writes: Here in Australia we are supposed to have one of the most IT heavy health care systems in the world. Yet, over the years, the general lack of IT savvy has been a problem I have butted up against repeatedly. For example, I was recently involved in a government program which required sending a list of certain patients to a government department for processing. The list had patient names, addresses, Medicare numbers and a few other details. In the instructions that I received from the department, I was instructed to generate the list as a MS Excel file, and then password protect it before burning it to a CD and mailing it. Now, we all know the folly of relying on Excel passwords to protect lost CDs from becoming an ID thief's wet dream, but how to educate the government about this? Anyway, how does this even happen? When deciding on a procedure, whichever suited bureaucrat came up with the idea could have and should have at least consulted the IT guy down the hall. How can we instill a practice whereby decision makers at least bring it up with someone in the know before making an on-the-spot decision that could result in disaster?