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The Indian Health Service is chronically underfunded and understaffed, leaving many Native Americans without easy access to care

KFF Health News
Summary
Nutrition label

81% Informative

Native Americans are entitled to free health care when the Indian Health Service foots the bill at its facilities or sites managed by tribes.

In reality, the agency is chronically underfunded and understaffed.

The agency rejects tens of thousands of requests to fund appointments, forcing patients to go without treatment or pay daunting medical bills out of their own pockets.

Native Americans who live in another tribe’s area, as she does, are eligible if they have close ties to another tribe.

The Indian Health Service created flowcharts to help patients understand eligibility.

Patti Conica , a member of the Standing Rock Sioux Tribe , needed emergency care after developing a serious infection.

VR Score

83

Informative language

84

Neutral language

63

Article tone

semi-formal

Language

English

Language complexity

51

Offensive language

not offensive

Hate speech

not hateful

Attention-grabbing headline

detected

Known propaganda techniques

not detected

Time-value

short-lived

External references

22

https://www.ihs.gov/sites/prc/themes/responsive2017/display_objects/documents/PurchasedReferredCareDeliveryAreaList_Final2024.01.11.pdfhttps://www.nihb.org/resources/NIHB-FY26-Budget.pdfhttps://projects.iq.harvard.edu/files/lancet-reparations/files/the_impact_gone_et_al.pdfhttps://www.documentcloud.org/documents/25041020-brochure-1https://www.pchclinic.com/uploads/files/forms/PRCbooklet2022.pdfhttps://www.ihs.gov/prc/medical-priorities/https://www.ihs.gov/sites/ihm/themes/responsive2017/display_objects/documents/pc/58619-1_Manual_Exhibit_2-3-E_PRC_AuthorizationProcessFlowChart.pdfhttps://www.nytimes.com/2019/10/15/us/politics/native-americans-health-care.htmlhttps://www.gao.gov/assets/hehs-95-46.pdfhttps://docs.house.gov/meetings/AP/AP06/20240507/117269/HHRG-118-AP06-Wstate-MarchandC-20240507.pdfhttps://www.documentcloud.org/documents/25041039-appeal-letterhttps://www.documentcloud.org/documents/25041017-rejection-letterhttps://www.nihb.org/the-washington-report/North-Dakota-and-South-Dakota-PRC-Study-Consultation.phphttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035886/https://www.ihs.gov/sites/prc/themes/responsive2017/display_objects/documents/PRC_Medical_Priorities.pdfhttps://www.tribalselfgov.org/tribal-sponsorship-fast-track-key-tasks/https://www.ihs.gov/prc/prcda-expansion/https://oig.hhs.gov/documents/audit/3316/A-15-97-50001-Complete%20Report.pdfhttps://www.ihs.gov/ihm/pc/part-2/chapter-3-purchased-referred-care/#2-3.6https://www.usatoday.com/https://www.ihs.gov/newsroom/factsheets/basisforhealthservices/https://minorityhealth.hhs.gov/american-indianalaska-native-health

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