indianz.com your internet resource indianz.com on facebook indianz.com on twitter indianz.com on Google+ indianz.com on soundcloud
phone: 202 630 8439
Fredericks Peebles & Morgan LLP
Advertise on Indianz.Com
Home > News > Headlines
Print   Subscribe
Mark Trahant: Termination returns in the health reform debate
Monday, March 28, 2011
Filed Under: Health | Opinion
More on: hcr, ihcia, mark trahant, termination
 
Just over a year ago President Barack Obama signed the health care reform bill into law, the Patient Protection and Affordable Care Act. That measure, of course, also includes the permanent authorization of the Indian Health Care Improvement Act.

So what has happened since the president signed the bill into law on March 23, 2010? That question cannot be answered. Not yet. Part of the answer is working its way through the court system with legal challenges. And other parts of the answer are stuck in a political debate even as federal agencies continue to write rules for its implementation.

The administration has lived up to the spirit and the intent of the health care reform law. A new report by the National Congress of American Indians, National Indian Health Board and the National Council of Urban Indian Health says it this way: “... the President’s budget was a true commitment to the successful implementation of the Affordable Care Act. The FY12 budget shows increased funding for IHS, Administration on Aging, and Health Resources and Services Administration.”

Indeed the president asked Congress for a 14 percent increase for programs such as the always underfunded Contract Health Services, alcohol and substance abuse, facility construction and to implement the Indian Health Care Improvement Act.

In any other year that all would be great news. But the rub is that Congress, not the president, appropriates money. And that process is left hanging by the deep divide in Congress about the very nature and role of the federal government.

The new law, for example, sets out a funding formula for IHS, tribal contracted or tribal organization health care facilities based on what is spent for health insurance for federal employees. The “need” is at least 55 percent of that benchmark, but even with recent gains the spending-level remains at about 46 percent. At best allies of tribes in Congress are talking about protecting the Indian health system -- not securing additional money. It’s going to be a tough sell on Capitol Hill to get even modest funding.

It’s important to remember that most of the money that will be required for health care comes from the entitlement portion of the budget. That is Medicare, Medicaid and Children’s Health Insurance. This is money on automatic pilot. If a person is eligible, the money is supposed to be there without an annual appropriation. But the money for the Indian health system requires Congress to act in the affirmative. It has to agree to spend the money. That difference is why there’s always a shortage of money and a failure to reach the 55 percent federal employee benchmark.

We in Indian Country understand health care as a federal government obligation. We know the history -- and have been painful witnesses to the shortage of funds. I bring this up because there’s another narrative surfacing; one that parallels the language used decades ago to justify termination of federal services.

First, Kentucky Sen. Rand Paul called for the elimination of the Bureau of Indian Affairs and a drastic reduction in Indian health spending. Then last week Fox’s John Stoessel said: “Why is there a Bureau of Indian Affairs? There is no Bureau of Puerto Rican Affairs or Black Affairs or Irish Affairs. And no group in America has been more helped by the government than the American Indians, because we have the treaties, we stole their land. But 200 years later, no group does worse.”

Rand and Stoessel might as well have attributed their ideas to Sen. Arthur Watkins. A generation ago the Republican from Utah was the congressional champion of termination. He promised to “free the Indians” from all those special restrictions against private property (the same ones Stoessel talked about on Fox). “This is not a novel development, but a natural outgrowth of our relationship with the Indians,” Watkins wrote in 1957. “...After all, the matter of freeing the Indian from wardship status is not rightfully a subject to debate in academic fashion, with facts marshalled here and there to be maneuvered and countermaneuvered in a vast battle of words and ideas.”

By every measure termination was a disaster as a public policy. It was legal theft and a failure so great that even a casual reference should be outside that battle of words and ideas.

Mark Trahant is a writer, speaker and Twitter poet. He is a member of the Shoshone-Bannock Tribes and lives in Fort Hall, Idaho. Trahant’s new book, “The Last Great Battle of the Indian Wars,” is the story of Sen. Henry Jackson and Forrest Gerard.

Related Stories:
Mark Trahant: Investing in young people before we all go broke (3/22)
Mark Trahant: Tragedy in Japan puts Yucca Mountain in scrutiny (3/14)
Mark Trahant: Policy will costs thousands of Indian Country jobs (3/7)
Mark Trahant: Tribes tested by budget cuts to Indian programs (2/28)
Mark Trahant: Tribes need a Plan B in case of federal shutdown (2/22)
Mark Trahant: Budget for Indian programs mostly a lost cause (2/15)
Mark Trahant: The Indian Health Service and state budget shortage (2/7)
Mark Trahant: Protecting the budget for Indian Country programs (1/31)
Mark Trahant: The sky doesn't have to fall on Indian health budget (1/24)
Mark Trahant: Real fight over health care reform all about funding (1/17)
Mark Trahant: Finding a way to a more civil discourse in America (1/10)
Mark Trahant: Indian health care a GOP target in the new Congress (1/3)
Mark Trahant: A new standard for the federal-tribal relationship (12/20)
Mark Trahant: Asking President Obama about Indian health care (12/13)


Copyright © Indianz.Com
More headlines...

Latest Headlines:

Tribes in for long haul as oil continues to flow through Dakota Access
Mark Trahant: Don't plan on getting sick if you're from Indian Country
Tiffany Midge: I shall joke as long as the grass grows and the rivers flow
Director of Office of Indian Energy deletes offensive Twitter account
States cheer decision on grizzly bears amid tribal concerns about hunts
Washington asks high court to overturn Yakama Nation treaty victory
New York Times editorial board reconsiders stance on racist trademarks
Colville Tribes remove council member a week before citizens go to polls
Marijuana firm promises big investments with help of ex-Seminole chair
Lumbee Tribe ordered to release voter list to opponents of chairman
National Indian Gaming Association chooses David Bean as vice chair
Eastern Cherokee citizen promoted to vice president of casino marketing
Tribes in Connecticut waiting on governor to sign bill for new casino
Secretary Zinke removes protections for grizzlies over tribal objections
Court sets final deadline for remaining payments from Cobell settlement
Mary Annette Pember: Indian Child Welfare Act strengthens our families
Peter d'Errico: Navajo authors offer fresh perspective on sovereignty
Native woman was jailed and forced to ride with assailant during trial
Ute Mountain Ute Tribe challenges new permit for uranium operation
Montana tribes get new member of Congress who pleaded to assault
Connecticut tribes welcome court decision favoring new casino law
Pueblo tribes dispute state's demand for $40M in gaming revenues
Mashpee Wampanoag Tribe remains confident of approval of casino
Nooksack Tribe accepting slot tickets while casino remains closed
Key House committee under fire for moving slowly on tribal agenda
Tribes go it alone on climate change as Trump team shifts priorities
Bryan Newland: President Trump's budget threatens tribal treaties
Steve Russell: The GI Bill changed the United States for the better
Harold Monteau: Democrats lack proactive agenda, proactive strategy
St. Regis Mohawk Tribe orders 20 non-citizens to leave reservation
Wilton Rancheria accused of working too closely with city on casino
Witness list for hearing on bill to reform the Indian Health Service
Arne Vainio: What does the princess want to be when she grows up?
Doug George-Kanentiio: 'Spirit Game' brings Iroquois lacrosse to life
Cronkite News: Navajo activist vows fight against racist NFL mascot
Eric Hannel: Addressing the health care crisis among Native Americans
Bill for tribal regalia at graduation ceremonies advances in California
Ramapough Lunaape Nation wins reversal of ruling on prayer camp
Mashpee Wampanoag Tribe still waits on casino ruling from Trump team
Another former leader of Winnebago Tribe pleads in gaming theft case
Supreme Court ruling poses hurdle for opponents of racist NFL mascot
Change the Mascot campaign responds to negative Supreme Court ruling
Secretary Zinke set for another hearing on Interior Department budget
Mark Trahant: Republicans write health reform bill behind closed doors
Jeff Grubbe: Agua Caliente Band focuses on protecting our groundwater
Steven Newcomb: Asserting our traditions in the era of Donald Trump
Shasta Dazen: 'Family Spirit' program incorporates our tribal traditions
Secretary Zinke shuffles top Indian Affairs officials at Interior Department
Choctaw Nation travels to Ireland to dedicate 'Kindred Spirits' sculpture
Nooksack Tribe closes doors to casino after being hit with federal order
Muscogee Nation asserts authority at allotment where casino was proposed
Mark Trahant: Dakota Access decision offers a chance to return to respect
Cheyenne River Sioux Tribe hails 'victory' in Dakota Access Pipeline case
Nooksack Tribe told to close casino amid leadership and citizenship feud
Kristi Noem: Enough is enough - It's time to fix the Indian Health Service
Second hearing scheduled on bill to reform the Indian Health Service
Trump nominee for appeals court seen as favorable to tribal interests
>>> more headlines...


Home | Arts & Entertainment | Business | Canada | Cobell Lawsuit | Education | Environment | Federal Recognition | Federal Register | Forum | Health | Humor | Indian Gaming | Indian Trust | Jack Abramoff Scandal | Jobs & Notices | Law | National | News | Opinion | Politics | Sports | Technology | World

Indianz.Com Terms of Service | Indianz.Com Privacy Policy
About Indianz.Com | Advertise on Indianz.Com

Indianz.Com is a product of Noble Savage Media, LLC and Ho-Chunk, Inc.