The 2019 partial government shutdown and its impact on health care for american indians and alaska natives

Matthew Tobey, Katrina Armstrong, Donald Warne

Research output: Contribution to journalArticle

Abstract

The 2018–9 partial government shutdown created a 35-day gap in federal appropriations for the Indian Health Service and tribal health programs. With ongoing challenges for American Indian and Alaska Native health systems, including clinician shortages and poor health outcomes, the funding gap engendered substantial health risks. Other federal health systems have been sheltered from this and past shutdowns through receiving their appropriations in advance. Several approaches exist to implementing advance appropriations, including instituting advance appropriations across Bureau of Indian Affairs and Indian Health Service programs; or by moving Indian Health Service funding to the same appropriation as the Department of Health and Human Services. Furthermore, building and strengthening health partnerships with non-federal institutions, such as academic medical centers, may help distribute financial risk and strengthen care systems.

Original languageEnglish (US)
Pages (from-to)75-80
Number of pages6
JournalJournal of health care for the poor and underserved
Volume31
Issue number1
DOIs
StatePublished - Feb 2020

Keywords

  • Alaska Native
  • American Indian
  • Indian Health Service

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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