The idea of asking specialty societies to produce lists of five overused procedures was first suggested in 2010 by UTMB’s Dr. Howard Brody. Writing in the New England Journal of Medicine, he argued that physicians’ professional organizations were not doing their part to control rising costs, and in some cases had even made their support for reform contingent on promises that physicians’ income would not be negatively affected. “The myth that physicians are innocent bystanders merely watching healthcare costs zoom out of control cannot be sustained,” he wrote. “If physicians seized the moral high ground, we just might astonish enough other people to change the entire reform debate for the better.”