Challenges In Rural And American Indians

Kenzie Allen writes, “hooked up to machines running on bad / generators, in a bad hospital in a bad part of town.” Allen describes a hospital in a bad part of town. From this it gave me the idea of how Native american are segregated from the westerners. Living in reservations they are usually desert areas and the segregation causes them to receive bad health care. They are far away from the city where the technology is highly advanced and they only have access to what they have where they live.

The IHS, which is part of the Affordable Care Act, issues some health care benefits to assist Native Americans on reservations (“Health Coverage For”). But people fail to identify loopholes in the ACA that prevent Native Americans from gaining proper access health care. For example, health care provided by the IHS only applies to federally recognized tribes. Although there are 567 federally recognized tribes today, there are also 460 tribes that still lack government recognition (Olife). This means that those who are not federally recognized are ineligible for Medicare needs that could be available to them if they were government recognized. In addition to that, medicaid has not expanded to at least 20 states (Norris). So even if Native tribes are government recognized, medicaid is not available to those who live in those states. In other words, Natives will have to find other means for helping themselves until more states expand on Medicaid. But do medical emergencies have time to wait? So in the case of Native Americans on reservations, even if they are entitled to health insurance under the ACA, if they are not federally recognized or live in a state that accepts medicaid, Natives will be forced to support

Healthcare access and delivery in rural area has been challenging not only within the U.S., but also in many developed countries. Many issues seem to be common to this maldistribution of physicians and other HCPs. According to Weinhold and Gurtner1, ” [c]ommunities have become progressively disempowered by the continuous centralization of services and the dismantling of infrastructure.” Rural populations tend to be at

The American territory was sprawling across the Mississippi River and into new Native American territory. The Great Plains and far West were occupied by both Indians and Hispanics whose custom and way of live were distinct in language religion and kinship and governance. The white settlers and hunters were a threat to the resources in which they used for survival.

"Man corn", warfare and atlatls were not the only interesting aspects of the Anasazi culture. The history and lifestyles of the Ancestral Puebloans may have contributed to their mysterious disappearance. Their societies were more complex than most humans realize.

Though American Indians are enjoying an independent public health system with above $3 billion funds provided by Congress annually for delivering healthcare services to them, still figure and facts on health status of American Indians reveal that they are facing many difficulties and have to suffer from diverse type of illness and disease at a misappropriate level. Since long it was identified by medical communities that there are wide spread diseases diabetes, alcoholism, tuberculosis, suicide, unintentional injuries, and other health conditions among American Indian and they are dying of these diseases at shocking rates (American Heart Association [AHA], 2010). Through this essay I want to discuss the healthcare status of American Indians in the perspective of their culture as how it impacted and lead to develop mistrust between amongst the medical community and American Indians.

People living in rural areas are experiencing highly limited excess to health care facilities either because they are not aware of the disease symptoms as a

“Native Americans have faced centuries of atrocities to their people, their land, and their culture - all under various presidents who took an oath of office to preserve, protect, and defend the Constitution of the United States” (Markwayne Mullin). Native Americans have been living a hard life ever since Columbus arrived in North America but, we need to change that. Native American have been living here before any of us, and we’re just living in their land. Native Americans have struggled since white people first arrived in North America. Some contemporary issues Native Americans face are their ability to prosecute crimes such as rapes against their community, as well as land rights, and the ability to be recognized by the government. It is important that we, as a country, address these issues.

The effect of being Plains Indians located on a reservation in Oklahoma during the 1900. Between 1865 and 1900 there have numerous events that have occurred for the plains Indians that changed their way of thinking, and their way of life here in the United States of America. It all started with as a simple introduction of the horses, buffalo, boarding schools, loss of land and major attacks on the Indians.

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 Native Americans and the United States have not always seen eye to eye on things since the beginning. The approach of the people of the white civilization has brought extreme agony and torture to the Native Americans. This was as a result of race playing a humongous part in humanity during this time, for this reason the Native Americans were looked down on and poorly treated by the white population. This was a strenuous point in time for the American Indians to adapt to society since their culture, attitudes, values, and beliefs were slowly being abandoned and the federal government wanting them to assimilate to the white culture. Since then the Native Americans have struggled to persevere on reservation lands, deprived of support, and for the most part hopelessness. There are many social problems that contribute to the delinquency of Native-American youth on the reservation. The community dilemmas that contribute to the failure of the Native-Americans younger generation are poor academic achievement, alcoholism, domestic violence, mental health issues, and unemployment. These horrendous matters will hopefully disappear in the time and Native-Americans will become successful in today’s society.

The American Indian Movement was started by Americans Indians who were frustrated with being controlled by Americans on the land that was once theirs. The American Indian protesters did not want to give up their land, lose their language, or their ability to live their lives as American Indians. As a result, the Oglala Lakota tribal group took control over the town of Wounded Knee to protest elected tribal head Dick Wilson. The people of the Pine Ridge Reservation wanted to get rid of Dick Wilson, due to the high levels of poverty and poor living conditions. The American Indian Movement also consisted of American Indians who were frustrated with being harassed by the police. In addition, American Indian Movement also acted on a racial incident

“Compared with urban residents, people living in rural communities have shorter life expectancies, higher death rates and higher infant mortality rates.” (Ministry Advisory Council on Rural Health, 2002 p. 1) In relation to shorter life expectancies, Indigenous peoples are three times more likely to have diabetes then non-Aboriginals and there is a higher prevalence of major chronic disease, suicide, smoking and alcohol abuse as well as low incomes and lower levels of education. Considering all these factors, it is especially important that the health care that is needed in these rural, Indigenous communities is easily accessible and affordable. There are many health care barriers that prevent the rural and remote Indigenous Communities from accessing such needed care. Lack of accessibility to health care and lack of resources and health care professionals are two of the main barriers faced today. A holistic balanced approach including mental, physical, emotional and spiritual health is needed to maintain wellbeing and there are many barriers preventing these communities from receiving it.

Rural Americans face an exclusive combination of issues that create disparities in health care that are not found in urban areas. Many complications met by healthcare providers and patients in rural arears are massively different than those located in urban areas. Financial factors, cultural and social variances, educational deficiencies, lack of acknowledgement by delegates and the absolute isolation of living in remote rural areas all combined to hinder rural Americans in their struggle to lead a normal, healthy life. Rural hospitals located in rural areas faces many disadvantages, such as; minimum resources, shortcoming or unprepared professionals, and financial disparities. Although many of these challenges could be solved

Many of the individuals who live within these communities are elderly, immigrants, farmers and migrants. They work and live off their land and lack the needed funds to purchase health insurance, because it is not affordable and they do not have transportation or a way of getting on bus routes, because they live so far out. The nearest local hospital is about 50 miles away and if they get seriously injured they must wait for an ambulance or life flight to arrive with an additional ride of about an hour before they receive adequate care in case of an emergency.