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 Rosebud Indian Reservation is an Indian reservation in South Dakota, United States. It is the home of the federally recognized Rosebud Sioux Tribe, who are Sicangu, a band of Lakota people. The Lakota name Sicangu Oyate translates as the "Burnt Thigh Nation", also known by the French term, the Brulé Sioux.
The Endocrine Society is a professional, international medical organization in the field of endocrinology and metabolism, founded in 1916 as The Association for the Study of Internal Secretions. The official name of the organization was changed to the Endocrine Society on January 1, 1952. It is a leading organization in the field and publishes four leading journals. It has more than 18,000 members from over 120 countries in medicine, molecular and cellular biology, biochemistry, physiology, genetics, immunology, education, industry, and allied health. The Society's mission is: "to advance excellence in endocrinology and promote its essential and integrative role in scientific discovery, medical practice, and human health."
James M. Galloway is an American public health physician. Galloway served as the Regional Health Administrator for the United States Department of Health and Human Services for the six eastern states that comprise Region V under Presidents George W. Bush and Barack Obama. He also served as the Senior Federal Official for Health for Pandemic Influenza and Bioterrorism for the Department of Homeland Security's Region C, which includes an additional six states. Galloway was the lead for one of CDC's lead efforts as the Director of the Office of Health System Collaboration, integrating clinical care and public health at a national level.
Research shows many health disparities among different racial and ethnic groups in the United States. Different outcomes in mental and physical health exist between all U.S. Census-recognized racial groups, but these differences stem from different historical and current factors, including genetics, socioeconomic factors, and racism. Research has demonstrated that numerous health care professionals show implicit bias in the way that they treat patients. Certain diseases have a higher prevalence among specific racial groups, and life expectancy also varies across groups.
The National Action Alliance for Suicide Prevention is an American suicide prevention organization coordinating national efforts to advance the National Strategy for Suicide Prevention (NSSP). It is a public/private partnership that, according to them, "catalyzes planning, implementation, and accountability for updating and advancing the NSSP. The Action Alliance works on the 2001 National Strategy for Suicide Prevention and is an outgrowth of the Suicide Prevention Resource Center. The Action Alliance initially focused on three high-risk populations: LGBT youth, American Indians/Alaska Natives, and military/veterans. Part of the group's campaign will be to educate on the warning signs of suicide, promoting the National Suicide Prevention Lifeline, as well as community crisis clinics across the U.S.
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.
In the 1960s and 1970s, the Indian Health Service (IHS) and collaborating physicians sustained a practice of performing sterilizations on Native American women, in many cases without the free and informed consent of their patients. In some cases, women were misled into believing that the sterilization procedure was reversible. In other cases, sterilization was performed without the adequate understanding and consent of the patient, including cases in which the procedure was performed on minors as young as 11 years old. A compounding factor was the tendency of doctors to recommend sterilization to poor and minority women in cases where they would not have done so to a wealthier white patient. Other cases of abuse have been documented as well, including when health providers did not tell women they were going to be sterilized, or other forms of coercion including threatening to take away their welfare or healthcare.
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.
Marcos Antonio Moreno is an American physician, public health advocate and medical research scholar. He is of Mexican and Native American descent, and an enrolled citizen of the Pascua Yaqui Tribe from the Pascua Yaqui Reservation in southern Arizona. He is a graduate of Cornell University, where he studied Neuroscience, and American Indian Studies. He is the first person from the Pascua Yaqui Reservation to graduate from an Ivy League University, and thus far is the only Doctor of Medicine from the Yaqui's reservation community. He received his Doctor of Medicine degree from UND-School of Medicine and Health Sciences and is a resident physician at Yale University in the Department of Psychiatry.
Sara Dye is a physician and surgeon who has worked with Native American tribes in Oklahoma and South Dakota. Dye was born in Oklahoma City, Oklahoma in 1945 and is a member of both Sac and Fox Nation and the Shawnee.
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 United States has many regions which have been described as medical deserts, with those locations featuring inadequate access to one or more kinds of medical services. An estimated thirty million Americans, many in rural regions of the country, live at least a sixty-minute drive from a hospital with trauma care services. Regions with higher rates of Medicaid and Medicare patients, as well those who lack any health insurance coverage, are less likely to live within an hour of a hospital emergency room. Although concentrated in rural regions, health care deserts also exist in urban and suburban areas, particularly in predominantly Black communities in Chicago, Los Angeles and New York City. Racial demographic disparities in healthcare access are also present in rural areas, particularly in Native American communities which experience worse health outcomes and barriers to accessing quality medical care. Limited access to emergency room services, as well as medical specialists, leads to increases in mortality rates and long-term health problems, such as heart disease and diabetes.
Mathuram Santosham is an Indian American physician who is Professor and Chair at the Johns Hopkins Bloomberg School of Public Health. Santosham is best known for his work on oral rehydration therapy and childhood vaccines, with a focus on supporting people from indigenous communities.
Jennie R. Joe is an American academic, medical anthropologist, and fellow of the Society for Applied Anthropology. Initially trained as a nurse, she was one of the health clinic workers during Occupation of Alcatraz in 1969. She is a professor in the Departments of Family and Community Medicine and American Indian Studies at the University of Arizona. Joe was one of the inaugural board members for the Smithsonian's National Museum of the American Indian and serves on the board of the Urban Indian Health Commission.
Judith Salmon Kaur is an American oncologist who is Director of the Native American Programs in the Mayo Clinic Cancer Center. According to Indian Country Today, Kaur is one of only two Native American oncologists working in the United States.
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.
Bisola Ojikutu is an American physician, infectious disease specialist, public health leader and health equity researcher. In July 2021, she was appointed as the Executive Director of the Boston Public Health Commission. Ojikutu is the fifth Commissioner of Public Health for the City of Boston and the first Black woman to permanently hold this position. She currently serves on the Cabinet of Mayor Michelle Wu.
