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David Stanley Ford

Make good: Congress should fix Indian health funding

The Oklahoma Editorial    Comments Comment on this article8
Published: October 27, 2009

Government statistics are stark: Life expectancy for American Indians is nearly five years less than that of the general population, and death rates from various diseases — including tuberculosis (750 percent), alcoholism (550 percent) and diabetes (190 percent) — are dramatically higher for Indians than other Americans.

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Against that backdrop, Washington’s attempts to stabilize funding for the Indian Health Service, which provides care for 1.9 million, have lagged for nearly 10 years — a situation that follows on the history of deficiencies in the federal government meeting its obligations to American Indians.

The Indian Health Service is funded through the Department of Health and Human Services. Tribes run clinics with service funding, along with reimbursements from Medicaid, Medicare and insurers.

But the law authorizing the service expired in 2000. That law has been extended temporarily while lawmakers worked on permanent reauthorization — unfortunately without final success.

The delay hasn’t interrupted services, and reauthorization wouldn’t solve all the program’s problems. But among other things, bill sponsors say, it would bring modernization, increased recruitment of health care professionals and require the service’s annual budget to account for medical inflation to address chronic underfunding.

Almost as important, it would signify Washington’s commitment to make good on treaty obligations and lessen some of the frustration of American Indians and their medical providers.

Obviously, decisive legislative action is long overdue.

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David Stanley Ford





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I think they are putting out the high end of the statistics. While cliche many of the tribes have increased their own health centers beyond the wildest imagination of any other race-based health care system. Casino profits have afforded the Cherokee and Chickasaws to go on a literal medical splurge for their own members. But that's a best case scenario. Tribes in the western states with low population concentrations do not make as much on their meager casino operations. But in comparison tribes in Florida where they hid out or fought Andrew Jackson's "Trail of Tears" efforts are thriving so much that they have to give each tribal member millions in royalties each year. Obviously their health care is a tad bit better than those of the Pima Indians where the life expectancy is the lowest.

I am quite familiar with the old U.S. Dept. of Agriculture surplus commodity diet. These are screen printed tin cans (no label) of beans, refried beans, pork, shortening, processed cheese spread, and some vegetables. The the perishables are cubes of butter and cheese. They were fed as much of that stuff as they could load in a trunk and that stuff can give you diabetes.
burt, edmond - Oct 29, 2009 at 4:15 pm
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http://www.nytimes.com/aponline/2009/10/29/business/AP-US-Transportation-Spending.html

Isn't inhofe one of the OK politicians who voted AGAINST stimulus funding by our government? Is that hypocritical?
barbara, drayden - Oct 29, 2009 at 7:43 am
Diabetes? Alcoholism? Sounds more like a lifestyle problem than a healthcare issue. I have to agree with Joe Bob, Norman on this one...
ICStpdPpl, Nunya - Oct 28, 2009 at 11:45 am
America has to keep up it's guilt payments for their conquests. They should also compensate the Asian Mongoloids from Beringia who first inhabited North America 40,000 years ago (the original Native Americans), the Paleo-Indians, the Da-Nine and the Inuit-Aleuts.
scott - Oct 28, 2009 at 9:30 am
Maybe its time for them to get off the dole and join the rest of America. Really, its been 200 years.
Joe Bob, Norman - Oct 28, 2009 at 7:06 am
America's First Patriots don't seem to have any trouble swallowing socialized medicine. They seem to want more of it. And they want it now.
Percy F., Ardmore - Oct 27, 2009 at 8:14 pm
Sounds like the government is doing a great job of managing health care for the Indians. We should put the government in charge of everyone's health care so we can bring the death rate of "other Americans" more in line with that of Indians.
Steven, Norman - Oct 27, 2009 at 7:57 am
Wait -- Government run, single payer healthcare is a good thing now? NewsOK, make up your mind!
Paul - Oct 27, 2009 at 7:18 am
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