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At the Annual Tribal Health Conference in August in Billings, Montana, Indian Health Services (IHS) research analyst Cliff Wiggins said that American Indians and Alaska Natives who use IHS typically receive $1,500 less per year in health care services than those with "mainstream" health plans. When put into the context of 1.4 million tribal members, the overall disparity amounts to more than $2 billion. This issue, along with others pertaining to American Indian health, was the focus of the conference hosted by the Montana-Wyoming Tribal Leaders Council.

The U.S.-Mexico border and the troubles faced by indigenous communities whose lands have been spliced down the middle are nothing new. But with increased fear of terrorism and heightened homeland security measures in the United States, the Tohono O’odham Nation in Arizona, which shares 75 miles of its border with Mexico, is being squeezed into a precarious position.

The Navajo Nation and the Hopi Tribe are awaiting the outcomes of negotiations with Peabody Coal Company over use of the Navajo-aquifer in Black Mesa, Arizona. To many of the region’s 30,000 residents who rely on the N-aquifer as their primary water source, Peabody’s operations are environmentally and culturally unacceptable.

The 2003 American Indian Health Care Delivery Plan paints a very poor picture of the health status of American Indians and Alaska natives. Limited health care access, lack of health insurance, and inadequate federal funding are the main contributing factors. Tribal and state officials are working on improving the system through federal programs such as the Medicaid Administrative Match funding.

Navajo Nation President Joe Shirley Jr. said on August 11 that he has been negotiating with Peabody Western Coal to continue operations on the Black Mesa Coal Mine near Kayenta, Arizona. The Tribe, which is currently involved in a $600 million lawsuit against the mining company, recently passed a resolution backed by tribal grassroots groups to end Peabody’s use of a specific aquifer by the end of 2005. Shirley criticized the resolution, warning that the mine’s closure would cost the tribe $35 million per year and hundreds of jobs for Navajo workers.

Southcentral Foundation, the nonprofit healthcare affiliate of an Alaska Native corporation, opened an $11.5 million state of the art clinic in Anchorage last month. The clinic offers dental, optometry, and behavioral health services to a mostly native clientele. The clinic consolidates Southcentral’s specialty services and is expected to significantly reduce waiting times for appointments.
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