Howard Dean's Prescription For Real Healthcare Reform

Healthcare reform plays a major role inMadoff ponzi scheme ring a bell here? Money
discussions and the media today, but it isinvested with absolutely no return on investment
confusing, overwhelming, boring and seeminglynot to mention complete loss of all funds. Who
unsolvable to most people. Howard Dean presentshasn't paid for insurance month after month and
the problems and solutions in plain language in hisnot received coverage when they needed it the
new book, Howard Dean's Prescription for Realmost?
Healthcare Reform.Dean details the profit vs. care issue and
Hear someone utter the word Healthcare and thesuccinctly discusses the problems with private,
emotion that rises up and continues to spiralfor-profit insurances companies that "must meet
nearly out of control is anger. Dean writes,two obligations that are often mutually exclusive."
"according to a recent report from the Center forThese private behemoths are responsible for
American Progress, in March 2009 alone almostmaximizing profits for their shareholders while
11,000 workers a day lost their health insurance."shouldering the responsibility for good service to
Do the math and the anger turns to outrage -their customers. Is this even possible given the
341,000 people lost their health insurance in away private health insurance companies are
31-day period.structured coupled with the lobbyists who ensure
There are "47 million Americans who don't havethat they have more or less free-reign with
health insurance. But the healthcare debate shouldblatant disregard for the welfare of their enrollees.
also focus on the fact that 25 million working-agedChapters cover the trials of small business
Americans have health insurance but still cannot'owners and individuals and uses real-life examples
afford to see a doctor," states Dean in histo drive home the point. He strongly states that
introduction. Terrifying statistics compounded by"America most shift from an illness-based
information from the Commonwealth Fund, "manyhealthcare system to a wellness-based model." He
go without needed care, not filling prescriptions,writes of the necessity to change the national
and not following up on recommended treatment."lifestyle toward one of prevention and healthier
Howard Dean is eminently qualified to write aboutliving. A goal that neither political party nor
healthcare reform for several reasons. He isbusiness or individuals could argue with - who
graduated from Yale in 1971 with a BA in Politicalwouldn't want to be healthy?
Science. He received his medical degree fromDean covers the challenges briefly but completely
Columbia University during which he spent oneand spends a good portion of the book providing
month at the American Medical Associationsolutions. "Americans need real healthcare reform,
following Senators Jacob Javits and Ted Kennedynot just insurance reform, and nobody should
as they attempted to create a healthcare billmistake the two," he states. "Real healthcare
during President Carter's first term. His wasreform should offer coverage to the employed,
elected the first Democratic Governor ofthe unemployed, the sick, the healthy, the young,
Vermont since 1853. His efforts during histhe old. Everyone."
Governorship insured that 99% of VermontHe puts forth five sound and achievable principles
citizens under the age of 18 had access tothat "real healthcare reform must include."
healthcare coverage, expanded prenatal care,Everybody In, Nobody Out; No more Healthcare
community health centers and dental clinics inBankruptcies: Take it to Go; Choose or Lose and
schools serving low-income children.Improved Care, Quality and Efficiency. He reviews
But it is his one simple statement at the end ofPresident Obama's healthcare initiative; how to
the preface that says it all. "All change growscontrol costs; developing a revenue stream to
from the grass roots. Real healthcare reformpay for the initiative; and "who's been standing in
won't happen without you." He is clearly directingthe way."
his thoughts at the everyman/woman - he isDean avows that change is possible through the
writing for the people who need healthcarecitizens, calling for change and action. He writes of
insurance or worry that their insurance will comehow this affects people in different walks of life
to an end due to loss of job or steep rateand details, "What you deserve, and should fight
increases.for." He staunchly recommends how citizens can
Dean clarifies, finally a politician that realizes whatand should take action; educate themselves;
the people want to hear and how they want tocontact their local and national officials; contact
hear it, the difference between healthcare reformcorporations and organizations and keep the
and health insurance reform. "So, the real debateconversation going until change happens.
about healthcare reform is not a debate aboutThe last sentence makes Dean's position clear,
how large a role government should play. The real"Fights like this are won by ordinary people who
issue is: Should we give Americans under the agedecide that they care enough about something to
of sixty-five the same choice we give Americansfight for it." Prescription for Real Healthcare
over sixty-five? Should we give all Americans aReform should be required reading for every
choice of opting out of the private healthAmerican over the age of 18. This is the most
insurance system and benefitting from a publiccomprehensive and accessible presentation of a
health insurance plan?"situation that deeply affects each one of us.
He further states, brilliantly making his pointAbout Howard Dean:
absolutely current, "Americans ought to be able toPhysician Howard Dean is the former chairman of
decide for themselves: Is private health insurancethe Democratic National Committee. He served
really health insurance? Or is it simply an extensionsix terms as Governor of Vermont and ran for
of thing that have been happening on Wall Streetthe Democratic Party's presidential nomination in
over the past five to ten years, in which private2004. Dean founded Democracy for America, a
corporations find yet new and ingenious ways ofgrassroots effort that organizes community
taking money from ordinary citizens without givingactivists, trains staff and endorses progressive
them the services they've paid for?" Does thecandidates.