Exam 2 Flashcards
(50 cards)
How many federally recognized tribal nations
574
What % of the US population do Indignenous people make up
2%, 30% live on reservations
Indian Health service
created 1955 as a federal healthcare provider for this population
Doctrine of Discovery 1500s
any land not inhabited by christians was able to be discovered/claimed/exploited. Inhabitants could convert and be spared, or be killed
Johnson v M’intosh 1823
supreme court decision stated indians could occupy lands within US but could not hold the title
Indian Removal Act 1830
Andrew Jackson authorizes removal of Native Americans in southern US states to federal territory west of Mississippi, Trail of Tears and Navajo Long Walk.
Removal era 1825
25 million acres of land lost
Reservation 1850-1887
separated from US citizens
Allotment and Assimilation 1887-1934
break up Indian overship of land/end tribal existence, loss of 48 million acres, boarding schools
Termination 1940-1961
loss of federal trust, over 100 tribes terminated, lost health care
Indian Self Determination 1970s: current
Indian Education Act, Indian Child Welfare Act (making sure that children removed from home stay in the culture
Genocide
goal of white colonizer, given small pox blankets, forced sterilization, stole children from boarding schools and assimilation (“foster care” by white instead of other natives)
Carlisle
Open 39 years
186 plus graves
140 plus tribes
Hundreds of government and private schools
Thousands of students
Active as American College of War
Natives don’t talk about the trama, causes a loss of language, culture and history
MMIW
Covered up
Cause of death changed from rape and murder
Public health crisis
FBI doesn’t show
Trama long lasting
Working with Native people
Distrust and suspicion
Establish trust
Cultural humility. Know that you don’t get it
Never stop learning, get to know specific people and culture
Cultural immersion is important for the nurse and key to shared understanding
Dr Sims
Father of Gyne
Experimental surgeries on enslaved women
Maternal death, black women 3 to 4 times more likely to die
Institutional racism
Lower quality of care
1830s first experiment on black people
17 year old slave, 30 surgeries
No anesthesia, black people did not feel pain
enslaved woman who has child every two years more profitable than any man
Thomas Jefferson
iatrophobia
Fear of the healthier
Of all the forms of inequality, injustice in health care is the most shocking and inhumane
MLK
Every system is perfectly designed to get the results it gets
IHI
The much bewailed racial health gap is not a gap, but a chasm, wider and deeper than a mass grave
(Harriet A Washington)
We hold these truths to be self evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these rights are life, liberty and the pursuit of happiness
Thomas Jefferson
I advance it therefore as a suspicion only, that the blacks, whether originally a distinct race or made distinct by time and circumstances, are inferior to the white in endowments of both body and mind.
(Thomas Jefferson)
Race
-biological myth
-DNA difference is so small not worth measuring
-Race is a social construct that our society allows and gives power
-Contributes to health and beyond health
-Created to justify white supremacy, allowed slavery and colonialism. Determined by phenotype (skin color)
