Indian Health Care

Medical travel can be very stressful physically, emotionally, and financially. Moreover, due to very high unemployment rate most of the families cannot afford to have their own transportation vehicles to access primary care in the community. Transportation issue can also lead to missing appointments or delayed treatments. There are minimal health care services in the aboriginal communities, particularly those that are in rural, remote, and in north with limited to access to medical technology, equipment, supplies and medications (HCC, 2013). Majority of Aboriginals do not have access to technology, therefore, access to health information and promotion is limited. Telehealth and other virtual or mobile health care programs are available; the problem is that communities do not always have adequate information and communication technology and other infrastructures to reliably deliver these programs. The lack of a modern

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.

Native Americans have been neglected, abused, and tormented since the 1700’s when their land was abruptly invaded by Europeans. Europeans declared this “unknown” territory to be their property from then forward and did anything and everything to make sure this would happen. This included forced assimilation, where Natives were stripped of their cultural traditions and forced to assimilate to an english speaking, westernized culture (McLeigh, 2010). This included taking children from their families and sending them to boarding school to learn a new language, new cultural traditions, and new religious practices. Starting in 1860 and lasting until 1970, children were taken from their families at a young age and often lost touch with their family

A specific person (or people) in each tribe are acknowledge as healers. They are usually taught from generation to generation. “Healing does not follow written guidelines. Healers work differently with each person they help. They use their herbs, ceremony and power in the best way for each individual.” (NLM) Ceremonies are a crucial part of the Native healing process, “because physical and spiritual health are intimately connected, body and spirit must heal together. Traditional healing ceremonies promote wellness by reflecting Native conceptions of Spirit, Creator, and the Universe. They can include prayer, chants, drumming, songs, stories, and the use of a variety of sacred objects.” (National Institute of Health) These ceremonies are considered very sacred. Non-Natives are allowed to come by invite only. As one can tell they are very cherished, spiritual, pious ceremonies and not just anyone can be a part of them.

The Cherokee nation of Oklahoma is one of the many native Indian tribes that place a great emphasis on health care. There are noticeable efforts in improving the health system in the Cherokee nation as well as the health of its individuals. For a long time, the Cherokee nation has engaged in successful health care experiences such as building health centers, launching health programs or even individually engaging in the health field to improve the overall healthcare in the nation.

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.

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,

an American Indian male with diabetes who receives care at a non-tribal clinic. He reports that he does not feel much of a connection with his provider or his clinic, and says that he feels misunderstood when he tells his provider about his traditional healing practices.  He struggles to remember to take his medications and sometimes does not take them because he feels that they don’t work.

Nearly every Native American Indian tribe has experienced some kind of neglect or discrimination. The white man has forcefully moved tribes from their homes, broken

The services includes; health screening, education and prevention programs for diabetes, obesity and HIV, screening and access to child immunization and shots for adult clients. This service is extremely important because so many people are lacking health care, especially if they come from a small reservation they might lack the capacity to for example find a disease like cancer, in one of their patients. They provide access to primary care by making contracts with different community clinics and medical providers for medical, dental and specialty care. They also provide culturally sensitive services because there are sometimes cultural issues between the doctor, and the patient due to different belief systems. The clinic provides services like physicals, management of medicine, STD/STI screening, pap smears, pregnancy testing breast exams, and contraceptives. It is important to note, that the also have health services for seniors/elders, nutrition and weight loss. The only requirement is the patient has to be a member of a federally recognized tribe or one that is state recognized to receive health education/service programs. The primary care clinic varies from clinic to clinic and should be consulted before

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.

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

The Indian Health Service (IHS) is a healthcare program within the Department of Health and Human Services. (Agency Overview n.d.) It provides federal health services to eligible American Indians and Alaska Natives at IHS facilities. (Agency Overview n.d.) Services that IHS provide include medical, dental and vision, ancillary services, such as laboratory and pharmacy, specialty care which include services provided by the physician or specialist. (Agency Overview n.d.) The factors that affect the type of health care depend on the community needs, level of funds and whether treatment is medically necessary (Marx n.d.) American Indians and Alaska Natives can receive direct care at hospitals, health centers and they may be federally or