American-Indians and the United States Health System

Since the arrival of Columbus in 1492, American Indians have been in a continuous struggle with diseases. It may not be small pox anymore, but illnesses are still haunting the native population. According to statistics, Native Americans have much higher rates of disease than the overall population. This includes a higher death rate from alcoholism, tuberculosis, and diabetes than any other racial or ethnic group. Recent studies by Indian health experts show that diabetes among Indian youth ages 15-19 has increased 54% since 1996 and 40% of Indian children are overweight. Even though diabetes rates vary considerably among the Native American population, deaths caused from diabetes are 230 percent greater

These religious and spiritual influences play a major role in the Hispanics health, illness and daily life. In much a similar manner, the Native American Indian family adopts the cultural beliefs to associate with illness and health. They believe that a person’s state of exists when he or she exists in harmony with nature and sickness occurs when an imbalance between the natural or supernatural forces and the sick individual exists (Askim-Lovseth & Aldana, 2010). Traditional health believes and practices involving healing ceremonies and rituals restore balance when illness happens. “These can be conducted by their traditional medicine men or women, who are thought to have compelling powers, the ability to read minds, and know-how in concocting medicine, drugs and poisons.” For the white young family, the cultural belief of invincibility and youth are the driving force behind health prevention (Askim-Lovseth & Aldana, 2010). “Focus on the temporary is regularised, while thinking about health is assigned to an adult person where family accountabilities pertain.” Protecting against illness or disease does not feature into their daily lives. Disease or illness is something that is insubstantial and distant, and unimaginable to their young, resilient bodies and thus irrelevant (Edelman & Mandle, 2010).

Culture is a very important aspect for health care professionals to examine when interacting with their clients. By having an understanding of different cultural practices, a clinician can more effectively treat a patient. Kagawa-Singer, M. & Kassim-Lakha, S. (2003) theorizes that patients resist lifestyle changes, and culture forms lifestyle. Therefore, if physicians attend to the influence of culture on health behavior, outcomes of medical care might well be improved.

If you were in the desert or woods and bitten by a snake, where you go for help? A call to the local ambulance and a fast ride to the emergency room are not available to you. How would you know what potions to use and what would heal your wounds? This was the dilemma of the Native American People hundreds of years ago. How did they handle it? The medical traditions and customs have remained a mystery to us for hundreds of years. This paper will try to explore some of these customs and possibly uncover some of the mystery.

Department of Health,” 2011). The United States is composed of many different groups of people and diverse cultures. It is unfortunate that even today someone’s culture or race is a factor in determining the health care they receive and the quality of the care they receive (“Eliminating

Showing support and respect for cultural health beliefs creates a better interpersonal relationship between patient and physician. When implementing a wellness plan for the patient to follow the physician should take into consideration the beliefs of the patient. Health care providers should seek and obtain knowledge of their patient’s diverse cultures. Obtaining the knowledge of other cultures can be an valuable skill.

The Cherokee Nation of Oklahoma (CN) is one of the many Native American tribes that place a great emphasis on health care. There are noticeable efforts and investments in improving the health care system in the Cherokee Nation. Through the building of health care centers, launching health programs, and individually engaged tribal members in the health field, the Cherokee Nation is striving to improve the overall health care of their people.

The history of the American Indians after the European invasion of the New World is not a pleasant topic. Everyone wants to believe the stories that are told about Squanto, the Pilgrims and the harmony of the first Thanksgiving and then skip the next three hundred years of oppression and racism. Unfortunately, the next three hundred years happened and by the 20th century most Indian tribes as well as their traditional ways of life, had been extinguished. Despite the widespread destruction of the American Indian, many still survive. In an attempt to provide some sort of compensation the federal government of the United States has a special health care system set up for American Indian descendants.

Many hospitals and long-term facilities depend on the funds that the federally funded Medicare program delivers and accepts this “community service obligation” of providing culturally and linguistically services when needed (Hood-Brown, n.d.). The many establishments that participate and accept Medicare have the duty to provide culturally quality care and provide the necessary resources to accomplish this goal. In my opinion, Medicaid has played an important part in providing culturally competent care to the population of American Indians and Alaska natives in the United States.

Healthcare is an ever changing entity with an ever changing population of clients. In current day 2016, the United Sates has become a melting pot of many different cultural backgrounds, which has led to changes within the system to accommodate the patient base. Unfortunately, not all changes have been able to effectively reach any and all persons from every background. We still see language and cultural barriers that have direct correlation to the inability to seek healthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the

Adding to the conversation, academic scholar Daniel Carlock notes, “health disparities between Native Americans and the general population of the United States are a major health concern” (Carlock, Danielle). Hence, an inherent culturally based issue arises where natives are disregarding modern medicine and Western medical practices and instead turning to a traditional holistic approach. Alternative to standard science being the leading factor towards understanding illness and medicine, a cultural barrier divides indigenous peoples perception of the effectiveness of Western science in regards to traditional beliefs. This creates much difficulty for the U.S. government agency the Indian Health Service providing health care and assistance to federally recognized tribes and indigenous peoples. Commenting on Native American health discrepancies, professor James E. Cheek finds “the infectious disease rate in Native Americans populations was significantly higher than that of Whites”(Cheek, James E). This connects Native American cultural beliefs to an increase in medical disparities in relationship to following standard Western medical practices. With tradition ingrained in Native American culture, indigenous medical practices fail to focus on pathology and curing the disease, instead restoring balance between one's mind, body, and spirit is the focus of natives. Consequently, this is leading to standard Western medical practices and medicine being disregarded because Western culture in terms of medicine has been seen to impede important native spirituality beliefs. “The rates for the top ten underlying causes of death were significantly higher for Native American persons than those for whites” (Cheek, James E). This study accounts for the disparities in regards to

One of the largest issues facing the American Indian's today is that health care. As tribes and urban Indian health centers struggle along with the rest of the country to address the growing numbers of Elders in their communities. There are key issues and special considerations that must be addressed to ensure American Indian Elders are not forgotten in any proposed reform or redesign proposals that the newly formed Medicaid Commission or Congress put forth. By 2030, it is estimated there will be 430,000 American Indian and Alaska Native Elders, constituting 12.2% of the American Indian population (Day, 1993). While the

In order to understand the impact of disparities of American Indian students and subsequent underrepresentation in medical school and medicine, it is important to understand the history of the relationship with American Indians and the US (Warne, 2008). The more than five centuries long relationship between American Indians and the US can be divided into six phases as summarized below:

After completing the “cultural competence checklist: personal reflection designed by T.D. Goode” for the first time, I was not surprised by my results. The results were a reflection of my personal understanding how culture impacts holistic care and my continuous need to improve my care. I have strived to become non-judgmental. I work to not let my personal beliefs and values influence my nursing care on decisions. When I practice this philosophy it provides better patient outcomes and promotes an improved understanding of cultural differences. This also enhances a safe and caring environment. “It is important for health care providers to recognize that care must be individualized and considerate of the cultural. Racial, and ethnic identity of the patients and their families” (Broome, 2006, p. 486) .There is much diversity in the beliefs and practices of the Indian culture and we should grant these individuals complete freedom to practice their personal cultural variations and the religion they choose.

The American Indians need to be educated on how we are only trying to respect and gain their trust. Studies show if you have a good relationship with your patients the more willing they are to follow through with their care plan and interventions (Roubideaux, Y. 2005). Education is very important to help create a better understanding between cultures. There are programs being designed to reach American Indians. Nurses and other health care provides need to reach this race on an academic level. To help them understand there are scholarships for their race. If we can help educate children that will soon be adults to become doctors, nurses they can then help their own race and help decrease the gap of miss understandings and have better health care (Katz,2004). What a wonderful way to develop lasting