Inequity in health status and in access to health services are pervasive, largely unrecognized, and poorly addressed in American Indian and Alaska Native communities. Understanding the origins of historically entrenched patterns of oppression and relationships between present-day practices and policies governing tribal health sites can inform the nature and scope of clinicians’ individual and collective obligations. Innovating health professions education and research partnerships with Native communities can also motivate equity. This theme issue considers ethical, social, and cultural complexities of what it means to deliver just care to Native patients living on sovereign tribal land and everywhere in the United States.
Over 100 million people in the pre-Columbian Americas were Indigenous. In the 2010 US Census, 5.2 million people in the US identified as Indigenous. By this and other accounts, American Indians' and Alaska Natives' well-being has been imperiled for over 500 years.
AMA J Ethics. 2020;22(10):E833-836. doi:
Julie E. Lucero, PhD, MPH and Yvette Roubideaux, MD, MPH
Concepts of “governance,” “trust,” and “culture” can help strengthen research partnerships, honor tribal sovereign authority, counter histories of opportunism, and recognize alternative ways of knowing.
AMA J Ethics. 2020;22(10):E882-887. doi:
On this episode of Ethics Talk, Dr Mary Owen, president-elect of the Association of American Indian Physicians, highlights the importance of representation of Native Americans in health professions and Em Loerzel joins us to discuss violence against Native women and femme-identifying people.