VoIP QOS best practices

Looking for some links to case studies or other documentation which describe implementing VoIP between sites which do not have point to point links. From what I understand, you can't enforce end-to-end QoS on a public network, nor over tunnels. I'm wondering if my basic understanding of this is flawed and in the case that it's not, how is this dealt with if the ISPs of said sites don't have any QoS policies? -jL