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The organization of the United States Veterans' Bureau includes the Central Office, located at Washington, D. C., fifty-four Regional Offices, and such suboffices under their jurisdiction as may be required, five control areas, and fifty hospitals.

The Central Office activities, with the exception of the administration of the Adjusted Compensation Act, insurance, and death compensation, are largely those of direction, supervision, and control. The adjudication of disability compensation, the rendering of medical relief and vocational training, are decentralized to the Regional Offices, as is the payment of benefits to the disabled. The organization of the Central Office is represented on Chart 48, and is comprised of seven services, as follows: Medical Service, Claims and Insurance Service, Supply Service, Finance Service, Co-ordination Service, the General Counsel, and the Guardianship Service; and certain independent divisions and offices, including the Rehabilitation Division, the Central Board of Appeals, the Information and Co-operation Division, and the Mails and Records Division. Within each of the major services there are divisions carrying out the major functions of the service, such as the Tuberculosis Division, the Neuro-Psychiatric Division, and the General Medical and Surgical Division of the Medical Service; the Claims Division and the Insurance Division of the Claims and Insurance Service; the Personnel Division, the Construction Division, the Supply Division, and the Chief Clerk's Division of the Supply Service; the Disbursing Division and the Auditing Division of the Finance Service; and the Standardization Division, the Investigation Division, the Evaluation Division, and the Budget Office of the Co-ordination Service. The functions of these services and divisions are in accordance with their titles, and have general direction and supervision of the field activities falling within their jurisdiction, as well as the investigation of methods of procedure and measurement of accomplishments. 10. Organization; Regional Offices

The fifty-four Regional Offices, located one within each state (except Delaware), and in certain instances more than one, were established for the consideration and adjudication of claims for disability compensation, and for providing out-patient and hospital treatment for the disabled, as well as vocational rehabilitation for veterans residing within the regional territory. These offices are responsible to the Central Office in matters of policy, but have a considerable latitude of freedom of action in carrying out their functions. They are located as

. follows (under a Regional Manager at each):

777

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City.

Address.

301 Old Post Office Bldg. Montgomery 200 Bell Bldg.

134 South Central Ave. United Motors Bldg., Cap

itol Ave. and Broadway. 883 Market St. 420 South Pedro St. National Bank Bldg. 983 Main St. Arlington Bldg. 218 West Church St.

439 Peachtree St. Macon

700 Grand Bldg.
Room 108, Federal Bldg.
Idaho and Ninth Sts.

111 North Canal St. East St. Louis 200 Metropolitan Bldg.

54 Circle Monument Pl. Evansville Federal Bldg.

Flynn Bldg., Seventh and

Locust Sts.
Orpheum Bldg., First and

Lawrence Sts.

Union Labor Temple Bldg. Lexington 210 South Broadway.

Soule Bldg., Charles and

Lafayette Sts. 415 Benoit Bldg. Hospital No. 56, Fort Mc

Henry.

Washington-Essex Bldg. Springfield 257 Main St.

318 East Jefferson St. Marquette 101 South Front St.

509 Keith-Plaza Bldg. St. Paul

365 Robert St.

235 West Capitol St. Meridian 403 Cochran Bldg.

4036 Chouteau Ave.
2109 Grand Ave.
Tenth and Logan Sts.
1817 Douglas St.
29 Front St.

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Address. 325 Bell Bldg. 14 Bleeker St. 202 North Second St. 480 Lexington Ave. 208 Custom House. 200 South Salina St. 68 West Main St. 95 Central Ave. Wade Loft Bldg. 8 Roberts St. 1015 Vine St. Prospect and East Four

teenth St. 335 South High St. 706 Nasby Bldg. Third St. and Harvey Ave. West Park and Alder St. Twentieth and Arch Sts. East Ohio and Sandusky

Sts. Second and Market Sts. Delaware and Hudson Pas

senger Station. P. 0. Box, Old Customs

House. 44 Washington St. 1246 Main St. Tenth St. and Phillips

Ave. 1471. Seventh Ave. N. Gay St. and Church Ave. 211 North Alamo Ave. Mills and Oregon Sts. Texas Ave. and Milon St. Main and Lawrence Sts. Burlington Daily News

Bldg. Grace and Third Sts. 1107 Fourth Ave. Summers and State Sts. 137 Second St. Becklinger Bldg.

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With the close of the war and the expansion of the relief work through the liberalization of legislative provisions, and the consequent increase in the number seeking relief, and with the dispensing of relief charged to three separate agencies, duplication of effort and delay was unavoidable. It was out of a recognition of this condition of affairs that the United States Veterans' Bureau was created by Act of Congress dated August 9, 1921," and the dispensing of all relief centralized in one independent bureau.

3. Activities

The activities of the Veterans' Bureau as now constituted ? are as follows:

4. Death and Disability Compensation

Compensation is awarded for death and disability resulting from personal injury received or disease contracted in the Military or Naval Service on or after April 6, 1917, and before July 2, 1921, or for an aggravation or recurrence of a pre-existing disability during, or as a result of, such service. The amounts payable to disabled veterans or dependents of deceased veterans vary in accordance with the degree of the disability and the number of dependents. For temporary total disability the amount payable is $80 per month, with certain additional allowances for dependents. For a temporary disability, less than total, the monthly payment is a percentage of the above payment equal to the degree of the reduction in earning capacity resulting from the disability, but no compensation is payable for a reduction in earning capacity of less than 10 per centum. If the disability is rated as permanent and total, the rate of compensation is $100 per month: Provided, however, that the permanent loss of the use of both feet or both hands, or of both eyes, or of one foot and one hand, or of one foot and one eye, or of one hand and one eye, or of the loss of the hearing of both ears, or becoming permanently helpless or permanently bedridden, shall be deemed to be permanent total disability. It is further provided that compensation for the loss of the use of both eyes shall be $150 per month, and that compensation for the loss of the use of both eyes and one or more limbs shall be $200 per month, and for double permanent disability the rate of compensation is $200 per month. If the disability is rated as partial and permanent, the compensation, during such rating, is a percentage of the compensation for permanent total disability equal to the degree of reduction in earning capacity resulting from the disability, but no compensation is payable for a reduction in earning capacity of less than 10 per centum. Provision is made for a nurse or attendant for those so helpless as to be in need for such, and an amount not exceeding $40 per month is allowed therefor. Payment of burial expenses, not exceeding $100, for those who died in service after April 6, 1917, and those who died after discharge, and who did not leave sufficient assets to meet such expenses, is authorized.

The total number of compensation claims received to May 1, 1925, was 995,585. Of the total number adjudicated there have resulted 484.020 awards for death and disability, of which 205,189 disability awards and 63,118 death awards were active on May 1, 1925. Current monthly payments for compensation approximate $10,500,000. In addition to the original adjudication, each case receiving a temporary award requires frequent additional adjudications, while cases receiving permanent ratings are readjudicated whenever the necessity arises. Disallowed claims may be reopened at any time by the submission of additional evidence. The flexibility of procedure for securing readjudication of claims on appeal, or through submission of additional evidence, has enabled many veterans to obtain additional compensation to which they were entitled. 5. Medical and Hospital Care

1 42 Stat. 147.

7 World War Veterans' Act June 7, 1924 (43 Stat. 607), as amended by Act March 4, 1925 (Pub. No. 628, 68th Cong.).

In addition to compensation payments, the disabled person, with any degree of disability resulting from service, is furnished such reasonable governmental . medical, surgical, and hospital service, and such supplies, including wheel chairs, artificial limbs, trusses, and similar appliances, as the Director may determine to be reasonably necessary and useful. All hospital facilities of this bureau are also available for every honorably discharged veteran of the Spanish-American War, the Philippine Insurrection, the Boxer Rebellion, or the World War suffering from neuro-psychiatric or tubercular ailments and diseases, paralysis agitans, encephalitis lethargica, or amoebic dysentery, or the loss of the sight of both eyes, regardless of whether such ailments or diseases are due to military service or otherwise. The Director of the Bureau is further authorized, so far as he shall find that existing government facilities permit, to furnish hospitalization and necessary traveling expenses to veterans of any war, military occupation, or military expedition since 1897, not dishonorably discharged, without regard to the nature or origin of their disabilities; preference being given to those unable to pay such expenses.

On May 1, 1925, there had been 292,020 admissions to hospitals, of which there were 91 under government operation, with a bed capacity of 29,689, 50 of these hospitals, with bed capacity of 19,959, being under the bureau. Other hospitals utilized in whole or part for the treatment of beneficiaries of the bureau are under the jurisdiction of the War and Navy Departments, the United States Public Health Service, and the National Home for Disabled Volunteer Soldiers. On May 1, 1925, 29,113 patients were being hospitalized at government expense. From May 1, 1924, to April 30, 1925, 1,349,091 treatments and 1,223,196 medical and dental examinations were given outside of hospitals. 6. Vocational Rehabilitation

Every veteran who served in the military or naval forces at any time from April 6, 1917, to July 2, 1921, who has resigned, or who has been discharged or furloughed therefrom, having a disability, incurred or aggravated in such service, not the result of his own willful misconduct, who, in the opinion of the Director, is in need of vocational rehabilitation to overcome the handicap of his disability, is furnished a suitable course of vocational training, if feasible. Every person electing to follow a course of vocational training is paid such sum as in the judgment of the Director is necessary for his maintenance and support, and the support of persons dependent upon him, while following same; but no single

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