Professional Documents
Culture Documents
Background:
Historically, it is known that the native Indians have had to face many hardships ever since the
inception of the American territory by the invaders. At first, it was a war between the two
communities; the locals of the area and the well-equipped forces from the European continent
who barged in with all their might to establish a strong foothold in the area. This war was,
however, short lived. The Indians were always at a disadvantage because of their lack of skill
and their inability to compete with the forces of the occupants who had all the latest technology
of the world. The Europeans were more organized, proficient and prepared. They knew that they
had unearthed a part of the world which was going to provide them with all kinds of goods and
services that they needed. This was considered a no man’s land and the continent was brutally
exploited.
Once the European forces completely took over the American land, the natives were left with no
leverage. They were men of lower status; most of whom were killed, and the rest went into
hiding. They knew that they were completely unwelcomed in the place that they once used to
call their homeland and the chances of recovering from that were very unlikely. Their whole
communities were destroyed, and they were referred to as “Indians”, instead of the “original
Americans”. The colonists were using America as their reservoir of riches and exploiting it to a
maximum degree to improve conditions further in the mother countries. During that time, it was
not possible for them to envision an independent American government with its own set of rules
and policies.
Initially, most of the people who were moved from the European countries to America were
either war criminals or those who were jailed for other reasons. This was done because the
colonists were not sure whether or not the weather and other conditions of the new continent
were going to be suitable for them to live in. Later on, more and more people were brought to
America by them which included the African Americans to set up the basis of slavery here.
These people were directly under the control of their European counterparts and they were made
to work tirelessly for the development of these nations. The feelings of resentment started to rise
in the hearts of the slaves and they began to sympathize with the natives of the area. As time
passed, these notions of discontentment increased as a result of which, Americans waged a war
of independence. This was undoubtedly a very long and hard struggle but eventually it proved to
be fruitful. For the first time in history, America started being known as a free and independent
This was a victory that was a desire of the Americans for a very long time now. Although it was
a celebration call for most, the American Indians still had its own kind of reservations and
problems regarding it. This independence was only for the people who were moved to America
by their parent countries. It did not curtail any elaborate details of what the rights of the Indians
will be in this new country. Although the government of the United States claimed that it
represented all of the people residing in these states, the civil liberties of the Indians were never
discussed at length. The authorities, however, did realize that there was need to ensure that these
people were catered to in the new policies and legislations and proposed some ideas about how
the government will look after them so that they don’t cause any trouble. Although they were a
minority, they still felt like they became prey to the intrusion of the Europeans in their homeland
who were not the true masters of this area. The government of the United States was clever
enough to realize these feelings of resentment that might cause trouble in the territory and tried
to compensate the losses of the Indians by passing some laws that solely benefitted the
suppressed community.
The government of United States was under the obligation to provide the American Indians and
Alaska Natives with the best healthcare facilities in America. They tried to deliver that promise
by passing the act of Indian Health Service (IHS). This act embodied in its clauses the assurance
that the natives will be looked after just like others and they are not at a disadvantage in any
terms. However, passing this act was one thing and implementing it was a whole other story. The
underfunding of IHS came in the way and this organization could not perform as well as it was
hoped that it would. The lack of funding was not a problem of just the past; these problems are
2009–2010 Indian health expenditures per capita compared with other federal health care
This fact was soon realized by the government and they felt that they needed to put in more
efforts to protect the interests on the American Indians. Thus, many acts were passed with the
common cause of improving health conditions for the natives. These acts included Snyder Act,
Transfer Act, Indian Self-Determination and Education Assistance Act, and the Indian Health
Care Improvement Act. These acts paved way in improving conditions that were previously very
Snyder Act:
This was one of the first legitimate acts by the Congress that helped in improving health
conditions for the Native Americans and solving the problem of underfunding to some degree. It
included the prospects of providing employment opportunities for physicians so that they can
help those who are suffering. This was proposed in a way that it was considered appropriate for
Transfer Act
In the Transfer Act, the Native Americans were given the liberty to authorize laws regarding
healthcare and the tribal community was given sovereignty. It was for the first time that the
natives had a margin of making policies and setting rules for themselves with proper deliberation
that catered to their interests and provided the best healthcare facilities in the areas that
concerned them. The authorities that were previously not controlled by the tribes were
transferred to the Secretary of health, education and welfare which is why the act came to be
known as the Transfer Act. Nowadays, these services are referred to as the Health and Human
services.
Indian Self-Determination and Education Assistance Act (ISDEAA) was promulgated in the year
1975. This was the most powerful act that had ever been passed regarding healthcare that
benefitted the American Indians. According to the law, the Secretary of Health was given free
rights to provide aids and grants to whatever tribes that he thought deserved enough and he
This was an act of 1976 and it was meant to further the interests of ISDEAA. The goal was also
the same; to improve health conditions of the American Indians. There was need to modify the
laws that had been passed previously and rewrite them to ensure that the best possible facilities
were being made available for the Indians. For that, it was necessary to redefine the whole
concept of modern healthcare with improved conditions and best amenities. In this act, a lot of
new programs were introduced that would help in the betterment of health conditions amongst
the Indians; the total number of which were 34. Apart from this, it also ensured that the 638
programs that were running were elevated to include medical care and medical aid in them. Ever
since then, repayments from the Medicare, Medicaid and Children’s Health Insurance program
In short, we can say that the health services for the Indians were not apt enough because of a lot
of scenarios. These included arguments with the laws for Indians, their policies for health and the
intergovernmental issues. Throughout history, the Indians have been subjected to conflicts and
troubles with the government, being forced to wage wars on the government’s behalf and having
to face terrible healthcare conditions due to the problems of underfunding. We can still see that
the health system for the natives is not free of errors and it needs to be supervised keenly to
avoid any major glitches and ensure that the tribes attain and provide excellent services which
are properly financed. The policies and laws that are needed to be made should not come in
Aftermath
The Indian Healthcare Improvement Act was passed in the year 1976 and it was given authority
to anew in 2000. That is when it was made permanent for the years to follow. As the name
indicates, the whole point and purpose of the act was to invest in the healthcare facilities of the
American Indians and Alaska Natives to support the cause of their medical care. The Affordable
Care Act makes sure that the authorities look over the act in a way that new techniques and
programs are promoted, innovation is appreciated, and constant efforts are made to ensure that
the demands of the quickly developing world are met. It includes many other incentives that are
The psychological and social health of people were given due weightage in the new policies. The
people were provided with home and extended healthcare amenities which supported community
lifestyle and improved the way of life. The problems that the patients faced were also taken into
account. They were provided with travel commodities and reduced the expenditure of treatment.
The best medical professionals were recruited and made available to those who were in need of
Different programs were introduced that helped in meeting the needs of individuals. It was made
sure that the kidney patients could get free dialyses. Health was given a priority for all Indians
just like it was for others. The medical profession was expanded to a much larger scale than what
There was a reservation in the minds of many that the Indian Health Services Act would vanish
in the years to follow once the health reforms were implemented. The reason for this doubt lay in
the increased insurance coverage. However, it was seen that this was no more than a false doubt
in people’s imagination. The IHS was reinforced and made permanent with the authorization of
allowance of new and innovative technologies to help keep up with the increasing demand. This
legislation was the founding basis of the system in which all Americans were able to attain equal
benefits.
These amends were such that they could not be implemented all at once. There had to be a
thorough study of when and how which program should be introduced for what tribe. These
programs were supposed to be made available to those in need and were hard to be executed all
at once. Therefore, the system that was setup in some areas was that representatives of those
areas were to forward the demands of their particular tribes and the facilities were to be provided
on need basis. In Michigan, for example, 12 different tribes were present, and the government
was trying to meet the needs of all in the best possible manner. President Barrack Obama
introduced Patient Protection and Affordable Care Act which automatically reauthorized the
The goal of Indian Health Care Improvement Act (IHCIA) was that it would further the interests
of HIS. This sets up targets in the program in which it is made a destination to reach a whole
environment where premature illnesses lead to the death of patients because they are not looked
after in the best way. These programs intended to provide healthcare facilities to an estimated
number of 2 million Native Americans on reserved funds. New programs were introduced to
further the interests of best health possible for the first Americans.
With the targets set in mind, the American government works in the way of improving health
conditions in many new and innovative ways. Many methods have been introduced to provide
behavioral guidance to individuals and promote a healthy lifestyle in the societies of Native
Americans. They are allowed to enjoy equal share of health facilities like the rest of the people
and there is no discrimination on that basis. “Healthy People” is an organization which sets goals
in mind to better the conditions of health in the world and it looks over the conditions of
Diabetic patients are looked after by the authorities in a way that long term care programs are
present. Cancer treatment and removal of tumors is also one important side of illnesses that are
dealt with. These health organizations are sponsored by the programs of reimbursement by
Medicare and Medicaid. This inflow of money is used to improve the conditions of these
facilities and camps. When the yearly reports of health appropriations for Indians is made, , the
Problems:
Ever since the implementation of the law of 1976, the Medicare and Medicaid Centers have
become very important because they need to provide healthcare facilities for a large number of
people. There have been some problems in the way of successful implementation of these
policies though. The Indians still feel like CMS are an organization that is foreign, and they feel
threatened to share any kind of discreet information about their personal lives with them. The
truth, however, is that CMS are under direct control of the federal government, but the feelings
of resentment and disliking are still very common to be seen. They don’t trust these agencies
enough to share any sensitive information that can possibly prove to be harmful for them in any
way. The CMS is not underfunded like the IHS. They are backed by the federal government and
have huge reserves as compared to the latter. However, due to the cloud of mistrust, some states
have refused to acknowledge the authenticity of CMS and declined the expansion of Medicare.
The future of the healthcare system of American Indians and the Alaska Natives in these states
seems wobbling.
While we see that a lot of the tribal communities are poor and deprived, there are still quite a few
that are stable economically. With the stability in a tribe’s monetary level, there come
opportunities to attain better and better medical facilities that the state has to offer. Newer setups
are being run in these areas and most of the residents are now insured. Apart from this, these
tribes also form linkages and partnerships with the private organizations running in the country
like hospitals, medical centers, pharmaceutical industries etc. This has improved the healthcare
conditions by aggravating newer concepts that provide best facilities for those who are able to
attain them.
Conclusion:
It is the job of the American government to make sure that all of its citizens are provided with
the best medical facilities, be it the natives or others. The natives expect that they are eligible to
acquire these services in return of the land and resources that the conquerors have taken full
benefits of up until now. In return, Congress allocates money and resources for the Indian Health
Serves (IHS) every year. This, however, does not come under the control of the federal
government but on the will of the political leadership of the Congress. This is why the HIS is
prone to going bankrupt once the Congress decides to pull out of its agreements and not keep its
promises. Medicare and Medicaid programs are different though. These resources are allocated
directly by the government agencies and therefore, they are in a much better financial state than
the IHS. The financial condition of HIS has not been able to keep pace with the ever-increasing
population and the inflation. Due to this, the American Indians and Alaska Natives have had to
face very poor health conditions and the struggle has left many dead.
In conclusion, the study of health services shows that in monitoring the health setups in the
Indian and Native Alaska communities, the extent of unnecessary misery and losses of human
lives concerned with avoidable and curable illnesses make the financing of IHS a social cause
and a humanitarian problem. This matter needs to be given the due importance that it deserves,
and it should be prioritized by the advocates of health and welfare of mankind. The rights of
people demand that everyone receives the same care and facilities in the country. This is an area
where concentration is necessary and everyone needs to be put on the same pedestal when it