I am thinking out loud, not explaining something I've thought through carefully. So someone may easily poke holes in this strategy. But suppose you are fortunate enough to not need your IRA withdrawals for regular living expenses. If so, you might be able to combine IRA withdrawals with the home mortgage dedution in a way that avoids most of the taxes on the IRA withdrawals. Go out and buy a primary residence that is much more expensive than the one you own now. You are trying to increase your mortgage payment to match the amount of the desired monthly withdrawal from your IRA. In the early years of a mortgage the vast majority of the payment is interest expense, so you end up taking taxable IRA withdrawals but using the withdrawals to pay tax deductible interest. The net result is that you increase your net taxable income by only a little when compared to the size of the IRA withdrawals.
In a healthy real estate market (and admittedly the real estate market has been anything but healthy in recent years) there is a good chance that the increase in the value of your home would keep pace with the amount of interest you are paying on your mortgage, especially with interest rates still quite low right now. If so, you can sell your home in a few years and take advantage of the favorable tax laws to pay 0% capital gains tax on the sale of your primary residence. Overall, you would end up extracting money from your IRA and pay practically no tax on the amount withdrawn.
I get the feeling that this type of maneuver is too reminiscent of the housing bubble excesses to appeal to the average retiree. But I suspect that it would take only ordinary luck to succeed as a legal tax dodge. So I wouldn't be too surprised if someone has already tried it.