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Irwin Redlener in his recent book American at Risk sings the common refrain of all Emergency Managers, Contingency Planners and Disaster Preparedness Educators nation wide. The need for a coordinated disaster preparedness effort is not news. The need for meaningful and effective disaster preparedness funding is not a recent revelation. The Institute of Medicine and later the National Academies of Science have published a total of 3 reports calling for increased funding, more coordinated planning, effective and meaningful drills and the widespread adoption of High Fidelity Immersion Simulation by the medical community and the rest of the disaster response community. Together Redlener and other outspoken advocates for the American people form a cacophonous symphony of concern. But is anyone listening as this band plays on?!
In the past it has been painfully obvious that those in the private sector in charge of spending on preparedness have been unwilling or unable to invest in this most critical of priorities. Some hospitals have begun to invest in the education and the equipment, but most have not. Even fewer major American corporations have "seen the light."
There have been some shining stars:
* The National Disaster Life Support Foundation has created a series of courses often characterized as "The CPR of the 21st Century."
* The American Board of Disaster Medicine has begun a process of Board Certification for Physicians in Disaster Medicine
* Training for disaster preparedness has moved from the university environment to become a growth industry in the private sector
* The National Center for Biodefense Solutions, Inc.
* Nationals Disaster Life Support of Florida, Inc.
* Burgess and Associates, Inc.
* The State of Texas has created the Texas Medical Rangers as a disaster medical reserve corps.
But more is needed:
* A commitment by corporate healthcare to Disaster Preparedness and Community Emergency Response Integration regardless of whether grant funding is available.
* An understanding that Disaster Preparedness is a personal, family, community, business and healthcare responsibility, independent and separate from the Federal responsibility.
* An acceptance of the financial responsibility for personal, family, community, business and healthcare preparedness.
Irwin Redlener is singing the right song, but is finally America ready to sing along?