A political economy approach to health care among American Indian populations in central Oklahoma.

Abstract

The research addresses political economy issues in a world economic system as it relates to tribal sovereignty, kinship, identity and health care. An overview of the origins of health care for Indians and its effects over time is provided for clarity and understanding. Tribal governments and Native people often use strategies to maximize what services they have at their disposal. Narratives illustrate trials and tribulations Native individuals have endured just to make ends meet and stay healthy. The study focuses on health care access for American Indian populations living in the Indian communities serviced by the Iowa Tribe of Oklahoma.

Like a spider's web, health care and nutrition services are linked to identity, kinship, membership, and social networks which are dependent on the world economy. Tribal economic development is an avenue tribes are taking to be able to provide these services for its members. Economic development also decreases tribal dependence on the Federal dollar.

The health care system in America is in crisis. Costs of health services and nutritious foods are increasing dramatically every year for everyone. For American Indians it becomes a test of endurance and creativity to be able to access quality, affordable health care. A commonly held belief that Indians get free heath care is misguided. Health care services are not free. They are expensive. They are a provision of many treaties that were negotiated between tribes/nations and the federal government. Thus, Native peoples are entitled to health care services but access is complex and comes at a price.