American Indian Self-Determination: The Political Economy of a Policy that Works

Cornell, Stephen; Kalt, Joseph P.

doi:10.2139/ssrn.1724725

Cited by 39 publications

(83 citation statements)

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“…7,16 The reduction in health disparities is attributed to an increase in the total level of resourcing, the widescale introduction of quality assurance processes supported by a nationally coordinated IT and innovation system, and the active engagement of the local community in health service decision making, which is underpinned within a single accountability and funding system. 16 Research highlights that the comparative success of the US in reducing life expectancy gap between Indigenous and non-Indigenous populations is linked to the comprehensiveness of PHC services provided through the IHS and the integrative nature of PHC services provided in collaboration with greater tribal self-determination 35,36 .…”

Section: Indigenous Health -'What Work'mentioning

confidence: 99%

Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?

Donato¹,

Segal²

2013

Aust. Health Review

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Abstract. This paper provides an analysis of the national Indigenous reform strategy -known as Closing the Gap -in the context of broader health system reforms underway to assess whether current attempts at addressing Indigenous disadvantage are likely to be successful. Drawing upon economic theory and empirical evidence, the paper analyses key structural features necessary for securing system performance gains capable of reducing health disparities. Conceptual and empirical attention is given to the features of comprehensive primary healthcare, which encompasses the social determinants impacting on Indigenous health. An important structural prerequisite for securing genuine improvements in health outcomes is the unifying of all funding and policy responsibilities for comprehensive primary healthcare for Indigenous Australians within a single jurisdictional framework. This would provide the basis for implementing several key mutually reinforcing components necessary for enhancing primary healthcare system performance. The announcement to introduce a long-term health equality plan in partnership with Aboriginal people represents a promising development and may provide the window of opportunity needed for implementing structural reforms to primary healthcare.

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Section: Indigenous Health -'What Work'mentioning

confidence: 99%

Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?

Donato¹,

Segal²

2013

Aust. Health Review

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“…Vis-à-vis other federal, state and municipal governments, tribes in the current era of self-determination expect and demand government-togovernment relations, rather than assuming the earlier role of a [dependent] subject to paternalistic management by non-Indian governments. 207 We'll now turn our attention north, and the clock back, to 1968.…”

Section: B Self-determinationmentioning

confidence: 99%

Two Roads Diverged: A Comparative Analysis of Indigenous Rights in a North American Constitutional Context

Vicaire¹

2013

mlj

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Fuelled by contrasting political backdrops, indigenous tribes on opposite sides of what has become the Canadian-American border have travelled upon very different trajectories, receiving dissimilar treatment from the respective governments that have laid claim to their lands.Indian tribes in the United States have sometimes had progressive legislators and high-ranking government officials enact bold laws and policies that were instrumental in creating positive change. Inversely, Aboriginal peoples in Canada have generally had to muddle through decade after decade of middling, indifferent, or occasionally even malicious bureaucrats who have continued to be too sheepish or backward-thinking to make any significant improvements. Further, the Canadian Parliament has yet to offer any substantive legislation in the vein and magnitude of that which was vital in making positive changes for American Indian tribes, even though numerous independent sources have pointed to such an approach. Rather, decades of piecemeal legislation have served only as a half-hearted attempt to counter the more odious effects of the archaic Indian Act, while those laudable governmental voices that have called for bold, substantial change have been largely ignored.Alimentées par des contextes politiques divergents, les tribus autochtones de part et d’autre de la frontière canado-américaine ont parcouru des trajectoires assez différentes, faisant l’objet de traitements dissimilaires de la part de leur gouvernement respectif ayant revendiqué leurs terres.Les tribus amérindiennes aux États-Unis ont pu quelquefois profiter de la collaboration de législateurs et de responsables gouvernementaux progressistes qui ont promulgué des lois et des politiques courageuses ayant contribué à l’avènement de changements positifs. À l’inverse, les peuples autochtones du Canada ont généralement eu à se débrouiller seuls, décennie après décennie, devant des bureaucrates médiocres, indifférents, ou parfois même malveillants et trop penauds ou régressifs pour apporter des améliorations significatives. En outre, le Parlement canadien n’a toujours pas proposé de législation substantielle dans la même veine et ampleur des textes américains, et ce même à la lumière de nombreuses sources indépendantes favorisant une telle approche. Plutôt, des décennies de mesures législatives fragmentaires n’ont servi que de timide tentative pour contrer les effets les plus odieux de l’archaïque Loi sur les Indiens, alors que les voix gouvernementales louables, ayant fait appel à d’importantes et d’audacieuses améliorations, ont été largement ignorées

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“…Other scholars have offered definitions of nation building that include goals such as strengthening identity, building social capital, defending sovereignty, exercising sovereignty, and providing for the nation's well-being (Cornell and Kalt, 1998Jorgenson, 2007). These goals can be accomplished by focusing on aspects of political self-rule, including placing an emphasis on building legal, political, and juridical practices based on community belief systems and practices (Cornell and Kalt, 1998Helton, 2003Helton, /2004Jorgenson, 2007); localized managing of health and healing practices, services, and the institutions that offer these services (Cornell and Kalt, 2010); economic development (Blain, 2010;Cornell and Kalt, 1998Jorgenson, 2007); and educational development (Alfred, 1999(Alfred, , 2005Champagne, 2004;St. Germaine, 2008;Lynch, 2004).…”

Section: Tribal Nation Buildingmentioning

confidence: 99%

“…We will offer a more complete understanding of sovereignty later in the chapter, but for now we turn our attention to the notion of self-determination. Cornell and Kalt (2010) explain the importance of selfdetermination for Indigenous communities with the passage in 1975 of the Indian Self-Determination and Education Assistance Act (U.S. Public Law 95-638). This act, which ushered in a number of formal policies of tribal selfdetermination, set the wheels in motion for Indigenous communities to begin to (re)claim the vision and driving forces behind their economic, political, legal, and educational processes.…”

Section: Tribal Nation Buildingmentioning

confidence: 99%

2012

ASHE Higher Education Report

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IntroductionSituating American Indian and Alaska Native Higher Education in Larger ContextsHistorical Background of American Indian and Alaska Native Higher EducationOverview of the MonographFraming the CoversationTribal Nation BuildingHigher Education Toward Nation BuildingConclusionPostsecondary Access for Indigenous StudentsPostsecondary Aspirations, High School Completion, and Academic PreparationAccelerated Learning OpportunitiesCollege Entrance ExaminationsEconomic Conditions and Paying for CollegeThe Role of Schools and College CounselingProtective Factors and Promising Practices for Postsecondary AccessConcluding ThoughtsAmerican Indian and Alaska Native College StudentsEnrollment PatternsRetention PatternsThe Experiences of Indigenous College Students in Predominantly White InstitutionsTribal Colleges and UniversitiesConclusionAmerican Indian and Alaska Native Graduate StudentsA Statistical Portrait of Indigenous Graduate and Professional StudentsThe Experiences of Indigenous Graduate and Professional StudentsGraduate Education and Nation BuildingAmerican Indian and Alaska Native FacultyTransforming the Academy as Activists and AdvocatesIndigenous Faculty and Nation BuildingNative Faculty at Mainstream InstitutionsIndigenous Faculty in Tribal Colleges and UniversitiesConcluding ThoughtsWhere Do We Go From Here?Research RecommendationsDiscussion and Implications for PolicyDiscussion and Implications for Institutional PracticeNotesReferencesName IndexSubject IndexAbout the Authors

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American Indian Self-Determination: The Political Economy of a Policy that Works

Cited by 39 publications

References 1 publication

Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?

Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?

Two Roads Diverged: A Comparative Analysis of Indigenous Rights in a North American Constitutional Context

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