Bill never forgot his northern experience, and he remained unhappy with the limited medical services available to remote Ontario communities. After he achieved a stable position, his thoughts returned to the people of the north. He managed to convince the Canadian National Institute for the Blind (Toronto), the Ontario Medical Association Section of Ophthalmology (Toronto), the Physicians’ Services Incorporated Foundation (Toronto), and the Government of Ontario (Toronto) to accept different organizational, staffing, and funding roles to establish the Ontario Medical Mobile Eye Care Unit, better now known as “IVAN,” the Eye Van. He then managed to convince many of his colleagues to join in the experiment and work on IVAN. IVAN grew from a small, modified Winnebago motor home to a large, fully equipped tractor-trailer ophthalmic facility. The Ontario Medical Mobile Eye Care Unit team grew from a single, motivating, inspired individual to a fully structured organization with a management team, a nursing staff, and an independent medical advisory committee, including a medical director and associate medical director. The fourth generation of IVAN travels from March to November (travel is too difficult in winter for this project) wherever there are roads in northern Ontario, managing the ophthalmic care of more than 5000 remote residents each year. It has become one of the most popular and successful health programs in Canada, one of the most successful medical outreach programs in the world, and a source of ideas for similar programs everywhere. This year, IVAN spends its 34th year on the road, the first 25 of which were under Dr Hunter’s medical directorship. IVAN has been honored by the American Academy of Ophthalmology (San Francisco) and has received international awards for its achievements in bringing first-rate care to remote communities.