Podcasts about choctaw indians

The new series of Dior Talks – hosted by Paris-based journalist Katya Foreman – is dedicated to t ninth edition of Dior Lady Art. Eleven global artists have been invited to transform the iconic Lady Dior handbag into a unique piece of art.Collaborating with Dior Lady Art for a second consecutive season, artist Jeffrey Gibson, a member of the Mississippi Band of Choctaw Indians and Cherokee descent, returns with a piece inspired by his 2017 punching-bag sculpture “LOVE IS THE DRUG,” themed around the complexities of loving and being loved. An advocate of artisans, materials, pattern and adornment, the New York-based artist – known for his ultra-colorful works that combine traditional Native American craftsmanship with a bold, almost psychedelic aesthetic – also plays with texts and slogans, embracing the power of speech as he celebrates the forgotten and the marginalized. Thus, his latest Lady Dior is fully beaded on one side, with the word “Love” repeated three times in a signature LCD-style font, while the other is loaded with over 70 jangling 3D-printed hearts. “Being a person of color traveling around the world – I've lived in London, South Korea, Germany and different states in the United States – I think I've really always paid attention to how people dress themselves and adorn themselves,” says the artist. “I'm really interested in different kind of movements, whether it's feminist movements, LGBTQ movements or Indigenous liberation movements, and the ways that we codify that in how we dress.”Download the episode to learn more about Jeffrey Gibson's fascinating universe.Hosted by Ausha. See ausha.co/privacy-policy for more information.

This week, we are joined by Chief Cyrus Ben of the Mississippi Band of Choctaw Indians. We ask him a lot of questions, ranging from artifacts to the cultural importance of hunting to his people. We ask him to take us back hundreds of years and explain how things were done and what the landscape looked like. The Chief was a great guest, an eloquent speaker, and knowledgeable about everything from hunting to managing their extensive business interests. He cares deeply about his people, their historic past, and, of course, their future. His passion for life is quickly evident, and he felt like an old friend. We learned about hunting rabbits with short, throwable hickory clubs called rabbit sticks, and the Chief told the story of his first deer and a recent bull elk. He also explained how they manage wildlife and set seasons on the 36,000 acres under their control. This is a good one. Listen, Learn and Enjoy.  Show Notes:Mississippi Choctaw: https://www.choctaw.org/Send a text message to the show!Support the showStay connected with GameKeepers: Instagram: @mossyoakgamekeepers Facebook: @GameKeepers Twitter: @MOGameKeepers YouTube: @MossyOakGameKeepers Website: https://mossyoakgamekeeper.com/ Subscribe to Gamekeepers Magazine: https://bit.ly/GK_Magazine Buy a Single Issue of Gamekeepers Magazine: https://bit.ly/GK_Single_Issue Join our Newsletters: Field Notes - https://bit.ly/GKField_Notes | The Branch - https://bit.ly/the_branch Have a question for us or a podcast idea? Email us at gamekeepers@mossyoak.com

A new study finds the five federally recognized tribes in Idaho contribute some $1.5 billion to the state's economy every year. Another new study finds the economic impact of Mississippi Band of Choctaw Indians alone reaches $1 billion for that state's annual total bottom line. Both studies echo similar research over the years in other states that show tribes are major players in their states' economic viability. And the sources aren't just gaming — categories like construction, tourism, government operations, and education are major economic contributors. GUESTS Ann McCormack (Nez Perce), economic development planner for the Nez Perce Tribe Tralynna Scott (citizen of the Cherokee Nation), chief economist for Cherokee Nation Businesses and special envoy to the U.S. Department of Treasury Andrew Huff (Cree enrolled at Rocky Boys), senior policy and legal advisor to the Center for Indian Country Development at the Federal Reserve Bank of Minneapolis Steven Peterson, clinical associate professor in economics at the College of Business and Economics at the University of Idaho

A new study finds the five federally recognized tribes in Idaho contribute some $1.5 billion to the state's economy every year. Another new study finds the economic impact of Mississippi Band of Choctaw Indians alone reaches $1 billion for that state's annual total bottom line. Both studies echo similar research over the years in other states that show tribes are major players in their states' economic viability. And the sources aren't just gaming — categories like construction, tourism, government operations, and education are major economic contributors.

God is calling you. Are you positioned to hear? This week's message is from Harry Harm.Bio: Harry Harm has been a missionary with Wycliffe Bible Translators and SIL since 1979.  He and his wife, Geri, first worked with the Choctaw Indians in Mississippi on Bible translation.  There they met John Letterman.  (Harry actually helped build John's church there.)  In 2000 Harry and Geri moved to the Middle East and worked in North Africa, the Middle East and all of the countries ending in 'stan.  They also worked in Ethiopia, Thailand and China.  In 2005 they moved to Manila, Philippines.  They led translation training and checking in Asia.  During that time they got more involved with the Deaf and Bible translation into signed languages.  They helped with training and checked sign language translations in Africa as well.  Eventually they worked mainly with the Deaf.  In 2012 they were asked to move to Europe and lived in Romania from 2010 until 2022.  Then they moved to Dallas. Harry has been privileged to visit 66 countries.Support the Show.

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/african-american-studies

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/history

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/native-american-studies

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-south

Historians of the American South have come to consider the mechanization and consolidation of cotton farming—the “Southern enclosure movement”—to be a watershed event in the region's history. In the decades after World War II, this transition pushed innumerable sharecroppers, tenant farmers, and smallholders off the land, redistributing territory and resources upward to a handful of large, mainly white operators. By disproportionately displacing Black farmers, enclosure also slowed the progress of the civil rights movement and limited its impact. Dr. John Cable's Southern Enclosure: Settler Colonialism and the Postwar Transformation of Mississippi (University Press of Kansas, 2023) is among the first studies to explore that process through the interpretive lens of settler colonialism. Focusing on east-central Mississippi, home of the Mississippi Band of Choctaw Indians, Dr. Cable situates enclosure in the long history of dispossession that began with Indian Removal. The book follows elite white landowners and Black and Choctaw farmers from World War II to 1960—the period when the old, labor-intensive farm structure collapsed. By acknowledging that this process occurred on taken land, Dr. Cable demonstrates that the records of agricultural agents, segregationist politicians, and the Bureau of Indian Affairs (BIA) are traces of ongoing colonization. The settler colonial framework, rarely associated with the postwar South, sheds important light on the shifting categories of race and class. It also prompts comparisons with other settler societies (states in southern and eastern Africa, for instance) whose timelines, racial regimes, and agrarian transitions were similar to those of the South. This postwar history of the South suggests ways in which the BIA's termination policy dovetailed with Southern segregationism and, at the same time, points to some of the shortcomings of the burgeoning field of settler colonial studies. This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices

On today's episode, Jessica chats with Eric Pinto (Assistant Director at the Kathryn M. Buder Center for American Indian studies at Washington University in St. Louis; Descendant of the Mississippi Band of Choctaw Indians and Pueblo of Zuni). The Buder Center is part of the Brown School of Social Work, Public Health, & Social Policy that offers the only social work program in the country with an American Indian/Alaska Native concentration. The two talk about Eric's transition from personal training to getting a Master's in Social Work and how the social work program led him to cultural projects, archaeology, and land/cultural resource protection efforts through the Buder Center. We also discuss the Buder Center's Indigenous community and Tribal Nation engagement efforts, including an ongoing trail marker tree initiative, as well as their student practicums, scholarships, and events. Additional topics that came up during our conversation include land acknowledgements, the Urban Relocation Program in the 1950s, enrollment, and blood quantum.Transcripts For rough transcripts of this episode go to https://www.archpodnet.com/heritagevoices/85Links Heritage Voices on the APN Kathryn M. Buder Center for American Indian studies at Washington University in St. Louis Digital Indigenous Storytelling Project Missouri Humanities Land Acknowledgement Buder Research Reports (PDFs for Indigenous Land, Peoples and History of Missouri Brief and Trail Marker Trees) Cahokia Mounds Mastadon State Historic Site For more links head to: https://www.archpodnet.com/heritagevoices/85Contact JessicaJessica@livingheritageanthropology.org@livingheritageA@LivingHeritageResearchCouncilArchPodNet APN Website: https://www.archpodnet.com APN on Facebook: https://www.facebook.com/archpodnet APN on Twitter: https://www.twitter.com/archpodnet APN on Instagram: https://www.instagram.com/archpodnet Tee Public StoreAffiliates Motion Liquid I.V.Ready to shop better hydration, use my special link https://zen.ai/heritagevoices to save 20% off anything you order.

On today's episode, Jessica chats with Eric Pinto (Assistant Director at the Kathryn M. Buder Center for American Indian studies at Washington University in St. Louis; Descendant of the Mississippi Band of Choctaw Indians and Pueblo of Zuni). The Buder Center is part of the Brown School of Social Work, Public Health, & Social Policy that offers the only social work program in the country with an American Indian/Alaska Native concentration. The two talk about Eric's transition from personal training to getting a Master's in Social Work and how the social work program led him to cultural projects, archaeology, and land/cultural resource protection efforts through the Buder Center. We also discuss the Buder Center's Indigenous community and Tribal Nation engagement efforts, including an ongoing trail marker tree initiative, as well as their student practicums, scholarships, and events. Additional topics that came up during our conversation include land acknowledgements, the Urban Relocation Program in the 1950s, enrollment, and blood quantum.Transcripts For rough transcripts of this episode go to https://www.archpodnet.com/heritagevoices/85Links Heritage Voices on the APN Kathryn M. Buder Center for American Indian studies at Washington University in St. Louis Digital Indigenous Storytelling Project Missouri Humanities Land Acknowledgement Buder Research Reports (PDFs for Indigenous Land, Peoples and History of Missouri Brief and Trail Marker Trees) Cahokia Mounds Mastadon State Historic Site For more links head to: https://www.archpodnet.com/heritagevoices/85Contact Jessica Jessica@livingheritageanthropology.org @livingheritageA @LivingHeritageResearchCouncilArchPodNet APN Website: https://www.archpodnet.com APN on Facebook: https://www.facebook.com/archpodnet APN on Twitter: https://www.twitter.com/archpodnet APN on Instagram: https://www.instagram.com/archpodnet Tee Public StoreAffiliates Motion Liquid I.V. Ready to shop better hydration, use my special link https://zen.ai/heritagevoices to save 20% off anything you order.

558. We talk to urologist Martha Boone about her work at the old Charity Hospital and the books she's written about it. "The Big Free is Charity Hospital and it's 1982 in New Orleans, and Charity is a big medical free-for-all. Elizabeth is one of the first women in the toughest surgery department in America. With her pearls and her pink plaid socks, she doesn't fit in …at first. Half the doctors who start the surgery program never finish. Nothing in her proper southern upbringing prepares Elizabeth for the violence, debauchery and intensity of inner city trauma surgery. The Big Free is filled with unforgettable characters living the best and the worst New Orleans has to offer" (Boone). "Dr. Martha Boone is one of the first one hundred women board certified in urology. After 23 years of education, she practiced academic urology for five years and private practice for twenty-four. She was named TOP DOC in urology in Atlanta for over a decade. Her first novel The Big Free fictionalizes her first six months at Charity Hospital in New Orleans. Her current book, The Unfettered Urologist, is nonfiction and explains the pearls of wisdom she never had time to include in a short office visit. It will be available August 15,2023. Her third book, Mother Charity, will be released in March of 2024 and is the sequel to The Big Free. Dr. Boone retired to write full-time and travel with her husband" (Boone). This week in Louisiana history. January 27, 1730. Jean Paul LeSueur leads 500 Choctaw Indians against the Natchez Indians. This week in New Orleans history. Lakeview Theater Opens January 28, 1942. With 700 seats and a parking lot able to accommodate 300 cars, the Lakeview Theater became the first movie house in Lakeview when it first opened its doors on January 28, 1942. Located at the corner of Harrison Avenue and Vicksburg Street (one block from Canal Boulevard), it was built by contractor Robert E. Smith who was the owner/partner of Guy P. Spicuzza who managed the theater.  Draperies and rugs were furnished by D.H. Holmes. Adult tickets sold for 25 cents.  Children were admitted for 11 cents.  The management promised a policy of four program changes per week. This week in Louisiana. Postcards from Louisiana. Boardwalker & the 3 finger swingers sing at Bamboulas.  Listen on Apple Podcasts. Listen on audible. Listen on Spotify. Listen on TuneIn. The Louisiana Anthology Home Page. Like us on Facebook. 

The Senate Committee on Indian Affairs holds an oversight hearing on tribal lobbying matters. The hearing focused on a lobbying scandal involving Jack Abramoff and his tribal clients. The hearing was one in a series of hearings on the matter. The hearing took place on June 22, 2005, during the 109th Congress. WITNESS LIST PANEL 1 Mr. Charlie Benn Director of Administration, Office of the Chief Mississippi Band of Choctaw Indians, Choctaw, MS Mr. Donald Kilgore, Esq. Attorney General Mississippi Band of Choctaw Indians, Choctaw, MS Ms. Nell Rogers Planner Mississippi Band of Choctaw Indians, Choctaw, MS PANEL 2 Mr. Kevin Ring Former Abramoff Associate Mr. Shawn Vasell Former Abramoff Associate PANEL 3 Mrs. Amy Ridenour President National Center for Public Policy Research, Washington DC Ms. Gail Halpern Former Tax Preparer / Advisor to Jack Abramoff Mr. Brian Mann Former Director American International Center Mr. David Grosh Former Director American International Center Mr. Aaron Stetter Former Associate Capitol Campaign Strategies, Washington, DC More on Indianz.Com: https://indianz.com/News/2005/06/22/update_on_senat.asp

The Senate Committee on Indian Affairs holds an oversight hearing on Lands eligible for gaming pursuant to the Indian Gaming Regulatory Act The hearing took place on July 27, 2005, during the 109th Congress. WITNESS LIST Sen. George V. Voinovich (R-lllinois) Sen. David Vitter (R-Louisiana) Panel I George Skibine, Acting Deputy Assistant Secretary, Policy and Economic Development for Indian Affairs Penny Coleman, Acting General Counsel, National Indian Gaming Commission Panel II Walter Gray, Tribal Administrator, Guidiville Band of Pomo Indians, Talmage, California Christine Norris, Principal Chief, Jena Band of Choctaw Indians, Jena, Louisiana John Barnett, Chairman, Cowlitz Indian Tribe, Longview, Washington Charles D. Enyart, Chief, Eastern Shawnee Tribe of Oklahoma, Seneca, Missouri More on Indianz.Com: https://indianz.com/News/2005/07/27/listening_loung_9.asp

The Senate Committee on Indian Affairs holds an oversight hearing on Lands eligible for gaming pursuant to the Indian Gaming Regulatory Act The hearing took place on July 27, 2005, during the 109th Congress. WITNESS LIST Sen. George V. Voinovich (R-lllinois) Sen. David Vitter (R-Louisiana) Panel I George Skibine, Acting Deputy Assistant Secretary, Policy and Economic Development for Indian Affairs Penny Coleman, Acting General Counsel, National Indian Gaming Commission Panel II Walter Gray, Tribal Administrator, Guidiville Band of Pomo Indians, Talmage, California Christine Norris, Principal Chief, Jena Band of Choctaw Indians, Jena, Louisiana John Barnett, Chairman, Cowlitz Indian Tribe, Longview, Washington Charles D. Enyart, Chief, Eastern Shawnee Tribe of Oklahoma, Seneca, Missouri More on Indianz.Com: https://indianz.com/News/2005/07/27/listening_loung_9.asp

The Senate Committee on Indian Affairs holds an oversight hearing on Lands eligible for gaming pursuant to the Indian Gaming Regulatory Act The hearing took place on July 27, 2005, during the 109th Congress. WITNESS LIST Sen. George V. Voinovich (R-lllinois) Sen. David Vitter (R-Louisiana) Panel I George Skibine, Acting Deputy Assistant Secretary, Policy and Economic Development for Indian Affairs Penny Coleman, Acting General Counsel, National Indian Gaming Commission Panel II Walter Gray, Tribal Administrator, Guidiville Band of Pomo Indians, Talmage, California Christine Norris, Principal Chief, Jena Band of Choctaw Indians, Jena, Louisiana John Barnett, Chairman, Cowlitz Indian Tribe, Longview, Washington Charles D. Enyart, Chief, Eastern Shawnee Tribe of Oklahoma, Seneca, Missouri More on Indianz.Com: https://indianz.com/News/2005/07/27/listening_loung_9.asp

The Senate Committee on Indian Affairs holds an oversight hearing on Lands eligible for gaming pursuant to the Indian Gaming Regulatory Act The hearing took place on July 27, 2005, during the 109th Congress. WITNESS LIST Sen. George V. Voinovich (R-lllinois) Sen. David Vitter (R-Louisiana) Panel I George Skibine, Acting Deputy Assistant Secretary, Policy and Economic Development for Indian Affairs Penny Coleman, Acting General Counsel, National Indian Gaming Commission Panel II Walter Gray, Tribal Administrator, Guidiville Band of Pomo Indians, Talmage, California Christine Norris, Principal Chief, Jena Band of Choctaw Indians, Jena, Louisiana John Barnett, Chairman, Cowlitz Indian Tribe, Longview, Washington Charles D. Enyart, Chief, Eastern Shawnee Tribe of Oklahoma, Seneca, Missouri More on Indianz.Com: https://indianz.com/News/2005/07/27/listening_loung_9.asp

The Senate Committee on Indian Affairs holds an oversight hearing on Lands eligible for gaming pursuant to the Indian Gaming Regulatory Act The hearing took place on July 27, 2005, during the 109th Congress. WITNESS LIST Sen. George V. Voinovich (R-lllinois) Sen. David Vitter (R-Louisiana) Panel I George Skibine, Acting Deputy Assistant Secretary, Policy and Economic Development for Indian Affairs Penny Coleman, Acting General Counsel, National Indian Gaming Commission Panel II Walter Gray, Tribal Administrator, Guidiville Band of Pomo Indians, Talmage, California Christine Norris, Principal Chief, Jena Band of Choctaw Indians, Jena, Louisiana John Barnett, Chairman, Cowlitz Indian Tribe, Longview, Washington Charles D. Enyart, Chief, Eastern Shawnee Tribe of Oklahoma, Seneca, Missouri More on Indianz.Com: https://indianz.com/News/2005/07/27/listening_loung_9.asp

The Senate Committee on Indian Affairs holds an oversight hearing on Lands eligible for gaming pursuant to the Indian Gaming Regulatory Act The hearing took place on July 27, 2005, during the 109th Congress. WITNESS LIST Sen. George V. Voinovich (R-lllinois) Sen. David Vitter (R-Louisiana) Panel I George Skibine, Acting Deputy Assistant Secretary, Policy and Economic Development for Indian Affairs Penny Coleman, Acting General Counsel, National Indian Gaming Commission Panel II Walter Gray, Tribal Administrator, Guidiville Band of Pomo Indians, Talmage, California Christine Norris, Principal Chief, Jena Band of Choctaw Indians, Jena, Louisiana John Barnett, Chairman, Cowlitz Indian Tribe, Longview, Washington Charles D. Enyart, Chief, Eastern Shawnee Tribe of Oklahoma, Seneca, Missouri More on Indianz.Com: https://indianz.com/News/2005/07/27/listening_loung_9.asp

The Senate Committee on Indian Affairs holds an oversight hearing on tribal lobbying matters. The hearing focused on a lobbying scandal involving Jack Abramoff and his tribal clients. The hearing was one in a series of hearings on the matter. The hearing took place on June 22, 2005, during the 109th Congress. WITNESS LIST PANEL 1 Mr. Charlie Benn Director of Administration, Office of the Chief Mississippi Band of Choctaw Indians, Choctaw, MS Mr. Donald Kilgore, Esq. Attorney General Mississippi Band of Choctaw Indians, Choctaw, MS Ms. Nell Rogers Planner Mississippi Band of Choctaw Indians, Choctaw, MS PANEL 2 Mr. Kevin Ring Former Abramoff Associate Mr. Shawn Vasell Former Abramoff Associate PANEL 3 Mrs. Amy Ridenour President National Center for Public Policy Research, Washington DC Ms. Gail Halpern Former Tax Preparer / Advisor to Jack Abramoff Mr. Brian Mann Former Director American International Center Mr. David Grosh Former Director American International Center Mr. Aaron Stetter Former Associate Capitol Campaign Strategies, Washington, DC More on Indianz.Com: https://indianz.com/News/2005/06/22/update_on_senat.asp

The Senate Committee on Indian Affairs holds an oversight hearing on tribal lobbying matters. The hearing focused on a lobbying scandal involving Jack Abramoff and his tribal clients. The hearing was one in a series of hearings on the matter. The hearing took place on June 22, 2005, during the 109th Congress. WITNESS LIST PANEL 1 Mr. Charlie Benn Director of Administration, Office of the Chief Mississippi Band of Choctaw Indians, Choctaw, MS Mr. Donald Kilgore, Esq. Attorney General Mississippi Band of Choctaw Indians, Choctaw, MS Ms. Nell Rogers Planner Mississippi Band of Choctaw Indians, Choctaw, MS PANEL 2 Mr. Kevin Ring Former Abramoff Associate Mr. Shawn Vasell Former Abramoff Associate PANEL 3 Mrs. Amy Ridenour President National Center for Public Policy Research, Washington DC Ms. Gail Halpern Former Tax Preparer / Advisor to Jack Abramoff Mr. Brian Mann Former Director American International Center Mr. David Grosh Former Director American International Center Mr. Aaron Stetter Former Associate Capitol Campaign Strategies, Washington, DC More on Indianz.Com: https://indianz.com/News/2005/06/22/update_on_senat.asp

The Senate Committee on Indian Affairs holds an oversight hearing on tribal lobbying matters. The hearing focused on a lobbying scandal involving Jack Abramoff and his tribal clients. The hearing was one in a series of hearings on the matter. The hearing took place on June 22, 2005, during the 109th Congress. WITNESS LIST PANEL 1 Mr. Charlie Benn Director of Administration, Office of the Chief Mississippi Band of Choctaw Indians, Choctaw, MS Mr. Donald Kilgore, Esq. Attorney General Mississippi Band of Choctaw Indians, Choctaw, MS Ms. Nell Rogers Planner Mississippi Band of Choctaw Indians, Choctaw, MS PANEL 2 Mr. Kevin Ring Former Abramoff Associate Mr. Shawn Vasell Former Abramoff Associate PANEL 3 Mrs. Amy Ridenour President National Center for Public Policy Research, Washington DC Ms. Gail Halpern Former Tax Preparer / Advisor to Jack Abramoff Mr. Brian Mann Former Director American International Center Mr. David Grosh Former Director American International Center Mr. Aaron Stetter Former Associate Capitol Campaign Strategies, Washington, DC More on Indianz.Com: https://indianz.com/News/2005/06/22/update_on_senat.asp

The Senate Committee on Indian Affairs holds an oversight hearing on tribal lobbying matters. The hearing focused on a lobbying scandal involving Jack Abramoff and his tribal clients. The hearing was one in a series of hearings on the matter. The hearing took place on June 22, 2005, during the 109th Congress. WITNESS LIST PANEL 1 Mr. Charlie Benn Director of Administration, Office of the Chief Mississippi Band of Choctaw Indians, Choctaw, MS Mr. Donald Kilgore, Esq. Attorney General Mississippi Band of Choctaw Indians, Choctaw, MS Ms. Nell Rogers Planner Mississippi Band of Choctaw Indians, Choctaw, MS PANEL 2 Mr. Kevin Ring Former Abramoff Associate Mr. Shawn Vasell Former Abramoff Associate PANEL 3 Mrs. Amy Ridenour President National Center for Public Policy Research, Washington DC Ms. Gail Halpern Former Tax Preparer / Advisor to Jack Abramoff Mr. Brian Mann Former Director American International Center Mr. David Grosh Former Director American International Center Mr. Aaron Stetter Former Associate Capitol Campaign Strategies, Washington, DC More on Indianz.Com: https://indianz.com/News/2005/06/22/update_on_senat.asp

The Senate Committee on Indian Affairs holds an oversight hearing on tribal lobbying matters. The hearing focused on a lobbying scandal involving Jack Abramoff and his tribal clients. The hearing was one in a series of hearings on the matter. The hearing took place on June 22, 2005, during the 109th Congress. WITNESS LIST PANEL 1 Mr. Charlie Benn Director of Administration, Office of the Chief Mississippi Band of Choctaw Indians, Choctaw, MS Mr. Donald Kilgore, Esq. Attorney General Mississippi Band of Choctaw Indians, Choctaw, MS Ms. Nell Rogers Planner Mississippi Band of Choctaw Indians, Choctaw, MS PANEL 2 Mr. Kevin Ring Former Abramoff Associate Mr. Shawn Vasell Former Abramoff Associate PANEL 3 Mrs. Amy Ridenour President National Center for Public Policy Research, Washington DC Ms. Gail Halpern Former Tax Preparer / Advisor to Jack Abramoff Mr. Brian Mann Former Director American International Center Mr. David Grosh Former Director American International Center Mr. Aaron Stetter Former Associate Capitol Campaign Strategies, Washington, DC More on Indianz.Com: https://indianz.com/News/2005/06/22/update_on_senat.asp

People who live in major cities in the US and abroad tend to benefit from better cancer care due to having access to more doctors, facilities and equipment. In contrast, those who live in rural areas face many challenges accessing consistent and quality care.  In Part One of this ASCO Education Podcast Dr. Jack Hensold, a hematologist/oncologist in Bozeman, Montana and Chair of the ASCO Rural Cancer Care Task Force, Dr. Chris Prakash, Medical Oncologist in Paris, Texas and Medical Director of Texas Oncology and President of the Texas Society of Clinical Oncology, and Professor Sabe Sabesan, a Medical Oncologist in Townsville, Australia and the President-Elect of the Clinical Oncology Society of Australia will examine the realties practicing oncology in rural areas.  They discuss the difficulties of having to travel long distances for treatment (5:30), the effectiveness of telehealth (8:07) and solutions to recruiting a supportive care workforce in rural areas  and facilitating access to imaging facilities and specialized treatment (18:12). Speaker Disclosures Sabe Sabesan: Speakers Bureau - Merck Sucharu Prakash: Speakers Bureau - Myriad Genetics   Jack Hensold:  Consulting or Advisory Role Company - Vibliome Therapeutics Resources  Policy Recommendations for Improving Rural Cancer Services in the United States  If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. TRANSCRIPT Disclosures for this podcast are listed on the podcast page.  Dr. Jack Hensold: Hello and welcome to this two-part episode of the ASCO Education Podcast. Today we will explore some real-time and real-world issues that oncologists face while practicing in rural areas in the US and abroad. Cities tend to benefit from having more doctors, facilities, and equipment to address the health needs of the population. In contrast, people who live in rural areas – estimated to be about 25% of the US population – face various challenges to obtaining consistent health care, including scarce medical personnel and infrastructure. Transportation of that care may involve considerable time and financial expense.  I'm Dr. Jack Hensold, the Hematologist/Oncologist in Bozeman, Montana, and Chair of the ASCO Rural Cancer Care Task Force. I also serve as Medical Director of Regional Outreach at Bozeman Health. Joining me is Chris Prakash, Oncologist and Medical Director of Texas Oncology and President of the Texas Society of Clinical Oncology. Chris is also the Director of Quality Services for the statewide group and leads Texas Oncologist's Precision Medicine Initiative.  Also joining me is Professor Sabe Sabesan, a Medical Oncologist in regional Australia. He is the President-Elect of the Clinical Oncology Society of Australia and Clinical Director of the Australian Teledyne Health Program, led by the Queensland State Department of Health. Professor Sabesan is an internationally recognized expert in the area of tele-oncology. He has developed and evaluated various oncology models to deliver cancer care closer to home.  Providing healthcare is a very involved career, more so in rural areas. Dr. Prakash, you finished your oncology training in Detroit, yet you practice primarily in rural Texas. Can you detail the factors that led to your decision in practicing oncology in a rural setting?  Dr. Chris Prakash: Thank you, Jack, for having me as part of this podcast. I finished my fellowship at Wayne State in Detroit, Michigan, and we were looking for a place to raise our kids and family and to find a good practice for myself. My daughter was two years old at that time. We were looking for a quiet, safe place with a laidback lifestyle, but at the same time a dynamic oncology practice. That's how I found East Texas, which is primarily a rural area. The small community here, good schools, and nice, accepting people really appealed to us. So we decided to give it a chance. We are still here almost 23 years later. My daughter has grown up and is in medical school. My son, who was born in Paris, Texas, is planning to go to med school next year.  Over the last couple of decades, I've found that practicing oncology in a rural setting is indeed very rewarding. You can make a difference in people's lives here. People are simple. They have faith and respect and follow doctors' advice. Practicing here, I've had a real chance to make a difference in not only people's lives but also in the overall healthcare system and in health policy. As you know, Jack, about 18% to 20% of the population lives in rural areas in the US. But only 3% of oncologists are available to provide care for them. So I'm not only fulfilling a need but also satisfying a desire to contribute.  Dr. Jack Hensold: Chris, could you clarify the nature of your practice? Are you a solo oncologist within a much larger group spread out over the state, or is there more than one oncologist on your site? Dr. Chris Prakash: Yeah, so I'm part of Texas Oncology, which is a statewide large group with multiple sites of service. In my location, there are three medical oncologists and one radiation oncologist. So we serve the catchment area of Northeast Texas and Southeast Oklahoma. But within Texas Oncology, we have locations spread out all over the state. Dr. Jack Hensold: Thank you for that clarity. Professor Sabesan, you started in Sri Lanka and are now in a rural area of Australia. How did that happen?  Professor Sabe Sabesan: I grew up in northern Sri Lanka in a village but moved to Australia because of the war in Sri Lanka in ‘90. So I did my med school in Adelaide, Australia. During my med school, we had to do a lot of rural clinical placements. And also as a result of that, I did my internship in a central Australian town called Alice Springs. Throughout that journey, I saw firsthand the difficulties these communities face in accessing healthcare, basic healthcare. So when I finished my training in medical oncology, I was looking for a place where I could contribute to minimizing these difficulties, but also taking an academic angle to this. So I chose a regional center called Townsville in North Queensland as our home that actually serves a large rural and indigenous population, but also it is an academic hub for rural medicine. So it kind of served my clinical and academic needs, and we've been there last 20 years now. Dr. Jack Hensold: A significant hurdle for patients in rural areas is transportation. Patients sometimes travel an entire day or stay overnight near the clinic, where they will be examined or treated. What resources have been developed to assist with transportation to help patients come back for test results, appointments, and treatments? Chris?  Dr. Chris Prakash: Transportation, that's a big hurdle for many patients across the country, but mainly for the rural population. So, as I just said, my practice is in Paris, Texas, but the draw is about a quarter of a million. So patients come to see us here to receive their medical care from all over Northeast Texas as well as Southeast Oklahoma, and there is no public transportation in many of these areas. The average time to commute for many of my patients is in excess of an hour and a half each way. Patients do travel sometimes an entire day. They sometimes have to stay overnight to receive their treatments the next day.  I recall a patient with tonsillar cancer last year who was receiving concurrent chemotherapy and radiation. So he lived almost three hours away. This was too cost prohibitive for him to travel back and forth on a daily basis for radiation therapy. So what he did was set up his camper right behind the cancer center, which certainly made it a lot easier for him to get his treatments that way. I would not recommend that as a routine practice for everybody, but it did work out for him   Close by there is a community of Choctaw Indians here in Southeast Oklahoma also, and they do have some options for transportation for just their citizens. And locally, some local church groups and volunteer organizations provide assistance with transportation for some patients as well. But that is a problem. Transportation is a big access issue for my population. Dr. Jack Hensold: Thank you. And just to make a comment, there's actually a fair amount of literature regarding what we refer to as financial toxicity associated with the need to travel. Sabe, do you have some transportation problems in your area? I would assume… Professor Sabe Sabesan: This is similar to what Chris and you are describing, Jack. Our area is 2000 by 1000 kilometers with about 650,000 population. There are scattered rural hospitals, but really there's no consistent public transport. But the government does pay for transport and accommodation. I heard that it doesn't fully cover it. But one of the disappointing things is that if you're traveling for clinical trials, that subsidy is not there for them. So that's probably one of the reasons why the governments have gone for the telehealth investment.   Dr. Jack Hensold: Thank you. Telehealth is a critical tool for providing healthcare in many areas, including rural areas. How do you manage the health literacy problems of ethnically, educationally, and socioeconomically diverse populations using telehealth? Chris? Dr. Chris Prakash: Telehealth has been around for a long time, but during the pandemic, that's when we needed to keep our patients safe and away in their homes and still continue to give healthcare to them. So we conducted many visits through telemedicine at that time. Telehealth is especially used for many patients in rural areas because they have problems with access. But there are many challenges. As you know there is a broadband divide in the US. About 1 in 4 Americans do not have a good broadband connection so it is very difficult for them to perform a video telehealth visit. Audio works out okay a lot of times, but to do a good video telehealth visit, that's a difficulty.   Also, as you know, many of the flexibilities that we were afforded during the pandemic regarding telemedicine, they are slowly going away. So that's making telemedicine even more difficult to do. But telemedicine is a boon for many of the patients who live in rural areas. I remember just the other day I saw an elderly couple, the man had just been diagnosed with advanced lung cancer. In the room, he requested that his children join the conversation via FaceTime on his phone so that they can listen in to what I had to say and what I had to tell them. This was indeed very helpful for them. I was able to explain to the patient, his wife, as well as his children who joined via FaceTime about the diagnosis, which was new, the treatment plan, expectations moving forward, and all of that.   So even though this was not a true televisit, it really demonstrates how technology can help us deliver good communication and good oncology care in many situations. But still, I would say that for many patients, telemedicine is not ideal. It's especially true given the devastating diagnosis of cancer. Patients want to see their doctors face-to-face. As a doctor, I want to examine them. And also, body language is very important. It is important for my patients to trust me as a physician, and that's hard to do sometimes via video chat.  So right now my nurse practitioners do a lot of chemo teaching through telemedicine. Now that is really helpful for them because this can be done over multiple teaching sessions, it makes it a lot easier for the patient. Because rather than coming into the clinic for all these visits, they can learn from the comfort of their homes before they really start the toxic chemotherapy.  Dr. Jack Hensold: Chris, thank you for that. I think that you make a very valid point and one that I've made, which is that telehealth is a great tool for overcoming geographic barriers in rural areas. But I think we just simply have to accept the fact that it's not as good as a face-to-face visit. So how we blend the use of telehealth with face-to-face visits I think is going to be a challenge moving forward. Dr. Chris Prakash: Yeah, I totally agree. I think toxicity management is great. I mean, it's a great tool to call and see how patients are doing after treatment. But that initial visit, there's something to be said about establishing a rapport and faith and trust in your doctor when you're treating cancer. Dr. Jack Hensold: I completely agree. Sabe, you sound like you're one of the experts in Australia regarding telehealth. I wonder if you have some comments about your experience. Professor Sabe Sabesan: Yeah, I would say it's an evolving experience which has evolved over 15 years. So in terms of the health literacy needs, my observation is actually the same whether it's in person or in telehealth. What we observed is that we just need to tailor to the patient's needs. When we first developed the telemedicine, we had the same issues, developing rapport and seeing first consultations in person. But what we did, we started doing a lot of shared care models and tele supervision models with rural facilities rather than directly into homes. So what that meant, we had patients' families can attend, especially the primary care physicians, and the rural nurses were able to sit in with the patients. So that means if there were any communication issues or any translation aspects, language-wise or explaining medical lingo, there was a system in place in the rural sector that is close to home that was provided by the primary care physicians and the families.  And also then from that experience, we did some research and the patients actually said they were happy to continue initial consultations on the telehealth consultation, provided there were families involved, the primary care physicians were in there, and also the aboriginal health workers. So for some regions now we do the initial consultation purely on telehealth because what also what telehealth does for the first consultation, if we need to then bring them to our center, then we would be able to coordinate the whole trip rather than coming back and forth. So that's actually probably the difference in a couple of the larger centers. But the other main benefit I actually found for indigenous patients is that we can involve the whole family in the patient care and normally that means they are able to ensure compliance and compliance with clinic visits. So it's been evolving but really it is what our models, some of them are tele-oncology replacing face-to-face, some of them are hybrid, some of them are treatment-related. So it's really based on the needs of that little communities. That's what we've been doing. Dr. Chris Prakash: If I can ask you a question Sabe, on that, do you experience barriers to practice across state boundaries in Australia? Because I know in the US that's a big issue, that's a hurdle. Licensing is an issue across state boundaries and also broadband issue because a lot of my patients, they simply don't have the broadband width to get on a video chat. Do you experience that in Australia as well? Professor Sabe Sabesan: So we definitely have the broadband divide in Australia, but luckily the state governments have actually invested heavily on fiber. So all the health facilities, whether they are small or large, they are all connected on fiber. So if you do video calls or telehealth within that system, it is pretty good. But as soon as you go outside to a primary care facility that is not part of a state facility or home, you run into trouble with broadband. But in terms of the state boundaries, I think it is a bit loose. I don't know whether there's actually a strict monitoring of the systems, but because the whole Australian system is funded by Medicare, it really doesn't matter where the patient lives as long as you bill the patient based on the consultation. Dr. Jack Hensold: And I'd like to just respond to something you said, Sabe, too, which is the involvement of primary care doctors and local healthcare workers in the care of patients, is something I will return to later in this conversation. But I think it's important that we consider when we're keeping patients out of our larger centers and treating them in their own home areas, that we are relying on supportive care by those primary care providers. Any other comments regarding the telehealth issue?   Professor Sabe Sabesan: In terms of the primary care shared care models and collaborations, that is actually one of the important aspects of telehealth because we have in the rural sector, the turnover of the staff is pretty high. So then what happens if we want to provide consistent medical service on telehealth? Something needs to be consistent so we become the consistent aspect of the partnership. So then that gives us bit more safety that there's a shared care model, but also what we found now that in terms of educating on oncology topics, the shared care models actually give you an opportunity for case-based discussion. I think there is a benefit for workforce development as well, as well as connecting the rural workforce with a network of workforce. Dr. Chris Prakash: Involving primary care physicians in the total care of the patient is vital, especially in rural areas because they really depend upon their PCPs and often these are APPs providing their primary care. You've got to manage their diabetes and hypertension and go through all their medications, antiemetics pain medications, work with the local pharmacy. There are so many issues that go into treating a patient with cancer and as an oncologist sitting 100 miles away, I'm not going to be able to take care of every detailed aspect of their care. So what I do is involve their primary physician from the very beginning. So when the patient first comes to me, it could be via telemedicine or not, I'm calling them back and saying, “Hey, I saw so and so. This is my diagnosis, this is my plan. I'm going to do all the treatments here at my center. But whatever's possible you can do locally, I would appreciate that.” If there's labs that can be drawn, imaging that can be done locally, any testing that can be done locally, patients really value that because they don't want to travel 2 hours just for a CT scan if they can avoid it. That's my practice.   Dr. Jack Hensold: Thank you. You mentioned something that we're going to touch on next, which is that in rural areas it is often difficult to access labs, imaging facilities, and other specialized treatments, certainly CAR T therapy and other highly technical therapies. There are other services that may be limited in a rural area such as mental health, fertility preservation, palliative care, access to social workers. Do you have solutions to address that really supportive care and those needs? Dr. Chris Prakash: Yeah, I think, Jack, you touched on a very, very critical challenge right now. It's a workforce issue. It's very hard to hire and keep good support staff not only in rural areas but all over the country right now. So you mentioned social workers, nurses, nutrition specialists, mental health providers, even fertility services. They're very hard to find in rural areas. There's a big workforce problem, right, all over the country. But the pandemic really exacerbated that. I mean, it's hard to find good staff anywhere and there's no easy solution to fix this problem. So what we need to look for is maybe provide incentives such as loan forgiveness programs or tuition payment programs, or repayment. Really anything that keeps professionals in rural settings. And we need to find people who like working in these areas because that's a very difficult problem as well.  And as you know, many specialized treatments, stem cell transplants, CAR T cell therapy, specialized neurosurgeries or cardiothoracic surgeries, or many oncologic surgeries, they can only be done at big tertiary centers in big cities often. So patients have got to travel a few hours to go there. So what we can do to make it easier on them is provide the first consultations with those specialists via telemedicine. And if they're thought to be good candidates for the procedures, then they can make a trip that's necessary to the city, let's say. But also you mentioned consistency, that is the key. It's very important to be consistent if you want to provide quality cancer care. It could be imaging, it could be diagnostics, molecular testing, or any kind of therapy that you deliver. They should all be consistent no matter where a patient is being treated. So that brings into question provider education. Many oncologists in rural areas, they're generalists, they treat all cancers. They do not specialize in one area. It's really hard to keep up with all the latest information that's coming out. So it's important that we provide all educational tools possible to keep them up to date.  I just moderated a meeting called Oncology Congress. So this is geared towards cancer care providers in rural areas. It's a free CME webcast, various topics on cancer, excellent faculty, and the main thing is that the discussion is geared towards improving multidisciplinary care in those rural settings. So I think another thing that we could think of as a solution to this problem is virtual tumor boards. I mean, they're very helpful where somebody can get on and get an opinion regarding a difficult case. But I think most helpful is if you have a network of doctors or specialists that you can rely on, you can call somebody, a quick consult or say, “Hey, I have a problem, a challenging case, what would you recommend?” Because sometimes we just don't have time to wait for that tumor board or wait for an official consultation. So, yeah, it's a difficult challenge. Dr. Jack Hensold: Yes. And again, a point that you made that I'd like to respond to is the virtual tumor boards and basically shared education with maybe a larger group. As we've kind of in Montana looked at a development of hub and spoke models, we've realized it may make sense to consider a hub and spoke communicating with a spoke and hub. In other words, a larger center with what becomes the hub for a smaller community, and then that reaches out. So there's a series of educational connections that need to be made. Dr. Chris Prakash: Yeah, I think you almost need multiple hubs. One central big hub in this day and age is probably not going to help solve that problem. So you got to have a big hub and then maybe a series of regional hubs where patients can easily access and doctors can access information. Dr. Jack Hensold: Yes, I think that's absolutely correct. The education piece, too, is, I think, something that keeps oncology practitioners out of smaller communities where they may be practicing by themselves. Because it's difficult, as you know, as an oncologist, to feel like you're staying current with everything you need to stay up to date with, and therefore practicing in a larger group where you can turn to someone else for some immediate education.  Dr. Chris Prakash: That's very true. And if you really look at what these CME programs or educational programs are geared to, none of them are geared towards rural practice. They talk about big clinical trials. And those populations are really not my patient population, for sure. So you really need a program where people who know rural medicine, who have experienced it firsthand, like you, me, and Sabe, and say, “Okay, this is what really happens. You cannot give CAR T therapy to every Lymphoma that walks in.” I think those are the kind of educations we are talking about. There's so many educational programs that are available, but not many for rural practitioners. Dr. Jack Hensold: Right. And it does speak to whether or not we need to be thinking about developing some type of education that's easily accessible to those very busy practitioners who may be a solo practitioner with no one around for hundreds of miles, I guess.  Dr. Chris Prakash: And not to throw in a plug for my conference, but the Oncology Congress that I do twice a year, that's the sole purpose. We will have faculty from big centers. But I make sure that the conversation moves towards rural settings where we do not have all the latest technologies and the therapies available. And we had a really good turnout this past weekend, so I'm happy to share information if anybody's interested.  Dr. Jack Hensold: Yes, that would be great. Again, I think this conversation has been terrific because I've really become focused on the issue of the inadequate education we have not only for our oncologists who are out in practice in smaller areas but also for the primary care providers who need a better understanding of what's required for supportive care of oncology patients. And there's very limited material that focuses on that as well.  Dr. Chris Prakash: Totally agree. Just one last point I want to make is with the checkpoint inhibitors. That's a perfect example. Many of these toxicities are multi-organ, and the patients in the community, the docs in the community sometimes are not aware of the skin rash or lung symptoms, or pneumonia is really related to the therapy. So very important to involve the whole team in their care. Dr. Jack Hensold: Completely agree. Sabe, what about your experience in this regard? Professor Sabe Sabesan: Exactly the similar experience Chris has been describing. Another group of rural people, there are actually smaller rural communities. Sometimes they are like 500 or 1000 population maximum. So those kinds of places, they completely miss out because they are too small even for standard general medicine specialties. What we've been observing over time or focusing on is really how do we build those capabilities at rural sites because if they keep doing the same stuff, then they are not going to grow or build. So what we've been doing is let's build some rural capabilities and let's also focus on expanding the scope of practice. So to do that, we actually have to start shifting specialist services like chemotherapy administration or rheumatology infusions back to those smaller towns. And then we have to utilize tele-supervision and share care models with allied health and the rural health workforce. So when that happens, we need more staff because there are more activities happening.  And what we found in the western Queensland town of Mount Isa before 2007, maybe a few chemotherapy patients had to travel for everything. Over time we shifted all the chemotherapy and biotherapy to that 20,000 population town. That meant that over that ten years they had more resources from the government, more staff like registrars and residents, and also needed infrastructure. So that gave us some confidence that maybe we have to leverage the telemedicine technologies to build rural systems, not just seeing patients.  Dr. Jack Hensold: Thank you Dr. Prakash, for your insight into this topic and also to Professor Sabesan for his perspective from his practice in Australia. In part two of this podcast, we will explore how the difference between American and Australian healthcare systems impact care for rural patients, the need for advocacy from doctors in a pilot project in Montana I'm working on with ASCO.  I'm Dr. Hensold and I would like to thank all of our listeners of the Cancer Topics ASCO Education Podcast. This is where we explore topics ranging from implementing new cancer treatments and improving patient care to oncologist well-being and professional development. If you have an idea for a topic or guest you'd like to hear on the show, please email us at education@asco.org. To stay up to date with the latest episodes and explore other educational content, visit education.asco.org. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.        

How does a train avoid detection? It covers its tracks. Today we are discussing the Southern Belle Restaurant in Heavener, OK. Stop by Southern Belle Restaurant in Heavener to chow down on traditional southern cooking. You'll find tasty steaks, burgers, fish, sandwiches and pork chops, all prepared in a down-home fashion, on the menu. For a real treat, pair your main course with a sweet potato topped with caramel and marshmallow. Be sure to try the house specialty, the Southern Belle Chicken, a boneless chicken breast marinaded in a secret house dressing, then dipped in batter and fried, and served with a special dipping sauce. It comes with a potato, bread and a trip to the salad bar. For dessert, try a slice of decadent homemade pie or cheesecake with flavors inspired by the season. The restaurant is housed in a refurbished 1905 railcar. A passenger train that traveled the Kansas City Southern Railway and previously transported WWII soldiers, the Southern Belle was discontinued in 1969 and was later restored to its present-day glory by local train buffs. Located in Le Flore County, Heavener is situated on State Highway 128 and on U.S. Highway 59/270, approximately twelve miles south of Poteau, the county seat. Lying within the former Choctaw Nation, Heavener is named for Joseph H. Heavener, who arrived in 1877 and was one of the area's earliest white settlers. He and others, including Sam Wilson, farmed on Choctaw permits. In 1880 Zachary Taylor Ward and his wife, Tabitha Hickman Ward, a Choctaw Indian, moved their store at Skullyville to present Heavener. This began the settlement. Ward died in 1883, and Tabitha married Heavener. The couple owned the land on which the town was established. Prior to the town's christening as Heavener, the area was known by several different names, including Prairie of the Tall Grass, Choctaw City, Prairie View, Long Prairie, and Grand Prairie. Good land drew farmers to the area and assisted in Heavener's growth. In 1885 a cotton gin and gristmill were built, and soon other businesses began moving in. Floyd Wilson established a subscription school. In 1886 Sam Lucas established a community church, the settlement's first. By 1889 Dr. Salather C. Capp practiced as the first doctor. The Commercial Hotel was built about that time. In 1895, after a vote of the local residents, the town became Heavener. In 1896 the Kansas City, Pittsburg and Gulf Railroad built tracks through the town. A post office was established in a boxcar on May 12, 1896. Simon W. Woods served as the first postmaster. Another boxcar served as the train station. In 1900–1901 the Arkansas Western Railroad constructed tracks from Heavener east to Arkansas. Heavener expanded because of transportation access. After the Curtis Act (1898) allowed Indian Territory's municipalities to operate under federal guidelines, the town incorporated in 1898, with E. W. Moore the first mayor. In 1899 Harvey Wise became the first peace officer. In 1900 the population stood at 234. In 1901 the town was platted. After the Kansas City Southern Railway purchased the rail line in 1900, in 1910 the company established a roundhouse, making Heavener a division point. As a result, the town grew. In that year the first bank opened. In 1910 the population was 780, and by 1911 Heavener had two banks, two newspapers, and all of the amenities of a growing city. The population jumped to 1,850 in 1920. The region benefited from the mining and timber industries. Heavener hosted the Burnett Lumber Company's sawmill from 1935 until it burned in 1981. In 1930 the U.S. Census reported a population of 2,269, which declined to 2,103 in 1950. In 1960 the Heavener Charcoal Company began operation, shipping charcoal from its kilns to a plant in Arkansas. In 1970, when Oklahoma officials dedicated the nearby Heavener Runestone State Park, the population was 2,566. In the late twentieth century poultry farming took precedence as an economic activity. Poultry farmers in the Heavener area raise millions of chickens each year. In 1986 OK Foods established a poultry hatchery at the town. In 1992 the company opened a processing plant and in 1995 a feed mill for the farmers who supply the plant with chickens. These enterprises provide employment for many local residents, as well as for a large number of Hispanics who have migrated to Heavener to work. In 2000 the number of inhabitants stood at 3,201, with 23.5 percent of them being Hispanic. The 2010 census recorded 3,414 residents, of whom 41.3 were of Hispanic ethnicity. Also discussed: Onlyinokshow,  Travelok, Men's Journal and Riversport OKC.   Subscribe to the Only in OK Show.   #TravelOK #onlyinokshow #Oklahoma #MadeinOklahoma #oklaproud #podcast #okherewego #traveloklahoma

Today's MSMO classic discusses efforts by outside business interests to turn Noxubee County into a toxic dumping ground. In 1983, a hazardous-waste disposal company attempted to build a toxic waste dump in the town of Shuqualak in Noxubee County, Mississippi. In this episode, Martha Blackwell describes how local citizens organized to fight back and were able to have a five year moratorium placed on chemical disposal sites in Mississippi.  In 1991, after the moratorium expired, plans were announced to construct three toxic waste facilities in Noxubee County.  Blackwell recalls how she learned about a hazardous-waste dump to be constructed on her neighbor's land. She details how their group fought to keep these facilities out of Noxubee county and why they felt that having three high capacity sites would lead to waste from across the country being brought to Mississippi for disposal. In a podcast extra, Blackwell credits the Choctaw Indians with preventing the plans to construct a dump site on reservation land. Originally published on August 3, 2015.

Chief Phillip Martin was the elected leader of the Mississippi Band of Choctaw Indians from 1979 to 2007. His military service led him to decide that if Europe could be rebuilt after WWII, then Mississippi's Choctaws could have better schools and lives, too. Members of the tribe still feel the effects of his work today--fifteen years after his death. Written by Iysiahs York and produced by Emma Potts.

Karen is a multi-published author of Native American historical romances. She has been praised by reviewers and fans alike for bringing the historic American Indian culture to life, and she has been nominated for several different awards. Karen's great-grandmother was Choctaw Indian, and because of this, she is honored to be able to write stories...

506. Part 2 of our interview with Tim Wise. Tim is a civil rights activist who worked in Louisiana. "Tim Wise, whom scholar and philosopher Cornel West calls, 'A vanilla brother in the tradition of (abolitionist) John Brown,' is among the nation's most prominent antiracist essayists and educators... After graduating from college, he threw himself into social justice efforts full-time, as a Youth Coordinator and Associate Director of the Louisiana Coalition Against Racism and Nazism: the largest of the many groups organized in the early 1990s to defeat the political candidacies of white supremacist and former Ku Klux Klan leader David Duke. From there, he became a community organizer in New Orleans' public housing, and a policy analyst for a children's advocacy group focused on combating poverty and economic inequity."This week in Louisiana history. January 27 1730 Jean Paul LeSueur leads 500 Choctaw Indians against the Natchez Indians. This week in New Orleans history. Lindell Holmes defeated  Frank Tate for the Super middleweight International Boxing Federation title in New Orleans on January 27, 1990. This week in Louisiana. 2023 Night of Lights Pineville Mardi Gras Parade Join us Friday Feb 10, 2023 at 7pm for the 2023 Night of Lights Pineville Mardi Gras Parade. Join several thousand of your closest friends and watch the Floats go by! The Parade rolls from the front entrance of LCU down Main Street to Alexandria. (Friday) 7:00 pm - 9:00 pm Main Street Pineville Admission. Free. Phone (318) 449-5650 Website Postcards from Louisiana. Tickler's Piano Bar, Bourbon St.Listen on Google Play.Listen on Google Podcasts.Listen on Spotify.Listen on Stitcher.Listen on TuneIn.The Louisiana Anthology Home Page.Like us on Facebook. 

506. Part 2 of our interview with Tim Wise. Tim is a civil rights activist who worked in Louisiana. "Tim Wise, whom scholar and philosopher Cornel West calls, 'A vanilla brother in the tradition of (abolitionist) John Brown,' is among the nation's most prominent antiracist essayists and educators... After graduating from college, he threw himself into social justice efforts full-time, as a Youth Coordinator and Associate Director of the Louisiana Coalition Against Racism and Nazism: the largest of the many groups organized in the early 1990s to defeat the political candidacies of white supremacist and former Ku Klux Klan leader David Duke. From there, he became a community organizer in New Orleans' public housing, and a policy analyst for a children's advocacy group focused on combating poverty and economic inequity."This week in Louisiana history. January 27 1730 Jean Paul LeSueur leads 500 Choctaw Indians against the Natchez Indians. This week in New Orleans history. Lindell Holmes defeated  Frank Tate for the Super middleweight International Boxing Federation title in New Orleans on January 27, 1990. This week in Louisiana. 2023 Night of Lights Pineville Mardi Gras Parade Join us Friday Feb 10, 2023 at 7pm for the 2023 Night of Lights Pineville Mardi Gras Parade. Join several thousand of your closest friends and watch the Floats go by! The Parade rolls from the front entrance of LCU down Main Street to Alexandria. (Friday) 7:00 pm - 9:00 pm Main Street Pineville Admission. Free. Phone (318) 449-5650 Website Postcards from Louisiana. Tickler's Piano Bar, Bourbon St.Listen on Google Play.Listen on Google Podcasts.Listen on Spotify.Listen on Stitcher.Listen on TuneIn.The Louisiana Anthology Home Page.Like us on Facebook. 

Stickball is the older, rougher cousin of lacrosse, developed many centuries ago as both a game and a training exercise. The U.S. government once deemed stickball one of the cultural connections they needed to eliminate in the effort to assimilate Native children through missionary-run boarding schools. The game survived that assault and keeps gaining momentum, played by local clubs and in competitive national tournaments. Today on Native America Calling, Shawn Spruce learns about the origins and growing future for the nation's oldest team sport with Mike Slee (Eastern Band of Cherokee Indians), stickball player for the Walelu Cherokee Indian Ball team and the director of operations for the Museum of the Cherokee Indian; Miranda Long Stamper (Creek and a citizen of the Eastern Band of Cherokee), teacher, coach and stickball player; announcer and player Jeremy Bell (Mississippi Band of Choctaw member); and Casey Bigpond (Mississippi Band of Choctaw member), cultural revitalization specialist for the Mississippi Band of Choctaw Indians.

Last spring, more than 100 Oregonians posed for portraits on empty pedestals in downtown Portland that used to house sculptures of former presidents. The portraits are the brainchild of indigenous artist Jeffrey Gibson, who was invited by Portland Art Museum to create a multimedia installation both inside and outside the museum. Gibson, a member of the Mississippi Band of Choctaw Indians and of Cherokee descent, created the portraits, glass panels, and a timeline of notable dates in Oregon's Indigenous history. We talk to Gibson, and to Kathleen Ash-Milby, curator of Native American Art at the Portland Art Museum, about the exhibit.

A Choctaw Indian tribe hoping for official federal recognition; the demolition of part of the old Huntsville High School, which dates back to 1928; where Alabamians are most likely to move should they leave the Yellowhammer State; and the newest Super 7 high school football state champs. Learn more about your ad choices. Visit megaphone.fm/adchoices

Stickball is the older, rougher cousin of lacrosse, developed many centuries ago as both a game and a training exercise. The U.S. government once deemed stickball one of the cultural connections they needed to eliminate in the effort to assimilate Native children through missionary-run boarding schools. The game survived that assault and keeps gaining momentum, played by local clubs and in competitive national tournaments. Today on Native America Calling, Shawn Spruce learns about the origins and growing future for the nation's oldest team sport with Mike Slee (Eastern Band of Cherokee Indians), stickball player for the Walelu Cherokee Indian Ball team and the director of operations for the Museum of the Cherokee Indian; Miranda Long Stamper (Creek and a citizen of the Eastern Band of Cherokee), teacher, coach and stickball player; announcer and player Jeremy Bell (Mississippi Band of Choctaw member); and Casey Bigpond (Mississippi Band of Choctaw member), cultural revitalization specialist for the Mississippi Band of Choctaw Indians.

Activists across the state engage with voters ahead of the general election registration deadline.Then, the Mississippi Band of Choctaw Indians uses federal aid to improve economic development.Plus, the story of James Meredith comes to life in a new graphic novel. Hosted on Acast. See acast.com/privacy for more information.

On today's episode we have a glass of  Old Money from Six & Twenty.  A light wheated whiskey from South Carolina.  It's a little light for us, so we also got out the bernheim Original to compare with it.  Greg joined us once again from the club, and antics ensued. All that and more on today's episode of Whiskey Chasers! Be sure to Like us on Facebook and follow us on instagram, as well as rate and review the show wherever you are listening, it really helps us out.Our Website is www.whiskeychaserspod.com, check us out! Thanks, and enjoy the show!Be sure to show some love for the company that brought you today's bottle!https://www.sixandtwentydistillery.com/spirits https://heavenhilldistillery.com/bernheim-straight-wheat-whiskey.php This bottle Six&Twenty is from Piedmont South CarolinaWhich, by the way, South Carolina only has 35 distilleries and out of those 35 only about 17 (2 closed due to covid) make a whiskey of some kind. The majoring of the distillers in South Carolina do moonshine or rum. When I think South Carolina, I think beach and sand and it makes sense that the majority of the distilleries do rum.Six&Twenty is a veteran owned distillery that  was founded in 2011 by David Raad and Farmer Redmon. He wanted to create a company that embodied the uniqueness of Upstate South Carolina. Six & Twenty Distillery is named after a 1700's legend of a Choctaw Indian maiden named Issaqueena, who fell for Englishman Alan Francis. Eventually, Issaqueena was captured by the Cherokee and overheard a plan by the tribe to overtake Francis' trading post. Legend has it that, in an effort to warn Francis, Issaqueena escaped on horseback. Along her ride, she would name landmarks to help identify them. One of those landmarks was the Six & Twenty Creek, located near the present day distillery, and was named because it was located about twenty six miles from the Cherokee village.This bottle, Old Money Wheat Whiskey, is a mash bill of Soft Red Winter Wheat and Barley. 80 proof and it is indicated to be at least 3 years.Name “Old Money” came from how rich the flavor was and how much it reminded the owner and his wife of the old money that upstate south carolina was built on The Upstate is made up of Greenville, Spartanburg, and and Anderson and from what I can understand, it really sounds like people in The Upstate are snooty tooty and think they are better than everyone else in South CarolinaThen again, this old money is really good so I can understand their argument Other Products: 5 Grain Bourbon Oat Whiskey Heirloom Rye whiskey Carolina Roja (Their old money finished in Sherry Barrels  Other wheat whiskey Check out "Wheat Whiskeys to Add to Your Collections" on Distiller! https://blog.distiller.com/wheat-whiskeys

For thousands of years, Choctaw Indians hunted, farmed and fished the land that would become Mississippi. In this episode, Tribal Historian Kenneth York discusses their way of life and how European settlers took their homes. In 1830, the Federal government attempted to remove the Choctaw Indians from Mississippi. York describes their connection to the land and sacred burial mounds. The Choctaw lands of Mississippi are divided into three districts and nine communities. York lists these areas and explains how they got their names. Today, the tribal headquarters of the Mississippi Band of Choctaw Indians is in Neshoba County. According to York, Choctaws still enjoy hunting, fishing, and growing their own food, despite the convenience of modern grocery stores. PHOTO: Flag of Mississippi Band of Choctaw Indians - choctaw.org, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=117029903

Samantha Cutler, 25, was a member of the MS Band of Choctaw Indians. In September 2020 her body was discovered with no further details given. Her case has received little to no media coverage. Help us bring new light to her story.If you have any information regarding the murder of Samantha Cutler, you are encouraged to contact the Choctaw Police Department at 405-769-3821.Links to information found for this episode:https://neshobademocrat.com/stories/choctaw-woman-murdered,43454https://www.choctaw.orghttp://www.justicefornativewomen.com/2021/06/samantha-cutler-unsolved-murder-in.html?m=1https://www.johnestephenschapel.com/m/obituaries/Samantha-Cutler/Memories

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789

Senate Committee on Indian Affairs Legislative Hearing to receive testimony on S.1397, S.3168, S.3308, S.3443, S.3773 & S.3789 Wednesday, March 23 2022 – 02:30 PM Location: Dirksen Room Number: 628 On Wednesday, March 23 at 2:30 p.m. ET / 8:30 a.m. HT, the Senate Committee on Indian Affairs holds legislative hearing to receive testimony on six bills. S.1397, the Tribal Health Data Improvement Act of 2021. The bill ensures that tribal health authorities enjoy access to the same public health data as state governments. The U.S. House of Representatives passed H.R.3841, a companion version of the bill, on June 23, 2021. S.3168, a bill to amend the White Mountain Apache Tribe Water Rights Quantification Act of 2010. The bill ensures that the White Mountain Apache Tribe can utilize its already enacted water rights settlement to complete a water project on the Fort Apache Reservation in the state of Arizona. S.3308, the Colorado River Indian Tribes Water Resiliency Act of 2021. The bill ensures that the Colorado River Indian Tribes can utilize its previously ratified water rights from the Colorado River by leasing or allocating them to other entities in Arizona. S.3443, the MOWA Band of Choctaw Indians Recognition Act. The bill extends federal recognition to the MOWA Band of Choctaw Indians, a group in Alabama that was previously denied acknowledgement through the Bureau of Indian Affairs. S.3773, a bill to authorize leases of up to 99 years for land held in trust for the Confederated Tribes of the Chehalis Reservation in the state of Washington. Similar bills have been enacted for other Indian nations. S.3789, a bill to amend the Native American Tourism and Improving Visitor Experience Act, also known as the NATIVE Act. The NATIVE Act requires federal agencies to update their existing management plans and tourism strategies to include American Indians, Alaska Natives and Native Hawaiians. Witness List PANEL 1 The Honorable Bryan Newland Assistant Secretary, Indian Affairs Department of the Interior Washington, D.C. Mr. Marvin Figueroa Director, Intergovernmental and External Affairs Department of Health and Human Services Washington, D.C. The Honorable Gwendena Lee-Gatewood Chairwoman White Mountain Apache Tribe Whiteriver, Arizona The Honorable Amelia Flores Chairwoman Colorado River Indian Tribes Parker, Arizona The Honorable Harry Pickernell, Sr. Chairman Confederated Tribes of the Chehalis Reservation Oakville, Washington The Honorable Lebaron Byrd Chief MOWA Band of Choctaw Indians Mt. Vernon, Alabama Dr. Darin Prescott Director Health and Clinic CEO Lower Sioux Indian Community and Great Lakes Area Tribal Health Board Morton, Minnesota Committee Notice: https://www.indian.senate.gov/hearing/legislative-hearing-receive-testimony-s-1397-s-3168-s-3308-s-3443-s-3773-s-3789