Presentation on theme: "Achieving Health Equity:"— Presentation transcript:
1Achieving Health Equity: Through a Tribal LensLisa Sockabasin, DirectorMaine Office of Minority HealthMaine Department of Health and Human Services
2Tribes NationallyGreater than 550 federally recognized tribes in the United States34 States have federally recognized tribes21 States have state recognized tribes42 States have state and/or federally recognized tribes.
3Tribal Sovereignty Government to government relationship Ensures that any decisions about the tribes with regard to their property and citizens are made with their participation and consent.
5Tribal and Maine State History 1000 Norseman visit Passamaquoddy Bay and kill 8 Wabanaki1498 Explore Cabot visits Passamaquoddy Bay and kills 3 tribal people.1600 Wabanaki Population total 32,0001602 France formerly plans to colonize Passamaquoddy lands1694 Massachusetts Governor issues scalping proclamation1700 Wabanaki Population total 10,0001794 land set aside for Passamaquoddy1820 Maine becomes a State1832 Maine authorizes Passamaquoddy land to be seized for right away.1852 Tribal governmental structure changed to match State system1892 Maine Court declares the Passamaquoddy Tribe no longer exists1892 Maine court rules against the Passamaquoddy regarding their right to sustenance hunt & fish.1921 Federal policy issued requiring full assimilation and eradication of tribal culture1924 Indian Citizen Act grants Indians the rights of citizenship, including the right to vote in federal elections.1932 Indian Reorganization Act issued but excludes the Passamaquoddy1967 Maine Indians receive right to vote in state elections.1990’s Maine Indian Tribal-State Commission, established by the Indian Land Claims Settlement Act, struggles with sovereignty and other contentious issues, such as fisheries, land-use regulations and gambling casinos.
6Savagism and Civilization: A Study of the Indian and the American Mind The White Man’s Indian: Images of the American Indian from Columbus to PresentThe Great Father: The United States Government and the American IndianA Final Promise: The Campaign to Assimilate the Indian
7Life Expectancy US All Races 77.9 yrs Maine 75.6 yrs Eastern Tribes yrsMaine Tribes range from years
8Indian Health ServiceIndian Health Service is funded with discretionary funds each yearFunded at 60% level of needAppropriations have not kept up with costs of inflation or population growth.It has become increasingly difficult to provide a continuous level of health care to the Native American Population.Although HIS has been fortunate enough not to have experience the level of funding cuts as some other federal agencies, because of the fact that the cost of inflation has not been accounted for and the population growth, our purchasing power has decreased.This has made it increasing difficult for HIS and the Tribes to offer a constant level of services. Funds often run out before the next funding cycle.
9Tribal Consultation in Maine Executive Order to Promote Effective Communication between the State of Maine and the Native American Tribes Located within Maine.Promotes effective two-way communication between state agencies and the tribesPromotes positive government to government relations between the state and tribesEnables tribes to provide meaningful and timely input into the development of legislation, rules and policies proposed by an agency on matters that significantly/ uniquely affect the tribesEncourages similar communication efforts by the tribes
10Moving Forward.. Tribes and/or tribal members within your home state Tribal history (state/tribal relations)Developing consultation policiesRelationship/trust building