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The Navajo Nation and the Hopi Tribe are awaiting the outcomes of negotiations with Peabody Coal Company over use of the Navajo-aquifer in Black Mesa, Arizona. To many of the region’s 30,000 residents who rely on the N-aquifer as their primary water source, Peabody’s operations are environmentally and culturally unacceptable.

The 2003 American Indian Health Care Delivery Plan paints a very poor picture of the health status of American Indians and Alaska natives. Limited health care access, lack of health insurance, and inadequate federal funding are the main contributing factors. Tribal and state officials are working on improving the system through federal programs such as the Medicaid Administrative Match funding.

Navajo Nation President Joe Shirley Jr. said on August 11 that he has been negotiating with Peabody Western Coal to continue operations on the Black Mesa Coal Mine near Kayenta, Arizona. The Tribe, which is currently involved in a $600 million lawsuit against the mining company, recently passed a resolution backed by tribal grassroots groups to end Peabody’s use of a specific aquifer by the end of 2005. Shirley criticized the resolution, warning that the mine’s closure would cost the tribe $35 million per year and hundreds of jobs for Navajo workers.

Southcentral Foundation, the nonprofit healthcare affiliate of an Alaska Native corporation, opened an $11.5 million state of the art clinic in Anchorage last month. The clinic offers dental, optometry, and behavioral health services to a mostly native clientele. The clinic consolidates Southcentral’s specialty services and is expected to significantly reduce waiting times for appointments.

Tribal representation in the federal government has long been criticized for a lack of native consultation and a failure to take Native tribes seriously as true sovereign nations. Over the past few months, tensions between Native organizations and the Department of Interior (DOI) have grown to historically high levels as hopes for meaningful reform have turned sour.

The National Alliance for the Mentally Ill held a symposium on American Indian and Alaska Native Mental Health Care at its annual convention in Minneapolis last week. The symposium focused on the importance of family and the need to integrate native traditions with Western medicine. NAMI also released a manual calling for local, state, and federal action to promote American Indian and Native Alaskan mental health.

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