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Aging In Harmony: Creating Culturally Appropriate Systems Of Health Care For Aging American Indian/Alaska Natives, Mehgan Gallagher, Bette Jacobs, Nicole Heydt May 2018

Aging In Harmony: Creating Culturally Appropriate Systems Of Health Care For Aging American Indian/Alaska Natives, Mehgan Gallagher, Bette Jacobs, Nicole Heydt

Journal of Gender, Race & Justice

Aging is inevitable—it happens to all of us—but it is not a homogeneous experience. Aging people are among the most vulnerable populations in the world, and thus deserve our care and compassion. This is particularly true of aging American Indian and Alaska Natives (AI/ANs), who face unique barriers to accessing health care due to geographic constraints, language and cultural barriers, and a lack of infrastructure and resource support. This article examines the availability, accessibility, and acceptability of health care services for aging AI/ANs, with a focus on culturally appropriate care and the role of community health representatives in communities with …


Tribal Sovereign Authority And Self-Regulation Of Health Care Services: The Legal Framework And The Swinomish Tribe’S Dental Health Program, Geoffrey D. Strommer Feb 2018

Tribal Sovereign Authority And Self-Regulation Of Health Care Services: The Legal Framework And The Swinomish Tribe’S Dental Health Program, Geoffrey D. Strommer

Journal of Health Care Law & Policy (University of Maryland)

Across the United States, an important shift is taking place in the Indian health care arena. Over the past forty years, many American Indian Tribes have transitioned away from relying primarily on federal officials to provide a bare minimum in health care services to Indian people, and have begun instead to develop and operate complex tribal health care delivery systems that offer the highest level of health care possible. Health care has historically been considered, and remains today, a core component of the federal trust responsibility to Indians. However, that trust responsibility is increasingly being carried out through the transfer …