{"id":20145,"date":"2022-01-21T11:38:26","date_gmt":"2022-01-21T16:38:26","guid":{"rendered":"https:\/\/www.indianz.com\/News\/?p=20145"},"modified":"2022-01-21T11:38:27","modified_gmt":"2022-01-21T16:38:27","slug":"kaiser-health-news-little-shell-tribe-prepares-for-health-care-milestone","status":"publish","type":"post","link":"https:\/\/indianz.com\/News\/2022\/01\/21\/kaiser-health-news-little-shell-tribe-prepares-for-health-care-milestone\/","title":{"rendered":"Kaiser Health News: Little Shell Tribe prepares for health care milestone"},"content":{"rendered":" <a href=\"https:\/\/indianz.com\/News\/2022\/01\/21\/kaiser-health-news-little-shell-tribe-prepares-for-health-care-milestone\/littleshelltribe\/\" rel=\"attachment wp-att-20156\"><img loading=\"lazy\" decoding=\"async\" width=\"2048\" height=\"1536\" data-attachment-id=\"20156\" data-permalink=\"https:\/\/indianz.com\/News\/2022\/01\/21\/kaiser-health-news-little-shell-tribe-prepares-for-health-care-milestone\/littleshelltribe\/\" data-orig-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2022\/01\/21\/littleshelltribe.jpg\" data-orig-size=\"2048,1536\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Little Shell Tribe of Chippewa Indians\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The Little Shell Tribe of Chippewa Indians became the 574th federally recognized Indian nation in December 2020. Photo: &lt;a href=https:\/\/twitter.com\/SenatorTester\/status\/1208153858775699456&gt;Senator Jon Tester&lt;\/a&gt; (D-Montana)&lt;\/p&gt;\n\" data-large-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2022\/01\/21\/littleshelltribe-1024x768.jpg\" src=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2022\/01\/21\/littleshelltribe.jpg\" alt=\"Little Shell Tribe of Chippewa Indians\"  class=\"size-full wp-image-20156\" \/><\/a> <figcaption class=\"figure-caption\">The Little Shell Tribe of Chippewa Indians became the 574th federally recognized Indian nation in December 2020. Photo: <a href=https:\/\/twitter.com\/SenatorTester\/status\/1208153858775699456>Senator Jon Tester<\/a> (D-Montana)<\/figcaption>\r\n<div class=\"h3-responsive font-weight-bold\">\u2018Heart\u2019 of Little Shell: Newest Federally Recognized Tribe to Open First Clinic<\/div>\r\n<div class=\"h5-responsive sub\">The Little Shell Tribal Health Clinic is slated to open in Great Falls on January 31, roughly two years after the tribal nation achieved its long-sought federal recognition.<\/div>\r\n<div class=\"date\">Friday, January 21, 2022<\/div>\r\n<div class=\"byline\">By Katheryn Houghton<\/div>\r\n<div class=\"source\">Kaiser Health News<\/div>\r\n<div class=\"source-links\"><a href=\"https:\/\/khn.org\">khn.org<\/a><\/div>\r\n<p><\/p>\r\nGREAT FALLS, Montana &#8212; Louella Fredrickson has long created workarounds to fill gaps in the spotty medical care available to her as a member of the <a href=https:\/\/www.montanalittleshelltribe.org>Little Shell Tribe of Chippewa Indians<\/a> of Montana.\r\n<p><\/p>\r\nThe 86-year-old uses dollar-store reading glasses to improve her blurry vision because she\u2019s worried about the cost of an eye appointment. And when she needed hearing aids, she was told it would cost her more than $1,300. So Fredrickson asked a doctor to tweak her husband\u2019s old pair to fit her smaller ears. \u201cMy husband had only used them for a few months before he died, so they work OK,\u201d Fredrickson said.\r\n<p><\/p>\r\nBut one thing she hasn\u2019t solved is the 200-mile round trip from her home in Great Falls to the closest Indian Health Service clinic that offers such services to tribal members for free.\r\n<p><\/p>\r\nSoon, though, getting care will be easier for Fredrickson and other Little Shell members living in and around Great Falls. The Little Shell Tribal Health Clinic is slated to open in this city of about 60,000 people on January 31, roughly two years after the tribal nation achieved its long-sought federal recognition.\r\n<p><\/p>\r\n<div class=\"fb-post\" data-href=\"https:\/\/www.facebook.com\/LittleShellTribalHealth\/posts\/297994435514713\" data-width=\"552\" style=\"background-color: #fff; display: inline-block;\"><\/div>\r\n<P><\/P>\r\nFor the first time, Little Shell members will have guaranteed access to health services \u2014 and see their culture reflected in the offerings. The brick-and-mortar hub is a powerful symbol for a tribe that lacks a reservation, especially given the clinic\u2019s focus on providing care to people who have faced long-standing health barriers that the pandemic underscored.\r\n<p><\/p>\r\nThe building is a tangible example of what Little Shell can become, said tribal member Darrel Rummel, 81. \u201cThe clinic, it\u2019s going to be the heart of it all.\u201d\r\n<p><\/p>\r\nLittle Shell became the United States\u2019 574th federally recognized Indigenous tribe in December 2019, roughly 150 years after Little Shell leaders began advocating for the tribe to be acknowledged as a sovereign nation. That recognition came just months before the <a href=\/covid19\/>covid-19 pandemic<\/a> took hold and <a href=https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/covid-data\/investigations-discovery\/hospitalization-death-by-race-ethnicity.html>disproportionately killed Indigenous people<\/a> due to entrenched structural health inequities. Of the nearly 2,800 Montanans who had died by December 3 from covid complications, <a href=https:\/\/dphhs.mt.gov\/assets\/publichealth\/CDEpi\/DiseasesAtoZ\/2019-nCoV\/EpiProfile\/EPIPROFILE_12032021.pdf>12% identified as Native American<\/a>. Indigenous people make up an estimated 7% of the state\u2019s total population.\r\n<p><\/p>\r\nAmid the health crisis, the Little Shell Tribe used federal pandemic relief dollars to fast-track the <a href=https:\/\/khn.org\/news\/article\/spurred-by-pandemic-little-shell-tribe-fast-tracks-its-health-service-debut\/>opening of its clinic<\/a>. It will offer primary and behavioral health care, plus dental, vision, pharmaceutical, lab, and radiological services.\r\n<p><\/p>\r\nThe tribe has had free access to Indian Health Service clinics statewide since Montana recognized it as a tribal nation in 2000. But such clinics can be scattered far afield and, even then, medical services vary. Little Shell members said their access has faltered when health facility budgets tighten and the clinics must prioritize care for tribal members affiliated with local reservations.\r\n<p><\/p>\r\n<blockquote class=\"twitter-tweet\" data-width=\"500\" data-dnt=\"true\"><p lang=\"en\" dir=\"ltr\">The Little Shell Tribal Health Clinic is slated to open by the end of January, the first dedicated clinic for the tribe that lacks a reservation. \u201cThe clinic, it\u2019s going to be the heart of it all,\u201d said one Little Shell member.<br><br>\ud83d\udcdd: <a href=\"https:\/\/twitter.com\/K_Hought?ref_src=twsrc%5Etfw\">@K_Hought<\/a> <br>\ud83d\udd17: <a href=\"https:\/\/t.co\/u4nqOAQ6vr\">https:\/\/t.co\/u4nqOAQ6vr<\/a> <a href=\"https:\/\/t.co\/817hYWXI5o\">pic.twitter.com\/817hYWXI5o<\/a><\/p>&mdash; KFF Health News (@KFFHealthNews) <a href=\"https:\/\/twitter.com\/KFFHealthNews\/status\/1484555888648097795?ref_src=twsrc%5Etfw\">January 21, 2022<\/a><\/blockquote><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script>\r\n<p><\/p>\r\nMolly Wendland, Little Shell\u2019s tribal health director, said that the new clinic, initially run by the Indian Health Service, will be open to any member of a tribal nation and that the tribe hopes to eventually expand services to anyone else after it takes over daily operations. IHS will oversee it for at least three years.\r\n<p><\/p>\r\n\u201cMaking our community and our members healthy means we have a healthy tribe,\u201d she said. \u201cI wanted this clinic to be comfortable and something new and nice. Our members deserve that.\u201d\r\n<p><\/p>\r\nOn a recent day, Wendland smiled as she pointed to the word boozhoo on the clinic\u2019s entrance, welcoming people with the word in the Ojibwe language that means \u201cgreetings.\u201d Inside, above the reception desk, is a massive image of Ayabe-Way-We-Tung, also known as Chief Little Shell III, who began pushing the U.S. government for a reservation in 1872. Historical photos of Little Shell people are displayed nearby. Lines of gray and burnt orange take the shape of abstract tepees along the clinic\u2019s walls and floors.\r\n<p><\/p>\r\n<div class=\"fb-post\" data-href=\"https:\/\/www.facebook.com\/LittleShellTribalHealth\/posts\/295730459074444\" data-width=\"552\" style=\"background-color: #fff; display: inline-block;\"><\/div>\r\n<P><\/P>\r\nPlaques, designed with help from the tribe\u2019s language students, name clinic rooms after animals in Ojibwe, such as waagosh alongside its English translation, \u201cfox.\u201d For rooms Wendland calls \u201ctalking rooms,\u201d two chairs face each other in place of an exam table and a doctor\u2019s stool, which she said lends more to a conversation between patient and provider. \u201cIt really takes down that power differential,\u201d she said.\r\n<p><\/p>\r\nUpstairs is a small apartment, which Wendland hopes will serve as a place for traveling doctors to stay when they come to offer additional services, such as fittings for hearing aids.\r\n<p><\/p>\r\nAnother room on the main floor is the smudge room, where patients can burn plants such as sage in a ceremony to cleanse a person or place.\r\n<p><\/p>\r\n\u201cThis is a place to pray and just for families to kind of catch their breath,\u201d Wendland said. \u201cIf people are going to have to travel, I want everything they need to be here.\u201d\r\n<p><\/p><div class=\"mt-1 mb-1\"><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-8411603009680747\" data-ad-slot=\"6394965691\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div><p><\/p>\r\nThe Little Shell headquarters is in Great Falls, though many members are scattered across Montana, Washington, and beyond. The tribe is still trying to set up ride programs for its members who live in rural parts of Montana.\r\n<p><\/p>\r\nBut for those tribal members in central Montana, the clinic\u2019s opening will be an immediate benefit. Sherlie Bolich, 76, of Great Falls said she has sometimes waited for services amid backlogs of patients at other tribes\u2019 facilities.\r\n<p><\/p>\r\nWhen Bolich\u2019s kids were in high school, she changed jobs for more flexible hours to take her kids on the four-hour round-trip drive to a clinic in Browning. Years later, she made those same trips when her aging mom needed more frequent medical care.\r\n<p><\/p>\r\nEven then, Bolich said, Indian Health Service clinics have felt like safe spaces because Indigenous people are the minority elsewhere, and the costs of health care services outside the federal health service can outpace paychecks \u2014 even with insurance. Yet now she\u2019s excited to have something closer, something for her tribe.\r\n<p><\/p>\r\n\u201cWith the clinic here, you feel that you\u2019ve got somebody here watching out for your people and all of us,\u201d Bolich said. \u201cMy grandchildren will be able to go in and see somebody right away.\u201d\r\n<p><\/p>\r\n<blockquote class=\"twitter-tweet\" data-width=\"500\" data-dnt=\"true\"><p lang=\"en\" dir=\"ltr\">Great news for the Little Shell Tribe! This pandemic has taken a toll on Indian Country, and access to health services couldn&#39;t be more important.<br><br>I&#39;m glad our federal relief funds fast-tracked this clinic, and I&#39;ll keep working to expand access to care.<a href=\"https:\/\/t.co\/iK9yHp6rxF\">https:\/\/t.co\/iK9yHp6rxF<\/a><\/p>&mdash; Senator Jon Tester (@SenatorTester) <a href=\"https:\/\/twitter.com\/SenatorTester\/status\/1484286448685793280?ref_src=twsrc%5Etfw\">January 20, 2022<\/a><\/blockquote><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script>\r\n<P><\/P>\r\nLittle Shell member Rummel also has long traveled beyond Great Falls to places such as Browning for care. Since last fall, she has had spells of vertigo that can make it hard to stand and said she was told she would have to wait until spring to see a doctor.\r\n<p><\/p>\r\nAt the Little Shell clinic\u2019s recent open house, Rummel said, she wore a pair of beaded earrings and a traditional ribbon skirt, with pink, blue, purple, yellow, and white ribbons wrapped horizontally down to just above her moccasins. She\u2019s proud to see her tribal nation reflected on the new clinic\u2019s walls. Like many Little Shell members, Rummel said, she grew up in a predominately non-Indigenous culture and is still working to learn the traditions of her people.\r\n<p><\/p>\r\nShe immediately noticed the Ojibwe words printed on the clinic\u2019s doors and walls \u2014 the first time she had seen her tribe\u2019s language in a permanent spot. \u201cI was so impressed with that, I thought, \u2018That\u2019s going to help us learn our language,\u2019\u201d Rummel said.\r\n<p><\/p>\r\n<strong><a href=\"https:\/\/khn.org\/morning-briefing\/\">Subscribe<\/a> to KHN&#8217;s free Morning Briefing.<\/strong>\r\n<p><\/p>\r\n<HR><EM>Katheryn Houghton is Kaiser Health News&#8217; Montana correspondent. She owes her health reporting start to years spent in daily newsrooms, including those of the Bozeman Daily Chronicle and the Daily Inter Lake. She\u2019s been an Association of Health Care Journalists fellow and a Solutions Journalism Network grantee. She is a graduate of the University of Montana. She can be reached at khoughton@kff.org. Find her on <a hef=https:\/\/twitter.com\/K_Hought>Twitter @K_Hought<\/a>.<\/em><HR>\r\n<P><\/P>\r\nNote: The story originally <a href=https:\/\/khn.org\/news\/article\/little-shell-tribe-clinic-montana\/>appeared on Kaiser Health News<\/a> (KHN), a national health policy news service. KHN is an editorially independent program of the <a href=https:\/\/www.kff.org\/>Henry J. Kaiser Family Foundation<\/a> which is not affiliated with Kaiser Permanente. \r\n<img decoding=\"async\" src=\"https:\/\/ssl.google-analytics.com\/collect?v=1&#038;t=event&#038;ec=Republish&#038;tid=UA-53070700-2&#038;z=1642780065220&#038;cid=bbd13379-47eb-4e69-bfb9-7640303bbf76&#038;ea=https%3A%2F%2Fkhn.org%2Fnews%2Farticle%2Flittle-shell-tribe-clinic-montana%2F&#038;el=%E2%80%98Heart%E2%80%99%20of%20Little%20Shell%3A%20Newest%20Federally%20Recognized%20Tribe%20to%20Open%20First%20Clinic\"\/>\t\t\t\t\t\t\t\t","protected":false},"excerpt":{"rendered":"The Little Shell Tribal Health Clinic is slated to open roughly two years after the tribal nation achieved its long-sought federal recognition.","protected":false},"author":1,"featured_media":20156,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_vp_format_video_url":"","_vp_image_focal_point":[],"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[12,19,1],"tags":[5,2397,210,175,316,2396,2398,249,47,2399],"class_list":["post-20145","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-federal-recognition","category-health","category-national","tag-coronavirus","tag-darrel-rummel","tag-ihs","tag-languages","tag-little-shell","tag-louella-fredrickson","tag-molly-wendland","tag-montana","tag-race","tag-sherlie-bolich","no-wpautop"],"jetpack_featured_media_url":"https:\/\/indianz.com\/News\/wp-content\/uploads\/2022\/01\/21\/littleshelltribe.jpg","jetpack_shortlink":"https:\/\/wp.me\/pcoJ7g-5eV","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/20145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/comments?post=20145"}],"version-history":[{"count":0,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/20145\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media\/20156"}],"wp:attachment":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media?parent=20145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/categories?post=20145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/tags?post=20145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}