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

Dr. Yvette Roubideaux
Dr. Yvette Roubideaux

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)
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

7343_Suicide_Prevention_Flyer v3

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

824-pkp9h.AuSt.55Novo 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)

– See more at: http://www.noodls.com/view/559834ED9E32BB3F409145101A8FDB17D6EB63FD#sthash.6L0U3kz4.dpuf

Meet the activists who humiliated Monsanto

Meet the Activists Who Just Humiliated Monsanto© AP
Meet the Activists Who Just Humiliated Monsanto
© AP

Alex Cline, PolicyMic

Last Thursday, an intriguing press release from “Monsanto Global” was sent out to to the email inboxes of media organizations all over the world. According to the press release, Monsanto had received approval from Mexico’s SAGARPA (Secretariat of Agriculture) to plant a quarter of a million hectares of GMO corn in Chihuahua, Coahuila, and Durango. This was coupled with the announcement of two new Monsanto-funded institutions: a seed bank preserving Mexico’s 246 native strains of corn, and a museum of Mexican culture, to be established such that “[n]ever again will the wealth of this region’s culture be lost as social conditions change.”

This was certainly interesting, and indeed, the SAGARPA was in fact considering a permit to allow Monsanto to plant the corn. Still, it seemed fishy, and totally unlike Monsanto to admit (even obliquely) that their corporate practices could possibly change Mexican culture and wipe out indigenous corn strains.

Within hours, the domain name linked to in the press release (monsantoglobal.com) was no longer available, and a second Monsanto-branded press release denouncing the earlier announcement went out. This one, sent from an email at a different domain name (monsanto-media.com), claimed that the Monsanto Global press release was the work of an activist group called Sin Maíz No Hay Vida.

The highlights of the strongly-worded message included the following:

“The action of the group is fundamentally misleading,” said Janet M. Holloway, Chief of Community Relations for Monsanto. “The initiatives they put forth are unfeasible, and their list of demands is peppered with hyperbolic buzzwords like ‘sustainability,’ ‘culture,’ and ‘biodiversity.’”

“Only ecologists prioritize biodiversity over real-world concerns,” said Dr. Robert T. Fraley, who oversees Monsanto’s integrated crop and seed agribusiness technology and research worldwide. “Commercial farmers know that biodiversity means having to battle weeds and insects. That means human labor, and human labor means costs and time that could be spent otherwise.”

Here is a mirror of both press releases.

Later that day, a post on Monsanto’s blog denied that they had sent a press release about Mexico of any kind that day, stating that “Information on this hoax web site and its related communication properties has been turned over to the appropriate authorities to further investigate the matter.”

I reached out to a spokesperson for Sin Maíz No Hay Vida to find out more about the motivations behind the hoax.

PolicyMic (PM): Can you tell me about Sin Maíz No Hay Vida, who they are, and what their mission is?

SM: Sin Maíz No Hay Vida (Without Corn, there is No Life) is a coalition of activists, students, and artists from Mexico, the United States, Brazil, Canada, Colombia, Uganda, Venezuela, Spain, and Argentina.We are fighting to preserve biological and cultural diversity in Mesoamerica and around the world.

PM: What was the goal of the fake press release?

SM: We wanted to demonstrate the importance of corn (in terms of biodiversity, sustainability, and cultures in Mexico) and to show what is at stake if companies like Monsanto manage to privatize this staple crop. It’s not an exaggeration to say that in Mexico and around the world, there is no life without corn.

We also hoped to raise consciousness about Monsanto’s current application to seed genetically modified corn on a commercial scale in three states in Mexico, a huge expansion of their current projects in Mexico. We wanted remind the Mexican officials at SAGARPA, who have the power to make this decision, that activists are paying attention. We urge them not to grant Monsanto the permit to seed commercially. Finally, we hoped to work in solidarity with other activist groups fighting Monsanto.

PM: What do you believe should be the alternative to growing GMO corn?

SM: I think that question “What’s the alternative to growing GM corn?” assumes that genetically modified corn is a necessity, and it’s not. Monsanto and other producers of GMOs want us to believe that these crops are necessary to sustain a growing population, but in fact, Monsanto is just trying to grow their bottom line by privatizing staple crops around the world. This hurts all of us: farmers, the environment, and just about everyone who eats food. To paraphrase Irina Dunn and Gloria Steinem, we need GM corn like a fish needs a bicycle, and a rusty, blood-thirsty bicycle at that. Have you ever ridden a blood-thirsty bicycle? It’s a terrible experience.

PM: Do you have any info on the website coming down?

SM: Unfortunately, I don’t have any information about why monsantoglobal.com was taken down. We’re working to get it back up. In the meantime, you can visit our website for more information about the action.

PM: What do you think of Monsanto’s response?

SM: It’s interesting that Monsanto was frightened enough by activists paying attention to their actions that they quickly denounced us online and on social media. I think I’d be happier, though, if they had withdrawn their petition to seed commercially in Mexico. I expect them to do so any minute now.

PM: What are some resources you can recommend for everyone reading who wants to get involved?

SM: We’re compiling resources for activists on our blog, especially links to activist groups in Mexico and the United States who are have been fighting Monsanto. If you want to help mobilize against Monsanto or to suggest a group that we should link to, please visit our blog.

Roubideaux: Why You Should Care About the Affordable Care Act

Dr. Yvette Roubideaux, ICTMN

I get questions all the time from American Indians and Alaska Natives (including my own relatives!) wondering why they should care about the Affordable Care Act since they already are eligible for the Indian Health Service (IHS).  My response is that while the IHS is here to stay and will be available as their healthcare system, the Affordable Care Act brings new options for health coverage.  It is another way that the federal government meets its responsibility to provide health care for American Indians and Alaska Natives.

The purpose of the Affordable Care Act is to increase access to quality health coverage for all Americans, including our First Americans.  The benefits of the health care law for American Indians and Alaska Natives are significant whether they have insurance now, want to purchase affordable insurance through the Health Insurance Marketplace or take advantage of the States expanding Medicaid starting in 2014.  Indian elders will benefit from a stronger Medicare with more affordable prescriptions and free preventive services no matter what provider they see.  And of course, we’re thrilled that the Indian Health Care Improvement Act (IHCIA), our authorizing legislation, was made permanent by the Affordable Care Act.

These new benefits mean potentially more services for individuals and the communities we serve.  So we are encouraging every American Indian and Alaska Native to enroll in the Marketplaces starting October 1, 2013 to see what benefits are available to them.

To learn more about how the law is benefiting our community visit: http://www.hhs.gov/healthcare/facts/factsheets/2011/03/americanindianhealth03212011a.html.

To learn more about the Health Insurance Marketplace visit HealthCare.gov.

Dr. Yvette Roubideaux is the acting director of the Indian Health Service.

 

Read more at http://indiancountrytodaymedianetwork.com/2013/08/22/roubideaux-why-you-should-care-about-affordable-care-act-150986