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Dr. Ira Williams Asks What’s Wrong With Jonathan Bush’s Book, Where Does It Hurt?

Greenville, SC (PRWEB) July 22, 2014

Dr. Williams says, “Bush has joined the constantly enlarging chorus of those who have recognized that the greatest health care system in the world is too costly, inefficient, and far too often needlessly deadly while trying to serve the public. Unfortunately, Bush has also joined the multitude of quasi-experts seeking to transform an enormous system that none of them can first describe in detail.”

Dr. Williams, in his continuing series of Open Letters ( provides a critique of “Where Does It Hurt?” and how Bush’s enthusiastic championing of several examples of entrepreneurship in health care promises a new form of health care delivery that have been arriving in communities across the nation. Williams says, “If only a true transformation of our dysfunctional health care delivery system could be that easy.”

Dr. Williams continues, “Bush and I agree with the multitude that the current health care system is both ‘convoluted’, and ‘broken’, and that there are multiple forms of new methods seeking to delivery patient care utilizing the rapidly expanding wonders found in the “cloud”. Our differences on how to reinvent the health care delivery system however far out-weight our concurrence.”

Dr. Williams adds, “Bush did recognize the latest estimate of needless hospital deaths as published by John James in the Journal of Patient Safety ( in September 2013 to be as many as 440,000 people annually, but only after asking, ‘…how do you define “harm”?’ Where Does It Hurt joins a long list of well-intended books offering suggestions on how to introduce more incremental changes to an enormous, unorganized system that is devoid of any systematic characteristics.”

Dr. Williams says, “Those that believe that entrepreneurship and better marketing will miraculously transform a health care delivery system with a quarter century track record where every new estimate of needless hospital deaths is significantly greater than all previous estimates beginning with the original 1990 estimate of 98,000 ( are looking through the wrong end of their optimistic telescope. Logic should demand that the first question to be asked, and answered is, Where are we now, and how did we get here? A three-phase process for how to completely reorganize the current health care delivery system is provided in Find The Black Box.”

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