RT Journal A1 Cooper RA T1 REgional variation and the affluence-poverty nexus JF JAMA JO JAMA YR 2009 FD September 9 VO 302 IS 10 SP 1113 OP 1114 DO 10.1001/jama.2009.1222 UL http://dx.doi.org/10.1001/jama.2009.1222 AB As the nation embarks on health care reform, concerns have been raised that the United States is training too few physicians for the future.1 However, progress in responding has been stalemated by a broadly accepted view that there is unexplained geographic variation in both physician supply and health care spending and that correcting it could obviate the need for more physicians—indeed, that less care is a value that should be rewarded.2- 3