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<channel>
	<title>Ask Dr. Ira Williams</title>
	<link>http://askdrirawilliams.com</link>
	<description>Postive Healthcare Change Begins with Reforming Medical Malpractice</description>
	<pubDate>Mon, 22 Dec 2008 22:42:17 +0000</pubDate>
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			<item>
		<title>It&#8217;s Time for Change, Do You Know Where Your Infrastructure Is?</title>
		<link>http://askdrirawilliams.com/2007/10/16/its-time-for-change-do-you-know-where-your-infrastructure-is/</link>
		<comments>http://askdrirawilliams.com/2007/10/16/its-time-for-change-do-you-know-where-your-infrastructure-is/#comments</comments>
		<pubDate>Tue, 16 Oct 2007 20:26:05 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/10/16/its-time-for-change-do-you-know-where-your-infrastructure-is/</guid>
		<description><![CDATA[I recently attended a meeting of local and state business and government leaders.  They are all sincere individuals who meet on a regular basis seeking ways to benefit their region of the state.  The area is blessed to have such dedicated persons sharing their time, efforts and expertise for the entire community.
Topics of [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/10/16/its-time-for-change-do-you-know-where-your-infrastructure-is/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>Connecting the Dots</title>
		<link>http://askdrirawilliams.com/2007/09/29/connecting-the-dots/</link>
		<comments>http://askdrirawilliams.com/2007/09/29/connecting-the-dots/#comments</comments>
		<pubDate>Sat, 29 Sep 2007 11:49:31 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/09/29/connecting-the-dots/</guid>
		<description><![CDATA[Sometimes a child’s game can be used to dissect and understand complex and important issues.  Connecting the dots is just such a game.  Questionable patient care is just such an issue.  
How might one connect the dots regarding questionable patient care?
Begin at dot #1 by recognizing there are three systems with the [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/09/29/connecting-the-dots/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>Patient Care Dilemmas</title>
		<link>http://askdrirawilliams.com/2007/09/21/patient-care-dilemmas/</link>
		<comments>http://askdrirawilliams.com/2007/09/21/patient-care-dilemmas/#comments</comments>
		<pubDate>Fri, 21 Sep 2007 16:16:16 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/09/21/patient-care-dilemmas/</guid>
		<description><![CDATA[There are two general dilemmas that arise everyday in the natural course of medical practice:
	Even the best doctors sometimes make mistakes.
Not all questionable patient care is negligence or medical malpractice.
Individual Responsibility Peer Review (IRPR) system of medical peer review deals with each of those dilemmas in a most direct manner.
Review the Journal of the American [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/09/21/patient-care-dilemmas/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>Healthcare Infrastructure</title>
		<link>http://askdrirawilliams.com/2007/09/08/healthcare-infrastructure/</link>
		<comments>http://askdrirawilliams.com/2007/09/08/healthcare-infrastructure/#comments</comments>
		<pubDate>Sat, 08 Sep 2007 11:49:38 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/09/08/healthcare-infrastructure/</guid>
		<description><![CDATA[The Random House Unabridged Dictionary defines infrastructure as the basic, underlying framework or features of a system or organization.  If you were to Google “healthcare infrastructure” you’d find a great number of entries dealing simply with Information Technology (IT).
Information technology is a vital aspect of quality healthcare, but it is NOT part of the [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/09/08/healthcare-infrastructure/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>State Legislators are Clueless About the Practice of Medicine</title>
		<link>http://askdrirawilliams.com/2007/08/31/state-legislators-are-clueless-about-the-practice-of-medicine/</link>
		<comments>http://askdrirawilliams.com/2007/08/31/state-legislators-are-clueless-about-the-practice-of-medicine/#comments</comments>
		<pubDate>Fri, 31 Aug 2007 14:42:34 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/08/31/state-legislators-are-clueless-about-the-practice-of-medicine/</guid>
		<description><![CDATA[Beat the drum!  The private practice of medicine is the least regulated economic activity in America.  And it is a state-regulated economic activity.
Legislators deserve some slack.  If ever an issue “slipped under the radar” it was the regulation of the practice of medicine.  Few persons, regardless of standing, questioned doctors before [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/08/31/state-legislators-are-clueless-about-the-practice-of-medicine/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>Stop the Blame Game</title>
		<link>http://askdrirawilliams.com/2007/08/24/stop-the-blame-game/</link>
		<comments>http://askdrirawilliams.com/2007/08/24/stop-the-blame-game/#comments</comments>
		<pubDate>Fri, 24 Aug 2007 11:42:13 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/08/24/stop-the-blame-game/</guid>
		<description><![CDATA[The AMA blames attorneys for the medical malpractice crisis.
In the movie Sicko, Michael Moore blames politicians (primarily Republicans) and insurance companies for our healthcare problems.
The Duke Transplant Service team blamed “system errors” for a young girl’s tragic death.
We need to STOP the blame game!
No one set out to deliberately create a poorly structured national healthcare [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/08/24/stop-the-blame-game/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>How the Minneapolis Bridge Tragedy Mirrors a Potential Disaster for Healthcare</title>
		<link>http://askdrirawilliams.com/2007/08/17/how-the-minneapolis-bridge-tragedy-mirrors-a-potential-disaster-for-healthcare/</link>
		<comments>http://askdrirawilliams.com/2007/08/17/how-the-minneapolis-bridge-tragedy-mirrors-a-potential-disaster-for-healthcare/#comments</comments>
		<pubDate>Fri, 17 Aug 2007 15:09:31 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
	<category>Problems with Organized Medicine</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/08/17/how-the-minneapolis-bridge-tragedy-mirrors-a-potential-disaster-for-healthcare/</guid>
		<description><![CDATA[
It is a miracle that more lives were not lost during a time when the traffic load on the bridge was so heavy.  Yet each death is devastating to the families involved.  Hopefully, this regional catastrophe can galvanize the nation toward a far better understanding of defects within our infrastructure.

There are lessons that can and [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/08/17/how-the-minneapolis-bridge-tragedy-mirrors-a-potential-disaster-for-healthcare/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>Lawyers vs Doctors</title>
		<link>http://askdrirawilliams.com/2007/08/17/lawyers-vs-doctors/</link>
		<comments>http://askdrirawilliams.com/2007/08/17/lawyers-vs-doctors/#comments</comments>
		<pubDate>Fri, 17 Aug 2007 11:40:21 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/08/17/lawyers-vs-doctors/</guid>
		<description><![CDATA[Most legislators are attorneys.  Almost all universities, hospitals, large companies, etc. have risk management business components populated largely with lawyers.  Wills, trusts, pre-nuptial agreements, and other legal contracts impact countless aspects of every day life in America.
We as a society have come to assume that attorneys must put a legal stamp of approval [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/08/17/lawyers-vs-doctors/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>One Doctor - One Patient</title>
		<link>http://askdrirawilliams.com/2007/08/10/one-doctor-one-patient/</link>
		<comments>http://askdrirawilliams.com/2007/08/10/one-doctor-one-patient/#comments</comments>
		<pubDate>Fri, 10 Aug 2007 10:39:51 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/08/10/one-doctor-one-patient/</guid>
		<description><![CDATA[Everything in healthcare begins when a doctor and a patient agree upon a medical collaboration.  The patient may come from any walk of life in America, including other doctors.
The doctor can only come from one of two regulated sources: federal or state.
Probably 90% of all doctors actively treating patients are in the private practice [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/08/10/one-doctor-one-patient/feed/</wfw:commentRSS>
		</item>
		<item>
		<title>Delay Healthcare Change</title>
		<link>http://askdrirawilliams.com/2007/08/03/delay-healthcare-change/</link>
		<comments>http://askdrirawilliams.com/2007/08/03/delay-healthcare-change/#comments</comments>
		<pubDate>Fri, 03 Aug 2007 12:37:26 +0000</pubDate>
		<dc:creator>Dr. Ira Williams</dc:creator>
		
	<category>General</category>
		<guid isPermaLink="false">http://askdrirawilliams.com/2007/08/03/delay-healthcare-change/</guid>
		<description><![CDATA[The demand to change healthcare is reaching a crescendo now.
I advocate an immediate delay in all such discussions.
Why?
Simple:  Never, ever attempt to change a large social system until you are able to describe (in detail) how that system is organized.  
Case in point:  The U.S. Defense Department is enormous, but the Pentagon [...]]]></description>
		<wfw:commentRSS>http://askdrirawilliams.com/2007/08/03/delay-healthcare-change/feed/</wfw:commentRSS>
		</item>
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