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 …

Continue reading

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, …

Continue reading

  Mark Trahant / Indian Country Today Congress did its job: The federal government’s budget is done. The last step was President Donald J. Trump’s signature and so now the government marches on. At least for the rest of this year, until the end of September. But the White House said Friday that the president …

Continue reading

Mark Trahant / Trahant Reports Budgets are statements: This is what “we” care about.  It’s money that reveals priorities. The “we” could be, and ought to be, the country. Or the “we” could be a presidential administration that’s not really equipped to govern. So there will be lots of stories this year, like last year, …

Continue reading

** Updated Mark Trahant / Trahant Reports Gavin Clarkson is clear: He supports President Donald J. Trump. And he’s running for Congress because “the swamp is deep, the alligators, bite, and the taxpayers are getting ripped off every day.” He wants less regulation and more oil and gas development. And don’t get him started on …

Continue reading

  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 …

Continue reading

Correction: The chart I originally published was misleading. The CBO score for the tax bill (and most of the other measures) looks at the cost over ten years. Appropriations are made in a single year. So that made the tax bill appear more costly in visual form. I am working on a new version now, …

Continue reading

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 …

Continue reading

Why Indian Country should have a voice in this debate Mark Trahant / Trahant Reports There is no better way for any legislature — be it a tribal council, a state assembly, or a Congress — to telegraph what’s most important to a society than through tax policy. How a government collects revenue says what …

Continue reading

Updated. Mark Trahant / Trahant Reports Here we go again. The Congress is hell bent on wrecking the Affordable Care Act. This time the mechanism is the so-called tax reform bill that will be voted in the U.S. Senate. The logic is rich (and, yes, “rich” is absolutely the right word and sentiment) because this …

Continue reading

%d bloggers like this: