Lewis S. Earle, D.D.S.
Winter Park, Florida
Henry Finger, D.D.S.
Nedford, New Jersey
James H. Gaines, D.M.D.
Greenville, South Carolina
Kathryn Kell, D.D.S.
Joseph R. Kenneally, D.M.D.
Richard D. Leshgold, D.D.S.
Lawrence Meskin, D.D.S., Ph.D.
University of Colorado Health Sciences Center
M. Raynor Mullins, D.M.D.
University of Kentucky
College of Dentistry
William B. Risk, D.D.S.
Peter D. Roberson, D.D.S.
Sam W. Rogers, D.D.S.
Jacqueline A. Roy, D.D.S., D.Hyg.
Utica, New York
Samuel E. Selcher, D.M.D.
Robert G. Smith, D.D.S.
Prairie Village, Kansas
Ronald Stifter, D.D.S.
William A. van Dyk, D.D.S.
San Pablo, California
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--> Appendix A Committee on the Future of Dental Education Liaison Panels State And Regional Panels Lewis S. Earle, D.D.S. Winter Park, Florida Henry Finger, D.D.S. Nedford, New Jersey James H. Gaines, D.M.D. Greenville, South Carolina Kathryn Kell, D.D.S. Davenport, Iowa Joseph R. Kenneally, D.M.D. Biddeford, Maine Richard D. Leshgold, D.D.S. Seattle, Washington Lawrence Meskin, D.D.S., Ph.D. University of Colorado Health Sciences Center Denver, Colorado M. Raynor Mullins, D.M.D. University of Kentucky College of Dentistry Lexington, Kentucky William B. Risk, D.D.S. Lafayette, Indiana Peter D. Roberson, D.D.S. Chicago, Illinois Sam W. Rogers, D.D.S. Houston, Texas Jacqueline A. Roy, D.D.S., D.Hyg. Utica, New York Samuel E. Selcher, D.M.D. Middletown, Pennsylvania Robert G. Smith, D.D.S. Prairie Village, Kansas Ronald Stifter, D.D.S. Milwaukee, Wisconsin William A. van Dyk, D.D.S. San Pablo, California
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--> Committee On The Future Of Dental Education Specialty Panel AMERICAN ACADEMY OF ORAL PATHOLOGY John J. Sauk, D.D.S., Ph.D. Professor and Chairman University of Maryland Baltimore, Maryland AMERICAN ACADEMY OF PEDIATRIC DENTISTRY Martin J. Davis, D.D.S. Dean for Student Affairs School of Dental and Oral Surgery Columbia University New York, New York AMERICAN ACADEMY OF PERIODONTOLOGY Paul B. Robertson, D.D.S. Dean School of Dentistry University of Washington Health Science Seattle, Washington AMERICAN ASSOCIATION OF ENDODONTISTS Henry J. Van Hassel, D.D.S., Ph.D. Editor Journal of Endodontics Portland, Oregon AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS Raymond P. White, Jr., D.D.S., Ph.D. Professor of Oral and Maxillofacial Surgery University of North Carolina School of Dentistry Chapel Hill, North Carolina AMERICAN ASSOCIATION OF ORTHODONTISTS Joseph G. DiStasio, D.M.D., M.D.S. Private Practice/Associate Clinical Professor Tufts University, School of Dental Medicine Revere, Massachusetts AMERICAN BOARD OF DENTAL PUBLIC HEALTH Linda C. Niessen, D.M.D., M.P.H., M.P.P. Chairman, Department of Community Dentistry Baylor University Dallas, Texas AMERICAN COLLEGE OF PROSTHODONTISTS Ronald Desjardins, D.M.D., M.S.D. Professor of Dentistry Mayo Clinic Rochester, Minnesota THE ACADEMY OF GENERAL DENTISTRY Ludwig Leibsohn, D.D.S. New York, New York
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--> Committee On The Future Of Dental Education Faculty Panel Nancy S. Arbree, D.D.S. Tufts University Boston, Massachusetts Leif K. Bakland, D.D.S. Loma Linda University Loma Linda, California Richard Bebermeyer, D.D.S. University of Texas Health Science Center-Houston Houston, Texas David Brunson, D.D.S. University of North Carolina at Chapel Hill Chapel Hill, North Carolina Ellen Byrne, D.D.S. Medical College of Virginia Virginia Commonwealth University Richmond, Virginia Kenneth B. Chance, D.D.S. University of Medicine and Dentistry of New Jersey Newark, New Jersey Teresa Dolan, D.D.S., M.P.H. University of Florida Gainesville, Florida Amy Everett, D.D.S. West Virginia University Morgantown, West Virginia Cathy Gogan, D.D.S. State University of New York at Buffalo Buffalo, New York Denis P. Lynch, D.D.S., Ph.D. The University of Tennessee-Memphis Memphis, Tennessee Phil Marucha, D.M.D., Ph.D. The Ohio State University Columbus, Ohio Gail E. Molinari, D.D.S. University of Detroit-Mercy Detroit, Michigan Ethel Newman, D.D.S. Howard University Washington, D.C. Robert Ord, D.D.S., M.D. University of Maryland at Baltimore Baltimore, Maryland John William Reinhardt, D.D.S. The University of Iowa Iowa City, Iowa Richard A. Reinhardt, D.D.S., Ph.D. University of Nebraska Medical Center Lincoln, Nebraska Stephen L. Silberman, D.M.D. The University of Mississippi Medical Center Jackson, Mississippi Martha J. Somerman, D.D.S., Ph.D. The University of Michigan Ann Arbor, Michigan Timothy S. Taylor, D.D.S. University of Missouri-Kansas City Kansas City, Missouri
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--> Appendix B Institute of Medicine Committee on the Future of Dental Education Public Hearing September 26-27, 1993 Organizations Submitting Testimony* Academy of Dentistry International Academy of General Dentistry American Academy of Oral and Maxillofacial Radiology American Academy of Oral Pathology American Academy of Pediatric Dentistry American Academy of Periodontology American Association of Dental Examiners American Association for Dental Research American Association of Dental Schools American Association of Endodontists American Association of Oral and Maxillofacial Surgeons American Association of Orthodontists American Association of Public Health Dentistry American Association of Women Dentists American Board of Orthodontics American College of Dentists American Dental Assistants' Association American Dental Association American Dental Hygienists' Association American Dental Trade Association American Fund for Dental Health American Student Dental Association Association of Academic Health Centers Association of American Universities * The organizations in italics presented oral testimony at the public hearing.
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--> Association of State and Territorial Dental Directors California State Board of Dental Examiners Central Regional Dental Testing Service, Inc. Clinical Research, Inc. Commission on Dental Accreditation Dental Assisting National Board, Inc. Federation of Special Care Organizations in Dentistry International College of Dentists National Alliance for Oral Health National Association of Community Health Centers National Association of Prepaid Dental Plans National Dental Association Northeast Regional Board of Dental Examiners, Inc. Oral AIDS Center, University of California-San Francisco Sjogren's Syndrome Foundation Inc. U.S. Department of Defense U.S. Department of Veterans Affairs U.S. Department of Health and Human Services-National Institute of Dental Research
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--> Appendix C Commissioned Papers and Authors* Variation, Treatment Outcomes, and Practice Guidelines in Dental Practice James D. Bader, D.D.S., M.P.H. and Daniel A. Shugars, D.D.S., O.D. A Review of Methods Used to Project the Future Supply of Dental Personnel and the Future Demand and Need for Dental Services Eli Capilouto, D.M.D., Sc.D., Mary Lynne Capilouto, D.M.D., S.M, and Robert Ohsfeldt, Ph.D. Financing Dental Education Chester Douglass, D.M.D., Ph.D. and Rashi Fein, Ph.D. Current and Future Prospects for Oral Health Science and Technology John S. Greenspan, B.D.S., Ph.D., F.R.C.Path., Sc.D. Research, Technology Transfer, and Dentistry Marjorie K. Jeffcoat, D.M.D. and William B. Clark, D.M.D. Licensure and Certification of Dentists and Accreditation of Dental Schools Karen S. Guarino, R.N., J.D. Issues in Dental Curriculum Development and Change Lisa A. Tedesco, Ph.D. A Quarter Century of Changes in Oral Health in the United States B. Alexander White, D.D.S., Ph.D., Daniel J. Caplan, Ph.D., Jane A. Weintraub, D.D.S. * These papers will appear in the January issue of the Journal of Dental Education.
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--> Appendix D Committee Biographies JOHN P. HOWE III, M.D., is President of the University of Texas Health Science Center at San Antonio. He is board certified in both internal medicine and cardiology and is a tenured professor in the University's Department of Medicine. Dr. Howe earned a bachelor's degree at Amherst College and his medical degree at the Boston University School of Medicine. He served 2 years in the Army Medical Corps and later completed the Health Systems Management Program at Harvard Business School. He is a board member of the Bexar County Medical Society, the Southwest Foundation for Biomedical Research, the Southwest Research Institute, and the San Antonio Medical Foundation. He is President of the Texas Society for Biomedical Research, Past President of the American Heart Association's local chapter, an honorary Fellow of the American College of Dentistry, and serves on the board of the Pew Health Professions Commission. In 1994, he received the Distinguished Alumnus Award from Boston University School of Medicine. Dr. Howe has been featured on national television and in national and international journals as a leader in the biosciences and is an a national advocate for the importance of continued medical research. MYRON ALLUKIAN, JR., D.D.S., M.P.H., is the Assistant Deputy Commissioner and Director of Community Oral Health Programs, Department of Health and Hospitals, City of Boston. Dr. Allukian
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--> is also the Dental Director for the City of Boston. Board certified in dental public health and a Vietnam veteran, Dr. Allukian was President of the American Public Health Association in 1990. An internationally recognized public health expert, he served as Chairman of the U.S. Surgeon General's Work Group on Fluoridation and Dental Health for the 1990 Prevention Objectives for the Nation. He is currently President of the American Board of Dental Public Health and Past President of the American Association of Public Health Dentistry, Massachusetts Health Council, Massachusetts Public Health Association; and Past Chairman of the Massachusetts Board of Registration in Dentistry. Dr. Allukian is on the faculty of the Schools of Public Health at Harvard and at the Universities of Massachusetts and Michigan. He is an Associate Clinical Professor at the Harvard School of Dental Medicine and on the faculties of the Schools of Dental Medicine of Boston University and Tufts University, and at the Forsyth School for Dental Hygienists. He is the Dental Clinical Director of the New England AIDS Education and Training Center and a member of the Northeast Regional Board of Dental Examiners. He is Chairman of the Public Health/Clinicolegal Issues Committee of the National Board of Examiners in Optometry and a member of the National Dental Tobacco-Free Steering Committee of the National Cancer Institute. He has lectured extensively and has served as a consultant to the Centers for Disease Control and Prevention, Health Resources and Service Administration, National Cancer Institute, and the U.S. Department of Labor, as well as to many other national, state, and local advisory committees. He is an Honorary Fellow of the Royal Society of Health of Great Britain and was elected to the Institute of Medicine in 1991. HOWARD L. BAILIT, D.M.D., Ph.D., is Senior Vice President for Health Services Research at Aetna Health Plans. From 1967 to 1983, Dr. Bailit was on the faculty of the University of Connecticut Health Center, where he served as Associate Dean and Professor and Head of the Department of Behavioral Sciences and Community Health. From 1983 to 1986 he was Head of the Division of Health Administration at the School of Public Health, Columbia University. He also has been a consultant to the RAND Health Insurance Experiment, and he has served on many professional and governmental committees, including the Agency for Health Care Policy and Research. He has been a member of the Institute of Medicine since 1984.
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--> EVA C. DAHL, D.D.S., is in a full-time private practice of dentistry specializing in endodontics and oral pathology at the Gundersen Clinic Ltd., a 300-doctor multispeciality group medical clinic in La Crosse, Wisconsin. Dr. Dahl is a Diplomate of the American Board of Endodontics and a Fellow of the American Academy of Oral Pathology. From 1986 to 1984, she served as a member of the Wisconsin Dentistry Examining Board. Her other leadership roles in dentistry include being Past President of the American Association of Women Dentists, Trustee of the Research and Education Foundation of the American Association of Endodontists, and member of the American Dental Association Council of Dental Research. She is currently a Trustee of the Gundersen Medical Foundation. She is a fellow of both the American and International Colleges of Dentists. CHESTER W. DOUGLASS, D.M.D., Ph.D., is Professor and Chair of the Department of Oral Health Policy and Epidemiology at the Harvard School of Dental Medicine and Professor of Epidemiology at the Harvard School of Public Health. Dr. Douglass' areas of expertise are health policy, clinical epidemiology, and dental public health. He heads the postdoctoral and predoctoral programs as Program Director of the New England Oral Disease Epidemiology Training grant, and he is Co-Director of the Harvard Medical and Dental Geriatric Training Program. He is currently Co-Principal Investigator of the New England Elders Dental study, funded by the National Institute on Aging, and Principal Investigator of the Fluoride Exposure and Osteosarcoma study, funded by the National Institute of Environmental Health Sciences. He is immediate Past President of the American Board of Dental Public Health. Dr. Douglass is also a member of several federal committees, such as the Veterans Administration Geriatrics and Gerontology advisory committee, and the American Dental Association advisory committee for the development of national board exams, as well as having been on the Institute of Medicine's Committee on Access to Health Care. In addition, Dr. Douglass co-chaired a committee for Senator Edward Kennedy's National Health Care Reform Conference in Boston in April 1993, which took the lead on developing a report for Congress and the White House on oral health care. Dr. Douglass has published extensively over the past two decades and is regularly featured as a guest speaker at professional conferences internationally and nationally. RASHI FEIN, Ph.D., is Professor of the Economics of Medicine
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--> in the Department of Social Medicine at Harvard Medical School. He is a charter member of the Institute of Medicine. Prior to coming to Harvard in 1968, he was a member of the faculty at the University of North Carolina at Chapel Hill, on the senior staff of President Kennedy's Council of Economic Advisers, and a Senior Fellow in Economic Studies at the Brookings Institution. He has written extensively in health economics and health policy, with special emphasis on health manpower, the financing and organization of health care, national health insurance, and cost-benefit analysis. His books in the health manpower field include The Doctor Shortage: An Economic Diagnosis and Financing Medical Education (with Gerald Weber). His most recent book is Medical Care, Medical Costs: The Search for a Health Insurance Policy. He has served as a consultant for various federal agencies and has been on the boards of trustees of a number of health institutions. He is the recipient of the John M. Russell Medal of the Markle Scholars and has been the Heath Clark lecturer at the London School of Hygiene and Tropical Medicine. JOEL F. GLOVER, D.D.S., graduated from Northwestern University Dental School in 1968. He served as a dentist in the U.S. Navy from 1968 to 1971. He began a private practice in general dentistry in Reno, Nevada, in 1971 and continues that practice today. Dr. Glover was a member of the Council on Dental Education/Commission on Accreditation of the American Dental Association (ADA) for 5 years. He chaired the Council/Commission for 2 years. Dr. Glover has. also been a member of the Nevada State Board of Dental Examiners since 1979 and serves as the Board's President. He is President of the American Association of Dental Examiners (AADE). Dr. Glover has represented the AADE and ADA on several national panels working in dental education and licensure. JOSEPH L. HENRY, D.D.S., Ph.D., is Associate Dean, Professor, and Chairman of the Department of oral Diagnosis and Oral Radiology at Harvard University. He also served as Interim Dean of the School of Dental Medicine from July 1990 through June 1991. Before coming to Harvard, he served as Associate Professor of Oral Medicine, Director of Clinics, Professor of Oral Medicine, Coordinator of Research, and Dean of the College of Dentistry at Howard University in Washington, D.C. He earned his Ph.D. at the University of Illinois and his dental degree at Howard University. Dr. Henry has served as seminarist and lecturer at various
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--> local, state, national, and international meetings; has numerous biographical listings; more than 100 publications; and has been awarded many honors. He was appointed Dean Emeritus of Howard University College of Dentistry in 1981 and became a member of the Institute of Medicine in 1982. CARLOS M. INTERIAN, D.M.D., graduated from the University of Florida College of Dentistry in 1985. He has been in the private practice of general dentistry in Miami, Floria, since then. Dr. Interian has served organized dentistry in numerous capacities including service on the Florida Dental Association's (FDA's) Long-Range Planning Committee, Council on Dental Care, and Committee on Young Professionals. He is a member of both the American Dental Association's (ADA's) and the FDA's House of Delegates, has served on the ADA's Task Force on Women and Minority Dentist Issues, is a Fellow of the American College of Dentists, and is a member of numerous national, state, and local organizations. Dr. Interian has presented lectures to numerous groups on diverse topics in clinical dentistry and has had articles published in the dental literature. He has been the recipient of the East Coast District Dental Society's Outstanding Member of the Year Award and the ADA's Golden Apple Award in Young Dentist Leadership. JAMES D. ISBISTER, is President and CEO of Pharmavene, Inc. His career in government from 1962 to 1977 included service as Executive Officer, National Library of Medicine; Deputy Director, National Institute of Mental Health; and Administrator of the Alcohol, Drug Abuse, and Mental Health Administration. He has been Vice President of the Orkand Corporation, Associate Director for Management of the U.S. International Communication Agency, Senior Vice President of the National Blue Cross and Blue Shield Association, and President of Combined Technologies, Inc. MARJORIE K. JEFFCOAT, D.M.D., is Professor and Chairman of the Department of Periodontics at the University of Alabama School of Dentistry. She is active in teaching, patient care, and research in new methods for the diagnosis of periodontal disease and has an active research program that applies these methods to clinical trials. Prior to coming to the University of Alabama School of Dentistry in 1988, Dr. Jeffcoat was an Associate Professor of Periodontology and Head of the Department of Diagnostic Systems and Biotechnology at the Harvard School of Dental Medi-
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--> cine, where she also served as Director of Postdoctoral Education. In 1991, Dr. Jeffcoat was named the James P. Rosen Professor of Dental Research at the University of Alabama School of Dentistry. In 1993, Dr. Jeffcoat began her term as Vice President of the American Association of Dental Research. She is the author of over 100 publications, book chapters, and abstracts. TERRELL E. JONES, Ph.D., D.D.S., is a resident in oral surgery at the University of Tennessee. He received his D.D.S. in 1994 from the University of Mississippi where he also received his bachelor's and doctorate degrees. Dr. Jones served. as a graduate teaching assistant from 1981 to 1984 and an instructor of dental gross anatomy from 1983 to 1984 at the University of Mississippi. He was a postdoctoral fellow from 1985 to 1987 and an assistant professor of anatomy and neuroscience at the M.S. Hershey Medical Center in Pennsylvania. Dr. Jones also served as assistant professor at the Kyushu Dental University in Kitakyushu, Japan, from 1989 to 1990. LINDA G. KRAEMER, R.D.H., Ph.D., is the Senior Associate Dean of the College of Allied Health Sciences at Thomas Jefferson University in Philadelphia, Pennsylvania. She has served as a member of the Allied Health Advisory Panel for the Pew Health Profession Commission, as Chairman of the Bureau of Health Professions' Interdisciplinary Training for Health Care for Rural Area Grant Program, and as a member of the Association of Schools of Allied Health Professions' Accreditation Study Committee. She has been a leader in the field of dental hygiene for over 20 years in positions such as Chair of the Council on Research, American Dental Hygienists' Association; Chair of the Council of Allied Dental Program Directors and Section on Dental Hygiene Education, American Association of Dental Schools; and as President of Sigma Phi Alpha. She has published articles in the Journal of Dental Hygiene and the Journal of Allied Health and has made numerous international and national presentations. She has served as a consultant and member of an invited delegation to China and The Netherlands. She is currently co-principal investigator for a project to establish the nation's first Center for Dental Hygiene Research at Jefferson. J. BERNARD MACHEN, D.D.S., M.S., Ph.D., is Professor of Dentistry and Dean of the University of Michigan School of Dentistry and Chair of the Department of Dentistry at the University
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--> of Michigan Hospitals. He came to the University. of Michigan in 1989 from the University of North Carolina, where he served as Professor of Pediatric Dentistry from 1979 to 1989 and as Associate Dean from 1983 to 1989. Prior to that he taught at the Medical University of South Carolina, the University of Iowa, George Washington University, and the University of Maryland. He was the President of the American Association of Dental Schools in 1987. He is a Diplomate of the American Board of Pediatric Dentistry and a member of Omicron Kappa Upsilon. He serves as consultant to the Pew National Dental Education Program and has also served as consultant to the American Dental Association's National Committee on Continuing Dental Education and to the Commission on Dental Accreditation. ELIZABETH F. NEUFELD, Ph.D., is Professor and Chair of Biological Chemistry in the School of Medicine, University of California, Los Angeles, where her responsibilities include teaching biochemistry to dental students. Her Ph.D. is from the University of California, Berkeley. She came to UCLA in 1984, having worked for 21 years at the intramural campus of the National Institutes of Health in Bethesda, Maryland. Her research continues to be in the field of genetic disease of lysosomal function, especially mucopolysaccharide storage disorders. She is a member of the National Academy of Sciences and the Institute of Medicine. J. DENNIS O'CONNOR; Ph.D., a nationally prominent biologist, was named the 16th Chancellor of the University of Pittsburgh in May 1991. He is President of the University of Pittsburgh Trust and a member of the Executive Committee of the Allegheny Conference on Community Development. He is also a member of the Association of American Universities Steering Committee on Technology Transfer and Intellectual Property and of the Advisory Council of Presidents for the Association of Governing Boards of Universities and Colleges. Prior to coming to Pitt, Dr. O'Connor was Vice Chancellor of Academic Affairs and Provost at University of North Carolina at Chapel Hill. From 1987 to 1988, he served as Chapel Hill's Vice Chancellor of Research and Graduate Studies, and as dean of the graduate school. Formerly, he held a series of successively higher ranking academic posts at the University of California, Los Angeles, from 1968 to 1987. He chaired UCLA's Department of Biology from 1979 to 1981 and was then named Dean of the Division of Life Sciences, serving until 1987. He was a Visiting Professor at Monash Uni-
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--> versity, Melbourne, Australia, in 1977, and at the University of Nijmegen, The Netherlands, in 1975-1976. NEAL A. VANSELOW, M.D., is a Scholar-in-Residence at the Institute of Medicine (IOM) after serving as Chancellor of Tulane University Medical Center since 1989. He is an allergist who received his training in internal medicine and allergy/immunology at the University of Michigan. He has served as Chairman of the Department of Postgraduate Medicine and Health Professions Education at the University of Michigan, Dean of the University of Arizona College of Medicine, Chancellor of the University of Nebraska Medical Center, and Vice President for Health Sciences at the University of Minnesota. Dr. Vanselow was Chairperson of the Council on Graduate Medical Education, U.S. Department of Health and Human Services; Chairperson of the Board of Directors, Association of Academic Health Centers; and is a member of the Pew Health Professions Commission. He has been a member of the IOM since 1989 and currently chairs the IOM Committee on the Future of Primary Care. His areas of particular interest include the health care work force and graduate medical education. THERESA VARNER currently serves as Director of the Public Policy Institute of the American Association of Retired Persons (AARP). Before assuming her current position, she served for several years as the Senior Coordinator for Health Policy in the Institute. Between 1973 and 1983, Ms. Varner was the Director of the Alabama Department of Mental Health's (ADMH's) largest prerelease unit; in the early 1980s, during which time ADMH was in federal receivership, she served as liaison to the office of the Federal Court Monitor. She holds two graduate degrees from the University of Alabama, an M.S.W. and an M.A. in English Literature. Prior to her affiliation with the ADMH, she taught in the English Department at the University of Alabama. Ms. Varner's policy expertise is in the area of health care financing and delivery, but her research interests particularly center on reform of the health care system, health care coverage, and Medicare. She was responsible for overseeing the development of AARP's proposal for reform of the health and long-term-care systems, Health Care America. Ms. Varner's publications and presentations have primarily been in the area of catastrophic health care coverage, health care reform, and consumer information in a competitive market environment.