Navigation Links
The effects of sequestration on Indian health
Date:12/16/2013

(Garrison, NY) As federal legislators work toward a budget agreement, a new commentary documents the harmful effects of sequestration on the Indian Health Service. Sequestration forced a 5 percent reduction in funds for the Indian Health Service, perpetuating longstanding health care disparities and raising questions about the federal government's legal and moral obligation to Indians, states the commentary, which appears in the Hastings Center Report. It calls for the United States to fundamentally change how the Indian Health Service is funded.

Other important health care programs were exempted from sequestration, including Veterans Health Administration programs, State Children's Health Insurance Programs, and Medicaid, whereas the Indian Health Service was considered a "discretionary" line item in the federal budget. "Why is there not parity for Indians, whose health status remains far below that of mainstream America?" writes Marilynn Malerba, the lifetime chief of the Mohegan Tribe and a student in the Yale Doctor of Nursing Program.

The legal obligations of the government to the Indians originate with treaties negotiated in the 1700s between Indian tribes and the Continental Congress, explains Malerba, who chairs the Self-Governance Advisory Committee for Indian Health Service and is a member of the Tribal Nations Leadership Council for the Department of Justice.

"The treaties provide reason to consider the promise of health care to Indians as a matter of social contract as well as a legal contract," she writes. "The United States also has a moral obligation to provide at least enough for the health care of Indians to elevate their health status to that of mainstream Americans. The treaties established with Indian tribes provide one argument for recognizing that moral obligations are at stake.

"But perhaps the most powerful moral argument involves simply laying out the facts about health and the Indian tribes," Malerba continues. Even before sequestration, federal funding for Indian health was just 57 percent of need and far lower than funding for other Americans.

"This funding inequity creates the need for the rationing of services, perpetuates longstanding health care disparities, and contributes to an average life expectancy for Indians that is 4.1 years shorter than that of the overall U.S. population," the article says, citing these statistics: American Indians die at higher rates than other Americans from alcoholism (552% higher), diabetes (182% higher), unintentional injuries (138% higher), homicide (83% higher), and suicide (74% higher).

Malerba says that the funding cut will eliminate 804,000 outpatient visits and 3,000 inpatient visits per year and that the IHS Catastrophic Health Emergency Fund will run out of money before the end of the year.

"The obvious requirement is to recognize IHS funding as mandatory," she concludes. "Mandatory funding occurs without further congressional action, avoiding contentious budget cycles."


'/>"/>

Contact: Susan Gilbert
gilberts@thehastingscenter.org
845-424-4040 x244
The Hastings Center
Source:Eurekalert

Related medicine news :

1. A New "15 Health Benefits Of Massage" Article Gives People Typical Positive Effects Of Massage – V-kool
2. A New “15 Side Effects of Sleep Deprivation” Article Introduces to People Typical Sides Effects of Sleep Deficiency - Healthreviewcenter
3. HPV Vaccine: Is Media Driving Reports of Side Effects?; polyDNA Recommends Gene-Eden-VIR, an HPV Remedy with No Side Effects
4. Database tracks toxic side effects of pharmaceuticals
5. Osteoporosis drugs compared for side effects, efficacy in Loyola study
6. Diet Doc Hormone Diets & Weight Loss Plans Announces New Specially Formulated Prescription Diet Pills Melting Pounds & Inches without Side Effects
7. Pradaxa Bleeding Allegations Lawyer: Resource4thePeople Reports New Study May Produce Treatment to Reverse Anti-Clotting Medication Effects
8. Protective effects of dl-3n-butylphthalide against diffuse brain injury
9. Pixel Film Studios Releases Pop Art Effects Pack for Final Cut Pro X
10. Pixel Film Studios Releases ProCCTV Security Camera Filters and Effects Pack for Final Cut Pro X
11. Asbestos Found in Winnebago County Jail, Florida Asbestos Testing Company AGC Environmental Offers Tip How to Avoid the Mineral Fiber's Fatal Health Effects
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... ... ... The Military Officers Association of America (MOAA) announced its support for the ... Col. Thomas G. Bowman. , Bowman currently serves as the staff director for the ... issues and challenges veterans face with the VA. Following a 30-year career of service ...
(Date:6/23/2017)... ... June 23, 2017 , ... Everybody has their own personal preference ... to read it, and some people don't like it at all. FindaTopDoc took a ... found: , Erotic literature can give readers a taste of their deepest, darkest fantasies ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... ... cooking is essential, and two new videos highlight the importance of correctly using ... Christine Bruhn, Ph.D., who has done extensive research on consumer food safety habits. ...
(Date:6/23/2017)... FL (PRWEB) , ... June 23, 2017 , ... ... Pinecrest, Florida. This is MD Now’s 28th facility overall and marks the urgent care ... Highway, located one mile North of The Falls shopping mall. The new clinic offers ...
(Date:6/23/2017)... ... June 23, 2017 , ... American Farmer, will feature ... which is slated to air fourth quarter 2017. American Farmer airs Tuesdays at 8:30aET ... a Danish pharmacist, founded Chr. Hansen in Denmark in 1874 after a groundbreaking discovery ...
Breaking Medicine News(10 mins):
(Date:6/5/2017)... Cincinnati location of Diplomat Specialty Infusion ... been awarded a Top Workplaces 2017 honor by ... on an employee survey administered by WorkplaceDynamics, LLC, a research ... measures several aspects of workplace culture, including alignment, execution, and ... ...
(Date:6/2/2017)... , June 2, 2017  NxStage Medical, Inc. (Nasdaq: ... care, today announced new findings demonstrating positive biochemical outcomes ... System One™. The data will be presented at ... Madrid, Spain . ... Improve Home Dialysis Network in Europe ...
(Date:5/30/2017)... Holdings, Inc. (NYSE: HRC), will present at the Goldman Sachs ... 13, 2017, in Rancho Palos Verdes, California ... officer, is scheduled to present at 3:20 p.m. Pacific Time. ... http://ir.hill-rom.com/events.cfm . A recorded replay will be available one ... 2017. About Hill-Rom ...
Breaking Medicine Technology: