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More handpicked essays just for you.
The case of native sovereignty
Tribal sovereignty
Tribal sovereignty
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Dental care is a service that all people should have access to, regardless of their ethnic background. Unfortunately, this is not the reality in the United States. Millions of Native Americans on reservations are stifled from receiving the much needed dental care they require, and as result, Native Americans are disproportionately affected by oral ailments. Tribal sovereignty is defined as the right for an independent tribal authority to govern its members. In regards to dental care, this is the right to train, license, and employ medical professionals. Currently, this system is not working. Native Americans are faced with oral ailments at an alarmingly high rate compared to other ethnic groups, and have limited access to adequate dental …show more content…
According to an article by the Pew Charitable Trusts, a non-profit organization dedicated to improving public policy, DHATs are cost-effective because their training is only 2 years and they treat most basic ailments and are able to carry out regular checkups (Pewtrusts). Rather than spending lots of money on medical professionals, tribes can affordably employ DHATs, only hiring dentists exclusively for advanced operations, and save valuable money that can be used to open and upgrade clinics.. Sadly, in the mainland United States, political lobbying from the American Dental Association has been violating the sovereignty of tribes (Potter). By preventing DHATs from practicing on tribal lands, tribes in the mainland United States are faced with financial hardship in providing dental care to their people. Political lobbying remains a complex, fiercely debated issue, but softening the power of the American Dental Association on the business of sovereign tribes and allowing tribes to employ DHATs is a good place to start in order to help the tribes. In fact, tribes are taking action: The Swinomish Tribe in Washington state is suing the ADA, and tribes in other states are following (Potter). If the tribe emerges victorious from the lawsuit, we could see a dramatic increase in the oral health of Native Americans, due to better access to …show more content…
In New Zealand, children who meet certain eligibility criteria for publicly funded health and disability services are entitled to free basic oral health services until they are 18 (Publicly Funded Dental Care). As a result, there are drastically less untreated cavities for children covered by this plan compared to children on tribal reserves. Oral health for children in New Zealand is significantly better than the rest of the world, and we can definitely learn from their success by incorporating a government dental care system, at least on a small
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.
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
In 2009, dental insurance non-coverage was lowest among middle-income Canadians (48.7%). Also, this population reported experiencing the greatest barriers to dental care (34.1%), a 21.5% increased compared to 1996.5 “Canadians had the largest rise in out-of-pocket expenditures for dental care since 1978.”3 Increase of lack of dental coverage is evident across most groups of Canadians, for instance no insurance for ages 16-11 and seniors (60-79) increase to 21% and 53%
Our community usually has a small health fair sponsored by our local hospital. Services are offered to the public free of charge or for small fees. The health fair has not included dental health services. I think that this would be a wonderful way to promote good dental health. Brochures for all ages could be provided on the importance of dental hygiene. This would also be an excellent time to encourage and teach young children the importance of brushing their teeth. Toothbrushes and toothpaste could be provided for the children at this time.
Spector, R. E. (2009). Health and illness in the American Indian and Alaska native population. Cultural Diversity in Health and Illness (7th ed.). (pp. 204-228). Upper Saddle River, NJ: Prentice Hall.
A long family tree of mistreatment and undue suffering in addition to present lack of resources and poverty has resulted in considerable distress among tribal members and families living within the majority of reservations today. As a result of such distress and despair, many Native American families living in reservations have been torn apart as alcohol, drugs and family violence have become rampant within their communities. Furthermore, the inaccessibility of most reservations combined with lack of resources proves challenging to provide proper housing for families. In addition, the American Indians make up a minority of the least educated, sickest and poorest people within our country. Suicide is the 2nd leading cause of death for Native American youths in the 15-24 age group and 2.5 times the national rate.
Sandefur, Gary D., and Ronald R. Rindfuss, and Barney Cohen. Changing Numbers, Changing Needs: American Indian Demography and Public Health. Washington, D.C.: National Academies Press, 1996.
Many people believe that Native Americans are a disadvantaged group of individuals in many ways. Culturally, in that many of the cultures of the various tribes across the Americas were taken from them by Europeans and their descendants. Socially, in that they are unlike other minorities in the United States because of their extra-constitutional status; and even medically, stemming from the general belief that Natives are at a higher risk for disease than other ethnicities due to tobacco and alcohol use, especially when used together (Falk, Hiller-Sturmhöfel, & Yi, 2006).
The population of Native Americans living in poverty is double compared to the U.S overall population rate living in poverty. Williams wrote, “Unemployment is extremely high (90%on some Canadian reserves during winter months), and income levels are extremely low.” Federal housing program often allow Native Americans to be able to afford housing at low cost, but are not considered to be the best living conditions. Reservations are often located in rural areas where it is hard to obtain employment due to location and where access to resources is limited. In the article mentioned above Williams wrote, “Run down trailers and shacks are not uncommon.”(P.386) This kind of housing can be almost unlivable and sometimes even dangerous. It’s even common to see living situation without basic utilities of electricity or water in remote areas (Williams,
Native American healing is a general term that combines faith, spirituality, herbal medication, and rites. These healing beliefs and practices are used to care for people with medical and emotional conditions. Granting to the Native Americans, medicine is more about healing the person because they believe that illness arises from spiritual problems. Native American healing might not be capable to heal cancer, but can bear some worthwhile physical, emotional, and spiritual benefits. Religion and healing in Native America are a rich and nuanced discussion of Native Americans views on physical health, storytelling, history, and the future direction of Indigenous learning and discussion.
I can remember being a little boy sitting at the piano in church, listening to the preacher talk of how Jesus washed the disciples’ feet, which symbolizes the idea that we are here to serve. That message profoundly resonated with me throughout life. It was not until I began accompanying my grandmother to her multiple dental visits that I was able to see how I could put this calling of service into action. I saw firsthand the significant positive impact my grandmother’s dentist was able to make in her life, which encouraged me to want to learn about the field of dentistry. I then started researching dental health and learning of the importance of oral healthcare and how it affects the entire body. I then began to learn of how patient access to proper dental care was limited because of several factors such as, financial barriers, transportation, and dental fear, especially in the underserved minority communities. Given the shortage of black dentists, I realized I could make a positive difference by being an inspiration to those in the community, as well as serve in a professional career that would provide needed healthcare to the community. This is when I began to develop such a strong passion for
Native Americans have specific culture characteristics health care providers should have basic knowledge of to provide optimal health care. They received the title “Native” because they are indigenous to North Ame...
Each country in today’s world has their own growth and their own dental care system. As you can see in appendix 5 and 6 you will see “Scorecard assessment of state of evidence for action, leadership, resources and health systems in important areas of oral health”(Beaglehole Pg 90). The global scale is organized in 3 categories high income, middle income and low income countries. High income countries world population is on...
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. However, problems with the system have existed since it was established and many critics believe it is not enough.
Contextually, Aboriginals have been failed by their government through flawed policy and health program mismanagement (Jull & Giles, 2012). There are often discrepancies in health program policy and coverage depending on the “status” of the individual and differing responses of provinces and territories to the policies; resulting in many Aboriginals not being covered for a variety of medical treatments that other populations would be covered for (Jull & Giles, 2012). To illustrate, Jordan River Anderson, a young Aboriginal boy who had been hospitalized for two years, had been waiting to return to return home, while the provincial and federal government disputed who would cover the cost of homecare (Jull & Giles, 2012). Unfortunately, the slow response of the governments resulted in Jordan passing away before he could return home (Jull & Giles, 2012). The location of many reserves where the majority of populations live can also become a factor when it comes to accessing health care. This is a result of many reserves being located long distances from more advanced health care facilities in urbanized areas (Snyder & Wilson, 2012). Not only is the commute hard financially and mentally for the remote Aboriginal population, but the actual facilities themselves pose many barriers to their