Healthcare reform plays a major role in discussions and the media today, but it is confusing, overwhelming, boring and seemingly unsolvable to most people. Howard Dean presents the problems and solutions in plain language in his new book, Howard Dean’s Prescription for Real Healthcare Reform.  

Hear someone utter the word Healthcare and the emotion that rises up and continues to spiral nearly out of control is anger. Dean writes, “according to a recent report from the Center for American Progress, in March 2009 alone almost 11,000 workers a day lost their health insurance.” Do the math and the anger turns to outrage – 341,000 people lost their health insurance in a 31-day period.

There are “47 million Americans who don’t have health insurance. But the healthcare debate should also focus on the fact that 25 million working-aged Americans have health insurance but still cannot’ afford to see a doctor,” states Dean in his introduction. Terrifying statistics compounded by information from the Commonwealth Fund, “many go without needed care, not filling prescriptions, and not following up on recommended treatment.”

Howard Dean is eminently qualified to write about healthcare reform for several reasons. He is graduated from Yale in 1971 with a BA in Political Science. He received his medical degree from Columbia University during which he spent one month at the American Medical Association following Senators Jacob Javits and Ted Kennedy as they attempted to create a healthcare bill during President Carter’s first term. His was elected the first Democratic Governor of Vermont since 1853. His efforts during his Governorship insured that 99% of Vermont citizens under the age of 18 had access to healthcare coverage, expanded prenatal care, community health centers and dental clinics in schools serving low-income children. 

But it is his one simple statement at the end of the preface that says it all. “All change grows from the grass roots. Real healthcare reform won’t happen without you.” He is clearly directing his thoughts at the everyman/woman – he is writing for the people who need healthcare insurance or worry that their insurance will come to an end due to loss of job or steep rate increases.

Dean clarifies, finally a politician that realizes what the people want to hear and how they want to hear it, the difference between healthcare reform and health insurance reform. “So, the real debate about healthcare reform is not a debate about how large a role government should play. The real issue is: Should we give Americans under the age of sixty-five the same choice we give Americans over sixty-five? Should we give all Americans a choice of opting out of the private health insurance system and benefitting from a public health insurance plan?”

He further states, brilliantly making his point absolutely current, “Americans ought to be able to decide for themselves: Is private health insurance really health insurance? Or is it simply an extension of thing that have been happening on Wall Street over the past five to ten years, in which private corporations find yet new and ingenious ways of taking money from ordinary citizens without giving them the services they’ve paid for?” Does the Madoff ponzi scheme ring a bell here? Money invested with absolutely no return on investment not to mention complete loss of all funds. Who hasn’t paid for insurance month after month and not received coverage when they needed it the most?

Dean details the profit vs. care issue and succinctly discusses the problems with private, for-profit insurances companies that “must meet two obligations that are often mutually exclusive.” These private behemoths are responsible for maximizing profits for their shareholders while shouldering the responsibility for good service to their customers. Is this even possible given the way private health insurance companies are structured coupled with the lobbyists who ensure that they have more or less free-reign with blatant disregard for the welfare of their enrollees.

Chapters cover the trials of small business owners and individuals and uses real-life examples to drive home the point. He strongly states that “America most shift from an illness-based healthcare system to a wellness-based model.” He writes of the necessity to change the national lifestyle toward one of prevention and healthier living. A goal that neither political party nor business or individuals could argue with – who wouldn’t want to be healthy?

Dean covers the challenges briefly but completely and spends a good portion of the book providing solutions. “Americans need real healthcare reform, not just insurance reform, and nobody should mistake the two,” he states. “Real healthcare reform should offer coverage to the employed, the unemployed, the sick, the healthy, the young, the old. Everyone.”

He puts forth five sound and achievable principles that “real healthcare reform must include.” Everybody In, Nobody Out; No more Healthcare Bankruptcies: Take it to Go; Choose or Lose and Improved Care, Quality and Efficiency. He reviews President Obama’s healthcare initiative; how to control costs; developing a revenue stream to pay for the initiative; and “who’s been standing in the way.”

Dean avows that change is possible through the citizens, calling for change and action. He writes of how this affects people in different walks of life and details, “What you deserve, and should fight for.” He staunchly recommends how citizens can and should take action; educate themselves; contact their local and national officials; contact corporations and organizations and keep the conversation going until change happens.

The last sentence makes Dean’s position clear, “Fights like this are won by ordinary people who decide that they care enough about something to fight for it.” Prescription for Real Healthcare Reform should be required reading for every American over the age of 18. This is the most comprehensive and accessible presentation of a situation that deeply affects each one of us.