An Analysis of Disparities and Political Implications in Native American Healthcare

Authors

  • Jason Chae Bergen County Academies
  • Anthony Natelli

DOI:

https://doi.org/10.47611/jsrhs.v13i2.6784

Keywords:

Native American healthcare, Health disparities, Political implications, Indian Health Service, Healthcare funding disparities, Government accountability, Rural healthcare, Mental health disparities, Socioeconomic factors

Abstract

For centuries, an agenda of colonialist-driven politics has left the Native American community alienated from society. Generally stemming from the negligent political values pushed by the United States government, multiple external factors have left Native Americans with a fraction of the prosperity and unity that they once held. Through a series of statistical and holistic analyses of Native American culture and population levels over the years, it has become evident that the lack of attention and support from publicly funded institutions has increased Native vulnerability to a world of rising health threats. In addition to an already meager amount of financial support, organizations directed at helping Natives are met with stubborn governmental legislation that has refused to create the substantial change necessary to modernize a failing system. As such, even though recent advancements have been made and new establishments are on the rise, the most prominent issue regards the government’s unwillingness to expand and create meaningful change. With these issues in mind, this analysis of health disparities impacting the Native American community provides support for the argument that the United States Federal Government must take more action towards making reparations for its past mistakes, in addition to providing the basis for a healthcare system that American Indians can rely on.

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References or Bibliography

Advising Congress on Medicaid and CHIP Policy. (2021). https://www.macpac.gov/wp-content/uploads/2021/02/Medicaids-Role-in-Health-Care-for-American-Indians-and-Alaska-Natives.pdf

AHA report: Rural hospital closures threaten patient access to care | AHA News. (2022, September 8). American Hospital Association. https://www.aha.org/news/headline/2022-09-08-aha-report-rural-hospital-closures-threaten-patient-access-care#:~:text=AHA%20report%3A%20Rural%20hospital%20closures%20threaten%20patient%20access%20to%20care

American Indian/Alaska Native Health | Office of Minority Health. (n.d.). Minorityhealth.hhs.gov. https://minorityhealth.hhs.gov/american-indianalaska-native-health#:~:text=42.1%20percent%20of%20AI%2FANs

Artiga, S. (2017, September 7). Medicaid and American Indians and Alaska Natives. KFF. https://www.kff.org/medicaid/issue-brief/medicaid-and-american-indians-and-alaska-natives/:~:text=A%20total%20of%20$1.3%20billion,$810%20million%C3%A2%C2%80%C2%94coming%20from%20Medicaid.&text=IHS%20services%20historically%20have%20been%20underfunded%20to%20meet%20the%20needs%20of%20AIANs.

Barua, B., Esmail, N., & Jackson, T. (2014). The Effect of Wait Times on Mortality in Canada. https://www.fraserinstitute.org/sites/default/files/effect-of-wait-times-on-mortality-in-canada.pdf

Beatrice, M. A. 8523 W. S. H. 4, & Us, N. 68310 P. 402 223-3514 C. (n.d.). About the Homestead Act - Homestead National Historical Park (U.S. et al.). Www.nps.gov. https://www.nps.gov/home/learn/historyculture/abouthomesteadactlaw.htm#:~:text=Nearly%20four%20million%20homesteaders%20settled

BLS Now Publishing Monthly Data for American Indians and Alaska Natives : U.S. Bureau of Labor Statistics. (2022, February 14). U.S Bureau of Labor Statistics. https://www.bls.gov/blog/2022/bls-now-publishing-monthly-data-for-american-indians-and-alaska-natives.htm

Calvert, K. (2018). Indian Health Service: Spending Levels and Characteristics of IHS and Three Other Federal Health Care Programs. U.S. Government Accountability Office. https://www.gao.gov/assets/gao-19-74r.pdf

Cross-Call, J. (2020, October 21). Medicaid Expansion Has Helped Narrow Racial Disparities in Health Coverage and Access to Care. Center on Budget and Policy Priorities. https://www.cbpp.org/research/health/medicaid-expansion-has-helped-narrow-racial-disparities-in-health-coverage-and#:~:text=Medicaid%20expansion%20has%20also%20helped,slightly%20in%20non%2Dexpansion%20states.

Dewees, S., & Marks, B. (2017). Twice Invisible: Understanding Rural Native America. First Nations Development Institute. https://www.usetinc.org/wp-content/uploads/bvenuti/WWS/2017/May%202017/May%208/Twice%20Invisible%20-%20Research%20Note.pdf

DiCarlo, G. (2023, January 20). New Indian Health Service funding provides stability, but long-standing issues remain. Opb. https://www.opb.org/article/2023/01/20/new-indian-health-service-funding-provides-stability-but-long-standing-issues-remain/

Edwards, K. (Kay), & Patchell, B. (2009). State of the Science: A Cultural View of Native Americans and Diabetes Prevention. Journal of Cultural Diversity, 16(1), 32–35. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2905172/

Forrest, L. L., Leitner, B. P., Vasquez Guzman, C. E., Brodt, E., & Odonkor, C. A. (2022). Representation of American Indian and Alaska Native Individuals in Academic Medical Training. JAMA Network Open, 5(1), e2143398. https://doi.org/10.1001/jamanetworkopen.2021.43398

Green, M. D. (1983). “We Dance in Opposite Directions”: Mesquakie (Fox) Separatism from the Sac and Fox Tribe. Ethnohistory, 30(3), 129. https://doi.org/10.2307/481021

Indian Health Service sets standards for patient wait times. (2017, September 15). KOTA. https://www.kotatv.com/content/news/Indian-Health-Service-sets-standards-for-patient-wait-times-444762533.html

Jiang, L., Chang, J., Beals, J., Bullock, A., & Manson, S. M. (2018). Neighborhood characteristics and lifestyle intervention outcomes: Results from the Special Diabetes Program for Indians. Preventive Medicine, 111, 216–224. https://doi.org/10.1016/j.ypmed.2018.03.009

Kalt, J. (2022). American Indian Self- Determination Through Self-Governance: The Only Policy That Has Ever Worked The Commission on Native Children. https://ash.harvard.edu/sites/hwpi.harvard.edu/files/ash/files/native_children_commission_hearing_12-15-22_kalt_statement_vfin2.pdf?m=1671056068#:~:text=Under%20tribal%20self%2Dgovernment%2C%20the

Kruse, C. S., Bouffard, S., Dougherty, M., & Parro, J. S. (2016). Telemedicine Use in Rural Native American Communities in the Era of the ACA: a Systematic Literature Review. Journal of Medical Systems, 40(6). https://doi.org/10.1007/s10916-016-0503-8

Lofthouse, J. (2022, January 31). Increasing Funding for the Indian Health Service to Improve Native American Health Outcomes | Mercatus Center. Mercatus Center. https://www.mercatus.org/research/policy-briefs/increasing-funding-indian-health-service-improve-native-american-health

Mahdi Barakat. (2017, October 27). If American Healthcare Kills, European Healthcare Kills More | Mahdi Barakat. Fee.org; Foundation for Economic Education. https://fee.org/articles/if-american-healthcare-kills-european-healthcare-kills-more/

Mangla, A., & Agarwal, N. (2023). Clinical Practice Issues In American Indians and Alaska Natives. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK570601/

Marbella, A. M. (1998). Use of Native American Healers Among Native American Patients in an Urban Native American Health Center. Archives of Family Medicine, 7(2), 182–185. https://doi.org/10.1001/archfami.7.2.182

Medicaid Unwinding | Tribal Health Reform Resource Center. (n.d.). Tribal Health Reform Resource Center. https://www.nihb.org/tribalhealthreform/medicaid-unwinding/

Moghaddam, J. F., Momper, S. L., & W. Fong, T. (2014). Crystalizing the Role of Traditional Healing in an Urban Native American Health Center. Community Mental Health Journal, 51(3), 305–314. https://doi.org/10.1007/s10597-014-9813-9

Moura, P. (2021, May 18). What Is a Safety-Net Hospital and Why Is It So Hard to Define? FRONTLINE. https://www.pbs.org/wgbh/frontline/article/what-is-a-safety-net-hospital-covid-19/#:~:text=

Native American Lands | Ownership and Governance. (n.d.). Revenuedata.doi.gov. https://revenuedata.doi.gov/how-revenue-works/native-american-ownership-governance/#:~:text=The%20policy%20of%20allotment%20reduced

Reed, T. (2018, August 17). GAO: Indian Health Service continues to struggle filling provider vacancies. Fierce Healthcare. https://www.fiercehealthcare.com/hospitals-health-systems/gao-indian-health-services-facing-ongoing-challenges-filling-provider

Siddons, A. (2018, March 5). The Never-Ending Crisis at the Indian Health Service. Roll Call. https://rollcall.com/2018/03/05/the-never-ending-crisis-at-the-indian-health-service/

Skipper, K. (2023, November 21). Barriers to Indigenous Wealth. BECU. https://www.becu.org/blog/barriers-to-indigenous-wealth#:~:text=The%20median%20household%20income%20for

Special Diabetes Program for Indians. (n.d.). Www.nihb.org. https://www.nihb.org/sdpi/sdpi_overview.php

Substance Abuse Statistics for Native Americans. (n.d.). American Addiction Centers. Retrieved February 22, 2024, from https://americanaddictioncenters.org/addiction-statistics/native-americans#:~:text=Native%20Americans%20are%20more%20likely

The Trail of Tears and the Forced Relocation of the Cherokee Nation (Teaching with Historic Places) (U.S. National Park Service). (n.d.). Www.nps.gov. https://www.nps.gov/articles/the-trail-of-tears-and-the-forced-relocation-of-the-cherokee-nation-teaching-with-historic-places.htm#:~:text=Between%20the%201830%20Indian%20Removal

Ubelaker, D. H. (1988). North American Indian population size,A.D. 1500 to 1985. American Journal of Physical Anthropology, 77(3), 289–294. https://doi.org/10.1002/ajpa.1330770302

Unemployment rate for American Indians and Alaska Natives at 7.9 percent in December 2021 : The Economics Daily: U.S. Bureau of Labor Statistics. (2022, January 26). U.S. Bureau of Labor Statistics. https://www.bls.gov/opub/ted/2022/unemployment-rate-for-american-indians-and-alaska-natives-at-7-9-percent-in-december-2021.htm

Published

05-31-2024

How to Cite

Chae, J., & Natelli, A. (2024). An Analysis of Disparities and Political Implications in Native American Healthcare. Journal of Student Research, 13(2). https://doi.org/10.47611/jsrhs.v13i2.6784

Issue

Section

HS Research Articles