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American Indian Health Policy: Historical trends and contemporary issues

Author

Listed:
  • Warne, D.
  • Frizzell, L.B.

Abstract

The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have beenpromising, IHS underfunding must be resolved to ensure improved AI/AN health.

Suggested Citation

  • Warne, D. & Frizzell, L.B., 2014. "American Indian Health Policy: Historical trends and contemporary issues," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 263-267.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301682_4
    DOI: 10.2105/AJPH.2013.301682
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    Cited by:

    1. Melissa E. Lewis & Hannah I. Volpert-Esmond & Jason F. Deen & Elizabeth Modde & Donald Warne, 2021. "Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan," IJERPH, MDPI, vol. 18(4), pages 1-24, February.
    2. Jaramillo, Elise Trott & Willging, Cathleen E., 2021. "Producing insecurity: Healthcare access, health insurance, and wellbeing among American Indian elders," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Held, Suzanne & Hallett, John & Schure, Mark & Knows His Gun McCormick, Alma & Allen, Sarah & Milne-Price, Shauna & Trottier, Coleen & Bull Shows, Brianna & Other Medicine, Lucille & Inouye, Jillian, 2019. "Improving chronic illness self-management with the Apsáalooke Nation: Development of the Báa nnilah program," Social Science & Medicine, Elsevier, vol. 242(C).
    4. Thorsen, Maggie L. & Harris, Sean & Palacios, Janelle F. & McGarvey, Ronald G. & Thorsen, Andreas, 2023. "American Indians travel great distances for obstetrical care: Examining rural and racial disparities," Social Science & Medicine, Elsevier, vol. 325(C).
    5. Kiana Wilkins, 2022. "Intersectional Immunity? Examining How Race/Ethnicity and Sexual Orientation Combine to Shape Influenza Vaccination Among US Adults," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2585-2612, December.
    6. Julie A. Beans & Bobby Saunkeah & R. Brian Woodbury & Terry S. Ketchum & Paul G. Spicer & Vanessa Y. Hiratsuka, 2019. "Community Protections in American Indian and Alaska Native Participatory Research—A Scoping Review," Social Sciences, MDPI, vol. 8(4), pages 1-18, April.
    7. Julie A. Beans & Bobby Saunkeah & R. Brian Woodbury & Terry S. Ketchum & Paul G. Spicer & Vanessa Y. Hiratsuka, 2019. "Correction: Beans, J.A.; et al. Community Protections in American Indian and Alaska Native Participatory Research–A Scoping Review. Soc. Sci . 2019, 8(4), 127," Social Sciences, MDPI, vol. 8(9), pages 1-2, August.
    8. Katherine Leggat-Barr & Fumiya Uchikoshi & Noreen Goldman, 2021. "COVID-19 risk factors and mortality among Native Americans," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 45(39), pages 1185-1218.
    9. Timian M. Godfrey & Edgar A. Villavicencio & Kimberly Barra & Priscilla R. Sanderson & Kimberly Shea & Xiaoxiao Sun & David O. Garcia, 2022. "Advancing Liver Cancer Prevention for American Indian Populations in Arizona: An Integrative Review," IJERPH, MDPI, vol. 19(6), pages 1-16, March.
    10. Christopher G. Kemp & Rachel Chambers & Francene Larzelere & Angelita Lee & Laura C. Pinal & Anna M. Slimp & Lauren Tingey, 2022. "Empowering Our People: Syndemic Moderators and Effects of a Culturally Adapted, Evidence-Based Intervention for Sexual Risk Reduction among Native Americans with Binge Substance Use," IJERPH, MDPI, vol. 19(7), pages 1-11, April.
    11. Adrian Flint, 2015. "Traditional Healing, Biomedicine and the Treatment of HIV/AIDS: Contrasting South African and Native American Experiences," IJERPH, MDPI, vol. 12(4), pages 1-19, April.

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