Plagues, Politics, and Policy is an overview of the major health challenges confronting American Indians and Alaska Natives over the past fifty years and is a case study of the federal government's attempt to provide medical services to a categorical group of people in the United States. While it is not a detailed analysis of what socialized healthcare should or should not look like, it does examine the major social and political issues affecting the delivery of health services to American Indians and Alaska Natives. This book addresses broad policy questions, such as whether or not American Indians and Alaska Natives have received better healthcare since the Indian medical service transferred from the Bureau of Indian Affairs to the Public Health Service in 1955. In the initial decades of Public Health Service control of IHS, the problems of infectious diseases were largely eliminated, but they have been replaced by new challenges which will require IHS and tribal leaders to work together to come up with solutions. Many American Indians and Alaska Natives also face public health challenges rooted in the social and political history of the federal Indian relationship. In this book, DeJong provides a path to improving the future of health care for American Indians and Alaska Natives.

Disease processes among American Indians and Alaska Natives often have distinct manifestations that need to be considered by clinicians and health policy makers involved with these populations. Equally important, all aspects of Indian life—including health—are governed by the special relationship between Indian tribes and the U.S. federal government. For American Indian Health, Everett R. Rhoades has gathered a distinguished group of scholars and practitioners to present a comprehensive assessment of the health of American Indian peoples today and the delivery of health services to them.

Indicators point to continuing lower health status among Native Americans as compared to the general population. Just a decade ago, the mortality rate of Native Americans was 37 percent greater than the rate for the general population, and Native Americans are still more likely to suffer from diabetes, tuberculosis, alcoholism, depression, and suicide. To address the basic health concerns of all Native Americans, this book examines the response of the Cherokee Nation of Oklahoma to critical medical issues. After 1976, the Cherokee Nation aggressively addressed inadequate levels of health services for tribal members and better coordinated efforts to deal with the health problems of their population. Improving American Indian Health Care shares the Western Cherokee experience so that other tribal governments may adopt or adapt the approaches particularly suitable to their own circumstances.