Indian Country politics and public policy

Commentary by Mark Trahant

Agency Says Indian Health Should Not Be Exempt From Medicaid Work Rules Because They Are ‘Race-Based’ Mark Trahant / Trahant Reports The Trump administration is supporting a major policy shift on Indian health programs which could result in a loss of millions of dollars and sabotage treaty rights. A story in Politico Sunday raised the …

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Indian Health, Bureau of Indian Affairs see a budget increase Mark Trahant / Indian Country Today The federal government’s newly enacted budget is a massive “omnibus” act that spends $1.3 trillion and makes some members of Congress pleased and others angry. It’s a document that reflects a broken budget system. And, at the same time, …

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Updated Sunday. Mark Trahant / Trahant Reports The government is in its official shut down mode. And it’s a fight that has been brewing for a long time. It’s complicated because there are several different congressional factions, think of them as mini-political parties, that have different goals. Remember this: The Republicans are in charge. This process …

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  Mark Trahant / Trahant Reports What qualifications are needed to manage (and possibly reform?) the Indian health system? It’s Indian Country’s largest employer with more than 15,000 on the payroll and many, many more people who work in health care for tribes, non-profits and other related agencies. The IHS budget is $6.1 billion. Yet it’s …

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Mark Trahant / Trahant Reports Congress has yet to reenact the Children’s Health Insurance Program and states will soon run out of funds to prop up the program. That will mean that thousands of American Indian and Alaska Native children will lose their health insurance. And, the result is the Indian Health Service will have …

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Mark Trahant / Trahant Reports The chaos that is now Trump Care continues. First, Congress tried to repeal and replace the Affordable Care Act by rolling back that law plus the decades long public health insurance known as Medicaid. That effort failed in the Senate. Twice. And Congress hasn’t given up. There are all sorts …

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Mark Trahant /Trahant Reports Here we go again: Congress is finding new ways to complicate health care. It really boils down to the philosophy that government-funded health care is just another word for welfare. So it’s a good thing to cut it back and limit it. The other side of that is that funding health …

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Trahant Reports Tom Price, M.D., visits Indian Country. He goes to Alaska. He goes to Oklahoma. He says nice things. (He didn’t have the time to really translate that into policy or funding.) And now he’s gone after excessive use of government and chartered air craft. Dr. Price was the Secretary of Health and Human …

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  Mark Trahant / Trahant Reports First: A fantasy. Wouldn’t it be cool if once, just once, there was a debate in Congress that could only be decided by a vote that benefits Native people? I don’t know. Something like, “I won’t vote for any bill unless it fulfills the treaty obligations that the United …

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Mark Trahant / Trahant Reports You have to wonder why the latest Senate Republican plan to repeal and replace the Affordable Care Act did not get written with one senator in mind, Lisa Murkowski of Alaska. Yet the bill by Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) is more conservative than previous approaches. It …

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