Mark Trahant

A single phrase is often used to define the Indian health system: “Government-run.” Add those two words to any discussion about health care or reform and most people reach an immediate conclusion about the merits of the agency. Now it is time for the phrase to disappear because it no longer accurately describes the Indian […]

WASHINGTON, D.C. – Every agency that serves American Indians and Alaska Natives must answer these questions in order to fuel the decision-making process: How much will it cost? How many people are served? And, by the way, who is an Indian? None of the answers are easy. The demand for federal services is growing as […]

Part one in a two-part series “I need to see a doctor.” These six words have been written into our programming as modern humans. We wait in line at the clinic. We make an appointment. We know instinctively that this is the one person to see who can check out our health, fix us up […]

The three most important things to know about what health care reform means to Indian Country are simple ideas. First, the United States, officially and permanently, recognizes its trust and treaty obligation for health care delivery to American Indians and Alaska Natives. Second, there will be more money (not enough, but more) pumped into the […]

It takes about 30 seconds of walking around the campus of the Alaska Native Medical Center to see that this is what the Indian Health system should look like across the country. “No,” a friend corrected me, “this is what the U.S. health care system should look like.” The Alaska Native Medical Center is two […]

A generation ago Indian Country wasn’t included in the conversation about health care reform. When Congress enacted Medicaid and Medicare it pretended that the Indian Health Service didn’t exist. It was as if it had never occurred to the government, that it, too, ran a major health care delivery system. Say what you like about […]

There is growing consensus about a key element of health care reform: a requirement that you must buy health insurance. The idea is that the insurance pools would be less expensive if every American were included – especially younger, healthier workers who for a variety of reasons decide not to buy insurance. The reform proposals […]

Will ‘poor old grandma’ redefine this debate? You hear a lot about grandma now that Congress is back to work on health care reform legislation. “Poor old grandma” is a reason opponents say they will fight health care reform. Grandma will lose services, her Medicare will be less than it is, and some bureaucrat far […]