Rx for Ailing Indian Health Service: Changes in Spending, Recruitment

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Rx for Ailing Indian Health Service: Changes in Spending, Recruitment
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The troubled Indian Health Service could do some things right now to improve health care for 2.6 million Native Americans

By Christopher Weaver and Anna Wilde Mathews Dec. 31, 2019 10:05 am ET Some of the biggest problems plaguing the troubled Indian Health Service, which cares for 2.6 million Native Americans, could be addressed by taking some relatively straightforward steps, according to IHS employees, tribal members, U.S. lawmakers and outside health-care experts.

The Journal’s reporting on the agency and new interviews with people who have faced the problems suggest several possible courses of action. At a December Senate hearing on his nomination, Adm. Weahkee was asked if he would commit to advocating for more upfront funding for the IHS. Doing so might set him at odds with his superiors in the Trump administration. He declined to say he would seek more funding.

Share Your Thoughts What should the federal government do to improve care at the Indian Health Service? Join the conversation below. Repurpose facilities Eight IHS-run hospitals with a combined 82 beds averaged less than one patient a night in 2018, according to IHS reports to federal regulators. Neither facility delivers babies, forcing women to travel at least 40 miles for that service, according to the Arizona Center for Rural Health.

“They operate so much in their own silo,” said Donald Warne, an associate dean at the University of North Dakota who directs its program to draw more Native Americans into the heath-care field.

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