Effectiveness is another story. In my experience, companions work better as long-range support for a melee character (especially mages or warriors wielding staves). If the follower themselves is a tank. they tend to get in the way. But I'm a melee character, so can't say how or which followers will work for a healer.
Well, if you are a healer then they are supposed to get in the way of your healing spells, so that's good I guess

I don't have proper clip for that, but this old one should do as an example of combat with melee follower. Kharjo here is our one and only melee and I alternate between healing him and shooting bow (and running, because ancient dragon can killcam Raksha in one bite).
http://www.youtube.com/watch?v=13JLspM0FGo
Nowadays, I can go with 3 melee and its even more fun for me than this
