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“It’s just that we need two things: If we can start to handle the problem of resources, we can do a complete great deal. I served as director of healthcare in the first tribal clinic funded under the Indian Self-Determination Act (93-638). This clinic, at that time in 1978, was about to be defended by IHS.

During the time I was there, our program gained a sound financial footing and extended to provide services not previously funded by IHS. These services were major health issues, the federal government often will not deem necessary to account in Indian communities nor generally public health financing. Examples were dental and mental health. IHS has fragmented care at best grossly. On the way we developed a great clinic model. Other tribes have used this approach to set up tribal clinics. However, things overall haven’t changed in the manner they must have.

CROW AGENCY, Mont. -Ta’Shon Rain Little Light, a happy little girl who treasured to dance and decorate in traditional American Indian clothes, experienced ceased eating, and walking. She complained constantly to her mother that her stomach hurt. When Stephanie Little Light took her daughter to the Indian Health Service clinic in this wind-swept and remote corner of Montana, they informed her the 5-year-old was depressed.

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Ta’Shon’s pain quickly worsened and she stopped at the medical center about 10 more times over almost a year before her lung collapsed and she was airlifted to a children’s hospital in Denver. There she was diagnosed with terminal cancer, confirming the suspicions of family. A couple weeks later, a charity delivered the whole family to Disney World so Ta’Shon could see Cinderella’s Castle, her biggest fantasy.

She never surely got to see the castle, though. She died in her hotel bed immediately after the family arrived in Florida. Ada White, as she stoically recounts the previous few months of Ta’Shon’s short life. Stephanie Little Light cries as she recalls how she once pressured her little girl to walk when she is a pain because the doctors told her it was all in the tiny girl’s head.

Ta’Shon’s story is not unique in the Indian Health Service system, which serves almost 2 million American Indians in 35 areas. On some reservations, the oft-quoted refrain is “do not get sick after June,” when the federal dollars run out. It’s an ill joke and unfortunate one, because it’s sometimes true, on the poorest reservations where residents cannot afford medical health insurance especially. Officials say they have about 50 % of what they have to operate, and patients know they must be dying or about to lose a limb to get serious care.

Wealthier tribes can supplement the federal government health service budget with their own money. But poorer tribes, those on the most remote reservations often, a long way away from city clinics are trapped with substandard treatment grossly. The sad simple truth is a vintage fact, too. The U.S. has an obligation, predicated on a 1787 agreement between tribes and the nationwide federal government, to provide American Indians with free health care on reservations. But that promise is not held. About one-third more is spent per capita on health care for felons in federal prison, regarding to 2005 data from medical service.

In Washington, a few lawmakers have tried to bring focus on the damaged system as Congress tries to improve healthcare for an incredible number of other Americans. But tightening finances and the relatively small size of the American Indian human population have worked against them. Joe Garcia, chief executive of the National Congress of American Indians, said in his annual state of Indian countries’ address in February. With regards to disease and health in Indian country, the figures are staggering.

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