The Shoalwater Bay Indian Tribe is a federally recognized Native American tribe in Pacific County, Washington, United States. The tribe is descended from the Lower Chehalis and the Willapa (Shoalwater) Chinook peoples. In 2016, the tribe had 373 enrolled citizens.
The Bureau of Indian Affairs (BIA), also known as Indian Affairs (IA), is a United States federal agency within the Department of the Interior. It is responsible for implementing federal laws and policies related to Native Americans and Alaska Natives, and administering and managing over 55,700,000 acres (225,000 km2) of reservations held in trust by the U.S. federal government for indigenous tribes. It renders services to roughly 2 million indigenous Americans across 574 federally recognized tribes. The BIA is governed by a director and overseen by the Assistant Secretary for Indian Affairs, who answers to the Secretary of the Interior.
The Indian Health Service (IHS) is an operating division (OPDIV) within the U.S. Department of Health and Human Services (HHS). IHS is responsible for providing direct medical and public health services to members of federally recognized Native American Tribes and Alaska Native people. IHS is the principal federal health care provider and health advocate for American Indian people.
The Alaska Native Tribal Health Consortium (ANTHC) is a non-profit health organization based in Anchorage, Alaska, which provides health services to 158,000 Alaska Natives and American Indians in Alaska. Established in 1997, ANTHC is a consortium of the tribal regional health organizations. The board of directors for ANTHC equally represent all tribal regions of Alaska and each region has parity.
Tribal colleges and universities (TCUs) are a category of higher education, minority-serving institutions in the United States defined in the Higher Education Act of 1965. Each qualifies for funding under the Tribally Controlled Colleges and Universities Assistance Act of 1978 or the Navajo Community College Act ; or is cited in section 532 of the Equity in Educational Land-Grant Status Act of 1994.
The Project on Indigenous Governance and Development, previously named the Harvard Project on American Indian Economic Development, also known as the Harvard Project, was founded in 1987 at Harvard Kennedy School at Harvard University. It administers tribal awards programs as well as provides support for students and conducting research. The Harvard Project aims to understand and foster the conditions under which sustained, self-determined social and economic development is achieved among American Indian nations through applied research and service.
Modern social statistics of Native Americans serve as defining characteristics of Native American life, and can be compared to the average United States citizens’ social statistics. Areas from their demographics and economy to health standards, drug and alcohol use, and land use and ownership all lead to a better understanding of Native American life. Health standards for Native Americans have notable disparities from that of all United States racial and ethnic groups. They have higher rates of disease, higher death rates, and a lack of medical coverage.
The Alaska Native Medical Center (ANMC) is a non-profit health center based in Anchorage, Alaska, United States, which provides medical services to 158,000 Alaska Natives and other Native Americans in Alaska. It acts as both the secondary and tertiary care referral hospital for the Alaska Region of the Indian Health Service (IHS). Established in 1997, ANMC is jointly owned and managed by the Alaska Native Tribal Health Consortium and Southcentral Foundation as well as tribal governments, and their regional health organizations.
The practice of dental care in rural Alaska is overseen by the American Dental Association and other organizations under the jurisdiction of dentistry in the United States, with major differences from dentistry in the contiguous states. The oral health situation among the Alaskan Native population is among the most severe globally, with notably high rates of oral disease. Children in this population aged 2 to 5 years have almost five times the amount of tooth decay as children of the same age elsewhere in the United States, and adults have 2.5 times the amount of tooth decay as adults elsewhere. Other factors impacting the population's dental health include the difficulty of obtaining fresh food in remote locations, lack of fluoridated running water, and reduced access to education on the importance of dental health.
Yvette Roubideaux is an American doctor and public health administrator. She is a member of the Rosebud Sioux Tribe of South Dakota.
Southeast Alaska Regional Health Consortium (SEARHC) is a non-profit medical, dental, vision and mental health organization serving the health interests of the residents of Southeast Alaska.
Native American reservation inequality underlies a range of societal issues that affect the lives of Native American populations residing on reservations in the United States. About one third of the Native American population, about 700,000 people, lives on an Indian Reservation in the United States. Reservation poverty and other discriminatory factors have led to persisting social inequality on Native American reservations. Disparities between many aspects of life at the national level and at the reservation level, such as quality of education, quality of healthcare, substance use disorders, teenage pregnancy, violence, and suicide rates are significant in demonstrating the inequality of opportunities and situations between reservations and the rest of the country.
Contemporary Native American issues in the United States are topics arising in the late 20th century and early 21st century which affect Native Americans in the United States. Many issues stem from the subjugation of Native Americans in society, including societal discrimination, racism, cultural appropriation through sports mascots, and depictions in art. Native Americans have also been subject to substantial historical and intergenerational trauma that have resulted in significant public health issues like alcohol use disorder and risk of suicide.
The United States public policy agenda on issues affecting Native Americans under the Obama administration includes the signing of the Tribal Law and Order Act of 2010, which allowed tribal courts to extend and expand sentences handed down to them in criminal cases, strengthening tribal autonomy. Obama also supported and enforced the Executive Order 13175, which requires the federal government to consult with tribal governments when deliberating over policies and programs that would affect tribal communities. Under the Obama Administration was also the launching of Michelle Obama's program Let's Move In Indian Country, which aims to improve opportunities for physical activity, to increase access to healthy food in tribal communities, and to create collaborations between private and public sectors to build programs that will end childhood obesity in Native communities. Obama also supported tribal communities through certain provisions of the American Recovery and Reinvestment Act of 2009, which allocated $510 million for rehabilitation of Native American housing, and the settlement of the Keepseagle case, a lawsuit against the United States Department of Agriculture for discriminating against tribal communities by not allowing them equal access to the USDA Farm Loan Program. Most recently, Obama signed Executive Order 13592, which seeks to improve educational opportunities for American Indian and Alaska Natives. Obama has been praised by many tribal leaders, including those who claim he has done more for Native Americans than all of his predecessors combined.
From 1969 to 1974, the Richard Nixon administration made important changes to United States policy towards Native Americans through legislation and executive action. President Richard Nixon advocated a reversal of the long-standing policy of "termination" that had characterized relations between the U.S. federal government and American Indians in favor of "self-determination." The Alaska Native Claims Settlement Act restructured indigenous governance in Alaska, creating a unique structure of Native Corporations. Some of the most notable instances of American Indian activism occurred under the Nixon Administration, including the Occupation of Alcatraz and the Occupation of Wounded Knee.
The Native American Venture Fund (NAVF) is a for-profit impact investment fund that partners with Native American Tribal Corporations to leverage the tribe's economic and legal advantages in order to develop successful tribal business enterprises. These legal advantages are defined as Tribal Sovereignty which are based upon existing laws and treaties to ensure that U.S. state governments and the U.S. federal government live up to their legal obligations to the Native American Tribal Nations. NAVF's vision is to help all tribal nations become economically self-sufficient by providing access to business opportunities, capital, training and mentor-ship.
Suicide among Native Americans in the United States, both attempted and completed, is more prevalent than in any other racial or ethnic group in the United States. Among American youths specifically, Native American youths also show higher rates of suicide than American youths of other races. Despite making up only 0.9% of the total United States population, American Indians and Alaska Natives (AIANs) are a significantly heterogeneous group, with 560 federally recognized tribes, more than 200 non-federally recognized tribes, more than 300 languages spoken, and one half or more of them living in urban areas. Suicide rates are likewise variable within AIAN communities. Reported rates range from 0 to 150 per 100,000 members of the population for different groups. Native American men are more likely to commit suicide than Native American women, but Native American women show a higher prevalence of suicidal behaviors. Interpersonal relationships, community environment, spirituality, mental healthcare, and alcohol abuse interventions are among subjects of studies about the effectiveness of suicide prevention efforts. David Lester calls attention to the existence and importance of theories of suicide developed by indigenous peoples themselves, and notes that they "can challenge traditional Western theories of suicide." Studies by Olson and Wahab as well as Doll and Brady report that the Indian Health Service has lacked the resources needed to sufficiently address mental health problems in Native American communities. The most complete records of suicide among Native Americans in the United States are reported by the Indian Health Service.
Marjorie Bear Don't Walk is an Ojibwa-Salish health care professional and Native American fashion designer. She is most known as an advocate for reforms in the Indian Health Service, and specifically the care of urban Native Americans. In addition, she is a fashion designer who has targeted career women, designing professional attire which incorporated traditional techniques into her clothing.
The impact of the COVID-19 pandemic on Native American tribes and tribal communities has been severe and has emphasized underlying inequalities in Native American communities compared to the majority of the American population. The pandemic exacerbated existing healthcare and other economic and social disparities between Native Americans and other racial and ethnic groups in the United States. Along with black Americans, Latinos, and Pacific Islanders, the death rate in Native Americans due to COVID-19 was twice that of white and Asian Americans, with Native Americans having the highest mortality rate of all racial and ethnic groups nationwide. As of January 5, 2021, the mortality impact in Native American populations from COVID-19 was 1 in 595 or 168.4 deaths in 100,000, compared to 1 in 1,030 for white Americans and 1 in 1,670 for Asian Americans. Prior to the pandemic, Native Americans were already at a higher risk for infectious disease and mortality than any other group in the United States.
Native Americans are affected by noncommunicable illnesses related to social changes and contemporary eating habits. Increasing rates of obesity, poor nutrition, sedentary lifestyle, and social isolation affect many Americans. While subject to the same illnesses, Native Americans have higher morbidity and mortality to diabetes and cardiovascular disease as well as certain forms of cancer. Social and historical factors tend to promote unhealthy behaviors including suicide and alcohol dependence. Reduced access to health care in Native American communities means that these diseases as well as infections affect more people for longer periods of time.
