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	<title>Comments on: FDL Book Salon Welcomes Howard Dean, Howard Dean’s Prescription for Real Healthcare Reform</title>
	<atom:link href="http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/feed/" rel="self" type="application/rss+xml" />
	<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/</link>
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		<title>By: letsgetitdone</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959568</link>
		<dc:creator>letsgetitdone</dc:creator>
		<pubDate>Wed, 19 Aug 2009 01:57:56 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959568</guid>
		<description>&lt;p&gt;jaango, I think this is very well-taken. I do think that Dr. Dean has a bias that comes from his practice experience. You could see the bias in his remarks about primary care physicians being able to finally make a good living if certain reforms occurred, and I found myself wondering what he thought a good living was: $300,000 per year? $500,000 per year? I don’t know what the statistics are, but I doubt that there are any primary care Doctors around who aren’t making somewhere in the six figures? Of course, there’s a shortage of them because specialists make a lot more, but we could certainly fix that in the context of a National Health Service (NHS). So, clearly, Dr. Dean’s bias is based contextually in a view that Doctors are entitled to a better living than most of the rest of us.&lt;/p&gt;
&lt;p&gt;Anyway, changing the subject a bit, I support Medicare for All, rather than a VA or NHS-style model mainly because the international statistics on health care appear to indicate that single-payer systems appear to have better outcomes than the UK’s NHS. I am not ideological about this. If the UK’s outcomes were better than Australia’s, New Zealand’s, Canada’s or France’s, I’d favor an NHS. But, apparently, that’s not the case.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>jaango, I think this is very well-taken. I do think that Dr. Dean has a bias that comes from his practice experience. You could see the bias in his remarks about primary care physicians being able to finally make a good living if certain reforms occurred, and I found myself wondering what he thought a good living was: $300,000 per year? $500,000 per year? I don’t know what the statistics are, but I doubt that there are any primary care Doctors around who aren’t making somewhere in the six figures? Of course, there’s a shortage of them because specialists make a lot more, but we could certainly fix that in the context of a National Health Service (NHS). So, clearly, Dr. Dean’s bias is based contextually in a view that Doctors are entitled to a better living than most of the rest of us.</p>
<p>Anyway, changing the subject a bit, I support Medicare for All, rather than a VA or NHS-style model mainly because the international statistics on health care appear to indicate that single-payer systems appear to have better outcomes than the UK’s NHS. I am not ideological about this. If the UK’s outcomes were better than Australia’s, New Zealand’s, Canada’s or France’s, I’d favor an NHS. But, apparently, that’s not the case.</p>
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		<title>By: jaango</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959544</link>
		<dc:creator>jaango</dc:creator>
		<pubDate>Wed, 19 Aug 2009 01:34:22 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959544</guid>
		<description>&lt;p&gt;Letsgetitdone,&lt;/p&gt;
&lt;p&gt;Lest you not know, my advocacy for an expanded access to the IHS and the VA, is in the form of “integrated health services”. Thusly, ‘yardsticking’ the integrated health services in any comparison or contrast with a medical doctor in private practice, would effectively demonstrate a greater benefit realized for both consumers and taxpayers.  &lt;/p&gt;
&lt;p&gt;Now, I understand that Dr. Dean is in private practice, and for him to advocate his self-interest via a public option with doctors receiving a much larger pay envelop from either the patient, the insurance company, or even the government, is understandable.  Consequently, his self-interest collides with my self-interest, and to have a debate over this is fair and reasonable approach, but getting Dr. Dean engaged in this discussion or debate, is not going to happen on his part.  And as such, this indicates to me via his non-response, that I am correct in my assessment for his lack of engagement.  And in this regard, Dr. Dean will pontificate his ‘concern’ to whomever is willing to listen, and yet, he will never effectively address this perceived opposition to integrated health care from the standpoint of the consumer/patient.  And his ongoing political behavior continues to reinforce his unspoken opposition to a national schematic for integrated health services from the standpoint of medical care delivered.&lt;/p&gt;
&lt;p&gt;Jaango&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Letsgetitdone,</p>
<p>Lest you not know, my advocacy for an expanded access to the IHS and the VA, is in the form of “integrated health services”. Thusly, ‘yardsticking’ the integrated health services in any comparison or contrast with a medical doctor in private practice, would effectively demonstrate a greater benefit realized for both consumers and taxpayers.  </p>
<p>Now, I understand that Dr. Dean is in private practice, and for him to advocate his self-interest via a public option with doctors receiving a much larger pay envelop from either the patient, the insurance company, or even the government, is understandable.  Consequently, his self-interest collides with my self-interest, and to have a debate over this is fair and reasonable approach, but getting Dr. Dean engaged in this discussion or debate, is not going to happen on his part.  And as such, this indicates to me via his non-response, that I am correct in my assessment for his lack of engagement.  And in this regard, Dr. Dean will pontificate his ‘concern’ to whomever is willing to listen, and yet, he will never effectively address this perceived opposition to integrated health care from the standpoint of the consumer/patient.  And his ongoing political behavior continues to reinforce his unspoken opposition to a national schematic for integrated health services from the standpoint of medical care delivered.</p>
<p>Jaango</p>
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		<title>By: Hugh</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959479</link>
		<dc:creator>Hugh</dc:creator>
		<pubDate>Tue, 18 Aug 2009 22:08:45 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959479</guid>
		<description>&lt;p&gt;I and others have taken issue with quite a few of the guests here.  Think what Joe Lieberman would get called (accurately) if he visited here.  We are not a softball venue and if Dean thought we were that is his mistake.  I have said before he could have taken a leadership role here.  He could have been the voice that kept single payer on the table and in front of the public.  But he didn’t do that.  Maybe he got too used to talking to pols as chair of the DNC and too unused to talking to ordinary Americans.  But like most Democrats, he can’t seem to bring himself into open opposition to Obama and this seriously weakens his credibility.  &lt;/p&gt;
&lt;p&gt;As for calling people dishonest, I have been saying recently that Krugman’s endorsement of Bernanke as chair of the Fed is also dishonest.  Krugman got his job at Princeton through Bernanke, a fact which he brought up during another book salon here last December.  This gets back to the idea of accountability we are supposed to have on the left side of the blogosphere no matter who is involved.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>I and others have taken issue with quite a few of the guests here.  Think what Joe Lieberman would get called (accurately) if he visited here.  We are not a softball venue and if Dean thought we were that is his mistake.  I have said before he could have taken a leadership role here.  He could have been the voice that kept single payer on the table and in front of the public.  But he didn’t do that.  Maybe he got too used to talking to pols as chair of the DNC and too unused to talking to ordinary Americans.  But like most Democrats, he can’t seem to bring himself into open opposition to Obama and this seriously weakens his credibility.  </p>
<p>As for calling people dishonest, I have been saying recently that Krugman’s endorsement of Bernanke as chair of the Fed is also dishonest.  Krugman got his job at Princeton through Bernanke, a fact which he brought up during another book salon here last December.  This gets back to the idea of accountability we are supposed to have on the left side of the blogosphere no matter who is involved.</p>
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		<title>By: letsgetitdone</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959456</link>
		<dc:creator>letsgetitdone</dc:creator>
		<pubDate>Tue, 18 Aug 2009 21:54:51 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959456</guid>
		<description>&lt;p&gt;Hi Jaango, Thanks for your kind comment about my views. &lt;/p&gt;
&lt;p&gt;On Howard, why do you think:&lt;/p&gt;
&lt;blockquote&gt;&lt;p&gt;“. . . mililtary vets can be the invaluable allies that Progressives are in much need of in today’s toxic environment, and that of course, scares the bejerbles out of Dr. Dean. . . .”&lt;/p&gt;&lt;/blockquote&gt;
&lt;p&gt;Personally, I’m a progressive who’s happy to ally with military vets in progressive causes like universal health care, and I don’t know why that would scare “the bejerbles” out of Howard Dean. I’ve never known him to say or do anything that shows anything but support and friendliness for vets. Have you seen something else?&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Hi Jaango, Thanks for your kind comment about my views. </p>
<p>On Howard, why do you think:</p>
<blockquote><p>“. . . mililtary vets can be the invaluable allies that Progressives are in much need of in today’s toxic environment, and that of course, scares the bejerbles out of Dr. Dean. . . .”</p>
</blockquote>
<p>Personally, I’m a progressive who’s happy to ally with military vets in progressive causes like universal health care, and I don’t know why that would scare “the bejerbles” out of Howard Dean. I’ve never known him to say or do anything that shows anything but support and friendliness for vets. Have you seen something else?</p>
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		<title>By: lukasiak</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959434</link>
		<dc:creator>lukasiak</dc:creator>
		<pubDate>Tue, 18 Aug 2009 21:39:33 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959434</guid>
		<description>&lt;p&gt;have you ever called one of their special guests a liar before? ;)&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>have you ever called one of their special guests a liar before? ;)</p>
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		<title>By: Hugh</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959422</link>
		<dc:creator>Hugh</dc:creator>
		<pubDate>Tue, 18 Aug 2009 21:20:51 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959422</guid>
		<description>&lt;p&gt;Well in all fairness to the mods, I don’t think I have ever been censored.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Well in all fairness to the mods, I don’t think I have ever been censored.</p>
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		<title>By: jaango</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959421</link>
		<dc:creator>jaango</dc:creator>
		<pubDate>Tue, 18 Aug 2009 21:06:37 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959421</guid>
		<description>&lt;p&gt;I am sorely disappointed that Dr. Dean did not respond to my notional for an expanded Indian Health Services and/or the VA Medical Systemic, as well as including the military base hospitals as part and parcel to an integrated health schema of national significance.&lt;/p&gt;
&lt;p&gt;As a military vet, I can safely say that all military vets understand the utlization of the base military hospital while in uniform, and the continuation of the VA while in a civilian status.  Thus, mililtary vets can be the invaluable allies that Progressives are in much need of in today’s toxic environment, and that of course, scares the bejerbles out of Dr. Dean.&lt;/p&gt;
&lt;p&gt;Consequently, Letsgetitdone, in his post above, is truly clear-eyed when he says, “…it’s because the elites in industry, Congress, and Executive don’t want it”. &lt;/p&gt;
&lt;p&gt;Jaango&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>I am sorely disappointed that Dr. Dean did not respond to my notional for an expanded Indian Health Services and/or the VA Medical Systemic, as well as including the military base hospitals as part and parcel to an integrated health schema of national significance.</p>
<p>As a military vet, I can safely say that all military vets understand the utlization of the base military hospital while in uniform, and the continuation of the VA while in a civilian status.  Thus, mililtary vets can be the invaluable allies that Progressives are in much need of in today’s toxic environment, and that of course, scares the bejerbles out of Dr. Dean.</p>
<p>Consequently, Letsgetitdone, in his post above, is truly clear-eyed when he says, “…it’s because the elites in industry, Congress, and Executive don’t want it”. </p>
<p>Jaango</p>
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		<title>By: xebecs</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959420</link>
		<dc:creator>xebecs</dc:creator>
		<pubDate>Tue, 18 Aug 2009 21:00:17 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959420</guid>
		<description>&lt;p&gt;Has anyone ever tried to organize PAIRS of individuals — a patient and his or her physician — to contact their representatives?  &lt;/p&gt;
&lt;p&gt;I think it would be especially powerful if it were an in-person meeting, but even a joint email or phone call might make a big impression.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Has anyone ever tried to organize PAIRS of individuals — a patient and his or her physician — to contact their representatives?  </p>
<p>I think it would be especially powerful if it were an in-person meeting, but even a joint email or phone call might make a big impression.</p>
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		<title>By: lukasiak</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959419</link>
		<dc:creator>lukasiak</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:49:56 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959419</guid>
		<description>&lt;p&gt;Do you really think that if Hugh had told the truth about Dean’s prevarication in calling the public option “medicare for all” while the mods were still around that it would have gotten through?&lt;br /&gt;
_&lt;br /&gt;
I don’t.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Do you really think that if Hugh had told the truth about Dean’s prevarication in calling the public option “medicare for all” while the mods were still around that it would have gotten through?<br />
_<br />
I don’t.</p>
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		<title>By: letsgetitdone</title>
		<link>http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959418</link>
		<dc:creator>letsgetitdone</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:49:18 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/18/fdl-book-salon-welcomes-howard-dean-howard-dean%e2%80%99s-prescription-for-real-healthcare-reform/#comment-1959418</guid>
		<description>&lt;p&gt;Hugh, You did. You always do.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Hugh, You did. You always do.</p>
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