Stephen J. Kunitz
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Jerrold E. Levy
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Dances with doctors
Navajo encounters with the Indian Health Service
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This chapter describes the development of health care system over the course of most of the present century. It explains the evolution of federal policy with respect to Indian Health Services. There has been continuous debate between assimilationists and pluralists over what should be the government's stance with respect to Indians. The chapter considers the changing relationship between Indian people and providers of care at the individual and tribal level, paying particular attention to the experience of Navajo Indians, the largest American Indian tribe. In Indian affairs the first instance was the so-called Meriam Report, carried out at the request of the Commissioner of Indian Affairs during the Coolidge administration. Through the 1970s these ideas evolved into 'self-determination', which involved Indian tribal entities contracting to run a variety of programmes.

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