 30 years’ service. There were15 annuitants dropped from the roll, 14 because of death, and 1 be- “cause of re-employmen t. Of those dropped because of death, 9 hadbeen retired on account of disability, 4 because of age, and 1 after 30years’ service, There were 332 annuitants on the roll June 30, 1934,of whom 194 were retired for age, 101 for disabilit~, 18 by involuntaryseparation after less than 30 years’ service, 14 by lnvolunatry separa-tion after 30 years’ service, 3 by voluntary separation after 25 years’service, and 2 by voluntary separation after 30 years’ service. Theaverage length of service of all annuitants on the roll June 30, 1934,was 21 years and 4 months Canal 7mne and other tropical service, and1 year and 9 months other service (civil and military nontropicalservice). There were no annuitants trtinsferred from the civil serviceretirement and disability rolls to the Canal Zone rolls during thisfiscal year.

Value o~ annuities.—On Jllne 30, 1934, the average annuity paidwas $1,311.61 as compared with $1,323.32 in 1933, and $1,315.40 in1932. The average annuity. paid those retired for age was $1,371.56,for disability $1,193.41, for Involuntary separation after less than 30years’ service $908.81, for involuntary separation after 30 years’service $1,555.38, for voluntary separation after 25 years’ service$1,047.08, and for voluntary -separation after 30 years’ service$1,723.14. Seventy-three annultants, or 22 percent of those on theroll receive less than $1,000 per annum, 150, or 45 percent, receivefrom $1,000 to $1,499, and 109, or 33 percent, from $1,500 to $2,584.80.The annuitant recei}-ing the lowest rate of $252.96 was retired for

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ANNUAL REPORT AD~IINISTRATOR OF VETERAI?SJ AFFAIRS 37

disability after6 years of ser}’ice at an average salary of $1,137.43,while the annuitant recei~ring the highest rate of $2,584.80 wasretired for age after 32 years’ Canal Zone ser~~ice w’ith an a~-eragesalar}’, as computed Ilnder the act, of $4,577.76. The a~’erageann~~ty of $1,311.61 is equal to 43.51 percent of the average stilary of$3,014.37 receilred by these anuitants \vhile in acti~~e service. Theaggregate annual value of the roll on June 30, 1934, \vns $435,453.80as compared ~vith $328,184 on the corresponding date last year.

StatUs q~f~~nd.-The balance in the Canal Zone fund as of June 30,1934, If-as $2,358,424.14. The total receipts placed to the credit ofthe fllnd during t~lis year \l’cre $558,16~,36 as colnpared }Vith $560, -930.88 in 1933. of this an~ollnt $469,270.78 represented deductionsfrom con~pensation (including ser~yicecrec]it payments) and $88,894.58interest on investments. of the total dedl]ctions $416,502.86, T$-asfrom the pay of Cfinal Zone employees anfl $52,767.92 from the pay ofPanan~~ Railroad employees. Total net disbllrsenlents during thisyear amol]ntecl to $527)036.97, as conlpnr~~d }~-ith$351,786.93 in 1933.Disbursements on account of annuities ~vere $411,054.46 and onficcollnt of refllnds, $115,982.,;1, as con~pare(] }vith $308,746. (;2 and$43,040.31, respecti~’ely, in 1933. On ,Jan~lary 24? 1934, a supple-mentary transfer of $36,992.10 ~~-asInade fronl the cl~’il service retire-ment and disability f l]nd to the Canal Zone f(lnd. This representedthe unexpended balance of deductions cr~ditable to the account ofcertain ci~-il ser~’ice ann~]itfints who Jvere transferred to the CanalZone roll as of ,J711y1., 1931. The financial statement of the CanalZone fundl published in this report, has been a{ljl]sted to incllldc thisfimount ~vlth the amountl transferred from the civil service retirementand disability funcl during the fiscal year 1932.

The follo~~~lngtable summarizes tl]e (l:~tn concerning the annl]itantson the Canal Zone retirement :~n(i disability roll JIIIIC GO, 1 gSA:

.k~rerageservice

Cause of retirement N~e:- 1 .kggregate Average Al,erageannuities annuity Canal Zone Othersalary

Years Afonths Years hlonths—1

A~e---------------------------- 1194 $Zo, 197.48 $1,371.56 $3, 037.29 22Disallility---------------------- ~101 120,534<84 1,193.41 2,899,66 19 i ! :Involuntary separation, less

than 30~ears...--. -.- . . . . . .._ 18, 16,358.64In\-oluntar~ separ~tion, 30

908.81 3,085.08 18 11 1 8

~e~rs’ser~’ice.. . . . . . . . . . . . . . . . 14 21,775.32 1,555.38 : 3,503.70 23 , 2 8VOluntar~se~)aratiou,25 years’

6

service ------------------------ 33 3,141.24 1,047.08 2,841.85 23 2 4\701untaryseparation, 30 years’

3

service ----------------------- 2 3,446,28 1,723.14 2,781.52 2s 2 3 7—— —— —-—. — —— —— __

Total -------------------- 332 435,453.80 1,311.61 3,014.37 21 4 1 9

1 12 females. Z8 females. 31 female.

GUARDIANSHIP

.~s of J[lne 30, 1934, there ~vere 81,493 beneficiaries under guardian-ship, of ~~l~on~39,103 \vereincompetent and 43,390 ~~-ereminors, under69,403 fi(lllciaries.

Gu:lrdi~\ns’ ~lccounts \\-ere secured and clisposcd of as follows:Appro~’ed, 65,253; disapproved, 4,679; of ~~-hich3,{)75 \vere adjusted;pending 3,352. It ~ras necessary to suspend payments for failure to

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38 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AI?FAIRS

account properly in 2,532 cases. Four hundred sixty-eight accountswere filed on citations procured. Exceptions were filed to 1,464accounts, 943 of which were sustained by the courts; 190 disallowed;~emainder pending. Prosecution for alleged crin~inal action was madeIn 190 cases, while 29 additional crises were (Inder investigation.Excessive fees or commissions were charged in 789 cases, in 519 ofwhich recovery of excess was made, and in 212 of which recovery wasdisallowed, remainder pending.

A summary of accounts of fiduciaries filed during this fiscal yearfollows: Receipts, $39,863,252.92; commissions allowed guardians,$1,241,416.92, of which $17,966.75 was recovered as being excessiveand $8,426.32 was allowed by the courts over protest; fees allowedattorneys for guardians, $450,460.68, of which $14,552.01 was re-covered as being excessive and $2,449.53 was allowed by the courtsover protest; value of estates, $128,948,267.17, of which $102,573, -024.57 was invested in accordance with State law (legal investments),$1,269,545.24 w’as not invested in accordance with State law (illegalinvestments), and $25,105,697.36 was deposited in banking institu-tions; amount embezzled and/or misappropriated, $221,741 .56;amount lost on deposits, $28,972.41; and amount lost on investments,$88,740.88.

The amounts reported as lost, due to bank failures and investments,include only the amounts for which the courts declined to hold theguardians liable; and do not include future possible losses in casesyet to be adjudicated. On the other hand, while the amounts areshown as losses, subsequent liquidation of the closed banks or invest-ments have resulted, or will result, in substantial recoveries in mostcases.

The reported estimated value of services to beneficiaries during thisyear was $1,265,507.06, computed as follows: I,egal service, $387,-352.23; costs paid, $9,674.94; recoveries $358,126.86; and savings oninvestments and expenditures, $510,353.03.

Funds escheated under section 21 (3) of the Jvorld t~ar Veterans’Act, 1924, as amended (sec. 7, Public, hTo. 2, 73d Cong), were recoveredto the amount of $11,744.10, part of wl~ich included recoveries ofpension moneys paid to guardians of pensioners who died leaving noheirs~ on the theory of a failure of trust, there being no specific statuteproviding for escl~eat in such cases. Other recoveries amounted to$25,966.30, which funds were returned to the Tre&sury.

FINANCE

The actual net disbursements for all purposes (including adjust-ments on lapsed appropriations) for the activities under the j uris-diction of the Veterans’ Administration durin the fiscal year endedJune 30, 1934, aggregate $594,022,058.08. O~this amount $48,183,-736.51 was disbursed for the payment of annuities and refunds underthe Civil Service and Canal Zone retirement laws.

The actual net disbursements from each appropriation of theVeterans’ Administ~ation (including adjustments on lapsed appro-priations) during this fiscal period were as follows:

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ANNUAL REPORT ADMINISTRATOR OF VETERANS ~ AFFAIRS 39

Appropriations: DisbursementsAciministration~ medical, hospital, anti domiciliary services- $66, 396, 737.48Printillg and binding --------------------------------- 87, 550.45Hospital and domiciliary facilities and services, Veterans’

Administration ------------------------------------ 2, 769, 263.77Army and Navy pensions and military and naval com-

sensation ----------------------------------------- 321,394,530.63Military andnaval insurance -------------------------- 103,268,273.83Adjusted service certificates fund _______________________ 23,413,326.01Adjusted service and dependent pay --- --- -_ ----- ___ _- -- 1, 895, 111.07Loans toveterans for transportation, 1933 -------------- 4, 214.55Vocational rel~abilitation ------------------------------ 1 7, 247.29Military and naval family allorvance -------------------- 2, 916.39National Industrial Recovery, Veterans’ .4dministration,

l933-35------------------------------------------- 401, 384.18Miscellanco~ls ---------------------------------------- 2, 784.96Trust funds:

United States Governmellt lifcills~lrance funds ______ 226)073,360.78.4rmy allotments --------------------------------- 1105. 51Navv allotments --------------------------------- 202.82Mar~ne Corps allotments -------------------------- 115.00General Post fund ------------------- ------------- 134,432.51Horatio Ward fund ------------ ------------------- 1,599.94

Total ---------------------------- ------------- 545,838,321.57

Civil service retirement and disability fund -------------- 47,656,699.54Canal Zone retirement and disability fund----- ---------- 527,036.97

1 Credit~Includes encumbrances.

The amount shown under the appropriation “Adjusted servicecertificate fund “represented isbursernents on certificates matured bydeath of veterans, including $7,607,193.29 deducted from paynlentof matured certificates on account of loans previously made from acl-“uste{l service certificate fund (plus accrued interest from date of!oan to death of veterans); and $28,522.32 interest paid the UnitedStates Government life insurance fund due to rate allowed in excessof amount charged veterans under theact of July 21, 1932. Further,the amount shown for the appropriation “Administration, medics],hospital, and domiciliary services” includes net disbursements of$1,006,556.17 from allotments made to other government agencies forthe care and treatment of Vetertins’ Administration beneficiaries, aswell as to the Treasury, Interior and Justice Departments for activi-ties transferred thereto. The amount shown under the appropriation“Printinga ndb inding “includesa nallotment of $900 to the TreasuryDepartment in connection with the transfer of disbursing activities tothat agency.

PERSONNEL

On June30, 1934, there were 34,890 employees on the rolls of theVeterans’ Administration whose aggregate gross annual salaries(including allowances but excluding compensation paid per diem andper hour employees) totaled $55,810,584, as compared with 35,467employees and $58,528,639 in annual salaries on June 30, 1933? adecrease of 577 employees and $2,718,055 in annual salarles duringthis fiscal period. of the 34,890 employees on the roll at the closeof this ear 5,120 were in central office and 29,770 at field stations.

{The va ue of the annual roll at the expiration of both the fiscal years100215—3&4

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40 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS

1933 and 1934 includes the full amount of authorized salaries withoutregard to legislative reductions.

In making new appointments and in effecting discontinuances thepolicy of extending preference to ex-service employees has beencarefully followed. The same preference has been extended infiling vacancies occurring in staff positions. Eliminating the so-called floating personnel at field stations, such as hospital attendants,mess attendants, etc:, 69.85 percent of the total male employees onthe Veterans’ Administration rolls as of June 30, 1934, was ex-serviceand 13.81 percent of the female personnel had such status, while45.77 percent -of the total permanent personnel w[~s ex-service.

The foregoing figures include member employees in Veterans’Administration facihties used principally for do!ll+ciliary care, and onJune 30, 1934, there were 1,943 of these recelvlng aggregate grossannual salaries of $944,880.

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STATISTICAL TABLES

&’oTE.—TablesNos. 16,21,22,23,and 24are tabulations from indi~’idualstatistical recordsand totals donot:necessarilyiagreewith totals from administrative reports as of the same date.

41

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MEDICAL AND DOMICILIARY TABLES

TABLE No. l.— Clinical laboratory tests and X-ray examinations, fiscal years1924-34

IClassifle:e~;sboratory X-ray examinations

Fiscal year

otit-ptitlent

l9w------------------------------------------------------1033

128,758----------------- ---------- --------------------------- 296,272

l932------------------------------------------------------ 442,5391931------------------------------------------------------ 393,8971930------------------------------------------------------1929---

176,181----------------------------------- ---------------- 163,346

l9m------------------------------------------------------1927

169,712----------------- -------------------------------- .----

1926---l~li 196

--------------------------------------------------- 184,670l925------------------------------------------------------ m, 357l924------------------------------------------------------ 128,383

NOT~.—Vet.erans’Administration homes not included prior to 1932.

out-patient

In-patient

1,578,2111,646,1671,S82,6591,065,771

910,683851,636817,269769,286708,538665,944285,938

69,644107,819228,064229,297112,694113,390104,836107,820114,00712$,355132,213

22-t,024266,34430%049193,674159,531146,058129,329114,25618, g

85;632

TABLE No. 2.—Out-patient medical service, by service rendered, fiscal years 1924-34

In~~~d-Fiscal year

treated

Hf~~i-

visits

6,92915,51420,75918,54415,31918,57219,66628,80049,25981,68095,992

rnad:.ii- Exami- Opera-.amined nations ations

Treat-ment

Anes-thetics

64

lZ

2::323423

1,0812,1773,0853,758

Sent tohospital

Homevisits

41,29354,36755,86748,651~~,15642,30538,63334,9723.5,06339,09145,152

I

35,874116,822133,337109,68293,44882,70273,47271,34067,87159,91647,965

1934-------------1933----.--------1932-------------1931-------------1930-------------1929-------------192s-------------1927.--.--.------1926-------------1925-------------1924-------------

575,816830,115895,298829,040786,599795,725827,122873,577

1,044,1241.257.967

472400133569112635302761947

559,1,3.50,2,057,1,933,

950,890,871,922.

554 867452 522712 746698 877252020 1, z:756 2,364364 2,600

--------- 1, 144; 330 5; 863-------- . 1,363,265 15,312763,789 1; 703; 317

TABLE No. 3.—Number of out-vatient treatments divided into medical ar)d dental.salary and f;e, u~itk percent of fee, $scal years 192~–3J

r

IMedical I Dental

Fiscal yearFee Pef&t TotalTotal

540,384752, 21380$ g

705;802721,732747,019793,389950,397

1, 141,1521,515,433

Salary

345,973566, 156594,333568,666567,139602,809649, 598718,298W4,475

1,099,0891,456,585

Salary Fee

1634 ---------------1933 ---------------1932---------------1931 ---------------1930---------------1929 ---------------1928 ---------------1927 ---------------1926 ----------------1925 ---------------1924 ---------------

I I

194,186,209,173,138,118,

97.

411057449394

z421

36.024.726.123.419.616.5

35,43277,90291,51686,98080,79773, 993

26,46555,53964,66465,74764,03662,226Cfi, 36672, 99887,446

111, 103179,933

5,96722, 36326,85221,23316,76111,76711, 7377.1 {w6,2815, 7127,951

.—

16.828.729.324.420.815.914.79.0.::4.2

13.0

?;3.73.9

80, 10380, 18893,727

116,815197,884

43

Page 54: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

# ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS

TABLE No. 4.-Number of out-patient examinations divided into medical and dental,galary and jee, un”th percent of fee, fiscal years 192J–3J

Dental

Total I Salary I FeeFiscal year

Medical

PerptSalary FeeI Total

1034..-----.-----.-1933---------------lQ32----.----------1931-----------.---1930-------------.-1929------.--------ln-------_-------1927---------------1926---------------1925---------------1924---------------

548,3201,3% 1612,018,7871,895,918

920.537

501,8501,240,2651,771,9111,593,094

892.~

46,47081,806

246,876301,924

28,247a, 91419,06122,171Z, 46136, 15954,044

8.5

1;;15.9

::2, 22.53.13.24.1

11,23428,291M, 92537, 780m, 71522,81921,73319,23721,31124,07435,704

9,517T2, 82731, 11832,21725,62320.286

1, 7175,4647, 8075, 5WJ4, 0Y22.5332,5421,7591,4812,0002,593

15.319.320. A14.713.811.111.7

9.1

::7.3

843,2a7830,962880,956886,972

1,084,0971,273,547

19, 19117,47819,83022,01433, 1111;327;591

I I

TABLE No. 5.—Admissions of U. S. Veterans for hospital treatment and domiciliarycare fiscal years 1920–34

Hospital treatment I Hospital treatment I Domicili-tiry mre 1

Domicili-ary care 1

Govern-ment

facilities

--------- .

& 30513,49219,593

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

—1

Govern-ment

facilitiesand

hospitals

69,14564,27968,47451,65259,45186,39248,07023,623

Fiscalyear ~overn-

mentTotal fac;~dies

hospitals

Fiscalyear Govern-

mentfacilities

Tot al

—12,822 ----------5,162 ----------8,338 ----------

12,401 ----------23,363 ----------47, WJ ----------43,370 ----------19,610 ----------

Total---

1934-----1933-----1932-----1031-----1930-----1928-----1928-----

,341,52-4

1% E148,662109,64992,11583,18873,270

,153,702

63,151132,791142,55518 52;

80:26270,854

187,822

7493,8356,1075,1273,6342,9262,416

1927------1926 ------1925 ------1924 ------19B. -----1022 ------1921 ------19m.-----

71,06769,44176,81264,05382,814

134,35491,44043,233

1Permanent statusof veteran.

Page 55: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

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Page 57: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

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Page 58: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

48 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS

TABLE No. 9.— United States veterang recdtino hosvital treatment or domitiliaru

Fiscal yeaI

1934-------1933-------1932-------1931-------1930-------1829-------1028-------1927-------1026-----.:1025-------1924-------1923-------1922-------1921 -------1920 -------1919-------

care, by sex and color, at end of ea;h fis;al year 1919-84.

I ITotal I Hospital treatment I Domiciliary care

I . Male

Grand —total

White

26;86826,23717,471

3,279

44,41540, w56,68447,29827,98125,47523,92723,46423,07524,57820,32822,085

1----------------------------

col-ored

4,1503,4715,2004,3462,0861,8121, 78a1,6521,6631,7911, 1621,306

-------

------ .

I I Male

—1 —1 —1 —

284 139,445 36, ~7267 33,457 30,844371 43,567 39,845336 34,948 32,223244 30,311 27,981200 27,487 25,475192 25,899 23,927194 25,310 23,464177 24,915 23,075241 26,610 24,578240 21,730 20,328220 23,611 22,085

.-- . . . 26.868 .-----

3,1882,3783,3842,4312,0861,8121,7801,6521,6631,7911, 1621,306

----- .------- 26; 237 ------- ------------- 17,471 ------- ------------- 3,279 ------- ------

I I Male IFe- Total Fe-

male maleWhite :r::

2,W 19, 4~ 8,408 962 34235 11, 187 10,062 1,093 32338 18,688 16,839 1,816 33294 I 17,032lb,075 1,915 42244 .---------------------------.-m ------------------------------192----------------.-------------194------------------------------177 --------.----------.---------.241 ------------------------------240 ------------------------------220 ------------------------------

-------l--------l -------- l-------l --------------------.

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

I Permanent status of veteran.2 Includes domiciliary members receiving hospital treatment,

NoTE.—Veterans in United Stat& possessions not included prior to 1927,

TABLE No.’ 10.—Domiciliary and hospital discharges oj United States veterans,showing restllls oj hospital treatment and type oj patient, fiscal year 1934

I Type of patient

TotalPulmonary

tuberculosis NTeuropsychiatric General

$

$& ~

1

~g g ;g ~g ~ ~ 1$ gQ*

beQaP’o

u + t u 4 z u 4 & c) 4 E— — . — . . . . . . . —

Domiciliuy camel------------- ~9,806 152.6 ------ ------ ----- ------ ------ ----- ------ ------ ----- ------Hospital treatment 1---------- 358,713 122.1 100. m 8,583 235.6 100.00 11,341 232.6 100.00 38,789 64.7 100.00

Hospitalization complete-- 44,657 m. 2 76. ~ 3,665 244.1 42.70 I 8,381 174.6 73.90 32,611 63.5 84.07Resdts of treatment:

Recovered orcured- 1, g; ~:: 2;;; ------ ----- . . ..-. 211 126.1 1.86 1,061 37. ()Arrested ----------

2.74

Apparently ar-261 549.4 3.04 ------ ----- ------ ------ ----- ------

rested ----------- 49 301.2 .08 49 301.2Quiwwnt ---------

.57 ------ .--.- . ----- ------ -..-- ------72 513.4 .12 72 513.4 .84 .-.-.. ----- ------ ------ ----- ------

Improved --------- 28, w 86.2 49.33 474 346.6 5.52 4,098 151.6 44.07 23,492 67.1 60.56Unimproved ------ g 434 139.9 4.15 172 505.3 2.01Died -------------- 5,334 m. 9 9.06 1,660 258.7 19.34

945 180.2 8.33 1,317 63.4 3.39

Condition not773 617.9 6.82 2,901 104.b 7.48

stated ----------- 6,271 19.0 10.68Hospitalization

977 19.4 11.38 1,454 21.6 12.82 3,840 17.9 9.90incom-

plete -------------------- 14,056 195.0 23.04 4,918 229.3 57.30 2,960 396.8 26.10 6,178 71.1 15.93Resulk of treatment:

Apparently recov-ered or cured ---- 48 212.1 .08 --.--- ----- ------ B 374.4 .22 23 35.7 .M

Improved --------- 7,107 Ml. 6 12.10 2,353 301.4 27.42 1,237 304.9 10.91 3,517 98.5 9.07Unimproved ------ 4,038 311.1 6.88 ~1,746 232.0 20.34 1,318 592.4 11.62Condition not

974 72.5 2.51

statad ----------- 2,863 14.7 4.88 819 16.4 9.54 380 18.7 3.35 1,664 12.9 4. m

1 Permanent status.2Includes 372 cases in which the permanent status later changed to hospital treatment.s Includes 488 cases in which the permanent status la~r changed to domiciliary care.f Includw 56 terminal c-s discharged with unfavorable prognosis.

Page 59: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

ANNUAL REPORT ADMINISTRATOR OF VETERANS) AFFAIRS 49

TABLE No. 11 .—Average present bg major wars at all homes during each fiscal yearfrom date of organization to 1934

I

IYear

Total

Year ending June 30–l934------------------------------------------------l933------------------------------------------------l932------------------------------------------------1931------------------------------------------------l9w------------------------------------------------l929------------------------------------------------l928------------------------------------------------l9z------------------------------------------------l9M------------------------------------------------l9z------------------------------------------------l924------------------------------------------------l9n------------------------------------------------l922------------------------------------------------1921------------------------------------------------l9m------------------------------------------------l9l9------------------------------------------------l9l8-------------------------------------------------l9l7------------------------------------------------l9l6------------------------------------------------l9l5------------------------------------------------l9l4------------------------------------------------l9l3------------------------------------------------l9l2------------------------------------------------1911------------------------------------------------1910 ------------------------------------------------lw9. --. --. ------------- .-------- ..----, ------------lW8------------------------------------------------l9o7------------------------------------------------l9w------------------------------------------------l9o5------------------------------------------------l9o4------------------------------------------------lw3------------------------------------------------l9w------------------------------------------------lwl ------------------------------------------------lm------------------------------------------------l899------------------------------------------------l898------------------------------------------------l897------------------------------------------------l896------------------------------------------------l895------------------------------------------------l894------------------------------------------------l893------------------------------------------------lw------------------------------------------------l89!------------------------------------------------l8W------------------------------------------------l889------------------------------------------------lw------------------------------------------------lw7------------------------------------------------lM6------------------------------------------------l885------------------------------------------------l884------------------------------------------------l8N------------------------------------------------l882----------------------------------------------- -1881 ----------------------------------------------- -l8W----------------------------------------------- .

6months ending June 30, 1879------------------------- -Year ending Dec. 31—

l878-----------------------;----------------------- -l877----------------------------------------------- -

13 months ending Dec. 31, 1876------------------------ .Year ending Nov. 30-

l875----------------------------------------------- -l874----------------------------------------------- -l873----------------------------------------------- -l872----------------------------------------------- -1871----------------------------------------------- -1870 ----------------------------------------------- -

11 months ending Nov. 30, 1869------------------------ -Year ending l)ec. 31, 18W----------------------------- -I’eriod ending Dec. 31, 1867---------------------------- -

Average present

Civil ~Var

52708942

1,2801,3551.823

11;12.13;14,14,)5,17,17.

6,0815,8225,6035,677

5,3224,7514,170

3,6853,2862,6742,3362,0911. 6s51; 309

809479

...—Spanish-American

W’ar

518462410301192

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

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

Yorld tVar

13,32218,785lG, 22314.34512,259

9,8267,9025,8284, 6W4.2373; 4442,6581,775

6%253

-.-----------------.-------------------- ------------.---.-------------------.------.-------------- -.-----------------------------_------------------------ -------------------------------------------- --.-------------------------.--------------.-----------------.------------.-------------------------------------.----------.---.------.--------.-.--------.--.---------.---------------------.---.---.--.-------------------------------------..--.--------------------------------------------- ----------------------------------------------....------------.------_------.----------.-------.------

Page 60: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

50

A~NuM

BEPORT

ADMINISTRATOR

OF

VETERANS

‘AFFAIRS

.

,$,,,,,,

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Page 61: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

ANNUAL REPORT ADMINISTRATOR OF VETERANS? AFFA~S 51

TABLE 13.—Statement ahwing the average annual val?te of pensions, compensation,disability allowance, or emergency oficers’ retirement pay, for each war and all warsat the end of each fiscal year 1910-34

Average for all wars,veterans

W’ar 011812,

veter-ans

De-ceased

W’ar with hfexi~,veterans Indian wars, veterans

Year ——

Total

6431.60400.48407.51440.61475.08473.97465.53466.67432.12407.51411.23419.45431.35436.41357.56345.64286.29238.92216.62215.43211.97206.08176.17173.56171.90

Living

b4,52.41400.15408.54451.27513.94512.94516.92531.77489.58454.07464.01479.01499.21509.49421.93395.10;;:. :; I

268:85263.02254.83247.33192.04187.89184.19

De-ceased

B84. M401.69403.90411.45404.37407.00382.00369.04350.93343.79344.01343.24345.71347.112W. 36205. mW4. 22105.56147.83148,33147.87148.24148.13148.15148.64

——

De-eaased TotalLivinf

—- — _1934----------------1933----------------1932----------------1931. --.. . . . . . . . . . . .1930----------------lab----------------1928----------------1927----------------1926----------------1925----------------1924----------------1923----------------1922----------------1921----------------1920----------------1919----------------1918----------------1917-----------------1916----------------1915----------------1914-----------------1913----------------1912----------------1911----------------1910----------------

— —B;:;: ;: $;:;: ;;

3k8. 95 450.12358.62 447.79359.10 446.22359.32 444.58357.74 439,95355.70 424.72148.73 200.86149.32 2023148.89 201.79149.59 203.36148.79 m2. 72

1514.29514.29514.29525.00540.00567.27574.29578.8236Q. 00360.003,53.45354.60355.59356.63232.73210.52207.52202.67148.59149.01148.52151.48151.26152.43150.75

-------. $$;: ;:..5m. 68

------- . 580.69------ . . 586.32B864. 09 587.11972.00 588.21008.00 588.02805.33 358.87708.71 358.60719.23 357.62

$581 .4(582,0583. &580. 6{586. X587.4$590. w590.61

$534.07533.45529.70519.35513.16505.764%. 20479.37242.89243.23241.70242.12241.06240.99239.72240.27239.57220.4522Q. 38229.89231.82230.16115.52114.$’2109.68

362. 5f363.27365. 2f368. 3;370. 5s373.37240. E240.56225.36220.02170.64175.09177.97181. W164.52164.92167.27

7B. 31712.44692.26414.36368.043.59.46359.34355.53356.28352.85348.76248.95239.44238.34

357.56357.30357.09229.66

2;204.39145.59146.12144.74144.81144.48144.51144.45

148.80 m3. 71148.84 203.49150.02 206.78148.22 200.41145.65 166.14144.58 166.82144. rti 168.30

1144.20 170.08144.19 171.17144.10 134.62106.05 109.12144.09 131.84

I Civil War veterans Spanish-American t~alveterans Peace time veterans

Year

Living De--et

6464. a467. K469. Of469. M451.9145I. ]0406.38385.60360.76360.36360.61359.38360.48360.812bo. 67298.74B8. 36196.30147.01147.42147.09147. 4S147.41147.75147.96

De-caased

De-ceasedTotal Living

;389.515X. 02516.28473.33388.61373.27356.86343.72333.57192.78187.24181.00177.26158.89131.63lm. 54123.82127.13125.79129.13134.87123.W122,57121.86120.62

Total

B71. 18499.41492.15460.48388.59375.69361.90351. m343.64205.81202.13191.38178.93164.34142.01140.37134.87131.81130.99133.91138.73129.701~~ g~128.48127.57

Livinf

;219.76235.84241.41236.82235.09218.49223.6420U.34198.07191.55186.68217.58179.49175.11173.18171.15169.18169.(J4170.02168.87176. T2151.73168.46166.84166.14

Total

$226.43230.00236.42 ‘233.64231.92219.42222.23186.03203.42197.gl193.70216.46189.24183.50180.55177.04180.59174.95174.95175.95180.45161.69174.:YJ173.64li3. 27

1934 ----------------------- $1,078.101933 ----------------------- 1,086.641932 ----------------------- 1, M7. 051931 ----------------------- 1,076.241930 ----------------------- 851.9019N-.-------------.------- 8W. 2519M-------.-----..-..----- 847.481927 ----------------------- 846.631926 ----------------------- 745.471925 ----------------------- 698.751924 ----------------------- 675.891923 ----------------------- m. 991922 ----------------------- 647.941921 ----------------------- 627.97lam----------------------- 451.771919 ----------------------- 433.651918 ----------------------- B7. 011917 ----------------------- m. 171916 ----------------------- 282.551915 ----------------------- 274.771914 ----------------------- 264.161913 ----------------------- 256.571912 ----------------------- 197.061911 ----------------------- 191.381910 ----------------------- 187.19

!551.07566.57581.43593.69542.3Q550.35527.56522.75484.01476.85476.35476.78480.06477.74358.77363.192V7. M246.31222, 142m. 46216.17213.69178.21175.50173.56

6284.6t381.03362.04385.9$388. 5C3W. 86393.67395.40398.71278.11280.76245.Mlb7. 22184.96174.98197.15200.26lM. 52159.681.59.60158,80158.57158.56158. so158.55

$260.11206.2.5216,32220.62218.98223.11216.85131.86221.16218.51216.65212.71221.08211. W32U3. 9919595

218.28195.21191.78Iw). ~&IWJ. 70194.67lWS. 76196.03lg~. 51

Page 62: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

52 A~~u~ RE~RT ADMINBTRATOR OF VETERANS ‘ AFFA~S

TABLE 13.—8tatement showing the average annwal value of pensions, compensatwn,disability allowance, or emergency oficers’ retirement pay, for each war and dl war8at the end of each fiscai year 191 O–1934—Continued.

I World War

Year

Pen-sions

934----------------------- --------9=----------------------- $240.67Be----------------------- 334.95WI----------------------- 249.959 o-.--------------------- 2-54.45

L9 ----------------------- 253.339B.------.------.-------- 247.15,9n----------------------- 241.00,9%----------------------- 221.88,926----------------------- 215.02.9%----------------------- 226.209B--------------.-------- 235.599a----------------------- 2m. 24.921----------------------- 232.019B--.---.---------------- 224.8’4919----------------------- 236.07918----------------------- 219.50917----------------------- -------.,;;:----------------------- --------

--------- -------------- ------- .914----------------------- --------913----------------------- --------912----------------------- --------911----------------------- --------910----------------------- --------

Living veterans

Com-pen-

sation

476.08524.42529.43532.60528.69;2 ~

541:44474.14452.78445.60445.87fi~

449:32378.92332.27---------------------------.-------------.--------------

Disa-bilit y Emer-allow- gency

ante oficers’retire- Total

ornon- ment

wrvice pay

—1 l—

307.32 $1,617.189.05 1,653.19s. 19 1,683.196.22 1,686.------- 1,682.------- 1,688.

:::::::1:::::::

42 $467.1260 350.2231 354.8691 463.3213 553.2142 547.40---- 539.26---- 541.38

.------ ---------- 474.w------- -------. -- 452.72------- ---------- 446.53------- ---------- 445.81------- ---------- 448.22------- -------- -- 448.72--.---- ---------- 449.19------- ---------- 378.57------- -------- .- 320.98-------1---... --. -1--------

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

Deceased veterans

Pen-sions

----.-1.233.64Soo.w284.00278.40275.20m. 94283.76285.47w. 86m. al250.34%5. 24251.03231.69230.67225.75------.------------------------------------.----

Com-pen-

sation

W7. 04336.46335.75334.83330.7732V.55327.913%. 83;;. :;

306:93307.87315. w315. w316.44318.30319.19-------------.------------------------------------------

Total

$337.04336.45g3 g

330:76329.54327.90326.82324.33317.30306.93307.84315.65315.94316.33318.10317.16

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

Total

.

$439,24348.63352.64393.15499.48493.46486.52486. M435.40420.55411.63413.78418.02417.53417.00348.64322.85

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

NOTE: The increase in average annual value shown for World War for 1934 due to the dismntfnuance ofdisability allowance for nonservice connected disabiliti~ at a lower average annual value to approximatelym,~ veterans.

.

Page 63: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

ANNUAL REPORT ADMINISTRATOR OF VETERANS 7 AFFAIRS 53

‘1’ABLE Ko. 14.—Pensioners on the roll June 30, 1934, and the aggregate arint(alval(~e oj the roll, showing by wars the number oj living veterans and deceasedveleratls whose dependents receive pensior~ benejts

Grand total:Li\Ting VeteranS ---------------Deceased }’eterans-----------.

\Var of 1812: Deceased veterans ---------h[exican IVar: Deceased veterans -------Indian wars:

Li\’ing veterans ---------------------Deceased }Teterans ------------------

Civil \Var:Li\7ing \’eterans ---------------------Dec~sed veterans ------------------

Spanish-American 1$’ar:Living veterans ---------------------

Service-connected and special-act cases ----------------------

hlonservice connected -----------Deceased veterans . . ----------------

Service-connected and special-actmses ----------------------

Nonservice connected -----------Peace time:

Living veteram ---------------------Deceased ~’eterans ------------------

lVorld lVar:Living veterans ---------------------

Service-connected and special-act cases ----------------------

Nonservice connected . . . . . . . . . . .Emergency officers ret irement

pay ---------------------------Deceased veterans-Service con-

nected ----------------------------

Vumbe,

581,225257,630

35!

4,3704,606

18,455112,577

165,231

3,793161,43835,022

1,77733,245

29,4845,838

363,685

332,21629,903

1,566

99,220

Total -

Annualvalue

262,952,62399,099, 49s

3,600204, 072

2, 333,8741,646,568

19,896,348S2,311,852

64,358,691

2,037,69662,320, W59,970, 566

S44, 5489,426,018

6,479,3761,518,516

169,8$4,334

158,161,6689, 189,790

2,532,876

33,444,324

General la~vs

Qumbe]

579,447246,974

33:

4,2544,504

18,286102,903

164,635

3, 197161,43834,893

1,64833,2454

28,5895,107

363,683

332,21429,903

1,566

99,229

.%nnualvalue

;262,498, 67594,431, 114

19::2

2,309, 1541,621,440

19,799,46047,942,952

64,212,315

1,891,32062,320,9959,934,578

W8, 5609,426,018

6,294, 1321,286,796

169,8$3,614

158,160,9489,189,790

2, 532,876

33,444,324

Special acts

Num-ber

1, 77810,656

1;

116102

1699,674

596

596

129

“129--------

895731

2

2

--------

:,nn;:l

$453,9484,668,384

6006,048

24,72025,128

96,8884,368,900

146,376

146,376---------

35,988

35,988---------

185,244231,720

720

720--------.

---------

---------

NoTE.—The annual value show’n for service prior to the Spanish-American JVar and special-act cases notreduced by amount authorized in the economy provisions of Public, A’o. 141, 73d Cong.

Page 64: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

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Page 68: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

58 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS

Total Temporary part ial Temporary total

- L - - - - -

N:e~ Mf~:~l y ;:~h~y Num- Monthly *ver~~e Num- Monthly ‘kveray

ber value m;~;u~l y ber value month yvalue value

. —Veterans with de-

pendants- . . ..-.. - 60,690$2,261, 135 S37. 26 58,336 $2,026,872 $34,74 2,354 $234,263 $99.52Total depend-

ents -------- 172,760 442,308 17.29 166,461 398,131 6.82 6,299 44,177 18.77

wivea ---------- 66,340 m, 586—.

3.72 54,266 188,84(3 3.48 2,074 20,740 10.00Children ------- 111,313 210,135 1.89 107,434 190, 158 1,77 3,879 19,977 5.15:ao;h~-l-------. 3,808 16,875 4.43 3,,546 14,255 4.02 262

-------- 1, m 5,7122,620 10.00

4.40 1,216 4,872 4.01 84 840 10.00. —— —

Veterana----------- 60,690~1,S18,827——— —.

29.97 58,336 1,628,741 27.92 2, 354 190,086 80.75

1Average monthly value of compensation per veteran for dependents.~Includes nurse allowanm.

Kind of chdmh’umber of ‘~emWb~jdofTot~l disabled

veterans veterans

Total --------------------------------------------------------- 431,445 332,216 w, 229

Com~nsation ody -------------------------------------------------Compensation and term insuranm ----------------------------------Compensation and automatic insurance ------------------ ----------Compensation and United States Government life insurance --------Compensation, @rm insurance and tTnited States Government life

insurance --------------------------------------------------------

356.25706,660

:3,718~,3!){)

411

3m, 490 35,7678, ~b 5s, 455

lW) 3,5523,089 1,310

266 145

TABLE No. 19.—T170rtd lVar compensation, . -active death awards,” n~(niber ojdeceased veterans who8e dependents are Tecetvzng compertgation, showing n~(mberoj dependent, ag oj June 30, 1934

Monthly AverngeNumber

value monthlyvalue

Total death cases on which compensation is being paid .-.. _________ 09. 2L~JTotal dependents --------------------------------------------------- 150,881

Widows -------------------------------------------------------- 26, ()}UIChildren ------------------------------------------------------- 39,:$14Pamnk --------------------------------------------------------- 85, 477

$2,787,027q 787, 027“ 779,753

458,5921, 548, 682

$28.0918.4729.8911.6618, 12

——.—

TABLE No. 20.—l$’orld IITar cornpensafion, active death a ~[’ardg; n IIrrtber ofde-ceased ve!erang whose dependent were receiving co mpctLsat ion, 8howing 1~(Lt~~beroj dependents as oj the end oj each figcal gear, 192,3–.$J

Fiscal year DeceasedI veterans

Total

1934--------------------------------------- 99, 2% lW, 8811W3--------------------------------------- 98,628 149,9751932--------------------------------------- 97,448 14&0161%1--------------------------------------- 93,334 141,2501930--------------------------------------- 90,954 136,163law-------------------------------------- 87,668. 130,1381W8--------------------------------------- 85,634 125,3951927--------------------------------------- 82,827 120,4871926--------------------------------------- 78,881 113,5421925--------------------------------------- 65,958 94, 1021924--------------------------------------- 57,971 82,0411923--------------------------------------- 55,334 78, 234

Dependetlts .kveragemonthlv

\Vidows

26, ~024,75723,96122,84321,75420,64319,26018,56517,55616,34614,44714,809

—. value p~r:llil(ircn Parents case

:{g,31437,77136, 56534,70032,76530, 10s27,31425, 172Y2,97620,47217,39615,854

85,477b7, 44787,49083,70781,64479, 3277S,82176, 750 ,73,01057,28450, 19847,571

$28.0928.0427.0827.9027.5627.4627.3327.2427.0326.4425.5825.66

Page 69: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

AN NUAI~ REPORT ADMINISTRATOR OF VETICRANS ) AFFA~S 59

TABLE No. 21.— l~orld War veterans receiving pensions jor now-service-connecteddisabilities classi$ed by type of major disability, as oj June 30, 1934

Type of major disability ● Number I Percent

Total --------------------------------------------- 31,161

100.00

Neuropsychiatric diwases ------------------------------ 14,523 46.57Tuberculosis ------------------------------------------- 6,756 21.67General medical and surgical conditions ---------------- 9,904 31.76

hfonthlyvalue

$798,728

345,934174,359270,435

$25.61

23.8225.8128.11

TABLE No. 22.—8panish-American War veterans receiving pensions paid underPublic, No. 2, and Public, No. 141, for non-service-connected disabilities, as ofJune 30, 1934

Status 0[ pensions

Total -------------------------------------------------- 169,274 100.00 $5,247,306 $31.00

Paid under Public, No. 2 (no action under Public, No. 141)..- 14,778 8.73 262,281Forage --------------------------------------------------

17.758,740 5.16 117,090

Fordisability, ]OOpermnt ------------------------------- 6,03813.40

3.57 145,191 24.05

Paid under Public No. 141----------------------------------- 154,496 91.27 4,98,5,115 32.27

For aRe--------------------------------------------------Fordisability -------------------------------------------- 15i ;:;

.90 39,935 26.3290.37 4,945,180 32.33

.—Degree of impairment (prior to Public, No. 2):

Degree not shown -------------------------------- 1,618 .95 58,235 35.9910perwnt ---------------------------------------- 10,269 6.07 153,549 14.9525 percent ---------------------------------------- 18,203 10.75 343,680 18.8S50~rcent ---------------------------------------- 41,215 24.35 1,062,845 25.7975 percent ---------------------------------------- 47,910 2a. 30 1,804,744 37.67100 percent --------------------------------------- 33,764 19.95 1,522,127 45.08

T.4BLE No. 23.—Spanish-American War veterans receiving pensions paid underPublic, A’o. 2 for service connected disabilities, as of June 30, 19S4

Degree of impairment Number

Total -------------------------------------------------- 3,449.—

Degree not shown --------------------------------------------10~rmnt ---------------------------------------------------- 2::~Mr@nt ---------------------------------------------------- 25130mrmnt ---------------------------------------------------- 68940perwnt ---------------------------------------------------- 53650perwnt ------------ --------------------- ------------------- 737Wwr@nt ---------------------------------------------------- 3W70~rmnt ---------------------------------------------------- 17380~rmnt ---------------------------------------------------- 131Wwrmnt ----------------------------------------------------100pereent -------- --------- .------- ------------- ------------- 2%

Percent

100.00

.467.807.%

19.0815,5421.3711.315.013.80.72

6.73

$162,940—

$47.24

44.44

1:%31.9041.3849.8761.3972.3581.9595.00

105.41

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Page 72: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

62 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFA~

ADJUSTED-COMPENSATION TABLES.

TABLE No. 26.—.Vumber of applications for adjusted compensation recm”ved byfiscal years from September 1924 to June 30, 1934

Applica-Fiseal year

A~iP~;.t ions Fiscal year

received receivd—

Total --------------------------- 4,044,830 1930----------------------------------- 30,840lW-----------------------------------

1934-----------------------------------138,689

12,538 19M----------------------------------- 124,175Ipw----------------------------------- 42,505 1927-----------------------------------1932-----------------------------------

183,316161,641 19%-----------------------------------

lW1-----------------------------------397,008

108,938 Total to June 30, 1925----------------- 2,845,180

TABLE No. 27.—Action taken on applications for adjusted compensation to June 30,1934

Branch of service and type of claim Number—

Grand tota1--------------------------------------------------------- 4,004,586

Cash:(a) Veterans ($500rless) ---------------------------------------------- 155,536(b) Dependents (less than $W)---------------------------------------- 9,456

DeMndents ($5Ooro\~er)--------------------------------------------------Certiflmtm --------------------------------------------------------------- 3, ;:$ r;Wlump sumpayments -------------------------------------------------- ------------

Army:Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,440,611——

Cash:(a) Veterans ($Worlew)------------------------------------------ 143,372(b) Dependents (l~sthan $@)------------------------------------ 8,734

Dependents ($500r over) ----------------------- --------------------..Certiflcatw ------------------------------------------------------------ 3, :% z$Mlmpsum I}nymenti ------------ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

N8V y:Total ------------------------------------------ --------------------- 493, m7

Cash:(a) Veterans ($Worlms)------------------------------------------ 11,605(b) Dependents (l&than $5O)---------------------------- . . . . . . 644

Dependents ($5Oorover)---------------------------------------------- 10,714Certificate ------------------------------------------------------------Wlumpsum paymenb ---------------------------------------------- ..--: ??- !24

Marine Corps:Total --------------------------------------------------------------- 70,8M

Cash:(a) Vekrans ($Worlw)------------------------------------------ 559(b) Dependents (lexthan $W)------------------------------------ 78

Dependents ($500ro\or).----------- ---------------------------------CertiflcatM ----------------------------------------------------------- 6?=$OOlump sum paynlents --------------------------------------------- . . . . . . . . . . .

Amount

B, 723,809,605.96

5,245,237.96257,069.00

41,516,160. (HI3,673,610,059.00

3,181, mo. 00

3,153,922,075.92

4,921,891.60238,924.32

36,109,172. M3,109,769,328.00

2,882,760.00

406,806,667.19

304,932.1915,874.00

4, Wo, 904.00491, W, 277.00

196.680.00—__

73,080,862.85

18,414.172,270.68

1,116,084. CCI71,842,454.00

101,640.00

Page 73: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

AN NtTAIJ REI]ORT ADNIINISTRATOR OF VETERANS) AFFAIRS 63

TABLE No. 28.—Death claims awarded on account of arljtd.~ledcompensation, showit~g

Beneficiary

Total --------

Widow orwidower.Child or children-.Mother .- . . . . . -----Father -------------Parent, or parents

and others--- ..-.Other relrit ives- . . .No relationship

shown . . . . . . . . . . .Estate . . . . . . . . -----Other persons. ----O\~~~t~ge, hospi-

, -------- -.

beneficiary as of June 30, 1.934

Payments to Payments to de- $60 bonus Payments on cer-Total dependents pendents ($5o or (lump-sum tificates matured

(less than $5o) over) payment) by death

\

N;e:- .4mount ~b::- .kmount ~erA’um- .4mount Amount N;e:- Amount

——— .

166, $223,046, 5@J 9,456 $257,069—..120,026 .$41,516, 160 $3,181,080 178,568 $178,W2, 200

122,046 100,234, 136 2,527 71,799 30, 80’!’! 10,942,201 258,,540 88,711 88,961,59616, 124 8,652, 3S2 1, 141 28,526 9, 6Q3 3, 170,4TJ 238,200 5, 380 5,215, 183

103,218 56,593, 140 4,884 132,468 66,329 22,796,402 2,265,720 32,005 31,398,55019,856 10,966,920 885 23,772 12,894 4,452,951 414,480 6,077 6,075,717

126 142,748 . . . . . . . . . . . . . . . -- . . . . . ----------- ----------- 126 142,74826,669 20,513,545 19 504 392 154, 133 4, 140 26,258 26,354,768

523 54a, 447 ------ . . . . . ___ ------- . . . . . . . . -----------15,5{Y2 15,341,642 ------ . . . . . . . . . . . . . . . . . . . . . . . . . . . ----------- 15,:% 15,‘2: ;:;3,715 3,883,593 . . . . . . . . . . . . . . . .-.. . . . . . . . . . ---------- 3,715 3, &3, 593

181 177,956 -- . . . . . . . . . . . . . . . . . . . . . . . . . . . . ----------- 181 177,956

INSURANCE TABLES

TABLE No. 29.—~Vumber of Lrnitcd S’tates Go~’ernment term and cent’erted ir~surar~ceclaims received and awarded by fiscal years from October 1917 to June 30, 1934

I Term and automatic insurance claims

Fiscal yearRe-

ceived

Total ----- 257,901

1934------------- 21819n------------- 6521932------------- 1, m1931------------- 7531930 ------------ 444lam_. -.-. ._. -... 30719m. ..- . . . . ----- 4461927------------- 13,0721926------------- 20,8421925------------- 15,7881924------------- 13,0861923------------- 14,6041922-.-. -... --..,- 15,6101921 ------------ 21,8681920------------- 20,3021919..------..-..105.3821918-... - . ...--..1 13;318

Total

192,979

3651,4812,2511,407

947978

1,0392,0554,4624, 1043,7615,4258,855

12,73429, %?2

[0s, 0336,250

Awarded

O~~~i-

death

54,789——

1:m312349372532752

1,3701, ?741,0%1,8313, 1325,424

23,93507,807

6,250

Origi-nal dis-ability

38, IN

3401,3512,0471, W5

598fm.507

1,3033,0922,8302,6713,5945,7237,3104,897

226-. . . . . .

——-Dis-

abilitychangedto death

20,918

451948

1,050

:;%)8

8521, 53s1,5781,8082,4562,6332,65.51,867

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

Converted insurance claims

IAwarded

Re-ceived

Total

I

43,469 34,458.—4,806 3,7024, 718 3,7214,944 3,8254,548 3,5104,278 3,5073,994 3,4063,710 2.9142,454 1,9,572, ~8 1,850], ~g~ 1,4641,59s 1,3461,630 1,3191,252 1,2471, T24 585

220 [ I 05

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death

21,703

2,2312,3562,2$5z, 1472,2372,2051, 8T21, 1991,014

970842883W2506104

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

Origi-naldis-ability

12,755

1,4711,3651,5401,3631,2701,201I,w%

758S36494504436345

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. . . . . . .

Dis-ability

changedto death

3,217——

457435370353344

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Page 74: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

64 ANNUAL REPORT

TABLE No. 30.—Z’errn and

ADhIIhTISTRATOR OF l’ETERANS ‘ AFFAIRS

automatic insuranc+active disability and death awardsa8 of June 30, 1934

Form of insuranw I Number I Face value ofpolici~s

Term and automatic:Total ----------------------------------------------------------------- 147,836 $1,232,665, 136

Disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,275 108,380.065Death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134,561 1, 124,285,071

Term:Total ----------------------------------------------------------------- 140,527 1,201,092,477

Dkability --------------------------------------------------------------- 12,976 107,081,209Dath ------------------------------------------------------------------- 127,551 1,094,011,268

Automatic:Total -------------------------- .------- ..------....-. .................1 7, 30V 31,572,659

Disability --------------------------------------------------------------- 299 1,298,856D-th ------------------------------------------------------------------- 7,010 30, n3, 803

TABLE No. 31.— Term and automatic insurance--terminated disability and deathawards by reason of termination, as of June 30, 1994

Reason for termination

Disability:Total terminated---------------

Terminated by recovery ----- -----Terminated by death -------------Terminated by other reasons -.-...

Death:Terminated by lump sum pay-

merits l-------------------- . . . . . .Terminated—no beneficiary in per-

mittedclw ---------------------

24, 183

3,5092(], 652

.2,)-

34,308

. ----- .

Term insurance I .4t]tomatic insurance

Face valueof policies

$203, w, 351

29,758,850173, IC*, 196

172,305—.

260,897, 3&J

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

I

.-. ..- ..... 341 $1,459,819 ------ . . .— ——

54 234,576 ----------B7 1,225,243 -. --

. .. ----- . . . . . ------- . -------- -- . . . . . . .—— —— —— . .— —. _———

$147,653,827 ------- ---------- -- ----I

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

1, 52a 6, 602,&o ‘$3, 9W, 016

1 In addition, 937 awards with policias amounting to $7,447,792 having a commuted value of $5,392,2Wwere terminated by lump-sum payments immediately after death of veteran.

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Page 77: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

ANNUAL” REPORT ADXfINISTRATOR OF VETERANS) AFFAIRS 67

TABLE h’o. 33.—Rewort of United States Go~~ern??lent life insl[rance in force.fiec. 31, 1933, total, all plans

—Insurrince in force Dec. 31, 1932--------------------------------------------Issued during l933---------------------------------------------------------

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

Terminations:Death claims awmded -------------------------------------------------Disability claims awarded ---------------------------------------------Matured endowments -------------------------------------------------Surrendered for cash --------------------------------------------------Surrendered forpaid-up insuran@-------------------------------------Lapsed ----------------------------------------------------------------5-year con%'ertible term expired ----------------------------------------Reduwd --------------------------------------------------------------Canceled --------------------------------------------------------------12xtended insurance expired -------------------------------------------C’anceled rerated disability claims -------------------------------------

Total terminatiorls --------------------------------------------------

Additions:lierated disability clainls ----------------------------------------------Paid-up il]surance issued ----------------------------------------------Rek'ived ---------------------------------------------------------------Contillued under exten(ied insuranm ----------------------------------

'r()taladditfons ------------------------------------------------------Net krminations ---------------------------------------------------------Insurance in force Dec. 31, 1933--------------------------------------------

——

Number

637,04913,206

650.256

-------.-- .488

13,55518

73,815

281

2E23,013

26,61747, 19s

603,057

Amount

2,974,654,448

59:243:40020; 844; 336

1,966,66264,840,971

64,237

376,031,714

1,132,6191,049,016

12,277,76294,399,195

108,858,592267,173, 122

2,707,381,326

TABLP; No. 34.—Report of United States Goz’ernnzent life insurance in forceby plan, as of Dec. 31, 19.93

Plan Number—

Ordinary life. -..-- ------------------------------------------------------- . 136,988~-l)ayrnent life ------------------------------------------------------------ 159,30830-payment life ------------------------------------------------------------ 28,520~-year en(iowment -------------------------------------------------------- lW, 6533@yearendowment -------------------------------------------------------- 32, W8Endowment atage62----------------------------------------------------- 33, 1165-year convertible term:

I)uration less than 5yems ----------------------------------------- . . . 18,354Duration more than 5 years ------------------------------------ . . . . . 24,646Renewed, sec()n(i period --------------------------------------- . . . . . . 22,874

5-year level premium term ------------------------------------------------ 4,242Exten(ied inswance ------------------------------------------------------- 30,786Paid-ul) life.. - . . ..-. -... ---.. -------- .----- .------- . . ..-.. -.-... +. . . . ..-. -. 1,476Paid-u~) endowment ------------------------------------------------------- 996

Total ---------------------------------------------------------------- 603,057

Amount

117,433,980145,282,487154,224,81221,409,15794,953,181

1,675, 67S771,978

2,707,381,326

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72 ANN ~TAL liEPORT AD~fINISTRATOR OF I’ETERANS’ .4FFAIRs

FINANCE TABLES

TABLE No. 38.—.4r~alysis oj reporletl obligatio?~s jror~t all appropriatiorls, bjj ptir-pose, jiscal year 19,94

Personal services:Salaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Special nndmiscellaneous paynlents. . . . . . . . . . . . . ~ ~-~~~~~~~~~~~~~~~~~~~~

Supplies and materials:Stationery andornce supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cleaning and toilet supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Medical and hospital supplies.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . .

Orthopedic and prosthetic supplies .Fuel.. --. . . . . . . . . . . . . . . . . . . . . .

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

\\’earing apparel andsewing suppli&.-. ~.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Forage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Provisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sundry supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 .--... . . . . . . . . . . . . . . . . . . . . .

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

Motor-vehicle supplies . . . . . . . . . . . . . . . . . . . . . . . .Communication service:

Telegraph servim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Telephone service ------ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other communication service . . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . ..~~~~~~~-~~~~~~.-

Travel e~penses:Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Subsistence andlodging. --- . . . . . . . ..- . . . . . . . . ..~~ . . . . . . . .

Transportation of things . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ‘~-~--~~~~~~~.....---..printing and binding, en~raving, lithographing, photographing, nnd typewriting (service), (job

work): Print ing and binding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Furnishirtg ofhe~t, light, power, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-. -.-. . . . . . . . . . . .Rents .- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Repairs and alterations. -.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -...: ~~~~~~ll~ll~~C1ll~~~~~jSpecial and miscellaneous current expenses ----------- . . . . ..- . . . . . . . . . . . . . . . . . . . . . . . . . . .Pensions, retirement salaries, annuities, JVorld JVar allowances, nnd insurance losses:

Military and naval compensation for death and disability . . . . . . . . . . . . . . . . . . . .Other \\’orld \\rar allowances (adjusted compensation). . . . . . . . . . .._ _.. -.. . . . . . . . . . .Army and Navy pensions . . . . . . . . . . . . . . . . . . . . . . . . .Insurance losses (converted insurance) . . . . .Military and navalinsurance.. . . . . . . . . . . . . . . . ~ ~ ~- . . . . . ‘....-..~~~~-~-~~~~~~~

. . ..-

Grants, subsidies, and contributions:Burials---- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Reimbursement to States for veteransin State homes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Equipment:Furniture, furnishings, and fixtures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Educational, scientit?c, and recreational equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other equipment ..- . . ..--- . . . . . . . . _... ..- . . . . . . . . . . . . . . . . . . .

Structur&, and parts and nonstructural improvements to lands (including flxe~-equ{~~~eni~ ~Investments (includes working capital funds) -investment trust funds:

1. Government life insurance trust fur]d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..- $46,972,2712. Adjusted service certitirate fund... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50, ~,0003. Civil-service retirement and disability fund -------------- ----------------- 20,850,000

Total investment trust funds . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . .——

.kdditional amounts transferred to ether departments and establishments:IVar Department (less amount from J$rar Department for C. C C. members hospitalized).Navy Departnlen t..... . . . . . . . . ------- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .St. Elizabeth IIospit,il (Interior l~epartment).. _ -.. . . . . . . . . . . . . . . . . . . . . ~Treasury Department (transfer of function) .- . . . . . . - . . . . . . . . . .Agriculture Deprlrtment .._. ----- . . . . . --- . - . . . . . . . . ;~~.1 . .Public IIealth Service (Treasury l~epartment). . . . . . . . . . . . . . ..~. ~.~ . . . ..~ . . . . . . . . . ..~Interior Department (trar]sf[,r (,ffunction) . . ..-. -.. -... . . . . . . . . . . . . . . . . . . . . . . . . .Justice Department (tr:insfer of functiorl). . . . . . . . . . . . . . . . . . . . . . . . . .

$41,736,6381,29.5,(x)4

228,505274,998965,854370, 1208Q5,~~683,668WJ,753

7, 170,791279,947

68,858

33, N70195,33R36,566

572,324322,217970, 497

113, 7701, 515, 132

605,2613,565,713

144,664

181,994, 7981,895, 111

137,235,20221, 2?6, 634

101, 268,274

3,~2,514522,840

%4, 998211,v>]115, 192416, 73X

117,522, 271

24, 52013<5,72485, 587

196, 26244,23069, 158

1s7, 143790,400

Total ---------------------------------------- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . M]~,:;87,435

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ANNUAL REPORT ADMINISTRATOR OF %’ETERANS) AFFAIRS 91

TABLE No. 46. —Financial statement of the Canal Zone retirement and disabilityfund by$scal years, from origin of fund to J~lne 30, 1934

II

Fiscal year ended June 30I Deductions

I from pay ofemployees

I

Total ..-... - . . . . ..-... -.. ---- . . ..l $3,036,873,23

1934. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469,270.781933. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475,945.57

{1932. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ ~’;% ::: g

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Receipts.

Intermt Appropriations Total receipts

$393,342.36 ---------------- $3,430,215.59.—— . .

88,894.58 . . . . . . . . . . . . . . . 558,165. ~84,985,31 . . . . . . . . . . . . . ..- 560,930.8866,385.89 . . . . . . . . . . . . . . . . 487,334.41

153,076.58 .._. ------------ 1,823,784.94

Disbursements

Fiscal year ended June 30Annuities

1Refunds and Total disburse- BalaJnuy~:&nd

interest mentsI ! —1 1

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . $881,000.13 $190,791.32 $1,071,791.45 ----------------1934------------------------------------ 411,054.46 115,982.51 527,036.97 $2,358,424.141933------------------------------------ 43,040.31 351,786.93 2,327, 295.751932------------------------------------ ;$: ;2: : I ‘ 31,768.50 192,067.55 2, 118, 151.80

l. . . . . . . . . . . ..l . . . . . . . . . . . . . . ..] . . . . . . . . . . . . . . . . . . . . . .

I 10 months.~Transfer from civil-service retirement and disability fund of $1,314,724,36 on account of deductions and

$153,076.58 on account of interest, and deposit by Panama Railrond Co. of $355,984.

C OBSTRUCTION TABLE

TABLE No. 47.—Statement showing by ,$tate and location, the hospital and domi-ciliary beds u~lder the control of the l~eteransp .4dministration at the close of thefiscal years 1933 and 1934, and the authorized development of facilities underpresent appropriations through the $scal year 193,5

IThe program for 1935 as outlined is tentative and subject to such chances as may be indicated by futuredevelopments]

Beds available Additions

June 30, 1933 flscp~3~ar

State and location

Hos-pital

Alabama:Tuscaloosa --------------- 273Tuskegee ----------------- 804

Arizona:Tucson .-. -._ . . . . . . . ------ 358\\’IJipple ----------------- 600

Arkansas:Fayetteville.-. . . . . . . . . . . . ..-- . . . .North Little Rock ------- 820

California:Livermore ---------------Los Angeles --------------Palo Alto ----------------San Fernando ..- . . ..-... -San Francisco -... -..... -.

Colorado: Fort I.yon ----------Connecticut: Newington... -.District of Columbia: Jl’ash-

ington. . . . . . . . . . . . . . . . . . . . .Florida:

Bay Pines . . . . . . . . . -------Lake City . . . . ------------

Georgia:Atlanta ---- . . . . . . . . . . ..-.4ugusta. -- . . . . . . . . . . . . . . .

Idaho: Boil -----------------Illinois:

Danville. . . . . . . . . . . . . . . . .IIines- . . ..-- . . . ..--. _-...North Chic~o. ._.. ______

Indiana:Indianapolis . . . . . . . . . . . . .hfarion -------------------

3181,2321,010

230------

500266

260

159307

200966302

5601,7501, 135

1521,400

Domi- Hos- Domi-ciliary pit al ciliary— —

----- . 73 ..--...350 350 1350

------ .. ..... -----..------ 258 -------. . ..- ----- --

.......5,577 ------- . ----------- ----- . . . . . . . . .

----- . . . . . . . . . . ---- .. . . . . . 196 -------

.. .... ....... ..----.sw~38 . . . . . .

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

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

2, 105 12 ~4,. . . . . . . . . . ___ . . . ..-.------- . . . . . . -------

------ .-. -. . -l-------

Beds a\rail- Additions Beds avail-~ble June 30, fiscal ~-ear able June 30,

1934 1935 1935\ )

Hos-pital

3461,164

358600

:;

3181,2321,010

230

609266

260

197307

200966302

5621,7501,135

1521,400

Domi- Hos- Dom i- Hos- Domi-ciliary pital ciliary pita] ciliar y— — — . _

. . . . . . . . . . . . . . . . . . . 346 . . . . ..-118 . . . . . 1, 136 -------

358 ~-------600 -------

258 -------. . . . . . . . . . . . .- . . . . . . 820 . ------

-----.--5,577 650 1

. . . . . -. 334 .

. . . . . . 67

350, . ..-. -.

318 . . . . . . .,016 1,882 4,561. . ..- 1,010 . . . . ..-

230 -------334 . . . . . . .

. . ..- 696 ..-... -

..... 266 -------

327 -------

.:::::1 :: . ...3!....-..-.. 200 . . . . . . .

066 -.... -.. . . . . . ----- . . . . . . . . . 302 . . . . . . .

2,350 1,263 1z 350 1,825 _... _.1,750 -------

------- . . . . . . . . . . . . . . 1, 135 ------

------- ----- -. 152 . ..-. _-.- . ..- . ----- .- .----- 1,400 .------

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92 ANNUAL REPORT ADMINISTRATOR OF VETERANS’ AFFAIRS

TABLE No. 47.—Statentent showing by State and location, the hospital aria’ do~?ti-m“liary beds under the control of the ~reterans’ .ldrninistration at the close of the$scal years 1933 and 1934, and the authorized develop r~lent of jacilit ies IIriderpresent appropriations through the fiscal year 1935—Col]til](~ed

———1

Beds availableJune 30, 1933

State and lomtion .Hos-pital

IowaDea Moines --------------Knoxville ----------------

Kansas:Leavenworth -------------Wichita ------------------ .

Kentucky:Lexiwton------.--------.Outwwd.-----------.--.-

Louisiana: Alexandria ------ -.Maine: Augusta -------------Maryland: Perry Point. --.--Masaachuzetts:

Bedford ------------------Northam ton---.------.-

kRutland eighta ---------Michigan: Camp Custer -----Minnemta:

Minneapolis -------------St. Cloud ----------------

Mississippi:Bfloxi---------.-...-...-- .Gtifport-------.------..-

Missouri:Excelsior Springs ---------Jefferson Barracks --------

Montana: Fort Harrison -----Nebraska: Lincoln --- --------Fe: J~;:iY~ Lyons- ---------

Albuque~que. --.. .-. . . . . .Fort Bayard -------------

New York:Bath ---------------------Batavia ------------------Boom --------------------Canandai~. ----- .CMtlePont-.-----------NorthWrt ----------------Sunmount ---------------

North Carolina: Oteen -------North Dakota: Fargo -------

-----..851

448------.

256375439

1,::

813555420774

554755

------598

252372438197895

2.5945a

395-----..

950468479

1,392520850100

Ohio:Chillicothe--- . . . . . ..-... - 944Dayton ------------------ 11, 105

Oklahoma: Muskogee -------- 400Oregon:

Portland -----------------Roseburg ----------------

Pennsylvania:Aspinwall ----------------Coat8sville. --------------

South Carolina: Columbia . . .South Dakota: Hot Springs.Tennes~:

Johnson City ------------MempMs-.------.--.---.

W543

677470

Texas:tigion--.---.-----_.--.-- 433Who-------------------- 308

Utah: Salt Lake City -------- 103Virginia

Hampton ----------------Roanoke -----------------

Washington:American Lake ----------Walla Walla -------------

West Virginia: Huntington-.Wisconsin: Milwaukee. - ----Wyoming:

Cheyenne ----------------Sheridan ---. . . . . . . . . . . . .

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

810-------

676355210

1,304

------466

{40, 213

Domi-ciliary

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

1,845----- .,

. .. ----. . . . . .1, 194------

-------

----- . .

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

1, 145. ------

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

.- .-. .3,400

. . ---- .

. . . . . . .183

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

433

2,420------ .

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

1,539

------

1,752

. . . . . .

. .

22,30”

Additionsflsc;;3ear

——Hos- Domi-pital ciliary. —

300 -------............

376 360166 . . . . . . .

------I ‘--”----------- .....-.

149 386------ ------------- -------

56 -------52 . -----61 . . . . . .

881.... ..

207 350

.-...- .

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

1“’’”10 . -----

%7 . . ..-.----- --.- . ..-. . . . ..-------- ----- -

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

I....- .--..---1“------......------1 -------

I11 1276

7 . . . ..-.

148 167

232 . . -----188 . . . ..-.

--...---------..............1112 314

120 . . . . . . .

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

.. ...--1“--49

108 \ . . . . .

Beds avail-able June 30,

1WJ4

Hos-pital

300851

824166

256375439275

1,015

813611472835

642755

207598

252372438197895

259450

405%7950468479

1,392

::100

9441, 104

407

385191

5011, 136

304’207

5&54M

433308103

810. . . . . . .

6764(KI210

), 304

108466

43,‘B2

Domi-ciliary

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

2, 205

. . . .

. -----

1,580------

.- . ..-

. . . . . .

.

350. ..-

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

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

1, 145------

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

,---- .-

$, 124

Additionsflsc;;3:ear

Hos- Domi.pital ciliary— —

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

] 83 . . . . . .----- . -----

. . . .56” .--.. ”

. . . . . . . . . . .

. . . . . . -----

. . . . . . . . . . .

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

I

....-!

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

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

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

. .. ..... ......

1-14”.. ..

350-.::. . . ..::

I I--- --l-- --l--- --

433 . . ..-. . . ----

2,743 . . . .../.------- --- ---

........... .

~....-l......-.1,.539. . 472-,.. -::

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

Beds avail-able June 30,

1935

Hos-pital

300851

741166

256431439275

1,015

813611472835

642755

207598

2523724M197895

2M450

405B79504M47V

1,392520850100

9441, 104

407

W5191

Ml1, 136

k?

:E

433308103

810472

676400210

1,304

108598

6, 165-

—.3omi-‘iliary

------

2,205

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

1,560------

. -----

.. ----

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

. . -.----- .

350. ..- .

. -----

1, 111. . ..-.. . ..- -

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

. -----3, 110

-..---

. . ----3W

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

433

2,743.-----

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

1,539

. . .1, soi

----- .

20, 13s. . . ..-

1 Decrease.

Page 103: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

INDEX

Page.4djusted compensation ------------------ ----- _____ ----- ----- ----- - 28

Action taken onapplications for, to Jtlne 30, 1934, tableno. 27----- 62.4pplications received by fiscal years, table no. 26--- _ --- _ --- _ - _ --- 62Death claims avvarded on account of, number and amount of, table

no. 28---------------------- ---- ---- ---- ---- ---- ----- ---- __ 63.4dnlissions, hospital and domiciliary:

.4nalyses of --------------------------------------------------- Is, l!jBy beneficiary, groups of hospitals, and type of patient, table no. 6_ -By branch of service, type of patient, and sex and color, table no. 7-- ::By fiscal years, 1920-34, table no. 5_____________________________ 44

Allied veterans:Admissions to hospitals, by groups of hospitals, and type of patient,

table no.6------------------------------------------------- 45Remaining under hospitalization, by groups of hospitals and type of

patient) table no. 8------------------------------------------ 47Appropriations:

Analysis of obligations from all, by purpose, table no. 38__ ------- _ - 72And other receipts versus disbursements to June 30, 1934, table

no. 39------------------------ ----- ----- ----- _____ ----- ---- 73Beds, hospital and domiciliary—existing and development of, under

present appropriations, tableno. 47------------------------------- 91Civil-service retirement. (See Retirement of civil employ ees.)Civilian Conservation Corps (see also tables nos. 6 and g)_____ - _ _ - __ _ _ _ 6Clinical laboratory tests and X-ray examinations for fiscal years 1924-34,

table no. l -----------------------------------------------------~olored l]el~eficiaries (see also Sex and color) ----------------------- 13,14,!:Compensation:

Death:A1~alysis of -----------------------------------------------A~rards, active:

Atendof each fiscal year, 1910–34, table no. lo___________Average annual value at end of each fiscal year, 1910-34,

table no. 13------------ __------ _-_- __--- __+--------Bykindof claim, table no. l8--------------------------Byrelationship toveterax~s, tables nos, 19and 20---------

Disabilit~:Analysis of ------------------ ---- ---- ____ _______ ----- ---- -A~vards, active:

.At end of each fiscal year, 1910-34, table no. 12-----------Average annual value at end of each fiscal year, 1910-34,

table no. lo------------------ ----- ----- ----- ------ -Bykindof claim, table no. l8--------------------------Comparative analysis of type of major disability, by extent,

at end of each fiscal year 1923–34, table no. 15----------Rated on temporary basis, showing number of dependents,

Construction:and additional compensation received, table no. 17_______

Hospital and domiciliary beds, existing and development of, underpresent appropriations, table no. 47---------------------------

Hospital anddomiciliary, future --------------------------------~e;~~soperating, hospital anddonliciliary ----------------------------

In"hospitals duril]g year ---------------------------------------In homes during year -----------------------------------------

Dental relief (see also tables nos. 3and 4)----------------------------

93

25

50

::58

25

50

::

54

58

911717

;;18

Page 104: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

94 INDEX

Disbursements:Allwarsz table no.40. __-... -_o_________________________________Ap:~~~tlor18and otherreceiptsversus, to June 30, 1934, table

--- ----- --—- ----- -—--- -——-——-—-——-——-—-Canal Z~{e-~et~~ernen~ fund to June 30, 1934, table no. 46_ . . . . . . . ..-Clvll-service retirement fund to June 30, 1934, table no. 45.. ..-. ___Fiscal year 1934, by type of benefit and States, table no. 41. _. . . .._ - _Fiscal year 1934, by type of benefit, United States possessions and

foreign countries, table no. 42----------------------- . . . . . .Tran8fer of work -__.- _._- __- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Discharges: .Domlylllary care ------------------- ______________ . . . . . . . . . . .Hospital------ _---. ---- _--- _----- Z------------- _.. _.. _________

. .Results of,treatment andtype ofpatlent, table no. lo_____________Dlvldends, United States Gov~rn,ment l?felnsurance ____________________Dornlclhary care (see also Adm~sslons, discharges, and remalnlng), average

Yesent in home8 by major wars, and fiscal years from date of organ iza-

ion$?1934, ~8bleno. lo ---------- __________________________ -----Domlclhary fac~lltles:

Available June 30, 1934--__-- ___-- _________ ---_ -__-: ____________Exlstln and development of, under present approprlatlons, table

$no” 4 --;--ii -------------------; ------- ;------.---.-.-::_- --Operatln

k(See Costs, o eratlng, hospital, and domlclhary.)

Emergency o cers, ~etirement of. rSee Retirement.)Examinations:

Medical. anddental, salary and fee, table no. 4. . . . . . . . ---------Out-patient (see also table no. 4)________________________________X-ray, fiscal years, 1924-34, table no. l _______________________ --

Expenditures for all purposes,. fiscal year 1934-_ -- _______ -.. __ -... _ -..Facilities, hospita!, anddomlclhary (see atsotabl~ no. 47)__ ..:_= ________Female beneficiaries (see also Hospital and domlclhary admlsslons, etc.;

l’age76

73919078

845

::4831

49

16

91

44

::3891

sex and color) --------------------------------- --------------- 13, 14, 15Finance- _-n-- _-_----------.- _-:- ___- _-. ____ -__- __ T_=____ __________

Analys16 of reported obhgatlons from all appropriations by purpose,fiscal ye+r1934, table no. 38)__________________________________

Approprlatlons andother receipts versus dlsbursenlents, table no. 39-By States and type of benefit, fiscal year 1934, table no. 41... __ _.. _ -By United States possessions and foreign countries, and type of

.benefit, table 42___________________________ . . . . . . . . . . . . . . .D~sbur~ements forallwars, table no. 40_________ ----------------Flnanclal statement of:

Canal Zone retirement and disability fund, by fiscal years fromorigin to June 30, 1934, table no. 46-----------------------

Civil-service retirement and disability fund, by fiscal years fromorigin to June 30, 1934, table no. 45___ -.- fund. ---- fund-- fiScai

Policy loans, United States Government life-insuranceyear l?34, table nq. 43______________________ -----------------

General medical and surgical patients:Admitted, analysis of (see also tables nos. 5, 6, and 7)----- - ___ . ----Discharged, analysis of (see atso table no. 10)__ . . . . . . . . . ___ - _ _ -_._Remaining, analysis of (see also table no. 9)_ --- ___ --- _ _ - . . . . . . . . .

Guardianshipnz _____________________________________________ _-...Hospital .facdltles:

Available June 30, 1934-_--_- __-__ -_-_ -__-- _______ -:________ ..-Ex~ot~~ and development of, under present approprlatlons, table

----- -- ---- - ----- ----- ----- ----- ----- -- —-- -——-- --”-Totai au~fiorizations and expenditures for since February 1919___ ---Operating costs. (See costs, operating, hospital and domiciliary.)

Hospitalization. (See Admissions, disobarges, remaining and turnover.)Insuranqe\ .

Actl~ltle~___________________________________ -----------------&a~$sat~ons for__________________________________ -------------

Converted---- _----- _-___. _--. ___. _... _.. _1________________Death, awarded and terminated, converted insurance, calendar

year 1933, by planof insurance, table no. 32----------------

38

727378

8476

91

90

87

1314

!!

16

9116

2929

31

65

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INDEX

Insurance—Continued.Claims—Continued.

Received for tern] and conterted insurance, by fiscal years,1918-34, table l]o. 29-------------------------------- .._

Term and automatic ------------ ---------------------------Death and disability awrards:

Active, term and automatic, as of June 30, 1934, table no. 30___By fiscal years, 1918-34, table l~f]. 29________________________Terminated, term and automatic, by number and reason for ter-

mination, table l~o. 31------ -------------------------- ---Dividends paid _________________ _____________________________Financial statement of L“llited$tates Government life-insurance ftlnd

by calendar years, origin of fund to Dece:nber 31, 1933, table no. 44_Government life policy loal~s, table no. 43__ _ __ __________ - _ -. _ __In force (see also tables llos.33a1~d 34)____ _____________________Policies:

Byplan of insurance ______________ ________________________Issued _________________Surrendered for cash al]d paid-~~~; iIlsl~rance~~ ~~~~~~~~~~~~~~~~

Premium income ------------- ___ ____“Laboratory tests, clinical, tab]e no. 1----- __-~~~~~~-~~~~~~~~~~~~~~Legal, transfer ofw~ork _______ _________ ___________________________Legislation, ne~v:

Decision of $upreme Court 011certain \var-risk insl]rance col~tracts_ __House Resollltion No, 409, directing investigation of guardianship

matters by House Colnl~~ittee____ __________________________ ___Limitation of retired ‘pay to fornler e~ncrger)cy oficers _ _ _ _ - _ _ - _ - __ _Public, No. 2, an act to nlailltail] the credit of the United States _ _ -Publicj h’o. 140, authorizing [lse of War Department equipment, Inen,

and material for carrving mail by air __________________________Public, No. 141, modif;ing provisions of Public, No. 2____ - ____ - __ _Public, No. 484, autho~izil]g colnpel}sation for dependents of certain

deceased veterans __________________ _________________________Loans:

Unadjusted-service certificates-_ _______________________________N“europsychiatric patients:

Admitted, analysis of (see also tables ]]os. .5, 6, and 7)__ - ___ _ _ __ _ _ _Discharged, analysis of (see also table no. 10)__ - ____ _ ___ _ _ _ - _ _ __ __Remaining, analysis of (see also ta))le no. 9)___ -- _ - _ __- _ _ - _ __ _-- __

Non-service-connected disabilities, beneficiaries with, tables nos. 6. 8. 21.and 22------------------------ ______ -_________ -_____ ---__’. - 46,

Organization:Establishment of Board of Veterans’ Appeals__ - _ - _ __ __ --- _ - -----Merger of field activities ____________________________________ . . .Segregation of veterans and depel]dents claims________ - _. __ _--.-. _

C)ut-patiellt relief (see also tables nos. 3 and 4)__ - _ __- _ _ __ __ __ __ - __ - ___Patients. (See Admissions, discharges, turnover, remaining a]]d deaths,)Pensions.

Average annual value of, for each \var and all w~ars, 1910–34, tablf’110. l3_____________________________________________________

Civil War:Dependel]ts ______________________________________________Veteralls ------------------------------------------------

Disbursements for, duril~g 1934:By States, table 110.41 ____________________________________By United States possessions and foreign countries, table no. 42-

Indian }vars:Del]el]dents ______________________________________________\'eterax]s _________________________________________________

Mexical] lVar _________________________________________________Peace-time:

De]~el]dents ___________________ ___________________________Veterans _____________ ______________________________ -----

Pensioners on roll by class of I)ellefit, at end of each fiscal year, 1919-34,table no. lo _________

Span ish-A4n]erican lt-ar (se(Jffis~)-~~~~ei-r;{~;.-ii a~;ti23j111111 =~1~- ~~

95

Page

6331

6463

6431

:;29

;:303143

5

11

12117

99

12

29

::13

47, 59

:3

1s

51

2419

Page 106: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

96 Ih-DEX

Pensions—Continued. PageWarofl8l2__________________________________________________ ‘2!World W.a~f8ee also table no.21) ------ ---------------------- ___

Personnel actlvltles---fl -------- ---- ------------------------- -------- 39Pulmonary tuberculosis patients:

Admitted, analysis of (see atso tables nos. 5, 6, and 7)- ------------- 13Discharged,analysisof(.sees/8otable no. lo)--------------------- ~;Remaining, analysis of (see atso table no. 9)_____________ ----------

Remainin~~atients and domiciliary members:Anal~sis of-- ----------------- ---- ---------------------- ------- 12,~~Byclass and type of beneficiary, and groups of hospitals, table no. 8-Bysex and color, and fiscal years, table no. 9--- ------------------

Retirement:Of civil employees:

Annuitants on roll:AIlalysis of-- _-_. -__--: ________________________________By cause for which retired and fiscal years, table no. 35----June 30, 1934, by departments and independent establish-merits, table no.36_--_- _-vi ---------------------------Number and average annultles, Juue 30, 1934, by vocation,

sex, and cause of retirement, table no. 37---------------.4 nnuitants dropped from roll, by callse and fiscal years, table

no. 35------------------- ________________________ -------Claims:

For optional retirement after 30 ~ears’ service_ - __ _ _ _-- __ -For refunds due to separation prior to eligibility for retire-

mellt._ ------ _---- _-7-- _$-:_ ----------------------- -_Forretlremel~t duetodlsablllty _________________________Summary of classes of ---------------------------------

Deductions from pay of employees, table no. 45----------------Financial statement of fund, origin to June 30, 1934, table no. 45_Refunds andinterest paid to June 30, 1934, table l~o. 45--------Report of actuaries, published as Senate docun]ent- --- __ --- _ - _Status of fund.- 7------------------------------------------Value ofaIlnultles -----------------------------------------

Of Canal Zone employees:Aggregate, andaverage al~l~uities ---------------------------AI~alysis of -----------------------------------------------Annultants oll roll ----------------------------------------Financial statement of retirement and disability fund, table

no.46-_----------------_- ------------------------ -----Status of fund --------------------------------------------

Of emergency officers of the World War:Active awards at endof each fiscal year, 1929-34, table no. 12--A1lalysis of -----------------------------------------------Average annual value at endof each fiscal year, 1929-34, table

no. 13-- _-------- _-----------------------------u-------Organization and rank of those retired with pay, showing increased

cost duetoretirement, table xlo. 25-----------------------Transfer of work, civil aI~d Ca[lal Zorleelxlljloyees -----------------

Service-connected disabilities, be[leficiaries with, tables nos. 6,8, and23-45,47,59Sex and color of United States veterans admitted for hospital treatment

or domiciliary care, by branch of service and type of patient, tablello.7------------------- ----------------------- ---------------- 46

Treatments:In-patient. (See Admissions, discharges, and remaining.)Out-patient (see also table. I~o. 3). --_-- z _________________________ 18

Turn-over lnVeti~ans’ Admlnlstratlon hospitals ______________________ 1~Veterans’ convention, establishmentof campsite for-------------------Women beneficiaries. (See Female beneficiaries.)X-ray examinations, table no. l ------------------------------------- 43

48

3368

69

70

6S

34

343434909090343333

36

::

9137

;:

51

615

0

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.

.

Page 108: OFTHE ADMINISTRATOR OF VETERANS’ AFFAIRS30, 1934, by class of beneficiary, groups of hospitals, and type of patient -----9. United States veterans receiving hospital treatment or

.

.