Indian H Service Reform

The Policy Problem

Even though the U.S. has an obligation to provide American Indians with free health care on reservations, there is an enormous disparity that exists in both the overall health status and access to health care of AI/ANs.

The system is severely underfunded:

Senator Byron Dorgan (D, ND) “believes the problems are systemic within the embattled agency: incompetent staffers are transferred instead of fired; there are few staff to handle complaints; and, in some cases, he says, there is a culture of intimidation within field offices charged with overseeing individual clinics.”

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