interviews
The Federal Government and Native American Health
by Sarah Stern
July 7, 2020
This interview with Sarah Stern, a Health Educator at John Hopkins American Indian Health (JHCAIH), was conducted and condensed by franknews.
frank | Native American populations have been disproportionately impacted by COVID. I am curious about what the current reality of tribal healthcare infrastructure looks like and the history that has played a role in shaping it?
Sarah Stern | The reality is that tribal healthcare infrastructure has been and remains underfunded and understaffed.
The Indian Health Services (IHS) has been vastly underfunded since it’s creation in 1955. The Snyder Act of 1921 was the first federal agreement to even allow Native people to receive medical care. We see facets of American history that are not even 100 years old. I stress this as a reminder that while Native people have always existed in the United States, there are far more years of physical and cultural genocide against Native people within American history than years of serving, protecting, and advocating for Native lives.
IHS remains the last in line to receive federal funding to aid the health and wellbeing of Native people. The National Indian Health Board (NIHB) released tribal budget recommendations showing that the IHS spends on average only $3,332 per capita on each patient, compared to a national average of $9,207. In comparison to the Veterans Administration (VA), which is also underfunded, the VA remains about 14 times as funded than the IHS. Highlighting these gaps creates dialogue for both Native people and allies to engage in political pressure to increase funding for healthcare and save lives.
From my understanding there was a "Self-determination Era," which came about in the 1960s, giving tribal governments greater control over local government operations, including healthcare and health clinics. Can you go into the history of that era?
The “Self-Determination Era” allowed Native people to use federal funds as they wanted, but the caveat was (and remains today) that Native people had to report how they wanted to use funds and keep records of the cash flows using systems developed by non-Native people. This created a newer opportunity to add in ‘western’, or non-Native educational programs. School-based teachings of Native cultural values or language were not allowed until 1975, which is less than 100 years ago. Public services, workforce creation, and health care facilities were more developed as Native people were granted the federal ability to allocate funds into these things, alongside education.
It is important to recognize Native people have always utilized the act of self-determination to keep community members, especially children and elders, safe from harm’s way, even before the “Self-Determination Era”. We have worked persistently to protect our land, people, and allies since time immemorial. As Native people proved in many ways to survive physical and cultural genocide, the United States eventually allowed Native people to use federal funding as they saw fit, which was not the case before the 1960s. Basically, the onslaught of Native people cost the United States so much time, money, and non-Native causalities that they eventually folded and decided to stop murdering on stolen land.
Native people also began to have more rights for self-governance, which allowed for leadership among the facets the people wanted funding applied to.
As we see in successful public health initiatives today, when communities have voices at the table representing what the needs and realities are, more positive opportunities take place.
Without Native leadership, the “Self-Determination Era” would not have been as successful nor propelled us to where Native communities are presently.
How can the federal government effectively help in this crisis while also ensuring levels of continued self-determination?”
The federal government can listen to Native leadership directly. Native community leaders have the means to communicate what their people need during this time. This is the most direct way for the federal government to help.
Another way that the federal government can help is to increase public health funding to health programs and educational opportunities. JHCAIH is committed to providing national leadership in training Indigenous scholars in health care and public health science. JHCAIH has awarded over 1,500 scholarships to people representing 45 tribal communities around the nation. Linked below is more information on the public health training programs and online application for scholarships.
Online Application for Scholarships
Is there a specific piece of that history and its effects that you are thinking about most right now?
Treaty rights, and the broken treaties this country participates in.
Broken treaties impact all aspects of Native American communities. Broken treaties account for the fact that some Native people are not federally or state recognized, which in turn impacts the ability to apply for education, housing, health, and infrastructure assistance. Broken treaties have taken away Native lands and water rights.
Broken treaties have created health disparities we see across Indian Country.
Broken treaties have fueled stereotypes against Native people and treaties continue to be broken to this day. For example, in February, the current administration demolished Tohono O'odham Nation’s sacred burial lands without consulting the tribe. Members of the Mashpee Wampanoag community are currently battling the federal administration for seizure of land granted by a federal trust. Land has life. Land connects to Native creation stories, it holds memories, it gives protection, and when land is seized, people hurt. I encourage you to find out what Native land you live on, who the Native people are in your area historically and presently, and how you can show allyship to Native people during this time. Allyship can help combat broken treaties.
How do the economic crisis and health care crisis particularly feed off of each other?
Both crises increase panic. Health care requires money. Lack of economic opportunities diminishes ability to pay for health care costs and decreases the ability to fund health care initiatives.
Collapse of economic ventures impacts everyone, regardless of whether the business is run by Native people or not. This will vary by community, but Native leadership works diligently to ensure that community members have the means to purchase essentials, like food and water, and as they are able, they create plans for how business can run with social distancing procedures at the foreground. Protecting the health and lives of people is the best practice to begin re-opening businesses during the pandemic.
interviews
Daan Roosegaarde on his practice and Earth's future.
by Daan Roosegaarde
May 15, 2018
This interview with Daan Roosegaarde, the founder of Studio Roosegaarde, was conducted and condensed by frank news.
Studio Roosegaarde is the social design lab of Dutch artist and innovator Daan Roosegaarde. Together with his team of designers and engineers Roosegaarde creates landscapes of the future for a better world. The studio connects people, technology and space to improve daily life in urban environments and spark imagination.
Image via Studio Roosegaarde. Poland.
Thank you for taking the time, I appreciate it.
My pleasure.
I’m curious how you move between planning, performance art, public art, and design.
I'm a hybrid. I remember when I was 16 my parents asked me what I wanted to do. I said, I want to do art, I want to do science, I want to travel, I want to be entrepreneur, I want to make things. Everybody got really confused and a bit worried. For two weeks they had me do interviews and tests with teachers, a psychological person, and other students. The conclusion after two weeks was what I wanted did not exist. I was sad for one day, and the second day was like, I'll just do it myself. That mentality, that kind of curiosity, always remained.
I look outside my window and see traffic jams, air pollution, CO2 levels rising, and don’t understand the world.
It’s definitely about connecting all the different sectors you mentioned.
How do you conceptualize such large scale projects?
It starts with the statement. The global challenges, the rising sea level, the air pollution, the CO2 emissions. They're bad design, that we created as human beings. We can do two things: cry and be sad in a corner, and blame other people. Or, we can say, we created it, let’s engineer, and design our way out of it. A lot of the projects have a practical attitude, as well as a poetic approach. The Earth is our playground. It’s our canvas.
Does permanence mean something to you?
It’s about impact. We’ve done Waterlicht, the blue light show about the rising sea level, in different locations. At the United Nations in New York, or Museumplein Square in Amsterdam. I think people are still talking about it, even though it was only three nights. I don’t see a different value in permanent or temporary. But we definitely do both.
Image via Studio Roosegaarde. United Nations Headquarters, New York City.
Can you tell me about the Smog Free project? Are you looking to expand them?
Image via Studio Roosegaarde. Beijing.
Yeah that’s a project that we initiated in the studio — self commissioned. Fighting for this dream of clean air. And again, correcting reality.
It created a trigger where new smog free solutions are designed. Like the smog free bicycle, or smog free ring. We're also working on designs, not just correcting reality, but doing it right the first time. Like the energy harvesting kites [WINDVOGEL] which generate power through the push and pull of cables via the wind. At 100 kilowatts per hour, that’s enough to supply 200 households green energy. We can generate energy without polluting.
We’re infiltrating and correcting reality, and making proposals of how to do it right in a whole new way. The projects are definitely growing in terms of scale and cities.
How far does the Smog Free Tower reach?
You can clean 30,000 cubic meters per hour. A soccer stadium in a day and a half. The range depends on the type of pollution, wind, humidity, things like that. We know how much cubic air we clean, that’s a solid number. It’s really varied per city.
For example in Krakow, we really made an impact on the park scale. Making parks 27% cleaner than the rest of the city. These kinds of fine particles are 40 times smaller than your hair, they’re nano-particles. They’re really hard to measure. You don’t smell, feel, or taste them, but they’re there, and that’s why they get so deep into your body. We really have to do extensive scientific research to have the validation. We try to in every city.
How long did it take to develop?
Two years to build the first one. And then it really kicked off. The Chinese government got on board. Poland, the Netherlands, and we are developing in Mexico, Columbia, and India. For me, it’s a movement. It’s making clean air parks with the towers, clean air bicycles so you can bike without being polluted. You’ll see a whole new series of smog free solutions in the coming years. Of course, we workshop with universities who are experts in the field to say, hey, what do we need to do to make a whole city smog free? It’s a long term campaign. It’s not just the tower. One tower is never going to fix the problem.
Image via Studio Roosegaarde. Poland.
Are you optimistic about the future of our environment?
[Laughing] No! No, no, no. It’s a bleak world. Somehow we're very creative in finding ways to not adapt and not change. We’re spending 1.9 billion euro every day on war on planet earth. But somehow, we find excuses not to invest in new ideas. Out of mismanagement, or hesitation —
It feels like we’ve run out of time. I don’t think there’s a lack of money or technology in the world. There’s a lack of imagination and curiosity in how we can live a better life. And that’s a bit sad. Because we’ve created the problem, so we should also fix it.
And even worse, it’s not just Earth.
Our latest project, launching in October, is focused on space waste. 29 thousand particals, caused by us. Broken satellites, missiles, etc. If a particle hits an existing sattelite, because of the speed, 17,000 kilometers per second, the sattelite goes down. No more Facebook, no more website, no more banking.
And nobody knows how to fix it, ESA, NASA, Space X — nobody knows.
Then again, I think we have an obligation to persist and to be curious. And to be honest, I don’t know what else I should be doing with this life. I’m a voluntary prisoner of my own ideas in that way. A happy voluntary prisoner.
But the answer is no, to your question. I’m sure you expected a yes, but no. It’s problematic.
Do you find your work engages and incites a curiosity where we’re otherwise neglegent? Because it looks and feels like art.
Absolutley. It’s great to inspire people, but it’s also factual. The Energy Harvesting Kites can produce electricy. The Smog Free Tower creates clean air parks. So it’s inspiring, but it’s also making sure it works. The facts matter. The science matters. The poetic and inspiring part is as important as the pragmatic, make it happen attitude.
That might also be a Dutch thing. We live below sea level here. Without technology and without creative thinking we’d all drown. We’d all die. But somehow we stayed here and created a system of windmills, pumps, canals, and rivers. We could've easily moved to Germany to keep it safe. But we didn’t. We live with nature, we fight with nature.
Do you have scientists on staff?
Yeah. I’m the son of a math teacher. I was raised by scientists. I’m definitley more of the creative. I have a team of designers and engineers and they work on the idea that I have. To go from idea, to prototype, to pilot, to final product or project. On some projects we work with external experts.
With The Smog Free, we work with experts in smog. We have our own core team, Studio Roosegaarde, and then per project you want to work with the best.
Every week I learn a new word. It’s a good life. You’re always an amateur when you start something new. I'm learning every week, and that’s really fun. I’ve done all this stuff, but I’m still learning. It makes it fun for me. These are group processes, but I’m at the beginning and at the end.
Are your parents okay with how this all worked out?
Ha! I’ll tell you a personal story, it’s funny. They’re both teachers. And of course my work is always about art and architecture and design, but it was always a bit abstract for them. They see it’s going well. But a year ago I became a visiting professor at Tongji, in Shanghai. They called me to say, we’re so proud! That’s the world they understand. They come from education. A visiting professor, it’s like the highest goal. It’s just a title, I think I’ve done other things to make them proud. But everyone has their own world and way of appreciating.
They’re not worried anymore.
Congratulations!
Take a closer look at Daan & Studio Roosegaarde's work below.