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The use of exactly-solvable Richardson-Gaudin (R-G) models to describe the physics of systems with strong pair correlations is reviewed. We begin with a brief discussion of Richardson's early work, which demonstrated the exact solvability of the pure pairing model, and then show how that work has evolved recently into a much richer class of exactly-solvable models. We then show how the Richardson solution leads naturally to an exact analogy between such quantum models and classical electrostatic problems in two dimensions. This is then used to demonstrate formally how BCS theory emerges as the large-N limit of the pure pairing Hamiltonian and is followed by several applications to problems of relevance to condensed matter physics, nuclear physics and the physics of confined systems. Some of the interesting effects that are discussed in the context of these exactly-solvable models include: (1) the crossover from superconductivity to a fluctuation-dominated regime in small metallic grains, (2) the role of the nucleon Pauli principle in suppressing the effects of high spin bosons in interacting boson models of nuclei, and (3) the possibility of fragmentation in confined boson systems. Interesting insight is also provided into the origin of the superconducting phase transition both in two-dimensional electronic systems and in atomic nuclei, based on the electrostatic image of the corresponding exactly-solvable quantum pairing models.2