4 ms·

because it shouldn't matter. The separation of powers from any reservation to the Federal Trust is completely arbitrary and is only active when it is convenien

because it shouldn't matter. The separation of powers from any reservation to the Federal Trust is completely arbitrary and is only active when it is convenient. Congress can do anything it wants to a reservation and faces zero consequences. Host States can and actually do almost anything to reservations and face zero consequences. and that can extend to building up and improving conditions closer to a base line. even when recognizing that each reservation is entirely different, despite some common outcomes.

tyingq 8y ago
It matters in terms of understanding how much of the gap in lifespan could be addressed specifically by solely addressing issues on reservations.
- chimeracoder 8y ago
  > by solely addressing issues on reservations. The IHS itself is the culprit. It's hard to improve life expectancy when your only access to medical care is through a system that's not only overcrowded and underfunded, but which has truly zero incentive to provide quality medical care to its patients (and a long, documented history of corruption and outright exploitation of its patients).
  - tyingq 8y ago
    It is one culprit of many.
chimeracoder 8y ago
> because it shouldn't matter. It absolutely, 100% does matter, because Native American reservations[0] receive their healthcare exclusively through the IHS. The IHS is a completely separate system that is exclusively used by Native Americans, and it has massive documented logistical and ethical problems going back all the way to its founding. It's downright deceptive not to mention that the data is so heavily shaped by this structural problem, because it completely changes the message people take away from it. [0] including Oglala Lakota County
- Retric 8y ago
  Healthcare does not represent a 10 year life expectancy age gap alone. Healthcare has the largest influence on life expectancy from infant mortality, but the 0.5% increase only changes life expectancy by ~6 months.
  - chimeracoder 8y ago
    > Healthcare has the largest influence on life expectancy from infant mortality, but the 0.5% increase only changes life expectancy by ~6 months. That is simply not true for the IHS. The IHS is way, way worse than anything you can imagine in the rest of the US. It has literally committed genocide (intentionally) under the ruse of medical care, and genocide has a funny way of decreasing life expectancy.
    - Retric 8y ago
      I am not defending IHS, if you say it's doing a poor job then it likely is. However, other factors are still important. EX: "At 43%, adult obesity rates in Oglala Lakota County were 17 percentage points higher than rates of adult obesity nationally and 13 points higher than statewide rates." Further, you can find several other counties with rather similar life expectancy results that don't have IHS. So, simply pointing at IHS is not the complete story.
madengr 8y ago
Yes it does. You are putting political correctness above science. Genetics play a part in alcohol addiction, heart disease, etc.
- sctb 8y ago
  Since you won't stop posting unsubstantive flamebait like we've asked many times before, we've banned the account.

tyingq 8y ago

It matters in terms of understanding how much of the gap in lifespan could be addressed specifically by solely addressing issues on reservations.

chimeracoder 8y ago
> by solely addressing issues on reservations. The IHS itself is the culprit. It's hard to improve life expectancy when your only access to medical care is through a system that's not only overcrowded and underfunded, but which has truly zero incentive to provide quality medical care to its patients (and a long, documented history of corruption and outright exploitation of its patients).
- tyingq 8y ago
  It is one culprit of many.

chimeracoder 8y ago

> because it shouldn't matter. It absolutely, 100% does matter, because Native American reservations[0] receive their healthcare exclusively through the IHS. The IHS is a completely separate system that is exclusively used by Native Americans, and it has massive documented logistical and ethical problems going back all the way to its founding. It's downright deceptive not to mention that the data is so heavily shaped by this structural problem, because it completely changes the message people take away from it. [0] including Oglala Lakota County

Retric 8y ago
Healthcare does not represent a 10 year life expectancy age gap alone. Healthcare has the largest influence on life expectancy from infant mortality, but the 0.5% increase only changes life expectancy by ~6 months.
- chimeracoder 8y ago
  > Healthcare has the largest influence on life expectancy from infant mortality, but the 0.5% increase only changes life expectancy by ~6 months. That is simply not true for the IHS. The IHS is way, way worse than anything you can imagine in the rest of the US. It has literally committed genocide (intentionally) under the ruse of medical care, and genocide has a funny way of decreasing life expectancy.
  - Retric 8y ago
    I am not defending IHS, if you say it's doing a poor job then it likely is. However, other factors are still important. EX: "At 43%, adult obesity rates in Oglala Lakota County were 17 percentage points higher than rates of adult obesity nationally and 13 points higher than statewide rates." Further, you can find several other counties with rather similar life expectancy results that don't have IHS. So, simply pointing at IHS is not the complete story.

madengr 8y ago

Yes it does. You are putting political correctness above science. Genetics play a part in alcohol addiction, heart disease, etc.

sctb 8y ago
Since you won't stop posting unsubstantive flamebait like we've asked many times before, we've banned the account.