Preventive Health Care for the Native American Elderly: Workshop Before the Special Committee on Aging, United States Senate, One Hundred Second Congress, First Session, Washington, DC, November 13, 1991, Volume 4

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U.S. Government Printing Office, 1992 - 32 pages

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Page 11 - The third point that I would like to make is that I do not believe the Ford administration is antibusiness.
Page 4 - ... PHS sanitary engineers began assisting the BIA in surveying water and sanitation systems. In 1934 the Johnson-O'Malley Act authorized the Federal Government to contract for medical services to Indian people. In 1950 there was the beginning of an expanded program to improve individual home sanitation. In 1955 Congress transferred responsibility for Indian health from the Department of the Interior to the Public Health Service. A key landmark in 1975, the Indian Self-Determination and Education...
Page 5 - Federal/Indian relationship, though, there is a single issue— that of tribal sovereignty — that recurs again and again, and it has emerged as a basis for understanding almost every other Indian issue. Tribal sovereignty means self-determination, and it is the singlemost important right sought by American Indians. Self-determination allows a group to determine its own future by determining its own form of government. This brief summary I give is based on a book, "American Indian Policy in the...
Page 11 - ... need to greatly expand prevention, health promotion, health education, and screening for health problems. Most of the major causes of illness and death among American Indian elders are preventable, and certainly they are amenable to early medical interventions. The primary risk factors for the six leading causes of mortality are smoking and diet, including consumption of alcohol. If I were to pick two programs that I would like to target in particular, it would be some sort of smoking prevention/cessation...
Page 25 - Baltimore — there is a Baltimore American Indian Center. There is a large concentration of people from my tribe and from other tribes in North Carolina who migrated to Baltimore for jobs. They have, as I understand, a very active senior citizen group there. I had hoped that they would be here to talk about some of these things so that I, a 41-year-old, didn't have to speak for seniors — but I'm not that far away from it.
Page 14 - Some of the findings that were identified which have not been alleviated thus far — poverty state of existence, which is estimated to be as high as 61 percent through Indian Country. As you are aware already, the life expectancy of a Native American is 8 years less than an Anglo American. Lack of nursing homes, no long-term care or inadequate longterm care, inadequate number of facilities and other health care facilities, lack of sufficient area agencies on...
Page 14 - Tulley has agreed to come here to talk about some of the health promotion efforts underway with the Navajo Nation. Tulley. TULLEY MANN, NAVAJO DIVISION OF HEALTH, WINDOW ROCK, AZ Mr. MANN. Thank you, Dave. As you know, the Navajo Tribe is one of the largest Indian tribes. We have what they call the Navajo Area Agency on Aging, which extends into the three States — Arizona, New Mexico, and Utah, and one of the few that is designated as Area Agency on Aging.
Page 16 - Much of the health care is provided by Indian Health Service on the Navajo Nation. The Navajo area Indian Health Service headquarters is in Window Rock, AZ. In extensive review of some of the materials, I did not find that provision of health care to the elderly is a priority, nor a specialized area of Indian Health Service.
Page 5 - Relations between American Indian tribes and the Federal Government are as old as the United States, itself. We are told that the first Congress of the United States passed three Indian laws in its first week of existence. And few of us would dispute the substantial attention paid by the Federal Government to Indian issues over the years.
Page 12 - Solomon — having just met you, I don't have stories to tell about you yet, but, in directing the Community Health Representatives Program for the Indian Health Service, we are very grateful that you could be on our panel, and we look forward to your comments. NICKY SOLOMON, COMMUNITY HEALTH REPRESENTATIVES PROGRAM, INDIAN HEALTH SERVICES Ms. SOLOMON. Thank you very much.

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