The US government’s duty to provide health care to Native Americans, including American Indians and Alaska Natives, dates from 1787, when the Constitution codified promises made in treaties, including those guaranteeing “proper care and protection” to indigenous tribes, as “the supreme law of the land.”1 In 1955, the Indian Health Service (IHS) was created to serve this mission. At present, the IHS operates 92 clinics and 24 medical centers in 36 states. It provides direct medical care to more than 2 million Native Americans representing more than 500 diverse tribes.2
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Incze MA, Tobey ML, Sequist TD. Investing in the Health of American Indians and Alaska Natives. JAMA Intern Med. 2020;180(5):633–634. doi:10.1001/jamainternmed.2020.0189
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: