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Health socio-economic issues indigenous tribes
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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 tribally operated. (Marx n.d.) If a direct care facility is unable to provided services the individual will be referred to a public or private provider. (Marx n.d.) IHS is located on or near Indian reservations and services are provided by Indian Tribes, Urban Indian organizations or IHS. IHS is responsible for providing medical and public health services to members of federally recognized Indian tribes and Alaska natives.(Agency Overview) In order for a tribe to be recognized it needs to meet specific criteria from that state which also includes land and rights that are accepted as well (Agency Overview). IHS has a mission to educate the Indian people about physical, mental, social and spiritual health (Agency Overview). American Indian and Alaska Natives preside over their members and lands (Definition of Indian Health Service Definition 2012). The United States continue to work with Indian Tribes on a one on one basis focusing on issues about tribal government and other rights (Definit... ... middle of paper ... ... 24 November 13]. National Indian Health Board (2009). THE REAUTHORIZATION OF THE INDIAN HEALTH CARE IMPROVEMENT ACT. [ONLINE] Available at: www.nihb.org/docs/11182009/IHCIA%20Fact%20Sheet_Senate. [Last Accessed 25 November 13]. Office of Tribal Self-Governance (OTSG) (n.d.). [ONLINE] Available at: www.ihs.gov/SelfGovernance/index.cfm?module=dsp_otsg_about . [Last Accessed 20 November 13]. Ojibwa (2010). Indian Self-Determination Threatened. [ONLINE] Available at: www.nativeamericannetroots.net/diary/782. [Last Accessed 23 November 13]. The Synder Act (n.d.). [ONLINE] Available at: http://www.ihs.gov/chs/documents/SNYDER_ACT.pdf. [Last Accessed 27 November 13]. Trujillo, Michael H., M.D., M.P.H., M.S. (2000). Testimony on the Indian Health Care Improvement Act. [ONLINE] Available at: http://www.hhs.gov/asl/testify/t000308c.html. [Last Accessed 23 November 13].
All tribes view health holistically, defining health to be physically, mentally, emotionally and spiritually well.
Cobb, Torry Grantham, DHSc, MPH,M.H.S., P.A.-C. (2010). STRATEGIES FOR PROVIDING CULTURAL COMPETENT HEALTH CARE FOR HMONG AMERICANS. Journal of Cultural Diversity, 17(3), 79-83. Retrieved from http://search.proquest.com.ezp-01.lirn.net/docview/750318474?accountid=158556
In conclusion, the persistent disparities in American Indians and Alaska Natives communities are deeply rooted in historical trauma. To improve the health status of AI/AN there needs more American Indian/Alaska Natives delivery health care to the community. More importantly, tribal leaders and the AI/AN community must participate in raising the health status of the community. It should not take a congressional action to decrease the disparities plaguing the American Indian/Alaska Native communities.
This is a great day for you and for us. A day of peace and friendship between you and the whites for all time to come. You are about to be paid for your lands, and the GREAT FATHER has sent me today to treaty with you concerning the payment...And the GREAT FATHER wishes you to have homes, pastures for your horses and fishing places. he wishes you to learn to farm and your children to go to a good school; and he now wants me to make a bargain with you, in which you will sell your lands and in return be provided all these things. – Isaac I. Stevens, 1854
Ghosh, C. (2013). Affordable Care Act: Strategies to Tame the Future. Physician Executive, 39(6), 68-70.
"Living Conditions | American Indian Relief Council." Living Conditions | American Indian Relief Council. N.p., n.d. Web. 20 Sept. 2012. .
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
Berman, M. L. (2011). From Health Care Reform to Public Health Reform. Journal of Law, Medicine & Ethics, 39(3), 328-339. doi:10.1111/j.1748-720X.2011.00603.x
Makarenko, J. (2007, April 1). Romanow Commission on the Future of Health Care: Findings and Recommendations | Mapleleafweb.com. Mapleleafweb.com | Canada's Premier Political Education Website!. Retrieved January 26, 2011, from http://www.mapleleafweb.com/features/romanow-commission-future-health-care-findings-and-recommendations
The Native American Reservation system was a complete failure. This paper focuses on the topics of relocation, Native American boarding schools, current conditions on today’s reservations, and what effects these have had on the Native American way of life.
According to Roy, 2013 the issues of providing the affordable care act will unite both the supporters and offenders of the public policy, but in this current situation where the input costs are rising, it will become impossible for government in managing the public policy related to affordable health care. In order to provide affordable health care, majority of the US government has tried out different policies time to time, but unable to get success in realizing the actual policy goals. By providing the affordable health care to majority of the people who requires more amount as controlling the input cost is not possible (AAMC, 2013). Lack of doctors is one of the primary issue in providing high quality health care to the citizens especially those who are financially poor. The Supreme Court of the country passed an Act related to Health insurance as all should have Health Insurance to all the country people by the year 2014, but the at the same time government is concerned about constitutionality of these act (NYTimes, 2013).
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, just as human beings are” (Spector, 2009, p. 208). This is why their way of healing and symbolic items are holistic and from nature.
The federal government has pushed for acts involving educational development as well as economical growth within the tribes, in hopes of increasing benefits to fight health issues as well as depressions within the Sioux tribe and others. Native American men who realize the social troubles in the Sioux tribe usually must leave their sacred lands in hopes of finding education and employment in the modern world in order to financially support their families. Many children struggle with the absence of a parent, causing the average of the Native American teenager to have the highest suicidal rate out of any racial group. The Sioux Tribe may have been recognized by the federal...
With this new affiliation, I may be taking care of traditional Native American in the near future. Native Americans believe in respecting elders, using active listening, and that autonomy is extremely important. They believe in a universal energy and spiritual balance. Illness occurs if there is a disruption in that balance. The nurse should always discuss cultural needs with every patient and that a medicine man may be requested or seen along with their health care provider. Death is viewed as a natural part of the lifecycle because things only live for a certain amount of time. In order to deliver culturally competent care, nurses must understand and respect cultural differences. As nurses, we cannot let our beliefs and values affect how we treat others. We should strive to deliver culturally competent care to all of our