Interesting: Forty years of unwarranted variation¿And still counting. John E. Wennberg
In 1967, fresh out of my medical training at Johns Hopkins, I took a job as director of Vermont's Regional Medical Program (RMP) at the University of Vermont. The Vermont RMP was part of a national program, sponsored by the National Institutes of Health, whose goal was to ensure that all Americans had access to the great advances in medical care now available at academic medical centers. At Johns Hopkins, I had witnessed the advent of renal dialysis, chemotherapy, open-heart surgery and coronary intensive care units, and came to my new job with a good deal of enthusiasm for dealing with the underuse of medical care.