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Mark Trahant

Entries by Mark Trahant

"Docs or Cops?" Domestic Violence Is a Public Health Issue in Indian Country

(0) Comments | Posted August 3, 2010 | 3:08 PM

WASHINGTON, D.C. -- It's trite to say, "everything is connected." It's a phrase that comes up in the context of family, the environment, or perhaps, philosophy. When the subject is reservation violence, however, that same notion could be rewritten as a blunt question: Docs or cops?

Cops are getting most...

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Expanding Native Americans' Access to Oral Health Through Innovation

(0) Comments | Posted June 22, 2010 | 11:11 AM

A philosophical question: How much medical training is needed to treat patients? Some say it's the full course as proscribed by existing medical, nursing or dental schools. But when the shortages of doctors, nurses and dentists are ginormous, does the need require a different answer?

Consider oral health. "Shortages of...

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Measuring the Progress in Native Health - Life Expectancy for Native Americans

(0) Comments | Posted May 4, 2010 | 8:43 AM

Has the Indian Health Service been an effective, government-run delivery system?

Consider this from a White House memo: "While there has been improvements in health status of Indians in the past 15 years, a loss of momentum can further slow the already sluggish rate of approach to parity....

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A Thorny Question: Should American Indians and Alaska Natives Buy Their Own Health Insurance?

(6) Comments | Posted April 6, 2010 | 12:33 PM

The enactment of health care insurance reform raises a thorny (and complicated) question for Indian Country: Should American Indians and Alaska Natives eligible for services in the Indian health system buy their own insurance?

The first answer ought to be a resounding "no." Clearly the United States has an obligation...

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Transparency as a Tool for Reform

(1) Comments | Posted February 2, 2010 | 7:57 AM

Paul Levy's Running A Hospital "is a blog started by a CEO of a large Boston hospital to share thoughts about hospitals, medicine, and health care issues." The postings started as a lark. But when the president and CEO of Beth Israel Deaconess Medical Center writes openly, that sends...

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Resolutions, Experiments for a New Year

(0) Comments | Posted January 4, 2010 | 1:30 PM


At the beginning of this new year I am experimenting, instead of resoluting. (I know, it's not a real word. But it just sounds right.) I'm interested in how technology can play a role in behavior change: how to eat less, drink enough...

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Beyond Health Care Reform: Write a Check for Indian Health

(4) Comments | Posted December 28, 2009 | 11:24 AM


I started my exploration of health care reform in July.

"The federal government accepts a double standard: Any discussion about rationing -- or government care -- is off the table unless you're a member of an American Indian tribe or Alaskan Native community...

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Health Care: Indian Country Included in a Big Way

(1) Comments | Posted December 8, 2009 | 8:53 AM


A generation ago Indian Country wasn't included in the conversation about health care reform. When Congress enacted Medicaid and Medicare it pretended that the Indian Health Service didn't exist. It was as if it had never occurred to the government, that it, too,...

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Indian Country & Health Care Reform

(0) Comments | Posted December 7, 2009 | 2:00 PM


There is much talk about the recession reaching bottom. The economy at a turning point. Again. The proof, at least this time, was the drop in the national unemployment rate to 10 percent.

But that data point doesn't really reflect the jobs picture...

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