Indian Country politics and public policy

Commentary by Mark Trahant

Mark Trahant / Trahant Reports Bernie Sanders is expected to introduce his version of health care reform, a plan he calls “Medicare for all.” At least fifteen Democrats have signed on as co-sponsors to the single-payer plan. “This is where the country has got to go,” Sanders told The Washington Post. “Right now, if we …

Continue reading

A fundamental question about government Mark Trahant / Trahant Reports The most fundamental question about government is this: Does it work? When does government — tribal, state or federal — actually make a difference in our lives? There are two ways to answer that question, data and story. Data tells what happens over time, a reference …

Continue reading

Mark Trahant / Trahant Reports Senate Republicans campaigned against “Obamacare” for seven years. Yet there was never an alternative that had support from a majority of their own party. The problem is simple: Many (not all) Republicans see health care programs that help people — the Affordable Care Act, Medicaid, etc. — as welfare. Others …

Continue reading

Mark Trahant / Trahant Reports Today is humor day in the Senate. But at least the healthcare debate will go on and on without a conclusion. And no matter what happens today and Friday there is still a long way to go. The Senate has at least ten more hours of official debate on a House …

Continue reading

Mark Trahant / Trahant Reports The Senate is now going through 20 hours of debate on a House Resolution 1628 to repeal and replace the Affordable Care Act. But the House bill was stripped of every word except the title. Now the idea is to come up with the right language to reach 50 votes …

Continue reading

Mark Trahant / Trahant Reports Here we go again. Another week and the United States Senate is ready to vote on legislation to remake the entire healthcare system, including Indian health. The Senate will do this without a draft circulated for debate, public hearings, or common sense. So what does the replacement bill look like …

Continue reading

Trahant Reports So the Senate (and therefore the House) plan to repeal the Affordable Care Act, destroy Medicaid as we know it, and shell out billions in tax cuts for the wealthy is no more. Monday night Utah Sen. Mike Lee and Kansas Sen. Jerry Moran said they would vote against even debating the Senate …

Continue reading

When every senator could be the 50th vote, any one absence means no healthcare bill Trahant Reports The Senate healthcare bill looked like it was going to pass on Friday. There were only two public no votes (when three are needed to defeat the measure.) And you can only imagine how much pressure leadership was putting …

Continue reading

Mark Trahant / Trahant Reports A Senate hearing Wednesday on Indian health illustrates the larger problem exactly: How can you strip millions of dollars from a health care system and get better results? The answer is you cannot. But that’s not what the Trump administration testified. And it’s not what the Senate leadership is saying …

Continue reading

  Mark Trahant / Trahant Reports I am not sure of the exact year. It probably happened around 1996. That’s when the Indian Health Service became the single largest employer in Indian Country. This makes sense when you think about it: Indian health was once a small (unappreciated) division of the Bureau of Indian Affairs. …

Continue reading

%d bloggers like this: