Challenges of American-Indians in the United States Health System

The united states have a unique health care system of delivery that pursues to target some specific areas. The health reform, Patient Protection and Affordable Care Act also called the Obama care (2010), which holds the promise of universal health coverage under government mandates. With a predominant role that is play from the government the Health Care Reform is said to be, one of the most important pieces of legislation today. Universal health care is the pourpose that all citizens should have access to affordable, high-quality medical care and acces to primary care. Health care reform will provide every American with the ability to obtain, health insurance regardless of race, ethnicity, or income. With universal health care, everyone’s

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.

The Native American culture is the original culture of the United States. Members of Native American tribes live throughout the country. “There are an estimated 4.9 million persons, in 565 federally recognized tribes who are classified as American Indian or Alaska Native (AI/AI), alone or in combination with one or more other designated racial classifications. This demographic group compromises 1.6% of the U.S. population” (Horowitz, 2012). Wisconsin is home to the Ho-Chunk (Winnebago), Ojibwa (Chippewa), and the Potawatomi tribes (“American”, 2014). It is important for nurses within this state, as well as any other state, to understand the Native American belief system in order to provide a quality healthcare experience. Nurses are the primary point of contact in the healthcare setting. Client advocacy is one of the nurse’s major roles. Therefore, the nurse should have the highest level of diversity understanding for the cultures within the local region.

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

Type 2 diabetes mellitus (T2D) is the most common form of diabetes (American Diabetes Association, 2012). T2D is so prevalent that it is estimated to be the fifth most common cause of death worldwide (Yates, Jarvis, Troughton, and JaneDavies, 2009, p. 1). T2D manifests when the body is unable to metabolize glucose properly, resulting in elevated blood sugar, debilitating fatigue, and other serious complications such as distal limb amputations, kidney failure, and blindness. The generally accepted causes of T2D include diet, sedentary lifestyle, and obesity.

The American Indian Policy Review Commission's report on the health of Native Americans said it best when they stated,"the federal responsibility to provide health services to Indians has its roots in the unique moral, historical, and treaty obligations of the federal government, no court has ever ruled on the precise nature of that legal basis nor defined the specific legal rights for Indians created by those obligations" (DeFine 1997 p.4). Thus, the Indian Health Service has always worked in strange and ambiguous ways.

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

Around the globe in countries from Australia and New Zealand to South American and North America there is a disparity in the quality of healthcare and life that indigenous people receive compared to their non-indigenous counterparts (Ring & Brown, 2003). Life expectancy for Aboriginals, the indigenous people of Australia is 19-21 years less than non-indigenous life expectancy; 5-7 years for the Maori population in New Zealand; and 5-7 years less for Native Americans in Canada (Ring and Brown, 2003). In the United States American Indians and Alaska Natives (AI/AN) live, on average, 4.2 years less than the rest of the population (Indian Health Disparities, 2015).

Health Care in America has recently changed by President Obama and reform and changes are heading our way. The Affordable health care act or better known as “Obama Care” is changing the way each American family access and our provided health care. America prior to the induction of this bill had about 15% of its population uninsured, and with one of the most profitable health care systems in place America leads the world in medical advances and technology. Those posses a serious problem, which is how does a country have such success in health care finically but its people remain sick? President Obama has changed that as of March 2010 by placing a Health care system that is going to change the current one to essentially benefit all

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:

Health is known as a state where an individual is socially, mentally and emotionally stable without the presence of any illness, disease or infirmity (Carson, 2007). Jenny, an indigenous woman is 34 weeks pregnant, she has been complaining about her abdominal pains and after seeing the flying doctor, she was asked to fly back with him as she might be in an early labour. Jenny is concerned about her family; she wonders how they will manage without her. Her mother-in-law lives with her sister-in-law and she wonders if she will be able to come and help as her mother has a diabetic leg ulcer and needs treatment so cannot travel. This essay will discuss about the health issues before colonization and after colonization, Jenny’s

American Indians and Alaskan Natives have a relationship with the federal government that is unique due to the “trust relationship” between the US and American Indians/Alaskan Natives (AI/ANs) who are entitled to health care services provided by the US government by virtue of their membership in sovereign Indian nations. In order to contextualize the complex nature of Indian health programs it is necessary to become versed in the political and legal status of Indian tribes. Through numerous constitutional, legislative, judicial, executive rulings, and orders that were largely associated with the succession of land and subsequent treaty rights; the health care of AI/ANs has been one of many responsibilities guaranteed by the federal government. The foundations of which can be traced back to the year 1787. The ceded land has been interpreted in courts to mean that healthcare and services were in a sense prepaid by AI/AN tribes and 400 million acres of land. The misconception of “free healthcare” and a conservative political disdain from so called entitlement programs have also led to misconceptions regarding the federal government’s responsibility to provide health care and services to AI/ANs. Rhoades (2000) has argued that tribal sovereignty is the overarching principle guiding Indian health care on a daily basis.1 This paper will examine the history surrounding federally mandated healthcare to AI/ANs, pertinent issues of sovereignty, as well as case studies in tribal

U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it

The Tribal Health System is a voluntary affiliation of 39 tribes and tribal organizations providing health services to American Indians/Alaska Native (AI/AN) in Alaska. It is a complex system that is an agreement that sets terms and conditions of the government-to-government relationship between Alaska Native tribes and/or tribal organizations, and the United States government through the Indian Health Service (Health Care in Alaska, 2014). Alaska Native Health System are spread out all over Alaska. Medicaid is second largest source of coverage for AI/AN people, and, is the largest public health insurance program for Indian people (Lowe & Grantz, 2012). Alaska Native Tribal Health Consortium (ANTHC) responsible for essential statewide services,

US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of