Health Insurance, Behavioral Health, And Interpersonal Relations

In general, Aboriginal health services are ineffective. This is due to a wide variety of factors, but mainly due to a lack of trust/cultural miscommunication which is a catalyst for many other factors. This lack of engagement is due to a variety of factors, such as lack of access to health care, lack of aboriginal representation in the health workforce, ect. Overall, the difference in mortality rates between indigenous and non-indogneous peoples proves to highlight the need in the health community to provide effective services for Aboriginal people.

IHS is a very complex organization that serves the American Indian and Alaskan Native population. Effective health services for American Indians and Alaskan Natives had to integrate the philosophies of the tribes with those of the medical community. Because not all tribes signed treaties with the United States some people with Indian heritage were not eligible to participate with the federal government programs. Eligible people with Indian heritage were provided various services throughout the IHS programs; however, some IHS locations did not have the necessary equipment or facilities to provide comprehensive services.

The continuous trauma that they endured has negatively affected the mental health and physical health of the population. Native Americans are at higher risk for depression, physical/sexual abuse, domestic violence, substance abuse, and mental health issues (McLeigh, 2010). Native American youth are three times more likely to commit suicide than the average population. Native Americans in general are twice as likely to be diagnosed with depression and five times more likely to have alcoholism. Colonization not damaged natives mentally, but also brought harm to their physical health as Europeans brought diseases (measles, chicken pox, smallpox, etc) to America (McLeigh, 2010). In order for this population to be served to treat their many medical and mental health issues brought on by years of trauma, policies must be implemented to help Native Americans specifically. However, the reality is that natives mental health needs are often ignored (Gone, 2004). There have been policies that have attempted to meet the needs, but much more is needed. In the most recent action towards improving mental health services for natives, the Affordable Care Act of 2010 permanently gave authorization to the Indian Health Care Improvement Act (Ross, Garfield, Brown, & Raghavan, 2015). This policy will be discussed and analyzed to examine further needs for services in this

Carson, B., Dunbar, T., Chenhall, R. D., & Bailie, R. (2007). Social determinants of Indigenous health. Allen & Unwin.

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.

From its birth, America was a place of inequality and privilege. Since Columbus 's arrival and up until present day, Native American tribes have been victim of white men 's persecution and tyranny. This was first expressed in the 1800’s, when Native Americans were driven off their land and forced to embark on the Trail of Tears, and again during the Western American- Indian War where white Americans massacred millions of Native Americans in hatred. Today, much of the Indian Territory that was once a refuge for Native Americans has since been taken over by white men, and the major tribes that once called these reservations home are all but gone. These events show the discrimination and oppression the Native Americans faced. They were, and continue to be, pushed onto reservations,

While many may argue that the Canadian health care system provides equal treatment to every Canadian, evidence shows that this is not the case. There are major discrepancies within the system regarding Indigenous people that need to be addressed including several factors such as: housing issues, stereotypes Aboriginals face and the lack of Aboriginal doctors.

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,

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

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

Access to the communities is provided year round by Wasaya Airline and airstrips that are maintained by the Ontario Ministry of Transportation. Of course, each Aboriginal community is unique with its own set of traditions and ways of healing but my observation after working within the communities for over ten years is that they all suffer from improperished conditions and substandard housing. The local economies are primarily based upon government services (Indian and Northern Affairs) (INAC) and small business. Most of the reserves have six hundred people or less, and each community has a nursing station. The nursing stations are well-maintained functional buildings built in or about the early 1960’s and are maintained by Health Canada. First Nations and Inuit Health (FNIH) maintains responsibility for primary care services in the majority of the northwest Ontario reserve communities. In the north, nurses are the primary care givers working in an extended scope of practice, and client care is centrally coordinated by nurses working within interdisciplinary teams. The majority of the nursing and medical staff working for FNIH in the Sioux Lookout zone are Caucasian and do not come from local communities. This could outwardly appear as a reinforcement of power relations in the racial identities. There is only very limited cultural training given to employees when they are employed by FNIH. Medical advice and

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,

Approximately 1/3 of Native Americans live in poverty and experience the conditions related to poor living conditions such as tuberculosis, malnourishment, and higher maternal and infant death rates (Allender, Rector, & Warner, 2014). Some of the common highest ranking health problems seen in Native American children are SIDS, congenital anomalies, obesity, type II diabetes, and morbidity and mortality related to injuries (Allender et al., 2014). Poor hygiene, packed housing conditions, and low immunization leads to the incidence of a variety of contagious diseases in Native Americans (Allender et al., 2014). Native Americans prefer customary healing and folk medicines compared to the Western medicine; they use plants and herbs to cure illnesses (Allender et al., 2014).

American Indian/Alaskan Native health care scheme is unitary of its nations leading concerns. The health care system needs reform in society for economic resources to be allocated through foreign aid at the micro and macro levels. The Indian Health Service (IHS) has had its problems in being under-funded to meet the nation demands. The Indian Self-Determination and Education Assistance Act, enacted in 1975 was approved to administer the Indian country health care programs. This consists of funding, third-party revenue, concessions, and contract support costs. The internal government has implemented the use of Medicaid under the Patient Protection and Affordable Care Act (ACA) to take into account for easier eligibility for registration of residents at or under the poverty level, in hopes of increasing access to wellness services. However, the problem still stays as the AI/AN population surges, their finances are not capable to hold up with the medical rise. Inadequate funding over time has influenced health disparities. In order to help resolve this health care funding issue to parallel to analogous federal employee health benefits it would take an added $3 billion per year (Warne & Frizzell, 2014). This report will offer an overview of the underprivileged social group (American Indian/Alaskan Native) within a developed nation and provide a perspective on informal health care providers (IPs) in growing nations.