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Will 2012 bring us to the world of the Fifth Sun?

A little more than one year ago I wrote a column about the year 2012. The emphasis I made was that the ancient Mayans did not make predictions as much as they made calculations that have withstood the test of time and have proven to be unerringly accurate. For some odd reason I have been [...]

Like many New Yorkers did this summer, I boarded a Hampton Jitney from the east side of Manhattan in late August and made my way to the finger tips of Long Island.  Instead of landing on the beach, however, I found myself in the crowded office of a small community-based organization bursting with children and [...]

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A year goes by fast. Way too fast. Thirteen months ago I plunged into my “year-long” exploration of the Indian health system. It’s been fascinating because there has so much activity: Congress enacted the Patient Protection and Affordable Care Act and included with that bill the permanent authorization of the Indian Health Care Improvement Act. [...]

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“If we want our study samples to be broadly representative, then we should make every effort to make our institutions equally representative by increasing the presence of minority clinicians, scientists and members of research teams and institutional review boards. If we want minority communities to participate in our work, we must first fix the racial [...]

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When I came up with the idea for this program, I figured I could together a group of Republicans and have a serious discussion about why the party has not succeeded among Latinos, and looks poised to do even worse in the years to come. As a guy who covers politics I figured we could [...]

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What do people who work (or who have worked) for the Indian Health Service, think about the Indian Health Service? This is an important question when looking at any organization. Do the health care professionals see themselves as working for a great team? Are they employed by a government agency that’s too stingy with the [...]

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Has the Indian Health Service been an effective, government-run delivery system? Consider this from a White House memo: “While there has been improvements in health status of Indians in the past 15 years, a loss of momentum can further slow the already sluggish rate of approach to parity. Increased momentum in health delivery and sanitation [...]

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Congress passed the health care reform legislation – and President Barack Obama signed the bill into law. The Indian Health Care Improvement Act was included – and now we can put this debate to rest. Right? Actually no. There are many more debates about health care reform to come – probably for years – and [...]

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The recently passed health care reform bill, formally known as the Patient Protection and Affordable Care Act, will do much to support the health of people of color, not least through its expansion of Medicaid coverage to the near-poor and to childless adults mostly excluded from coverage previously. Businesses with more than 50 employees will [...]

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The enactment of health care insurance reform raises a thorny (and complicated) question for Indian Country: Should American Indians and Alaska Natives eligible for services in the Indian health system buy their own insurance? The first answer ought to be a resounding “no.” Clearly the United States has an obligation for health care because of [...]

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