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Indian Health Service outlines dementia support, warns sanitation and staffing gaps limit care
Summary
Dr. Jolie Crowder of the Indian Health Service said IHS serves about 2.8 million American Indian and Alaska Native people from 575 tribes, highlighted chronic underfunding of purchased/referred care and infrastructure needs (running water, roads), and described dementia grants, a clinical support line, and workforce training.
Dr. Jolie Crowder, representing the Indian Health Service (IHS), told the council that IHS is a provider-first federal health system for American Indian and Alaska Native communities and outlined persistent gaps that limit dementia care.
"We serve 2,800,000 American Indian and Alaska native people from 575 tribes," Crowder said, noting the system spans 37 states and that IHS has "about 5,000,000,000" in budget authority—an amount she said feels small relative to the need. She described three service streams (IHS-run facilities, tribally operated programs, and 41 urban Indian health organizations) and said roughly 65% of the IHS budget goes to tribes as of 2025.
Crowder stressed nonclinical infrastructure deficits that affect…
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