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That whether a child undergoes a procedure depends in part on where he or she lives has been known since the 1970s, when researchers led by Dr John Wennberg of Geisel found that rates of tonsillectomy are 60 percent in some places and less than 20 percent in others. The difference, they found, could not be explained by underlying medical conditions among the children, and was instead more likely due to the local medical culture: Some doctors believe in removing tonsils and others don't.
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