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:3/24/2017)... ... , ... “The Adventures of Joey, The Dog Who Barks at Puddles”: a ... to the fullest, as God intended. “The Adventures of Joey, The Dog Who Barks ... pursuing her passion for writing, especially about truth and human behavior. , Published by ...
(Date:3/23/2017)... ... March 23, 2017 , ... The physicians of KSF Orthopaedic Center ... Houston Area. The new location is located at 2255 E. Mossy Oaks Rd., Suite ... This newest location will provide patients living in the north Houston area (The Woodlands, ...
(Date:3/23/2017)... ... March 23, 2017 , ... PAINWeekEnd (PWE) Oklahoma City, ... Broadway Avenue, will be an educational and exciting program providing busy clinicians and ... of chronic pain. , Oklahoma is in a healthcare crisis. The state ranks ...
(Date:3/23/2017)... ... ... 82% of adults are unaware of the dangers that infectious bacteria play in mouth disease, ... times a day that dentists recommend. The ramifications of improper oral upkeep go far beyond ... missing 164 million hours of work each year due to dental issues. That is why ...
(Date:3/23/2017)... (PRWEB) , ... March 23, 2017 , ... ... release of SmartBen NOW, an innovative mobile app and centralized benefits dashboard solving ... present critical information securely from multiple locations. For the first time, employees can ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... surveys with 9,250 insured consumers fielded from February 2015 ... help from their plans in five key areas: 1) ... help closing gaps in care, 3) better digital connections, ... real-time guidance. Meeting these needs is essential to promoting ... A Reason to Stay Engaged in Health ...
(Date:3/23/2017)... Research and Markets has announced the addition of the ... report to their offering. ... The Global Cryostat Market is poised to grow ... reach approximately $3.5 billion by 2025. This industry report ... on global as well as regional levels presented in the research ...
(Date:3/23/2017)... LONDON , March 23, 2017 ... comprehensive research report created through extensive primary research ... research, the report aims to present the analysis ... basis of Procedure (Replacement and Repair); Replacement Procedure ... (TAVR)), Repair By Technique (Surgical Devices, Balloon Valvuloplasty, ...
Breaking Medicine Technology: