Health Archives - Page 68 of 89

Notah Begay III Foundation to Launch New $1.5 Million Diabetes Initiative

Notah Begay – Navajo/San Felipe Pueblo, is founder of the Foundation that serves Native American children.

Source: Native News Network

ALBUQUERQUE – The Notah Begay III Foundation, NB3F, has announced it will launch a new initiative to expand its fight against childhood obesity and type 2 diabetes for American Indian children.

This announcement, which includes plans to lead extensive research and advocacy initiatives while assisting more American Indian communities in developing their own evidence-based health and wellness programs, was made possible through a generous $1.5 million grant to NB3F by the Robert Wood Johnson Foundation, one of the nation’s largest health foundations.

“This is a transformative time for the Notah Begay III Foundation. It’s the next step in realizing our vision to empower Native American children nationwide to achieve their potential as tomorrow’s leaders,”

said four time PGA Tour winner, NBC/Golf Channel analyst and NB3F founder, Notah Begay III – Navajo/San Felipe Pueblo.

“Childhood obesity and type 2 diabetes are epidemics in Native American communities. Until we invest the appropriate resources to turn the tide against these preventable diseases, they will continue to overwhelm our communities. There is still much more work to be done but, with the help of the great people at the Robert Wood Johnson Foundation and the ongoing support of all our partners and donors, we’ve taken a very important step toward accomplishing our mission.”

The Notah Begay III Foundation’s new national initiative will be focused on investment in research, grantmaking, technical assistance and advocacy for American Indian communities in three regions of the country – the Southwest (New Mexico, Arizona), the Upper Midwest (Minnesota, Wisconsin) and; the Southern Plains (Oklahoma, Texas).

In addition to equipping more Native American communities with resources and training to address this health crisis through innovative, community-driven, culturally appropriate and multi-faceted programs on a local level, this expanded effort will provide unprecedented funding for research into childhood obesity and type 2 diabetes among American Indian children.

Currently, there is no clearinghouse of data on the topic, which impedes work to fully understand these health issues and the best prevention strategies to effectively combat them. By generating detailed research data and advocating on a national level to reinforce the incredible need for additional resources, NB3F will elevate the issue in the hopes of reaching even more communities in the future.

“There’s a tremendous need for more research, advocacy and local assistance to help Native American children lead healthy lives,”

said Jasmine Hall Ratliff, program officer for the Robert Wood Johnson Foundation.

“It’s become clear in recent years that this work needs to happen now to ensure that Native American children grow into the leaders their communities need. We look forward to working with NB3F as it launches this new national initiative.”

The need for investment in this cause continues to grow.

While childhood obesity rates across the nation are showing positive signs of improvement, they are moving in the opposite direction in many Native communities, some of which have childhood obesity rates exceeding 60 percent. That alarming rate also indicates accelerated incidences of type 2 diabetes, which is often caused by obesity. Current trends indicate one-in-two Native American children will develop type 2 diabetes, a rate higher than all other ethnicities combined. Native Americans are twice as likely as Caucasians to die from diabetes.

These disparities between national averages and those among Native Americans points directly to the relative lack of resources committed to these issues in Native American communities. Statistics indicate that investments in awareness and prevention, especially among children, deliver strong return on investment and save significant public healthcare costs long-term.

For more information about NB3F, its work in Native communities and the continued need for support, visit www.nb3foundation.org.

Fresh From the Farm to School Lunches: Navajo Pilot Program Proves Successful

Vincent Schilling, Indian Country Today Media Network

Native schools on reservations with limited budgets often struggle to provide healthy, unprocessed and culturally relevant foods for their students. One possible and viable solution to address the severe conditions of poverty, social stress and health and nutrition problems in Native communities and schools is a Farm-to-School program in which local farmers supply produce to the schools directly within in their communities.

Though it may seem like a simple remedy, government regulations stand in the way of small farmers supplying such schools, because before a farmer can sell their wares, they must first gain certification by the United States Department of Agriculture.

The good news is that such an achievement is possible. Thanks to the efforts of the First Nations Development Institute (FNDI), a Navajo community-based charter elementary STAR School and a Navajo Farmer, a successful Farm-to-School program is more than just a theory.

In an effort to create similar Farm-to-School programs in Indian country, the FNDI has released a report that offers guidelines for other schools and farms to achieve success.

The report, entitled “Healthy Foods for Navajo Schools: Discoveries from the First Year of a Navajo Farm-to-School Program,” authored by Shawn Newell of Native American Development Associates, details how such a program, if implemented correctly, would be not only be a successful demonstration for any school wishing to undertake a similar project—but it would also be addressing how such issues as obesity and diabetes could be alleviated.

Dr. Mark Sorensen is the co-founder and Director of the STAR (Service To All Relations) School, an elementary charter school located near the southwestern edge of the Navajo Nation. The school is based on four values: respect, relationship, responsibility and reasoning that are rooted in Navajo Peacemaking, a traditional form of conflict resolution.

Students look how to cook in the Navajo Farm-to-School Program (Courtesy Louva Montour)

According to Sorensen, “The Farm-to-School program was initiated with the help of a grant from the FNDI and was supported from the idea that plants have sustained our families for generations. Our communities are really suffering from not having nutritious food grown locally—our area of the Navajo Nation is considered a ‘food desert’—and kids are not likely to start eating more vegetables unless they are personally involved in growing, harvesting, and tasting the food.”

“Our program involves interaction of students and local farmers as well as developing greenhouses on the school campus, all for the purpose of providing students with healthy, fresh, locally grown vegetables,” Sorensen said.

One of the main challenges, explained Sorensen, is that farmers need to meet the qualifications necessary to supply these foods to schools.

In the report, the author Newell states that creating a successful Farm-to-School program involves traversing a complex and evolving jurisdictional landscape because Federal, State and county regulations define school cafeterias and kitchens as food establishments and are subject to the U.S. Food and Drug Administration (FDA) Food code.

This code mandates that such food establishments buy only from an approved source. In order to be an approved source, a farm needs to obtain certification. Unfortunately for small farmers, such certifications are not easy to obtain, the most common is the USDA Good Handling Practices/Good Agricultural Practices Certification or GHP/GAP.

Sorensen says this is the main reason for their efforts. “One of our purposes in this program is to help local farmers develop their food safety practices to the point of being able to regularly supply the school with food. It is to fulfill this purpose that we wrote the Navajo Food for Schools Manual.”

In the meantime, Stacey Jensen (Navajo) the Farm Manager of The North Leupp Family Farms (NLFF) a community-based, non-profit, volunteer- driven farm supporting sustainable agricultural for more than 20 years – says they are working on such certification. In the interim they can’t supply food to the schools.

“We cannot sell our produce to STAR Schools without a certification. We are working and should have it in the next six months. This time next year we should have our 501(c) (3) so we will be able to go after the big grants. The farm is also working to get off our diesel generators this year and become completely solar,” says Jensen.

“This could be the best thing ever, I envision it to be that way but there are regulations and certifications and standards and so forth – which sort of negates our efforts to have this wonderful community come together as farmers and schools and students,” he says. ”It definitely is frustrating at times.”

Though he is frustrated with policy, he loves working with the STAR students and sharing his culture.

“The children are wonderful; I love children especially the STAR School students. I call them STAR kids because they have the philosophy where everything has a relationship to everything else and everything is in a cycle. The kids definitely enjoy it. One child came out that didn’t know where carrots came from until I pulled it out of the vegetable bed for him. You should have seen the expression on his face,” said Jensen.

Louva Montour (Navajo) is the Foodservice Manager/Home Economics Teacher and the Wellness Program coordinator at the STAR School. Montour speaks well of the Farm-to-School program but voices concern as to how government policy keeps locally available, healthy and culturally relevant foods from their school.

“The rules and regulations keep us from doing this program to the extent we want to do this,” said Montour. “We want to work with our own native farmers. That is the whole idea is that we would like our young kids to learn about and appreciate our cultural and traditional foods.”

“Last spring, there was a group of fifth and sixth grade students who went out and planted corn. They also helped with harvest, they brought it back and husked the corn. We made kneeling down bread, which is a Navajo recipe. Another class dried blue corn and later ground the corn. We also save the kernels for stew and we used it for winter food.”

The Navajo Farm-to-School Program emphasizes culturally relevant foods and cooking techniques. (Courtesy Louva Montour)

“We teach a lot of cultural awareness, says Montour. “A lot of students are living in urban areas. They are not living in a ranch or farm setting. This (program) takes them away from their electronic games.”

Montour says that the program also teaches values that the students take away to share with their families. “The kids tell me that because of this, they help out more at home. They help their mother more with cooking. They helped their mom make bread. They use these foods in traditional ceremony and they will tell me they helped out.

Ultimately says Montour, “This is all hands on learning. We have a lot of fun.”

Raymond Foxworth, (Navajo) the FNDI’s senior program officer, told ICTMN how the success of the STAR School and the corresponding manual will serve to guide others in Indian Country.

“Farm-to-school has become an important model in urban areas as one mechanism to increase access to healthy and fresh food for kids. But in Indian country we only have a handful of successful programs and there are a variety of reasons for this. At the STAR School they are overcoming these challenges.”

“Food is an important part of Native identities and is always a part of social gatherings and celebrations,” says Foxworth. “This program really takes steps so that we can begin to ask questions about what we are eating, how the food we eat is prepared and where does our food come from,” he said.

“Moreover, this program starts with our kids so that we can grow future generations of healthy, strong, educated and health conscious Native children.”

How American Indians Benefit from the Affordable Care Act Takes Center Stage

Levi Rickert, Native News Network

August 28, 2013

TRAVERSE CITY, MICHIGAN – Some 400 American Indian tribal leaders and health care professionals are meeting at the Grand Traverse Resort and Spa, owned by the Grand Traverse Band of Ottawa and Chippewa Indians, at the National Indian Health Board’s 30th Annual Conference.

“We are delighted to have nearly 400 tribal leaders, elders and health care colleagues engaged in the current health care reform issues that impact every single person in our families and communities. From the American Indian and Alaska Native benefits through the Affordable Care Act to the renewal of the Special Diabetes Program for Indians. It is important to be involved and informed on the policies that are improving health care services and accessibility to our tribal members,”

said NIHB Chairperson Cathy Abramson.

“We are pleased to have a number of federal agency representatives here today to provide this information, to answer our questions and to listen to our comments and concerns.”

On Tuesday, conference attendees heard from federal agencies that seek to improve health conditions in Indian country.

Indian Health Service

Dr. Yvette Roubideaux, acting director of the Indian Health Service, who provided an overview of the Affordable Care Act, leading up to the to the October 1st enrollment of the Insurance Marketplace of the Act.

“Meeting with tribes and tribal organizations, such as the NIHB, is a very important part of our agency consultation efforts and IHS’s priority to renew and strengthen our partnership with Tribes. We value our partnership with NIHB as we work together to change and improve the IHS and to eliminate health disparities in Indian country,”

Dr. Roubideaux said.

Department of Veterans Affairs

The Department of Veterans Affairs partnered with NIHB to host the second Native veterans’ health workshop track at this year’s conference.

“We are committed to nurturing an environment that fosters trust and provides culturally competent care for Native American veterans, including creating culturally sensitive outreach materials, incorporating traditional practices and rituals into treatment and ensuring the best possible experience when Native American veterans receive care from the VA,”

said John Garcia, Deputy Assistant Secretary in the Office of Intergovernmental Affairs at the US Department of Veterans Affairs.

“We at the VA are further committed to working with and for tribal leaders on a nation-to-nation basis to address the many issues being experienced by veterans and their families across Indian country.”

Health Resources and Services Administration, US Department of Health and Human Services

Mary Wakefield, Administrator for the Health Resources and Services Administration said that under the leadership of the Health and Human Services (HHS) Secretary Kathleen Sebelius, one of the top goals is to improve health equity with Indian tribes.

“We want to eliminate health disparities among American Indians and Alaska Natives. And, we believe we can do that by working toward two other goals – to strengthen the health workforce by expanding the supply of culturally competent primary health care providers in Indian country and Alaska and to improve access to quality health care and services by increasing the number of health care access points,”

Wakefield said.

Substance Abuse and Mental Health Services Administration, US Health and Human Services

Mirtha Beadle, Deputy Administrator for Operations with the Substance Abuse and Mental Health Services Administration in HHS focused her speech on behavioral health issues stating that American Indian and Alaska Natives have the highest level of substance abuse and dependence and unmet need.

“The emphasis is growing on screening and early intervention services. Evidence based practices are an important shift for behavioral health. There is an increased need to focus on bilingual populations in the US. American Indians and Alaska Natives stand to benefit substantially from the implementation of the Affordable Care Act,”

Beadle added.

Office of Personnel Management

Susan McNally, Senior Advisor in the Office of Intergovernmental Affairs with the Office of Personnel Management (OPM) provided n brief overview of the health plans that OPM directs under the Affordable Care Act. OPM will work with private insurance to offer two state health plans – the Multi-State Plan and the Federal Employee Health Benefits program, which OPM has managed for nearly 40 years.

The 30th Annual Consumer Conference continues today with a keynote address from Gold Olympic Medalist Billy Mills, updates from the Tribal Leaders Diabetes Committees and the Tribal Technical Advisory Committee to the Centers for Medicare and Medicaid Services and a panel discussion on the definition of Indian in the Affordable Care Act.

Gold Medalist Billy Mills Inspires Healthy Living with His Own Experiences

Olympic Gold Medalist Billy Mills at yesterday's NIHB Conference — Olympic Gold Medalist Billy Mills at yesterday’s NIHB Conference

Source: Native News Today, August 29, 2013

TRAVERSE CITY, MICHIGAN – Olympic Gold Medalist and humanitarian warrior, Billy Mills brought people to their feet in standing ovation as he shared his experiences with diabetes and traditional healing in the second day plenary session of the National Indian Health Board’s 30th Annual Consumer Conference.

“We are so honored to have Billy here with us today. His words are inspiring and he truly makes everyone feel special. He is someone filled with positive energy. I believe the Creator is using him to help make our people achieve their dreams whether it’s running a marathon, living a healthier lifestyle or improving their health through traditional foods and healing,”

said NIHB Chairperson Cathy Abramson.

“Billy is a great advocate for health, not just physically, but spiritually and mentally too. His message today was truly inspirational for those who are suffering from diseases, like diabetes, in hopes that they renew their health.”

Mills, Oglala Lakota, who grew up on the reservation has lived with borderline diabetes for most of his life. In his speech today, he told a story about tingling fingers and blurry vision – both symptoms of diabetes as he ran in the Olympic race that won him the gold medal.

“One lap to go. I was pushed. I didn’t quit but I could feel myself accept third place. I will let them get 10 yards ahead of me. At this point I could feel the tingling sensation, with my vision coming and going. 150 meters to go and I was nine yards behind, 120 meters and 8.5 meters behind, 100 meters and 8 meters behind. Someone cut into me, but the fourth lane opened up. Lifting my knees, strengthening my stride I took my opportunity. As I went by in the center of my opponent’s jersey was an eagle, and I heard my dad, ‘if you follow the teachings you will have the wings of an eagle.’

In my mind, I was thinking I will never be this close again.

Then I felt the tape break across my chest. A Japanese official said, ‘Who are you?’ At that point, I had to find the German and tell him that his eagle helped me win. I found him but there was no eagle on his jersey, just the Olympic rings. It was a simple perception. Perceptions can create us or destroy us. We need to take control of them. Diabetes can take control of us. The traditional virtues and values give us confidence and clarity to take control. Realizing that is the easy part, the hard part is doing it every day,”

Mills said.

The growing epidemic of diabetes represents one of Indian Country’s public health challenges. American Indians and Alaska Natives have the highest prevalence of diabetes amongst all US racial and ethnic groups. In response to this epidemic, Congress established the Special Diabetes Program for Indians (SDPI) in 1997, and is up for renewal in 2014.

In an update today on the Tribal Leaders Diabetes Committee, Buford Rolin, Chair of the Committee said that Special Diabetes Program for Indians continues to improve the health of Indian country and has led to significant advances in diabetes treatment, prevention, and education. SDPI programs across Indian country are achieving dramatic reductions in risk factors such as blood pressure, weight, bad cholesterol and blood sugar levels.

“Diabetes is an issue that we care so passionately about. Our collaborative efforts, as tribal leaders and tribal health care professionals, will help keep Indian country on a path to a diabetes-free future. It is important that Congress renew this program past fiscal year 2014. The lives of our people depend on it,”

added Rolin, who is also the Chairman of the Poarch Band of Creek Indians.

Students reject healthy school lunches, forcing U.S. districts to drop out of multibillion-dollar program

BY CAROLYN THOMPSON, THE ASSOCIATED PRESS, AUGUST 28, 2013

After just one year, some schools around the country are dropping out of the new federal healthier lunch program, complaining that so many students turned up their noses at meals packed with whole grains, fruits and vegetables that the cafeterias were losing money.

Federal officials say they don’t have exact numbers but have seen isolated reports of schools cutting ties with the $11-billion National School Lunch Program, which reimburses schools for meals served and gives them access to lower-priced food.

Districts that rejected the program say the reimbursement was not enough to offset losses from students who began avoiding the lunch line and bringing food from home or, in some cases, going hungry.

In this Tuesday, Sept. 11, 2012 file photo, a select healthy chicken salad school lunch, prepared under federal guidelines, sits on display at the cafeteria at Draper Middle School in Rotterdam, N.Y. After just one year, some schools across the nation are dropping out of what was touted as a healthier federal lunch program, complaining that so many students refused the meals packed with whole grains, fruits and vegetables that their cafeterias were losing money. (AP Photo/Hans Pennink, File)

“Some of the stuff we had to offer, they wouldn’t eat,” said Catlin, Ill., Superintendent Gary Lewis, whose district saw a 10 to 12 per cent drop in lunch sales, translating to $30,000 lost under the program last year.

“So you sit there and watch the kids, and you know they’re hungry at the end of the day, and that led to some behaviour and some lack of attentiveness.”

In upstate New York, a few districts have quit the program, including the Schenectady-area Burnt Hills Ballston Lake system, whose five lunchrooms ended the year $100,000 in the red.

Near Albany, Voorheesville Superintendent Teresa Thayer Snyder said her district lost $30,000 in the first three months. The program didn’t even make it through the school year after students repeatedly complained about the small portions and apples and pears went from the tray to the trash untouched.

Districts that leave the program are free to develop their own guidelines. Voorheesville’s chef began serving such dishes as salad topped with flank steak and crumbled cheese, pasta with chicken and mushrooms, and a panini with chicken, red peppers and cheese.

In Catlin, soups and fish sticks will return to the menu this year, and the hamburger lunch will come with yogurt and a banana — not one or the other, like last year.

Nationally, about 31 million students participated in the guidelines that took effect last fall under the 2010 Healthy, Hunger-Free Kids Act.

Dr. Janey Thornton, deputy undersecretary for USDA’s Food, Nutrition and Consumer Services, which oversees the program, said she is aware of reports of districts quitting but is still optimistic about the program’s long-term prospects.

“Many of these children have never seen or tasted some of the fruits and vegetables that are being served before, and it takes a while to adapt and learn,” she said.

The agency had not determined how many districts have dropped out, Thornton said, cautioning that “the numbers that have threatened to drop and the ones that actually have dropped are quite different.”

The School Nutrition Association found that one per cent of 521 district nutrition directors surveyed over the summer planned to drop out of the program in the 2013-14 school year and about three per cent were considering the move.

Not every district can afford to quit. The National School Lunch Program provides cash reimbursements for each meal served: about $2.50 to $3 for free and reduced-priced meals and about 30 cents for full-price meals. That takes the option of quitting off the table for schools with large numbers of poor youngsters.

The new guidelines set limits on calories and salt, phase in more whole grains and require that fruit and vegetables be served daily. A typical elementary school meal under the program consisted of whole-wheat cheese pizza, baked sweet potato fries, grape tomatoes with low-fat ranch dip, applesauce and 1 per cent milk.

In December, the Agriculture Department, responding to complaints that kids weren’t getting enough to eat, relaxed the 2-ounce-per-day limit on grains and meats while keeping the calorie limits.

At Wallace County High in Sharon Springs, Kan., football player Callahan Grund said the revision helped, but he and his friends still weren’t thrilled by the calorie limits (750-850 for high school) when they had hours of calorie-burning practice after school. The idea of dropping the program has come up at board meetings, but the district is sticking with it for now.

“A lot of kids were resorting to going over to the convenience store across the block from school and kids were buying junk food,” the 17-year-old said. “It was kind of ironic that we’re downsizing the amount of food to cut down on obesity but kids are going and getting junk food to fill that hunger.”

To make the point, Grund and his schoolmates starred last year in a music video parody of the pop hit “We Are Young.” Instead, they sang, “We Are Hungry.”

It was funny, but Grund’s mother, Chrysanne Grund, said her anxiety was not.

“I was quite literally panicked about how we would get enough food in these kids during the day,” she said, “so we resorted to packing lunches most days.”

New wellness center part of Rosebud diabetes plan

Associated Press

ROSEBUD | Connie Brushbreaker was a 12-Coke-a-day drinker when she was diagnosed with diabetes after the birth of a child. Now, she’s helping lead an effort on the Rosebud Indian Reservation to change the mindset of Native Americans here so they no longer view the disease as an inevitable part of life.

Brushbreaker started a diabetes education program 15 years ago that soon will include a new wellness center, a mobile unit to travel around the nearly 2,000-square-mile reservation and a plan to certify diabetes educators who are American Indian. The $5.4 million investment came from Denmark-based Novo Nordisk Inc., the world’s largest manufacturer of insulin, which planned to unveil the program at a Friday ceremony in Rosebud.

“I think we’re going to be able to do wonders — to get the word out there. And if we help only a handful of people, that will save in the budget but also could save some lives,” said Brushbreaker.

American Indians and Alaska Natives have the highest age-adjusted prevalence of diabetes among U.S. racial and ethnic groups, according to the American Diabetes Association. And they are 2.2 times more likely than non-Hispanic whites to have the disease, according to the Indian Health Service. From 1994 to 2004, there was a 68 percent increase in diabetes among native youth ages 15-19 years. And an estimated 30 percent of American Indians and Alaska Natives have pre-diabetes, the diabetes association said.

Loss of eyesight and amputations are common results of the disease on the reservation, and dozens of patients require kidney dialysis, Brushbreaker said.

“Native Americans can tolerate a higher blood sugar level. They get used to it,” said Rita Brokenleg, a registered nurse for Rosebud’s program.

“Our challenge is to help people understand why this is important,” she said.

Access to affordable, nutritious food is also a problem because most people live in poverty and the choices for non-processed foods are few.

“As natives, our bodies weren’t made to process the starches. Back in the old days, we were active. We had to hunt for our food,” Brushbreaker said.

She said a lack of funding, space and staff has limited what she can do, and tribal members have asked for help.

The new wellness center, which is still under construction, will offer the types of fitness classes and education that are accessible in much of the rest of the country. The building now used for classes is too small, Brushbreaker said. The biggest room is 8 by 10 feet, which makes yoga or Zumba difficult.

Because many of the more than 21,000 tribal members on Rosebud don’t have transportation, the mobile unit will travel throughout the reservation — which is larger than the state of Rhode Island — and screen people, Brushbreaker said.

The certified native educators are needed because IHS, which provides health care to Indians, no longer has any educators on the reservation, she said.

“People come into my office because they’ve not been given any information on what’s going on with their body,” Brushbreaker said. “They’ll go in to see the doctor and they’ll say, ‘here’s medication for your diabetes’ and the patient has never been told they have diabetes.”

The American Diabetes Association, in an email to The Associated Press, said the effort should help: “Reservations may be located in remote areas with limited access to health care and exercise facilities with proper exercise equipment, so this innovative program has potential to have high impact, especially since many reservations have limited resources (financial, land, etc.). Additionally, a wellness center that emphasizes proper nutrition and provided education would be extremely beneficial to those on reservations.”

Novo Nordisk founded the World Diabetes Foundation to diagnose and help people with diabetes in developing countries. Rosebud is the first such project in North America, said the pharmaceutical company’s general counsel, Curt Oltmans, who grew up nearby in Nebraska and made meat deliveries to Rosebud while in college.

“I said if I’m ever in a position to help the people, I’d like to do that,” Oltmans said by phone from Princeton, N.J. “Almost 30 years later, I had this opportunity to get involved.”

Details of the program will be presented in December at a conference in Melbourne, Australia, at the World Diabetes Congress, he said.

“My personal hope is that this is going to lead better awareness and education and screening on the reservation. We have a fear that there’s a lot of undiagnosed diabetes,” Oltmans said. “Their views are very Third World, unfortunately, uninformed views of diabetes.”

The Rosebud program is drawing attention from other groups that work with Native Americans, and the company views it as a long-term commitment, Oltmans said.

“A lot of companies say, ‘Here’s your mobile unit and wellness center, good luck,'” he said. “We’re going to have to stay engaged. We’re going to measure. Are we having an impact? How many people go to the wellness center? What are their ages? Are they losing weight? Are their numbers getting better or are they getting worse?”

IHS prepares for Affordable Care Act implementation

Source: Native American Times

On Aug. 13-15, the Indian Health Service held an Indian Health Partnerships Conference in Denver to train key health system staff on Affordable Care Act implementation requirements, including the new Health Insurance Marketplace, and the impact on the provision of health care services to American Indian and Alaska Native people.

“The theme of this conference, ‘Partnerships 2013: Accessing Health Care through the Affordable Care Act,’ exemplifies the Agency’s commitment to ensuring that we are well prepared for the future of health care and the new opportunities available to federal, tribal, and urban beneficiaries,” said Dr. Yvette Roubideaux, acting director of the IHS.

For American Indians and Alaska Natives, the ACA will help address health disparities, increase access to affordable health coverage, and invest in prevention and wellness. The ACA will offer many uninsured American Indians and Alaska Natives an opportunity to purchase quality, affordable health insurance coverage or to enroll in Medicaid or the Children’s Health Insurance Program through the health insurance market. By filling out one simple application, many will learn that they qualify for financial assistance either through tax credits to purchase coverage in the market, reductions in cost-sharing that will reduce or eliminate out-of-pocket costs, or through enrollment in CHIP or Medicaid, if their state expands eligibility. Natives will also have access to enrollment periods outside the yearly open enrollment period and can continue to get services from tribal health programs, urban Indian health programs, or IHS if they enroll in a health insurance plan through the market.

Starting Oct. 1, a market will be open in every state, providing millions of Americans and small businesses with “one-stop shopping” for affordable health insurance coverage that can begin as soon as Jan. 1. The Indian Health Partnerships Conference provided an opportunity to encourage both members of tribal communities and health care professionals working with tribes to educate others about coverage opportunities.

Community Meeting, Suicide Prevention, Sept 13

September 10, 2013 is National Suicide Awareness Day. The Washington State Governor’s Proclamation of Suicide Prevention Week is September 8th -14th. Because of the importance of this topic and its effect on our community, Tulalip’s Behavioral Health Mental Wellness Program invites you to join us in turning strategy into action concerning suicide prevention. This can be accomplished through everyone who will play a role in the Suicide Prevention Community Meeting. You are needed and important to this community for the benefit of all of us. Please come and attend.

September 13, 2013, Administration Bldg., Room 162; Dinner 5PM, Meeting 5:30PM

ObamaCare mandate skips over Native Americans

By William La Jeunesse, Fox News

Despite claims that the federal health care overhaul needs the so-called individual mandate in order to require everyone to buy health insurance and keep the system stable, it turns out many have been granted an exemption from that requirement.

Those who will not have to comply with the mandate to buy insurance include some religious groups, and inmates, as well as victims of domestic violence and natural disasters. But the largest group of Americans exempt from the individual mandate is Native Americans, whose unique treatment under the law is raising more questions about the basic fairness of the legislation.

The reason behind the exemptions stems from the fact that the federal government, through treaty obligations, has assumed a responsibility for Native Americans.

“This is part of the federal government’s trust responsibility to the American Indians — to provide health, education and housing,” said health care consultant David Tonemah.

Consequently, Native Americans already receive free health care through the $4 billion-a-year taxpayer-funded Indian Health Service, which operates hundreds of hospitals and clinics around the country. Because they already have health care, the new law does not require them to make any additional effort to sign up for a new plan.

Yet Native Americans will also be offered subsidies to buy private insurance through the ObamaCare insurance exchanges.

To some, that sounds like double-dipping.

“There is no particular reason why they should be in the exempt category,” said Ed Haislmaier, a health care analyst with the conservative Heritage Foundation. “There is an argument (taxpayers) are paying twice. All these things wind up raising questions of fairness, and that is a big part of why this law remains unpopular.”

Under ObamaCare, individuals earning less than $47,100 and families of four earning less than $94,200 are eligible for subsides. According to the 2010 census, the poverty rate among Native Americans and Alaska Natives is double the national average, with a median household income of just $35.062. About 30 percent lacked health insurance, also double the national rate.

Proposed subsidies for individuals range from $630 to $4,480 a year, depending on income, according to federal estimates. For families, the subsidies will range from $3,550 to $11,430 a year.

Gila River Tribal Councilwoman Cynthia Antone said many tribal members are confused. Outreach to Native Americans will have to be convincing to overcome their distrust of the federal government.

“They have the option not to sign up for insurance and we do have some members who won’t sign up because we have the hospital across the street,” said Antone. “But we encourage our members to do it because, like I said before, it’s a safety net.”

Native Americans are also exempt from financial penalties for not having insurance. The Congressional Budget Office expects 6 million Americans, mostly young adults, will pay the penalty, which ranges from $95 for an individual to almost $300 for a family beginning in January.

“Anytime you are going to say to people ‘go out and buy this’ you are going to have people say, ‘I don’t use insurance, I don’t believe in it, I can’t afford it,'” said Haislmaier. “When Congress gives in to those objections, you are just going to get more people who want a break. It does create an unfair situation in the end.”

Rosebud Sioux Tribe Unveils New Resources in the Fight Against Diabetes

Wellness Center and Mobile Medical Unit Boost Education and Screening Efforts through Partnership with Novo Nordisk

Novo Nordisk, Aug 23, 2013

ROSEBUD, SD, August 23, 2013 – Addressing one of the biggest health problems facing Native American communities everywhere, the Rosebud Sioux Tribe today unveiled a new, state-of-the-art wellness center and a first-of-its kind mobile diabetes medical unit. These resources will allow the Rosebud Sioux Tribe Diabetes Prevention Program (RSTDPP) to improve screening and intervention in children, as well as promote healthy lifestyles for people of all ages on the reservation. The center and mobile unit were made possible through funding from global healthcare company Novo Nordisk as part of its Native American Health Initiative.

“Diabetes is a serious problem for my tribe, but we know we can turn it around,” said RSTDPP Director Connie Brushbreaker. “Education and screening can help raise awareness about diabetes. The wellness center and mobile unit are smart ways to help us reach more people on our reservation and provide valuable disease education.”

Overall, American Indian and Alaska Native adults are more than twice as likely to have diagnosed diabetes compared with non-Hispanic whites.[1] In some American Indian/Alaska Native communities, diabetes prevalence among adults is as high as 60%.[2]

The new wellness center will house exercise facilities, diabetes education and nutrition training space, and exam rooms. The facility will also provide secure storage for the mobile medical unit, which can travel to the remote corners of the reservation to promote diabetes education, screening and prevention to residents that have limited access to care.

The enhanced diabetes prevention and screening efforts were recommended as part of a thorough, four-month assessment of the diabetes care and educational programs currently available to residents of Rosebud by the internationally-recognized Park Nicollet International Diabetes Center, a nonprofit diabetes care, education, and clinical research facility based in Minneapolis, Minnesota.

“This program has several important components to addressing diabetes in Indian country,” said Donald K. Warne, MD, MPH, professor at North Dakota State University and advisor to the project. “One of the most important issues is making an early diagnosis before complications start to occur. Too often, once a diagnosis is made there are barriers to accessing medical care, so bringing professional medical services to people through a mobile unit is both innovative and essential to improving quality of care.”

The initial investment of $3 million from Novo Nordisk also enables the formation of a diabetes education program for healthcare professionals and patients, the implementation of a community awareness initiative for diabetes prevention, and the creation of scholarships through the support of the American Association of Diabetes Educators that will allow tribe members to be trained as certified diabetes educators.

Curt Oltmans, corporate vice president and general counsel at Novo Nordisk, grew up near the Rosebud Reservation and witnessed the disparities in care facing the Native American population first-hand. He is leading Novo Nordisk’s Native American Health Initiative.

“For more than three years Novo Nordisk has engaged with the Rosebud Sioux Tribe to design this initiative,” Oltmans said. “As a leader in diabetes, we believe that diabetes education and prevention are essential. Our Diabetes Educators have trained the community’s health representatives and members of the Diabetes Prevention Program. It has been a privilege for our employees to learn about the tribe’s traditions and culture. We are committed to the program and we want it to become a model for others.”

For the latest on the RSTDPP, visit www.rstdpp.org.

About Rosebud Sioux Tribe

The Rosebud Sioux Tribe, a branch of the Lakota people, is located on the Rosebud Indian Reservation in south central South Dakota. The federally recognized Indian tribe has more than 31,000 enrolled members and over 11,300 individuals currently residing on the reservation and its lands. The reservation has a total area of 1,442 square miles, while the total land area and trust lands of the reservation cover 5,961 square miles. The reservation includes all of Todd County, S.D. and extensive lands in four adjacent counties. The tribal headquarters is in Rosebud, S.D. For more information, visit www.rosebudsiouxtribe-nsn.gov.

[1] Source: American Diabetes Association, Native American Complications (http://www.diabetes.org/living-with-diabetes/complications/native-americans.html)

[2] Source: Special Diabetes Program for Indians Overview, May 2012 (http://www.ihs.gov/MedicalPrograms/Diabetes/HomeDocs/Resources/FactSheets/2012/Fact_Sheet_SDPI_508c.pdf)

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