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	<title>Comments on: Thinking versus bureaucratic rules</title>
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	<description>Internal medicine, American health care, and especially medical education</description>
	<lastBuildDate>Sat, 11 Feb 2012 15:15:48 +0000</lastBuildDate>
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		<title>By: AnnR</title>
		<link>http://www.medrants.com/archives/4654/comment-page-1#comment-528578</link>
		<dc:creator>AnnR</dc:creator>
		<pubDate>Sat, 11 Jul 2009 22:25:47 +0000</pubDate>
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		<description>I&#039;m all for thinking and reject the notion that one size fits all.

The prospect of 42 million people coming into the medical system and the medical system sticking to dogmatic and overblow protocols is one that I don&#039;t think we can afford! 

I am as big a fan of Jack Bauer as any, but I am going to point out that he spends at least 1/4 of each season un-doing stuff that had his co-workers adhered to protocol wouldn&#039;t have ever happened! 

How many bad CTU employees has he battled? Don&#039;t they ever vet anybody? Just last season we had an FBI guy in a highly sensitive position taking cash from the African guy.  How did that get missed? Those folks have to fill disclosure out regularly.  And security -- they&#039;re giving each other passwords back and forth and hacking into stuff right and left. Given the preformance of Vice President&#039;s on the show I think the position should be seriously reconsidered. 

If the &quot;system&quot; worked right Jack could reduce his workload greatly.</description>
		<content:encoded><![CDATA[<p>I&#8217;m all for thinking and reject the notion that one size fits all.</p>
<p>The prospect of 42 million people coming into the medical system and the medical system sticking to dogmatic and overblow protocols is one that I don&#8217;t think we can afford! </p>
<p>I am as big a fan of Jack Bauer as any, but I am going to point out that he spends at least 1/4 of each season un-doing stuff that had his co-workers adhered to protocol wouldn&#8217;t have ever happened! </p>
<p>How many bad CTU employees has he battled? Don&#8217;t they ever vet anybody? Just last season we had an FBI guy in a highly sensitive position taking cash from the African guy.  How did that get missed? Those folks have to fill disclosure out regularly.  And security &#8212; they&#8217;re giving each other passwords back and forth and hacking into stuff right and left. Given the preformance of Vice President&#8217;s on the show I think the position should be seriously reconsidered. </p>
<p>If the &#8220;system&#8221; worked right Jack could reduce his workload greatly.</p>
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