Dr. John Flack, chief quality officer for the Wayne State University School of Medicine and the principal investigator for Wayne State 's Center for Urban African-American Health, comments in a story about the Greater Detroit Area Health Council plans to issue public report cards for physicians by late 2007. According to Flack, the ratings system may penalize physicians that practice in urban areas like Detroit that have higher numbers of medically underserved and sicker patients. The Council says its system will tie together disparate ratings systems now used by insurance carriers such as Aetna and Grand Rapids-based Priority Health to form one regional, easy-to-use system.