With Liberty & Justice for All:

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With Liberty & Justice for All: The Benefits of Tribal Sovereignty for all Americans Malia Villegas, EdD Director, Policy Research Center, National Congress of American Indians 22 nd National Health Equity Research Webcast Political Power, Policy and Health Equity June 7, 2016 www.ncai.org

A Unified Voice For Indian Country National Congress of American Indians Founded in 1944 to serve the broad interests of tribal governments and communities A representative congress of American Indian and Alaska Native tribes United to protect and enhance sovereign and treaty rights while securing our traditional laws, cultures, and ways of life for our descendants Advance a common understanding of the rightful place of tribes in the family of American governments

Timeline of Federal Indian Policy INDIAN COUNTRY 1492 Pre - 1492 Pre-Columbian Period 1934 1945 Indian Reorganization Period 1492-1828 Colonial Period 1945 1965 Termination Period 1944 NCAI 1828-1887 Removal, Reservation and Treaty Period 1887-1934 Allotment Period INDIAN COUNTRY TODAY 1965 2000 Self Determination Period 2000- Present Nation-to- Nation Period

Tribes & the American Family of Governments Federal Government Executive Order Tribal Nations On Consultation American Family of Governments States

Indigenous Peoples & the American Nation Federal Trust Responsibility First Peoples with Political Status based largely on treaties Emergence of the American Nation built on erasure and displacement Forced removal and relocation (LAND) Blood quantum (IDENTITY & CULTURE) Assimilationist schooling practices & forced sterilization (SYSTEMS) Exclusion from civic participation

Erasure * = www.ncai.org

Research Sovereignty www.ncai.org

Regulation vs. Stewardship www.ncai.org

Value of Health Sovereignty NUKA System of Care Dental Health Aide Therapists Chickasaw Nation Diabetes Care Center

What Sovereignty Looks Like Generating Native-to-Native Comparisons Leveraging strengths Building partnerships Building Local Capacity and System Accountability Valuing Cultural Processes & Concepts Improved Health Outcomes

www.ncai.org

www.ncai.org

Age Distribution, South Dakota www.ncai.org

Washington Post: May 19, 2016 [A] new Washington Post poll shows how few ordinary Indians have been persuaded by a national movement to change the football team s moniker. www.ncai.org

The Importance of Place

Gap Comparisons Dropout Rates for SY2001 to SY 2006, Grades 7-12 1 0.0 % 9.0 % 8.0 % 7.0 % 6.0 % 5.0 % 4.0 % 3.0 % 2.0 % 1.0 % 0.0 % S Y 2 0 0 1 S Y 2 0 0 2 S Y 2 0 0 3 S Y 2 0 0 4 S Y 2 0 0 5 S Y 2 0 0 6 A la s k a N a tiv e s S ta te w id e Source: Alaska DEED

Native-to-Native Comparisons 100.0% High School Graduation Rates for SY2004, by Ethnicity and ANCSA Region 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Ahtna Aleut Arctic Slope Bering Straits Bristol Bay Calista Chugach Cook Inlet Doyon Koniag NANA Sealaska Statewide Totals All Others Alaska Natives Source: First Alaskans Institute, 2005

System Accountability

Importance of Storylines Overweight & High Rates of Diabetes High Rates of School Dropout High Rates of Substance Abuse High Rates of Suicide Food Sovereignty School-/Foster Care-to Prison Pipeline Systemic Disregard for Native Culture Need for Investments in Healing and Mental Health

Value of Language & Culture www.ncai.org

Opposition to Sovereignty Status Quo in Expert Networks & Systems A Commitment to Self-Determination Allows Diminished Investments in Growing Local Capacity Scarcity Paradigm Much Hinges on Our Narratives/Terminology & Ability to Future Together

Take-Aways Investing in sovereignty and self-governance can benefit all communities. Sovereignty requires an awareness that political power and equity involves a focus on land, people, culture, and systems. Equity requires policies that support individual, community, and systemic transformation.

I will tell you something about stories They aren t just entertainment. Don t be fooled. They are all we have, you see, all we have to fight off illness and death. ~Leslie Marmon Silko

Thank You NCAI Policy Research Center Embassy of Tribal Nations 1516 P St. NW Washington, DC 20005 (202) 466-7767 www.ncai.org/prc