Main Category: Medicare / Medicaid / SCHIP
Also Included In: Diabetes;??Public Health
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While Native Americans have the highest per capita incidence of diabetes in the United States, aid for medical needs and health care for Native Americans is significantly underfunded. Indian Health Services, the division of U.S. Health and Human Services that focuses on the concerns of Native Americans, receives approximately $2,000 per person per year, while Medicare is funded at more than $7,000 per person per year and Medicaid is financed at nearly $4,000 per person per year.¹
The risk for diabetes is more than twice as high in Native Americans than in non-Hispanic whites.² And, the consequences of poor diabetes control, including kidney disease, blindness, and limb amputations, are devastating to Native Americans. For example, the rate of diabetes-related kidney failure is 3.5 times higher among Native Americans than in the general U.S. population.³
Other issues related to resources and economics also contribute to the disparity. In some cases, basic medical supplies like gauze and antibiotic ointments are in short supply. Due to the remote locations of many Native American communities, access to general practitioners and diabetes care specialists is limited.
"Native Americans face particularly unique challenges that inhibit their ability to obtain adequate diabetes education and treatment," said Jerzy Gruhn, president of Novo Nordisk Inc., a leader in diabetes care. "Novo Nordisk is working to help ethnic communities hit hard by diabetes through legislative efforts and strategic partnerships with organizations."
The disparity in diabetes prevention and care in racial and ethnic communities is examined in the fourth issue of the Novo Nordisk BlueSheet. Highlighted in this issue are specific advocacy efforts that address the disparity. Also featured are interviews with Dr. Donald Warne, director of the Office of Native American Health at Sanford Health, about how the office serves nearly 300,000 Native Americans in 28 tribes where the prevalence of diabetes reaches 50 percent in some communities, and with one Native American woman living with diabetes about what she's doing to take control of managing her disease.
References
1 Indian Health Service Web Site, "2005 HIS Expenditures Per Capita Compared to Other Federal Health Expenditure Benchmarks." January 2006.
2 American Diabetes Association w
3 Indian Health Service Web Site, Fact Sheet, June 2008
Source: Novo Nordisk
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