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"The signing of the Direct Service Tribes' charter is not
only historical, but places us at the same table as that of the National
Congress of American Indians, the National Indian Health Board, self-governance
tribes, and others," said Navajo councilwoman Alice Benally, a member of
the planning committee.
Tribes who sign the charter (P.L. 638) contracts or compacts with the government
already have an office within the IHS, said Anslem Roanhorse Jr., Navajo Division of Health executive director.
"This should have been done along time ago," Roanhorse said. "In time, Navajo could go completely 638, but for now we
still have most of our direct services still being provided by IHS. Nationally, nine out of 12 area offices still serve as primary care
provider for respective Indian tribes."
Some of the topics and speakers were also very good, said Emmett Temple Jr., tribal health director for the Standing Rock
Sioux tribe. "Like methamphetamine and how unprepared we are. There were also good discussions about behavioral health."
Winslow Indian Health Care Corporation chief executive officer Sally Pete called the conference "well-organized," adding,
"I am from a 638 organization, but I'm here because I'm interested in some of the presentations. This is a good learning experience."
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