American Indian Health Policy: Historical trends and contemporary issues

D. Warne and L.B. Frizzell

American Journal of Public Health, 2014, vol. 104, issue S3, S263-S267

Abstract: The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have beenpromising, IHS underfunding must be resolved to ensure improved AI/AN health.

Keywords: American Indian; article; health care policy; history; human; legal aspect; public health service; United States, Health Policy; History, 20th Century; History, 21st Century; Humans; Indians, North American; United States; United States Indian Health Service (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (11)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301682_4

DOI: 10.2105/AJPH.2013.301682

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