We're there already. That doesn't mean MRSA can be ignored. Lousy prescribing and the hospital environment have their costs.
Vancomycin intermediate and resistant Staphylococcus aureus. What the nephrologist needs to know.
IIRC, illegal immigration has played its part too, via loose use of antibiotics in Mexico and Central America (although that would have less to do with vanco). It's hard to blame the individual doc for undue caution in this legal environment, but sloppy hospital management has less excuse.