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:1/17/2017)... Austin, TX (PRWEB) , ... January 17, 2017 , ... ... and USA Wrestling announced a new agreement as part of a long-term ... through December 2024 and includes the airing of some of the sport’s premier events ...
(Date:1/16/2017)... ... 17, 2017 , ... Recently, patients and staff from A Forever Recovery, a ... organizations in support of the annual Binder Park Zoo Halloween celebration known as the ... costumes of all designs coming out to enjoy games, face painting, and lots and ...
(Date:1/16/2017)... , ... January 16, 2017 , ... ... will demonstrate their groundbreaking GunSport•PRO® and EB15•LE® electronic earplugs at the NSSF SHOT ... Las Vegas, Booth #2809. The SHOT Show is the shooting, hunting and outdoor ...
(Date:1/16/2017)... , ... January 16, 2017 , ... ... , Antoine Dental Center, is currently offering complimentary consultations and financing for orthodontics ... teeth examined for bite irregularities and learn about their orthodontic options. Walk-in, late-evening, ...
(Date:1/16/2017)... (PRWEB) , ... January 16, 2017 , ... ... the availability of the newly updated International Audit Protocol Consortium (IAPC) EHS audit ... audit protocols to understand the scope of their EHS regulatory obligations and rapidly ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... , Jan 17, 2017 Research and ... Market 2016-2020" report to their offering. ... The global laparotomy sponges market to ... Global Laparotomy Sponges Market 2016-2020, has been prepared ... The report covers the market landscape and its growth prospects over ...
(Date:1/17/2017)... , January 17, 2017 ... 2016;11(Suppl. 1):2-4 ; http://www.touchneurology.com/articles/tailored-temperature-management-neurocritical-care ... ... Published recently in European Neurological ... touchNEUROLOGY, Catherine Amey reports that despite ...
(Date:1/17/2017)... Transparency Market Research has released a new market report ... and Others) Market - Global Industry Analysis, Size, Share, Growth, Trends ... derivative market was valued at US$ 1.37 Bn in 2015 ... at a CAGR of 5.1 % from 2016 to 2024. ... Benzaldehyde derivatives are the ...
Breaking Medicine Technology: