Native Americans Wanting to Run Their Own Health Care

Part 1!!!!!!!
Lesson of the Day: ‘Fed Up With Deaths, Native Americans Want to
Run Their Own Health Care’
by Nicole Daniels
See the original New York Times Lesson of the Day
(Links to an external site.)
Featured Article: “Fed Up With Deaths, Native Americans Want to Run Their Own
Health Care
(Links to an external site.)

The Indian Health Service, which provides government medical care to 2.2 million
American Indians and Alaska Natives, is widely judged to provide substandard care.
Some tribes have tried models of self-determination and are creating and controlling
their own hospitals.
In this lesson, you will learn about the history of the Indian Health Service and the many
problems it faces. You will further investigate an alternative model of care in Alaska
based on self-determination and produce a written response of 500-750 words to the
provided article and video.
Look at the statistics below, detailing life expectancy in the United States by race and
ethnicity. What do you notice? What do you wonder? What story do you think these
statistics tell?
57 years — Native Americans in South Dakota
75.4 — African-Americans
76.9 — Native Americans
78.9 — Whites
83.3 — Latinos
87.1 — Asian-Americans
Sources: Geography of Opportunities Report
(Links to an external site.)
(PDF) and The New York Times
Read the article
(Links to an external site.)
(Links to an external site.)
then answer the following 7 questions and the “Going Further” film response questions
in a 500-750 word response:
1. What happened in 2016 when 6-month-old James Ladeaux’s mother took him to
Sioux San Indian Health Service Hospital? What does this experience reveal about the
issues that patients have faced at Indian Health Service hospitals nationwide?
2. Who took over Sioux San hospital’s operations over the summer? What are some of
the positive outcomes of this change? What are some of the difficulties that have
3. The article cites several studies that relate to Native American health care and the
Indian Health Service: vacancies of medical positions, death rates for preventable
diseases, health care spending per patient, and life expectancy. Which of the findings
from these four studies did you find the most striking or interesting? Why?
4. What are the origins of the Sioux San hospital? What purpose was it built for and how
did that change over time? How have longtime patients reacted to recent attention to
the conditions within the hospital?
5. What has happened to tribal members who have sought health care services outside
of the Indian Health Service? What did Dr. Brook Eide, an emergency room doctor, say
about his experience treating patients who went outside of I.H.S. for health care?
6. Representative Tom Cole, Republican of Oklahoma and a member of the Chickasaw
Nation, said, “My personal feeling is that if you are a tribe it is better to run your own
health care system.” In the article, what are some examples of tribes running their own
health care systems?
7. Charmaine White Face, a member of the Oglala Sioux Tribe, is not certain that the
change in management is a good idea. What are some of her concerns?
Watch this seven-minute promotional video from the Alaska Native Tribal Health
Consortium that shows the history of its health care system and how its programs try to
respond to community needs.
Then respond to the following questions:
■ Do any of the services offered through the Alaska Native
Tribal Health Consortium feel as though they respond to
needs or concerns that were raised in the article?
■ In the video, the consortium gives specific reasons it
offers certain food, preventive care, and education
■ What values seem to be important to its health care
■ Did you notice anything in the video that you think might
be relevant to other tribal communities considering
whether to create their own approach to health care
■ What opportunities and challenges do tribes face when
considering whether to take over their own health care

Part 2!!!!!
Media Critique Assignment
OVERVIEW: This assignment asks you to employ your developing understanding of
global health through the process of critique.
SELECT: a piece of media that covers a contemporary or historical global health
problem of your choosing (e.g., reproductive health, mental health, water scarcity,
chronic illness, infectious disease, food insecurity, sanitation). You may select your
media from television news, newspaper articles, public health
announcements/infographics, podcasts, or blogs. When making your selection, consider
the various styles of reporting that you have encountered in class. Which styles did you
find engaging or frustrating?
If you have any questions or concerns about your selection, please reach out to me via
WRITE: After making your selection, analyze your selected media in 500 – 750 words
When writing, consider:
■ What are the main points of your media selection?
■ Who is the intended audience?
■ What sources of evidence does your selection provide?
■ What language/metaphors are used to describe your
selected pandemic?
■ What is effective about the piece?
■ What would you change?
■ What are your reactions/responses?
1. Review the assignment rubric to see what I am looking for from this
2. Be sure to include a link to or a secondary attachment of your
selected media.
FORMAT: Your response should be in standard format (Times New Roman, 12 pt font,
double-spaced) and between 500 and 750 words maximum.

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