Brickbats

Brickbat: Locked Us on This Reservation

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The first time Kate Miner went to the federal Indian Health Service hospital on the Cheyenne River Reservation in South Dakota because of a cough that wouldn't quit, an X-ray taken of her lungs found signs of cancer. Her doctor's file says she was told to come back the next day for a lung scan. Her family says she was not told of the X-ray results and was not told to come back. But she did come back, twice, seeking help for the cough. Neither time did the people who treated her identify the problem or spot the results of the X-ray in her file. It wasn't until seven months later, after her family insisted on a CT scan, that a doctor told her she had two masses on her right lung. Three weeks later, Miner died.

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  1. The IHS declined to comment on Ms. Miner’s case because of the pending litigation. In a court filing Friday, lawyers for the Justice Department denied the allegations.

    Going against the IHS means going against the DOJ?

  2. But Bernie and Lizzie, and Pete and Uncle Joe all tell us this NEVER happens with federal government run health care.
    This MUST be fake news.

    1. That old saying about how you can get something “fast, good, and cheap—but only 2 out of the 3” does not apply to government services. They only (rarely) manage 1 out of 3. Actually being able to deliver 2 out of 3 would be an impossible goal for them.

      1. Under federalized (communist) health care, personal health care will consist of a “visual inspection” system. Doctor glances at you. “You look healthy today. Be sure to sleep and eat healthy, and to NOT exhale too many climate-change gasses. Next patient!”

      2. I think you failed to notice government’s sole ability to function at a high level. They are fantastic at producing metrics and analytics that show performance levels that are otherwise without evidence. Where do you think all of the Arthur Anderson guys went to work after their work was found to be illegal?

  3. Life on the Rez can suck. But largely because of the tribal systems themselves. Want to see tragic outcomes of socialism, traditionalism, and nepotism (AKA “failed democracy”) in the USA? Visit Indian Country.

    1. Alaska kicked the IHS out of the state and the native corporations created a nonprofit that administers the native health system with a mix of customer ownership and grants from the IHS in leu of the services they used to offer directly. It’s not perfect, but it’s way better than anything the IHS was doing.

      Very interesting.

      https://www.southcentralfoundation.com/nuka-system-of-care/

      1. Alaska native groups have been smarter, and perhaps luckier, than most tribes in the L48. AK native corporations are more focused on finance and commerce instead of reservation geography, which can sometimes look like self-inflicted gulags.

    2. It’s a government imposed system. It’s serfdom. Tied to the land. The government forced the Indians onto the land in the first place, then enacted a welfare system to keep them docile and subservient to the white man.

      It’s time to abolish the BIA and turn the Federal reservation lands to the tribes. What the tribe does after that is the tribe’s business, but that’s for the tribe to decide. They can sell it or build a casino, whatever, but the reservation system of serfdom needs to stop.

      1. The tribes do essentially own the land (and the resources), but only as collectives. The tribal governments are the ones that prohibit individual ownership, and act like Stalinist overlords, assigning housing and doling out other benefits.

      2. The problem is that the tribe *already* owns the land – no private land ownership is allowed on reservations. This is one of the conditions the Federal government imposed on them.

        1. The REZ is federally owned land, with agreement with tribes for USE. Hense the land can not be used for collateral for loans for development, cutting off capital formation and economic development.

    3. Those things still exist because the Indians are forbidden from changing them. They’re locked into these institutions because of the Federal government.

      1. But the people are not (anymore) locked into the reservations.

    4. The REZ is federally owned land, with agreement with tribes for USE. Hense the land can not be used for collateral for loans for development, cutting off capital formation and economic development.

  4. Malpractice, if that’s what happened, happens in all the hospitals. You know what’s worse than the chance of falling victim to malpractice? Being too poor and worried about money to go to the hospital in the first place.

    1. People in this country are not denied treatment based upon ability to pay.

      1. That is absolutely not true.

        1. Since when did the ER start turning people away?

        2. Being in the business, I can tell you if you present to a hospital emergency department they can not deny you care, including a necessary* hospital admission, for lack of funds or insurance. After admission they may apply for State Medicaid on your behalf, and if not eligible [where I work] there are options to have your bill adjusted and even written off if you qualify based on income and resources.

          *This applies to medical problems warranting an immediate admission, not preventative or elective procedures.

          1. Yes and this is barely a hospital. More a clinic. Eight beds, ED and basic OB. I have worked remotely with such places. It is not easy work there. You can imagine staff and resources.

            The closest real hospital is about 350 miles in Sioux Falls I think.

            The problem is not funding, incompetence, or government. This is what you have, what you can offer in a small community far away from a city.

            And this lawsuit. Well from what is here does not look like malpractice to me.

    2. You know what’s worse than being too poor and worried about money to go to the hospital in the first place? Being told that you’re a helpless victim and the only solution is for others to change the world for you.

      How hard could it be to build free, top-tier hospitals within 30 miles of every human habitation?

      1. You’d have to satisfy the Certificates of Need bureaucrats. I doubt it could be done.

      2. Extremely hard – at least if you wanted to staff them with competent people and keep them open past the first year.

    3. Cool, now do minimum wage.

  5. Say hello to M4A.

  6. Whenever I suggest to a leftist (and most rightists) that we need to abolish the BIA and reservation system, I’m told that I am the most racist person ever.

    1. You are the most r- sorry I guess it’s sort of a reflex.

    2. Every treaty I have ever read has a deminishment clause. With consent of specific percentages of Rez-dwelling Natives, Congress will roll acres out with payment.

      By far a better form would be the acres being rolled out with a clean deed, in the form of a REIT with 1/3 shares owned by the tribe, 1/3 shares owned by tribal members individually, and 1/3 held to float for developement capital on public markets.

    3. Every treaty I have ever read has a deminishment clause. With consent of specific percentages of Rez-dwelling Natives, Congress will roll acres out with payment.

      By far a better form would be the acres being rolled out with a clean deed, in the form of a REIT with 1/3 shares owned by the tribe, 1/3 shares owned by tribal members individually, and 1/3 held to float for development capital on public markets.

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