Governor's Conference on Proposed Medical School

    MLC

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4 GOVERNOR' S CONFERENCE

ON PROPOSED MEDICAL SCHOOL

Room 209
1100 Raymond Boulevard
Newark, New Jersey
Friday, March 1, 1968

BEFORE:

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HONORABLE RALPH DUNGAN, CHANCELLOR

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Reported by: Henry E. McGrorry, Jr., C.S.R.

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RECEIVED
SEP13 978
#fiGa of tfie Vice President

Fnancial Affairs

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CHANCELLOR DUNGAN: Ladies and gentlemen, I

want to apologize for myself and my colleagues for

being delayed here this evening.

We had a number of items left over from the

last meeting which we had not as yet gotten to.

Mr. Danzig has just given me a letter which was

the subject of discussion the other night, having

to do with public negotiations. The first thing

we will take up from the left-over business from

the last time is the letter which represents the

agreement between the housing authority, Mr.

Danzig, and the community. It is addressed to

me and I will now read it into the record.

"March 1, 1968.

" Honorable Ralph Dungan, Chancellor, New

Jersey Department of Education, 225 West State

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Street, Trenton, New Jersey.

" Dear Chancellor Dungan:

"As a result of the open public negotiations

with the communiti in the City of Newark the foilc

is my understanding of agreements reached

pertaining to land use in the Fairmount Urban

Renewal Project N. J. R-72 and the Old Third Ward

Urban Renewal Project N. J. R-6:

"In order to provide land for the first stage

ing



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of the housing program which is necessary to meet

Newark's critical housing needs, including those

created by the problem of relocation, the Newark

Housing Authority undertakes the following

"(1) To convey no less than 24 acres in N. J.

R-72 to public non-profit community based

corporations. It is understood that development

in this area should incorporate compatible commerc

institutional and educational development, and may

include a day care center for mentally retarded

children.

"(2} To convey the following parcels in N. J.

R-6 to one or several public non-profit community

based corporations: 7B, 7C, 8B, 2l, 23, 28, 31 and

33. The total acreage in these parcels is 24.02.

"(3) To redesign the following parcels in

cooperation with a public non-profit community

based corporavion: 23, 23A, 24, 25, 26. The total

acreage in these parcels is 20.59. The Newark

Housing shall secure the cooperation of the City

of Newark, the Newark Board of Education, the Boys

Club of America, and the Y.M.C.A. in redesigning

this area with the objective of making significant

additions to Newark's housing supply.

"In order to fulfill this undertaking the

ial,



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Newark Housing Authority shall obtain releases of

the options presently held by Jack Parker.

"The Newark Housing Authority shall convey

these parcels expeditiously to community based

corporations as soon as these corporations are

formed and selected by the broad based community

'umbrella' organization to be established pursuant

to other agreements reached in negotiations concer

ing the New Jersey College of Medicine and Dentist

"Sincerely, Louis Danzig, Executive Director.

Thank you, sir. I presume that this document

being the result of a draft that we did the other

evening, is perfectly acceptable to the community.

-MR. WILLIAMS: I don't like to redo things,

but I believe that there are some questions becaus

of the actions of Mr. Danzig. It has come to our

knowledge that despite that fine letter some of

the parcels--one specifically that I am talking

about now--was not and cannot be given to us, in

terms of the Community Corporation, because it

has already been assigned to a commercial

developer. I am referring to parcel 8B. It is

bounded by Lincoln Street, Springfield Avenue and

Mercer Street.

I want everyone to see this map because it

ry.



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is a very nice parcel here. We thought we had

it but we come to find out this particular

developer does in fact have an outright contract

to this land.

MR. DANZIG: Who is. the developer?

MR. WILLIAMS: I know that it has something

to do with retail stores. I cannot tell you any

more about it because my source could not tell me

any more.

	

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MR. DANZIG: All I know is that I received a

letter from your legal defense fund counsel and

all I did was take the copy of the letter that I

received from Mr. Davidson, add the initial paragi

to it and repeat the exact parcels mentioned. I

had faith in Mr. Davidson and the negotiating

'committee that they were accurate. I said to Mr.

Davidson before this meeting that it would be

subject to such errors that may occur committed

by you.

MR. WHEELER: The burden of ani 'curacy is on/

the part of Mr. -Da izng.

	

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MR. DANZIG: This is your letter to me which

is dated February 27. What is the problem?

MR. WHEELER: I repeat, the burden of accurac

as it relates - to the parcels within this area is

ph

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on Mr. Danzig.

MR. DANZIG: The burden of accuracy falls on

the writer of this letter for the community.

CHANCELLOR DUNGAN: Just a moment, Mr. Danzig.

MR. DANZIG: Please, Chancellor. The questiof

is one of faith and confidence. I had faith in

this group. They sent me a letter. They outlined

the parcels. If they omitted one, let them say

they want . it included and I will include it.

CHANCELLOR DUNGAN: It is in the letter, Mr.

Danzig.

MR, DANZIG: I called off that parcel as part

of that which I fully intended to see to it that

it was given to the community. The group here

named the parcel in that letter. I merely took

the letter of the group and transcribed it in the

letter to you in accordance with your agreement.

CHANCELLOR DUNGAN: It-is in the letter.

MR. DANZIG: In what letter?

MR. WHEELER: In the letter that bears your

signature.

MR. DANZIG: Then, what is the problem?

CHANCELLOR DUNGAN: Mr. Williams suggests that

that parcel has already been transferred to a

commercial developer.



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MR. DANZIG: I have asked who the developer

is.

MR. WILLIAMS: I can't claim to have the

knowledge of all the particulars that you have.

good faith I confronted you with that question.

Perhaps you can tell us who the developer is.

MR. DANZIG: We have conveyed the land:

MR. WILLIAMS: This land will not go to a

commercial developer?

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MR. DANZIG: Do you want to test all the

items in the letter?

MR. WILLIAMS: I am testing this one. This

land will not. go to any commercial developer. Wil

you agree with that statement that this land,

parcel 8B, will not go to any commercial developer

MR. DANZIG: I will agree if 8B is in the let er.

CHANCELLOR DUNGAN: 8B is in the letter.

MR. DANZIG: Why should it even be brought u

MR. WILLIAMS: Because we were afraid that

this letter means nothing.

MR, DANZIG: Then, you have no business askin

for the letter.

MR. WILLIAMS: If you say this land is not

going to anyone else, we will take your word for

CHANCELLOR DUNGAN: I must say that I don't

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know how much further we can go.

MR. WILLIAMS: I was concerned with that

particular parcel because if he can do it with

that one parcel he can do it with everything.

CHANCELLOR DUNGAN: Do I assume then that

everyone is reasonably satisfied?

MR, DANZIG: I am not willing to abide by

the term "reasonably satisfied." This is the

agreement. If this is the agreement, it is the

agreement, not reasonably satisfied.

MR. WHEELER: May I see the letter again.

MR. DANZIG: This letter is between me and

your counsel. Why do you remain silent, sir?
MR. WHEELER: Item two, under the paragraph

"In order to provide land for the first stage of

the housing program which is necessary to meet

Newark ? s critical housing needs, including those

created by the problem of relocation, the Newark

Housing Authority undertakes the following " , and

then under that, number two: "To convey the

following parcels in N. J. R-6 to one or several

public non-profit community based corporations:

7B, 7C, SB--" .

The question that Mr. Williams offered dealt

with 8B. Your answer to this question was a no



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with some embellishments. All we are saying is

that we stand by the letter that has your signature

on it.

MR. DANZIG: You don't stand by the letter,

I stand by the letter that carries my signature.

MR. WHEELER: We also do.

MR. DANZIG: I think this is getting to be

downright ridiculous.

CHANCELLOR DUNGAN: I don't think we have to

take this one any further. I am satisfied that.

Mr. Danzig said that these parcels, including 8B,

will be conveyed to the Community Corporation.

A VOICE: I understand in the letter that

there are to be a number of community non-profit

corporate groups. You indicated that in prior

agreements that some discussion had been held

around these groups. What in fact does that mean,

that section of the letter?.

CHANCELLOR DUNGAN: The section with

reference to the umbrella groups selected or formed,

that simply means that by a process yet to be

determined, acceptable to Mr. Danzig since he has

the responsibility for conveying the land, that

there will be a broad based community group which

will approve the land reuse proposed. That doesn't



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interfere at all with the commitment which Mr.

Danzig has made to reserve these parcels for

housing and related developments.

MR. DANZIG: There is one other word that -

needs to be addressed to, and that is "within a

reasonable time."

CHANCELLOR DUNGAN: You mean the umbrella

group.

A VOICE: That was the basis of my question.

Has there been a pre-determined method of procedur

of developing the umbrella group?

CHANCELLOR DUNGAN: No, there has not.

All right, may I suggest then that for the

rest of the evening, so that everybody knows what

the scenario is, that we treat the following topic

in this order, subject, of course, to the

approval of the group. I think we have already

taken up the question of land use covered by this

letter. There is a question which has been under

discussion out of these meetings on the refinement

,of the original memorandum that we presented some

time ago with respect to employment on the

construction site. We now have a document which

I think is substantially agreed to but I think we

should review it before we go on.



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Thirdly, we would like to handle the health

services, community health services question, whit.

has not been treated in detail in these.large

meetings, but on which there has been extensive

discussion among technically competent people

from the medical school, as well as the medical

school people.

Finally, we have the issue which is fundament 1

in the Woodcorn letter, which is the question of

representation within the Model Cities structure

of the community.

MR. STERN: May we ask that everyone who

speaks please identify himself so that the record

will be clear.

CHANCELLOR DUNGAN: Let us, if we may, proceed

to the question of an approval of the document

here which will represent the agreement regarding

the construction, or employment on the construction

site.

MR, DAVIDSON: The negotiating team met on

Wednesday and prepared its proposal. This proposa

was then submitted to State Treasurer Kervick. He

commented upon it and then this draft was prepared

CHANCELLOR DUNGAN: I think rather than read

this in detail, I think everyone should take the

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opportunity to read it and then we will instead

of reading it through just comment on it, if it

needs comment.

MR. WHEELER: We will have Mr. Davidson make

the presentation.

MR. DAVIDSON: I would like to indicate the

changes that were made.

CHANCELLOR DUNGAN: And their significance.

Mr. Davidson; would you like to comment on it?

MR. DAVIDSON: This statement is being

incorporated into the record without having been

read?

CHANCELLOR DUNGAN: It is.

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"V. Medical College Construction

A. Objective:

A major objective to the community and

federal, state and local governments is expanded

opportunities for minority group employment on

the medical college construction site. Achievemen

of this objective requires significant

-representation of minority groups in each trade,

with at least one-third of all journeymen and

one.-half of all apprentices in each trade being

drawn from minority groups.

B. Steps to be Taken:

	

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In addition to vigorous enforcement•of Title

VII of the U. S. Civil Rights Act, the President's

Executive Order 11246, and New Jersey Executive

Order 21, the following steps shall be taken:

1. Formation of a review council composed

of community representatives, union officials,

contractors, state and federal representatives to

conduct pre-contract award reviews, to review

union-contradtor bargaining agreements, to

coordinate recruitment and referral efforts, and

to review compliance. The council shall establish

minority group representation standards in -

conformity with the objectives stated above. The

majority membership on this council shall be

composed of community representatives. The pre-

contract award review process will require all

contractors and sub-contractors to submit projected

manning (manpower) steps with racial breakdowns

and union contractor bargaining agreements to the

review council. If these projections do not meet

the minority group representation standards

established by the council, contractors will be

required to undertake an affirmative program

designed to meet such standards. The affirmative

action program will be incorporated in the



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construction contract and all sub-contracts.

Failure to carry out the affirmative program will

constitute material breach of contract.

	

Affirmative

4 programs must include at least the following:

5 (a) A concerted effort to recruit qualified

6 craftsmen using all available community resources,

7 including the Joint Apprenticeship Program, the

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8 New Jersey Public Employment Service, the UCC and

9 minority group publications.

	

Recruitment will be

10 focused particularly on craftsmen working in

11 related trades or in non-union jobs.

	

Where necessary,

12 on-the-job training will be provided to enable

13 craftsmen to make any necessary transition from one

14 related trade to another.

	

A convenient mechanism

15 must be established so that such craftsmen will be

16 graded by and introduced into the trade unions.

17 In the event of union resistence, contractors--with

18 the full support of the State Government--will

19 hire such minority group-craftsmen directly and

20 assign them to the medical school construction site.

21 Such craftsmen will be paid prevailing union rates,

22 including the case equivalent of fringe benefits.

23 (b) Immediate pressure by contractors and the

24 state and federal government to enlarge existing

25 apprenticeship classes, or to open new classes, in



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order to provide maximum opportunities for minority

groups in accordance with the Bal Harbour

Declaration.

(c) Immediate development of pre-apprenticeship

training programs, at pay commensurate with

apprenticeship rates, with guarantees by contractors

and unions that persons who satisfactorily complete

training will become registered apprentices and

will receive employment with the contractors. This

provision is in recognition of the fact that there

are manY3oung people who can become qualified

craftsmen but who cannot now meet formal

apprenticeship requirements for entrance. MDTA

Multi-Skill Centers shall be one of the agencies

providing apprenticeship construction training

programs.

2. The. review council shall formulate an

affirmative program to assure that a substantial

number of contracts are placed, to the fullest

extent possible, consistent with state and federal

law, with minority group businessmen. Contracts

and sub-contracts shall be divided into small

parcel bids so as to assure equitable distributior

of contracting parcels. The State shall assure

that small minority group businessmen will have



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adequate assistance in acquiring bonding, where

required, in order to undertake and complete

contractual relationships. Additional technical

assistance shall be provided by the State to

minority group businessmen to enable them to bid

effectively.

3. The designation of full-time compliance

officers in the Department of the Treausry to

police and enforce the. medical school construction

integration program. These officers shall be

selected with the advice of the review council."

MR. DAVIDSON: The statement as agreed to by

Treasurer Kervick omits one sentence in the

proposal sent to him on Wednesday, which is that

on the statement of objectives there was a

concluding sentence which 'read, "To assure

continuing and expanded opportunities for minority

group employment, the Federal Government, State

of New Jersey and the City of Newark shall apply

these minimal standards and procedures to all

,publicly financed construction in Newark."

Mr. Carballo might better explain the reason

for that omission from this statement.

MR, CARBALLO: (Beginning of statement could

l.z# /beitearae,) It was then felt that the



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objectives as stated in A should be related to

the steps that were going to be taken to make the

objections a reality and, consequently, limited

to the medical school.

CHANCELLOR DUNGAN: To put it differently,

we are not competent to make that kind of a

commitment.

MR. WHEELER: Does it require a competency,

Chancellor?

CHANCELLOR DUNGAN: I would be perfectly able

to make that commitment as a matter of principle,

but I can't enforce it. As I pointed out early

in these hearings, the State cannot enforce by

contract. as this document provides, every public

contract that is let out in the City of Newark,

because the State does not let those contracts out

MR. DAVIDSON: But it could for every State

contract.

CHANCELLOR DUNGAN: That's right. That goes

without saying, Mr. Davidson, that the commitment

of Mr. Kervick on the medical school construction

relates to this commitment with respect to all

State contracting anywhere in the State.

MR. WHEELER: Based on what the Chancellor

has . just said, wouldn't it be wise to incorporate



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it in the nature of principle?

MR. MOORE: Go even farther than that, have

all State contracts include that language..

CHANCELLOR DUNGAN: It goes without saying.

MR, WHEELER: Again here, I await your

judgment in the matter, Mike, having spent all

the work and time on this document.

MR. DAVIDSON: I would like to see the State

committed to these procedures regarding all of

its contracts.

CHANCELLOR DUNGAN: You understand, Mr.

Davidson,- the particular procedures we have

discussed in this document are merely appropriate

to the particular construction project we are

talking about. The principles that are involved

here, that is, a representative group to monitor

the thing, are certainly in Mr. Kervick's mind.

I know,. because we talked at great length about

them.

MR. DAVIDSON: The second change between the

proposal and the statement as finally acceptable

to Mr. Kervick is in part three on the second page

MR. WHEELER: Mike, before we move to that,

are we going to accept the thrust in principle

that should be added to this?



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MR. MOORE: It is not a principle, the State

has agreed that they would accept this terminology

on all State contracts.

MR. WHEELER: Fine, but I am asking for the

principle to be extended beyond just the State.

CHANCELLOR DUNGAN: I don't think the State

can do that.

MR. MOORE: The State cannot commit anyone

else.

MR. WHEELER: They can advance the principle

that others can look upon.

MR. MOORE: Commit the State to the terminolo

itself . Let t s do it jointly.

MR. WHEELER: I thought it was. to be re-

inserted based on Chancellor Dungan's statement,

and all I was doing was addressing myself to Mike

in terms. of adding the idea of the principle.

MR. MOORE: As long as the State is included

in the terminology in actuality and principle as

a leader for the others.

CHANCELLOR DUNGAN: As a matter of fact, I

think it should be pointed out that this particula

document, like many others that we have discussed

here, is a rather historic one. This is the first

place that I know of where we have set down and

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implemented the declarations of not only the State

government but the Federal government and some of

the other people that are involved in construction

employment.

MR. DAVIDSON: The second change was in part

three, a description of the compliance procedures

as to a designation of compliance personnel. The

proposal had read that these compliance officers

shall be selected by the community representatives

on the review council. The language which was

agreeable to the State was that these officers shall

be selected with the advice of the review council.

Again', I think Manny perhaps might state the

reasons for the change.

MR. CARBA LLO: The justification there is

in terms of the requirements of the State law under

civil service. The appointments are made on the

basis either of examination or other civil service

procedures and the appointments are made by the

Civil Service Board, technically speaking.

Consequently, this power could not be delegated

to a citizens group. It was the matter of

establishing the principle of the advice of the

community on the persons to be designated as

compliance officers.



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MR. WHEELER: Manny, isn't it a fact that the

New Jersey Civil Service is a certifying agency

rather than a technical appointing agency?

MR. CARBALLO: Not for State employment.

MR. WHEELER: What is the difference,

Chancellor?

MR. STERN: It holds the examination or

otherwise states the qualifications for all State

positions.

MR. WHEELER: I am aware of that. Now, where

does the procedure start for the person to be

appointed?

MR. STERN: It depends on the Civil Service

Commission, on the category.

CHANCELLOR DUNGAN: Sometimes it starts with

the agency and sometimes it starts with the

Commission.

MR. WHEELER: In what instances does it start

with the Commission?

MR. STERN: Examinations.

MR. WHEET,FR: Now, you are coming down my

highway. They run an examination for a compliance

officer, which is part of the State responsibility

Somewhere within State government this compliance

officer must function under some department. Who



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appoints this compliance officer? I am not talking

about certification after the appointment has been

made or the fact that after the examinations have

been taken, the Civil Service body announces that

one, two, three, four or five have passed.

MR. STERN: The State agency affords whatever

the regulations are of those who qualify.

CHANCELLOR DUNGAN: But, Mr. Wheeler, under

the terminology that was amended here, the advisor/

group would designate the person to serve as the

compliance officer, and that would be impossible

under the. Civil Service law.

MR, WILLIAMS:. What he is saying is that

after the formal proceedings, there has to be

some unwritten rules to allow you to pick between

A and B and C. We want to be able to apply our

standards to pick A and C.

MR. STERN: If you - are talking about the

exercise of the discretion of the appointed agency

after the Civil Service rules have been complied

with, that's all right.

MR. WILLIAMS: We can get people that can pass

the test, that's no problem. We mean after the

test, do we get to pick the people?

MR. STERN: There is more that goes into this.



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There are veterans' preferences.

MR. WHEELER: That is all under the Civil

Service responsibility in terms of arriving at the

final rank of the persons who have taken the

examinations.

MR. STERN: All we are trying to do is say to

you that the reason the thing has got to be change

is because of the recognition of t}e Civil Service

laws of the State which apply. After that, as

to that point you are addressing, there is no

problem, I don't think, in terms of exercising

discretion of the community.

MR. WILLIAMS: All we have to say is "In

compliance with Civil Service regulations."

CHANCELLOR DUNGAN: That's right.

MR. DAVIDSON: Then, " Selected by the review

council in compliance with Civil Service

regulations."

CHANCELLOR DUNGAN: Right.

MR. DAVIDSON: For the record, let me read

item number three in full.

"3. The designation of full time compliance

officers in the department of the treasury to

police and enforce the medical school construction

integration program. These officers shall be



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selected by the review council and in compliance

with Civil Service regulations."

MR. MOORE: By the community representatives

in compliance with.

MR. CARBALLO: By agreement, the representati

constitute a majority of the review council.

MR. MOORE: All right.

MR. DAVIDSON: I would like to just make one

stylistic change that was recommended to us. In

subparagraph A of item one, it reads now: "Where

necessary, on-the-job training will be provided

to enable craftsmen to make any necessary transiti

from one related trade to another. "

I think it just reads more clearly if we

drop the "Where necessary, " and start the sentence

" On-the-job training will be provided " .

MR. WHEELER: Just delete "Where necessary " .

CHANCELLOR DUNGAN: There are a few other

stylistic changes, like the first sentence of

paragraph three doesn T t have a verb, but we can

.fix that, I assume.

MR. MOORE: In addition, Chancellor, on the

seventh line in A after the word " provided", add

"by industry, labor or government," and then

continue the sentence.

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MR. WHEETRR: Will be provided.

MR. MOORE: Yes, by industry, labor or

government, and then continue the sentence.

MR. CARBALLO: That's all right.

CHANCELLOR DUNGAN: Do I take it then with

those stylistic and substantive changes that we

can consider this matter acceptable?

MR. WHEELER: Just. one moment. Anything else

Mike?

MR. DAVIDSON: No.

MR. WHEELER: We are home.

CHANCELLOR DUNGAN: Does anyone else have any

comments about this far-reaching document?

MR. DAWKINS: Walter Dawkins. Under B on the

first page, I believe, in part it says, " Formation

of a review council composed of community

representatives", etcetera. Has the machinery

been set up for the formation of such a council?

CHANCELLOR DUNGAN: No, sir, it has not.

Presumably, the initiative on this will be taken

by the treasurer, who is after all responsible

for doing the contracting.

MR. WILLIAMS: Maybe it should be with the

Joint Apprenticeship Program.

CHANCELLOR DUNGAN: Perfectly all right. We



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then can consider this piece of business completed

and we will move on to the next one.

MR. WHEELER: Chancellor, I would suggest

for the press you indicate that on this, this

represents substantial agreement in an aspect of

the seven conditions as we move toward meeting

the timetable.

CHANCELLOR DUNGAN: I hesitated to use the

term " substantial agreement."

At this juncture in the proceeding, Mr.

Wheeler will read a letter which he wants to put

into the record.

MR, WHEELER: I would hasten to point out,

Chancellor, that a xerox copy of this letter will

be turned over to Mr. Danzig of the Newark Housing

Authority. It is a letter that I have received.

"66 Leslie Street, Newark 8, New Jersey.

February 5, 1968.

"De.ar Mr. Wheeler: I know how extremely

busy you are trying to solve the many problems of

.our city. I admire you for your untiring efforts

on behalf of your people. I am writing you

concerning one family hoping that you may help

them and me or perhaps advise us for the future.

" After forty and a half years of service



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teaching in Newark, I decided to think of

retirement for June, 1968. I had my home in which

I lived for 35 years listed for sale. In August

of 1967, a very fine family came to me about the

house. After a couple of visits, they decided

they wanted the house. We settled on a price that

they could meet. Plans were made for the closing

for September 20.

" This family lives at 170 Bruce Street,

the area set aside for the permanent home of the

medical school. They were given the idea that the J

were to be put out by October 1. They had accepted

the city offer and, as I understand it, all papers

were signed for the transaction. Mortgage request

had been approved and papers signed and everything

settled for the September closing. The city did

not come through with the payment for the property.

We were all informed that payment would be made

as soon as the Federal government came through with

funds for the city, As you well know, there has

been long drawn-out controversies over the. medical

school and relocation of the families.

"I am not questioning that, the problem is

what is going to happen to this family. They are

ready and anxious to move. They tell me all



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families on welfare are out. Most of the homes

in the area, especially their block, have already

been torn down. Only three or four are left.

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Their house has been damaged by the demolition

work that has gone on around them. They hesitate

to make repairs which would be costly on a house

that is going to come down, but yet, they have to

stay until the city gets ready to pay. them. Their

insurance has been tripled because of the conditions

surrounding their home and the vandalism that

takes place in the neighborhood. They feel this

is money they would prefer to spend on their new

home.

	

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"It is almost March 1. They have been waitin

almost six months for the city to keep its promise

to them. They find it very difficult to understar

why they are left almost alone in this block and

all the others are out. They are troubled because

they are afraid they will lose this house which

they want so much. They feel they are holding

me up, and their daughters are disturbed about

their living conditions. They are pressing their

parents to do something. Young people can be so

impatient.

"I am writing to you, Mr. Wheeler, because I

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know you are extremely interested in relocating

families in the proper living conditions. Here is

one family who has a place to go but cannot because

the city has not kept its promise to them. If you

know of any way this matter can be settled for them

or where they can go to get assistance to speed

up the settlement for them, I know they would be

most grateful. I would be deeply indebted to you

also because I would know how to plan for myself.

I am giving you -the name and address of this

family so that.you can communicate with them

personally or send someone to them that can help.

Mr. and Mrs. Robert Burse, 170 Bruce Street, News k.

Phone, 643-5477,

"I sincerely hope your efforts in the medical

school crisis will soon bring about a settlement

that will bring peace and prosperity to our

troubled city and keep employment and good health

facilities for our people. You will. have

accomplished something of which you should be

justly proud. I hope you will be able to relieve

the frustation of this family who are so anxious

to live in their new home,

"Most sincerely, Miss Dorothy D. Kitchen,

373-8175.



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When I directed this to Mr. Danzig, it was

purely from a point of view of his being

knowledgeable as it relates to the problems in

the city.

CHANCELLOR DUNGAN: The issue represented,

which is a very serious issue and I know there are

a number of people in this room who are faced with

the same problem, has been discussed at least four

times during the course of these hearings.

Therefore, I suggest we put that letter in the

record. We thank Mr. Wheeler . for bringing it to

our attention.

.As we have expressed before, we are completel

sympathetic with the plight of the people who are

in the 46 acre tract. I agree with Mr, Danzig

that this is not his fault, not his business at

this point. The 46 acres is not urban renewal lane

MR. DANZIG: May I have a copy of that letter

so that we can address ourselves to the hardship-

cases first when this becomes a project as soon

as these negotiations are over.

CHANCELLOR DUNGAN: I think that is what Mr.

Wheeler i s purpose was in reading the letter.

We now have before the floor the health

services to the community and the college. I am



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sorry that we don't have an ample supply of copies

Ladies and gentlemen, Dr. Sullivan of the

medical school has participated with the community

group in developing this paper. We have not

considered it heretofore although it has been rath r

extensively considered in sub-group sessions.

think it might be a good idea if we went through a

least in major sections, perhaps paragraph by

paragraph, to be sure that everyone is clear on

what the document sets forth.

MR. CURVIN: Could you just present it? I

don't think everybody has a copy.

DR. SULLIVAN: I don't think it is really

necessary to read everything in it, but essentiall

broken into two parts, part one is a set of

general principles which points out that the

community and the college have a common interest

in the quality of medical and dental education,

and that it is recognized that the college is

being developed as a national, State and local

resource for public health.

Related to this are a number of specific

issues. Number one is that in the college

Department of Preventive and Community Medicine,

will be a permanent working committee made up



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laymen from the community, which will include

representatives from poor and disadvantaged sector

of the community, as well as representatives of

a variety of other major consumers of medical and

dental services, such as unions, business and

industry, those who are major purchasers of health

services through prepaid health plans and so on,

they would be involved in a committee which with

the faculty and students would be responsible for

developing a variety of programs to improve the

public health services available to the community,

to increase accessibility, to increase quality,

and to generate new ideas. They would be involved

in the design, the supervision, the review and

the rewriting of applications for presentation to

foundations, to fund-granting agencies, that would

support demonstrations and research projects in

the community.

These are a variety of the programs that might

be here and they are not exhaustive nor are they

,the only ones we might undertake. This is just

off the top of our heads. I am sure there will

be other innovated ideas that will be developed

such as the following:

Training for the community i s population of



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the ghetto to provide early referral and counseling

services in the neighborhood where they live.

Demonstration of family-centered approaches

to the establishment of physical and mental health.

Decentralized services for ambulatory patient3

in the neighborhoods where they live to provide

easily accessible and timely health services.

The development of career ladders and the

training for work in all aspects of public health.

The possible demonstration and evaluation of

something which we call hospital-oriented group

practice, which would also be developed in

' neighborhoods adjacent to the college.

What we have in mind, here is the possibility

that medical-dental groups, or neighborhood health

centers, which is another name which has been used

in other places where a similar idea has been

•developed, and also under OEO legislation which

might be the kind of program that could be reached

here for support, that neighborhood health centers

which would be managed and operated by the

neighborhood could be affiliated with the college

and its hospitals, and that these might be

• initially developed as joint demonstrations where

community and college were to join together.



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Subsequently, as they became stronger and some of

the bugs were worked out, eventually the community

would take these over and operate them entirely

as a community venture.

Demonstration and testing of immediate care,

psychiatric " first aid" stations, if you will.

They are a kind of " walking" emergency clinic for

the mentally disturbed and problems of this sort.

A point in which the college is interested bu,

which is not really what the college can have a

great deal to do with is the idea that under the

provisions of Federal guidelines there are certain

basic provisions set up for comprehensive mental

health planning. Under the current program, this

is the function of the Hospital and Health Counsel

of Metropolitan Newark. The observation made here

is that since the advent of the college, urban

renewal, and increased citizen participation have

created new problems and also offer new resources

so that the rule and organizational structure of

the regional planning counsel should be reviewed

and brought up to date.

A quote from the comprehensive health plannirg

guidelines quoted here which may be worth reading

is: " The majority of the membership of the board



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of directors or advisory council must be consumers

of health services broadly reflecting geographic,

socio-economic and ethnic groups in the area.

"No person whose major occupation is the

administration of health activities or performance

of health services shall be considered a consumer

representative. This requirement also excludes as

consumers all persons engaged in research or

teaching in health fields. "

So, again, the emphasis here is on majority

' representation by the community.

Another point here is a separate local health

council, which is in a sense concerned with a

smaller area than the metropolitan Newark area,

and is concerned with the Newark City proper.

A similar health council with similar majority

community representation should be established

to review and plan for physical and mental health

needs of Newark City proper.

Another point is that the. college plans to

assume the full administrative and professional

responsibility for the operation of Martland

Medical Center, the Newark City Hospital. The

college plans to manage the hospital as an integral

part of the teaching and health service complex



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1 that is proposed to be established there. Until

the college is able to actually, legally assume

the right and responsibility to go into the

hospital and carry out the necessary surveys and

reviews that are required, it is difficult to

really spell out exactly the detail of programming

that has to be done there. We do have ' some

immediate ideas as to the kinds of things that

should be done, however, and we can list these.

There are immediate improvements that are

required.

One improvement is a prompt increase in the

quantity and quality of out-patient facilities

and services. I might point out that we are very

mindful of the current pattern of say counting out

60 people in the out-patient services and saying,

. " Gee, that's all we can handle today, the rest of

you go home. " We would move to change that

immediately.

Secondly, an improvement and consolidation

of emergency services in the hospital so that they

are in one place and not scattered around the

hospital. Cleaning and painting of the hospital

building. A replacement of the x-ray department

and complete renovation and replacement of that.



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Installation of the nurse call system so that the

patients who are in bed don't have to either snout

for the nurse or send somebody for help. A repair

and replacement of a variety of furnishings, beds,

chairs and other things of this sort that are in

disrepair. Mattresses need to be replaced.

The college would intend to undertake this.

We would need to undertake an inventory to determi: e

what diagnostic laboratory facilities and

therapeutic equipment is needed. We would expect

to modernize the diagnostic laboratory facilities

and the therapeutic equipment. We would establish

a social services department. We intend a complete

revision of the medical records system so that we

can actually provide for continuity of care.

Without an adequate medical records system, it is

impossible to really provide continuity of care,

and we see this as being critical.

Finally, as I say, this is not an exhaustive

list, but some suggested for an immediate change in

overhaul of the business and management system so

that it would be handled efficiently and as

economically and well-administered as possible.

To finance such improvements, the college is

planning an intensive campaign to obtain funds.



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In order to obtain some necessary diagnostic,

therapeutic and laboratory equipment, the college

plans to provide for some of these needs through

rental-lease agreements.

Frankly, the extent to which the Martland

Medical Center will be brought up to standard and

to really be modernized and additional services

be put in there is limited by the design and

structure of the present building. Therefore, we

feel very strongly that a 272-bed hospital, the

teaching hospital which would be built in close

proximity to the Martland Medical Hospital, will

provide services for patients who have special

medical and surgical needs, and will be available

to patients in the Newark '' community precisely on

the same basis that they will be available to

patients and other residents of New Jersey.

The question of affiliation is one that has

concerned us and both groups here. Everyone who

has been involved with this has been concerned

with affiliation. The affiliation with both

hospitals will be linked to faculty appointments.

There are two kinds of appointments which will

occur here. One of these is a full time or part

time teaching position. The other kind of faculty



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appointment is a clinical non-paid, voluntary

appointment. Both types of appointments will be

available to physicians in the community regardles

of ethnic or color considerations.

Finally, the college proposes to develop

programs which are designed to stimulate interest

the health profession among pre-college aged

students, high school students, and for young

people from ethnic groups who have been restricted

from such opportunity and interest. Furthermore,

the college proposes to develop a scholarship

program for Afro-American, Puerto Rican, and other

minority ethnic group youngsters who have been

prevented from studying medicine or dentistry

because they don't have the money to do it.

Now, the next section here, only two sections

of it are related to the business of training and

. employment in the medical school complex. We

felt that a great deal of the material that had

been in that earlier memorandum that you put out,

Chancellor Dungan, followed here, so that the

first two points we touched upon but the rest of

them we felt were still applicable and there was

no need to duplicate that.

The medical college and the State have said



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1 that they will insure that employment and training

opportunities associated with the medical college

are utilized to the fullest extent to benefit the

Newark community. There are four categories of

employment that we see coming to Newark from the

point of view of the medical college at this point,

First of all, there will be personnel needs,

we feel, in the Martland Medical Center. Again,

we are unclear at this point as to exactly what

those personnel needs will be. It will be necessary

for us to review this, and division heads would

have to develop Manning Tables. Those Manning

Tables will spell out precisely what the needs will

be.. We expect there will be some which will arise

from retirement. We expect there will be some that

will arise from terminations, and there will be

also some jobs which come because of increases in

. services.

The second category of jobs will be those

which are vacancies which we feel will- probably

arise in September, or whenever the college actually

moves to Newark to the interim facilities. These

vacancies will be caused by those employees who

are currently with the college either in East

Orange or in Jersey City, employees who will not



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want to transfer with the college when it comes to

Newark, but would rather stay in their home area.

We also see similar vacancies coming in 1970

or 1971 when the dental college moves from Jersey

City and East Orange to Newark.

Finally, there will be personnel needs which

will, develop as the new facilities and the permane

facilities are built. To give just a little idea

of what those numbers will be, there will be

approximately 2,600 persons who will be in health

and allied-health professions when the college is

in full operation. We estimate that around 1,500,

perhaps 1,600, of these people will be created in

the college by the new construction.

Now, it should be recognized that this

development of the 2,600, and the development of

the 1,500 people or jobs, is not going to be

. something that comes all at once. We expect that

in September, depending on some of these factors

that I talked about in the Manning Tables and in

the vacancies which may arise, and factors which

contribute to those vacancies coming, that it may

be that there will be as many as 30 to 110 jobs

that will be available in 1968. Continuing from

that time through until the college is completed,

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established and permanent facilities are built

and the positions are filled, then there will be

an increase through this up to 2,600 people, or

the 1,500 people who would be in new jobs created

by that construction. Finally, the college is

committed to the idea of a career ladder in jobs

wherever we possibly can develop them. The idea

here is that we feel that a person should be able

to come in at an entry level job, and through

training which should be provided by the college

and in-services training, also training which migh

be taken in the community in the junior college

or in-training programs outside, that the people

coming in at entry level jobs should be able to

progress through to higher level jobs, more

responsible jobs and, consequently, to higher pays

jobs.

In this connection, we are currently ready

to hire a training coordinator. This would be

his primary responsibility. We are conducting

interviews now and would expect to move on that,

I would say, within the month we should be moving

on this aspect.

Are there questions on this?

"II. Health Services and the College of

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Medicine and Dentistry.

"A. General Principles.

"1. It is recognized that the New Jersey

College of Medicine and Dentistry is a national,

state, and local public health resource in which

the highest possible quality of medical-dental

education and related health services must be

established and maintained.

"The community and college have a common

interest in such quality and are pledged to work

tb achieve these objectives.

"2. To insure the national, state, and local

concerns are considered and handled effectively,

representatives of all three levels.must be

appropriately and continuously involved in the

process of policy development, and in planning,

implementing, and reviewing programs.

"3. Some of the most serious problems facing

the United States in the coming years are likely

to be associated with increasing urbanization and

life in the inner city. One of the prime reasons

for locating the college centrally in Newark, was

to confront some of these problems and to provide

a base for interaction so that medical-dental

education and research adequate to the tasks of



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1 the future might be developed. The college welcomes

citizen involvement and participation. It propose

to broaden and increase the opportunity for active

long-term participation by the community.

"B. Specific Issues.

"1. The,college has established a. Department

of Preventive and Community Medicine. As part of

the activities of this department a permanent

working committee of laymen from the community

will be established. The committee will include

representatives from poor and disadvantaged factor

of the community, as well as representatives of a

variety of other major consumers of medical-dental

services, such as unions, business and industry.

In cooperation with faculty and students of the

college, this committee will have responsibility

for developing, planning, organizing and supervisi g

new projects and programs to improve the quality,

accessibility and effectiveness of medical-dental

services to the community. Through the Department

of Preventive and Community Medicine the communit

will be able to develop support and participation

from the entire program of the college.

" Programs which might be developed by

this committee are illustrated by the following:



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"(a) Training for the community's

population of the ghetto to provide early referral

and counselling services in the neighborhood.

"(b) Demonstration of family-centered

approaches to the establishment of physical and

mental health.

c) Decentralized services for ambulato

patients to provide timely and easily accessible

general health services and family planning center .

"(d) Development of career ladders and

the training for work in all aspects of public hea th.

"(e) Demonstration and evaluation of

hospital-oriented group practice in neighborhoods

adjacent to the college. Medical-dental groups or

neighborhood-health centers managed and operated

by the neighborhood and affiliated with the colleg

and its hospitals might be developed as joint

demonstration projects and subsequently taken ove

entirely as community ventures.

"(f) Demonstration and testing of immed ..te

care psychiatric 'first aid' or 'walk-in' clinics.

"(g) Demonstration programs concerned

with maintaining continuity of care and transitio a

management of problems in returning home.

"2. A sound comprehensive plan for provisio

"(
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of health services in the Newark area must be

developed. Under the provisions of the federal

guidelines for developing comprehensive health

services this is the responsibility of a regional

health-care planning counsel. Currently this

responsibility has been assigned to the Hospital

and Health Counsel of Metropolitan Newark. Since

the advent of the college, urban renewal, and

increased citizen participation have created new

problems and offer new resources,.the rule and

organizational structure of the regional planning

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counsel should be reviewed and brought up to date.

" 'The majority of the membership of the

board of directors or advisory council must be

consumers of health services broadly reflecting

. geographic, socio-economic and ethnic groups in

the area,

"'No person whose major occupation is

the administration of health activities. or

performance of health services shall be considered

a consumer representative. This requirement also

excludes as consumers all persons engaged in

research or teaching in health fields.'"

"3. A separate local health council with

similar. majority community representation will be



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established to review and plan for physical and

. mental health needs of Newark City proper.

"4. The college plans to assume full

administrative and professional responsibility

for the operation of Martland Medical Center

(Newark City Hospital). The hospital will be

managed as an integral part of the teaching and

health service complex established by the college.

A thoroughly adequate review and listing of

necessary changes, priority for action and ways of

financing improvements can come only when the

college has the legal right and the responsibility

to inquire into each aspect of hospital management

and procedure. At the present time, however, the

college contemplates the following as immediately

required improvements: A prompt increase in the

quantity and quality of out-patient facilities and

services; improvement consolidation of emergency

services; replacement of the x-ray department;

cleaning and painting of the hospital building;

installation of a nurse call-system; repair and

replacement of furnishings (e.g., mattresses);

inventory and modernization of diagnostic laboratory

facilities and therapeutic equipment; establishmert

of a social services department; revision of



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medical records system; overhaul of business and

management systems.

"To finance such improvements•the colleg

is planning an intensive campaign to obtain funds

from private sources (individuals and foundations)

and from whatever public funds that can be made

available. In order to obtain necessary diagnosti

therapeutic, and laboratory equipment, the college

plans to provide for some of these needs through

rental-lease agreements.

"5. The extent to which modernization and

additional services can be carried out in the

Martland Medical Center is limited by the design

and structure of the building. However, the

teaching hospital of 272 beds in close proximity

to Martland Medical Center will provide services

for patients with special medical and surgical

• needs and will be available to patients from the

Newark community on precisely the same terms as

to all other residents of New Jersey. The

department chairmen in the medical college will be

responsible for their particular diciplines in

both hospitals, and their faculty share this

responsibility. Recruitment of outstanding

scientists and physicians to serve in these



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capacities can be completed as soon as it is clear

that the college has a permanent home and can

undertake these responsibilities. The college is

committed to the maintenance of the best possible

patient care whether the patient is under treatmen

at Martland or in the teaching hospital.

"6. Affiliation with both- hospitals will be

linked to faculty appointments. Faculty appointme is

will be of two kinds:

"(a) Teaching appointments which are

salaried by the college and may be either full

or part time positions; and

"(b) voluntary, non-paid clinical

appointments.

	

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"Both types of appointments will be

available to physicians in the community,

independent of ethnic or color considerations.

"7. The college will develop programs

designed to stimulate interest in health professio s

among pre-college aged young people from ethnic

groups who have been restricted from such

opportunities and interests. The college will

seek to develop a scholarship program for Afro-

American, Puerto Rican, and other minority ethnic

group youngsters who are prevented from studying



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dentistry or medicine because of lack of money.

" III. Training and Employment in the Medical

School Complex.

"A. The medical college will have a

significant impact on the Newark community in

providing new employment and training resources

in health and applied-health professions. State

government will insure that employment and trainin

opportunities associated with the medical college

are utilized to the fullest extent to benefit the

Newark community. Four categories of employment

will be available.

'Ti. Martland Medical Center personnel needs.

Losses created by retirements, terminations, and

increased services. Exact numbers required must

be established by Manning Tables, developed by

division heads when the college takes over.

"2. Vacancies occuring in September, 1968,

caused by employees now working in Jersey City

and East Orange, who will not stay with the college

as it moves to Newark.

"3. Future vacancies in 1970 or 1971 caused

by employees now working in the dental college

who will not stay with the college when it moves

to Newark.



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"4. Personnel needs required to staff

permanent facilities as they are built.

"B. In full operation the college will employ

approximately 2,600 persons in health and allied-

health professions. Approximately 1,500 of these

professions will be created in the college by

the new construction. They range from dietary aid

to registered nurse and the complex as a whole

will serve as a major source for training health

personnel throughout the greater Newark area.

"These total personnel needs will emerge over

a three to four-year period. At the beginning, as

the college moves to Newark late in 1968, it is

expected that 30 to 110 jobs will become available

Thereafter the rate at which remaining jobs can be

opened is tied to the construction time-table and

the rate at which permanent facilities are

completed.

"The College of Medicine and Dentistry is

immediately and directly concerned with training

programs for the present Martland Medical Center

employees and training programs for present and

future employees of the College of Medicine and

Dentistry. As soon as possible after Martland

Medical Center is taken over, Manning Tables will



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be developed by division heads. Job classificatio s,

responsibilities inherent in those classifications

standards for performance, and priorities of need

will be established.

"The college is committed to a 'career ladder'

concept of job development and training wherever

possible. That is, jobs will be structured so that

an applicant may enter at a bottom rung or an.

intermediate rung dependent upon prior experience,

capacity, etc., and progress through training to

a more responsible and higher paid position. The

college is preparing to hire a training coordinator

to begin this program. Interviews for this

position are already in progress. Additional

personnel will be hired as they are needed. "

CHANCELLOR DUNGAN: I think having made that

presentation, Dr. Sullivan, that we might now open

.it up to, shall I say, a systematic and orderly

discussion.

MR. MOORE: On page three, second paragraph,

beginning with " The majority of the membership of

the board of directors or advisory council must be-- " .

After " be " , delete " consumers of health services " ,

and in lieu of that terminology insert "community

representatives, " and let the paragraph remain as is.



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MR. WHEELER: Because the salient language

is " community representatives " , Federal government

notwithstanding.

DR. SULLIVAN: I am perfectly in accord with

it. The reason for it is that it is the Federal

government language.

MR. WHEELER: It should read, " The majority

of the membership of the board of directors or

advisory council must be community representatives

broadly reflecting geographic, socio-economic and

ethnic groups in the area. "

A VOICE: My name is Dr. Levy. I would like

to say two things. I am speaking strictly as a

physician and individual, not as a member of the

school faculty. I defer to no one in my concern

for the health needs of the community. I have

spent 25 years trying to improve health services

. and in a non-profit governmental hospital. But,

to have the majority membership in a health planning

council be non-professional people makes as much

sense to me as having the planners and builders

of a skyscraper be the people that are going to

work in it, instead of the people who are trained

to build skyscrapers.

MR. CURVIN: Without spending too much time



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responding to that, number one, that is the

assurance that is provided by Federal legislation.
In fact, the wording there is verbatim from the

Federal law.

DR. LEVY: Do you accept all Federal law as

providing you with the best benefits? Wouldn't

you like to analyze it a little bit and see if it

could be improved?

MR. CURVIN: My second point is that I

certainly don't agree with you. I think that non-

professional people certainly have the ability to

organize-themselves, and if they don't know the

technical matters, they have the ability and the

insight to get adequate and competent consultants

to explain these technical matters to them. I

think perhaps we would not be in the mess that. we

are in if the majority of all of these agencies

that we are dealing with here would be dominated

by community people rather than by bureaucrats.

MR. DANZIG: I would like to respond to that

facetiously. Mr. Curvin presumes that all people

working for the government are not community

people and come from another planet.

MR. DAWKINS: I am Walter Dawkins, director

of Blazer Corporation.



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I don't think he quite understands the

language of this paragraph, because if you

interpret it that the advisory council would be

technical, I don't think that was the basic intent

I say this for Dr. Levy. I think the basic intent

of the language here is to make sure that those

who are to receive the service are assured that

the service they are getting is the best that coul

be made available by this kind of facility. It

has too often been said across the nation that

one of the reasons the cities are dying and will

continue to die is that those who receive the

services don't really know what kind of services

they ought to receive until they are dead or half

dead. It is quite facetious to believe that the

practitioner at all times knows what is best for

the man receiving the service. I think that is

the intent of this kind of thing.

MR. MOORE: Not only that--since I initiated

this thing, I think I am duty-bound to say this

much about it--there is an old adage that he who

pays the piper calls the tune. It has been quite

noticeable that the community has been paying the

piper but has yet to call the tune. We are now

putting this language in so that there is a comple;



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understanding as to who is paying the piper and whc

is going to call the tune.

DR. SULLIVAN: I might also point out that

the phrase here is objectionable, and I can

understand why, the word " consumers " really refers

quite broadly to many things in the community.

Secondly, it doesn't mean that professionals

of the sort that you are talking about here,

doctors and community health experts, are excluded.

In fact, the same paragraphs include a role for

them there, as Mr. Curvin pointed out, of

consultants and resource people . there. It is not

Just that the community is somehow getting together

and excluding, but rather that they have a

responsibility for using and also reflecting some

of their . own information and needs in a

constructive way.

CHANCELLOR DUNGAN: Reverend West.

REVEREND WEST: I think this is a dead issue

because it has been accepted, so therefore,. I would .

like for us to move forward.

CHANCELLOR DUNGAN: Thank you, sir.

Does anyone have a comment on any other part

of the document?

MR. DAVIDSON: One part of this document still



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not satisfactory to me is the provisions for

financing whatever renovations are necessary to

Martland Medical Center. Ijust don't believe the

effort has been made, the same kind of effort has

been made, to find financing for City Hospital as

has been made to find financing for the teaching

hospital and the other educational facilities. I

have long been puzzled and have not yet received t

my satisfaction an explanation of why the medical

college has not included within its application

to the Federal government a request for funds to

bring the City Hospital up to the standards of a

teaching hospital. My impression is that the .

college decided not to do that in order to have a

more attractive application for Federal funding.

If there are any difficulties due to any

Federal regulations or technicalities, I think thi

. is the situation in which the Federal government

might bend. After all, The Department of Health,

Education and Welfare has said that it wants this

project to significantly improve health care in

this model neighborhood. If it is necessary for

HEW to provide the funds in order to fulfill its

own standards, I think we can get HEW to do that,

but it requires the medical college to first ask



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1 HEW. I am sure the college has been assured of

all kinds of community support, but it has to go

and it has to request these funds. I don't think

it is adequate at this point to say that the

college will scurry around and seek whatever fundi g

it can from private resources. This is a major

public undertaking. I think we ought to go to the

public, even to the State government or HEW and

request those funds.

MR. WHEELER: If I may, Mike. The reality

of the matter is that the very areas that you talk

about ought to be supplementary to the efforts at

the various governmental levels, including the

State. When you get involved in the business of

private sources for fund-raising, this should be

hooked up as a supplement and the basic thrust

' ought to be Federal agencies and State agencies

. who are committed to this kind of a health facili

It would seem to me that in the best interest of

the total project, that the present application

fore HEW, if it is humanly possible, be amended

to include funds for the improvement of City

Hospital.

DR. SULLIVAN: May I comment here about this

I think that the positions that you are taking ha e



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been very well stated and I am sympathetic to them

as you know, but I think you don't tell the whole

story here. While I am aware of the effective way

in which you stated it, I think there is another

thing which also ought to be put on the table here,

and that is, the Federal law. In the same way in

which it was important in the last paragraph to

talk about the majority of the membership of the

board of directors coming from the community, we

reach to the Federal law and the guidelines there

as being important. We want to use those. Now,

in this instance, we want to shift ground a little

bit because the Federal guidelines under which thi

application has been submitted are very explicit,

also, with regard-to the type of application that

has been made.

Again, I have sympathy for the position you

.are taking, but I think in fairness we ought to

also recognize that what we are asking for and wha

Mr. Davidson is suggesting here and to the extent

what Mr. Wheeler is suggesting things here, also,

is asking for a bending of that law and for an

exception. If you want to talk about it in terms

of an exception to the law under which this

application was submitted, that is one thing. If



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you want to present it under the idea which I am

rejecting at this point, Mr. Davidson, if you want

to put it on-the basis that the college has been

somehow derelict in not making this application, I

cant really be comfortable with that.

MR. WHEELER: I think we have a representativ

from HEW here who was with us at a meeting in the

early part of the week. One of the things that he

said to us was that he had charged himself with

going back to his department and hoping to bring

back the kind of information that would shed some

illumination on this problem.

CHANCELLOR DUNGAN: I would like to make a

comment here about the very well-taken issue which

has arisen several times in the course of our

discussion, that is, that there have not been, in

the opinion of this side of the table, fully

adequate financial provisions made to make the

Martland Hospital a fully first-class community

health facility. Recognizing that, and without

being able to be particularly precise about where

the funds will come, from whence the funds will

come, I am prepared to say that the State will

back a two and a half million dollar investment

in the Martland Medical Hospital in the first year



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of its operation.

MR. WHEELER: Bravo,

CHANCELLOR DUNGAN: 2.5 million.

MR. WHEETFR: That is fine, Chancellor, howeve

let us hear from someone from HEW because we may

be able to pick up another two and a half million.

CHANCELLOR DUNGAN: Certainly, I would be

happy to hear the gentleman or lady.

MR. SALINGER: I am not in a position to

cough up two and a half million like the Chancellor

is.

MR. WHEELER: Just give us some encouragement

MR. SALINGER: I would think that HEW feels

that it is the college's duty to request any chang

if that is within the law, to the application and

if there are supplemental funds, that they would

be advised of that fact,

MR. DAVIDSON: My request to the college is

specific, ask for the money. I think between now

and the public hearing you ought to make a formal

approach to HEW, state the problem, state the

financial needs, and request assistance, You may

ask specifically what the best way of doing it is,

whether to amend this application or have an

entirely separate application, but you have to ask



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them.

MR. WHEELER:. It ought to be done in the form

of a letter.

MR. CURVIN: I would like to ask Dr. Cadmus.

DR. CADMUS: : I think everybody is trying to

be an administrator and is trying to raise this

money. We have full time development people.

have full time administration. We know the law

as well as Mr. Salinger, and probably not as good

as Mike, but maybe. in this area we do because at

the moment we are following Federal instructions.

They did not tell us to amend the application.

They have reviewed the application. It is being

reviewed in Washington at this preserttime. There

is no mechanism of amending that application.

Now, where we get the money for other program

is a continuing problem of any administrator. It

. is a problem of getting it from many sources. I

do not think it is the proper function of this

committee to try to be the thinking of the people

who have to get the money, otherwise we will give

you this responsibility. We will sit back and

just receive it.

Now, I. think we have a little bit of

misunderstanding here. We have, as Dr. Sullivan



63

said, a very complex funding problem. The

application which has been submitted has been

reviewed. It has been partly already acted upon

and is water over the dam. It has been over the

dam since November of 1967.

We have a new problem. We are still not in

Newark. We still don't own the Newark City Hospit.l.

We are in a completely iffy situation. We know

that if we take over, we now have something like

two and a half million. I would like to say that

it is the responsibility of the operating people

to find all the sources. We now have this source.

We have been working with these people. We have

14

		

never said we are not going to go to the Federal

government, but I think you have to let us figure

out whether we want to see this fellow and work

something out or write a letter. I don't think

the mechanism we have to finance this program for

years and years and years can be settled tonight

at this table.

CHANCELLOR DUNGAN: I think the point, if I

may say so, Dr. Cadmus, is simply that those who

do have the administrative responsibility at the

school and State level and elsewhere take every

avenue that is open to us at the State level or a

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the Federal level to make sure that we have a

flow of money into this hospital as rapidly as

possible. I think the point is well taken,

REVEREND WEST: I would just like to say I

detect an air of antagonism. I think tonight we

have a marvelous gathering because I see the

community and professional persons having a onenes

of thought as it relates to what we can do to have

a better institution for the total community. I

think as we tend to digest this, when we tend to

spew it up with negativism, it tends to take out

that dynamo which I see here. I would hope and

pray that we would not let this prevail because

I think we have some wonderful wisdom. If we keep

the motions and everything under control, we are

going to have that medical school, because I think

only an idiot would not want to see it come to

Newark.

MR. WHEELER: Chancellor, the whole thrust is

merely to suggest that the medical school people,

that by a mere letter they can be on record with

Newark wanting whatever available funds they have

and to use the mechanism for acquiring these funds

to ascertain that we will have the best municipal

hospital in the country. This is in no way



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attempting to usurp the authority of the

administrator.

A VOICE: My name is Derek Winans. From the

subject that Dr. Sullivan mentioned about the 272

bed teaching hospital, I think he said that that

hospital will be open to all residents of New

Jersey equally, if I heard him correctly.

CHANCELLOR DUNGAN: That is correct.

MR. WINANS: Since we know something about

the hospital situation in Newark at the present

time. and since we know that people are not able

to get into hospitals in Newark--in fact, Mr. Allen

over here could not get into any hospital in the

City of Newark when he had pleurisy for five days

because there were no beds available--I am wondering

why it would not be possible for the hospital to

have a first come, first serve basis for the people

in the City of Newark, and then if there are any

others' after that--

CHANCELLOR DUNGAN: Sir, if you had been here

at one of our previous meetings, we are talking

about two facilities. One is the 272 teaching

referral hospital, and the other one is Martland

Medical, which is basically a community hospital

to serve community needs.



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MR. WINANS: What happens if Martiand is

filled up?

CHANCELLOR DUNGAN: If there is room at the

272 bed hospital, I would assume those beds would

be available for the community.

Is that a reasonable inference, Doctor?

DR. SULLIVAN: The answer is no. The reason

for it really comes down to two kinds of things.

Number one, it is a State hospital, a State

facility.

MR.' WINANS: That is the only new facility

you are bringing to Newark. The hospital is the

only new hospital you are bringing to Newark.

DR. SULLIVAN: As a new hospital, ' that is

correct.

M.R. STERN: If I could briefly recapitulate

this one, the purpose and function of the teaching

. hospital, which I think has clearly been explained

here, is for referrals of various kinds of complex

diseases from anywhere in the State that do not

meet the normal hospital admission requirements,

which is to treat anybody to the capacity of a

hospital who is in need of that kind of treatment.

This hospital is specifically on a referral basis

from the doctor from any point in the State for



67

people, indigents and otherwise, who cannot be

treated because of a specialized need for the.

3 services of that hospital.

4 I think if you are going beyond the point
r

5 and you are asking the question if there should be

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at a certain time a tremendous need for hospital

beds in Newark and there should be no need for

8 the referral space, I am sure that within the

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discretion of the administrators of both hospitals

that they would not leave beds empty for a long

11 period of time when others were in need.

	

I think

12 if there is a choice that has to be made, a hard

13 choice, that the school would be within its

14 prerogatives to adhere to the policy stated here,

15 namely, to take those complex cases for which the

16 teaching hospital was established.
;(=

17 DR. SULLIVAN:

	

This is very good.

	

We may

18 point out one other thing in this, too.

	

This is

19 a serious need for Newark and for New Jersey.

20 You realize now that a complex case frequently

21 has to go over to New York.

22 DR. LEVIN:

	

I think we cannot take for granted

23 what you said because in other teaching hospitals

24 this does not happen.

	

There have been incidents

25 like down State where the teaching hospital was not



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filled and the other one was refusing people, so

I do think there should be assurance, that we

should not take it for granted.

CHANCELLOR DUNGAN: Just as a matter of

information, is this a terribly serious problem,

that there are 50 or 100 patients waiting to get

into a hospital and there are 50 or 100 beds empty

or are we talking about a marginal number of five

beds in the teaching hospital?

MR. WILLIAMS: I think down State they had

about 838 beds, or something like that, and I thin :C

about 700 of them were empty. Over across the

street, at whatever the municipal hospital was,

there was an overflow to the extent of some 100

people. This was in the New York Times article

that mentioned it. I think it was in January or

December. It was a significant number of people,

so it is a problem.

CHANCELLOR DUNGAN: Dr. Cadmus, I think maybe

it would be-a good idea for you to comment.

DR. CADMUS: I think this is a responsibility

of Dr. Pincus. He is in charge of the total

hospital beds in the Metropolitan Newark area.

There is some 100 beds being added at Beth Israel

now. There are new beds at other community



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facilities. I think this is Dr. Pincus'

responsibility.

CHANCELLOR DUNGAN: I think we ought to get

this question fairly precise. I for one would

like to know the answer. Let's assume that all

the other hospitals within hooting distance of

downtown Newark are chock full and so is Martland,

and five patients come in in an evening, and of

the 272 beds, there are 100 open. What happens?

DR. CADMUS: Let's put it this way: There is

no policy that I have ever operated under--and I

have operated State hospital institutions for a

good long time--in which there will ever be a

situation of absurdity and denial. Everything is

on an individual basis. It depends on many things

You an never operate a patient care institution

on hard rigid policies. You have an intelligent

administrator with a big heart who knows what the

needs of the people are.

CHANCELLOR DUNGAN: Incidentally, Doctor, I

asked that question of you not because I had one

slight doubt in my mind that that would be the

case.

DR. LEVY: . I think this is a beautiful

25

	

example of health care being discussed from a poin



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1 of view of the community by people who don't know

what they are talking about.

CHANCELLOR DUNGAN: Dr. Levy, I submit to

you that if I were living in this community or

any other community where a situation like this

existed, I jolly well would want to talk about it,

too. I am sorry to take myself out of an impartia

position here.

DR. LEVY: It goes on priorities as Dr. Cadm

said. If you were sick, they wouldn't confine yo

to one side of the street.

May I now say what I started to say. A 275

bed hospital cannot, within the slightest possible

surmise of reason, develop all the specialized

medical care programs needed in a university

hospital today. It cannot have a heart transplant

program; a kidney program. These programs will

have to be developed in combination between the

university hospital and the City hospital. Some

of them are more appropriate to the university

hospital, and some of them have special units

which would be more appropriate to the City

hospital.

Do you think, Chancellor, if someone in your

family were ill or hurt in an accident , that we



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would say, " Well, we are specially set up in the

City hospital for something else, you go over to

the university hospital." Or, if Mr..Wheeler had

a kidney problem that we would say, "No, your

trouble is in the City hospital."

It has got to be a two way street all day,

every day, or you cannot make either one of these

hospitals work for education, teaching or patient

care. I think the conversation up to that point

is just immaterial.

CHANCELLOR DUNGAN: Thank you, Doctor.

MR. CURVIN: I want to ask Dr. Cadmus what

kind of cases the hospital would be looking for,

what kind of specific cases.

DR. CADMUS: I don't think, Bob, we would

work that way. I said the other night when we

discussed this--and I thought we had agreed upon

it--that by and large in general if you want to

go see a doctor, you go to the community hospital

whether it be Martland, whether it be Beth Israel,

whether it be United. If your doctor says, "I

cannot treat you because of lack of facilities,

skilled people, my own skill, I want to refer you

to this hospital " , this will be the person that

would go to that hospital.



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Now, what Dr. Levy said is exactly right.

There will certainly be no duplication of special

areas. These have not been worked out. These are

programs we have until 1971 to work out. The

point is that one institution you go to see a

doctor and the other institution your doctor says

"I want you to go there because you have seen me

but I don't have the answer to your problem".

MR. CURVIN: The other day we were advised

that it was hoped that the hospital would pioneer

urban medicine and I wanted to know more

specifically--

DR. CADMUS: I don't know what that word is.

I know medicine in urban people, but I don't think

this is a diagnostic category.

DR, SULLIVAN: Mr. Curvin, if you are quoting

me, it was college and not hospital.

MR. CURVIN: I would assume you would get the

knowledge from the experiences derived from treatiig

patients. It seems to me that if this is really

the objective, or one of the objectives of the

hospital, it would mean that the hospital would

be more intimately related to the specific problems

of the immediate community. We would be concerned

with some of the immediate health deficiencies that



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we have, that we know so well.

DR. SULLIVAN: To answer your own question,

if you are talking about it as referral to the

extent of the physicians of the community, and to

the extent that the college is able to attract back

to the community physicians who are alert to these

kind of problems, where you begin to develop a

network which relates with this hospital and which

relates with the complex of services in a hospital

oriented group practice, that really then puts an

awful lot of this responsibility back on interaction

with the community.

CHANCELLOR DUNGAN: May I rephrase the question

a little bit. I think the question is will this

particular college, in addition to all of its

other broad responsibilities in training, pay

particular attention to the special health needs

of a dense urban situation?

DR. CADMUS: Yes.

^ehr1 ^
A VOICE: I am Dr. Franklin

	

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I am

director of the department of pediatrics, and I

have worked in the vicinity of Newark City Hospita

for the last two years. I think we have made

great strides there in the child.care in Newark

City Hospital. We havent hit the penultimate yet,

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'(4

but I think we have made definite strides. I thin

I might be able to clarify this because I am

charged with organizing the care for children at

both these hospitals, at the teaching hospital--

the university hospital--and the City hospital.

Now, I don't see these as two hospitals. I

see these as two buildings within one program. In

pediatrics for children, the way I will organize

this is to have certain segments in the university

hospital. It might be my kidneys expert, my

cardiac team. I don't care where the patient comes

from. If he comes from Cape May or if he comes

from right here in the Central Ward of Newark, if

he has a heart problem, he is going to go into

the university hospital where the heart team will

work with him. If I have my infectious disease

department over at Newark City Hospital, which I

. might, if he comes from Cape May, I will probably

send that Cape May patient over to Newark City

Hospital.

This is the way I see practic.ally every .service

being organized. This is one hospital. This is

one team. All the rest will be working with the

department and with one effort. I see that as no

problem whatsoever. This is the only way to make



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good medical sense. It is not a matter of keeping

beds open for people referred from the outside.

It is not only economical, it makes very poor

medical sense. I think we are arguing about

something that really has no basis in fact.

MR. DAWSON: I would like to respond also to

that gentleman who stood up earlier, Dr. Levy, and

I would like to say to Dr. Cadmus again that there

has got to be a lot of soul-searching done unless

we miscalculate the ability of local community

people, real soul-searching.

A specific question has been asked a series

of times and basic implications have come back,

but nobody answered the question. I am going to

crystallize a cold-cut example. We are talking .

about this hospital that may have 270 beds for

different kinds of training operations. It may

be possibly the best facility in the State, if not

the best in the nation if it is constructed new

to the best of all possible apparatus. What in

fact these guys have been asking is what happens

if Martland Medical Hospital is filled to the brim.

Then, somebody indicated we don't yet propose to

ask HEW for some extra money to bring it up to

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number of the people. That is one thing that

crept in and nobody said anything on that yet.

Now, they say the facilities here are designe

for special type patients, and if Martland Medical

were stacked up to the brim and a man was carried

to the door with appendicitis and needed an

emergency operation, the question I think is in mo

of our minds is if there was room to handle that

particular guy in the new facilities, would they

say, "Well, he ain't got a heart case and we can't

handle him" ?

A VOICE: The implications are that no, sir,

we won't do that.

CHANCELLOR DUNGAN: Not only the implications

but the clear statement was yes, the man would be

admitted.

A VOICE: And that there would be no empty

beds available while someone needed services in

Martland.

CHANCELLOR DUNGAN: I would say yes,

substantially.

A VOICE: Nobody said that.

DR. LEVY: We would like to see it

university hospital complex. Ifyou want to put

a fence around the two of them together, it ' would



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be fine with us.

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A VOICE: I think that should be made

explicitly clear lest somebody in the community

gets confused.

MR. SALTERS: What was that doctor's name?

CHANCELLOR DUNGAN : That was Dr. SlataL;y, He

is operating in Martland Medical now, and he is

part of the faculty of the college. He is head

of pediatrics services.

MR. CURVIN: First of all, I want to express

a degree of satisfaction that some of our ideas ani

suggestions have been incorporated in the proposal.

However, there are a number of points which we would

like to discuss further. The first one.is that

the suggestion that the community relate on1; to

the Department of Preventive and Community Medicine

leaves some dissatisfaction, or something to be

desired on our part. We feel that, number one, we

don't know enough about that department, such as

what kind of commitments have been made to it,

what kind of programs it already is able to launch

and mount, and more specifically, what kind of

powers will a local health counsel have in

relationship to the hospital to that department

and the school.



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((

If we could have some response to these

questions, I think then we could move on.

DR. CADMUS: May I introduce Dr. James .

Harkness, the chairman of the department of

medicine. He is a medical sociologist acting in

this position because we had a department without

any personnel. We can't get personnel. Nobody

- wants to come until they know what they are going

to do and where they are going to do it, so a

medical sociologist is holding the educational

program together for the students. We have a

candidate broadly based in medicine who would like

to come, providing we can answer some questions.

So, at the moment, we do not have a department.

This is a department in which we teach preventive

medicine and community medicine to students.

Dr. Harkness, would you want to make any

response to Mr. Curvin?

DR. HARKNESS: Only that what you say is

correct. We have two staff members. We have full

teaching load. I have other responsibilities with

the regional medical program. I think, though,

we have every intent to move into ambulatory care

and other areas like that, but we certainly are

not equipped . to even plan such a program at the



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moment.

CHANCELLOR DUNGAN: I think we ought to

crystallize this question better.

DR. LEVIN: I think that one of the problems

we have is a problem of . priorities. Everything

that is said here is very 'ood, but there is no

assurance of where the priorities are. This came

up initially in the money coming from the Federal

government, not only going to the teaching hospita

but also I would like to mention that a lot of

the demonstration programs, a lot of the things

the community is interested in, they are not part

of the funding at present. In other words, this

is extra. This is why there is all this questioni

The same thing comes up with this department

of preventive medicine, giving the community some

power. Is this going to be a large commitment,

financial, of the hospital, or is it going to be

just a department where we sort of push community

needs? It can be either. I am not distrusting,

but there is nothing here that says what the

commitment is. Is this going to be one of the

departments of the hospital and how much of the

hospital's budget will be committed to this

particular department.

g.



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DR. HARKNESS: We have two things. We have

a teaching responsibility. We have to teach

students what community medicine is, what preventive

medicine is. That is a clear responsibility. The

Department is not constructed in its first thrust

as you would say to develop a community program

for the community, but we have an expansive idea

about this. I think both Dr. Cadmus and I believe

that a medical school has a commitment to the

community. Many medical schools do not feel this

way.

We were working with our own students last

summer with the migrant health group, which got

some notoriety which was not meant to be. We

didn't do it for that. We have students now who

are interested in opening some sort of ambulatory

clinic through the Department of Preventive Medicine.

,This department provides a natural channel for

this sort of activity, but it will be a first class

complete department. That is what our plans are.

DR. CADMUS: I also may say that Dr. Harkness

when we have been together--we have worked togethe

now for some years at different places--but we

first met when he was on the staff of the Departm

of Community Health of the United States Public

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Health Service. This is h i13' background. This is

his interest. He knows more about community healt

and has been at the Federal level. Therefore, we

have him here to carry these things out.

I think at this stage of the game we have to

set priorities. We don't know what the needs are.

First of all, we will have to get the needs. We

will have to get the resources. This is not a

simple project of just moving in. We are going to

have to get two sources of funds. One is the

educational source, which is clearly a State board

of higher education reportable and budgeted to the

Chancellor.

In this respect, we will say that the faculty

requested one level. We cut it $1,000,000. We

submitted it to Trenton and they cut It another

million. This is the level of financing of this

department. Not this department, but the total.

These are realities. I am not griping, I am merely

saying we have an educational program under-financed

for the needs which we think we have today. When

we get our share, we are going to have to take

that money and find out what we can do with it.

As you know, there is OEW, and a number of

other foundations. There are programs right in



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Newark City Hospital that are funded now, such as

planned parenthood and a number of others. Those

will all be developed. I cannot say at this time

what the priorities are, but when we get competent

people, at least the people that are going to have

to do the work and do the leadership, then we can

get the job done. But, I can't give you any

priorities tonight.

CHANCELLOR DUNGAN: May I make the point here,

and I say this in all frankness to the negotiating

team, that aren't we really in pursuing this line

of inquiry talking about something that is somewhat

premature? Unless there is reason to believe that

somebody has a plan which is going to steer this

whole operation off into another direction, it

does seem to me that maybe we are at least six,

eight, ten months ahead of the game.

DR. fl VIN: Will there be the mechanism for

the community to negotiate? This is really the

first point we want to make. If the mechanism

is set up for the community to negotiate not only

on what is here but on many other things that are

not here, I think if we could agree to this, then

we don't have to go point by point because a lot

of this is just in thin air. If there is no money,



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there is nothing.

DR. SULLIVAN: Let me respond to a couple

of things here. Dr. Levin is on very sound ground

because she is involved in one of the country's

best programs in this regard, but I think I would

also pose the question for Dr. Levin as to your

programs, how many of them are supported by moneys

outside? _ For example, your neighborhood health

center, your human resources development, I suspec

that many of these are from outside.

DR. TJ VIN: I don't want to talk about my

programs. My knowledge of those tells me that if

the community does not have a position where they

can negotiate, money can go to places where they

think It should not go, and that's all they are

asking for. I have seen in my position where this

was so, where I am at, also, where there are

programs, where there is the department that doesn t

really function. It has a name and it is there

but it just isn't functioning.

DR. SULLIVAN: I am not trying to put you on

the spot. What I am saying is that the mechanism

we are talking about here is this mechanism of a

permanent working committee. While I haven't got

it carved out totally for myself in this, I see



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myself being very much a part of that committee.

I see the committee as writing proposals and being

intimately involved in writing proposals. I see

them being intimately involved in review. I see

them being systematically and regularly involved

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in the whole activity f reviewing and supervising

what is going on. Now, if you have some other

kind of things you want to put in there, say them

specifically. If I could say it or if any of us

could say it, we could say yes, we buy it, but I

can't.

I recognize Dr. Leven as an expert in this,

and I suspect as an expert you know one of the

things we propose to do is very quickly go and

visit some of these programs and places where thin

are going well and discover the things going good

and not good, but we will have to develop it. If

there are suggestions that you want in here, spell

them out with words and we can say yes or no.

MR. CURVIN: The question then comes to more

specifically what do you mean by review? You say

review. You say participate in writing. We would

like to know what real power in terms of decision-

making about community programs will such a

community council have.

;s



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DR. SULLIVAN: I think they can turn it down

and say no before it is presented, for example,

to the President and before it would go to the

board of trustees, or before it would go up for

application.

MR, CURVIN: Could you state that in more

specific terms.

DR. LEVIN: You state what we want.

MR. CURVIN: We want this council to have a

local health counsel that relates to programs

developed by the New Jersey School of Medicine

and Dentistry.to have the responsibility and the

power to participate in the development of program

and to rule on their acceptability to the communit

We want the representation of this council to be

formed on the basis of the same guidelines as

stated in the Federal regulations as it relates

to community comprehensive planning agencies. In

other words, the two paragraphs you have above

here would also apply to the development of the

local health counsel.

DR. LFVIN: This is for the total medical

school, not just for this department. This is

all issues that are on here and that are not on

here that relate to the school.

Y.



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DR. CADMUS: I think we are talking about such

vague things that I don't know what you are talking

about and I can make no commitment.- As I said

before, we cannot shaie the responsibility of

education and research with the community. We are

going to have to maintain that ourselves. Medical

care in the community, we will share. We will share

it with the community and work with the community,

but such matters as curriculum, standards, programs,

applications for grants, we cannot put to the

community group. That is settled. It had been

settled in meetings before here and agreed to.

DR. SULLIVAN: The word was all--

MR. MOORE: All community health services.

15

		

DR. LEVIN: Or other programs that are

related to community` health services. I don't say

that the community has to participate in all

decisions on curriculum, but some decisions on

curriculum do relate to community health services.

If you don't have certain curriculum, you cannot

provide. services and often this happens. They say

we cannot run this program because we don't have

the internship or we don't have some other trainin3,

so I think that programs that are related to

services also must be negotiated with the communit?.

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MR. WHEELER: All community health service

programs and related areas.

DR. CADMUS: I think we are getting into a

terrific semantic business. The word " related "

will take you right down to the hip bone connected

to the thigh bone business. You can just follow i

Pretty soon we have got to say that educational

policies are not negotiable. You can advise us,

you can write the letters to your congressmen,

you can write letters to the governor, but the

point is the faculty is going to determine

curriculum. We are responsible for it. We have

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to be responsible for the educational and research

programs.

What we have said is that in these areas

where community health in this college is going

to participate will be primarily our geographic

neighborhood. It may or may not coincide with the

Model Cities. We are not going to be able to-take

care of all of the problems of Newark, the 500,000

people, and during the day some one million people

We are not in competition with these other.

institutions. We are supplemental to all these

other institutions. The community health is a

responsibility of the community.



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Now, in those areas where we feel the ability

to work with the community, we want, need and will

use community participations, but this cannot be

spread. The responsibility for this institution

cannot spread to a community group. It is just

that simple.

MR. WHEELER: It is not our purpose to dictat

the curriculum of the New Jersey College of Medici

and Dentistry, that is A. B, we are not going to

tell them where they are to buy the iron lung they

are going to use. C, if they desire to bring a

heart transplant case to the teaching hospital, fir

as long as they have the facility for it.

What we are talking about is community health

services and related areas. This is not to invade

the sacrosanct area of curriculum as passed on by

Dr. Cadmus, and this has been made clear to him

time and time again. When we talk about related

areas, we are not talking about from one bone to

the other, but related areas as it applies to

community health services, period.

DR. CADMUS: I don't know what he means.

MR. WHEELER: It is the English language.

CHANCELLOR DUNGAN: I think what is meant

here, if I may try to interpret, is that the



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community group feels that it should have a plug-i

to those people who are responsible under law and

by any kind of professional standards to indicate

to them that "Maybe it would be a good idea to

strengthen the department of X which relates to

community health needs, don't you think so, Dr.

Cadmus?"

DR. LEVY: You mean specifically the faculty

staff?

CHANCELLOR DUNGAN: I think it is perfectly

legitimate for anybody who has an interest in a

hospital supposedly serving their needs to say,

"Gee whiz, we have a lot of something, something

cases in the department of something, something.

It doesn't appear to us to be adequately staffed.

Don't you think so? "

DR. LEVY: I grant that freely, but the

question was raised here in the same context as

the community health planning services that a

majority of the people making these decisions

would be community representatives.

CHANCELLOR DUNGAN: Not making the decisions.

The decisions cannot be delegated to anybody but

the board of trustees or the faculty working with

the board of trustees as the legal responsibility.



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They cannot delegate to a community group or to

me.

A VOICE: I am Dr. Carroll of the Department

of Medicine. I think it is important to recognize

that what we are talking about in the community

involvement is exactly what the faculty and

technicians who will staff these hospitals are

extremely interested in. My colleagues and I have

been interested in alcoholism 'and liver disease

over a number of years, and our major. problem is

lack of community participation in health. If

one actually develops a mechanism whereby one is

about to care for people on the ambulatory level,

it is obvious that our objectives will be realized

earlier.

It is also of great importance to point out

that with anyone who comes into the hospital it is

the duty of the clinician and physician to follow

him into the community so that he will remain well.

It•is our overall objective to discover disease

and treat it before it becomes symptomatic. If

we adhere to this, then the departments of surgery,

medicine and pediatrics must work very closely

with people who are affected by these things. This

is what constitutes the preventive medicine and



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community medicine section.

It would be expected that if the medical

school survives and is first rate, that this would

be covered in this area with experts who would

work with the community so that it leads--for

example, in the area that I am interested in, we

would want the total community to work on this

area, which actually per capita represents the

highest incidents of such disease of this nature.

So, I don't really believe that if Sou have

the mechanism set up that one needs to fear any ti

that the physicians who are charged with education

of the doctors for our future health will not be

able to carry out this responsibility. I think

one has to have faith in these doctors because

obviously if this isn't true, we will not be able

to turn out good products. I assureyou that each

one of us will be all too willing and most delight

that the community would help us carry out our

mission.

CHANCELLOR DUNGAN:. Doctor, may I thank you

for that extremely lucid statement.

MR. CURVIN: This is exactly what we want and

I think there is some feeling in some quarters

that the community is irrational and it doesn't



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want good medical treatment and good medical

services. We want the best, too. No one in the

community is going to reject a program or individu 1

because we want absolutely the best. This is why

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we want to participate and have the ability to

influence what the hospital does.

CHANCELLOR DUNGAN: Having gone over these

points, are there any others?

MR. CURVIN: I think that we would like to

make it clear that this has to be a continuing

dialogue.

DR. SULLIVAN: It better be.

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MR. CURVIN: We would want to begin working

immediately on the establishment of such a local

health council with the assurances from the .

medical school that we will have their full

participation and consideration to work out the

points that we have not yet discussed and conside -d.

CHANCELLOR DUNGAN: We are going to stop now

for five minutes to give our very hard working

stenotypist a chance to ease his fingers, and we

will come back on Model Cities.

(Brief recess taken.)

CHANCELLOR DUNGAN: Mr. Davidson, on behalf

of the negotiating team, has one final point to

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make on the health document.

MR. DAVIDSON: We have been working on the

understanding that it may be possible-- this depends

upon the resolution of a number of other issues

before us this evening--to proceed with the public

hearing although we have not reached a complete

agreement on all of the issues. We are heading

in the right direction. We cannot say at this

time that the statement on health services is

adequate to us. We think it is a start in the

right direction but that considerable work has to

be done on this between now and the public hearing,

if we are able to agree to a'public hearing in the

course of this evening. As I understand it, a

tentative arrangement has already been made with

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Dr. Cadmus to meet and discuss the redrafting of

the statement and strengthening of the protections

provided to the community.

CHANCELLOR DUNGAN: Protection against somebody

that is trying to harm the community?

MR. DAVIDSON: Protection for the community.

The other point is on financing. I think as

much work as possible between now and the public

hearing, if we are able to agree to that, should be

done in assuring that the financing will be availa'ile.

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The commitment on behalf of the State is welcome,

but it is only part of what I understand is needed

to bring the hospital up to the standards that it

.should be. If the college on its own is willing

to approach HEW, then I would think in your

summary of this--I assume that you will be reporti g

to HEW and to HUD describing our discussion--I thi k

you should indicate that we remain dissatisfied

about plans for the financing of the Martland

Medical Center, and that we believe that HUD shoul.

take some initiative in assuring that that

financing is available.

CHANCELLOR DUNGAN: HEW.

MR. DAVIDSON: HEW.

CHANCELLOR DUNGAN: I think that summation

perfectly well describes the position of this sid -

of the table and, Dr. Cadmus, I would expect that

we would be continuing discussions to polish up

some of the points on this paper between now and

some time in the future.

MR. DAVIDSON: I am sure that even after a

public hearing we would have to work on all . of

these things.

CHANCELLOR DUNGAN: I just didn't want to

mention a public hearing. I know what you are



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talking about.

Okay, can we now move on then to the next

item on the agenda, as I proposed it anyway, and

that is the resolution of the community

representation under the Model Cities Program.

If I may recall for those who were not here

at our last meeting, the understanding that I

took from the meeting was that the community would

move to a series of meetings to discuss the

composition of the so-called ad hoc group which

ad hoc group would represent the community with

Model Cities until such time as through mechanism

not determined at that meeting a broadly based

community group could be formed. At our last

meeting, we set a meeting--the community in the

group did--and I think it was held subsequently.

With that background, I think we can start

the discussion.

MR. WILLIAMS: I would like to give a report

on what happened Wednesday. Pursuant to the charge

that was given us and in conjunction with some

statements made by Mr. Malafronte that it would

be nice to have a meeting, the community met and

decided upon a formula for implementation of the

Model Cities task force arrangement. We decided



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that there would be five members from the UCC,

since it does represent a great deal of people.

Five members of the negotiating team, which is

before us here. Ten members elected from the

meeting at that time from the floor, and five slot

were left open to be filled in by the City as it

so sees fit.

We think that this is a just arrangement.

think that this is an applicable arrangement.

think we acted in the time that was given us to

try to expedite time so that the medical school

could go forward.

This is the report that I joyfully bring

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before you, Mr. Dungan, so, that you may , see that

we of the community are moving along in full

compliance with the salient points of the Woodcorn

letter.

MR. WHEELER: Chancellor, I think there is

one other aspect that ought to be highlighted here

and that is, that it was the understanding of all

parties involved in the negotiations that this

ad hoc committee would be preliminary and that in

no way would it represent the total broad based

community in the organizational compliance with

the Model Cities guidelines as it relates to the



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total Model Cities program.

One of the most important things that has to

be realized here is that this is an effort to meet

substantial agreement as it relates to the Woodcor

letter for the sole purpose of ascertaining that

the medical school will be erected in Newark.

Also, this preliminary ad hoc committee does not

in any way begin to represent what will be the

total community organization under Model Cities.

The purview of our authority as it relates to then

negotiations deals primarily with the medical

school and the conditions under the Woodcorn lette

At no time do we suppose or do we suggest that we

are usurping the authority of the community as it

relates to the total broad based community

organization.

This effort was designed to ascertain that

the timetable for the medical school would be met

and there would be no question in terms of the

community as we move toward total resolution to

bring the New Jersey College of Medicine and

Dentistry to the City of Newark.

MR. MOORE: I might further add, Chancellor,

that it was also resolved that this ad hoc

committee would meet with other community groups



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and persons within the ten days between the

setting of the hearing and the actual holding of

the hearing. We would be in a position to dissolve

the ad hoc committee in preference to the more

broad based community representative organization.

MR. WHEELER: Chancellor, this is designed

to lay to rest any question that there is some

effort to usurp total community representation.

CHANCELLOR DUNGAN: May I make a comment here.

I accept everything--

DR, ODUM: Before you make your comment, I

would like to ask a question for clarification.

I was a little late getting to the meeting

Wednesday night. I would like Mr. Wheeler to

clarify for me the duties of the ad hoc committee.

Is this' committee to establish the mechanism for

community participation or is it to select the

persons who will be the community representatives

of the Model Cities program?

MR. WHEELER: The answer to that, Dr. Odum,

is that the preliminary ad hoc committee is not

in the business of selecting. It will offer its

services to facilitate the development of the

broad based community umbrella that is so needed

to comply with Model Cities, as it relates to Model



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Cities per se. However, the function and the

'creation of the ad hoc committee was designed

primarily for the med school with respect to the

timetable for the med school. Since we have been

charged by some irresponsible people of trying to

thwart the progress of the medical school, we

come tonight with what we call A-one progress.

MR.. DAWKINS: Is it relevant to the

establishment of the medical college that you also

have as an adjunct to that process the umbrella

agent that will participate in Model Cities?

that a necessary requirement of your efforts?

CHANCELLOR DUNGAN: The Woodcorn letter says

that HUD, before it will make the necessary approvals

to permit the med school to go ahead, must be

satisfied that an adequate and representative

group from the community will be attached to the

Model Cities program.

MR. DAWKINS: What you are in fact saying is

that a basic mechanism for the process.

CHANCELLOR DUNGAN: Correct.'

MR. DAWKINS: No more, no less.

CHANCELLOR DUNGAN: That is correct.

MR. DAWKINS: There might be ten such groups

willing to participate in this mechanism or in



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becoming a part of the mechanism, which would in

fact allow you to-proceed. Is that basically true

CHANCELLOR DUNGAN: Yes, I would say that is

true. It is conceivable, although I hope it would

not happen, that different groups in the community

-would come up with different kinds of arrangements

MR. DAWKINS: Which means that it could happe

tonight, tonight or any other night, and it still

would provide you the leeway to begin your process

In view of that, I would like to say this

first before I read you a letter. There are a

number of people in this room and in the City of

Newark who scuffled around to do something in

Newark from as early as 1960 until this very day,

and a host of them are still scuffling to do thing

where dreams don't come true. I address this to

the chairman of the ad hoc committee. Without

.reservation, it comes from me being an individual

of Newark, having been here for 20 years, having

given up basic life and limb, indebted to a host

of people to try to help the poor. I worked with

hundreds of teenagers who presently are in jail

and reformatories and a host of other people who

had no chance until today.

I say first to the committee chairman that it



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will be quite easy, sir, for us in our haste to

try to move ahead to drive a wedge into the black

community as swift and as sure as we oftentimes

are able to betray each other. Lest we make that

mistake and create a confrontation in_ the black

community that cannot possibly deal with the

elements which propose the change in Newark, I

would say as an individual that the process which

has been set up'is not healthy either for your

ad hoc committee, for the community people or for

those of us who hope to. be. representatives in the

overall Model Cities development.

I would like to say first as an individual

and poverty person, who has gotten almost a millior

dollars like no black community group in the natior

that I presently live in Newark and that if we are

going to provide a united front in the black

community from the abstract poor to the socially

elite, then we must devise a better means by which

we can carry out our getting together.

Finally, I would say to you that this communit

should not become divided because so many groups

are attempting to do something in Model Cities. I

don't personally feel that the beautiful job you

have done in the negotiating of the medical college

y



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1 should be hung up in the morass and red tape of

Model Cities. I think it should be a process by

which a more powerful, a more representative group

that can meet whatever foe may exist at the very

least and deal effectively with him, should be

the vehicle by which we use to deal with Model

Cities.

As a consequence of that, I would like to

read this letter. I would like to say to you

first that I am the president of the Blazer Blue

Ribbon Corporation, Model Cities Development

Corporation, that began as early as 1961. That

developed as a Model Cities program with over

100 persons from this community and has worked

for almost a year. Today it has presently submitt-d

almost a million dollars in Federal projects. I.

don't think you appropriately represented that

group that has gotten its papers and has a series

of projects pending.

I am also a member of the task force that has

become a part of the City's overall effort to deal

with the problems of Model Cities with the broad

based group. I was elected as a co-chairman to

bring this letter before the . committee here as a

resolution agreed upon and passed by some 34 membe' s



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representatives of agencies, and individuals to

present this letter as a part of our discussion.

It is addressed to the Ad Hoc Negotiating Committee,

Medical College.

MR. WHEELER: I would like to ask a question

of. Mr. Dawkins. I would like to raise a question

and I want to direct this gzestion to the Model

Cities regional representative operating--

MR. DAWKINS: I thought you were going to as

me a question.

CHANCELLOR DUNGAN: Wait a minute, Mr. Wheele

I think this gentleman did have the floor and I

thought you were addressing the question to him.

MR. WHEELER: I will address the question to

him. Mr. Dawkins, are you aware of the fact that

the representative of the Philadelphia Regional

Office has found the very committee that you

purport to represent, called the Task Force, un-

acceptable to the Philadelphia Regional Office

of Model Cities and, in fact, Mr. Dawkins, Mr.

Donald Malafronte, who heads the department for

the City, was advised of this several days ago

and certainly had a responsibility when he called

you together to advise you that the very committee

that you purport to represent and over which your

r.



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signature is attached to a letter flowing from

this group has been deemed unacceptable by the

Model Cities representative out of the Philadelphi

Regional Office and, therefore, on the basis of

that position I would suggest, Chancellor, that

the letter that is about to be read is not germane

MR. DAWKINS: I would suggest; Committee

Chairman, you don't have that kind of authority.

CHANCELLOR DUNGAN: If I may suggest to Mr.

Wheeler,' I think that is a rather unfair statement

The reason that the regional representative and

HUD rejected that group was not because the people

on it may not have been represented to the extent

that there was a sufficient number on the committee

of the community or some element or some group

from the community, but it was not sufficiently

broad. Therefore, I don't think you should malign

any people on that task force that was set up by

Mr. Malafronte.

MR. WHEELER: It was not my intention to

malign anyone. I simply want to point out that

the-very agency he purports to represent has now

been found unacceptable. I am not talking about

individuals and I am not talking about why it was

found unacceptable. I am simply saying that the



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so-called task force, the Newark task force of

which Mr. Dawkins was a member, has been found

unacceptable and, to the best of my knowledge, was

to be vitiated. I would like at this juncture to

have Mr. Chisholm, who put this into the record,

state it again here publicly.

CHANCELLOR DUNGAN: Mr. Wheeler, it is in

the record, and I think everyone who has followed

these hearings closely knows about it. It doesn't

seem to me, however, that it particularly prevents

this gentleman or anyone else from writing a lette

or making a- statement and, therefore, I would

suggest that we go ahead.

MR. WHEELER: I have only one thing to say

about the letter. The letter is supposed to flow

from a body that has been deemed unacceptable by

the very authority that passes on this kind of

thing.

MR. DAWKINS: May I respond to all of this.

If he is my representative, - you are going to listen

to me as a community person you represent.

The first point I would like to indicate here

since you were so able to say that this body - was

unacceptable to Philadelphia--

MR. WHEELER: I didn't say it, Philadelphia



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did.

MR. DAWKINS: I live in Newark and I don't

care what Philadelphia says.

CHANCELLOR DUNGAN: Mr. Dawkins, please read

your letter.

MR. DAWKINS: I am saying to you that the

committee you have in fact set up is no more

acceptable than any of the committees because it

is not basically broad enough, sir.

CHANCELLOR DUNGAN: I thought that point was

made at the beginning.

MR. DAWKINS: I think before we start this

business of dividing the community--and I mentione

that earlier that it is quite easy to do it and I

will not be a party to it--that before you in fact

say it has been eradicated, you ought to get yours 1f

together and work as a team on this thing.

CHANCELLOR DUNGAN: Mr. Dawkins, I would like

to make a point.

MR. DAWKINS: Sir, you have not cleared him

on this and it will be prejudiced and certain

people will be slandered.

CHANCELLOR DUNGAN: Mr. Dawkins, I think it

is giite clear--

MR. DAWKINS: The letter is addressed to Mr.



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Wheeler, chairman of the ad-hoc committee.

MR. WHEELER: I am not the chairman of the

committee, I am just a member of the negotiating

team but I accept the responsibility as the letter

is addressed to me.

MR. DAWKINS: I am trying to say that we have

a team in the community that has long been working

together. I fought for the medical college before

the riots.

MR. WHEELER: We are all in the same boat.

MR. DAWKINS: Then, I want us to propose

another kind of process. We hold in the highest

esteem your recent negotiations with the

representatives of the Newark medical college. We

are in basic agreement with those elements of

negotiations where the community is to participate

in housing, recreation, construction, job training

and job opportunities, and other areas of

meaningful community involvement.

In regard to the medical health negotiations,

we feel certain your ad hoc committee has received

some outstanding accomplishments for our community.

However, we take exception to the idea that you

should expand your negotiations to cover the

Model Cities project to be sponsored by the total



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Newark community.

First, we do not feel that your ad hoc

committee is broad based enough to adequately

represent the total Newark community as it pertain

the black, the Latin and the white community.

Secondly, we feel that unless such a broad

based group which has as its representatives

persons mainly familiar with the massive socio-

economic problems of the total City, any further

efforts on your part to negotiate the Model Cities

project would ultimately result in failure for

which all of us would share the responsibility.

Therefore, we, the Newark Model Cities Task

Force, composed of both individuals and community

agencies, representatives, both volunteers and

appointees, having influence with and serving some

100,000 or more Newark residents, take exception

to your attempt to either disband or your refusal

to acknowledge our legitimate status as

representatives in our attempt to assist Newark

in developing its Model Cities project.

We consequently invite you to join the task

force as we cannot and will not agree to your

negotiating for us or in our stead. We further

wish to inform you that our task force is both



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open-ended and open for expansion and could in fac;

become a nucleus of a broad based community counsel

of which numerous groups could be and would be

invited to participate.

We further indicate that we propose to

initiate immediately a draft to seek out Model

Cities target area residents who will be invited

to join the task force in order that they may

possibly for the first time in their lives be able

to make policy decisions which will reverse their

lives and the lives of future generations yet

unborn in target area, poverty-stricken communities.

Finally, in having received our authority,

basic authority, from the mayor of the City of

Newark, the Honorable Mayor Hugh J. Addonizio, who

in the final analysis, Mr. Wheeler, will be

responsible to the Federal government for the

Newark Model. Cities project, and having been

publicly announced as the official Model Cities

task force, we feel deeply hurt that you would in

any way consider negotiating the Model Cities

concept in our stead.

' In the final analysis, we feel confident

that your determined efforts in establishing

substantial areas of agreement which now make it



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possible for the medical college to relocate in

Newark, that for this you deserve from us a real

show of appreciation. Having achieved this goal,

consequently, we feel that your committee has

served its basic function.

This comes from the task force representative

groups, some 34, of which I have the list that is

broad based enough to include the most stalwart,

militant groups and what some of us call the Jesse

militant groups, and it represents the organizatio

which I started in.

CHANCELLOR DUNGAN: As I understand it, Mr.

Dawkins, on the basis of Mr. Wheeler's initial

statement on this question, the task force is not

undertaking to negotiate for the community with

the Model Cities project. Is that correct, Mr.

Wheeler?

MR. WHEELER: It is my understanding that the

task force has to be deemed unacceptable.

CHANCELLOR DUNGAN: I am sorry, I didn't mean

to say task force. I mean the ad hoc committee.

MRS. EPERSON: Chancellor, I would like to

answer Mr. Dawkins.

Mr. Dawkins, I want to publicly thank you

for helping us in our trouble with the medical



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school and I thought that that episode brought us

all together as never before in our lives. One

thing it did do, it brought cohesiveness with it.

Now, after the fight of the rebellion, you

know perfectly well it was you who sat up on the

top of the fence and went back to the mayor's

group who had i11 treated us all through the thing.

Because of Model Cities, not us, but you, we didn't

go away from you but you pulled away from us, so

don't say we are going to do anything that will

cause us to break up anything. If you had stayed

with us, you would have been right .up here with

us because you are a dynamic fighter, a wonderful

speaker and all this, but I can't see you or any

other dissidents of Newark or any place else taking

advantage of what people have to have, which is

homes to go into, so I want to talk about some

houses right away and I don't give a damn who

builds them.

MR. WILLIAMS: You are in error in two ways.

MR. DAWKINS: Straighten me out.

MR. WILLIAMS: I shall do that. Number one,

you directed your attention to the ad hoc committe

as you refer to it, meaning the negotiating team.

By no means is the negotiating team setting itself

e,



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up as the person or as the group of persons to set

up the task force for Model Cities. You see, you

weren't at the meeting on Wednesday. There were

approximately 150 people there. voicing their

opinions. We did in fact seek out for a broad

base and we did in fact get a broad base.

Secondly, you are in error by saying that you

represent the task force. You may perhaps

represent yourself as an individual on the task

force, however, you cannot represent an entity

which does not exist.

Now, recognizing that perhaps you do have

some right as an individual on-the former task

force, a right to express his grievance, I would

say that you perhaps can then say "What is going

on?" Then, I direct you to Mr. Malafronte. because

Mr. Malafronte here last Wednesday suggested a

meeting.- We did but comply with Mr. Malafronte's

desires.

As a member of that former task force being

in direct contact with Mr. Malafronte, and being

as close as you are with Mr. Malafronte, I would

think that you would have known about that meeting

on Wednesday. There was adequate notice here.

There was adequate notice in the newspapers.



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Somehow, 150 people found their way to the meeting

took it upon themselves to exercise a little bit

of democracy and came up with the group that is

going to do a job.

I don't think I have to say any more to you.

MR. DAWKINS: I am demanding that I have the

opportunity to respond to that. Before you

castigate my image, young fellow, I just want you

to know a few things before we have to take back

things we say. The most celebrated man in the

Newark riot is a student of the Blazer project.

Now, you figure who that man is. I am asking you

a question. You said something to me earlier,

and Malafronte, : nor you nor anybody else has the

right to do away with an agency that represents a

community, and whether you like it worth a damn,

I have represented a part of the community for a

long time.

Now, Chancellor Dungan, you told me a moment

ago that there could be no eradication of any

group that existed and I don't know why he takes

it upon himself to finish it off. I never knew,

and there are a host of people here including

Latins and blacks who don't know, and nobody has

that right including Malafronte. When you say I



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114 .

am close to him, I am close to every man in this

City and I have scuffled for all of them a long

time. You can call that what you choose.

I would like to know who has the authority to

eradicate a representative group that has scuffled

to get that first damn thing headed into Washingto

We said it was not what it ought to be and took

it before the community at West Kinney Street

School and fought over it, saying it wasn't right.

MR. WILLIAMS: First of-all, I think you are

a redevelopment agency of the United Community

Corporation. The UCC has more representatives on

that select committee because we recognize that

it does in fact represent a broad group of people

such as yourself, and we made sure such delegate

agencies, such representatives that UCC might see
r

fit to put on this task force could be a part of

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it.

MR. DAWKINS: Maybe I am asking the wrong

question, because we don't need any wedges, we don

need to be at each other's noses. I want some

answers. If you give me positive answers, I am

satisfied. That is why I have taken a back seat.

I want to know if the UCC feels it has adequate

representation for, agencies such as we, a

t



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representative group that was part of the other

task force. If they feel satisfied that that is

the case, I am satisfied, too. I don't think we

should start here hatcheting each other.

REVEREND. WEST.: I think, Walter, a person I

have a lot of respect for, has really taken out

of my mouth what I want to say. There are people

here tonight that would probably tell me to sit

down and shut up, but I still see the medical

school which I think that we need to have. I

believe that we all make errors. I don't believe

that any of us are complete authorities on any

given topic. I don't think anybody in this room

is really insincere as it relates to bringing the

best to Newark. I see a confrontation that the

devils of those who are negative toward progress,

who would take something like this and use it

to destroy that which we all, regardless of race,

color, creed or national ancestry, would want to

have here.

I think that there are two sides to this coin.

It is true we might be taking different avenues,

but I believe that in some kind of way we can

harmonize this, and the thing I have been tossing

and turning with from night to night is this entity



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that we are talking about, a catalyst for a broade

base. Someone might argue that the catalyst is

not broad enough to bring about that solidarity

that we are ail'seeking. This is the point.

Excuse me, Mr. Dungan, I. have a lot of respec

for you.

CHANCELLOR DUNGAN: Please continue, Reverend

REVEREND WEST: I still have respect for Mr.

Dungan, so what I am trying to say is that I belie

that we have got. to come to this point. If we

solve this point, then we can move forward. If

we cannot solve this point, then I believe that

nobody will prosper. You know we have the extreme

we have the right and wrong on both sides of the

fence.

The intent is good, so how do we harmonize

and blend it to make it applicable to bringing

about the institution and the other things for our

community? I pray that no one will use this to

sabotage that which we so vitally need. There are

some things that I disagree with, but it zs like

the man that says I have been married ten years

and never had a fight with my wife. I said, " Man,

you're not married. " So, I am saying this is

healthy, but let us move forward.

e



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A VOICE: I would like to say that I see a

lot of faces tonight that were at the meeting

Wednesday night. I myself was at that meeting.

I am a member of the umbrella group. There were

a lot of groups there of different organizations,

and there were some 19 people's names entered in

for nomination. There could have been more for

anyone that wanted to attend. The.notice was in

the paper. I read it myself in the paper. No one

was omitted. The door was not closed. .The door

was open to everyone that wanted to attend.

Actually, I see no reason for an argument of

why this person or that person was chosen. The

people that were nominated were voted upon and . this

is how they were derived from that meeting.

MR. MOORE: Chancellor Dungan, as it relates

to the seventh point in the Woodcorn letter, I

feel we have reached substantial agreement and I

am prepared to say that we call a public hearing

on the 46 acres beginning tonight. Let the onus

fall on all those persons in the community who do

not want the medical school, to say that we do

not have substantial agreement.

CHANCELLOR DUNGAN: The motion as I understand

it relates to a point which we brought up earlier



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in these meetings when we thought we had gone

fairly far with respect to relocations, housing,

employment and whatever. The motion substantially,

as I understand it, Mr. Moore, would permit Mr.

Danzig to advertise for the hearing which would be

held in ten days, assuming that the arrangement

would be satisfactory to HUD, which has to finally

approve it. We have Mr. Chisholm here, who 6tea

representative of HUD, and I would like to inquire

whether under these circumstances we are prepared

to go ahead.

Let me first be clear that the group that

came out of the Wednesday night meeting, as Mr.

Wheeler pointed out, will be the catalyst for the

construction of a broader based organization,

eventually to be the Model Cities group.

MR. WHEELER: It will be a total representation.

MR. DAWKINS: I would like to ask a question.

When you say the basic catalyst, that has nothing.

I mentioned earlier you don't have substantial.

agreement to move on with the medical college.

That may be one of the catalysts that has nothing

to do with other catalysts.

• CHANCELLOR DUNGAN: I would say, Mr. Dawkins,

that this is my understanding. As I tried to poirt



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out the other night, this is a matter between the

Model Cities administration, the Federal governmen

My own view is that if certain groups in the

community--and I agree with Mrs. Eperson, I hoped

that this would never occur--find it impossible to

move with the majority of the community, then ther

is a certain . freedom to move in. But, if nothing

comes out of this hearing, and I say this in all

sincerity, I would hope for the solidarity of the

community in the face of all of its problems.

MR. DAWKINS: I move Mr. Moore T s motion.

CHANCELLOR DUNGAN: Mr. Chisholm, does the

mechanism that has been outlined here for the

establishment of a representative Model Cities

group, are the terms satisfactory, the mechanism

adequate, from your point of view?

MR. CHISHOLM: I gather that part of the

motion put by Mr. Moore--may I clarify one thing

before I go further. The decisions with respect

to all Model Cities matters are not just HUD

decisions. They are decisions of a range of

Federal agencies including OEO, including HEW,

including the Department of Labor. All of those

departments and others review the programs. They

review, as a matter of fact, the citizens'



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.120

participation portion of the Model Cities program.

When we address ourselves to the Newark citizens'

participation vehicle, we do it on behalf of the

total establishment. If, as a matter of fact, the

people in this room accept it as a catalyst and as

a temporary mechanism for moving forward to a

subsequent reconstruction of the Model Cities

vehicle for Newark, . I think we are prepared also

to accept it.

CHANCELLOR DUNGAN: That, I take it, constitu

formal acceptance by the Federal government of

this mechanism for the purposes of giving Mr.

Danzig approval to advertise as soon as possible,

is that correct?

MR. CHISHOLM: If it is acceptable to this

group, that includes the City as well.

CHANCELLOR DUNGAN: We have a motion on the

floor to accept this mechanism. Mr. Malafronte,

do you want to comment?

MR. MALAFRONTE: If it is acceptable to the

community, it is acceptable to the Model Cities

program.

A VOICE: Mr. Counsel, I would like to say

that I am Jenny Lemon. I have an association in

the City of Newark. From the very beginning, our

es



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organization has supported the Blazer program. I

have served as vice president of that organization

and still am a trustee. I want to go on record

that our organization wants to be involved in this

committee on a total basis.

REVEREND SHARP: I am hoping that we will

leave here with the understanding that the Model

Cities program cannot belong to any one group,

and that one group cannot tell another group that

it cannot share, and that each group in the city
ought to want the other groups to be in it, and

that the catalyst agency here will serve to bring

together and to invite us to come together to work

with the City to bring the medical school here and

to rebuild the City.

I don't think we leave with any bitter taste

because you cannot take over the City and Harry

Wheeler cannot either, but we can work with Mrs.

Lemon or anybody else.

REVERED PERRY: Mr. Chancellor, I would like

to say this on behalf of this committee and the

meeting on Wednesday evening. The committee itself

did not really determine the number that was to

serve nor the persons that were to serve on this

committee. TYe question was asked by the young man



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that moderated the meeting as to how many shall

we have. We reached this conclusion that we would

find out how many groups we had there. We found

out we had about 31 different groups. We were

trying to keep the number as small as we could,

where they could work together, but they explained

as plain as they could that what they would do is

set up the mechanism and they would invite all the

rest of the group to come . in and be a part of it.

A VOICE.:_ Chairman, my name is Matos. I am

from the counsel of Puerto Rican organizations.

I am trying to put some Spanish in here. It is

very tough for Puerto Ricans here in Newark. I

attend some of these meetings, but there is so mucl

"Spanglish" spoken here that it is tough. I would

like that as president of the counsel of Puerto

Rican organizations to receive some information

what it is all about, because I go to a meeting

and I don't know what it is all about. I would

like any committee or any organization to contact

us, the counsel for Puerto Rican organizations,

so we could send our representation to this

organization.

CHANCELLOR DUNGAN: I am sure that will be

the case, sir.



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REVEREND SHARP: There is a member of the .

Puerto Rican counsel on the committee.

MR WHEELER: Mr. Gonzalez, and there will

be more,

CHANCELLOR DUNGAN: The motion before the

floor by Mr. Moore is seconded by Mrs. Eperson and

Mr. Dawkins.

MR. DAWKINS: With the understanding, sir,

I can take insults from all of us, but I am saying

to you again that I move the motion Mr. Moore made

with the understanding that you reach substantial

agreement with or without this committee, but I

accept it as it is per se until such mechanism

comes about that triggers over all participation.

CHANCELLOR DUNGAN: The substance of the

motion is that approval is given by the negotiatin

team to Mr. Danzig to advertise for the hearing

which will occur within ten days. All those in

favor say aye.

All those opposed no.

Hearing no objection, the motion is passed.

We will include in the record those agreements

pertaining to relocation and housing construction.

There being nothing further, we will consider the

hearing closed.



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124

"IV. Relocation

"In recognition of the fact that Newark's

housing resources are limited, the following

procedures. will be used to assure that all familie

and, individuals dislocated by the medical center

project will be satisfactorily relocated:

"l: The State of New Jersey pledges that

demolition and construction on the 46 acre site

will be staged in such a manner as not to displace

any family until satisfactory relocation

accommodations are found for each family and

individual so displaced.

"2. The State of New Jersey, through the

Department of Community Affairs, will provide a

rent supplement program for all families who could

not otherwise be relocated. Through the Departmen

of Institutions and Agencies, the State will insur

that local and county welfare departments meet

their full obligation under existing welfare law

and regulations to relocate welfare recipients and

standard housing at full economic rent.

"3. The State of New Jersey will

accelerate its assistance to community based

housing corporations in order to create additiona

relocation resources in the manner indicated in



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125

Part VII below.

"4. The Newark Housing Authority will

accelerate its leased housing and rent supplement

programs under existing authorization and will seek

additional commitments of leased housing funds as

soon as possible.

"5. A relocation review board shall be

formed consisting of one member from HUD, one

member from the Department of Community Affairs,

and one member selected by the citizens group to

be formed under VII,

"The review board shall be given

full access to dwelling inspection records, the

records of complainants appearing before the

board, any plans, proposals, contracts, leases,

etc., and supporting documents which are pertinent

"If the review board finds that the

relocation practices followed and adopted by the

Newark Housing Authority adversely affect any

individual to be displaced or evicted, or

threatened with the displacement or eviction as a

result of the construction of the medical school,

they will refer him to the appropriate state or

federal body for administrative or judicial remedy

and assist the complainant in the presentation of



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his grievance.

"6. The State Division of Civil Rights

will participate on an active basis in the relocation

process and insure that all state and federal

legislation pertaining to housing is scrupulously

enforced.

"7. The above provisions will be_made

terms of the contractual agreement between the

medical college and the city of Newark, and betwee

the city and the federal-government. "

"VII. Housing Construction:

"1. A Community Housing Council shall be

formed within 30 days. This Council shall be

broadly representative of Community organizations

and individuals concerned about housing in Newark.

"2. A task force of representatives of HUD,

the State Department of Community Affairs, the

Newark Housing Authority and the members of the

Citizens Housing Council shall be organized prompt

upon the formation of the Citizens Housing Council

The majority membership on this task force shall

be composed of representatives of the Citizens

Housing Council. The task force shall prepare a

housing program designed to produce sufficient

housing to meet the demand created by projected

ly



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dislocation in Newark, as well as to add

significantly to Newark's supply of low and moderate

income housing. This program shall be used as

guidelines for federally and state assisted housing

programs in Newark. The task force shall report

within three months of its formation.

"3. The Newark Housing Authority agrees to

meet with the Citizens Housing Council periodicalli

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to:

"(a) Review the status and disposition

of parcels in urban renewal projects in execution,

and

"(b) Review the priorities and direction

of urban renewal in Newark, particularly with

regard to the need for greatly increased housing

construction.

"4. The Newark Housing Authority agrees to

convey to non-profit community-based housing

corporations land designated in Louis Danzig's

letter of March 1, 1968 to Chancellor Dungan.

"5. In order to facilitate responsible planning

and analysis by community groups, the Department

of Community Affairs pledges to:

"(a) Provide to such community groups

as have received an option on urban renewal land



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'seed money' for planning and development of

working drawings, specifications, etc.;

"(b) To provide resources for the overal

evaluation of Newark's housing program in the form

of consultants, planners, and any funds reasonably

necessary;

"(c) To have the New Jersey Housing

Finance Agency process applications for State fund

from community groups with dispatch.

"6. All parties concerned will give due

consideration to mixed use construction, e.g.,

housing over schools, institutional facilities,

and/or commercial uses.

"7. The United States Departments of Housing

and Urban Development and Health, Education, and

Welfare pledge to encourage their component and

subsidiary agencies in the fields of housing,

health, and education to proceed with all possible

dispatch in processing applications from community

and community-related groups. for federal funds for

these purposes.

"8. Both HUD and the Department of Community

Affairs will review and act upon all urban renewal

and housing proposals from the City of Newark in

such a manner as to bring about a greater



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commitment of available land and resources to

housing construction. "

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C E R TIF I C A T E

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I, HENRY E. McGRORRY, JR., a Certified.

Shorthand Reporter of the State of New Jersey, do

hereby certify that the foregoing is a true and

accurate transcript of the proceedings as taken

by me on the date and at the place hereinbefore

set forth.

€' )w	/4(,,(.	
Henry E. cGrorry,
Certified Shorthand Ieporter
of New Jersey

DATED: 3/ 2 6

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