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More than a fifth of Indigenous Oklahomans are counted by the U.S. Census Bureau as uninsured – including those who solely use the Indian Health Service as health care coverage. For some, having no insurance can be costly.Mentioned in this episode:Social Media tags
The 2023 FBI Internet Crime Report reveals that nearly 21% of ransomware attacks targeted the healthcare and public health sectors—making them the top victims. This week on Feds At The Edge, we explore how agencies can defend against these growing threats. Benjamin Koshy, Chief Information Security Officer and Director, Division of Information Security of Indian Health Service, explains the unique identity management challenge in healthcare: balancing open patient access with strict data protection. Keith Busby, Acting CISO at CMS, outlines how to go beyond Zero Trust with real-world risk assessments and robust incident response plans - not just a three-ring binder gathering dust on a shelf. And Alec Lizanetz, Identity Protection Specialist from CrowdStrike, emphasizes the importance of prioritizing threats and using frameworks like CISA's to respond efficiently. Tune in on your favorite podcasting platform today to hear practical, high-impact strategies to secure critical systems and protect patient care, perfect for healthcare leaders who must protect both data and lives.
Today, Dr. Katie Burden-Greer, founder of Outlaw Medical, highlights her unique path from her rural Oklahoma roots through her comprehensive medical education and training, which included a residency at the prestigious Mayo Clinic. She discusses her choice to establish a Direct Primary Care (DPC) practice on the Muskogee or Creek Nation Reservation. Despite access to Indian Health Services, Outlaw Medical is building stronger physician-patient relationships and overcoming the access challenges posed by IHS. Already, Dr. Burden-Greer's patient panel is composed of over 20% Native People. Dr. Burden-Greer shares compelling stories from her journey, insights into her practice, and her motivations, including a deep connection to her community. The episode also touches on broader issues in healthcare accessibility and the impact of the DPC model in a rural setting.Hint Summit @ Rosetta Fest 2025! Take $50 off your RosettaFest 2025 registration through May 31st with code HINT50. Register HERE! The DPC Directory: If you're a DPC doctor, you'll find resources to grow your practice! If you serve the DPC world, grab a FREE listing today and get discovered by doctors who need your services.
Think of a mother living in a remote village in Alaska. It's a cold morning, temperatures well below freezing, and she needs urgent medical care for her child—but there's no road connecting her village to any hospital. Her only hope is a plane or a boat, neither of which might arrive in time. Across America, thousands of Native Americans face similar hurdles every day—lack of access to basic healthcare, clean water, and enough nutrition. This is not a challenge of the distant past; it's happening today, in the wealthiest country in the world. I first met Roselyn Tso at last year's Rosenman Symposium, where her talk left a profound impression on me. Her insights into the healthcare barriers that tribal communities face struck a deep chord, highlighting an urgent issue that many of us rarely think about. Stepping forward to tackle these issues head-on is Roselyn, a proud Navajo Nation citizen who has dedicated her life to improving healthcare for American Indians and Alaska Natives. As Director of the Indian Health Service (IHS) from 2022 to 2025, Roselyn managed healthcare delivery to approximately 2.8 million individuals, becoming the first Navajo citizen and second woman to ever hold this role. Her career spans more than four decades, each day driven by a deep personal commitment shaped by her own upbringing on the Navajo reservation. Roselyn believes real solutions require more than just medicine—they demand community engagement, cultural sensitivity, and innovation. Under her leadership, Indian Health Service championed initiatives addressing food insecurity, transportation challenges, and infrastructure gaps, fundamentally reshaping what healthcare means in tribal communities. In our conversation, Roselyn shares her powerful personal journey, the realities faced by Native communities, and her visionary approach to leadership and collaboration. She offers compelling insights into the systemic changes needed to make healthcare truly equitable and effective. Do you have thoughts on this episode or ideas for future guests? We'd love to hear from you. Email us at hello@rosenmaninstitute.org.
Loma Linda University's ethical care for the San Manuel tribe contrasted with the U.S. government's forced sterilizations, fostered a long-term relationship of trust. This culminated in a $25 million gift from the tribe in gratitude for the university's compassionate service.
U.S. Health and Human Services Secretary Robert Kennedy Jr. is overseeing an unprecedented cut of nearly a quarter of the department's staff, drawing widespread concerns about possible adverse affects for thousands of Native Americans who depend on those services. Everything from bill processing to testing and research to prevent lead contamination in children could be constricted. At the same time, Sec. Kennedy successfully reversed Elon Musk's termination of 900 Indian Health Service employees by the Department of Government Efficiency. Kennedy is also reaching out to tribes and maintaining contact through the department's Tribal Self Governance Advisory Committee. We'll look at the latest word on what some of the potential effects of the federal actions are on Native health and health care. GUESTS A.C. Locklear (Lumbee), CEO of the National Indian Health Board Kristen Bitsuie (Navajo), tribal health care outreach and education policy manager for the National Indian Health Board Kim Russell (Navajo), policy advisor for Sage Memorial Hospital
U.S. Health and Human Services Secretary Robert Kennedy Jr. is overseeing an unprecedented cut of nearly a quarter of the department's staff, drawing widespread concerns about possible adverse affects for thousands of Native Americans who depend on those services. Everything from bill processing to testing and research to prevent lead contamination in children could be constricted. At the same time, Sec. Kennedy successfully reversed Elon Musk's termination of 900 Indian Health Service employees by the Department of Government Efficiency. Kennedy is also reaching out to tribes and maintaining contact through the department's Tribal Self Governance Advisory Committee. We'll look at the latest word on what some of the potential effects of the federal actions are on Native health and health care. GUESTS A.C. Locklear (Lumbee), CEO of the National Indian Health Board Kristen Bitsuie (Navajo), tribal health care outreach and education policy manager for the National Indian Health Board Kim Russell (Navajo), policy advisor for Sage Memorial Hospital
The Department of Health and Human Services underwent an unprecedented purge this week, as thousands of employees from the National Institutes of Health, the FDA, the Centers for Disease Control and Prevention, and other agencies were fired, placed on administrative leave, or offered transfers to far-flung Indian Health Service facilities. Altogether, the layoffs mean the federal government, in a single day, shed hundreds if not thousands of combined years of health and science expertise. Lauren Weber of The Washington Post, Rachel Cohrs Zhang of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News' Julie Rovner to discuss this enormous breaking story and more. Also this week, Rovner interviews KFF Health News' Julie Appleby, who reported and wrote the latest “Bill of the Month” feature about a short-term health plan and a very expensive colonoscopy. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: Stat's “Uber for Nursing Is Here — And It's Not Good for Patients or Nurses,” by Katie J. Wells and Funda Ustek Spilda. Sarah Karlin-Smith: MSNBC's “Florida Considers Easing Child Labor Laws After Pushing Out Immigrants,” by Ja'han Jones. Lauren Weber: The Atlantic's “Miscarriage and Motherhood,” by Ashley Parker. Rachel Cohrs Zhang: The Wall Street Journal's “FDA Punts on Major Covid-19 Vaccine Decision After Ouster of Top Official,” by Liz Essley White. Hosted on Acast. See acast.com/privacy for more information.
Send us a textThe transformative power of lived experience drives Monique Allen's mission to revolutionize healthcare access for Native American communities. As a woman who defied doctors' predictions that she wouldn't survive past age 12, Monique has channeled her personal health journey into founding Ma'at Enterprises, a tribally-owned healthcare staffing company serving Indian Health Service facilities nationwide.Named after the Egyptian concept representing truth, balance, and justice, Ma'at embodies Monique's servant leadership philosophy. Her connection to this work deepened upon discovering her own Native American heritage through her mother's tribal connections in Oklahoma, bridging her healthcare expertise with a profound understanding of tribal communities' needs and historical challenges.What sets Ma'at Enterprises apart is Monique's nuanced approach to partnership. Rather than imposing solutions, she builds trust by respecting tribal sovereignty and ensuring communities maintain ownership of their healthcare journey. This stands in stark contrast to broken promises that have characterized much of the historical relationship between government agencies and Native Nations. As Monique powerfully states, "We are not just trying to colonize your data... we want to partner with you."The innovative services Ma'at provides extend beyond traditional staffing to include partnerships with Hospitals Without Borders for rapidly deployable modular clinics, telehealth solutions for remote communities, and connections to cutting-edge diagnostic technologies. These approaches address the stark reality that in 2025, many tribal reservations still lack basic infrastructure like clean water and reliable internet access.Guided by her faith and commitment to authentic service, Monique carefully vets potential collaborations to ensure alignment with Ma'at's mission. Her goal is clear: to become a trusted resource for Native American communities by proving reliability through demonstrated action rather than empty promises. Through this work, she's not just delivering healthcare services – she's helping to heal historical wounds while building pathways to a healthier future for Indigenous communities across America.Thanks for tuning in to this episode of Follow The Brand! We hope you enjoyed learning about the latest marketing trends and strategies in Personal Branding, Business and Career Development, Financial Empowerment, Technology Innovation, and Executive Presence. To keep up with the latest insights and updates from us, be sure to follow us at 5starbdm.com. See you next time on Follow The Brand!
Minnesota has seen a drop in money available for a new budget and could face an even larger projected shortfall down the road. The Department of Management and Budget says lawmakers have just $456 million available for setting the next two-year budget — about 25 percent worse than before.U.S. Senators Tina Smith and Amy Klobuchar are pressing federal agencies for answers regarding the potential termination of the Bemidji Area Indian Health Service's lease.Those stories and more in Thursday's afternoon update.Find these headlines and more at mprnews.org.Minnesota's budget situation worsens in the near and long term with possible deficit growingKlobuchar, Smith call for answers about potential Indian Health Service office lease terminationSubscribe on Apple Podcasts, Spotify, YouTube or RSS.
Senate Committee on Indian Affairs Business Meeting to consider several bills Date: March 5, 2025 Time: 2:30 PM Location: Dirksen Room: 628 H.R.165, To direct the Secretary of the Interior to complete all actions necessary for certain lands to be held in restricted fee status by the Oglala Sioux Tribe and Cheyenne River Sioux Tribe S.105, To direct the Secretary of the Interior to complete all actions necessary for certain lands to be held in restricted fee status by the Oglala Sioux Tribe and Cheyenne River Sioux Tribe S.240, To amend the Crow Tribal Water Rights Settlement Act of 2010 S.241, To provide for the settlement of the water rights claims of the Fort Belknap Indian Community S.390, To require Federal law enforcement agencies to report on cases of missing or murdered Indians S.546, To amend the Omnibus Public Land Management Act of 2009 to make a technical correction to the water rights settlement for the Shoshone-Paiute Tribes of the Duck Valley Reservation S.550, To provide for the equitable settlement of certain Indian land disputes regarding land in Illinois S.562, To approve the settlement of water rights claims of the Pueblos of Acoma and Laguna in the Rio San José Stream System and the Pueblos of Jemez and Zia in the Rio Jemez Stream System in the State of New Mexico S.563, To approve the settlement of water rights claims of Ohkay Owingeh in the Rio Chama Stream System, to restore the Bosque on Pueblo Land in the State of New Mexico S.564, To approve the settlement of water rights claims of the Zuni Indian Tribe in the Zuni River Stream System in the State of New Mexico, to protect the Zuni Salt Lake S.565, To approve the settlement of water rights claims of the Navajo Nation in the Rio San José Stream System in the State of New Mexico S.612, To amend the Native American Tourism and Improving Visitor Experience Act to authorize grants to Indian tribes, tribal organizations, and Native Hawaiian organizations S.620, To provide public health veterinary services to Indian Tribes and Tribal organizations for rabies prevention S.621, To accept the request to revoke the charter of incorporation of the Lower Sioux Indian Community in the State of Minnesota at the request of that Community S.622, To amend the Leech Lake Band of Ojibwe Reservation Restoration Act to provide for the transfer of additional Federal land to the Leech Lake Band of Ojibwe S.632, To amend the Indian Health Care Improvement Act to allow Indian Health Service scholarship and loan recipients to fulfill service obligations through half time clinical practice S.637, To amend the Northwestern New Mexico Rural Water Projects Act to make improvements to that Act S.640, To make a technical correction to the Navajo Nation Water Resources Development Trust Fund, to make technical corrections to the Taos Pueblo Water Development Fund and Aamodt Settlement Pueblos' Fund S.642, To provide compensation to the Keweenaw Bay Indian Community for the taking without just compensation of land by the United States inside the exterior boundaries of the L'Anse Indian Reservation that were guaranteed to the Community under a treaty signed in 1854 S.673, To amend the Miccosukee Reserved Area Act to authorize the expansion of the Miccosukee Reserved Area and to carry out activities to protect structures within the Osceola Camp from flooding S.689, To approve the settlement of the water right claims of the Tule River Tribe S.719, To amend the Tribal Forest Protection Act of 2004 to improve that Act S.723, To require the Bureau of Indian Affairs to process and complete all mortgage packages associated with residential and business mortgages on Indian land by certain deadlines S.748, To reaffirm the applicability of the Indian Reorganization Act to the Lytton Rancheria of California S.761, To establish the Truth and Healing Commission on Indian Boarding School Policies in the United States More on Indianz.Com: https://wp.me/pcoJ7g-w6g
The current flu season is the worst in 15 years in terms of doctor's visits. Tuberculosis cases are rising. On the horizon is a possible bird flu outbreak that is already affecting millions of livestock birds and it's starting to make the jump to humans. This is all happening with the backdrop of lapsed information from the Centers for Disease Control and Prevention, confirmation of a federal health secretary who openly expressed skepticism about vaccines, and unprecedented cuts in the works for the Indian Health Service. We'll get a gauge of the current threats to the health of Native Americans. GUESTS Dean Seneca (Seneca), CEO and founder of Seneca Scientific Solutions+ Katherine Minthorn (Umatilla), an owner of Rez Chicks Co-Op Aiono Dr. Alec Ekeroma (Samoan), director general of Samoa's Health Ministry Chanda Hesson, nurse consultant for the State of Alaska's section of epidemiology and the lead nurse consultant for the Alaska Department of Health's tuberculosis team Dr. Robert Belknap, executive director of the Public Health Institute at Denver Health
The current flu season is the worst in 15 years in terms of doctor's visits. Tuberculosis cases are rising. On the horizon is a possible bird flu outbreak that is already affecting millions of livestock birds and it's starting to make the jump to humans. This is all happening with the backdrop of lapsed information from the Centers for Disease Control and Prevention, confirmation of a federal health secretary who openly expressed skepticism about vaccines, and unprecedented cuts in the works for the Indian Health Service. We'll get a gauge of the current threats to the health of Native Americans.
Indian Health Service director could become an assistant secretary Murkowski seeks to ensure tribes during federal funding uncertainty Whale of a Good Time: ANSEP celebrates 30th anniversary with students
One possible change to Medicaid being floated in Congress right now includes a $2.3 trillion cut over the next 10 years. Other potential changes include adding certain work requirements and shifting costs and distribution of Medicaid funds to states, which have no trust obligations to tribes. As it is, Medicaid provides direct support to at least one million Native Americans. It's also one of the secondary sources that help provide health care through the Indian Health Service. Advocates are bracing for changes as they continue to make the case for the program's life-and-death importance in Indian Country. GUESTS Dr. Damian Chase-Begay (Mandan and Arikara), associate research professor of public health at the University of Montana Kristen Bitsuie (Navajo), tribal health care outreach and education policy manager for the National Indian Health Board Nanette Star (Choctaw descendant), director of policy and planning at the California Consortium of Urban Indian Health Winn Davis, congressional relations director at the National Indian Health Board
One possible change to Medicaid being floated in Congress right now includes a $2.3 trillion cut over the next 10 years. Other potential changes include adding certain work requirements and shifting costs and distribution of Medicaid funds to states, which have no trust obligations to tribes. As it is, Medicaid provides direct support to at least one million Native Americans. It's also one of the secondary sources that help provide health care through the Indian Health Service. Advocates are bracing for changes as they continue to make the case for the program's life-and-death importance in Indian Country.
According to recent government reporting, Native Americans have medical debt that is double the national average. That’s despite the fact that the federal government is under a legal and moral obligation to provide healthcare to registered members of federally recognized tribes. In many cases, the debt stems from medical care the Indian Health Service was unable to provide but was supposed to pay for when members sought care elsewhere. The resulting debt damages credit scores and adds to health disparities that impact many indigenous communities, including high costs and poor access to care. Indigenous Affairs reporter Melanie Henshaw has been covering problems with healthcare access for InvestigateWest and joins Libby to share her reporting. Guest: Melanie Henshaw, InvestigateWest Indigenous Affairs Reporter Relevant Links: Native Americans face double the average medical debt, report finds — often for bills that aren’t their responsibility | InvestigateWest Colville tribal citizens left on the hook when Indian Health Service doesn’t pay medical bills | InvestigateWest Report lays bare stark disparities in health care outcomes for Native Americans in Washington | InvestigateWest Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network. See omnystudio.com/listener for privacy information.
Native American oncologist Dr. Amanda Bruegl and Dr. Noelle LoConte discuss culturally tailored interventions and the importance of community engagement to advance cancer prevention, diagnosis, and treatment for Native communities. TRANSCRIPT ASCO Daily News: Hello and welcome to the ASCO Daily News Podcast. I'm Geraldine Carroll, a reporter for the ASCO Daily News. On today's episode, we'll be discussing cancer care for Native American communities who face unique challenges and disparities in accessing and receiving cancer care. I'm delighted to be joined by two oncologists who will be sharing their insights on ways to advance cancer prevention, diagnosis, and treatment through culturally tailored interventions and community-based programs for high-risk Native Americans whose issues are chronically overlooked in the healthcare system, according to experts. Dr. Amanda Bruegl is an associate professor of obstetrics and gynecology at the Oregon Health and Science University School of Medicine. She is a gynecologic oncologist at the OHSU Knight Cancer Institute and a citizen of the Oneida Nation and descendant of Stockbridge-Munsee. Dr. Noelle LoConte is an associate professor of medicine at the University of Wisconsin Madison Carbone Cancer Center where she also serves as a GI medical oncologist, geriatrician and leads community outreach. Full disclosures are available in the transcript of this episode. Dr. LoConte and Dr. Bruegl, it's great to have you on the podcast today. Dr. Noelle LoConte: Thanks so much for having me. Dr. Amanda Bruegl: Thank you for having us. ASCO Daily News: Dr. Bruegl, I'd like to start by asking you to tell us a bit about your background and how it has influenced your career and interests as a gynecologic oncologist. Dr. Amanda Bruegl: I grew up in Wisconsin and I have a Native parent and a non-Native parent. And so having an awareness of both cultural influences in my life has really shaped my interest in cancer prevention. Seeing the high rates of preventable death in cancer among Native populations in gynecologic cancers, in particular, has really driven me to dedicate my research career toward decreasing the morbidity and mortality of cervical cancer among Native women. ASCO Daily News: Well, can you tell us about your work in cancer prevention, specifically cervical cancer? The data shows that Native Americans in Oregon get cervical cancer one and a half times more than the general state population and die from it two times more often. What are the factors, the barriers, that are contributing to these high rates of cervical cancer? Dr. Amanda Bruegl: The data in Oregon is actually not just limited to Oregon. Our group did some work in collaboration with the Northwest Portland Area Indian Health Board Tribal Epidemiology Center, and we found that, as you stated, the rates of cervical cancer are one and a half times that of non-Hispanic Whites and the rate of death is about twice. And that's true for the Pacific Northwest. And if you dig deeper into the literature, you see that these rates are true across Indian Country, sometimes worse. When we looked at the age groups, we found that older women had three times the rate of mortality. So looking at like 45 to 65. As I was looking through the literature to figure out, well, why is this, we found that there are very, very few funded studies that even look at this. We have a known persistent disparity that is chronically understudied and underfunded. And so I'm trying to do work in this arena to explore this further. A follow up study that we did was looking at whether we are using the prevention tools. So it's common across the United States that we have two very powerful prevention tools. So participation in cervical cancer screening doesn't necessarily prevent cervical cancer, but you can have early detection of pre-invasive disease or detection of early-stage disease, which is highly curable. And then we also have HPV vaccination, something geared towards the youth in our communities across the U.S. HPV vaccination starting at age 9 with a goal of complete vaccination by the age of 12. So we looked at: Are we using these two tools in Indian Country? And what we found was that participation in cervical cancer screening, looking at who is up-to- date among Natives, and we found that overall the population had about 60% rates of up-to- date on cervical cancer screening compared to general US rates, which are in like the high 70s or low 80s. And then when we looked at that age group that has higher rates of mortality, we actually found that there's only about a 50% rate of up-to-date screening. So we know in one arena people aren't participating in screening. And there's a variety of different contributors to that. There's access to care. How far do you have to travel to get to a provider who will provide cervical cancer screening? Among Native women, there's an over 50% rate of history of sexual trauma, sexual violence, pelvic exam trauma. It's a huge barrier to coming in for this very sensitive exam. There is also mistrust with the medical system in general. There's high turnover of providers at Indian Health Service Clinics. The clinic that I'm currently working at now, so I do outreach at a clinic one day a month and I'm the longest standing doc at that clinic and I'm a consultant who comes one day a month. I've been there since 2016. And so when you can't develop a relationship with a provider and develop trust and there's just this churn of new people every three to six months, developing a relationship to allow someone to feel comfortable with a very personal and private examination can be a huge barrier. On the HPV vaccination side, we found that the numbers for HPV vaccination were pretty optimistic. So the numbers have been going up since our study period started in 2015. The clinics in the Pacific Northwest that are serving Native populations are doing a great job with education, outreach and increasing the numbers. The group with the greatest rates of HPV vaccination are for people assigned female at birth in the 13-18 age group. They are the only group that is approaching the Healthy People 2030 goal. But there's still work to be done in this arena. Those are some big drivers of why this persistent disparity continues. ASCO Daily News: Absolutely. You mentioned some very serious barriers. Sexual trauma, mistrust, long distance to travel to clinics. Looking ahead, can you tell us about potential screening tools that could improve screening? And I also wanted to ask you about innovations you're excited about that could be potentially incorporated into practice to increase the ability and comfort of your patients to screening and access to HPV vaccination. Dr. Amanda Bruegl: So, in terms of cervical cancer screening and how to increase the rates, there are a number of different things in the literature broadly across populations that really show that knowledge and awareness of cervical cancer and cervical cancer screening guidelines is associated with guideline concordant care. And so ensuring that our patients in our communities know and understand what the recommendations are is very important. Efforts to provide education to women in the community, community stakeholders, and culturally tailored content can all be important for increasing the rates of cervical cancer participation. Another thing that has the potential to really help improve screening rates is HPV self-collection. The FDA just recently approved HPV self-collection which can help empower an individual to do their own testing on their own body and not have someone else place a speculum in a private personal area where they're not comfortable. Some of the tribes in our region are starting to adopt this practice. And I just gave a talk to the regional Indian Health Service medical directors and have had really positive feedback about clinics working towards bringing this into their practice. I hope that the FDA can move forward with allowing patients to do this in the comfort of their own home. Sadly, the FDA in their evaluations decided it had to be a clinic administered test. So someone still has to go through the barrier of finding time to, if they have caregiver responsibilities or work, to have these responsibilities taken care of for someone else so they can drive to a clinic. So these barriers of transportation and caregiving are not addressed by this. It addresses some of the trauma, that barrier. And so I think in the US, we can do better about bringing this like FIT testing to our patients. I really hope and challenge our country to move forward with that a bit more. Geraldine Carroll: Thanks, Dr. Bruegl. I'll come back to you in a moment, but first I'd like to switch gears and address some of the challenges faced by Native communities in Wisconsin that were featured in a fascinating study presented by our guest, Dr. Noelle LoConte, at the recent ASCO Quality Care Symposium. The study found that radon levels in Native lands in Wisconsin were much higher than anticipated and may explain higher rates of lung cancer among Native communities in the state. Radon is the second leading cause of lung cancer in the U.S. So, Dr. LoConte, can you tell us more about this study and your incredible partnership with the Stockbridge-Munsee Band of the Mohican Nation Health Center in this work? Dr. Noelle LoConte: You bet. Thanks for the interest. First of all, I think it's just an incredible privilege to work with all of these communities. So, I wanted to say at the jump that this was a joint project led by the cancer center that I'm affiliated with, but also with the Stockbridge-Munsee community. They approved the project and they designed it with us, and they retain ownership of the data. Data sovereignty is an important issue when you're doing this work. But we came to them wanting to work on something around cancer. I actually thought maybe colorectal cancer screening. But in meeting with the health center and the tribal community members, it became clear that they were more concerned that they had intergenerational rates of cancer, and they felt that they were being poisoned by their land. And that brought me to the state Environmental Health Program. And we looked at some data and realized, one, their lung cancer rates were quite high, but two, their radon testing rates were quite low. And that that was a place where we thought we couldn't make some forward momentum. So, we designed a program to educate around radon and radon testing and mitigation and then tested all the homes on the reservation. And we successfully tested all homes for radon and then successfully mitigated all the homes that tested over four picocuries per liter, which is the recommended level at which you should mitigate per the EPA, the Environmental Protection Agency. The statewide average for Wisconsin is 10% positive. And amongst homes that had a basement, which is thought to be the highest risk kind of dwelling in the Stockbridge-Munsee Reservation community, the positive rate was 77%. And when you take all the homes together because we had some homes with crawl spaces or slab foundation, it was around, I believe, 55% positive, so much higher than 10%. ASCO Daily News: Well, that data is just striking. Your study certainly illustrates the vital role that cancer centers can play in mitigating structural determinants of health among Native communities, such as with housing quality. Do you think this will inspire a similar approach in other regions of the country? Dr. Noelle LoConte: Yeah, I think this work was possible because of philanthropy. It is very, very hard to get grant funding for mitigation, in particular. Mitigation is usually done once in the life of the dwelling, but it is very, very expensive. A cheap mitigation is $750, and many are many thousands of dollars especially when you're looking at very rural communities where there's not really a mitigator within hundreds of miles and you have to really negotiate to get somebody to come out there. Every cancer center that's designated by the National Cancer Institute has to have a community outreach and engagement unit or program. I would argue that rather than us generating reports describing disparities, that this kind of work to actually dismantle these determinants of health and move power back into the community is an ideal role for a cancer center. But the funding was definitely a tricky piece of it. And I would hope that we could either envision funding mechanisms that allow for this kind of direct service to communities, or we can continue to work with philanthropic agencies to fund this. ASCO Daily News: Well, looking through a wider lens at the experience of Native communities navigating cancer care, I'd like to ask each of you to comment on how you think the oncology community can better support and serve high-risk Native populations. What message would you like oncologists to take away from this discussion today? Dr. Bruegl, would you like to respond first? Dr. Amanda Bruegl: There's so many layers to needs in our communities. First and foremost, it's important to understand that American Indians and Alaska Natives are sovereign people, sovereign nations. We've been written into the US Constitution as citizens of our own tribes. And it's important to remember that when working with our populations. I think it's also really important to remember that there's treaty law that promised healthcare to our communities. And you see that we are underfunded in all aspects of healthcare, and it's a driver. And people on the healthcare side of things need to remember we represent the failures of the healthcare system to care for our Native communities. Whether or not you wake up in the morning with a goal to help, you have to remember that you represent the institution and the history of this country and are going to be asked to prove yourself in a genuine fashion. And that takes time. I think for people who are in research, it's really important to think about how do you engage and partner with tribal communities so that we're not chronically left behind and left out of study? We seldom show up in the data, and we have to find our own data. Tribal epidemiology centers have been really paramount in helping tribes get access to their data and analyze their data. But you can see in trial after trial after trial, we're sort of shoved into the other box. And so it's so difficult to understand how the cancer story relates to us and how do we improve it? ASCO Daily News: Thank you, Dr. Bruegl. Dr. LoConte, would you like to comment on this as well? Dr. Noelle LoConte: Yeah. I had jotted down a few points. Many are going to be a little bit of a repetition here, but I think the overarching theme is that the goals for academic medicine often are not the goals of the community that you may be seeking to work in, and so being able to pivot was key to the success of my project, I think. Can't underestimate the importance of trust. And trust takes a lot of time and a lot of showing up and a lot of being consistent and delivering on what you say you're going to do. And there's a lot of turnover in academic medicine. People leave institutions, move on for promotions. None of that is going to help strengthen these relationships. So I think institutions would be wise to invest in people that stay. I think there should be things like retention bonuses for those of us that stay in places and do community work. It's certainly not the sexy stuff. It's not what gets you in the Plenary at the ASCO Annual Meeting, for example, but I was beyond delighted that I was on the podium for the ASCO Quality Care Symposium. And I think continuing to elevate this work as meaningful and important work, just as important as clinical trials and new drugs, is really important. I would like to second the motion or the thought that we need to support full funding for the Indian Health Services. It is a promise we made that we continue to underdeliver on that continues to harm patients every day, particularly in the latter half of the year when they run out of funding pretty consistently. For those of us that are non-Native doing this work, to know the history of the community that you're working in and be really mindful of that but also know the role that your institution played in propagating some of these harms. And I think we need more Native physicians that really will help to have concordance with patients and physicians. And so as much as we can support getting more Native folks starting really early – high school, middle school, interested in medicine and biomedical research, all the way through medical school residency fellowship would be really, really impactful. We have a program here founded by Amanda's husband called the Native American Center for Health Professions, or NACHP. It's really a feather in our cap here and I would love to see all medical schools have some sort of pathway program like that. We won't get out of this hole until we start to really take that seriously. ASCO Daily News: Well, thank you so much, Dr. LoConte and Dr. Bruegl for taking the time and showing up for Native communities, and all your work to advance cancer care. We are certainly very grateful for your time today and we will embed links to all of the studies discussed in the transcript of this episode. So thank you again, Dr. LoConte and Dr. Bruegl. Dr. Noelle LoConte: You're welcome. Dr. Amanda Bruegl: Thank you for having us. ASCO Daily News: And thank you to our listeners for your time today. Again, you'll find links to the studies we discussed today in the transcript of this episode. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review and subscribe wherever you get your podcasts. Disclaimer: 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. Follow today's speakers: Dr. Amanda Bruegl Dr. Noelle LoConte @noelleloconte.bsky.social Follow ASCO on social media: @ASCO on Twitter ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. Amanda Bruegl – No relationships to disclose Dr. Noelle LoConte: Consulting or Advisory Role: Abbvie, PDGx Research Funding: Exact Sciences
Roselyn Tso (Diné) spent just over two years as director of the Indian Health Service. But her career at the agency spanned more than three decades, most recently as the IHS Navajo Area Director. As her term comes to an end, we'll hear about her call to provide health care for Native Americans, food as medicine, and the immediate and long-term hurdles for IHS. We'll also get an update on efforts by IHS to head off RSV infections that are putting Native children in the hospital as much as ten times more frequently than other populations.
In this powerful episode, we meet Alastair Lee Bitsóí from Naschitti, Navajo Nation, New Mexico, a water clan storyteller whose journey weaves together traditional Indigenous wisdom and modern advocacy. From the challenges of water access affecting one-third of Navajo households to the unexpected healing power of an ancient Four Corners potato, Alastair shares how returning to the land has become a path toward personal and community healing.
In the wake of the recent presidential election, we're revisiting one of our favorite podcast episodes from 2023 about the hurdles America's Indigenous peoples face in accessing health care. What's being done to help elder Native Americans receive culturally competent long-term care? Would it surprise you to learn that relying on the Indian Health Service may not be enough to meet their needs? Why are some members of this highly vulnerable population buying health insurance too? To find out, we spoke to Elder Billie Tohee, executive director of the Albuquerque-based National Indian Council on Aging (NICOA) and former chair of the board.
THIS TIME ON CODE WACK! In the wake of the recent presidential election, we're revisiting one of our favorite podcast episodes from 2023 about the hurdles America's Indigenous peoples face in accessing health care. What's being done to help elder Native Americans receive culturally competent long term care? Would it surprise you to learn that relying on the Indian Health Service may not be enough to meet their needs? Why are some members of this highly vulnerable population buying health insurance too? To find out, we spoke to Elder Billie Tohee, executive director of the Albuquerque-based National Indian Council on Aging (NICOA) and former chair of the board.
THIS TIME ON CODE WACK! In the wake of the recent presidential election, we're revisiting one of our favorite podcast episodes from 2023 about the hurdles America's Indigenous peoples face in accessing health care. What's being done to help elder Native Americans receive culturally competent long term care? Would it surprise you to learn that relying on the Indian Health Service may not be enough to meet their needs? Why are some members of this highly vulnerable population buying health insurance too? To find out, we spoke to Elder Billie Tohee, acting executive director of the Albuquerque-based National Indian Council on Aging (NICOA) and former chair of the board. Check out the Transcript and Show Notes for more!
Donald Trump targeted trans issues during his presidential campaign. He promised to take aim at gender-affirming care early in his upcoming term in office, including restricting federal funds for trans medical support. That could have a major effect on such care within the Indian Health Service. In addition, at least half of all states now ban gender affirming care for minors. A pending U.S. Supreme Court decision will determine the future of such care in those states. We'll gauge the direction for trans issues and find out how trans advocates are preparing both politically and personally for the next few years. GUESTS Shelby Chestnut (Assiniboine), executive director of the Transgender Law Center Dr. Itai Jeffries (Occaneechi), program director for the Northwest Portland Area Indian Health Board's Paths (Re)Membered Project Dr. Hannah Wenger, clinical consultant and contractor at the Northwest Portland Area Indian Health Board's Trans and Gender Affirming Care ECHO Program and Paths (Re)Membered Project
Personal stories of pregnancy-related complications by Indigenous women are the centerpiece of a new informational campaign by the Centers for Disease Control and Prevention (CDC). The CDC wants to raise awareness about the high rate of pre- and post-natal complications among Native women. The effort comes just as the March of Dimes launched its own initiative to improve poor maternal care outcomes. It includes a map of "maternity care deserts", many of which are in areas with high Native populations. We'll talk about these and other efforts to improve care for pregnant Native women. GUESTS Dr. Jennifer Richards (Diné, Oglala Lakota, and Taos Pueblo), assistant professor at Johns Hopkins Center for Indigenous Health Crystal Austin (Diné), director of external affairs for the Johns Hopkins Center for Indigenous Health Dr. Brian Thompson (citizen of the Oneida Nation), physician, obstetrician gynecologist, and member of the national board of March of Dimes Vanessa Sanchez (member of the Shoshone Bannock Tribes), mother from the HEAR HER video campaign Dr. Tina Pattara-Lau, maternal child health consultant at Indian Health Service headquarters
Nurses trained to administer anesthesia to Veterans Affairs patients require supervision from a physician. That's the rule, but their counterparts in the Military Health System or the Indian Health Service, not so for them, and that's prompted the American Association of nurse anesthesiology to urge VA to get on with standards, to let its nurses provide care to more veterans with less supervision. For more Federal News Network's Jory Heckman spoke with the association president. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Nurses trained to administer anesthesia to Veterans Affairs patients require supervision from a physician. That's the rule, but their counterparts in the Military Health System or the Indian Health Service, not so for them, and that's prompted the American Association of nurse anesthesiology to urge VA to get on with standards, to let its nurses provide care to more veterans with less supervision. For more Federal News Network's Jory Heckman spoke with the association president. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Welcome to Supreme Court Opinions. In this episode, you'll hear the Court's opinion in Becerra v San Carlos Apache Tribe. In this case, the court considered this issue: Must the Indian Health Service pay “contract support costs” not only to support IHS-funded activities, but also to support the tribe's expenditure of income collected from third parties? The case was decided on June 6, 2024. The Supreme Court held that the Indian Self-Determination and Education Assistance Act (ISDA) requires the Indian Health Service (IHS) to pay contract support costs for activities tribes carry out under self-determination contracts, including costs incurred when spending program income from third-party payers. Chief Justice John Roberts authored the opinion of the Court, affirming the decisions of the Ninth and Tenth Circuits. ISDA Sections 5325(a)(2) and (a)(3)(A) require the Indian Health Service (IHS) to pay “contract support costs” to tribes that take over healthcare programs the IHS previously operated. These costs cover reasonable expenses tribes incur to ensure they comply with their contracts with IHS. The tribes' contracts require them to collect and spend “program income” (like insurance payments) to carry out the healthcare programs they took over. When tribes use this program income as required and incur administrative and overhead costs as a result, those costs fit squarely within what the law defines as reimbursable “contract support costs.” The Court rejected IHS's arguments that Section 5326 prohibits paying these costs. That provision was meant to prevent IHS from paying costs related to separate contracts tribes have with other parties, which isn't the situation here. Rather, here, the contract support costs are directly attributable to and associated with the tribes' contracts with IHS, because those contracts themselves require the tribes to collect and spend the program income that generates the costs. Therefore, ISDA requires IHS to pay the contract support costs the tribes incur from spending program income as their IHS contracts demand. Justice Brett Kavanaugh authored a dissenting opinion, joined by Justices Clarence Thomas, Samuel Alito, and Amy Coney Barrett. The dissent argued that ISDA's contract support cost provisions do not extend to the costs associated with spending third-party income, emphasizing that the majority's interpretation could lead to significant financial implications and potentially disrupt the allocation of federal funds. The opinion is presented here in its entirety, but with citations omitted. If you appreciate this episode, please subscribe. Thank you. --- Support this podcast: https://podcasters.spotify.com/pod/show/scotus-opinions/support
The Indian Health Service finds Native Americans and Alaska Natives are two and a half times more likely to report serious psychological distress than other populations. Psychiatry experts say intergenerational trauma may be one factor. There are steps both employers and employees can do to avoid the effects of stress and burnout in the office. There are additional steps that may be beneficial specifically for Native employees. On World Mental Health Day, we'll find out ways to build a healthy workplace. GUESTS Dr. Jillian Fish (Tuscarora Nation of the Haudenosaunee Confederacy), owner of Fish Psychotherapy & Consulting and professor in the Department of Psychology at Macalester College Haley Laughter (Diné), owner of Hozho Total Wellness D.J. Eagle Bear Vanas (Odawa Nation), motivational storyteller; host of the PBS special, Discovering your Warrior Spirit; and author of Warrior Within published by Penguin Random House
In this episode of The Dish on Health IT, Tony Schueth, CEO of Point-of-Care Partners, and Kim Boyd, Regulatory Resource Center Lead, are joined by Pam Schweitzer, former Assistant Surgeon General of the United States and current Chair of the NCPDP Foundation Board of Trustees. Together, they deliver an in-depth discussion on critical topics impacting the health IT landscape, including interoperability, public health data modernization, and evolving healthcare regulations.The episode begins with introductions from Tony and Kim, highlighting Pam's extensive career in healthcare, ranging from her leadership roles in the Indian Health Service and the Veterans Affairs (VA) system to her current position as chair of the NCPDP Foundation. Pam reflects on her experience overseeing the transition from paper to electronic health records and how this complex shift required the coordination of multiple healthcare departments, including radiology and labs.Pam shares her insights into how policy changes, such as CMS 0057 and the HTI-2 proposed rule, are shaping the future of healthcare interoperability. The trio discusses how these regulations, aimed at improving data sharing between payers, providers, and public health systems, will ultimately drive real-time data exchange. They also emphasize the importance of infrastructure, standards, and innovation to support these efforts.As the discussion moves forward, Pam talks about her work on public health initiatives, particularly around pharmacy interoperability, maternal health, and the broader impacts of nutrition and food supply on community health. Kim and Pam also explore the evolving role of pharmacists in public health, especially in rural areas where they often serve as the primary healthcare providers.The conversation includes key steps for modernizing public health data systems, such as addressing the data silos between healthcare and public health systems. Pam emphasizes the need for greater collaboration and data sharing to enable a more effective public health response, especially during crises like pandemics or natural disasters.Pam, Kim, and Tony also touch on the role of the Trusted Exchange Framework and Common Agreement (TEFCA) in promoting data fluidity and expanding the integration of pharmacists and other healthcare stakeholders into the broader healthcare ecosystem.The episode wraps up with Pam expressing her optimism for the future of health IT and public health interoperability, while stressing the importance of ongoing collaboration between stakeholders, from policymakers to healthcare technology vendors. Kim adds that the evolution of pharmacy practice and regulatory changes are driving significant improvements in patient care and medication management.Listeners can tune in for a deep dive into the intersections of health IT policy, pharmacy standards, and public health modernization, with practical insights from leaders in the field. This episode is a must-listen for those interested in healthcare interoperability, the impact of CMS and ONC policies, and the future of public health and pharmacy integration.Catch the full episode on your preferred podcast platform, including Apple Podcasts, Spotify, and Healthcare Now Radio, or watch the video version on YouTube.Other resources you may be interested in:Healthy People 2030 – Data and Information Systemshttps://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructurePublic Health Infrastructure - Healthy People 2030 | health.govhttps://health.gov/healthypeople/objectives-and-data/browse-objectives/public-health-infrastructureStrategies for Public Health Interoperability | PHDI | CDChttps://www.cdc.gov/data-interoperability/php/public-health-strategy/index.htmlMarch 27, 2024 – Draft 2024-2030 Federal Health IT Strategic Planhttps://www.healthit.gov/sites/default/files/page/2024-03/Draft_2024-2030_Federal_Health_IT_Strategic_%20Plan.pdf2023 – Infrastructure for Scaling and Spreading Whole Health – Health Informaticshttps://www.nationalacademies.org/our-work/transforming-health-care-to-create-whole-health-strategies-to-assess-scale-and-spread-the-whole-person-approach-to-health
host Dave Sobel interviews RJ Kedziora, the co-founder of Estenda Solutions, a company specializing in software, data analytics, and AI for the healthcare industry. RJ shares insights into the innovative work his firm does, focusing on digital health solutions that aim to improve the health and wellness of individuals. He highlights two key projects, including a diabetic retinopathy surveillance program in partnership with the Joslin Diabetes Center and the Indian Health Services, as well as the development of digital weight loss solutions for startups.The conversation delves into the evolution of AI technology and its impact on the healthcare sector. RJ emphasizes the shift towards making AI more accessible to non-technical users, enabling them to leverage data analytics and AI tools without deep technical expertise. He discusses the importance of structured data and data strategy in preparing for AI implementation, emphasizing the need for a solid foundation in data management and privacy compliance within the healthcare industry.RJ also shares insights into the practical applications of AI in software development and product development processes. He highlights the efficiency gains and productivity enhancements that AI tools bring to the table, enabling developers to streamline tasks such as data querying, report generation, and user interviews. The conversation underscores the importance of understanding AI frameworks and tools to maximize their benefits in various development workflows.The episode concludes with a focus on the current customer conversations around AI adoption in healthcare. RJ notes that many customers are eager to explore AI solutions but often require guidance on where to start and how to leverage data effectively. The discussion highlights the healthcare industry's gradual embrace of data-driven technologies and the ongoing challenges in integrating AI into existing workflows. Supported by: https://getthread.com/mspradio/ All our Sponsors: https://businessof.tech/sponsors/ Do you want the show on your podcast app or the written versions of the stories? Subscribe to the Business of Tech: https://www.businessof.tech/subscribe/Looking for a link from the stories? The entire script of the show, with links to articles, are posted in each story on https://www.businessof.tech/ Support the show on Patreon: https://patreon.com/mspradio/ Want our stuff? Cool Merch? Wear “Why Do We Care?” - Visit https://mspradio.myspreadshop.com Follow us on:LinkedIn: https://www.linkedin.com/company/28908079/YouTube: https://youtube.com/mspradio/Facebook: https://www.facebook.com/mspradionews/Instagram: https://www.instagram.com/mspradio/TikTok: https://www.tiktok.com/@businessoftechBluesky: https://bsky.app/profile/businessoftech.bsky.social
Syphilis is relatively easy to treat. But that fact hasn't stopped an unremitting increase in the disease that is hitting Native Americans hardest. Public health officials say American Indian and Alaska Native people currently suffer the highest syphilis infection rates of any group in the country – and the highest recorded since the cure was discovered in 1941. The Indian Health Service warns cases of congenital syphilis have resulted in stillbirths or infant deaths shortly after birth. Medical officials have a series of detection and treatment recommendations. We'll revisit the problem of syphilis infections and discuss the strategies for solving it. GUESTS Dr. Naomi Young (Navajo), family medicine physician and director of medical services at the Fort Defiance Indian Hospital Dr. Loretta Christensen (Navajo), chief medical officer for the Indian Health Service
Crown Council Mentor of the Month | Helping Dental Teams Build a Culture of Success
Dr. Kemmet grew up on a farm near Tappen, ND where his father farms and runs a water/irrigation well drilling company. His father jokes that he stayed in the family business drilling holes. The rest of Dr. Kemmet's family, his mother and sister, are registered nurses. It is easy to see why dentistry, with its hands-on, practical application to medicine was a draw to him with his solid North Dakota born and bred background! Uniquely, Dr. Kemmet attended a boarding high school in West St. Paul, MN, St. Croix Lutheran High School, then received his degree in Chemistry from NDSU in Fargo. He went on to receive his degree in Dental Surgery from the University of Minnesota in Minneapolis in 2007. Dr. Kemmet initially practiced in South Dakota for nearly 3 years with the Indian Health Service before joining a residency program in Oklahoma for an additional year after that. He then moved back to Minneapolis for 2 years and worked for a large private practice group dental office, as well as for Children's Dental Services, a low-income high-need dental service where he practiced throughout the Minneapolis/St. Paul area in Head Start facilities, grade schools, and middle schools. In 2012, Dr. Kemmet made the decision to move back “home” to North Dakota. To him, Minot was the perfect blend of city and country. He purchased the dental practice of Dr. Curtis Kumpf, and within 18 months had relocated his practice, freshly redesigned by his friend Chris Hawley, to its current location in the heart of the Town & Country Center Mall. Dr. Kemmet loves family time with his wife Grace and their three children, two dogs and cat. They are always finding ways to road trip for a hike in the mountains, fishing with his friends for charity, or finding a concert to attend. His life hobby has been prairie dog “hunting” which really is just long-distance precision shooting. They are currently enjoying gardening, home renovations, and anything else they can do together. Professionally Dr. Kemmet doesn't seem to know the meaning of slowing down. He is always looking to advance not only his own knowledge, but the field of dentistry itself in the rapidly changing field of airway related dentistry and growth and development, where his passion lies. He has mentored classes at Spear Education in Scottsdale Arizona since 2010 in areas from same-day crowns with CEREC technology, to treatment planning, and now focusing on Airway. In addition to running Kemmet Dental Design, Dr. Kemmet is working to change how dentistry is taught in ND. It was Dr Kemmet's vision of helping our community of dentistry in ND through increased access to dental hygiene and assistant training. He believes we have just scratched the surface of where we need to be. He has a goal to double our Nursing classes in Minot as well as triple our Dental Hygiene and assisting classes to help alleviate our national shortage and grow our community. To accomplish this, he envisions a full dental hygiene clinic where extern dentists from regional dental schools can complete their training and current dental assistants and hygienists from other areas in our country can also learn expanded function dentistry. This would help alleviate the demand for dental services in west and northwest ND and help our city and state residents with the best care possible. Fires start with a spark, and he has no shortage of fire in his passion for dentistry. Marvel Comics has pitched a new superhero movie, though Dr Kemmet doesn't want anyone to think that this is fantasy. It's for real life, as Bluey would say.
Send us a Text Message.Today, we have the pleasure of welcoming Dr. Sonny Miles, a specialist in integrative medicine and palliative care, to our podcast. Dr. Miles focuses on a holistic approach to health and comfort care, making her insights particularly valuable for our discussion today. Thank you, Dr. Miles, for joining us and sharing your expertise on lightening the load.Dr. Miles begins by sharing her journey into palliative care, which she discovered during her residency at UCSF. Initially, she didn't see herself in this field, opting instead for hospital medicine at Indian Health Services in Northwest New Mexico. However, she quickly realized the importance of honest and open conversations about patient care. These conversations often revealed a mismatch between medical expectations and patient desires, leading her to pursue further training in palliative care. This field emphasizes early and meaningful conversations that allow patients to make informed decisions about their lives and care, focusing on quality of life and personal choices.Dr. Miles reflects on the profound impact of these conversations, both on her patients and on her own life. Discussing what matters when time is short has made her live more intentionally, choosing what truly matters to her. She notes that while the work is challenging, it is also deeply enriching and meaningful.Dr. Miles offers practical advice for caregivers, including a mantra from her acupuncturist: "I give you back to you, and I give me back to me." This practice helps in separating oneself from the emotional burdens of others. She also highlights the importance of mindfulness and somatic exercises, which help reconnect the physical and emotional bodies. These practices, such as craniosacral therapy, can release stored trauma and emotions, facilitating healing.Thank you, Dr. Miles, for joining us and sharing your wisdom. About Dr. Miles: Dr. Sonny Miles practices integrative medicine and palliative care. Her experience taking care of those with serious illness have fostered a special interest in intentional living and connecting our physical health and our emotional journey.Websites:http://sonnymilesmd.com/https://www.healingwithintentionim.com/Social Media Links:https://www.instagram.com/healingwithintentionim/ https://www.facebook.com/healingwithintentionintegrativemedicine#IntegrativeMedicine #PalliativeCare #HolisticHealth #CaregiverSupport #MindfulLivingThe Power of Peacefulness and Stress Relief Podcast was created by Sharon McLaughlin MD FACS to help normalize mental health. If you need help creating peace in your life be sure to download our peacefulness workbook.https://sharonmclaughlinmd.com/workbookI would love to hear your thoughts.Instagram-https://www.instagram.com/sharonmclaughlinmd/Tik Tok-https://www.tiktok.com/@sharonmclaughlinmdLinkedin -https://www.linkedin.com/in/sharonmclaughlinmd/Facebook-https://www.facebook.com/sharon.t.mclaughlin/Email sharon@sharonmclaughlinmd.com
On Wednesday, July 24, 2024, at 10:15 a.m., in Room 1334 Longworth House Office Building, the Committee on Natural Resources, Subcommittee on Indian and Insular Affairs will hold a legislative hearing on the following bills: H.R.6489, the Alaska Native Village Municipal Lands Restoration Act of 2023 H.R.8942, the Improving Tribal Cultural Training for Providers Act of 2024 H.R.8955, the IHS Provider Integrity Act H.R.8956, the Uniform Credentials for IHS Providers Act of 2024 Witness List Mr. Benjamin Smith [H.R. 8955, H.R. 8942, and H.R. 8956] Deputy Director Indian Health Service U.S. Department of Health and Human Services Rockville, Maryland The Hon. Jarred-Michael Erickson [H.R. 8955, H.R. 8942, and H.R. 8956] Chairman Confederated Tribes of the Colville Reservation Nespelem, Washington Ms. Amber Torres [H.R. 8955, H.R. 8942, and H.R. 8956] Chief Operating Officer National Indian Health Board (NIHB) Washington, D.C. Ms. Jerilyn Church [H.R. 8955, H.R. 8942, and H.R. 8956] Executive Director Great Plains Tribal Leader's Health Board (GPTLHB) Rapid City, South Dakota Mr. Ben Mallott [H.R. 6489] [Minority Witness] Vice President for External Affairs Alaska Federation of Natives (AFN) Anchorage, Alaska More Info: https://indianz.com/News/2024/07/22/legislative-hearing-on-h-r-6489-h-r-8942-h-r-8955-h-r-8956/
Guest Mary Smith is an accomplished attorney and the first Native American woman to become president of the American Bar Association. In addition to a distinguished career in legal leadership for billion-dollar organizations, including CEO of the national organization Indian Health Services, she is also active in many civic organizations, including the Caroline and Ora Smith Foundation, dedicated to helping young Native American women forge careers in STEM fields. Smith's career took a long and winding path, including a stop serving in the White House and the Department of Justice, along with billion-dollar publicly traded companies. Smith said the key has been to remain curious and open to new opportunities throughout her career. Being willing to take risks and face various challenges has driven her career to amazing heights. Smith explains how she never limited herself to any presupposed direction. Sometimes, you think you've selected a singular path, but if you remain open to new opportunities, that path can lead you to places you've never imagined and take you higher than you thought possible. As Smith says in this inspiring episode: “Be true to yourself. Believe in yourself. And seek help, mentors, and others who can help along the way.” Resources: “Asked & Answered: Mary Smith, '91, President, American Bar Association,” University of Chicago School of Law Caroline and Ora Smith Foundation American Bar Association American Bar Association Young Lawyers Division Native Americans: A Crisis in Health Equity ABA President to Students: You Will Change the Practice of Law Working to Ensure an Enduring American Democracy ABA Task Force for American Democracy
Mental health conditions tops the list of causes for pregnancy-related deaths over a three-year period in a recent study by the Centers for Disease Control and Prevention. Calling the problem an “urgent public health crisis”, the Biden Administration is forming a task force to report to Congress about ways to turn the statistics around. We'll get reports from those who know about mental health treatments for pregnant Native Americans. GUESTS Dr. Jennifer Crawford, clinical psychologist and assistant professor in Psychiatry and Behavioral Sciences at the University of New Mexico School of Medicine with a secondary appointment in obstetrics and gynecology Dr. Tina Pattara-Lau, maternal child health consultant at Indian Health Service headquarters Dr. Jennifer Richards (Diné, Oglala Lakota and Taos Pueblo), assistant professor at Johns Hopkins Center of Indigenous Health
David Fidler, senior fellow for global health and cybersecurity at CFR, discusses the factors shaping U.S. health and climate policy included in his Council Special Report, A New U.S. Foreign Policy for Global Health. Penelope Overton, climate reporter at the Portland Press Herald, speaks about her experiences reporting on climate and environment stories in Maine and their intersection with public health outcomes. The host of the webinar is Carla Anne Robbins, senior fellow at CFR and former deputy editorial page editor at the New York Times. TRANSCRIPT FASKIANOS: Thank you. Welcome to the Council on Foreign Relations Local Journalists Webinar. I'm Irina Faskianos, vice president for the National Program and Outreach here at CFR. CFR is an independent and nonpartisan membership organization, think tank, and publisher focused on U.S. foreign policy. CFR is also the publisher of Foreign Affairs magazine. As always, CFR takes no institutional positions on matters of policy. This webinar is part of CFR's Local Journalists Initiative, created to help you draw connections between the local issues you cover and national and international dynamics. Our programming puts you in touch with CFR resources and expertise on international issues and provides a forum for sharing best practices. We're delighted to have over thirty-five participants from twenty-two states and U.S. territories with us today, so thank you for joining this discussion, which is on the record. The video and transcript will be posted on our website after the fact at CFR.org/localjournalists. So we are pleased to have David Fidler, Penelope Overton, and host Carla Anne Robbins to lead today's discussion on “Climate Change and Public Health Policy.” David Fidler is a senior fellow for global health and cybersecurity at CFR. He is the author of the Council special report A New U.S. Foreign Policy for Global Health. Professor Fidler has served as an international legal consultant to the World Bank, the U.S. Department of Defense, the World Health Organization, and the U.S. Centers for Disease Control and Prevention. And his other publications include The Snowden Reader, Responding to National Security Letters: A Practical Guide for Legal Counsel, and Biosecurity in the Global Age: Biological Weapons, Public Health, and the Rule of Law. Penelope Overton is the Portland Press Herald's first climate reporter. She's written extensively on Maine's lobster and cannabis industries. She also covers Maine state politics and other health and environmental topics. In 2021, she spent a year as a spotlight fellow with the Boston Globe exploring the impact of climate change on the U.S. lobster fishery. And before moving to Maine, Ms. Overton covered politics, environment, casino gambling, and tribal issues in Florida, Connecticut, and Arizona. And, finally, Carla Anne Robbins is a senior fellow at CFR and cohost of the CFR podcast The World Next Week. She also serves as the faculty director of the Master of International Affairs Program and clinical professor of national security studies at Baruch College's Marxe School of Public and International Affairs. And previously, she was deputy editorial page editor at the New York Times and chief diplomatic correspondent at the Wall Street Journal. So thank you all for being with us. I'm going to turn the conversation over to Carla to run it, and then we're going to open up to all of you for your questions, which you can either write in the Q&A box but we would actually prefer you to raise your hand so we can hear your voice, and really open up this forum to share best practices and hear what you're doing in your communities. So with that, Carla, over to you. ROBBINS: Thank you, Irina. And I'm glad you're feeling better, although your voice still sounds scratchy. (Laughs.) Welcome back. So, David and Penny, thank you for doing this. And thank you, everybody, for joining us here today. This is—Penny, at some point I want to get into the notion of covering cannabis and lobsters because they seem to go very well together, but—(laughs)—and how you got that beat. But, David, if we can start with you, can you talk about the relationship between the climate and public health threats like the COVID pandemic? I think people would tend to see these as somewhat separate. They're both global threats. But you know, why would rising temperatures increase, you know, the emergence or spread of pathogens? I mean, are they directly driving—one driving the other? FIDLER: Yes. I'll just give a quick public health snapshot of climate change as an issue. In public health, the most important thing you can do is to prevent disease threats or other types of threats to human health. In the climate world, that's mitigation of greenhouse gas emissions. That hasn't gone so well. That creates, then, the second problem: If you have—if you're not preventing problems from emerging, threatening human health and the infrastructure that supports human health, then you have to respond. And that's climate adaptation. And in climate adaptation, we deal—public health officials and experts are going to have to deal with a range of issues. Close to if not at the top of the list is the way in which the changing nature of the global climate through global warming could increase—and some experts would argue is increasing—the threat of pathogenic infections and diseases within countries and then being transmitted internationally. And this leads to a concern about what's called a one health approach because you have to combine environmental health, animal health, and human health to be able to understand what threats are coming. And climate change plays—is playing a role in that, and the fear is that it will play an even bigger role. Coming out of the problems that we had with dealing with the COVID-19 pandemic, this also fills public health officials with alarm because we didn't do so well on that pathogenic threat. Are we ready to deal with potential pathogenic threats that global warming exacerbates in addition to all the other health threats that are going to come with climate change? ROBBINS: So can we just drill down a little bit more on that, as well as a variety of other health threats from climate change? So, like, with malaria, like, more water; water, you know, pools; mosquitoes; malaria spreads itself. With COVID, there was this whole question about, you know, loss of jungles, and maybe animals come in closer to humans, and things spread that way. Can you talk some more about what changes happen to the world around us that—with climate change that could increase the possibility of people getting sick, as well as other stresses on our bodies? FIDLER: Yes. In terms of vector-borne diseases such as malaria or dengue fever, the concern is that as global warming happens the area in which the vectors that carry these diseases will expand. So if you have malaria-carrying mosquitoes, if global warming is expanding the range of possibilities for those mosquitoes to inhabit, then there's a(n) increased public health threat from those vector-borne diseases. If you have a situation in which that global warming is also happening in connection with waterborne diseases, it's both the excess amount of water that you might have with flooding as well as potential shortages of water that you have could also increase the threat of waterborne diseases. So global warming has these effects on potential pathogenic threats. Deforestation is a concern in connection also with humans coming more into contact with pathogens that we haven't experienced before. Unfortunately, we still don't really know what the origin of the COVID-19 virus was, largely because of geopolitical problems. But also, as global warming affects forested areas or other types of ecosystems, the possibility for pathogens to emerge and effect public health increases. ROBBINS: And then there are other effects, like loss of access to water, and rising heat, and all these other things which are part of—because I would suppose that in a lot of places, you know, people would think, well, you know, I live in Kansas; I'm not going to be really worried about loss of a jungle or something of that sort. So in the United States, if you're a public health official, and you haven't thought about climate change as a—as a public health issue, and you want to go make the pitch, what would you say that—how climate is already potentially affecting people's health? FIDLER: Yes, and this is one of the most interesting policy challenges about climate adaptation. Different areas of every country are going to experience climate change differently. So in some parts it might be wildfires. In another part it might be extreme heat. In another part it might be the spread of vector-borne diseases. And in other—in coastal areas, you know, sea level rise. In other areas, shortage of water because of drought. And so for any given locality, right, there could be diverse and different effects of climate change on public health from even a neighboring state or certainly a state, you know, across the country. City and county public health officials and state public health officials are already trying to start to get their head around the types of threats that their communities are going to face. And that's what's going to be interesting to me about today's conversation, is how those types of effects are being discussed at the local level. A critical principle that's usually put in—on the table for any policy discussion, whether it's foreign policy or local policy, is that if you don't have community buy-in, you don't have community commitment to dealing with some of these problems, the policy solutions are going to be far more difficult. ROBBINS: So, Penny, you are new—reasonably new to this beat, and your newspaper created this beat, which is—you know, which is a sort of extraordinary thing. I mean, how big is your newsroom? OVERTON: I think it's about fifty people— ROBBINS: And the notion— OVERTON: —if you include, you know, sports reporters and everybody. ROBBINS: So the notion that they would—maybe your newspaper's the rare local newspaper that's doing really well, but most local newspapers are, you know—(laughs)—are battling these days. Why did they decide that they wanted to create a climate beat? OVERTON: I think that our readers were asking for it. I mean, everybody—I think you find that every newspaper is writing climate stories, you know, in some way, even if it's just running wire—like, national wire stories. And of course, papers are and every news outlet is obsessed with metrics, and we know what readers are looking for. Sometimes the stories aren't necessarily labeled climate, but they are, you know, climate-related. And so in trying to sort out during a general newsroom kind of reshuffle about what readers, especially what our online readers—since that's where everything is kind of moving towards—what they were really looking for, climate was one of the topics that kind of rose to the top. And then also we're part of a newspaper family in Maine where there's a—you know, every—a lot of weeklies, several dailies that all belong under one ownership. It's actually a nonprofit ownership now, as of about a year ago. So I don't think it's a coincidence that it went nonprofit at the same time that they decided to do a climate beat. But one of the topics that unite all of the papers across a really, you know, far-flung state with the areas where you have really well-off people that live along the shore, people who aren't so well-off in the interior, there's not a lot that sometimes unites our state, but everybody was interested in this from the fishermen—who may not want to call it climate change, but they know that things are changing and it's impacting their bottom line; to the loggers up north who can't get into their—you know, their forest roads are now basically mud season for much longer than they used to be, they're not frozen anymore for as long as they were so they can't get in and harvest the way that they were; farmers. I mean, the three Fs in Maine—forestry, farming, and fishing—are, you know, pretty big, and they all care immensely about climate because they know it's affecting their bottom line. So I think that that really united all of our newsrooms. ROBBINS: So can you talk a little bit more about that? Because I—you know, you've lived in places other than Maine, right? I mean, I used to live in Miami, and it's really hot in Miami these days. And the New York Times had this really interesting interactive a couple of years ago in which you could put in the year you were born and your hometown, and it would tell you how many more days of the year would be over 90 degrees. And it was just wild how many more days in Miami it would be. I mean, it's pretty hot in Miami, but many more days now than it was. And you've seen already this spring how bad it is in Miami. So I think to myself, Maine. I mean, Maine—I went to school in Massachusetts; I know what Maine is like. So I would think that Maine would be—it's going to take a while for—you know, for it to come to Maine, but what you're saying is it's already in Maine. So can you talk about how—you know, how it is? And, obviously, it's affecting Maine for them to create a beat like that. So what sort of stories are you writing? OVERTON: Well, I mean, Maine is definitely—you know, its impacts are going to be different. The actual climate threats are different in Maine than they are, say, like in Arizona where I used to live and report. You know, but contrary to what you might think, we actually do have heatwaves—(laughs)—and we have marine heatwaves. The Gulf of Maine is warming faster than 99 percent of the, you know, world's ocean bodies, and so the warming is definitely occurring here. But what we're seeing is that just because it's not—the summer highs are not as high as, like, you know, Nevada, Arizona, Southern California, the Midwest, we also are completely unprepared for what's actually happening because nobody here has ever really had to worry about it. Our temperate climate just didn't make air conditioning a big, you know, high-level priority. So the increasing temperatures that are occurring even now are—we don't have the same ability to roll with it. Warming stations in the winter? Yes, we have those. Cooling stations in the summer? No, we don't have those. And I mean, there are a few cities that are now developing that, but if you don't have a large homeless population in your city in Maine you probably don't have a public cooling station. It's really just the public library is your cooling station. So some of those—that kind of illustrates how sometimes it's not the public health threat; it's actually the public health vulnerability that a local reporter might want to be focusing in on. So you can go to the National Climate Assessment and you can pull up, like, exactly what, you know—even if you don't have a state climate office or a climate action plan, you can go to one of those National Climate Assessments, drill down, and you can get the data on how, you know, the projected temperature increases, and precipitation increases, and the extreme weather that's projected for 2050 and 2100 in your area. And those might not be, you know, nightmare stuff the way that it would be for other parts of the country, but then you'd want to be focusing in on how—what the infrastructure in your state is like. Are you prepared for what will be happening? And I think the air conditioning thing is a really good example. Maine also happens to be, you know—Florida will love this, but Maine's actually the oldest state as far as demographics go. And so you have a lot of seniors here that have been identified as a vulnerable population, and so with the combination of a lot of seniors, with housing stock that's old and doesn't have air conditioning, and that they're a long distance from hospitals, you know, don't always—they don't have a lot of emergency responder capability, that's kind of a recipe for disaster when you start talking to your local public health officers who are going to start focusing in on what happens when we have extreme weather, and the power goes out, and these people who need—are reliant on electricity-fed medical devices, they don't have access, they can't get into the hospital. You can see kind of where I'm going with the vulnerability issue. ROBBINS: David, Penny has just identified the sort of things that one hopes a public health official on a state, or county, or local town or city level is thinking about. But in your report, it says the United States faces a domestic climate adaptation crisis. And when we think about climate and adaptation, and when we look at the COP meetings, the international climate change meetings, the Paris meetings, we usually think about adaptation as something that we're going to pay for for other countries to deal with, or something of the sort. But can you talk about the concerns of our, you know, adaptation policies, and particularly state-level weaknesses? FIDLER: Yes, and I think Penny gave a nice overview of what, you know, the jurisdiction in Maine, you know, faces, and public health officials and experts are beginning to think about how do we respond to these new types of threats, which for most public health agencies and authorities across the United States is a new issue. The data is getting better, the research is getting better. The problems that public health agencies face sort of a across the United States are, one, they were never really built to deal with this problem. Some of it overlaps, so for example, if you have increased ferocity of, you know, extreme weather events—tornados, hurricanes—public health officials in those jurisdictions that are vulnerable know how to respond to those. They work with emergency management. As the scale of those types of events increases, however, there is a stress on their capabilities and their resources. Other things are new—air pollution from wildfire, the extreme heat of that; sea level rise, salination of drinking water from that; or even sinking in places where groundwater is being drawn out because of a lack of rainfall. Part of the problem that we have, that I talk about in my report coming out of COVID, is that among many issues today, the authority that public health agencies have at the federal and state level is polarized. We don't have national consensus about public health as an issue. So unfortunately, coming out of COVID, we're even less prepared for a pandemic as well as climate change adaptation. And that's something that we need to have better federal, state, local cooperation and coordination on going forward. Again, it's going to be very different from dealing with a pandemic, or even dealing with a non-communicable disease like tobacco consumption or, you know, hypertension because of the diversity—geographic—as well as the particular problem itself. So this is going to be a real challenge for federal and public health agencies, which at the moment are in some of the weakest conditions that I've seen in decades. ROBBINS: Penny, how much do you have to deal with your local public health, state public health agencies? And do they have a climate action plan? How developed are they on this? You talked about going to a particular website. Do you want to talk a little bit about that, as well? The assessments that you are making, is that information that you've gotten from your local public health agencies or from your state, or is this something that you yourself have come up with? OVERTON: Well, the state is—I think that the state of Maine is actually pretty far down the road for its size. It's like punching above its weight, I guess, when it comes to climate. They have—they published their first climate action plan in 2020, and they updated it with a—kind of like how close are we coming to our goals in 2022, and then they're in the process of developing the next four-year kind of installment, which will be due out in December. So the first one was kind of like—to me as an outsider, it felt like a “climate change is happening, folks” kind of report. In Maine we definitely—we have a split. We have an urban, you know, core that's kind of—it's liberal, and you don't have to convince those people. We have a lot of rural parts of the state where, if you ask, you know, is climate change real, you're still going to get a pretty good discussion, if not an outright fight. (Laughs.) But one of the things that I've found in this latest update is that, as they are focusing in on impacts, you get a different discussion. You don't have to discuss with people about why the change is happening; you can just agree to discuss the changes, and that pulls in more communities that might have not applied for any type of, you know, federal ARPA funds or even—Maine makes a lot of state grants available for communities that want to do adaptation. So if you can get away from talking about, you know, the man-made contributions, which, I mean, I still include in every one of my stories because it's just—you know, that's actually not really debatable, but as far as the policy viewpoint goes, if you can just focus in on the impact that's already occurring in Maine, you get a lot of people pulled into the process, and they actually want to participate. And I also have found that the two—the two impacts in Maine of climate change that are most successful at pulling in readers—(laughs)—as well as communities into planning processes are public health and extreme weather. I don't know if it's, you know, all the Mainers love their Farmers' Almanacs—I'm not sure. I mean, I'm originally from West Virginia. I still have a Farmers' Almanac every year, but I just kind of feel like extreme weather has been a wakeup call in Maine. We got hammered with three bad storms in December and January that washed a lot of our coastal infrastructure away. And, I mean, privately owned docks that fishermen rely on in order to bring in the lobster catch every year, and that's a $1.5 billion industry in Maine. Maine is small—1.5 billion (dollars), that dwarves everything, so anything the messes with the lobster industry is going to have people—even in interior Maine—very concerned. And everybody could agree that the extreme storms, the not just sea level rise, but sea level rise and storm surge, nobody was prepared for that, even in places like Maine, where I think that they are ahead of a lot of other states. So you start pulling people in around the resiliency discussion. I think you kind of have them at that point. You've got their attention and they are willing to talk, and they're willing to accept adaptations that they might not be if you were sitting there still debating whether or not climate change is real. The public health has been something that has really helped bring interior Maine into the discussion. Everybody does care. Nobody wants to lose the lobster industry because that's an income, like a tax revenue that you just wouldn't be able to make up any other way, even if you are in a Rumford or a Lewiston that have nothing to do with the shoreline. But public health, that unites—that's everybody's problem, and asthma, and, you know, all of our natural resource employees who are out working in the forests, and the blueberry fields, and whatnot, extreme heat and heat stroke—those things really do matter to them. They may disagree with you about what's causing them, but they want to make sure that they are taking steps to adapt and prepare for them. So I just have found public health to be a real rallying point. And I also think that, for local reporters, if you don't have a state action plan—because even though Maine has one—we're a lean government state—they don't—you know, they're still gathering data, and it can be pretty slim pickings. But you can go to certain things like the U.S. Climate Vulnerability Index, and you can start looking for—drilling down into your local Census tract even. So you don't need something at your state. Even if you're in a state that, say, politically doesn't want to touch climate change with a ten-foot pole, you can still use those national tools to drill down and find out where your community is both vulnerable to climate threats, but then also the areas that are least prepared to deal with it. And then you can start reporting on what nobody else wants to write about or talk about even. And isn't that the best kind of reporting—is you kind of get the discussion going? So I think public health is a real opportunity for reporters to do that, and also your medical—the medical associations. If you talk to doctors here at the Maine Medical Association, they may not want to talk about humanity's contribution to climate change, but they already know that climate change is posing an existing health risks to their patients, whether that be, you know, asthma, allergies, heat stroke, Lyme disease, or just mental health issues; whether you're a lobsterman worried that you're not going to be able to pay off that million-dollar boat because the lobsters are moving north, or if you are a young person who has climate fatigue. We don't have enough mental health providers as it is. Anything that's going to exacerbate a mental health issue in Maine, I mean, we don't have the tools to deal with what's already here. That's a gap that reporters feast on, right? We write about those gaps to try and point them out, and hopefully somebody steps in to resolve them. So I rambled a bit, but there's—I feel like this bee— ROBBINS: No, no, no, you— OVERTON: —it's like never like what stories—boy, what stories can I write; it's more like how am I going to get to them all, you know, because I feel like everybody out there, even if you are not a climate reporter, I guarantee you there is a climate aspect to your beat, and there is probably a public health climate aspect to your beat. I mean, if you are a crime reporter, are your prisons—(laughs)—I mean, most prisons aren't air conditioned. Just think about the amount of money that's being spent to deal with heat stroke, and think about the amount of—I mean, I'm making this up as you go, but I guarantee you if you are a prison reporter, that you're going to find, if you drill down, you're going to see disciplinary issues go through the roof when you have a heat wave. That's what I mean by, like, you can find a climate story in any beat at a newsroom. ROBBINS: That's great. I always loved the editors who had story ideas if they gave me the time to do them. David, can we go back to this—the United States faces a domestic climate adaptation crisis? If I wanted to assess the level of preparation in my state to deal with some of the problems that Penny is doing, how do I do that? What do I look for—climate action plans? Where do I start? FIDLER: Well, I think you would start at the—you've got to start both at the federal level, so what is the federal government willing to do to help jurisdictions—local, county, state—deal with the different kinds of climate adaptation problems that they're facing. And even as a domestic policy issue, this is relatively new. I think Penny gave a great description of how that has unfolded in one state. This is happening also in other jurisdictions. But again, because of the polarization about climate change, as well as fiscal constraints on any federal spending, how the federal government is going to interface with the jurisdictions that are going to handle adaptation on the ground is important—state government planning, thinking, how they talk about it, how they frame the issue, do they have a plan, is it integrated with emergency management, is it part of the authority that public health officials are supposed to have, how is that drilling down to the county, municipal, and local level. Again, it's going to be different if it's a big urban area or if it's a rural community, and so, as the impacts—and Penny is right about it—it's the impacts on human lives, direct and indirect, including damage to economic infrastructure, which supports jobs, supports economic well-being. That's a social determinant of health. And as I indicated, there are efforts underway, not only in individual states, but also in terms of networks of county and city health officials, tribal health officials, as well, for Native American areas—that they're beginning to pool best practices. They're beginning to share information. So I would look not only at those governmental levels, but I would look at the networks that are developing to try to create coordination, cooperation and sharing of best practices for how to deal with different issues. So if you have a situation where you are like Penny described in Maine, you know, you really haven't had to have air conditioning before; now you've got a problem. What are the most efficient and effective ways of dealing with that problem? Share information. Research, I think, is also ongoing in that context. And so there is a level of activism and excitement about this as a new, emerging area in public health. Again, there are lots of constraints on that that have to be taken seriously. At some point, it's just also a core principle of public health and epidemiology that you need to address the cause of these problems. And if we still can't talk about climate change and causes for that, this problem is only going to metastasize in our country as well as the rest of the world. And there are not enough public health officials at the state, county, local level, and there's not enough money if we don't try to bring this more under control. That's mitigation. We've squandered four decades on this issue. We have no consensus nationally about that question, and so that just darkens the shadow in, you know, looking forward in terms of what public health officials are going to have to handle. ROBBINS: So I want to throw it open to our group, and if you could raise your hand. We do have a question already from Aparna Zalani. Do you want to ask your question yourself, or shall I read it? Q: Can you guys hear? ROBBINS: I will—I'm sorry. Yes, please. Q: OK, yeah, basically I just wanted to know if you guys know if anybody is collecting good heat-related death data—data on heat-related deaths. ROBBINS: And Aparna, where do you work? Q: I work for CBS News. ROBBINS: Thank you. OVERTON: I'm just looking through my bookmarks because, yes—(laughs)—there are. I know that those are factored into Maine's climate action plan, and I can guarantee you that is not a Maine-only stat. That would be coming from a federal—there's just not enough—the government here is not big enough to be tracking that on its own. It is definitely pulling that down from a federal database. And I'm just trying to see if I can find the right bookmark for you. If you—and I'm not going to because, of course, I'm on the spot—but if you add your contact information to the chat, or you can send it, you know, to me somehow, I will—I'll send that to you because there is, and it's a great—there's emergency room visits, and there are other ways. They actually break it down to heatstroke versus exacerbating other existing problems. It's not necessarily just—you don't have to have heatstroke to have, like, say, a pregnancy complication related to heat illness, or an asthma situation that's made far worse. So they do have, even broken down to that level. FIDLER: And when I'm often looking for aggregate data that gives me a picture of what's happening in the United States, I often turn to the U.S. Centers for Disease Control and Prevention, CDC. And so they're often collecting that kind of data to build into their own models and their research, also in terms of the assistance that provide state and local governments on all sorts of issues. And because adaptation is now on the radar screen of the federal public health enterprise, there might be data on the CDC website. And then you can identify where they are getting their sources of information, and then build out a constellation of possible sources. Again, it's something—there's the National Association of City and County Health Officers—NACCHO is the acronym—that, again, it's one of those networks where you could probably see those health officers that are having to deal with extreme heat and the morbidity and mortality associated with that. There could be data that they are generating and sharing through that sort of network. And on the— OVERTON: And one thing I would add— FIDLER: Sorry. Drilling at the global level, WHO would be another place to think about looking if you wanted a global snapshot at data. OVERTON: I was going to add that will probably be underreported, as well, because in talking to, like, say—because, I mean, we're just ultra-local, right—talking to the emergency room directors at our hospitals, there are—the number of cases that might come in and really should be classified as heatstroke, but then end up being listed instead in the data, you know, in the documentation as, like, a cardiac problem. You know, it's—I think you are limited to how quickly someone on the ground might identify what's coming in as actually being heat-related versus like just whatever the underlying problem was. They might list that instead. And the other thing, too, is to make sure that—this is the hardest part about climate reporting is the correlation aspect versus causation. You're going to mostly be finding, look, heat waves are—when we have heat waves, you see this spike. You have to be really careful because it could be that the spike that's coming in emergency rooms is actually because there was also a power outage. Now I would argue extreme weather still adds that—you know, makes that linked, but you have to be careful about making sure you don't jump from correlation to causation. I'm sure you know this, but it's the same thing with every statistic, but sometimes my first draft of a story I'm like, oh, look at that. I just made climate change responsible for everything. (Laughter.) And I have to go back and like, you know, really check myself because the minute you overstep in any way is the minute that you, like, lose all credibility with the people out there who are already skeptical. FIDLER: And this is sort of—it's often where adaptation becomes a much more complicated problem for public health officials because there are underlying health problems that have nothing to do with climate change, that when you meet, you know, warming, extreme temperatures or even, you know, problems with, you know, sanitation, or water, or jobs, it can manifest itself in very dangerous diseases or health conditions that then lead to hospitalization and to biased statistics. So what Penny is saying is absolutely right, and there needs to be care here, but from a public health point of view, this is why this is going to be a monster problem. ROBBINS: Can we just—because we have other questions, but talking about bookmarks, Penny, you had—when you were talking before, you went through some other places that you go to for data and information. Can you just repeat some of those you were talking about? OVERTON: Yeah, the National Climate Assessment, the U.S. Climate Vulnerability Index, good old Census Bureau. (Laughs.) I mean, there are a couple of—the other thing, too, I would say that if you are in a state that doesn't have—say that public health officers are under intense pressure not to talk about climate change, still go to your local university because I guarantee you that there are grad students, you know, coming in from the blue states someplace that might be going to school in a red state, but they're going to be studying those topics, and they are going to be collecting data. I, you know—geez, countless stories based on grad student work. So I would keep those folks in mind, as well. And the other thing is that, if we're talking about public health, I always think of public health and climate in three ways. It's the threat, you know, the actual increase, something like tick-borne illness if you are Mainer because we never had ticks here really before because our winters were so awful, and the ticks couldn't last. Well, now they're here, and Lyme disease has gone through the roof. So I think about it—that's like a threat. And then there's the vulnerability issue that I was mentioning. But there's also the accountability issue—is that you want to make sure as a reporter that you are following the infrastructure money that's coming through, and that they are actually going to the places that need it the most. And public health is something that I think is a good lens to look at that. If all your money is going into the shoreline communities in Maine because they're the ones with grant officers that are writing the grant applications to get the infrastructure money, do they really need it, or is it that town in the middle of the state with no grant officer, and huge public health needs and vulnerabilities that really need it. So I would think about public health as being an important accountability tool, as well, because if you've got public health data, you can easily point out the communities that need that money the most, and then find out who is actually getting the cash. ROBBINS: So Debra Krol from the—environmental reporter from the Arizona Republic, you had your hand up. OVERTON: I love your stories, Deb. Q: Thank you very much. Just a brief aside before I ask the question because I know we're running short on time. We did a story here a few months ago about a nonprofit group that's helping these underserved communities obtain grants and do the grant reporting, and I remembered something that we learned at a local journalist get-together at CFR, so that's what influenced me to do that. So kudos to our friends over there. But my question is, is data sharing between agencies—you know, we're always trying to get statistics out of the Indian Health Service, and every other state that has tribal communities or tribal health has the same problem. So how much of these stats do you think are actually coming from tribal health departments? OVERTON: I know in Maine they are coming. In fact, Maine's five federally recognized tribes are kind of blazing a path as far as looking for grant applications. And of course, once they apply for a grant, you could go through all that data when they're looking to justify the need, right? And that will help you in just getting the, you know, situation on the ground. But I—yes, I mean, I don't know about whether there may be certain parts of the country where that's not leading the way, but also—I would also urge you to look at—go through the Veterans Administration, as well, just because I'm sure that, you know, that there's a large overlap between Indian Health Services, BIA, and the VA. And it's the way the VA provides public health care and the outcomes they get when they are serving indigenous veterans are far different than what Indian Health Services and BIA sometimes get. And they are more forthcoming with their data. FIDLER: I know that one of the issues that's on my list to do some more research for my foreign policy analysis is to look at the way the federal governments, state governments, and tribal authorities interact on climate adaptation. And that comes loaded with lots of complicated problems—just the history of relations between tribes and the federal government, the concerns that the Indian Health Service has about problems that have been around for decades, layering on top of that adaptation. So some of it, I think, gets involved in just political disputes between tribes and the federal government. Some of the data-sharing problems I think relate to a lack of capabilities to assess, process, and share the data. The tribal authorities are on the list, at least, of the federal government's radar screen for improving how they do adaptation. I personally think that how that jurisdictional tension is resolved could be a very valuable model for thinking about U.S. foreign policy and how we help other countries in adaptation. I also think there is variable experiences between tribal authorities and the federal government. A lot of activity is happening in Alaska with adaptation that I think is more advanced than it is with some of the tribal authorities' relations with the federal government in the continental United States. So we just also need to start looking, you know, beyond for best practices, principles, ways of making this work better as adaptation becomes a bigger problem. ROBBINS: Debra is—Debra Krol is offering to speak with you offline. She has some recommendations on research. Debra, thank you for that. Q: You are welcome. ROBBINS: And for the shoutout. Garrick Moritz, an editor of a small town newspaper in South Dakota. Can you tell us the name of your paper and ask your question? Q: Yeah, I am the Garretson Gazette. Hello, if you can hear me. ROBBINS: Absolutely. Q: Oh, yeah, we just get frequent—we get frequent notifications from the state health department about, you know, like West Nile and several other, you know, vector diseases, and it mostly comes from mosquitos, and mosquito populations are a real problem in a lot of places. And it's definitely one here. And so, I guess, in my own reporting and in basically reporting from people across the country, how can—what are practical tips that we can give to people, and things we can recommend to our city, state or county officials? ROBBINS: To protect themselves. OVERTON: You know, I think that if you were to go to the, you know, U.S. CDC, you're going to see that there's a lot of, you know, straight up PSAs about how to handle, you know, even right down to the degree of, like, you know, the kinds of mosquito repellent you can use that doesn't have DEET in it, you know, like it gets pretty specific. I think that that's—you could probably—and in fact I think they even have infographics that, you know, are public domain that you are able to just lift, as long as you credit the U.S. CDC. So it's almost like—and also Climate Central. And there's a couple of—I would say a couple of kind of groups out there that basically serve it up for reporters. I mean, I love Climate Central. I love Inside Climate News. These are some places that specifically work with reporters, and for smaller markets, they even do the graphic work. And it's a great resource. I would urge you to look there, too. ROBBINS: Can we talk a little bit more about other— FIDLER: And I think one of the— ROBBINS: Yeah, David, can you also talk about other resources, as well as answering—whatever answer to your question. What should we be reading and looking to for information? FIDLER: Well, in terms of vector-borne diseases, many states and the federal government has vast experience dealing with these. There's a fundamental problem—is that as the geographic range of vector-borne diseases begins to expand into areas where the history of that type of vector control just really hasn't been, you know, part of what public health officials have had to worry about, so the infrastructure, the capabilities. And then, also importantly, how you communicate with the public about those kinds of threats: what the government is doing, what they can do to protect themselves. We're sort of present at the creation in many ways, and some of these places have a whole new way of doing public health. One of the things that worries people the most in our polarized society is the disinformation and misinformation that gets in the way of accurate public health communication—whether it's COVID-19, or whether it's climate change, or whether it's something else. So that communication piece is going to be vital to making sure that people can take the measures to protect themselves, and they understand what the state governments and the local governments are doing to try to control vectors. ROBBINS: And Inside Climate News—where else do you get your information that you would recommend for our— OVERTON: Well, I just— FIDLER: Sorry, go ahead, Penny. OVERTON: Oh, no. You can go ahead. I'm actually pulling some up right now that I can put in the chat. FIDLER: Again, my go-to source is the CDC, and the CDC then also has its own information sources that you can track in terms of how, you know, public health authorities, public health policies, practices, implementation plans can be put together for all kinds of different public health threats. And the spread of vector-borne diseases has been near the top of the list longer, I think, than some of these other health threats from climate change. So that's a little bit more advanced, I think, based on the history of controlling vectors as well as the identification of that being an ongoing threat. There are synergies with what we've done in the past. With some of these other problems we don't have those synergies. We're having to create it from scratch. ROBBINS: Penny, you were talking about places that actually—smaller, you know, that newspapers can—or other news organizations can get info, can actually, you know, get graphics gratis, or something of the sort. Does Poynter also have help on climate or are there other reporting centers where people are focusing on climate that provide resources for news organizations? OVERTON: Yes, I mean, Climate Central has—I should have just like made them like the co-beat, you know, reporters for me in the first six months when I was starting this because anything that I needed to—you know, every day it was something new. OK, geez, today I've got to know everything there is to know about extreme weather and climate, you know, in such a way that I can bulletproof myself when the troll inevitably calls me and says, you know, this isn't true. And I need to have, you know, a little bit of armor prepared, right down to I need graphics, and I don't have—we don't have a graphics person, but—so Climate Central is a great place for a reporter in a small market to start. They actually, like just this past week, came out with what they call a summer package, and it basically has an overarching umbrella viewpoint of, like, here's like the climate topics that are going to brought up this summer. Inevitably it's going to be heat waves, it's going to be drought, or extreme rainfall. It's going to be, you know, summer nights getting warmer and what that means—the benefits, the longer growing seasons than some areas that, like in Maine, for example, climate change will not be all bad for Maine. It's going to mean that we have longer growing seasons in a place that has been pretty limited by the—you know, the temperature and by the amount of time that we could actually grow a crop. And then, also, I mean, we're going to have—we're going to have migration in because, like I was saying earlier, we are not going to be dealing with the extreme heat of like the Southwest, so people who are escaping like the California wildfires—we're already seeing groups of people moving to Maine because it is more temperate, and you do have a longer horizon line before you—you know, you get miserable here. And I think that if you look at those issues and you figure out how do I even start, going to Climate Central where they can actually—not only do they have the infographics, but you can type in, like, the major city in your state, you know. I can't tell you the number of times I've typed in Portland, Maine, and I get some amazing number, and it's, oh, wait, this is Portland, Oregon. So you could pull, like, your individual state, and even Maine has three states that Climate Central—or excuse me, three cities that Climate Central lists. I guarantee you that your state will probably have many more. So it will be probably a place pretty close to where you are located. And you can have the infographic actually detailed, without doing anything besides entering in the city. It will be information that's detailed to your location. That's an incredible asset for a small market reporter who doesn't have a graphics person or the ability to, like, download data sets and crunch a lot of numbers. Also— ROBBINS: That's great. OVERTON: —I would urge you to look at the National Climate Assessment. There is a data explorer that comes out with those, and that allows you to drill down to the local level. That's the way that I found out that there's a small place in Aroostook County, Maine, which is like potato country, that's going to see the greatest increase in high precipitation days in the next—I think it's in the next 50 years. I can't think of many things that aren't potato related that Aroostook County stands out for, but the fact that you play around with the data enough, and you see, look, there's a small place here in Maine that's going to be the number one greatest increase. That's why I think the climate assessment and the data explorer is so important. ROBBINS: So we're almost done, David. I wanted to throw the last question to you. I'm a real believer in comparison. I always say that to my students: Comparison is your friend. Is there any city or state in the United States, or perhaps someplace overseas that has a really good state plan for dealing with the health impacts of climate change that we could look at and say, this is really what we should be doing here? FIDLER: I mean, given that I'm a foreign policy person, I'm probably not the best person to inquire about that, but as I began to do my research to see how this is happening in the United States, I've been surprised at the number of cities, counties, state governments that have really begun to dig into the data, develop plans, you know, for whatever problem that they're going, you know, to face. I live in the—you know, the Chicagoland area. The city of Chicago has been working on adaptation for a while. The problems that it faces are going to be different than the problems that Miami faces. There's also, again, networks of cities that are starting to talk to each other about what they are doing in regards to these issues. The data is becoming better, more accessible, data visualization tools. Penny just described those sorts of things. My recommendation to those working in local journalism is to begin to probe what your jurisdictions are doing, where they are getting their information. How are they implementing and turning that information into actionable intelligence and actionable programs? And I think that local journalism will help fill out our understanding of who is taking the lead, where should we look, what are the best practices and principles around the country. ROBBINS: Well, I want to thank David Fidler, and I want to thank Penny Overton for this. And I want to turn you back to Irina. This has been a great conversation. FASKIANOS: It really has been a fantastic conversation. Again, we will send out the video, and transcript, and links to resources that were mentioned during this conversation. Thank you for your comments. We will connect people that want to be connected, as well, so thank you very much to David and Penny for sharing your expertise, and to Carla for moderating. You can follow everybody on X at @D_P_fidler, Penny Overton at @plovertonpph, and at @robbinscarla. And as always, we encourage you to go to CFR.org, ForeignAffairs.com, and ThinkGlobalHealth.org for the latest developments and analysis on international trends and how they are affecting the United States. Again, please do share your suggestions for future webinars by emailing us at localjournalists@CFR.org. So again, thank you to you all for today's conversation, and enjoy the rest of the day. ROBBINS: Thanks, everybody. (END)
Welcome to the Season four kick-off! Today, we have our first interview with one of the authors from our anthology on Christianity and American politics, the incredible Dr. Randy Woodley. The episode includes:- How dualism defines White worldviews, and how it negatively affects White Christians- How love and vulnerability are central to a life with Jesus- Why our voting decisions matter to marginalized people- And after the interview in our new segment, hear Jonathan and Sy talk about the attack on teaching Black history in schools, and the greater responsibility White people need to take for their feelings about historical factsResources Mentioned in the Episode- Dr. Woodley's essay in our anthology: “The Fullness Thereof.”- Dr. Woodley's book he wrote with his wife, now available for pre-order: Journey to Eloheh: How Indigenous Values Led Us to Harmony and Well-Being- Dr. Woodley's recent children's books, the Harmony Tree Trilogy- Our highlight from Which Tab Is Still Open?: The podcast conversation with Nikole Hannah-Jones and Jelani Cobb- The book A Race Is a Nice Thing to Have: A Guide to Being a White Person or Understanding the White Persons in Your LifeCredits- Follow KTF Press on Facebook, Instagram, and Threads. Subscribe to get our newsletter and bonus episodes at KTFPress.com.- Follow host Jonathan Walton on Facebook Instagram, and Threads.- Follow host Sy Hoekstra on Mastodon.- Our theme song is “Citizens” by Jon Guerra – listen to the whole song on Spotify.- Our podcast art is by Robyn Burgess – follow her and see her other work on Instagram.- Production by Sy Hoekstra.- Transcript by Joyce Ambale and Sy HoekstraTranscript[An acoustic guitar softly plays six notes, the first three ascending and the last three descending – F#, B#, E, D#, B – with a keyboard pad playing the note B in the background. Both fade out as Jonathan Walton says “This is a KTF Press podcast.”]Randy Woodley: So the Europeans were so set in this dualistic mindset that they began to kill each other over what they consider to be correct doctrine. So we had the religious wars all throughout Europe, and then they brought them to the United States. And here we fought by denomination, so we're just like, “Well I'm going to start another denomination. And I'm going to start another one from that, because I disagree with you about who gets baptized in what ways and at what time,” and all of those kinds of things. So doctrine then, what we think about, and theology, becomes completely disembodied to the point now where the church is just looked at mostly with disdain.[The song “Citizens” by Jon Guerra fades in. Lyrics: “I need to know there is justice/ That it will roll in abundance/ And that you're building a city/ Where we arrive as immigrants/ And you call us citizens/ And you welcome us as children home.” The song fades out.]Jonathan Walton: Welcome to Shake the Dust, seeking Jesus, confronting injustice. My name is Jonathan Walton.Sy Hoekstra: And I am Sy Hoekstra, we are so excited to be starting our interviews with our writers from our Anthology in 2020 that we published when we [resigned voice] had the same election that we're having this year [Jonathan laughs]. So it's still relevant at least, and we're really excited to bring you Dr. Randy Woodley today. Jonathan, why don't you tell everyone a bit about Dr. Woodley?Jonathan Walton: Yeah. So Dr. Woodley is a distinguished professor emeritus of faith and culture at George Fox Seminary in Portland, Oregon. His PhD is in intercultural studies. He's an activist, a farmer, a scholar, and active in ongoing conversations and concerns about racism, diversity, eco-justice, reconciliation ecumen… that's a good word.Sy Hoekstra: Ecumenism [laughter].Jonathan Walton: Ecumenism, interfaith dialogue, mission, social justice and indigenous peoples. He's a Cherokee Indian descendant recognized by the Keetoowah Band. He is also a former pastor and a founding board member of the North American Institute for Indigenous Theological Studies, or NAIITS, as we call it. Dr. Woodley and his wife Edith are co-founders and co-sustainers of Eloheh Indigenous Center for Earth Justice situated on farmland in Oregon. Their Center focuses on developing, implementing and teaching sustainable and regenerative earth practices. Together, they have written a book called Journey to Eloheh: How Indigenous Values Led Us to Harmony and Well-Being, which will come out in October. It's available for preorder now, you should definitely check it out. Dr. Woodley also released children's books called Harmony Tree.In our conversation, we talk about what he thinks is the key reason Western Christians have such a hard time following Jesus well, the centrality of love in everything we do as followers of Jesus, the importance of this year's elections to marginalize people, and Dr. Woodley's new books, and just a lot more.Sy Hoekstra: His essay in our book was originally published in Sojourners. It was one of the very few not original essays we had in the book, but it's called “The Fullness Thereof,” and that will be available in the show notes. I'll link to that along with a link to all the books that Jonathan just said and everything else. We're also going to be doing a new segment that we introduced in our bonus episodes, if you were listening to those, called Which Tab Is Still Open?, where we do a little bit of a deeper dive into one of the recommendations from our newsletter. So this week, it will be on The Attack on Black History in schools, a conversation with Jelani Cobb and Nikole Hannah-Jones. It was a really great thing to listen to. That'll be in the show notes to hear our thoughts on it after the interview.Jonathan Walton: Absolutely. And friends, we need your help. We're going into a new phase of KTF, and as you know, this is a listener supported show. So everything we do at KTF to help people leave the idols of America and seek Jesus and confront injustice is only possible because you are supporting us. And in this next phase, we need a lot more supporters. So we've been doing this show, and all of our work in KTF as kind of a side project for a few years, but we want to make it more sustainable. So if you've ever thought about subscribing and you can afford it, please go to and sign up now. And if you can't afford it, all you got to do is email us and we'll give you a free discounted subscription. No questions asked, because we want everyone to have access to our content, bonus episode, and the subscriber community features.So if you can afford it, please do go to www.ktfpress.com, subscribe and make sure these conversations can continue, and more conversations like it can be multiplied. Thanks in advance. Oh, also, because of your support, our newsletter is free right now. So if you can't be a paid subscriber, go and sign up for the free mailing list at www.ktfpress.com and get our media recommendations every week in your inbox, along with things that are helping us stay grounded and hopeful as we engage with such difficult topics at the intersection of church and politics, plus all the news and everything going on with us at KTF. So, thank you so, so much for the subscribers we already have. Thanks in advance for those five-star reviews, they really do help us out, and we hope to see you on www.ktfpress.com as subscribers. Thanks.Sy Hoekstra: Let's get into the interview, I have to issue an apology. I made a rookie podcasting mistake and my audio sucks. Fortunately, I'm not talking that much in this interview [laughter]. Randy Woodley is talking most of the time, and his recording comes to you from his home recording studio. So that's nice. I'll sound bad, but most of the time he's talking and he sounds great [Jonathan laughs]. So let's get right into it. Here's the interview.[the intro piano music from “Citizens” by Jon Guerra plays briefly and then fades out.]What Dualism Is, and How It's Infected the White ChurchJonathan Walton: So, Dr. Woodley, welcome to Shake The Dust. Thank you so much for being here. Thank you so much for contributing to our Anthology in the way that you contributed [laughs].Randy Woodley: I'm glad to be here. Thank you.Jonathan Walton: Yeah. Your essay, I mean, was really, really great. We're going to dive deep into it. But you wrote in the essay, the primary difference in the lens through which Western and indigenous Christians see the world is dualism. And so if you were able to just define what is dualism, and why is it a crucial thing for Western Christians to understand about our faith, that'd be great to kick us off.Randy Woodley: Yeah, except for I think I want to draw the line differently than the question you just asked.Jonathan Walton: Okay.Randy Woodley: When we say indigenous Christians, by and large, Christians who are Native Americans have been assimilated into a Western worldview. It's a battle, and there's lots of gradient, there's a gradient scale, so there's lots of degrees of that. But by and large, because of the assimilation efforts of missionaries and churches and Christianity in general, our Native American Christians would probably veer more towards a Western worldview. But so I want to draw that line at traditional indigenous understandings as opposed to indigenous Christian understandings. Okay. So, yeah, Platonic Dualism is just a sort of… I guess to make it more personal, I started asking the question a long time ago, like what's wrong with White people [Sy laughs]? So that's a really valid question, a lot of people ask it, right? But then I kind of got a little more sophisticated, and I started saying, well, then what is whiteness? What does that mean? And then tracing down whiteness, and a number of deep studies and research, and trying to understand where does whiteness really come from, I really ended up about 3000 years ago with the Platonic Dualism, and Western civilization and the Western worldview. And so Plato of course was the great dualist, and he privileged the ethereal over the material world, and then he taught his student, Aristotle. So just to be clear for anybody who, I don't want to throw people off with language. So the thing itself is not the thing, is what Plato said, it's the idea of what the thing is. And so what he's doing is splitting reality. So we've got a holistic reality of everything physical, everything ethereal, et cetera. So Plato basically split that and said, we privilege and we are mostly about what we think about things, not what actually exists an our physical eyes see, or any senses understand. So that split reality… and then he taught Aristotle, and I'm going to make this the five-minute crash course, or two minutes maybe would be better for this [laughs]. Aristotle actually, once you create hierarchies in reality, then everything becomes hierarchical. So men become over women, White people become over Black people. Humans become over the rest of creation. So now we live in this hierarchical world that continues to be added to by these philosophers.Aristotle is the instructor, the tutor to a young man named Alexander, whose last name was The Great. And Alexander basically spreads this Platonic Dualism, this Greek thinking around the whole world, at that time that he could figure out was the world. It goes as far as North Africa and just all over the known world at that time. Eventually, Rome becomes the inheritor of this, and then we get the Greco-Roman worldview. The Romans try to improve upon it, but basically, they continue to be dualist. It gets passed on, the next great kingdom is Britain, Great Britain. And then of course America is the inheritor of that. So Great Britain produces these movements.In fact, between the 14th and 17th century, they have the Renaissance, which is a revival of all this Greek thinking, Roman, Greco-Roman worldview, architecture, art, poetry, et cetera. And so these become what we call now the classics, classic civilization. When we look at what's the highest form of civilization, we look back to, the Western worldview looks back to Greek and Greece and Rome and all of these, and still that's what's taught today to all the scholars. So, during this 14th to 17th century, there's a couple pretty big movements that happen in terms of the West. One, you have the enlightenment. The enlightenment doubles down on this dualism. You get people like René Descartes, who says, “I am a mind, but I just have a body.” You get Francis Bacon, who basically put human beings over nature. You get all of this sort of doubling down, and then you also have the birth of another, what I would call the second of the evil twins, and that is the Reformation. [exaggerated sarcastic gasp] I'll give the audience time to respond [laughter]. The Reformation also doubles down on this dualism, and it becomes a thing of what we think about theology, instead of what we do about theology. So I think I've said before, Jesus didn't give a damn about doctrine. So it became not what we actually do, but what we think. And so the Europeans were so set in this dualistic mindset that they began to kill each other over what they consider to be correct doctrine. So we had the religious wars all throughout Europe, and then they brought them to the United States. And here we fought by denomination, so just like, “Well, I'm going to start another denomination. And I'm going to start another one from that, because I disagree with you about who gets baptized in what ways, and at what time,” and all of those kinds of things.So doctrine then, what we think about, and theology becomes what we're thinking about. And it becomes completely disembodied, to the point now where the church is just looked at mostly with disdain, because it doesn't backup the premises that it projects. So it talks about Jesus and love and all of these things. And yet it's not a reflection of that, it's all about having the correct beliefs, and we think that's what following Jesus is. So when I'm talking about Platonic Dualism, I'm talking about something deeply embedded in our worldview. Not just a thought, not just a philosophy, but a whole worldview. It's what we see as reality. And so my goal is to convert everyone from a Western worldview, which is not sustainable, and it will not project us into the future in a good way, to a more indigenous worldview.Dr. Woodley's Influences, and How He's Influenced OthersSy Hoekstra: So let's talk about that effort then, because you have spent effectively decades trying to do just that.Randy Woodley: Exactly.Sy Hoekstra: Working with both indigenous and non-indigenous people. So tell us what some of the good fruit that you see as you disciple people out of this dualistic thinking?Randy Woodley: I feel like that question is supposed to be answered by the people I effected at my memorial service, but…Sy Hoekstra: [laughter] Well, you can answer for yourself.Jonathan Walton: Yeah, I mean…Randy Woodley: Yeah, I mean, it's a bit braggadocious if I start naming names and all those kinds of things [Sy laughs]. I would just say that I've had influence in people's lives along with other influences. And now, I mean, first of all when I look back, I look and the most important thing to me is my children know I love them with all my heart and I did the best I could with them. And then secondly, the people who I taught became my friends. And the people I've mentored became my friends and I'm still in relationship with so many of them. That's extremely important to me. That's as important as anything else. And then now I look and I see there's people and they've got podcasts and they've got organizations and they've got denominations and they're... I guess overall, the best thing that I have done to help other people over the years is to help them to ask good questions in this decolonization effort and this indigenous effort. So yeah, I've done a little bit over the years.Sy Hoekstra: [laughs] How about for yourself? Because I don't think, I think one of the reasons you started asking these questions was to figure things out for yourself. What fruit have you seen in your own “walk,” as evangelicals might put it?Randy Woodley: Well, I think as you get older, you get clarity. And you also realize that people who have influenced you, and I think about a lot of people in my life. Some I've met, some I've never met. Some you've probably never heard of. People like Winkie Pratney, and John Mohawk and John Trudell, and public intellectuals like that. And then there's the sort of my some of my professors that helped me along the way like Ron Sider and Tony Campolo, and Samuel Escobar and Manfred Brauch. And just a whole lot of people I can look back, Jean [inaudible], who took the time to build a relationship and helped me sort of even in my ignorance, get out of that. And I think one of the first times this happened was when I was doing my MDiv, and someone said to me, one of my professors said to me, “You need to see this through your indigenous eyes.” And I was challenged. It was like, “Oh! Well then, what eyes am I seeing this through?” And then I began to think about that. The thing about decolonizing, is that once you start pulling on that thread the whole thing comes unraveled. So yeah.Jonathan Walton: Yeah, I think like, just to speak a little bit to your impact, I think something you said to someone that was said to me, was like we're all indigenous to somewhere. And the importance of looking upstream to see how we're influenced to be able to walk into the identity that God has called us to. Including the people who led me to faith being like Ashley Byrd, Native Hawaiian, being able to call me out of a dualist way of thinking and into something more holistic, and now having multi-ethnic children myself being able to speak to them in an indigenous way that connects them to a land and a people has been really transformative for me.Randy Woodley: Yeah, that's what I'm talking about. See? Right there.Love and Vulnerability are Central to Christian LifeJonathan Walton: [laughs] Yeah. And with that, you make a point of saying that you're somebody who works hard to speak difficult truths in a way that is loving and acceptable to everybody. I would say that's like Jesus, right? To be able to speak hard truths and yet people are curious and want to know more even though they're challenged. And so why, I could guess, and I'm sure people would fill in the blanks. But like if you had to say why that's important to you, what would you say?Randy Woodley: Well, I mean, love's the bottom line of everything. If I'm not loving the people I'm with, then I'm a hypocrite. I'm not living up to what I'm speaking about. So the bottom line to all of this shalom, understanding dualism, changing worldviews, is love. And so love means relationship. It means being vulnerable. I always say God is the most vulnerable being who exists. And if I'm going to be the human that the creator made me to be, then I have to be vulnerable. I have to risk and I have to trust and I have to have courage and love, and part of that is building relationships with people. So I think, yeah, if… in the old days, we sort of had a group of Native guys that hung around together, me and Richard Twiss, Terry LeBlanc, Ray Aldred, Adrian Jacobs. We all sort of had a role. Like, we called Richard our talking head. So he was the best communicator and funniest and he was out there doing speaking for all of us. And my role that was put on me was the angry Indian. So I was the one out there shouting it down and speaking truth to power and all that. And over the years, I realized that that's okay. I still do that. And I don't know that I made a conscious decision or if I just got older, but then people start coming up to me and saying things like, “Oh, you say some really hard things, but you say it with love.” And I'm like, “Oh, okay. Well, I'll take that.” So I just became this guy probably because of age, I don't know [laughs] and experience and seeing that people are worth taking the extra time to try and communicate in a way that doesn't necessarily ostracize them and make them feel rejected.Jonathan Walton: Yeah, that definitely makes sense. I think there's all these iterations of the last 50 years of people trying to say, “Hey, love across difference. Hey, love across difference.” And there's these iterations that come up. So I hope a lot of people get older faster to be able, you know [laughter].Randy Woodley: I think we're all getting older faster in this world we're in right now.Jonathan Walton: It's true. Go ahead Sy.The Importance of Voters' Choices to marginalized PeopleSy Hoekstra: Yeah. So we had another interview that we did, kind of about Middle East politics, as we're thinking about the election coming up. And one of the points we hit on that we've talked about before on this show is that to a lot of people in the Middle East or North Africa, whoever gets elected in the US, it doesn't necessarily make the biggest difference in the world. There's going to be drones firing missiles, there's going to be governments being manipulated by the US. America is going to do what America is going to do in the Middle East regardless. And I assume to a certain degree, tell me if I'm wrong, that that might be how a lot of indigenous people think about America. America is going to do what America is going to do regardless of who's in power, broadly speaking at least. What do you think about when you look at the choices in front of us this November? How do you feel about it? Like what is your perspective when you're actually thinking about voting?Randy Woodley: Yeah, that's a really good question. And I understand I think, how people in other countries might feel, because Americans foreign policy is pretty well based on America first and American exceptionalism, and gaining and maintaining power in the world. And I think that makes little difference. But in domestic affairs, I think it makes a whole lot of difference. Native Americans, much like Black Americans are predominantly Democrats and there's a reason for that. And that is because we're much more likely to not have our funding to Indian Health Service cut off in other things that we need, housing grants and those kinds of things. And there's just such a difference right now, especially in the domestic politics. So I mean, the Republicans have basically decided to abandon all morals and follow a narcissistic, masochistic, womanizing… I mean, how many—criminal, et cetera, and they've lost their minds.And not that they have ever had the best interest of the people at the bottom of the social ladder in mind. Because I mean, it was back in the turnaround when things changed a long time ago that there was any way of comparing the two. But ever since Reagan, which I watched, big business wins. And so right now, we live in a corporatocracy. And yes, there are Democrats and the Republicans involved in that corporatocracy, but you will find many more Democrats on the national scale who are for the poor and the disenfranchised. And that's exactly what Shalom is about. It's this Shalom-Sabbath-Jubilee construct that I call, that creates the safety nets. How do you know how sick a society is? How poor its safety nets are. So the better the safety nets, the more Shalom-oriented, Sabbath-Jubilee construct what I call it, which is exactly what Jesus came to teach.And look up four, that's his mission. Luke chapter four. And so, when we think about people who want to call themselves Christians, and they aren't concerned about safety nets, they are not following the life and words of Jesus. So you just have to look and say, yes, they'll always, as long as there's a two-party system, it's going to be the lesser of two evils. That's one of the things that's killing us, of course lobbyists are killing us and everything else. But this two-party system is really killing us. And as long as we have that, we're always going to have to choose the lesser of two evils. It's a very cynical view, I think, for people inside the United States to say, well, there's no difference. In fact, it's a ridiculous view. Because all you have to look at is policy and what's actually happened to understand that there's a large difference, especially if you're poor.And it's also a very privileged position of whiteness, of power, of privilege to be able to say, “Oh, it doesn't matter who you vote for.” No, it matters to the most disenfranchised and the most marginalized people in our country. But I don't have a strong opinion about that. [laughter]Jonathan Walton: I think there's going to be a lot of conversation about that very point. And I'm prayerful, I'm hopeful, like we tried to do with our Anthology like other groups are trying to do, is to make that point and make it as hard as possible that when we vote it matters, particularly for the most disenfranchised people. And so thank you for naming the “survival vote,” as black women in this country call it.Dr. Woodley's new books, and Where to Find His Work OnlineJonathan Walton: And so all of that, like we know you're doing work, we know things are still happening, especially with Eloheh and things like that. But I was doing a little Googling and I saw like you have a new book coming out [laughs]. So I would love to hear about the journey that… Oh, am I saying that right, Eloheh?Randy Woodley: It's Eloheh [pronounced like “ay-luh-hay”], yeah.Jonathan Walton: Eloheh. So I would love to hear more about your new book journey to Eloheh, as well as where you want people to just keep up with your stuff, follow you, because I mean, yes, the people downstream of you are pretty amazing, but the spigot is still running [laughter]. So can you point us to where we can find your stuff, be able to hang out and learn? That would be a wonderful thing for me, and for others listening.Randy Woodley: Well, first of all, I have good news for the children. I have three children's books that just today I posted on my Facebook and Insta, that are first time available. So this is The Harmony Tree Trilogy. So in these books are about not only relationships between host people and settler peoples, but each one is about sort of different aspects of dealing with climate change, clear cutting, wildfires, animal preservation, are the three that I deal with in this trilogy. And then each one has other separate things. Like the second one is more about empowering women. The third one is about children who we would call, autistic is a word that's used. But in the native way we look at people who are different differently than the West does: as they're specially gifted. And this is about a young man who pre-contact and his struggle to find his place in native society. And so yeah, there's a lot to learn in these books. But yeah, so my wife and I…Sy Hoekstra: What's the target age range for these books?Randy Woodley: So that'd be five to 11.Jonathan Walton: Okay, I will buy them, thank you [laughter]Sy Hoekstra: Yeah.Randy Woodley: But adults seem to really love them too. So I mean, people have used them in church and sermons and all kinds of things. Then the book that Edith and I wrote is called Journey to Eloheh, how indigenous values bring harmony and well-being. And it's basically our story. The first two chapters really deal, the first chapter deals more in depth of this dualism construct. And the second one really deals with my views on climate change, which are unlike anybody else's I know. And then we get into our stories, but I wanted to set a stage of why it's so important. And then Edith's story, and then my story and then our story together. And then how we have tried to teach these 10 values as we live in the world and teach and mentor and other things and raise our children.So, yeah, the journey to Eloheh, that's all people have to remember. It's going to be out in October, eighth I think.Jonathan Walton: Okay.Randy Woodley: And we're really excited about it. I think it's the best thing I've written up to this date. And I know it's the best thing my wife's written because this is her first book [laughter].Jonathan Walton: Awesome.Sy Hoekstra: That's great.Randy Woodley: Yeah, so we're proud of that. And then yeah, people can go to www.eloheh.org. That's E-L-O-H-E-H.org and sign up for our newsletter. You can follow me on Instagram, both @randywoodley7 and @eloheh/eagleswings. And the same with Facebook. We all have Facebook pages and those kinds of things. So yeah, and then Twitter. I guess I do something on Twitter every now and then [laughter]. And I have some other books, just so you know.Sy Hoekstra: Just a couple.Jonathan Walton: I mean a few. A few pretty great ones. [laughs] Well on behalf of me and Sy, and the folks that we influence. Like I've got students that I've pointed toward you over the years through the different programs that we run,Randy Woodley: Thank you.Jonathan Walton: and one of them is… two of them actually want to start farms and so you'll be hearing from them.Randy Woodley: Oh, wow. That's good.Jonathan Walton: And so I'm just…Randy Woodley: We need more small farms.Jonathan Walton: Yes. Yes, absolutely. Places where stewardship is happening and it is taught. And so, super, super grateful for you. And thanks again for being on Shake the Dust. We are deeply grateful.Sy Hoekstra: Yeah.Randy Woodley: Yeah, thank you guys. Nice to be with you.[the intro piano music from “Citizens” by Jon Guerra plays briefly and then fades out.]Sy's and Jonathan's Thoughts After the InterviewJonathan Walton: So, wow. That was amazing. Coming out of that time, I feel like I'm caring a lot. So Sy, why don't you go first [laughs], what's coming up for you?Sy Hoekstra: We sound a little starstruck when we were talking to him. It's kind of funny actually.Jonathan Walton: Absolutely.Sy Hoekstra: I don't know. Yeah, I don't know if people know, in our world, he's sort of a big deal [laughter]. And we have, neither of us have met him before so that was a lot of fun.Jonathan Walton: No, that's true.Sy Hoekstra: I think it was incredible how much like in the first five minutes, him summing up so much about Western theology and culture that I have taken like, I don't know, 15 years to learn [laughs]. And he just does it so casually and so naturally. There's just like a depth of wisdom and experience and thinking about this stuff there that I really, really appreciate. And it kind of reminded me of this thing that happened when Gabrielle and I were in law school. Gabrielle is my wife, you've heard her speak before if you listen to the show. She was going through law school, as she's talked about on the show from a Haitian-American, or Haitian-Canadian immigrant family, grew up relatively poor, undocumented.And just the reasons that she's gotten into the law are so different. And she comes from such a different background than anybody who's teaching her, or any of the judges whose cases she's reading. And she's finding people from her background just being like, “What are we doing here? Like how is this relevant to us, how does this make a difference?” And we went to this event one time that had Bryan Stevenson, the Capitol defense attorney who we've talked about before, civil rights attorney. And Sherrilyn Ifill, who at the time was the head of the NAACP's Legal Defense Fund. And they were just, it was the complete opposite experience, like they were talking about all of her concerns. They were really like, I don't know, she was just resonating with everything that they were saying, and she came out of it, and she goes, “It's just so good to feel like we have leaders.” Like it's such a relief to feel like you actually have wiser people who have been doing this and thinking about this for a long time and actually have the same concerns that you do. And that is how I feel coming out of our conversation with Randy Woodley. Like in the church landscape that we face with all the crises and the scandals and the lack of faithfulness and the ridiculous politics and everything, it is just so good to sit down and talk to someone like him, where I feel like somebody went ahead of me. And he's talking about the people who went ahead of him, and it just it's relieving. It is relieving to feel like you're almost sort of part of a tradition [laughter], when you have been alienated from the tradition that you grew up in, which is not the same experience that you've had, but that's how I feel.Jonathan Walton: Yeah. I mean, I think for me, coming out of the interview, one of the things I realized is similar. I don't have very many conversations with people who are older than me, that are more knowledgeable than me, and have been doing this work longer than me all at the same time. I know people who are more knowledgeable, but they're not actively involved in the work. I know people that are actively involved in the work, but they've been in the silos for so long, they haven't stepped out of their box in ten years. But so to be at that intersection of somebody who is more knowledgeable about just the knowledge, like the historical aspects, theological aspect, and then that goes along with the practical applications, like how you do it in your life and in the lives of other people. He's like the spiritual grandfather to people that I follow.Sy Hoekstra: Yeah.Jonathan Walton: [laughter] So it's like, so I think you said it, like we were a little starstruck. I do think I was very conscious of being respectful, which I think is not new for me, but it is a space that I don't often inhabit. And I think that's something that has been frustrating for me, just honestly like the last few years, is that the pastoral aspect of the work that we do, is severely lacking.Sy Hoekstra: When you say the pastoral aspect of the work that we do, you mean like, in the kind of activist-y Christian space, there just aren't a ton of pastors [laughs]?Jonathan Walton: Yes. And, so for example, like I was in a cohort, and I was trying to be a participant. And so being a participant in the cohort, I expected a certain level of pastoring to happen for me. And that in hindsight was a disappointment. But I only realized that after sitting down with somebody like Randy, where it's like, I'm not translating anything. He knows all the words. He knows more words than me [Sy laughs]. I'm not contextualizing anything. So I think that was a reassuring conversation. I think I felt the same way similarly with Ron Sider, like when I met him. He's somebody who just knows, you know what and I mean? I feel that way talking with Lisa Sharon Harper. I feel that way talking with Brenda Salter McNeil. I feel that way talking with people who are just a little further down the road.Sy Hoekstra: Yeah. Lisa's not that much older than us [laughter].Jonathan Walton: Well, is she?Sy Hoekstra: You compared her to Ron Sider. I'm like, “That's a different age group, Jonathan” [laughs].Jonathan Walton: Well, I don't mean age. I do mean wisdom and experience.Sy Hoekstra: Right. Yeah, totally.Jonathan Walton: Yes, Ron Sider was very old [laughs]. And actually, Ron Sider is actually much older than Randy Woodley [laughs].Sy Hoekstra: That's also true. That's a good point.Jonathan Walton: Yeah, right. Ron Sider is, when the Anthology came out, he was legit 45 years older than us, I think.Sy Hoekstra: And he very kindly, endorsed, and then passed away not that long afterwards.Jonathan Walton: He did, he did.Sy Hoekstra: He was such an interesting giant in a lot of ways to people all over the political spectrum [laughs]…Jonathan Walton: Yes, right.Sy Hoekstra: …who just saw something really compelling in his work.Which Tab Is Still Open? Legislators Restricting Teaching about Race in SchoolsSy Hoekstra: So Jonathan, all right, from our recent newsletter recommendations. Here's the new segment, guys. Jonathan, which tab is still open?Jonathan Walton: Yes. So the tab that's still open is this article and podcast episode from The New Yorker, featuring a conversation with Columbia School of Journalism Dean, Jelani Cobb, and Nikole Hannah-Jones from Howard University and the 1619 project. They talked about the attack on Black history in schools. And so there's just two thoughts that I want to give. And one of them is that there are very few conversations where you can get a broad overview of what an organized, sustained resistance to accurate historical education looks like, and they do that. Like they go all the way back and they come all the way forward, and you're like “expletive, this is not okay.” [Sy laughs] Right? So, I really appreciated that. Like, yes, you could go and read Angela Crenshaw's like Opus work. Yes, you could go…Sy Hoekstra: You mean, Kimberlé Crenshaw [laughs]?Jonathan: Oh, I mixed, Angela Davis and Kimber… Well, if they were one person, that would be a powerful person [Sy laughs]. But I do mean Kimberlé Crenshaw, no offense to Angela Davis. I do mean Kimberlé Crenshaw. You could go get that book. You could go listen to Ta-Nehisi Coates testimony in front of Congress on reparations. Like these long things, but like this conversation pulls a lot of threads together in a really, really helpful, compelling way. And so that's one thing that stood out to me. The second thing is I think I have to acknowledge how fearful and how grateful it made me. I am afraid of what's going to happen in 20 years, when children do not know their history in these states. And I'm grateful that my daughter will know hers because she goes to my wife's school in New York.And so, I did not know that I would feel that sense of fear and anxiety around like, man, there's going to be generations of people. And this is how it continues. There's going to be another generation of people who are indoctrinated into the erasure of black people. And the erasure of native people in the erasure of just narratives that are contrary to race-based, class-based, gender-based environmental hierarchies. And that is something that I'm sad about. And with KTF and other things, just committed to making sure that doesn't happen as best as we possibly can, while also being exceptionally grateful that my children are not counted in that number of people that won't know. So I hold those two things together as I listened to just the wonderful wisdom and knowledge that they shared from. What about you Sy? What stood out for you?White People Should Take Responsibility for Their Feelings Instead of Banning Uncomfortable TruthsSy Hoekstra: Narrowly, I think one really interesting point that Jelani Cobb made was how some of these book bans and curriculum reshaping and everything that's happening are based on the opposite reasoning of the Supreme Court in Brown versus Board of Education [laughs]. So what he meant by that was, basically, we have to ban these books and we have to change this curriculum, because White kids are going to feel bad about being White kids. And what Brown versus Board of Education did was say we're going to end this idea of separate but equal in the segregated schools because there were they actually, Thurgood Marshall and the people who litigated the case brought in all this science or all the psychological research, about how Black children in segregated schools knew at a very young age that they were of lower status, and had already associated a bunch of negative ideas with the idea of blackness.And so this idea that there can be separate but equal doesn't hold any water, right? So he was just saying we're doing what he called the opposite, like the opposite of the thinking from Brown versus Board of Education at this point. But what I was thinking is like the odd similarity is that both these feelings of inferiority come from whiteness, it's just that like, one was imposed by the dominant group on to the minoritized group. Basically, one was imposed by White people on to Black people, and the other is White people kind of imposing something on themselves [laughs]. Like you are told that your country is good and great and the land of the free and the home of the brave. And so when you learn about history that might present a different narrative to you, then you become extremely uncomfortable.And you start to not just become extremely uncomfortable, but also feel bad about yourself as an individual. And White people, there are so many White people who believe that being told that the race to which you belong has done evil things, that means that you as an individual are a bad person, which is actually just a personal emotional reaction that not all white people are going to have. It's not like, it isn't a sure thing. And I know that because I'm a White person who does not have that reaction [laughter]. I know that with 100 percent certainty. So it's just interesting to me, because it really raised this point that Scott Hall talks about a lot. That people need to be responsible for our own feelings. We don't need to legislate a new reality of history for everybody else in order to keep ourselves comfortable.We need to say, “Why did I had that emotional reaction, and how can I reorient my sense of identity to being white?” And that is what I came out of this conversation with, is just White people need to take responsibility for our identity, our psychological identity with our own race. And it comes, it's sort of ironic, I think, that conservative people who do a lot of complaining about identity politics, or identitarianism, or whatever they call it, that's what's happening here. This is a complete inability to separate yourself psychologically from your White identity. That's what makes you feel so uncomfortable in these conversations. And so take responsibility for who you are White people [laughs].Just who you are as an individual, who you are as your feelings, take responsibility for yourself.There's a great book that my dad introduced me to a while back called A Race Is a Nice Thing to Have: A Guide to Being White or Understanding the White Persons in Your Life [laughter]. And it's written by this black, female psychologist named Janet Helms. It's H-E-L-M-S. But it's pronounced “Helmiss.” And she just has dedicated her career to understanding how White people shape their identities. And she has so, like such a wealth of knowledge about different stages of white identity formation, and has all these honestly kind of funny little quizzes in the book that she updates every few, there's like a bunch of editions of this book, that it's like asking you, “What do you think is best for America?” The campaign and ideas of this politician or this one or this one. And she asks you a bunch of questions and from there tells you where you are in your White identity formation [laughs].Jonathan Walton: Wow. That's amazing.Sy Hoekstra: It's really, “how would you feel if somebody said this about White people?” whatever. Tons of different questions, it's kind of like taking a personality test, but it's about you and your race [laughs]. That's just a resource that I would offer to people as a way to do what this conversation reminded me my people all very much need to do.Jonathan Walton: Amen.Sy Hoekstra: I just talked for a long time, Jonathan, we need to end. But do you have any thoughts [laughs]?Jonathan Walton: No. I was just going to say this podcast is a great 101 and a great 301.Sy Hoekstra: Yeah.Jonathan Walton: Like it spans the spectrum. So please do if you haven't, go listen to the podcast. Yeah, just check it out. It's very, very good.Outro and OuttakeSy Hoekstra: We will have that in the show notes along with all the other links of everything that we had today. Okay, that's our first full episode of season four. We're so glad that you could join us. This was a great one full of a lot of great stuff. Our theme song as always is “Citizens” by Jon Guerra. Our podcast art is by Robyn Burgess. The show is produced by all of you, our lovely subscribers, and our transcripts are by Joyce Ambale. Thank you all so much for listening, we will see you in two weeks with the great Brandi Miller.[The song “Citizens” by Jon Guerra fades in. Lyrics: “I need to know there is justice/ That it will roll in abundance/ And that you're building a city/ Where we arrive as immigrants/ and you call us citizens/ and you welcome us as children home.” The song fades out.]Randy Woodley: You know, I think I've said before Jesus didn't give a damn about doctrine. Excuse me. Jesus didn't give a darn about doctrine. I don't know if that'll go through or not.[laughter]. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.ktfpress.com/subscribe
House Committee on Natural Resources Subcommittee on Indian and Insular Affairs Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs Wednesday, May 8, 2024 | 2:15 PM On Wednesday, May 8, 2024, at 2:15 p.m., in room 1324 Longworth House Office Building, the Subcommittee on Indian and Insular Affairs will hold an oversight hearing titled “Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs.” Witnesses and Testimony The Hon. Bryan Newland Assistant Secretary—Indian Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-NewlandB-20240508.pdf The Hon. Carmen Cantor Assistant Secretary for Insular and International Affairs Office of Insular Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-CantorC-20240508.pdf The Hon. Roselyn Tso Director Indian Health Service U.S. Department of Health and Human Services Rockville, MD https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-TsoR-20240508.pdf Committee Notice: https://naturalresources.house.gov/calendar/eventsingle.aspx?EventID=415966
House Committee on Natural Resources Subcommittee on Indian and Insular Affairs Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs Wednesday, May 8, 2024 | 2:15 PM On Wednesday, May 8, 2024, at 2:15 p.m., in room 1324 Longworth House Office Building, the Subcommittee on Indian and Insular Affairs will hold an oversight hearing titled “Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs.” Witnesses and Testimony The Hon. Bryan Newland Assistant Secretary—Indian Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-NewlandB-20240508.pdf The Hon. Carmen Cantor Assistant Secretary for Insular and International Affairs Office of Insular Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-CantorC-20240508.pdf The Hon. Roselyn Tso Director Indian Health Service U.S. Department of Health and Human Services Rockville, MD https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-TsoR-20240508.pdf Committee Notice: https://naturalresources.house.gov/calendar/eventsingle.aspx?EventID=415966
House Committee on Natural Resources Subcommittee on Indian and Insular Affairs Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs Wednesday, May 8, 2024 | 2:15 PM On Wednesday, May 8, 2024, at 2:15 p.m., in room 1324 Longworth House Office Building, the Subcommittee on Indian and Insular Affairs will hold an oversight hearing titled “Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs.” Witnesses and Testimony The Hon. Bryan Newland Assistant Secretary—Indian Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-NewlandB-20240508.pdf The Hon. Carmen Cantor Assistant Secretary for Insular and International Affairs Office of Insular Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-CantorC-20240508.pdf The Hon. Roselyn Tso Director Indian Health Service U.S. Department of Health and Human Services Rockville, MD https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-TsoR-20240508.pdf Committee Notice: https://naturalresources.house.gov/calendar/eventsingle.aspx?EventID=415966
House Committee on Natural Resources Subcommittee on Indian and Insular Affairs Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs Wednesday, May 8, 2024 | 2:15 PM On Wednesday, May 8, 2024, at 2:15 p.m., in room 1324 Longworth House Office Building, the Subcommittee on Indian and Insular Affairs will hold an oversight hearing titled “Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs.” Witnesses and Testimony The Hon. Bryan Newland Assistant Secretary—Indian Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-NewlandB-20240508.pdf The Hon. Carmen Cantor Assistant Secretary for Insular and International Affairs Office of Insular Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-CantorC-20240508.pdf The Hon. Roselyn Tso Director Indian Health Service U.S. Department of Health and Human Services Rockville, MD https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-TsoR-20240508.pdf Committee Notice: https://naturalresources.house.gov/calendar/eventsingle.aspx?EventID=415966
House Committee on Natural Resources Subcommittee on Indian and Insular Affairs Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs Wednesday, May 8, 2024 | 2:15 PM On Wednesday, May 8, 2024, at 2:15 p.m., in room 1324 Longworth House Office Building, the Subcommittee on Indian and Insular Affairs will hold an oversight hearing titled “Examining the President's FY 2025 Budget Request for the Bureau of Indian Affairs, Indian Health Service, and Office of Insular Affairs.” Witnesses and Testimony The Hon. Bryan Newland Assistant Secretary—Indian Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-NewlandB-20240508.pdf The Hon. Carmen Cantor Assistant Secretary for Insular and International Affairs Office of Insular Affairs U.S. Department of the Interior Washington, D.C. https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-CantorC-20240508.pdf The Hon. Roselyn Tso Director Indian Health Service U.S. Department of Health and Human Services Rockville, MD https://indianz.com/News/wp-content/uploads/2024/05/18/HHRG-118-II24-Wstate-TsoR-20240508.pdf Committee Notice: https://naturalresources.house.gov/calendar/eventsingle.aspx?EventID=415966
Melissa, Kate, and Leah recap the oral arguments in the case challenging the FDA's approval of mifepristone, one of the drugs used in medication abortion. They also recap arguments in cases about the Armed Career Criminal Act and Indian Health Services, and give some updates on cases they're watching in the lower courts, ranging from immigration, to guns, to Title IX.Get your tickets to Strict Scrutiny Live HERE, or head to crooked.com/events for more info.ICYMI, we did a quick reaction episode on Tuesday right after the mifepristone case was argued Follow us on Instagram, Twitter, Threads, and Bluesky
A case in which the Court will decide whether the Indian Health Service must pay “contract support costs” not only to support IHS-funded activities, but also to support the tribe's expenditure of income collected from third parties.
Administrative Law: must the Indian Health Service pay "contract support costs" to support the tribe's expenditure of income collected from third parties? - Argued: Mon, 25 Mar 2024 16:29:56 EDT
Indian Health Service CIO Mitchell Thornbrugh joins HealthCast to talk about ways that IHS is progressing in its modernization program and the need for a patient-centered, human-centered approach to care. He notes that IHS is working with across levels of government to provide better health care, ultimately, to Native Americans and Alaska Natives living in diverse communities nationwide. Modernizing a health care system is a big task, with organizations having to prioritize customer experience and leverage technology to move toward modern, patient-centered care. At the Indian Health Service (IHS), replacing the existing Resource and Patient Management System (RPMS) means replacing the oldest legacy system in the Department of Health and Human Services (HHS).
Mohamed is joined by Dr. Pete Stover, a dentist in Elk City, OK! Pete has an interesting story which includes working with the Indian Health Service early in his career. Pete did a startup practice in what might be considered a rural area and grew very quickly. He describes an interesting demographic of people that are used to driving a distance for services. Pete is very involved with technology and got into it early into his career. Mohamed and Pete talk about surgery, dropping insurance, trying to find an associate and the "good problem to have" of more patients than you know what to do with! Some links from the show: Indian Health Service dental scholarship programs Pete's website Email Pete at: petestoverdds@gmail.com Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!
This episode is brought to you by Rupa Health, AG1, Beekeepers, and Super Simple Grassfed Protein. Blood pressure is one of the key markers of metabolic health, yet high blood pressure is very common—and the numbers are growing. Moreover, 93 percent of Americans are metabolically unhealthy. In fact, high blood pressure is often called a silent killer as it can lead to conditions such as heart disease, kidney failure, and stroke, and many people don't even know they have it.In today's episode, I talk with Dr. George Papanicolaou and Dr. Cindy Geyer about the seriousness of high blood pressure, the misconceptions around salt intake and blood pressure, what foods and supplements support healthy blood pressure, and overall metabolic health.Dr. George Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is board certified in family medicine from Abington Memorial Hospital. He is also an Institute for Functional Medicine practitioner. Upon graduation from his residency, he joined the Indian Health Service. He worked on the Navajo reservation for four years at the Chinle Comprehensive Medical Facility, where he served as the Outpatient Department Coordinator. In 2000, he founded Cornerstone Family Practice in Rowley, MA. He began training in Functional Medicine through the Institute for Functional Medicine. In 2015, he established Cornerstone Personal Health, a practice dedicated entirely to Functional Medicine. Dr. Papanicolaou joined The UltraWellness Center in 2017.Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed her residency in internal medicine at Strong Memorial Hospital in Rochester, NY, and is triple board certified in internal medicine, integrative medicine, and lifestyle medicine. She joined The Ultrawellness Center in 2021 after practicing and serving as the medical director at Canyon Ranch for 23 years.This episode is brought to you by Rupa Health, AG1, Beekeepers, and Super Simple Grassfed Protein. Access more than 3,000 specialty lab tests with Rupa Health. You can check out a free, live demo with a Q&A or create an account at RupaHealth.com today.Head to drinkAG1.com/HYMAN to receive 10 FREE travel packs of AG1 with your first purchase.Go to beekeepersnaturals.com/HYMAN and enter code HYMAN to get Beekeeper's Naturals' exclusive offer of 20% off sitewide.Right now, you can get 10% off Super Simple Grassfed Protein by heading to drhyman.com/protein and using code protein10.Full-length episodes (and corresponding links) of these interviews can be found here:Dr. George PapanicolaouDr. Cindy GeyerDr. Mark Hyman Hosted on Acast. See acast.com/privacy for more information.
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