“Evidence suggests a disturbing gap between the quality of health
services that can be provided in principle and the quality of health
services that actually are provided in practice,” he said.
“Inconsistent use of best practices by doctors and hospitals is also
surprisingly widespread.”

Ben Bernanke speaking to the Senate committee hearing on health reform.

Did he talk to a physical therapist before he made this quote?  If so, he might have used the term “black hole” to make his point.

A group of students from my university are out on their first clinical rotation presently.  The feedback they have been giving me about their experiences supports this point.  It seems there is a common thread of knowledge among their clinical instructors, but the implementation of current evidence into best practice is all over the place.

ERIC