The Next Chapter :
Expanding HealthCare within Tribal Clinics
Bethany Garcia
Bethany Garcia
Santo Domingo Pueblo. “Home &Ndash; Santo Domingo Pueblo.” Santo Domingo Pueblo, 6 Aug. 2025, santodomingopueblo.com.
Garcia, Bethany. Senior Photo. March 17,2026
“Zia Pueblo.” Pueblo of Zia, www.ziapueblo.org/.
Garcia, Bethany, christmas picture, December 24
Jeannette Armstrong is a member of the council of the Penticon Indian Band. She is from the Okanagan Tribe, and she is a well-known activist on indigenous Sovereignty issues. Her article is based on her observation and explains the key differences between the Okanaganties' views & practices of the community and the views and practices of the dominant society. The article is also based on the community. Armstrong fully explains what community means to her; Armstrong's articles are also based on self-identification; "one skin" means a bond of community & family.
-Armstrong, Jeanette. 1996 "Sharing One Skin: The Okanagan Community." Pp. 460-470 in Jerry Mander and Edward Goldsmith (eds). The Case Against the Global Economy, San Francisco, CA: Sierra Club Books.
Garcia, Bethany, "#whatliftsyou", March 9
Joe Sunia, he comes for the Pueblo of Chochiti, his articles is based on his first time experiece at school, his experience was painful. Joe also explained his home situation and how his grandmother taught joe his culture and language and when he went to schoole he went through assimilaton and he was determined to not want to give up his cultural. Being at school joe felt like he was losing who he was, and it made him feel ashamed of his cultural.
Suina, Joe. (1985). And then I went to school: Memories of a Pueblo childhood. New Mexico Journal of Reading, 5(2)
Garcia, Bethany, Sunset in zia, July 30
In the article "How place names impact the way we see landscape," the author talks about how certain groups changed landscape names because many famous colonizers found them. The landscapes they discovered were once sacred places for traditional practices and ceremonies, as well as certain materials for survival. Many of these landscapes held strength and powerful meanings, but with the name changes and the beliefs in the landscapes, many of the landscapes lost that power and the stories within them.
Toastie. B (9/1/22)," How place names impact the way we see landscape," Highcountry News.
History
@dj.shot.it ( February 24) "volleyball @cactus tournament"
This article talks about many of the Acts and Laws that lead to where they are today in health for Native Americans. Between 1778 & 1868, they were ratified by the federal government, many of the laws and act impacted the health of Native Americans, an example is The federal Indian Trust Responsibility. Many laws have been passed in the 20th century that had an impact on health services, like the Snyder Act, Transfer Act, and Indian Self-Determination & Education Act. It also talks about many programs aimed to improve Native American health, some treaties ensure healthcare access, yet to Native Americans enrollment in CMS Programs is low due to trust issues. These initiatives aim to address the historical disparity and enhance healthcare delivery for Native American Communities.
Warne, D., & Frizzell, L. B. (2014). American Indian health policy: historical trends and contemporary issues. American Journal of Public Health, 104(S3), S263–S267. https://doi.org/10.2105/ajph.2013.301682
Garcia, Bethany. " fall", (September 30)
In this article, Yvette Roubideauz, an MD, MPH, and an American Indian, talks about the burden in Health Clinics. Yvette talks about waiting in a crowded room for 4 hours and the poor care received in certain non-native health clinics or hospitals. She also mentioned how she has never seen any Native Doctors within a community-based clinic, and how there would be better quality care and culturally approved if there were to be. It also talks about how the Federal Government has a responsibility to provide healthcare for American Indians/Alaska Indians. Congress passed the Snyder Act in 1921 to authorize funding for the "Conservation of health" in indian communities. Public health responses was they must learn more about the health challenges and disparities in Indian communities. They must have a productive role in the community, to be a resource, and to help build local capacity.
Roubideaux, Y. (2002). Perspectives on American Indian health. American Journal of Public Health, 92(9), 1401–1403. https://doi.org/10.2105/ajph.92.9.1401
Garcia,Bethany. "Rainbow". (September 19)
In this article, Health Services for Native people began in the early 1800's, 400 treaties were negotiated with indian tribes from 1778 to 1871, approximately 2 dozen provided some kind of medical service. The first federal hospital built for indians constracted in the 1800's in Oklahoma. The article mentioned that a concentrated movement was made before 1900 to establish hospitals and infirmaries on every reservation and at every boarding school. The main reasons for construction were isolation, lack of nearby facilities, and home conditions. Also in the article, it's mentioned that pharmacy services were organized in 1953, with the PHS pharmacy since 1955. The division of health, now Indian Health Services (IHS), expanded the staff, physicans risen to 175 to 720.
The History of Health Services for American Indians. (n.d.). https://cdn.prod.website-files.com/688c1cb081691210b159523e/68c4595186f12a7afea8cff0_Historical%20Document%20-%20Health%20Services%20for%20American%20Indians.pdf
Garcia,Bethany. "grandma yaya and her favorite girls".(July 29)
This article discusses the challenges faced by Native Americans' health care, particularly concerning the Indian Health Service's issues, including broken federal promises regarding funding, the impact of these cuts on tribal communities & as well as the IHS. Government funding cuts have also affected other programs related to American youth and healthy food access. Reduced federal staffing further hinders critical tribal health projects like overdose prevention & chronic disease management. It also discussed the concerns about US Policies affecting native americans highlight treaty violations, inadequate health services, and proposed cuts to essential programs like Medicaid, which disproportionately impact Native Americans.
Native Americans hurt by federal health cuts, despite RFK Jr.’s promises of protection. (2025, June 24). Center for Rural Health. https://crh.arizona.edu/news/native-americans-hurt-federal-health-cuts-despite-rfk-jrs-promises-protection
This article reflects on how NIHB advocated for the federal government to uphold its treaty and trust obligations regarding tribal health. Recent executive orders raise concerns about funding continuity, which is vital for addressing health disparities and providing essential services to Native American and Alaska Native people. The NIHB called for guaranteed funding and consultation to prevent harm to these communities that rely on the funding from the government. It also discusses the funding disruptions negatively affected Indian Health services, impacting patient care, protected funding, and exemptions from administrative holds are crucial for stability and upholding treaty obligations.
National Indian Health Board. (2025, April 24). Current Administration - National Indian Health Board. https://www.nihb.org/current-administration/
Garcia,Bethany. "pretty flower". (May 7,2023)
This Article speaks about the remote Delta Amacuro state of Venezuela, Médecins Sans Frontières (MSF) provides a life-saving health center to the Warao indigenous communities, who face extreme isolation due to the region’s dense river geography. Operating out of clinics in San Francisco de Guayo and Nabasasanuka, MSF teams address high rates of preventable diseases like malaria and malnutrition while providing essential maternal care for high-risk pregnancies. By utilizing “ambulance-boats” to drastically reduce travel times to urban hospitals and employing culturally sensitive health promotion, MSF bridges the gap between these marginalized populations and the medical services necessary for their survival.
---. “Shortening Distances: Providing Healthcare to Indigenous Communities in Venezuela’s Delta Amacuro State.” Médecins Sans Frontières(MSF)/Doctors Without Borders, 5 Jan. 2024, msfsouthasia.org/shortening-distances-providing-healthcare-to-indigenous-communities-in-venezuelas-delta-amacuro-state.
It talks about the progress and remaining gaps in essential services a decade after the 2001 international intervention. The central thesis of the report is that while there has been a significant increase in the quantity of healthcare facilities and schools (with access officially rising from 9% to over 60%), the quality of healthcare services remains deeply inadequate. Despite billions of dollars in aid, millions of Afghans, particularly women and girls, continue to struggle with poor standards of care, a lack of qualified staff, and insufficient infrastructure.
“---.” ACBAR Policy Series, Oct. 2011, www.acbar.org/upload/1474534465893.pdf.
The article talked about the use of geospatial modeling to analyze the physical accessibility of health facilities for 1,043 Amazonian Indigenous communities in the Loreta region of Peru. Accounting for the unique geographical location and the challenges of the Amazon, such as dense vegetation, steep slopes, and reliance on river navigation. The median travel time to a facility is nearly an hour, with only about 46% of communities located within a one-hour radius of care. For those living in a remote border area, where over 15% of the indigenous communities must travel more than eight hours to access any form of health services.
---. “Indigenous Communities of Peru: Level of Accessibility to Health Facilities.” Journal of Taibah University Medical Sciences, vol. 17, no. 5, Feb. 2022, pp. 810–17, doi:10.1016/j.jtumed.2022.02.006.
Garcia,Bethany. "Action Plan #1".2025 December 9
My Fall Action Plan was done on December 9, 2025, at Osuna Elementary School. My first plan was to be at Santo Domingo pre-school, but I was unable to reach them. For Osuna Elementary School, I worked with a kindergarten class; the benefit of this action plan was for the kids to learn the benefits of eating healthy. Eating healthy at a young age can benefit the kids for a stronger immune system, which can fight many sicknesses that come into their system, it can also lower the risk of developing Type 2 diabetes, hypertension, and heart diseases in thier adult hood. Eating healthy can benefit their oragans which is particulary your liver and kidneys, they are less likely to suffer from early-stage fatty deposits or inflammation. Many of these diseases are higher in Native Americans due to traditional foods. If we can fit in healthy food with traditional foods, we can lower the risk of metabolic diseases.
With the kindergarten class, we made health plates. They added tissue paper as lettuce for a salad, pink square sponges for a spam or any type of meat for their salad as well, and cotton balls to their plates for a type of fruit or vegetable they wished for it to be. They were all happy with their health plate. I asked them which of their item on their plate represented and how that benefits them, and they all learned the benefits of eating healthy
Garcia,Bethany. "Action Plan #2".. March 20, 2026
My Spring Action Plan was combined with Kaycee Tsosie, who is doing her SHP on dental work. We both decided to combine our action plans due to the fact that both of ours are in the Health Area. Our action plan was done on March 20, 2026, in Eric Lemasters ' 7th-period Intro to Health Careers class. Kaycee and I have both taken his class, and we planned to both introduce our SHP topics and what our goals were. We had them create posters for World Health Day on April 7th, 2026. We asked them to think about the problem in your community that they would want to go on a poster or for people to see. They all came up with amazing ideas. Some kids did traditional art of medicine. For World Health Day, we use traditional medicines to better ourselves. Some kids drew the Earth for their poster; the Earth benefits our health. Many artistic ideas came up. Many of the kids in his class enjoyed it and learned that we need to take more health problems in our community more seriously and to get more resources for the community.