The statements of a number of public witnesses, along with those of two Reagan Administration witnesses, are included in this transcript of a Senate hearing which convened to consider the Federal role in providing access to health care for the economically disadvantaged. According to an opening statement by Senator Robert Dole, the purpose of the hearing was to determine whether the Federal government, with its involvement in Medicaid and Medicare, has done enough or should do more to assist the poor who are not covered by private health insurance. The majority of statements included in these hearings were made by representatives of hospitals and hospital associations, State health departments, Blue Cross and Blue Shield, and other organizations and agencies involved in health provision. A background paper by the Senate committee staff, Senator Dole's opening statement, and a number of prepared statements are also included, as are Administration position papers on Medicare and other public health service programs. (KH)