Tag Archives: indian health service

Meth and other drugs overwhelm reservations

New America Media’s Jacob Simas and Two Rivers Tribune‘s Allie Hostler joined forces to examine how the nation’s rural methamphetamine epidemic has devastated the Hoopa Valley Indian Reservation in Northern California, as well as the nation’s American Indian population in general. The Indian Health Service does not track drug abuse, and hard tribe-by-tribe numbers are hard to come by, but the scope of the problem is clear.

Meth abuse rates have reached 30 percent on some rural Indian reservations, and in some Indian communities as many as 65 percent of all documented cases involving child neglect and placement of children in foster care can be traced back to parental involvement with methamphetamine. California Indian Legal Services estimates that in nearly every case they oversee that involves a child being removed from their home, one or both of the parents is using meth. Often in those cases, the baby itself was born with prenatal exposure to the drug.

The broken economy in Hoopa and resulting poverty – the annual household income on the reservation hovers around $13,000 and most families receive tribal government assistance – would seem adequate to explain away the high rates of substance abuse. But those in the community with a sense of history say it’s much more complicated.
Melodie George-Moore teaches English and Native American literature at Hoopa High School. She’s also a leader of traditional Hoopa ceremonies. She believes Hoopa’s drug problem has its roots in historical trauma.

The reservation’s rampant substance abuse has its roots in what the duo calls Hoopa’s “broken economy,” as well as the “historical trauma” unique to conquered native populations. But whatever the cause, the meth epidemic’s public health impact is far-reaching and long-running.

“People who were using during a different time of their life – some might even be in leadership roles in the community – that exposure is now manifesting itself as a very serious disease, because of speed use 30 to 40 years earlier,” she said. “There are young people lining up on dialysis, fetal exposure issues, developmental and behavioral issues… There are days when it’s absolutely overwhelming, some of the realities we see here, the physiological and social realities.”

The second installment in the series focuses on efforts to solve the problem, which include grassroots movements and sweat lodges, as well as a thoroughly overwhelmed infrastructure.

The Tribe’s court estimates that alcohol or substance abuse is a factor in approximately 65 to 70 percent of eviction cases heard by the court, and 75 to 80 percent of child custody and divorce cases. In 2010 the court reported that alcohol or substance abuse was a significant factor in 80 percent of the child abuse and neglect cases heard on the reservation.

The articles were produced as a project for The California Endowment Health Journalism Fellowships, a program of USC’s Annenberg School for Communication & Journalism.

Reform bills would benefit Indian Health Service

Mark Trahant, writing for InvestigateWest, points out that, because it’s in both the House and Senate versions of the bill and thus safe in conference committee, the reauthorization and extension of the Indian Health Care Improvement Act will pass as long as the larger reform package does.

ihsThe Parker Indian Health Services Hospital in Parker, Ariz. Photo by churl via Flickr.

Originally enacted in 1976, the IHCIA has, in various iterations, been the primary vehicle for the delivery of health care to the country’s American Indians and Alaska Natives.

The latest version of the bill would adjust the Indian Health Service budget to account for medical inflation and population growth, increase efforts to recruit and retain health care professionals, introduce coverage for long-term care, improve youth suicide prevention programs and encourage innovation that will help provide easier access to health facilities.

We have public options now. Are they any good?

ProPublica’s Sabrina Shankman reviews America’s existing “public options” for health care, finding mixed results and limited utility. In addition to Medicare and Medicaid, Shankman reviews a few less prominent institutions:

  • The armed forces Tricare plan: Covers all active members of the military, retirees and their families, regardless of preexisting conditions. If you stick to military treatment facilities, it’s cheap.
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  • Veterans Health Administration: Veterans who meet its standards are guaranteed high quality care, but funding is tight at the VA right now.
  • Indian Health Service: Allows American Indians and Alaska Natives free access to reservation clinics… until the service’s funding runs out, as it does about halfway through each year.
  • Healthcare Group of Arizona: It was founded to provide afforable insurance to certain small businesses, but a lack of funds and climbing deductibles mean that many employers will be better off looking to the private market anyway.

Reuters has a handy summary of the key provisions of the latest bill likely to be considered by the House of Representatives.