1 00:00:05,200 --> 00:00:09,920 Speaker 1: And welcome to a very special joint episode of two 2 00:00:09,960 --> 00:00:13,800 Speaker 1: shows that you hopefully love, one the House of Pod. 3 00:00:14,000 --> 00:00:17,279 Speaker 1: I'm Cave. I'm the host of that show and it 4 00:00:17,320 --> 00:00:21,440 Speaker 1: could happen here with my good friend James Stout. James, Hi, Hi, Kvey. 5 00:00:21,680 --> 00:00:24,720 Speaker 1: I'm very excited about this. This is a rare privilege. Yeah, 6 00:00:24,760 --> 00:00:27,960 Speaker 1: I'm very excited too. We'll get straight to it. Just 7 00:00:28,000 --> 00:00:31,320 Speaker 1: a quick reminder if you're not following one of these 8 00:00:31,320 --> 00:00:33,760 Speaker 1: shows and you're following the other, yeah, all of both. 9 00:00:33,960 --> 00:00:37,680 Speaker 1: Why not and leave a nice review if you like 10 00:00:37,760 --> 00:00:41,120 Speaker 1: the shows either way. But we're really excited, so let's 11 00:00:41,120 --> 00:00:43,680 Speaker 1: get straight to the episode. How's that sound yep? 12 00:00:43,800 --> 00:00:44,320 Speaker 2: Must get. 13 00:00:59,280 --> 00:01:00,240 Speaker 1: And welcome back. 14 00:01:00,800 --> 00:01:01,200 Speaker 2: Oh. 15 00:01:01,360 --> 00:01:04,200 Speaker 1: I know. Every week I say this is a special episode, 16 00:01:04,240 --> 00:01:06,480 Speaker 1: and I'm usually lying ninety nine percent of the time 17 00:01:06,600 --> 00:01:09,959 Speaker 1: is not special. But this week is very special. It's 18 00:01:09,959 --> 00:01:13,520 Speaker 1: special because I've never done this before. I'm very excited. 19 00:01:13,720 --> 00:01:16,120 Speaker 1: It's a topic I really have wanted to cover for 20 00:01:16,160 --> 00:01:18,880 Speaker 1: a while. But I'm going to be covering the topic 21 00:01:18,959 --> 00:01:22,200 Speaker 1: with a good friend of mine who has an excellent show, 22 00:01:22,319 --> 00:01:25,399 Speaker 1: and we're doing a joint show release thing and I've 23 00:01:25,440 --> 00:01:27,120 Speaker 1: never done it. It's like a marvel team up, and 24 00:01:27,160 --> 00:01:30,520 Speaker 1: I'm very excited for it. James stout. James, I'm gonna 25 00:01:30,520 --> 00:01:34,119 Speaker 1: introduce your first journalist podcaster host of It could Happen Here, which, 26 00:01:34,160 --> 00:01:36,600 Speaker 1: if you're listening to this on it could happen here, 27 00:01:36,640 --> 00:01:39,479 Speaker 1: you already knew that. James. Welcome to the show. 28 00:01:40,000 --> 00:01:42,440 Speaker 2: Hi, thank you. Yeah, And I don't watch many Sweeper 29 00:01:42,440 --> 00:01:45,040 Speaker 2: hero movies, so I'm now concerned as to which Marvel 30 00:01:45,760 --> 00:01:47,200 Speaker 2: hero villain I would be. 31 00:01:48,640 --> 00:01:50,680 Speaker 1: Well, I was thinking more of the comics. But if 32 00:01:50,720 --> 00:01:52,840 Speaker 1: I have, if I have the pin you to a character, 33 00:01:52,840 --> 00:01:54,640 Speaker 1: it's Moonnight. I think that's clear. 34 00:01:54,880 --> 00:01:57,400 Speaker 2: Okay, it's gone straight past me, buddy, but I'm sure 35 00:01:57,920 --> 00:01:58,360 Speaker 2: I hope that. 36 00:01:58,800 --> 00:02:01,160 Speaker 1: Take my word for it. It's cool. James. Can you 37 00:02:01,400 --> 00:02:03,320 Speaker 1: tell us a little bit about what we're covering today. 38 00:02:03,400 --> 00:02:05,840 Speaker 1: Let's let's talk to our people about what then we'll 39 00:02:05,840 --> 00:02:07,880 Speaker 1: introduce our guests. But let's tell people of what we're 40 00:02:07,880 --> 00:02:08,919 Speaker 1: trying to cover today. 41 00:02:09,280 --> 00:02:11,919 Speaker 2: Yeah, of course. So we're talking about like healthcare and 42 00:02:11,960 --> 00:02:16,600 Speaker 2: an indigenous context and how we can both learn from 43 00:02:16,760 --> 00:02:19,880 Speaker 2: and stand in solidarity within Indigenous communities when it comes 44 00:02:19,880 --> 00:02:20,560 Speaker 2: to healthcare. 45 00:02:20,560 --> 00:02:23,720 Speaker 1: I guess excellent. And to help us with that, we 46 00:02:23,800 --> 00:02:26,160 Speaker 1: have two guests. We have a medical student at a 47 00:02:26,160 --> 00:02:29,840 Speaker 1: little school called Harvard I think it's a liberal arts 48 00:02:29,840 --> 00:02:33,560 Speaker 1: school out in the east somewhere, named Victor Lopez Carmen. 49 00:02:33,800 --> 00:02:37,040 Speaker 1: He was the prior elective co chair of the United 50 00:02:37,120 --> 00:02:40,320 Speaker 1: Nations Global Indigenous Youth Caucus. He is a member of 51 00:02:40,360 --> 00:02:43,000 Speaker 1: the Crow Creek Sooux tribe and also from the Yockey tribe. 52 00:02:43,000 --> 00:02:44,360 Speaker 1: Is that correct, Victor? 53 00:02:44,400 --> 00:02:44,600 Speaker 3: Yeah? 54 00:02:44,880 --> 00:02:46,839 Speaker 1: Okay, excellent, welcome to the shows. 55 00:02:47,560 --> 00:02:51,560 Speaker 3: Thank you so much. I'm honestly props to pronouncing all 56 00:02:51,560 --> 00:02:51,959 Speaker 3: that right. 57 00:02:52,639 --> 00:02:55,760 Speaker 1: Oh yeah, no, your stuff. I'm going to get right. 58 00:02:55,960 --> 00:02:58,600 Speaker 1: Our next guest, whose name is Molly, I'm gonna probably 59 00:02:58,639 --> 00:03:00,560 Speaker 1: destroy her name because that those are the names I 60 00:03:00,600 --> 00:03:04,320 Speaker 1: have a hard time with. Doctor Molly Hollweaver. Is that correct? 61 00:03:05,040 --> 00:03:05,480 Speaker 4: Correct? 62 00:03:05,840 --> 00:03:08,520 Speaker 1: E r? Doctor at UC Davis, one of my favorite 63 00:03:08,520 --> 00:03:11,080 Speaker 1: hospitals in the world. Is that also correct? 64 00:03:12,040 --> 00:03:14,079 Speaker 4: That is correct? I work at you see Davis. 65 00:03:14,800 --> 00:03:20,680 Speaker 2: So I guess maybe we should start, like if we 66 00:03:20,880 --> 00:03:25,080 Speaker 2: want to start out by explaining maybe how healthcare like, 67 00:03:25,160 --> 00:03:28,600 Speaker 2: what things that when we look at healthcare and indigenous context, 68 00:03:28,680 --> 00:03:30,960 Speaker 2: what things we're looking at the differentiate it from healthcare 69 00:03:31,120 --> 00:03:32,079 Speaker 2: in other context? 70 00:03:32,200 --> 00:03:32,320 Speaker 4: Right? 71 00:03:32,400 --> 00:03:35,040 Speaker 2: What will be the areas that both of you guys 72 00:03:35,080 --> 00:03:39,120 Speaker 2: think that folks who aren't familiar with this because sadly, 73 00:03:39,160 --> 00:03:41,560 Speaker 2: I think a lot of the United States they either 74 00:03:41,560 --> 00:03:43,960 Speaker 2: don't think they know Indigenous people or maybe they really 75 00:03:44,000 --> 00:03:48,200 Speaker 2: don't like and we can explain that lots of Indigenous people, 76 00:03:48,240 --> 00:03:50,160 Speaker 2: most Indigenous people live off res too. I think that 77 00:03:50,200 --> 00:03:53,920 Speaker 2: would be very valuable. But what sort of topics will 78 00:03:54,000 --> 00:03:55,920 Speaker 2: be be looking at when we're looking at healthcare from 79 00:03:55,920 --> 00:03:57,000 Speaker 2: an indigenous perspective. 80 00:03:57,200 --> 00:03:59,840 Speaker 3: I think like when you look at indigenous peoples in 81 00:03:59,840 --> 00:04:05,400 Speaker 3: the US, you think of our traditional health system as well, 82 00:04:05,560 --> 00:04:07,680 Speaker 3: like that was what we always had, that was what 83 00:04:08,760 --> 00:04:12,280 Speaker 3: we've had for thousands of years, and the efforts to 84 00:04:12,480 --> 00:04:16,360 Speaker 3: maintain the traditional health, traditional healing practices. And then you 85 00:04:16,400 --> 00:04:20,599 Speaker 3: look at the Western health system, the different systems we 86 00:04:20,640 --> 00:04:23,479 Speaker 3: have access to today, including the Indian Health Service, which 87 00:04:23,520 --> 00:04:28,600 Speaker 3: is unique to US, tribal clinics, tribal operated clinics, and 88 00:04:29,480 --> 00:04:33,279 Speaker 3: hospitals everyday hospitals that anyone else uses, because, like you said, 89 00:04:34,240 --> 00:04:37,520 Speaker 3: the majority of Native Americans today in the US live 90 00:04:37,640 --> 00:04:39,760 Speaker 3: in cities or urban contexts. 91 00:04:40,960 --> 00:04:45,000 Speaker 1: Mollie, let me ask you, because people may be wondering, 92 00:04:45,920 --> 00:04:50,440 Speaker 1: how did you become involved with delivery of healthcare to 93 00:04:51,040 --> 00:04:52,360 Speaker 1: the Native American population. 94 00:04:53,920 --> 00:04:57,160 Speaker 4: Yeah. Thanks, I am, it's great to be here. Thanks 95 00:04:57,160 --> 00:04:57,880 Speaker 4: for having us. 96 00:04:57,880 --> 00:05:01,279 Speaker 5: I'm excited to chat with you all. 97 00:05:01,400 --> 00:05:03,240 Speaker 4: I kind of had a unique opportunity. 98 00:05:03,279 --> 00:05:07,200 Speaker 5: I've always been interested in Indian health service as a 99 00:05:07,200 --> 00:05:13,800 Speaker 5: healthcare delivery system and Indigenous peoples. And when I started fellowship, 100 00:05:13,880 --> 00:05:16,240 Speaker 5: I did a Global Health Fellowship and I started in 101 00:05:16,279 --> 00:05:18,400 Speaker 5: twenty twenty, so it was, you know, not a great 102 00:05:18,480 --> 00:05:22,520 Speaker 5: year to be a Global Health Fellow for many reasons, 103 00:05:23,279 --> 00:05:25,680 Speaker 5: and so I had very you know, obviously, we were 104 00:05:25,680 --> 00:05:29,480 Speaker 5: on lockdown and work was hard and stressful as an YEARDOC, 105 00:05:31,440 --> 00:05:33,400 Speaker 5: and so we were trying to be creative and you know, 106 00:05:33,480 --> 00:05:37,320 Speaker 5: how we can do this global health fellowship. 107 00:05:37,360 --> 00:05:38,640 Speaker 4: And so I got in touch. 108 00:05:38,480 --> 00:05:43,400 Speaker 5: With a awesome physician, Don Maggio, who is the edy 109 00:05:43,480 --> 00:05:47,640 Speaker 5: director at White River, which is Apacha Nation in Arizona. 110 00:05:47,760 --> 00:05:49,280 Speaker 4: It's like three hours east of Phoenix. 111 00:05:49,839 --> 00:05:52,640 Speaker 5: So he went to high He was a Highland Alum, 112 00:05:52,800 --> 00:05:55,480 Speaker 5: a Highland DM alum which is in Oakland and now 113 00:05:55,480 --> 00:05:58,320 Speaker 5: works full time at White River. Anyways, got connected with 114 00:05:58,440 --> 00:06:02,240 Speaker 5: him and everything that was going on during the pandemic 115 00:06:02,400 --> 00:06:04,880 Speaker 5: because as I'm sure you guys are all aware and 116 00:06:04,920 --> 00:06:07,240 Speaker 5: probably a lot of our listeners that the Navajo and 117 00:06:07,400 --> 00:06:13,320 Speaker 5: Apache tribes we had much higher rates of COVID and 118 00:06:13,360 --> 00:06:17,520 Speaker 5: of severe COVID, and so I went as first for 119 00:06:17,839 --> 00:06:20,440 Speaker 5: kind of public health outreach. So I went and did 120 00:06:20,440 --> 00:06:23,720 Speaker 5: some contact tracing and helped do They did a really 121 00:06:23,720 --> 00:06:27,280 Speaker 5: cool program of outreach in the community to go and. 122 00:06:27,320 --> 00:06:30,040 Speaker 4: Check on the locals and we would go and. 123 00:06:29,960 --> 00:06:31,960 Speaker 5: Check pull socks so we'd see how high their oxygen 124 00:06:32,000 --> 00:06:34,240 Speaker 5: saturation was and see how people were doing to try 125 00:06:34,279 --> 00:06:35,480 Speaker 5: to catch disease early. 126 00:06:36,200 --> 00:06:37,479 Speaker 4: So that's how I kind of got. 127 00:06:37,320 --> 00:06:41,200 Speaker 5: Into doing it, and then I loved it there and 128 00:06:41,520 --> 00:06:44,560 Speaker 5: wanted to keep working, and so I continued to moonlight, 129 00:06:44,640 --> 00:06:48,080 Speaker 5: which means I worked kind of as a locums. I 130 00:06:48,080 --> 00:06:49,760 Speaker 5: don't know if I need to explain that for medical 131 00:06:49,839 --> 00:06:53,000 Speaker 5: Dragon Cave, but I worked, you know, every one to 132 00:06:53,040 --> 00:06:57,000 Speaker 5: two months, I would fly to Arizona and work on 133 00:06:57,040 --> 00:06:57,919 Speaker 5: the res for a week. 134 00:06:59,080 --> 00:07:03,039 Speaker 1: Very cool. So Victor getting back a little bit to 135 00:07:03,480 --> 00:07:08,040 Speaker 1: where Native Americans are getting their healthcare? What is what 136 00:07:08,200 --> 00:07:11,840 Speaker 1: is your interest? Once you're done and when you graduate 137 00:07:12,360 --> 00:07:14,080 Speaker 1: from where are you? You are? Are you right now? 138 00:07:14,560 --> 00:07:16,760 Speaker 6: I'm a fourth year, so my last year, Oh. 139 00:07:16,680 --> 00:07:19,280 Speaker 1: My god, for you buddy, how are you liking it? 140 00:07:20,120 --> 00:07:26,840 Speaker 3: I'm liking it less. No, I'm not like like I 141 00:07:27,040 --> 00:07:31,720 Speaker 3: like medicine. I still maintain medical school. Like I'm ready 142 00:07:31,760 --> 00:07:32,560 Speaker 3: to be done with school. 143 00:07:33,600 --> 00:07:35,160 Speaker 1: You got senioritis? Is that what you mean? 144 00:07:35,600 --> 00:07:36,480 Speaker 6: Pretty much? Yeah? 145 00:07:37,360 --> 00:07:40,240 Speaker 4: You're a rising fourth here or have you already matched? Uh? 146 00:07:40,360 --> 00:07:42,640 Speaker 3: No, I'm a I'm a rising fourth here. I'm applying 147 00:07:42,680 --> 00:07:44,800 Speaker 3: your residency now, so. 148 00:07:44,240 --> 00:07:46,400 Speaker 1: So so talk to us about where what you would 149 00:07:46,480 --> 00:07:48,640 Speaker 1: like to where you like to go and what kind 150 00:07:48,680 --> 00:07:51,360 Speaker 1: of medicine you'd like to practice. 151 00:07:52,720 --> 00:07:55,960 Speaker 3: Honestly, anywhere that will take me. 152 00:07:59,240 --> 00:08:03,440 Speaker 6: Doctor. But yeah, I really I want to go into pediatrics. 153 00:08:03,600 --> 00:08:06,239 Speaker 3: I always wanted to help and take care of Native 154 00:08:06,320 --> 00:08:10,280 Speaker 3: kids and back in the community for sure. I want 155 00:08:10,320 --> 00:08:14,800 Speaker 3: to go back and be a community member again. I've 156 00:08:14,800 --> 00:08:16,840 Speaker 3: been gone for so long. I feel like I've been 157 00:08:16,880 --> 00:08:19,400 Speaker 3: only only able to go back for like you know, 158 00:08:19,600 --> 00:08:22,720 Speaker 3: breaks and things like that, and it's it's it hasn't 159 00:08:22,760 --> 00:08:25,800 Speaker 3: been enough for me as an Indigenous person. 160 00:08:25,920 --> 00:08:27,680 Speaker 6: So I'm ready to go back. 161 00:08:27,760 --> 00:08:32,439 Speaker 3: Be a doctor, be part of the community, be there 162 00:08:32,480 --> 00:08:34,800 Speaker 3: for ceremonies, be there to be patients. 163 00:08:35,200 --> 00:08:35,960 Speaker 6: That's my ideal. 164 00:08:36,840 --> 00:08:39,040 Speaker 2: I think one thing that's really interesting, especially and like 165 00:08:39,080 --> 00:08:40,800 Speaker 2: we have this chance to talk to you, which we 166 00:08:40,960 --> 00:08:44,679 Speaker 2: which we often don't have. Is you mentioned like balancing 167 00:08:44,960 --> 00:08:49,680 Speaker 2: western medical technology with indigenous medical technologies, right, And I'm 168 00:08:49,720 --> 00:08:53,600 Speaker 2: really interested in hearing how you would approach that for 169 00:08:53,679 --> 00:08:56,360 Speaker 2: folks who aren't familiar or for folks who don't have 170 00:08:57,160 --> 00:08:59,840 Speaker 2: the knowledge of indigenous medical technologies that you might odd 171 00:08:59,840 --> 00:09:01,880 Speaker 2: be you maybe have people who you go to for that. 172 00:09:02,800 --> 00:09:08,440 Speaker 3: Yeah. Yeah, Well, I think it's important to just already 173 00:09:08,679 --> 00:09:13,200 Speaker 3: start the conversation that so much indigenous medical technology has 174 00:09:13,240 --> 00:09:18,680 Speaker 3: already been appropriated by western medicine as western medicine, aspirin, 175 00:09:18,920 --> 00:09:24,040 Speaker 3: for instance, many traditional healing practices that were and are 176 00:09:24,080 --> 00:09:27,839 Speaker 3: still find themselves seeping into the field of psychiatry or 177 00:09:28,000 --> 00:09:34,640 Speaker 3: around parenting mental health the way that, for instance, that 178 00:09:34,720 --> 00:09:39,440 Speaker 3: Indigenous peoples. I think there's a growing understanding in the 179 00:09:39,440 --> 00:09:42,520 Speaker 3: medical field about planetary health and the impacts of climate 180 00:09:42,600 --> 00:09:46,400 Speaker 3: change on health, and a lot of that has already 181 00:09:46,440 --> 00:09:49,520 Speaker 3: been said and fought for by Indigenous peoples for a 182 00:09:49,640 --> 00:09:54,720 Speaker 3: very long time, and so there's already a lot of 183 00:09:54,760 --> 00:09:56,840 Speaker 3: stuff there that we're working with. And I think it's 184 00:09:56,840 --> 00:10:00,480 Speaker 3: important to give Indigenous peoples their flowers. But yeah, that 185 00:10:00,840 --> 00:10:03,720 Speaker 3: I think when it comes to integrating on the clinical level, 186 00:10:04,280 --> 00:10:07,280 Speaker 3: it's going to differ from community to community. You might know, 187 00:10:07,480 --> 00:10:13,559 Speaker 3: but in the possible Yaki tribe, the health division employs 188 00:10:13,679 --> 00:10:16,760 Speaker 3: a team of traditional healers that come up I think 189 00:10:16,840 --> 00:10:21,559 Speaker 3: monthly from Sonora, Mexico, from the villages and Yaccu. Patients 190 00:10:21,640 --> 00:10:25,440 Speaker 3: can elect to see the traditional healers with or without 191 00:10:25,480 --> 00:10:30,079 Speaker 3: a Western trained physician, and there's a whole room where 192 00:10:30,080 --> 00:10:33,400 Speaker 3: they have all these herbs and plants that Yaki people 193 00:10:33,440 --> 00:10:37,160 Speaker 3: have been using for thousands of years, and I think 194 00:10:37,200 --> 00:10:40,520 Speaker 3: that's very beautiful. One reason we've been able to do 195 00:10:40,559 --> 00:10:45,000 Speaker 3: that is because our tribe elected to run their own 196 00:10:45,640 --> 00:10:49,040 Speaker 3: health division rather than having the Indian Health Service run 197 00:10:49,040 --> 00:10:52,800 Speaker 3: it for them. We had the capability to do that 198 00:10:52,880 --> 00:10:55,760 Speaker 3: at the time. Not all tribes do have the capability, 199 00:10:55,840 --> 00:10:58,480 Speaker 3: yet we had it, and I think it's been beneficial 200 00:10:58,520 --> 00:11:02,400 Speaker 3: for us because it's given us more freedom to bridge 201 00:11:02,440 --> 00:11:05,680 Speaker 3: Western a traditional medicine in a way that works for us. 202 00:11:06,000 --> 00:11:08,719 Speaker 2: The Yacky system is a really great one, like and 203 00:11:10,480 --> 00:11:13,160 Speaker 2: like people. Probably that people won't be familiar with it. 204 00:11:13,200 --> 00:11:15,160 Speaker 2: I guessing most people listening won't be familiar with it, 205 00:11:15,200 --> 00:11:17,720 Speaker 2: but it's allowed the tribes to all kinds of cool things, 206 00:11:17,840 --> 00:11:21,439 Speaker 2: like in I've been involved in a diabetes prevention cycling 207 00:11:21,480 --> 00:11:25,520 Speaker 2: program there for ten years, something like a long long time. 208 00:11:26,120 --> 00:11:28,800 Speaker 2: But there are things that can be done because of 209 00:11:28,800 --> 00:11:31,880 Speaker 2: that block grant or running their own system as opposed 210 00:11:31,880 --> 00:11:35,760 Speaker 2: to having IOHS run the system. Could you like, because Marley, 211 00:11:35,800 --> 00:11:39,160 Speaker 2: I think you're more familiar with like an IHS clinic model, right, 212 00:11:39,679 --> 00:11:41,840 Speaker 2: would one of you want to explain the difference between 213 00:11:41,880 --> 00:11:44,560 Speaker 2: the two of those for people who aren't familiar. 214 00:11:44,800 --> 00:11:47,240 Speaker 4: IHS versus the tribe. 215 00:11:47,280 --> 00:11:49,360 Speaker 2: The Pascuayaki tribe run their own system. I think they 216 00:11:49,360 --> 00:11:52,000 Speaker 2: get a block grant, correct me if I'm wrong, Victor, 217 00:11:52,080 --> 00:11:53,600 Speaker 2: they get a block grant for MYHSS, and then they 218 00:11:53,600 --> 00:11:54,640 Speaker 2: spend that as they see fit. 219 00:11:55,160 --> 00:11:58,520 Speaker 5: Yeah, I can speak to the IOHS side, but for 220 00:11:58,640 --> 00:12:01,480 Speaker 5: me this in Victory. You can correct me if I'm wrong, 221 00:12:01,520 --> 00:12:04,520 Speaker 5: But for me it was easy to It's kind of 222 00:12:04,559 --> 00:12:07,840 Speaker 5: similar to the VA for just for medical doctors to 223 00:12:08,040 --> 00:12:12,000 Speaker 5: understand in that it's a set of money that the 224 00:12:12,000 --> 00:12:16,240 Speaker 5: government sets aside for a certain population and the veterans for. 225 00:12:16,200 --> 00:12:17,439 Speaker 4: The VA and IHS for. 226 00:12:19,040 --> 00:12:23,360 Speaker 5: Natives, and but there's obviously disparity between even those two, 227 00:12:23,440 --> 00:12:25,480 Speaker 5: Like per captive spending is way higher in the VA 228 00:12:25,600 --> 00:12:29,959 Speaker 5: than it is on IHS, but it's a yeah, Western system, 229 00:12:30,880 --> 00:12:36,160 Speaker 5: and all of the staff on the hospital, like the 230 00:12:36,200 --> 00:12:39,720 Speaker 5: reservation hospital or the Indian Hospital, are all employees of IHS, 231 00:12:39,760 --> 00:12:43,600 Speaker 5: so they're actually kind of like federal employees. And we 232 00:12:43,640 --> 00:12:45,720 Speaker 5: can kind of get into the weeds of it later, 233 00:12:45,800 --> 00:12:48,520 Speaker 5: but there's you know, a lot of turnover because it's 234 00:12:49,120 --> 00:12:51,319 Speaker 5: a sometimes it's hard places to live and so and 235 00:12:51,360 --> 00:12:53,480 Speaker 5: they're young. They kind of recruit young doctors, and there's 236 00:12:53,480 --> 00:12:57,480 Speaker 5: a lot of turnover for the for the primary care doctors. 237 00:12:57,559 --> 00:13:00,360 Speaker 5: And then in the er where I work, there very 238 00:13:00,400 --> 00:13:05,520 Speaker 5: few forward certified YAR doctors, so it's staffed by non 239 00:13:05,600 --> 00:13:06,960 Speaker 5: em certified docs. 240 00:13:07,400 --> 00:13:10,080 Speaker 3: That sounds right to me. The only other thing I 241 00:13:10,080 --> 00:13:14,720 Speaker 3: would add is that the Indian Health Service it's predicated 242 00:13:14,760 --> 00:13:19,079 Speaker 3: on what's called the federal trust responsibility that's built over 243 00:13:19,760 --> 00:13:25,800 Speaker 3: decades of Supreme Court precedent smaller court precedents over the 244 00:13:25,880 --> 00:13:28,000 Speaker 3: years that I think a lot of them were based 245 00:13:28,040 --> 00:13:33,040 Speaker 3: in treaties made with Indigenous peoples. And basically this means 246 00:13:33,040 --> 00:13:36,200 Speaker 3: that the government, because of the harm, the oppression, the 247 00:13:36,200 --> 00:13:41,680 Speaker 3: colonization that has been dealt upon Indigenous peoples across the 248 00:13:41,760 --> 00:13:47,280 Speaker 3: United States. There's a trust responsibility for the federal government 249 00:13:47,720 --> 00:13:50,680 Speaker 3: to sort of to do something about the lingering impacts. 250 00:13:50,679 --> 00:13:56,559 Speaker 3: They have a responsibility to provide health services to indigenous 251 00:13:56,559 --> 00:13:58,760 Speaker 3: peoples in the US. That was also in many of 252 00:13:58,800 --> 00:14:02,640 Speaker 3: the treaties that were made with indigenous nations. And I 253 00:14:02,679 --> 00:14:06,720 Speaker 3: think it does go over people's heads sometimes that this 254 00:14:06,920 --> 00:14:09,920 Speaker 3: is not a favor, this is not a gift. It's 255 00:14:09,920 --> 00:14:15,720 Speaker 3: a responsibility based on centuries of oppression, and that that 256 00:14:15,840 --> 00:14:18,560 Speaker 3: responsibility is not fully being met right now because the 257 00:14:18,600 --> 00:14:22,480 Speaker 3: Indian Health Service is severely underfunded. The way that the 258 00:14:23,040 --> 00:14:27,360 Speaker 3: funds are appropriated is unique to government health care programs. 259 00:14:27,640 --> 00:14:31,960 Speaker 3: The way the veterans, for instance, Veterans Affairs is appropriated 260 00:14:32,280 --> 00:14:34,440 Speaker 3: is much more effective than the way Indian Health. 261 00:14:34,280 --> 00:14:36,600 Speaker 6: Service is appropriated at the federal level. 262 00:14:38,160 --> 00:14:42,480 Speaker 2: It might be worth explaining here just briefly, that not 263 00:14:42,560 --> 00:14:45,640 Speaker 2: all tribes are federally recognized, right, and not all Indigenous 264 00:14:45,640 --> 00:14:47,960 Speaker 2: people are part of federally recognized tribes, And how would 265 00:14:48,000 --> 00:14:50,160 Speaker 2: that impact their access to healthcare? 266 00:14:52,080 --> 00:14:55,920 Speaker 3: Yeah, well, you know, federal recognition isn't perfect. It's a 267 00:14:55,960 --> 00:14:59,960 Speaker 3: really arduous process, and not all tribes are federally recognized. 268 00:15:00,080 --> 00:15:03,120 Speaker 3: For those tribes who aren't, they don't have access to 269 00:15:03,640 --> 00:15:07,720 Speaker 3: those services like the Indian Health Service or the Bureau 270 00:15:07,760 --> 00:15:12,080 Speaker 3: of Indian Education, for instance, and many other federal grants 271 00:15:12,120 --> 00:15:16,880 Speaker 3: that Indigenous peoples and Indigenous nations can apply for or 272 00:15:16,920 --> 00:15:20,160 Speaker 3: just automatically get. For instance, during COVID nineteen there were 273 00:15:20,200 --> 00:15:25,880 Speaker 3: specific funding allocated for tribal nations. Those tribal nations who 274 00:15:26,080 --> 00:15:39,400 Speaker 3: are not federally recognized, they wouldn't have bad access to them. 275 00:15:39,800 --> 00:15:41,880 Speaker 1: Let me shift here is a little bit here and 276 00:15:42,320 --> 00:15:45,040 Speaker 1: get to a question that is I think going to 277 00:15:45,080 --> 00:15:47,440 Speaker 1: be very difficult to answer, and it's one of those 278 00:15:47,440 --> 00:15:50,080 Speaker 1: impossible questions because there's so many parts to it, I'm sure, 279 00:15:50,120 --> 00:15:52,720 Speaker 1: and it varies so much. But I like to talk 280 00:15:52,720 --> 00:15:55,640 Speaker 1: a little bit about the major health issues that you 281 00:15:55,680 --> 00:15:59,560 Speaker 1: guys feel are facing Native Americans right now and whether 282 00:15:59,640 --> 00:16:01,600 Speaker 1: or not if they are at all different from the 283 00:16:01,600 --> 00:16:04,160 Speaker 1: rest of the US population, And then we could talk 284 00:16:04,200 --> 00:16:06,840 Speaker 1: about what barriers there are to care in that regards. 285 00:16:06,920 --> 00:16:11,120 Speaker 1: But we'll start with you, Molly. Can you tell us 286 00:16:11,160 --> 00:16:14,760 Speaker 1: from your experience working there, what are the major health 287 00:16:14,840 --> 00:16:17,600 Speaker 1: issues that you feel may or may not be the 288 00:16:17,640 --> 00:16:18,960 Speaker 1: same as the general population. 289 00:16:19,960 --> 00:16:23,160 Speaker 4: Yeah, I think at the end of the day is 290 00:16:23,240 --> 00:16:24,080 Speaker 4: it's very similar. 291 00:16:24,120 --> 00:16:28,480 Speaker 5: You're seeing the same disease processes that you're seeing in 292 00:16:28,680 --> 00:16:34,360 Speaker 5: the general population, but you're seeing everything's a little bit 293 00:16:34,840 --> 00:16:39,440 Speaker 5: more severe. I would say, like there's more there's higher 294 00:16:39,520 --> 00:16:43,120 Speaker 5: rates of the chronic disorders like diabetes and hypertension, and 295 00:16:43,120 --> 00:16:46,320 Speaker 5: it's kind of more severe long term effects of the 296 00:16:46,360 --> 00:16:49,040 Speaker 5: diabetes and hypertension, and at younger ages. 297 00:16:49,080 --> 00:16:51,080 Speaker 4: I think that was kind of what was most striking 298 00:16:51,080 --> 00:16:51,320 Speaker 4: to me. 299 00:16:51,480 --> 00:16:55,560 Speaker 5: You're seeing the long term, the bad effects, the long 300 00:16:55,640 --> 00:16:56,800 Speaker 5: term bad effects. 301 00:16:56,400 --> 00:17:00,360 Speaker 4: At younger ages. You're seeing all. 302 00:17:00,240 --> 00:17:02,320 Speaker 5: Use disorder is a problem everywhere in the United States, 303 00:17:02,360 --> 00:17:05,400 Speaker 5: but on tribes alcoholics disorder is much higher. 304 00:17:06,000 --> 00:17:09,320 Speaker 4: And again, like I I was, it was shocked. 305 00:17:09,320 --> 00:17:13,360 Speaker 5: It was honestly shocking to see thirty year olds who 306 00:17:13,440 --> 00:17:16,840 Speaker 5: had n stage liver disease from alcohol use disorder. And 307 00:17:16,880 --> 00:17:19,080 Speaker 5: I saw on some of the sickest people I've seen 308 00:17:19,119 --> 00:17:24,280 Speaker 5: have been from my from my time there. So everything 309 00:17:24,400 --> 00:17:26,800 Speaker 5: just is you know, a little bit harder. And the 310 00:17:26,840 --> 00:17:29,520 Speaker 5: reasons for that, as we can talk about, are like 311 00:17:29,720 --> 00:17:33,560 Speaker 5: totally multifactorial, but in line with poverty, funding is a 312 00:17:33,640 --> 00:17:37,600 Speaker 5: huge like funding and poverty go hand in hand education, 313 00:17:38,800 --> 00:17:42,639 Speaker 5: and just the fact that yeah, they've been oppressed for centuries. 314 00:17:43,680 --> 00:17:48,400 Speaker 5: But yeah, I think it's at the end of the day, 315 00:17:48,440 --> 00:17:50,600 Speaker 5: it was the same. I was seeing the same things 316 00:17:50,600 --> 00:17:51,200 Speaker 5: that I would. 317 00:17:50,960 --> 00:17:53,480 Speaker 4: See at UC Davis, but I was seeing. 318 00:17:53,240 --> 00:17:56,080 Speaker 5: It on a more extreme basis. 319 00:17:56,119 --> 00:17:59,720 Speaker 6: I would say, Victor, Yeah, yeah, definitely. 320 00:17:59,800 --> 00:17:59,960 Speaker 4: Yeah. 321 00:18:00,359 --> 00:18:05,480 Speaker 3: I think it's important to note to sort of say 322 00:18:05,520 --> 00:18:08,960 Speaker 3: that these problems exist all across the US, because there 323 00:18:08,960 --> 00:18:14,719 Speaker 3: can be stereotypes associated with health concerns like that are 324 00:18:14,760 --> 00:18:17,640 Speaker 3: attributed to the way that we live, or our culture, 325 00:18:17,800 --> 00:18:20,639 Speaker 3: or just inherent to who we are. Like there's this 326 00:18:20,720 --> 00:18:24,720 Speaker 3: prevailing I think notion that I don't know what came first, 327 00:18:24,720 --> 00:18:27,680 Speaker 3: but I think in the medical field, I still hear 328 00:18:27,680 --> 00:18:31,280 Speaker 3: about it. Like in class sometimes they'll say, like Native 329 00:18:31,320 --> 00:18:35,439 Speaker 3: Americans have the highest rates of diabetes or heart disease, 330 00:18:35,520 --> 00:18:39,120 Speaker 3: but they won't say why, and it makes people think that, oh, 331 00:18:39,320 --> 00:18:41,919 Speaker 3: like are they just not catching on? 332 00:18:42,080 --> 00:18:43,639 Speaker 6: Like are they just living badly? 333 00:18:44,280 --> 00:18:47,199 Speaker 3: And when you don't say why, it kind of I 334 00:18:47,240 --> 00:18:51,480 Speaker 3: think it it creates a lot of ignorance and a 335 00:18:51,520 --> 00:18:55,120 Speaker 3: lot of room for interpretation. So I think it's really 336 00:18:55,160 --> 00:18:59,160 Speaker 3: important to talk about those background reasons for instance, with diabetes, 337 00:18:59,720 --> 00:19:03,040 Speaker 3: I think a lot on a lot of reservations, there's 338 00:19:03,280 --> 00:19:07,360 Speaker 3: no access to one, traditional foods which have been you know, 339 00:19:07,480 --> 00:19:13,200 Speaker 3: through policy, eradicated through government policies over the decades and centuries, 340 00:19:13,600 --> 00:19:15,120 Speaker 3: and no access to healthy foods. 341 00:19:15,160 --> 00:19:16,280 Speaker 6: These are food deserts. 342 00:19:16,840 --> 00:19:21,800 Speaker 3: And at the same time, like doctor Hallweaver mentioned, there's poverty. 343 00:19:21,880 --> 00:19:24,400 Speaker 3: So if you're trying to get healthy food, you don't 344 00:19:24,400 --> 00:19:27,840 Speaker 3: have Number one, it's not in the reservation. You might 345 00:19:27,880 --> 00:19:29,639 Speaker 3: not even be able to afford it. If you can 346 00:19:29,920 --> 00:19:32,719 Speaker 3: get off the reservation. Not a lot of people have, 347 00:19:33,119 --> 00:19:35,800 Speaker 3: you know, not everyone has a car or the ability 348 00:19:36,000 --> 00:19:39,320 Speaker 3: to mobilize, you know, hour and a half to the 349 00:19:39,320 --> 00:19:43,080 Speaker 3: health food store. And so you know, a lot of 350 00:19:43,119 --> 00:19:44,800 Speaker 3: these That's just one example of like some of the 351 00:19:44,840 --> 00:19:50,359 Speaker 3: systemic reasons why somebody could get diabetes quite early. And 352 00:19:50,600 --> 00:19:53,320 Speaker 3: there's also a lot of lingering trauma and mental health 353 00:19:53,359 --> 00:19:58,560 Speaker 3: impacts that I think play into the high rates of alcoholism. 354 00:19:57,640 --> 00:20:02,560 Speaker 3: A lot of you know, in policy, there was there 355 00:20:02,560 --> 00:20:06,960 Speaker 3: were some early efforts to try to I think, to 356 00:20:07,080 --> 00:20:10,719 Speaker 3: try to limit alcohol on reservations that we still see today. 357 00:20:11,040 --> 00:20:15,400 Speaker 3: On some reservations, alcohol is entirely illegal on the reservation. 358 00:20:15,960 --> 00:20:20,600 Speaker 3: But you'll see you'll still see businesses right on the 359 00:20:20,600 --> 00:20:25,439 Speaker 3: border of the reservation just camp themselves there right on 360 00:20:25,480 --> 00:20:29,639 Speaker 3: the border, knowing that these that the population is vulnerable, 361 00:20:30,200 --> 00:20:31,320 Speaker 3: maybe not knowing. 362 00:20:31,080 --> 00:20:33,160 Speaker 6: That it's because of the historical trauma and things. 363 00:20:33,400 --> 00:20:36,840 Speaker 3: But but there's there's something there, you know, so there's 364 00:20:36,840 --> 00:20:40,360 Speaker 3: still an aspect of being targeted there by something that 365 00:20:40,359 --> 00:20:43,919 Speaker 3: that you know, the community is highly vulnerable to still 366 00:20:44,000 --> 00:20:44,600 Speaker 3: to this day. 367 00:20:45,240 --> 00:20:48,480 Speaker 1: It's a really interesting point that you bring up, because 368 00:20:48,560 --> 00:20:51,159 Speaker 1: I remember being in medical school and you know, you 369 00:20:51,240 --> 00:20:54,680 Speaker 1: sit in these lecture halls and some they would bring up, 370 00:20:54,760 --> 00:20:57,239 Speaker 1: like Native Americans being a high risk for all these 371 00:20:57,640 --> 00:20:59,159 Speaker 1: It would be like one of these little footnotes that 372 00:20:59,160 --> 00:21:00,639 Speaker 1: would be in a lot of our lectures and that 373 00:21:00,680 --> 00:21:03,679 Speaker 1: sort of thing. They never explained why, I mean medical 374 00:21:03,680 --> 00:21:06,639 Speaker 1: school particularly then, was I wouldn't want to touch anything 375 00:21:06,720 --> 00:21:09,600 Speaker 1: that they might see as an even mildly political issue, 376 00:21:09,600 --> 00:21:14,199 Speaker 1: even though not discussing it made it one. Really, do 377 00:21:14,320 --> 00:21:16,679 Speaker 1: you must be annoyed by this? Does this happen to 378 00:21:16,720 --> 00:21:20,240 Speaker 1: you like you are you like sitting in your lecture 379 00:21:20,320 --> 00:21:23,000 Speaker 1: class and then like the teacher will mention something about 380 00:21:23,040 --> 00:21:25,040 Speaker 1: Native Americans. Then all like the white students in your 381 00:21:25,040 --> 00:21:26,720 Speaker 1: class just turned their heads and like look at you 382 00:21:26,800 --> 00:21:27,680 Speaker 1: to see your response. 383 00:21:29,880 --> 00:21:36,720 Speaker 3: Yeah, yeah, you're like what listen, I just like find 384 00:21:36,720 --> 00:21:41,200 Speaker 3: a wall and I stare at it, just just anticipating it, 385 00:21:42,560 --> 00:21:44,879 Speaker 3: just looking in deep thought until it passes. 386 00:21:45,400 --> 00:21:49,520 Speaker 1: Right, smart student, Molly, you're going to add something. 387 00:21:49,800 --> 00:21:52,120 Speaker 5: I was going to add to that victor that. Yeah, 388 00:21:52,440 --> 00:21:57,720 Speaker 5: just to highlight the food desert. Example, during COVID, right, 389 00:21:58,000 --> 00:22:03,080 Speaker 5: the White River Reservation had one grocery store and during 390 00:22:03,080 --> 00:22:07,600 Speaker 5: the lockdown it was only open, you know, from nine 391 00:22:07,640 --> 00:22:10,239 Speaker 5: am to three pm on Monday, Wednesday Friday, Like it 392 00:22:10,280 --> 00:22:14,000 Speaker 5: had really limited hours, and that was there one grocery 393 00:22:14,000 --> 00:22:16,800 Speaker 5: store for the entire reservation, and so it was just 394 00:22:16,960 --> 00:22:21,080 Speaker 5: even you know, during the pandemic, everything got a little 395 00:22:21,080 --> 00:22:25,200 Speaker 5: bit worse. But yeah, they're very limited access to healthy 396 00:22:25,200 --> 00:22:26,040 Speaker 5: foods for sure. 397 00:22:26,600 --> 00:22:30,160 Speaker 2: One thing that I was like recently educated about during 398 00:22:30,160 --> 00:22:35,520 Speaker 2: a discussion about diabetes prevention was epigenetics. And like, my 399 00:22:35,960 --> 00:22:38,040 Speaker 2: I'm a doctor of modern European history, so if I 400 00:22:38,119 --> 00:22:40,000 Speaker 2: go off the rails at any point, I'm going to 401 00:22:40,480 --> 00:22:43,160 Speaker 2: lie on one of you three to gently guide me back. 402 00:22:43,920 --> 00:22:48,600 Speaker 2: But I found that fascinating the concept of like intergenerational 403 00:22:48,600 --> 00:22:52,360 Speaker 2: trauma and epigenetics and how that can impact healthcare today. 404 00:22:53,320 --> 00:22:55,680 Speaker 2: Is that something either of you could explain to listeners who, 405 00:22:55,760 --> 00:22:57,760 Speaker 2: like me, a relatively ignorant on it. 406 00:22:58,400 --> 00:23:02,480 Speaker 1: And that's the I can take this one actually, because 407 00:23:04,040 --> 00:23:07,160 Speaker 1: actually it's interesting because I did an episode recently about 408 00:23:07,240 --> 00:23:13,880 Speaker 1: the intergenerational trauma of the Persian diaspora after the revolution 409 00:23:14,040 --> 00:23:17,919 Speaker 1: and how this most recent set of protests sort of 410 00:23:18,160 --> 00:23:22,240 Speaker 1: reignited this trauma. And excuse me, one of the guests 411 00:23:22,280 --> 00:23:25,400 Speaker 1: mentioned that there was a study in mice in which 412 00:23:25,440 --> 00:23:29,040 Speaker 1: they looked at sort of epigenetics of stress response, and 413 00:23:29,080 --> 00:23:32,960 Speaker 1: they had pregnant mice and they like, they would give 414 00:23:32,960 --> 00:23:35,240 Speaker 1: them the scent of rose blossom or something, and then 415 00:23:35,280 --> 00:23:39,080 Speaker 1: they would shock them, and then the mouse would grow 416 00:23:39,160 --> 00:23:42,840 Speaker 1: to be really fearful of those shocks that were associated 417 00:23:42,840 --> 00:23:45,760 Speaker 1: with the rose blossom. And then what they noticed was 418 00:23:45,840 --> 00:23:49,960 Speaker 1: that like, the children of the mice would also respond 419 00:23:50,320 --> 00:23:54,000 Speaker 1: poorly to like that same rose blossom scent, even though 420 00:23:54,040 --> 00:23:57,080 Speaker 1: they didn't have the exposure to it. And I looked 421 00:23:57,080 --> 00:23:59,960 Speaker 1: into it, I mean, because the truth of it is, yeah, 422 00:24:00,359 --> 00:24:02,960 Speaker 1: I don't think you can inherit specific phobias that just 423 00:24:02,960 --> 00:24:05,280 Speaker 1: doesn't happen, But I kind of pushed back on that 424 00:24:05,320 --> 00:24:07,000 Speaker 1: point a little bit, and I got a lot of 425 00:24:07,240 --> 00:24:11,840 Speaker 1: messages from molecular pathologists who are like, so, you can't 426 00:24:12,080 --> 00:24:16,119 Speaker 1: stress during pregnancy. It can be it can affect the DNA. 427 00:24:16,400 --> 00:24:18,720 Speaker 1: It can affect the DNA, and that can be passed 428 00:24:18,760 --> 00:24:21,479 Speaker 1: down changes in the DNA disruption of the DNA. You 429 00:24:21,520 --> 00:24:27,359 Speaker 1: can't inherit specific phobias or or fears or stresses per se, 430 00:24:27,480 --> 00:24:31,159 Speaker 1: but it can clearly cause genetic damage when you have 431 00:24:31,240 --> 00:24:33,240 Speaker 1: that much stress. And then on top of that, of 432 00:24:33,240 --> 00:24:38,480 Speaker 1: course we're talking about the psychological impact it has on 433 00:24:38,520 --> 00:24:41,840 Speaker 1: someone and then how they raise their children and how 434 00:24:41,880 --> 00:24:44,439 Speaker 1: their children grow up. So it is I agree, it's 435 00:24:44,480 --> 00:24:47,440 Speaker 1: a very interesting subject, but I don't want to get 436 00:24:47,440 --> 00:24:50,200 Speaker 1: any more molecular pathologists emails. Molly. 437 00:24:50,240 --> 00:24:52,920 Speaker 5: What I was going to say, I'm glad you took 438 00:24:53,160 --> 00:24:54,879 Speaker 5: this epigenetics quession from me. 439 00:24:56,480 --> 00:24:58,760 Speaker 1: You know one thing about your your going back to 440 00:24:58,840 --> 00:25:02,920 Speaker 1: what you were saying, victor about the situations that have 441 00:25:03,119 --> 00:25:05,399 Speaker 1: sort of predicated this. Correct me if I'm wrong. But 442 00:25:05,440 --> 00:25:07,920 Speaker 1: my understanding is most of the land that these Indian 443 00:25:07,960 --> 00:25:10,440 Speaker 1: reservations were on in the United States, like there's STrenD 444 00:25:10,480 --> 00:25:13,679 Speaker 1: twenty six. If I read that correctly. Is not on 445 00:25:13,760 --> 00:25:17,560 Speaker 1: great land. It's like land that's close to like mines 446 00:25:17,920 --> 00:25:20,440 Speaker 1: or places where there's some sort of radiation or there's 447 00:25:20,440 --> 00:25:24,399 Speaker 1: some sort of issues not great like for growing food 448 00:25:24,600 --> 00:25:27,960 Speaker 1: itself directly, there is that correct? Is that part of 449 00:25:27,960 --> 00:25:29,400 Speaker 1: this correct? 450 00:25:29,440 --> 00:25:29,680 Speaker 6: Yeah? 451 00:25:29,720 --> 00:25:33,520 Speaker 3: I think a lot of it was. The intention was 452 00:25:33,560 --> 00:25:37,119 Speaker 3: to put indigenous peoples on land that wasn't as fertile, 453 00:25:38,000 --> 00:25:40,480 Speaker 3: and that's kind of goes back into what I was 454 00:25:40,480 --> 00:25:44,879 Speaker 3: talking about traditional foods and how it's difficult. But I think, 455 00:25:45,000 --> 00:25:46,680 Speaker 3: you know, I don't know if this science was all 456 00:25:46,720 --> 00:25:51,040 Speaker 3: there at the time, and I think now a lot 457 00:25:51,080 --> 00:25:56,120 Speaker 3: of indigenous land, a lot of reservations actually they found 458 00:25:56,160 --> 00:25:58,080 Speaker 3: out that they're yeah, they're on like on top of 459 00:25:58,160 --> 00:26:02,600 Speaker 3: big mines and like things that the Western world funds 460 00:26:02,680 --> 00:26:06,920 Speaker 3: really valuable. And so there's a there's a shift almost 461 00:26:07,040 --> 00:26:11,000 Speaker 3: to almost you see it in like policies and lawsuits 462 00:26:11,000 --> 00:26:15,639 Speaker 3: today to start trying to grab more minerals from the 463 00:26:15,720 --> 00:26:18,640 Speaker 3: land that that that they had actually put us on, 464 00:26:18,840 --> 00:26:21,240 Speaker 3: which they didn't think was valuable. And now they're like, wait, 465 00:26:21,720 --> 00:26:23,080 Speaker 3: there's like copper under there. 466 00:26:24,280 --> 00:26:31,520 Speaker 2: Yeah, that's a good example of that, right exactly. Yeah, yeah, yeah. 467 00:26:30,640 --> 00:26:35,840 Speaker 1: Well, you know, the podcaster and the rapper propaganda prop 468 00:26:35,920 --> 00:26:38,960 Speaker 1: I'm James. You probably have met him, you know. He 469 00:26:38,960 --> 00:26:42,440 Speaker 1: he speaks about how initially they put the African Americans 470 00:26:43,359 --> 00:26:46,280 Speaker 1: in the waterfront. They said, here, you're gonna live in 471 00:26:46,320 --> 00:26:48,920 Speaker 1: these places by the by the the ocean where you 472 00:26:48,960 --> 00:26:51,639 Speaker 1: can't really grow things that well. And then after a 473 00:26:51,640 --> 00:26:54,320 Speaker 1: while they realized, oh no, that's really valuable property. And 474 00:26:54,359 --> 00:26:55,959 Speaker 1: then they started trying to find ways to get them 475 00:26:56,000 --> 00:26:58,960 Speaker 1: out of there. Seems to be our our national m O. 476 00:27:01,680 --> 00:27:03,800 Speaker 1: Can we get back to the IHS a little bit? 477 00:27:03,840 --> 00:27:05,919 Speaker 1: So you guys have mentioned Indian Health Services. It's come 478 00:27:06,000 --> 00:27:07,960 Speaker 1: up a couple of times. And James, I'd also want 479 00:27:08,000 --> 00:27:10,360 Speaker 1: to hear your because you've worked there as well. I'd 480 00:27:10,400 --> 00:27:12,600 Speaker 1: like to hear, like, what are some things that the 481 00:27:12,600 --> 00:27:16,040 Speaker 1: IHS is doing well? What are some things that need 482 00:27:16,119 --> 00:27:18,680 Speaker 1: work and how I just. 483 00:27:18,600 --> 00:27:23,960 Speaker 3: Want to say the IHS, I think they they they're 484 00:27:24,000 --> 00:27:26,080 Speaker 3: doing what they can't a lot of it. 485 00:27:26,520 --> 00:27:28,359 Speaker 6: They're doing what they well with what they have. 486 00:27:29,400 --> 00:27:31,639 Speaker 3: I would say, like a lot of the issues are 487 00:27:31,720 --> 00:27:35,720 Speaker 3: underfunding and we don't exactly know how well, Like we 488 00:27:35,720 --> 00:27:38,199 Speaker 3: don't really know the potential quite yet because they just 489 00:27:38,200 --> 00:27:41,520 Speaker 3: don't have enough funding, so I think, like I would 490 00:27:41,520 --> 00:27:44,959 Speaker 3: just like to insert that caveat into the conversation first. 491 00:27:45,600 --> 00:27:48,600 Speaker 5: Yeah, yeah, yeah, And I you know, I only have 492 00:27:48,800 --> 00:27:53,680 Speaker 5: experience on one reservation and there, you know, everyone. 493 00:27:53,040 --> 00:27:56,040 Speaker 4: Is different, for sure. I think someone might know more 494 00:27:56,040 --> 00:27:56,320 Speaker 4: than me. 495 00:27:56,440 --> 00:27:59,800 Speaker 5: But the Alaska Health System Indian Health System is still 496 00:27:59,840 --> 00:28:02,080 Speaker 5: far AHS, but it's like kind of its own thing, 497 00:28:02,760 --> 00:28:05,920 Speaker 5: and they are the kind of the gold standard or 498 00:28:05,960 --> 00:28:08,480 Speaker 5: they're they're kind of the they are doing the best 499 00:28:08,520 --> 00:28:11,240 Speaker 5: with what they have. And I don't know, maybe you 500 00:28:11,240 --> 00:28:14,120 Speaker 5: guys know, James or Victor that if they have more 501 00:28:14,320 --> 00:28:16,080 Speaker 5: funding is probably a big part of it. If they 502 00:28:16,119 --> 00:28:19,400 Speaker 5: just have more funding, But they are kind of touted 503 00:28:19,400 --> 00:28:21,960 Speaker 5: as the leader in IHS right now. 504 00:28:22,640 --> 00:28:26,359 Speaker 2: I know, but less about this in either view, I'm sure. 505 00:28:26,400 --> 00:28:29,840 Speaker 2: But I know I worked on an ih grant years 506 00:28:29,840 --> 00:28:34,399 Speaker 2: ago with someone who'd worked with Alaska Native people and 507 00:28:34,560 --> 00:28:38,040 Speaker 2: they were talking about this Promodores de Salul model, which 508 00:28:38,240 --> 00:28:39,720 Speaker 2: I don't know if you guys are familiar with that. 509 00:28:40,040 --> 00:28:42,520 Speaker 2: It came from Oakland actually, but like it's a p 510 00:28:42,720 --> 00:28:46,480 Speaker 2: mental model for health education that they had implemented there, 511 00:28:46,720 --> 00:28:49,280 Speaker 2: and we were trying to get money to implement that 512 00:28:49,320 --> 00:28:51,880 Speaker 2: in the Yaki Reservation didn't work shockingly. 513 00:28:52,120 --> 00:28:52,280 Speaker 4: But. 514 00:28:54,000 --> 00:28:56,680 Speaker 2: That model that they used of like using people from 515 00:28:56,720 --> 00:28:59,640 Speaker 2: the community to educate people from the community rather than like, 516 00:29:00,600 --> 00:29:02,120 Speaker 2: I guess you could call it like white men and 517 00:29:02,160 --> 00:29:06,600 Speaker 2: white coats, worked very well for them, and I think 518 00:29:06,640 --> 00:29:10,040 Speaker 2: it's it's a very desirable model to replicate. It's not 519 00:29:10,080 --> 00:29:14,760 Speaker 2: that expensive either, and we were doing it with diabetes prevention, right. So, Like, 520 00:29:15,480 --> 00:29:19,280 Speaker 2: chiefly my thing is riding bikes has been my whole life, 521 00:29:19,360 --> 00:29:23,040 Speaker 2: and so it is, yeah, just a big old bike 522 00:29:23,120 --> 00:29:26,880 Speaker 2: riding hippie, but like, riding bike is very good for you, 523 00:29:26,920 --> 00:29:30,600 Speaker 2: as it turns out, which is which is so the 524 00:29:30,760 --> 00:29:33,320 Speaker 2: thing that we've been doing with a lot of my 525 00:29:33,360 --> 00:29:37,640 Speaker 2: friends on the Yaki Reservation is getting folks helping them 526 00:29:37,640 --> 00:29:40,000 Speaker 2: out with a bike and helmet and lights and all 527 00:29:40,040 --> 00:29:41,920 Speaker 2: the things that you need, teasing them to fix the 528 00:29:42,000 --> 00:29:44,800 Speaker 2: bike right, and then having them go ahead and ride 529 00:29:44,800 --> 00:29:48,240 Speaker 2: the bike, and then like it, having them bring friends 530 00:29:48,240 --> 00:29:49,880 Speaker 2: and family members to come back and ride the bike 531 00:29:50,040 --> 00:29:52,720 Speaker 2: and have a goal event as part of that. And 532 00:29:52,760 --> 00:29:55,640 Speaker 2: that's worked very well for us too. So that model 533 00:29:55,760 --> 00:29:59,719 Speaker 2: that they implemented has been super successful within this very 534 00:29:59,720 --> 00:30:03,160 Speaker 2: small context of them getting Yaki folks to ride bikes. 535 00:30:04,240 --> 00:30:06,600 Speaker 3: Yeah, just going off of that, I mean, that sounds awesome. 536 00:30:07,760 --> 00:30:10,320 Speaker 3: And I think one of the limitations of the IHS 537 00:30:10,360 --> 00:30:12,960 Speaker 3: is that it's this huge bureaucracy, so it's hard to 538 00:30:12,960 --> 00:30:16,080 Speaker 3: do stuff like that, Like for instance, at the Yaki tribe. 539 00:30:16,080 --> 00:30:18,720 Speaker 3: I'm sure you know, we're not the easiest tribe to 540 00:30:18,760 --> 00:30:21,120 Speaker 3: work with, but but. 541 00:30:21,080 --> 00:30:22,760 Speaker 6: We're probably easier than the IHS. 542 00:30:22,840 --> 00:30:23,720 Speaker 1: Yeah, because. 543 00:30:27,200 --> 00:30:30,960 Speaker 3: And I think that that's a huge limitation, Like even 544 00:30:31,000 --> 00:30:33,880 Speaker 3: if you want to do a study on the IHS 545 00:30:34,160 --> 00:30:36,960 Speaker 3: has to be approved by like all of these government 546 00:30:37,160 --> 00:30:41,640 Speaker 3: officials and bureaucrats, and and I think that that makes 547 00:30:41,680 --> 00:30:45,720 Speaker 3: it really difficult. And especially because you know, and there's 548 00:30:45,720 --> 00:30:48,640 Speaker 3: so many branches of the government that the Indian Health 549 00:30:48,680 --> 00:30:51,960 Speaker 3: Service there's just one small, you know, piece of it, 550 00:30:53,480 --> 00:30:56,960 Speaker 3: and it's not necessarily one that's like heavily prioritized by 551 00:30:57,000 --> 00:30:57,560 Speaker 3: the government. 552 00:30:57,960 --> 00:31:00,360 Speaker 6: But there are improvements that are mad. 553 00:31:00,680 --> 00:31:04,160 Speaker 3: I think in this last appropriations bill, the Indian Health 554 00:31:04,200 --> 00:31:08,040 Speaker 3: Service got like funded a lot more than it had previously, 555 00:31:08,520 --> 00:31:11,480 Speaker 3: so hopefully we'll see some improvements. I think they're doing 556 00:31:11,520 --> 00:31:14,400 Speaker 3: really well when it comes to digital health, the integration 557 00:31:14,560 --> 00:31:20,040 Speaker 3: of electronic medical systems. I think that made a significant 558 00:31:20,120 --> 00:31:25,320 Speaker 3: impact when that was introduced. And then you know, I 559 00:31:25,360 --> 00:31:29,040 Speaker 3: think the Indian Health Service, like the model does well 560 00:31:29,280 --> 00:31:32,760 Speaker 3: in giving a lot of freedom to tribes to choose 561 00:31:33,200 --> 00:31:35,560 Speaker 3: do we want to continue with the Indian Health Service 562 00:31:36,360 --> 00:31:38,840 Speaker 3: or do we want to take our health system over 563 00:31:39,080 --> 00:31:42,480 Speaker 3: and run it ourselves but still use them same money 564 00:31:42,520 --> 00:31:44,800 Speaker 3: that would have been used anyways. I think that's what 565 00:31:44,840 --> 00:31:48,720 Speaker 3: a lot of the clinics in Alaska did in terms 566 00:31:48,720 --> 00:31:51,480 Speaker 3: of having like it's called six thirty eight clinic or 567 00:31:51,760 --> 00:31:55,160 Speaker 3: six thirty eight clinics or tribal health systems. It's really 568 00:31:55,160 --> 00:31:57,200 Speaker 3: cool what they did in Alaska because those are some 569 00:31:57,200 --> 00:32:00,120 Speaker 3: of the most remote, remote villages you know, in the 570 00:32:00,280 --> 00:32:04,120 Speaker 3: US and uh and I think that is something that 571 00:32:04,120 --> 00:32:07,440 Speaker 3: we should be paying more attention to, especially you know 572 00:32:08,240 --> 00:32:11,160 Speaker 3: when we're talking about you know, we talked about Alaska 573 00:32:11,480 --> 00:32:13,520 Speaker 3: that they're remote, but a lot of tribes in other 574 00:32:13,520 --> 00:32:17,360 Speaker 3: parts of the US are maybe not as remote, but 575 00:32:17,400 --> 00:32:21,120 Speaker 3: they're in very similar situations and that they're kind of disconnected, 576 00:32:21,200 --> 00:32:22,680 Speaker 3: like on food deserts. 577 00:32:23,960 --> 00:32:26,880 Speaker 6: And I think the same model can be used, but not. 578 00:32:26,920 --> 00:32:30,520 Speaker 3: Every tribe is at the place where they're capable yet 579 00:32:30,880 --> 00:32:34,960 Speaker 3: of taking over like the operations, the staff. There's a 580 00:32:35,000 --> 00:32:36,680 Speaker 3: lot of work that needs to be done, and every 581 00:32:36,680 --> 00:32:38,240 Speaker 3: tribe is kind of in a different place. 582 00:32:39,760 --> 00:32:42,320 Speaker 1: I'm interesting. I'm interested. I think you were mostly tongue 583 00:32:42,360 --> 00:32:44,280 Speaker 1: in cheek. But when you when you mentioned the yacky 584 00:32:44,320 --> 00:32:46,320 Speaker 1: tribe is not that easy to work with, what what 585 00:32:46,720 --> 00:32:49,800 Speaker 1: do you mean? Like, is it is? Is there a 586 00:32:49,840 --> 00:32:52,600 Speaker 1: lot of different opinions? Is that? Why is there? Is 587 00:32:52,640 --> 00:32:54,720 Speaker 1: it hard to why is it hard to manage? Or 588 00:32:54,960 --> 00:32:56,040 Speaker 1: why would that be difficult? 589 00:32:57,440 --> 00:33:02,480 Speaker 3: We're just very militant, and I think I think we 590 00:33:02,680 --> 00:33:05,480 Speaker 3: just you know, we're just do our own thing and. 591 00:33:05,560 --> 00:33:09,280 Speaker 2: Uh, very independent and. 592 00:33:08,720 --> 00:33:11,520 Speaker 3: Yeah, yeah, we're just kind of like I think, I 593 00:33:11,560 --> 00:33:16,640 Speaker 3: think we just have a very rebellious nature in us, 594 00:33:16,680 --> 00:33:20,360 Speaker 3: like sort of uh yeah, just really had strong and 595 00:33:20,440 --> 00:33:25,000 Speaker 3: like we don't work the same on the same timeline. 596 00:33:25,040 --> 00:33:28,600 Speaker 3: I think sometimes it's like, for instance, like like. 597 00:33:28,880 --> 00:33:29,680 Speaker 6: I'll tell you a story. 598 00:33:30,040 --> 00:33:33,680 Speaker 3: There was this uh, this shrimp farmer dude, our traditional 599 00:33:33,800 --> 00:33:37,880 Speaker 3: one of our traditional spiritual leaders political leaders. He passed 600 00:33:37,920 --> 00:33:41,640 Speaker 3: away in early two thousands. His name was on Selmo Valencia, 601 00:33:42,280 --> 00:33:45,520 Speaker 3: and uh they were bringing down there trying to introduce 602 00:33:45,960 --> 00:33:49,520 Speaker 3: shrimp farming in the traditional villages in so Noda Mexico. 603 00:33:49,880 --> 00:33:51,600 Speaker 3: So they brought this guy all the way down. He's 604 00:33:51,640 --> 00:33:55,320 Speaker 3: this businessman and uh, you know, he's running on time, 605 00:33:56,160 --> 00:34:00,240 Speaker 3: and uh they bombed down to the traditional authorities in 606 00:34:00,240 --> 00:34:02,800 Speaker 3: one of the publos and then all of a sudden, 607 00:34:05,000 --> 00:34:07,440 Speaker 3: right in the middle of the meeting, the snake. You 608 00:34:07,560 --> 00:34:10,960 Speaker 3: see this snake on the floor go by, and then 609 00:34:11,040 --> 00:34:15,279 Speaker 3: Alsoma Valencia. He's like stop, wait for a second, and 610 00:34:15,320 --> 00:34:17,879 Speaker 3: he grabs a snake and then he looks at it 611 00:34:18,560 --> 00:34:20,160 Speaker 3: and he says, we have to stop the meeting. 612 00:34:20,200 --> 00:34:21,720 Speaker 6: I have to go back to Tucson. 613 00:34:22,280 --> 00:34:24,560 Speaker 3: And this business guy is like, what the hell you know, 614 00:34:24,680 --> 00:34:27,319 Speaker 3: I just came from like Manhattan, and I flew all 615 00:34:27,320 --> 00:34:30,760 Speaker 3: the way. I'm in this village like and they stopped 616 00:34:30,800 --> 00:34:34,600 Speaker 3: the meeting, and this guy's like confused. I think he 617 00:34:34,680 --> 00:34:38,200 Speaker 3: got really angry and that never happened to him in 618 00:34:38,239 --> 00:34:39,240 Speaker 3: a business meeting before. 619 00:34:39,320 --> 00:34:42,240 Speaker 6: But there was a traditional. 620 00:34:42,040 --> 00:34:44,800 Speaker 3: Aspect that I think we just put that above everything else, 621 00:34:46,000 --> 00:34:49,319 Speaker 3: Like during even today, during time to ceremony, like, no 622 00:34:49,360 --> 00:34:52,200 Speaker 3: one's answering emails, no travel government official is going to 623 00:34:52,239 --> 00:34:54,880 Speaker 3: get back to you within that those like three four 624 00:34:54,880 --> 00:34:59,759 Speaker 3: weeks because they're doing spiritual practices and honoring that. 625 00:35:00,440 --> 00:35:04,080 Speaker 2: Yeah, yeah, I get from my perspective, everyone is lovely 626 00:35:04,160 --> 00:35:07,720 Speaker 2: and like it's nice to have a community where everyone 627 00:35:07,760 --> 00:35:10,400 Speaker 2: cares about each other and like wants everyone else to 628 00:35:10,440 --> 00:35:13,359 Speaker 2: be healthy, and like that's great. There are times when, 629 00:35:13,440 --> 00:35:15,640 Speaker 2: like recently we did a live show to raise money 630 00:35:15,680 --> 00:35:18,200 Speaker 2: to buy more bikes and someone from iHeart was trying 631 00:35:18,239 --> 00:35:19,680 Speaker 2: to get a W nine out of us, and I 632 00:35:19,719 --> 00:35:22,319 Speaker 2: was like, no, it's it's like Eastern weeks. It's not 633 00:35:22,440 --> 00:35:26,160 Speaker 2: it's not going to happen, like it's just id but 634 00:35:26,239 --> 00:35:28,440 Speaker 2: it's fine. You explain it. And like I always attribute, 635 00:35:28,520 --> 00:35:33,120 Speaker 2: like I'm not fully culturally fluent, right, Like I'm a 636 00:35:33,160 --> 00:35:35,759 Speaker 2: guy from England, Like it was different where I grew up, 637 00:35:36,440 --> 00:35:42,960 Speaker 2: so like things you can't tell yah stout is that 638 00:35:43,040 --> 00:35:46,120 Speaker 2: it's right up there with Valencia. But yeah, like I'm 639 00:35:46,160 --> 00:35:48,080 Speaker 2: obviously I don't have full cultural affluency, so it's on 640 00:35:48,160 --> 00:35:50,359 Speaker 2: me to kind of listen and then over time rather 641 00:35:50,360 --> 00:35:53,320 Speaker 2: than be frustrated and bulldoze shit, Well. 642 00:35:53,200 --> 00:35:55,799 Speaker 1: You're I mean, obviously you're You're very good at that 643 00:35:55,840 --> 00:35:58,160 Speaker 1: in my opinion what I've seen from you so far. 644 00:35:58,200 --> 00:36:01,120 Speaker 1: But I'm very curious actually from James and Molly, like 645 00:36:01,440 --> 00:36:05,680 Speaker 1: when you guys first started going to the reservation, what 646 00:36:06,360 --> 00:36:10,600 Speaker 1: surprised you, What was different than you had envisioned? What 647 00:36:10,960 --> 00:36:13,160 Speaker 1: you know, because I'm assuming you got all your knowledge 648 00:36:13,360 --> 00:36:16,279 Speaker 1: of what reservations were like like from Hollywood, Like I 649 00:36:16,400 --> 00:36:19,240 Speaker 1: did you know what was fact what was fiction? 650 00:36:20,360 --> 00:36:23,120 Speaker 5: Yeah, it was my first time like on a reservation, 651 00:36:24,560 --> 00:36:27,399 Speaker 5: and I think it was. 652 00:36:29,280 --> 00:36:29,320 Speaker 4: It. 653 00:36:30,440 --> 00:36:32,440 Speaker 5: It sort of felt like a little bit of a 654 00:36:32,480 --> 00:36:35,839 Speaker 5: different country, almost like you're in Arizona and you drive 655 00:36:35,880 --> 00:36:37,399 Speaker 5: three hours and you feel like you're in a really 656 00:36:37,480 --> 00:36:38,080 Speaker 5: different place. 657 00:36:38,080 --> 00:36:42,960 Speaker 4: It feels just a little bit different, and just it's 658 00:36:43,000 --> 00:36:43,560 Speaker 4: beautiful a. 659 00:36:43,719 --> 00:36:45,840 Speaker 5: The one I'm on was, or the one that I 660 00:36:45,880 --> 00:36:47,920 Speaker 5: went to is in White grig Or, Arizona. 661 00:36:47,960 --> 00:36:51,000 Speaker 4: It really is beautiful in the mountains along a river. 662 00:36:51,800 --> 00:36:54,480 Speaker 5: But it's you know, a lot of single story housing 663 00:36:55,440 --> 00:36:59,680 Speaker 5: that are all kind of government cookie cutter housing. And 664 00:37:00,960 --> 00:37:03,440 Speaker 5: I got to kind of go into the homes too 665 00:37:03,480 --> 00:37:05,400 Speaker 5: when we were doing house visits, So that felt I 666 00:37:05,400 --> 00:37:07,920 Speaker 5: felt very like privileged and it felt special to be 667 00:37:07,960 --> 00:37:11,319 Speaker 5: able to do that as a very foreign person, right, 668 00:37:11,320 --> 00:37:16,200 Speaker 5: I felt I felt like an outsider. And yeah, I 669 00:37:16,200 --> 00:37:19,000 Speaker 5: mean a lot there isn't They're not central heat for 670 00:37:19,320 --> 00:37:21,320 Speaker 5: these houses. Some of these houses. Lots of the floors 671 00:37:21,360 --> 00:37:27,279 Speaker 5: were dirt, like not actual flooring on the houses. So 672 00:37:27,360 --> 00:37:30,440 Speaker 5: that was I think surprising to me because it seems 673 00:37:30,480 --> 00:37:32,960 Speaker 5: like that is not something you think of when you 674 00:37:32,960 --> 00:37:37,440 Speaker 5: think of America. But that was that probably was like 675 00:37:37,480 --> 00:37:40,120 Speaker 5: the most surprising. But then like the street dogs running 676 00:37:40,160 --> 00:37:42,080 Speaker 5: around everywhere was kind of classic, I think. 677 00:37:42,120 --> 00:37:44,440 Speaker 4: But my first my first drive down, I like. 678 00:37:44,440 --> 00:37:47,080 Speaker 5: Had to stop because like a pack of dogs went by, 679 00:37:47,239 --> 00:37:49,120 Speaker 5: and that was kind of out of a out of 680 00:37:49,160 --> 00:37:49,840 Speaker 5: a movie. 681 00:37:50,160 --> 00:37:55,239 Speaker 2: Yeah, I didn't know, Like obviously I'm not American either. Yeah, 682 00:37:55,320 --> 00:37:58,480 Speaker 2: it's shocking. I actually am from Texas. It's the Harry 683 00:37:58,520 --> 00:38:01,640 Speaker 2: Potter films on repeat. Uh that's how I learned to 684 00:38:01,640 --> 00:38:06,320 Speaker 2: be a terf. No, I am not a turf. I 685 00:38:07,440 --> 00:38:11,440 Speaker 2: I don't think they need I don't think that, yeah, 686 00:38:11,480 --> 00:38:16,000 Speaker 2: there's people should go away. I so like I didn't 687 00:38:16,040 --> 00:38:19,440 Speaker 2: maybe receive a lot of that like sort of ingrained 688 00:38:19,680 --> 00:38:23,240 Speaker 2: kind of British for we fucking did settle colonialism everywhere. 689 00:38:23,239 --> 00:38:25,920 Speaker 2: I don't want to erase that for a second, but 690 00:38:27,239 --> 00:38:30,239 Speaker 2: I you know, so I just go to the restaurande 691 00:38:30,239 --> 00:38:33,200 Speaker 2: my bike through it. Pascal yaki Ros has nice rose 692 00:38:33,239 --> 00:38:37,080 Speaker 2: lovely bike lanes. And it's much smaller than like the 693 00:38:37,160 --> 00:38:41,400 Speaker 2: Tohn Autumn Rears, which is next door that's besides Connecticut. 694 00:38:41,440 --> 00:38:42,800 Speaker 2: For people who aren't familiar. 695 00:38:43,000 --> 00:38:43,400 Speaker 5: And. 696 00:38:45,080 --> 00:38:47,640 Speaker 2: I know, I'm from a part of England that's very 697 00:38:47,680 --> 00:38:50,840 Speaker 2: rural where people talk to each other. And that's the 698 00:38:50,920 --> 00:38:54,160 Speaker 2: thing that I don't like about living in a town 699 00:38:54,160 --> 00:38:56,800 Speaker 2: in California is that everyone just kind of lives in 700 00:38:56,800 --> 00:38:59,160 Speaker 2: a little box and kind of moves around and doesn't 701 00:38:59,160 --> 00:39:03,360 Speaker 2: talk to each other. And at least in my experience 702 00:39:03,400 --> 00:39:07,400 Speaker 2: on the reservation, everyone is friendly and nice. Most of the 703 00:39:07,400 --> 00:39:10,680 Speaker 2: people I run into with friendly and nice, and so 704 00:39:10,800 --> 00:39:14,719 Speaker 2: I really like that. First guy I ran into was 705 00:39:14,760 --> 00:39:20,000 Speaker 2: a traditional artist, David Moreno, who does he runs an 706 00:39:20,040 --> 00:39:23,200 Speaker 2: art program there. He's a very lovely guy, and uh, 707 00:39:24,239 --> 00:39:27,160 Speaker 2: we just were chatting, I think, and I was trying 708 00:39:27,200 --> 00:39:29,080 Speaker 2: to encourage. I think I was trying to encourage him 709 00:39:29,080 --> 00:39:31,120 Speaker 2: to come on a bike ride with me, and like, 710 00:39:31,160 --> 00:39:32,880 Speaker 2: you didn't have a bike, So then I was just 711 00:39:32,880 --> 00:39:35,279 Speaker 2: trying to encourage, Like I was like, maybe I could 712 00:39:35,320 --> 00:39:37,080 Speaker 2: get some bikes and come back, And I spoke to 713 00:39:37,080 --> 00:39:40,160 Speaker 2: some people and diabetes prevention and we got some bikes 714 00:39:40,160 --> 00:39:44,399 Speaker 2: and came back. But it's like Obviously people's houses aren't 715 00:39:44,400 --> 00:39:46,520 Speaker 2: super duper fancy, but they're fine. Like people have some 716 00:39:46,600 --> 00:39:50,200 Speaker 2: nice houses on the res Like, you know, I didn't 717 00:39:50,200 --> 00:39:53,400 Speaker 2: grow up in a super fancy house, and like the 718 00:39:53,440 --> 00:39:55,520 Speaker 2: houses that are not that distinct from those that I 719 00:39:55,520 --> 00:40:00,680 Speaker 2: see in San Diego. It's beautiful too. Like actually down 720 00:40:01,520 --> 00:40:04,880 Speaker 2: if you go on the Autumn Reservation further down. We 721 00:40:04,920 --> 00:40:08,480 Speaker 2: did a ride there in twenty nineteen, and we went 722 00:40:08,480 --> 00:40:11,400 Speaker 2: out the night before from the Yaki Reservation with the 723 00:40:11,400 --> 00:40:13,279 Speaker 2: group of us and we did like a big camp 724 00:40:13,360 --> 00:40:16,520 Speaker 2: out and then we did a ride the next day. 725 00:40:16,600 --> 00:40:19,600 Speaker 2: Their roads are not quite as nice as the Yaki roads. 726 00:40:19,600 --> 00:40:21,359 Speaker 2: We all got we ran out of innertubees because everyone 727 00:40:21,440 --> 00:40:26,759 Speaker 2: got so many punctures. Like it's yeah, it's beautiful landscape. 728 00:40:26,800 --> 00:40:29,759 Speaker 2: It's really gorgeous. I think the biggest shot to me 729 00:40:29,960 --> 00:40:32,960 Speaker 2: was the donkeys. The donkeys on the Autumn roads or 730 00:40:33,000 --> 00:40:37,440 Speaker 2: something else, like just just wild ass donkeys that like 731 00:40:37,480 --> 00:40:41,560 Speaker 2: at night, it sounds like they're a murder occurring. It 732 00:40:41,719 --> 00:40:44,680 Speaker 2: just makes these horrendous noises and like you puncture on 733 00:40:44,719 --> 00:40:45,840 Speaker 2: your bike and you go for a little bit of 734 00:40:45,840 --> 00:40:48,000 Speaker 2: shake because it's very hot, and suddenly you realize, like 735 00:40:48,080 --> 00:40:52,560 Speaker 2: ten budles, like just just chilling there too. So that 736 00:40:52,920 --> 00:40:56,080 Speaker 2: was the weirdest thing. But like, I know, people shouldn't 737 00:40:56,080 --> 00:40:58,120 Speaker 2: just walk onto reservations and start like trying to have 738 00:40:58,160 --> 00:41:01,840 Speaker 2: their cultural immersion experience or whatever. That's it's a bit cringe, 739 00:41:01,880 --> 00:41:05,160 Speaker 2: but yeah, like people equally shouldn't think that it's a 740 00:41:05,200 --> 00:41:09,160 Speaker 2: scary or different or dangerous, like Arizona feels foreign to me, 741 00:41:09,480 --> 00:41:12,080 Speaker 2: Like I go to Phoenix and that that is that 742 00:41:12,239 --> 00:41:16,680 Speaker 2: is a scary experience for other reasons, but like, no, 743 00:41:16,840 --> 00:41:20,640 Speaker 2: I've always felt very welcome and comfortable there. 744 00:41:21,280 --> 00:41:22,799 Speaker 4: Yeah, but I can just add one more thing. 745 00:41:22,960 --> 00:41:27,040 Speaker 5: Oh sorry, just I think the other That's a great point, James, 746 00:41:27,080 --> 00:41:28,920 Speaker 5: But like the striking part for me too is that 747 00:41:29,000 --> 00:41:32,560 Speaker 5: I felt very Yeah, I felt very welcomed when I 748 00:41:32,600 --> 00:41:35,399 Speaker 5: was there, and they like have a very soft way 749 00:41:35,440 --> 00:41:38,440 Speaker 5: of speaking, and I'm like a loud, annoying American and 750 00:41:38,520 --> 00:41:42,400 Speaker 5: so like have obviously they're American as well, but I 751 00:41:42,400 --> 00:41:44,480 Speaker 5: have kind of a loud voice, and they're very soft 752 00:41:44,520 --> 00:41:48,799 Speaker 5: spoken and so gentle and so just like appreciative and 753 00:41:48,840 --> 00:41:51,400 Speaker 5: I kind of for me, I was like, wow, this is. 754 00:41:51,440 --> 00:41:54,680 Speaker 4: Like amazing that you have resiliency to feel appreciative when. 755 00:41:54,480 --> 00:41:56,880 Speaker 5: Like, I don't feel like you should, you know, feel 756 00:41:56,880 --> 00:41:58,400 Speaker 5: grateful or appreciative to me. 757 00:41:59,200 --> 00:42:01,520 Speaker 4: I thought that was like my most ranking, but. 758 00:42:01,520 --> 00:42:05,239 Speaker 1: I felt Molly's so nice. She's like trying to apologize 759 00:42:05,239 --> 00:42:08,760 Speaker 1: for being Listen, you're talking to two podcasters like obnoxiouses 760 00:42:08,760 --> 00:42:13,000 Speaker 1: are nature. It's like part of our DNA. You don't 761 00:42:13,000 --> 00:42:18,200 Speaker 1: need to explain yourself there, Victor, You've already touched on 762 00:42:18,239 --> 00:42:20,680 Speaker 1: this a little bit. But do you find yourself still 763 00:42:20,840 --> 00:42:25,680 Speaker 1: still dispelling myths and stereotypes about Native Americans even at 764 00:42:25,680 --> 00:42:26,360 Speaker 1: medical school? 765 00:42:27,640 --> 00:42:31,120 Speaker 3: Yeah, yeah, all the time, and you know, we talked 766 00:42:31,120 --> 00:42:35,640 Speaker 3: about the medical misconceptions and and and those things. But 767 00:42:35,800 --> 00:42:40,680 Speaker 3: I think there it's it's like, like I said, I 768 00:42:40,719 --> 00:42:43,960 Speaker 3: feel like the American educational system, it left so much 769 00:42:44,040 --> 00:42:47,560 Speaker 3: room for interpretation and what it did give was and 770 00:42:47,600 --> 00:42:49,759 Speaker 3: a lot of it wasn't true. But I think what 771 00:42:49,840 --> 00:42:54,360 Speaker 3: I'm really battling is that people just the level of 772 00:42:54,440 --> 00:42:58,640 Speaker 3: exposure they have is so minimal that they're coming into 773 00:42:58,680 --> 00:43:04,600 Speaker 3: these conversations and dicussions with pretty much almost nothing. And 774 00:43:04,640 --> 00:43:10,719 Speaker 3: so the average American knows very very little about Native Americans. 775 00:43:11,040 --> 00:43:13,160 Speaker 3: And when I say that, I don't mean Native American 776 00:43:13,160 --> 00:43:16,520 Speaker 3: culture because I don't think anyone, any Native American, really 777 00:43:16,560 --> 00:43:19,520 Speaker 3: cares if they know our culture or not. In fact, 778 00:43:19,560 --> 00:43:24,759 Speaker 3: they might even protect it. But we're talking about what 779 00:43:25,320 --> 00:43:29,600 Speaker 3: is the experience of Native Americans in this country, what happened, 780 00:43:30,000 --> 00:43:32,799 Speaker 3: what were the policies, what are the issues that are 781 00:43:32,800 --> 00:43:37,080 Speaker 3: still going on today. You know, there's the level of education. 782 00:43:37,160 --> 00:43:38,879 Speaker 6: It's just not. 783 00:43:38,960 --> 00:43:41,799 Speaker 3: To the point where I find we can even have 784 00:43:42,000 --> 00:43:45,520 Speaker 3: these discussions, discussions that we need to have. So I 785 00:43:45,560 --> 00:43:48,520 Speaker 3: think the most taxing thing on me is that whenever 786 00:43:48,560 --> 00:43:53,120 Speaker 3: I talk about Indigenous experiences or anything related to Indigenous health, 787 00:43:53,520 --> 00:43:57,640 Speaker 3: I have to give so much background that every time 788 00:43:57,840 --> 00:44:01,040 Speaker 3: I have to educate someone on you know, what is colonization, 789 00:44:01,239 --> 00:44:06,359 Speaker 3: what happened, and the very basics of of I think 790 00:44:06,360 --> 00:44:10,759 Speaker 3: that should be basic in this country, all these basics, 791 00:44:10,760 --> 00:44:13,560 Speaker 3: and by that time, you know, I think people have 792 00:44:15,280 --> 00:44:17,760 Speaker 3: gotten so much information that maybe they didn't know before. 793 00:44:17,800 --> 00:44:19,000 Speaker 6: They get overwhelmed. 794 00:44:19,560 --> 00:44:23,600 Speaker 3: And these things can also be very touchy subjects, I 795 00:44:23,640 --> 00:44:26,600 Speaker 3: think because we haven't been bold enough in the US 796 00:44:26,640 --> 00:44:30,880 Speaker 3: to actually just talk about them. And I think people, 797 00:44:31,440 --> 00:44:36,560 Speaker 3: you know, might be a little afraid to acknowledge these things, 798 00:44:36,600 --> 00:44:39,920 Speaker 3: and somewhere inside and I think what would have helped 799 00:44:39,920 --> 00:44:44,120 Speaker 3: with that is if they were exposed to it in 800 00:44:44,480 --> 00:44:47,879 Speaker 3: you know, starting in elementary school history, starting. 801 00:44:47,560 --> 00:44:50,080 Speaker 6: In middle school, high school, all of. 802 00:44:50,040 --> 00:44:52,400 Speaker 3: These things I think will make well, we need to 803 00:44:52,400 --> 00:44:55,439 Speaker 3: start doing that in the educational system if we're really 804 00:44:55,480 --> 00:44:56,680 Speaker 3: going to make progress. 805 00:44:57,200 --> 00:45:00,719 Speaker 2: Yeah, as like someone who teaches history, oh it has 806 00:45:00,760 --> 00:45:04,000 Speaker 2: taught history. I think that's very true, and sadly it's 807 00:45:04,200 --> 00:45:08,279 Speaker 2: only getting worse, like places like Florida, right and making 808 00:45:08,280 --> 00:45:11,000 Speaker 2: it harder and harder to talk about that. But I 809 00:45:11,040 --> 00:45:15,160 Speaker 2: think when people come certainly so like I teach a 810 00:45:15,200 --> 00:45:18,240 Speaker 2: community college course, an American history course, and I think 811 00:45:18,800 --> 00:45:21,520 Speaker 2: when people come to that course, I mean California, like 812 00:45:22,640 --> 00:45:24,920 Speaker 2: many of them, for instance, could not name the tribe 813 00:45:24,920 --> 00:45:28,000 Speaker 2: who's the cancestral and current homelands they are sitting in 814 00:45:28,360 --> 00:45:32,640 Speaker 2: and learning. And then obviously to understand those experiences, you 815 00:45:32,680 --> 00:45:34,719 Speaker 2: have to have a name for them, right, And if 816 00:45:34,719 --> 00:45:37,480 Speaker 2: you don't have a name for the people, then you're 817 00:45:37,480 --> 00:45:40,480 Speaker 2: a long way from understanding, I guess. But it's something 818 00:45:40,480 --> 00:45:45,600 Speaker 2: that's still desperately lacking in the American education system, and 819 00:45:45,800 --> 00:45:49,719 Speaker 2: it doesn't seem like people are pushing hard enough to 820 00:45:49,719 --> 00:45:54,720 Speaker 2: get that rectified, Like it's Yeah, it's a very big 821 00:45:55,200 --> 00:45:57,840 Speaker 2: gap even in places, you know, like you could be 822 00:45:58,560 --> 00:46:02,200 Speaker 2: at school in Arizona, like you could be an hour 823 00:46:02,360 --> 00:46:05,800 Speaker 2: from some of the biggest reservations in the United States, 824 00:46:05,880 --> 00:46:09,919 Speaker 2: right the Autumn and the Navajo, and maybe not an hour. 825 00:46:10,440 --> 00:46:13,120 Speaker 2: Everything's a long way away in Arizona. But and and 826 00:46:13,239 --> 00:46:16,920 Speaker 2: not understand anything about those people's lived experience if you're 827 00:46:16,960 --> 00:46:22,120 Speaker 2: in Scottsdale. 828 00:46:20,080 --> 00:46:21,920 Speaker 1: In the Bay Area. I've grown up in the San 829 00:46:21,960 --> 00:46:25,040 Speaker 1: Francisco Bay Area and I didn't I knew very little 830 00:46:25,200 --> 00:46:28,359 Speaker 1: about the native people that were here until my one 831 00:46:28,400 --> 00:46:30,640 Speaker 1: of my oldest son had to do a project here 832 00:46:30,680 --> 00:46:34,680 Speaker 1: in San Francisco on the Miwalk tribe. And then only 833 00:46:34,719 --> 00:46:36,200 Speaker 1: then did I learn. I'm like, oh my god, they 834 00:46:36,200 --> 00:46:39,480 Speaker 1: were everywhere here. You know, there's so much the lonely tribe. 835 00:46:39,840 --> 00:46:43,520 Speaker 1: So even here, you know, which is a relatively progressive, 836 00:46:43,719 --> 00:46:48,240 Speaker 1: not florid and system, you know, did I not learn 837 00:46:48,280 --> 00:46:51,000 Speaker 1: a lot about that? But I also, Victor, I also 838 00:46:51,080 --> 00:46:54,120 Speaker 1: hear you, like, I know, it must be exhausting, and 839 00:46:54,640 --> 00:46:56,719 Speaker 1: we appreciate you coming on to talk to us about it. 840 00:46:56,840 --> 00:46:59,000 Speaker 1: James and I have talked about this before. It's it's 841 00:46:59,000 --> 00:47:01,360 Speaker 1: something that I at least grapple with sometimes, like in 842 00:47:01,480 --> 00:47:03,719 Speaker 1: terms of like bringing on guests, you know, like I 843 00:47:03,719 --> 00:47:07,279 Speaker 1: want people to talk about these things that are difficult 844 00:47:07,360 --> 00:47:10,640 Speaker 1: and sometimes maybe even a little traumatic to like talk about. 845 00:47:10,719 --> 00:47:12,880 Speaker 1: But there's this balance of like, well, I want the 846 00:47:12,920 --> 00:47:14,920 Speaker 1: people who've experienced it and know the most about it 847 00:47:14,960 --> 00:47:17,080 Speaker 1: to speak about it, but also to want to keep 848 00:47:17,120 --> 00:47:21,759 Speaker 1: re exposing people to like the same exhausting trauma every time, 849 00:47:21,960 --> 00:47:24,719 Speaker 1: you know, it becomes a tough thing for me at 850 00:47:24,800 --> 00:47:26,719 Speaker 1: least to figure out in balance, you know. 851 00:47:28,000 --> 00:47:32,000 Speaker 3: Yeah, definitely, Yeah, I think you know, these podcasts are 852 00:47:32,120 --> 00:47:35,000 Speaker 3: a great way to do that, to have these discussions 853 00:47:35,320 --> 00:47:38,520 Speaker 3: because it actually I think it takes away from the 854 00:47:38,560 --> 00:47:42,520 Speaker 3: taxation because it hits a lot of people at once, 855 00:47:42,640 --> 00:47:48,239 Speaker 3: you know, and. 856 00:47:46,560 --> 00:47:48,759 Speaker 1: Listeners in the tens. We have listeners in the. 857 00:47:51,080 --> 00:47:52,160 Speaker 6: Yeah, that's better. 858 00:47:53,160 --> 00:47:55,719 Speaker 2: Yeah, we do a QR code so you can just 859 00:47:55,800 --> 00:48:02,360 Speaker 2: be like, hey, hey, check this out. 860 00:48:11,040 --> 00:48:13,680 Speaker 1: So so be from Sorry, I have one last question 861 00:48:13,840 --> 00:48:15,840 Speaker 1: for you. You know, you mentioned that you want to 862 00:48:15,880 --> 00:48:19,440 Speaker 1: go back and practice on the reservation. I'll be a 863 00:48:19,520 --> 00:48:23,480 Speaker 1: part of the community again. Do you plan on bringing 864 00:48:23,520 --> 00:48:27,160 Speaker 1: in traditional healing components to your practice, and if so, 865 00:48:27,280 --> 00:48:30,319 Speaker 1: are you gonna do specialty training is there like a 866 00:48:30,440 --> 00:48:32,239 Speaker 1: version of a fellowship that you will do for that. 867 00:48:34,040 --> 00:48:37,120 Speaker 3: Yeah, I really want to do traditional practices. I'm not 868 00:48:37,160 --> 00:48:42,200 Speaker 3: a traditional healer myself, but I want to partner with them. 869 00:48:42,640 --> 00:48:46,160 Speaker 3: I feel like I have the connections to traditional people 870 00:48:46,400 --> 00:48:47,719 Speaker 3: to do stuff like that. 871 00:48:48,400 --> 00:48:50,120 Speaker 6: One of the things like I really want to do. 872 00:48:51,120 --> 00:48:55,920 Speaker 3: Is try to do a lot of public health initiatives 873 00:48:55,920 --> 00:48:58,400 Speaker 3: out of my practice, Like, for instance, I want to 874 00:48:58,640 --> 00:49:02,600 Speaker 3: try to find ways to help people grow their own food, 875 00:49:02,760 --> 00:49:06,560 Speaker 3: start their own gardens, do community gardens. I really want 876 00:49:06,600 --> 00:49:10,080 Speaker 3: to get our traditional foods up and running again. And 877 00:49:10,120 --> 00:49:12,759 Speaker 3: there's a lot of people are already working on this, you know, 878 00:49:13,080 --> 00:49:13,920 Speaker 3: which is amazing. 879 00:49:14,440 --> 00:49:15,480 Speaker 6: I just want to be. 880 00:49:15,400 --> 00:49:18,279 Speaker 3: Of service to that effort, and I think I think 881 00:49:18,360 --> 00:49:21,080 Speaker 3: that is one of the most important things right now. 882 00:49:21,280 --> 00:49:23,600 Speaker 3: I also really want to do like public health initiatives 883 00:49:23,600 --> 00:49:28,239 Speaker 3: around language revitalization. I think language is so important when 884 00:49:28,280 --> 00:49:32,919 Speaker 3: it comes to the mental health of Indigenous youth enous. 885 00:49:32,960 --> 00:49:35,240 Speaker 3: I believe that Indigenous youth who know how to speak 886 00:49:35,280 --> 00:49:41,560 Speaker 3: their language are more mentally strong during the continuing tides 887 00:49:41,600 --> 00:49:45,480 Speaker 3: of colonization that they face in this Western world if 888 00:49:45,480 --> 00:49:48,520 Speaker 3: they have their language. I think that that's huge in 889 00:49:48,600 --> 00:49:52,360 Speaker 3: terms of resilience as culture as well. I think, you know, 890 00:49:53,320 --> 00:49:59,360 Speaker 3: finding ways to to sort of support culture as medicine, 891 00:49:59,640 --> 00:50:05,479 Speaker 3: culture as prevention, participating in ceremonies as you know, making 892 00:50:05,560 --> 00:50:09,640 Speaker 3: it you know, very apparent that to to your audience 893 00:50:09,640 --> 00:50:12,759 Speaker 3: and to the world that that that is protective of 894 00:50:12,800 --> 00:50:16,120 Speaker 3: Indigenous health, indigenous mental health, and so that you know, 895 00:50:16,160 --> 00:50:19,560 Speaker 3: there's all these facets of traditional traditional ways of life 896 00:50:19,640 --> 00:50:22,239 Speaker 3: that we're all very healthy to us. And I think 897 00:50:22,320 --> 00:50:25,919 Speaker 3: a huge part of the battle is that we're still 898 00:50:25,920 --> 00:50:29,120 Speaker 3: having right now because the colonization is revitalizing those things, 899 00:50:29,640 --> 00:50:34,080 Speaker 3: and then those things, you know, the more that they're revitalized, 900 00:50:34,120 --> 00:50:36,560 Speaker 3: the more that we decolonize, the healthier we're going to be. 901 00:50:37,080 --> 00:50:40,759 Speaker 3: But at the same time, recognizing that Western medicine can 902 00:50:40,760 --> 00:50:44,840 Speaker 3: also be very effective too, if it's just properly funded 903 00:50:45,080 --> 00:50:47,719 Speaker 3: and if the service is effective. And so that's the 904 00:50:47,800 --> 00:50:50,040 Speaker 3: other the other side of the coin that I want 905 00:50:50,080 --> 00:50:51,399 Speaker 3: to be working on as well. 906 00:50:52,800 --> 00:50:53,680 Speaker 1: Oh, excellent, man. 907 00:50:54,400 --> 00:50:57,040 Speaker 2: Yeah, one thing I wanted to touch on before we 908 00:50:57,080 --> 00:51:00,719 Speaker 2: finish is because it seems relatively current and new ze 909 00:51:00,920 --> 00:51:04,719 Speaker 2: right is and I think Victor my next one point 910 00:51:04,760 --> 00:51:07,880 Speaker 2: that like colonization isn't a thing that stopped. It's a 911 00:51:07,880 --> 00:51:12,560 Speaker 2: thing that we keep doing like we not we including Victor, 912 00:51:13,560 --> 00:51:18,160 Speaker 2: but you know, like weird people like me, like the 913 00:51:18,680 --> 00:51:22,600 Speaker 2: Indian Child Welfare Act. Right, Iqua is a thing that 914 00:51:22,640 --> 00:51:25,080 Speaker 2: the Zupreme Court is is like set up to take 915 00:51:25,080 --> 00:51:29,319 Speaker 2: a swing at. And I know that that is an 916 00:51:29,400 --> 00:51:31,840 Speaker 2: area of great concern to many people. And I was 917 00:51:31,920 --> 00:51:36,200 Speaker 2: just in a tribal building last week looking at books 918 00:51:36,480 --> 00:51:39,000 Speaker 2: for Yaki children right to help them stay connected with 919 00:51:39,040 --> 00:51:41,680 Speaker 2: their culture. If they're an Inn family, which is not 920 00:51:41,960 --> 00:51:45,960 Speaker 2: a tribal family, Can you, if you feel comfortable, explain 921 00:51:47,360 --> 00:51:50,239 Speaker 2: what iqua is and then the damage it does to 922 00:51:50,360 --> 00:51:52,759 Speaker 2: young people to be pulled away from their culture and 923 00:51:53,400 --> 00:51:57,480 Speaker 2: sort of get like this little active conversation that happens 924 00:51:57,520 --> 00:51:58,800 Speaker 2: every time that happens. 925 00:51:59,400 --> 00:52:02,960 Speaker 3: Yeah, I'm glad brought that up because colonization is definitely continuing. 926 00:52:03,320 --> 00:52:05,680 Speaker 3: For instance, we think about the Black Hills in South 927 00:52:05,760 --> 00:52:08,719 Speaker 3: Dakota and the gold mining, the gold rush there. Well, 928 00:52:08,800 --> 00:52:14,560 Speaker 3: there's still dozens of gold mining permits that are pending 929 00:52:14,640 --> 00:52:17,319 Speaker 3: right now in the Black Hills. There are dozens of 930 00:52:17,320 --> 00:52:20,320 Speaker 3: gold mines still operating there. And then the Coda and 931 00:52:20,360 --> 00:52:24,400 Speaker 3: Dakota are still fighting for the Black Hills. It's just 932 00:52:24,480 --> 00:52:27,320 Speaker 3: one instance. We see that all across the United States, 933 00:52:27,800 --> 00:52:30,319 Speaker 3: and I think when it comes to the Indian Child 934 00:52:30,360 --> 00:52:33,600 Speaker 3: Wealth for ACT, that's another really good example. So basically 935 00:52:34,480 --> 00:52:39,160 Speaker 3: the Indian Child Wealth for ACT if a Native child 936 00:52:39,280 --> 00:52:46,040 Speaker 3: is in the foster care system, and basically it helps 937 00:52:46,480 --> 00:52:51,840 Speaker 3: to support those children to find a placement with the 938 00:52:51,920 --> 00:52:56,480 Speaker 3: family who is either who is from their tribe, from 939 00:52:56,520 --> 00:53:01,240 Speaker 3: their cultural background. And the reasoning behind that is because 940 00:53:01,520 --> 00:53:08,759 Speaker 3: they to number one, to stop the history of assimilation 941 00:53:08,920 --> 00:53:12,520 Speaker 3: when it comes to taking Native children from their families. 942 00:53:13,080 --> 00:53:16,800 Speaker 3: And we know about that, you know, through the US. 943 00:53:16,760 --> 00:53:18,000 Speaker 6: Boarding school system. 944 00:53:18,040 --> 00:53:21,160 Speaker 3: That was one example, but it kind of transitioned at 945 00:53:21,160 --> 00:53:26,320 Speaker 3: a point once boarding schools were terminated, those forest boarding schools, 946 00:53:26,320 --> 00:53:30,560 Speaker 3: it kind of transitioned into the foster care system. And 947 00:53:30,640 --> 00:53:34,439 Speaker 3: at one point a huge proportion of Native children were 948 00:53:34,440 --> 00:53:38,319 Speaker 3: in foster care and they were being placed with white families, 949 00:53:38,960 --> 00:53:42,399 Speaker 3: and those white families were not exposing them to their 950 00:53:42,400 --> 00:53:49,080 Speaker 3: cultural background, and that in itself was potentiating assimilation, because 951 00:53:49,719 --> 00:53:54,400 Speaker 3: that's another Native child. Dozens of Native children, thousands of 952 00:53:54,480 --> 00:53:57,960 Speaker 3: Native children who don't know their language, their culture because 953 00:53:57,960 --> 00:54:02,040 Speaker 3: they've been removed from community due to systemic factors right, 954 00:54:02,600 --> 00:54:05,359 Speaker 3: And so this bill it doesn't it doesn't say, oh, 955 00:54:05,400 --> 00:54:06,120 Speaker 3: you can only go. 956 00:54:06,120 --> 00:54:07,000 Speaker 6: With a Native family. 957 00:54:07,800 --> 00:54:11,640 Speaker 3: It helps to ensure that if there is a suitable 958 00:54:12,160 --> 00:54:16,200 Speaker 3: Native family from their tribe, that they will get first 959 00:54:16,200 --> 00:54:19,600 Speaker 3: priority because they know that culture is also very important 960 00:54:19,920 --> 00:54:22,120 Speaker 3: to Indigenous child wellbeing as well. 961 00:54:22,200 --> 00:54:26,960 Speaker 6: So the battle right now is being brought on by. 962 00:54:26,920 --> 00:54:31,600 Speaker 3: This lawsuit that primarily handles like mining and oil companies, 963 00:54:32,160 --> 00:54:35,799 Speaker 3: but they're taking this Indian Child Welfare Act lawsuit pro 964 00:54:35,960 --> 00:54:39,839 Speaker 3: bono because if you can get rid of the Indian 965 00:54:39,920 --> 00:54:44,080 Speaker 3: Child Welfare Act on the basis that they're claiming, it's 966 00:54:44,400 --> 00:54:50,440 Speaker 3: it's racism, right, They're claiming that Native people are getting 967 00:54:50,480 --> 00:54:55,920 Speaker 3: some unjust preferential treatment when it comes to adopting Native 968 00:54:55,960 --> 00:55:01,120 Speaker 3: children over white people on the basis of race. Where 969 00:55:01,160 --> 00:55:04,040 Speaker 3: that falls short is that the basis of the Indian 970 00:55:04,120 --> 00:55:08,520 Speaker 3: Child Welfare Act is that Indigenous peoples are not a race. 971 00:55:09,280 --> 00:55:12,960 Speaker 3: They're sovereign nations. They have a political status distinct from 972 00:55:13,000 --> 00:55:16,839 Speaker 3: all other any other race in the US. And that 973 00:55:17,000 --> 00:55:19,719 Speaker 3: is the basis that tribes are arguing for that, Hey, 974 00:55:19,719 --> 00:55:22,680 Speaker 3: we have this political status, we're a tribal government. We 975 00:55:22,800 --> 00:55:26,080 Speaker 3: have the rights to raise our children we have the 976 00:55:26,200 --> 00:55:28,719 Speaker 3: rights to teach our children to make sure they grow 977 00:55:28,760 --> 00:55:31,920 Speaker 3: up in community with our culture. That's not a race issue. 978 00:55:32,200 --> 00:55:35,960 Speaker 3: That's a political issue that relates to our political status 979 00:55:36,120 --> 00:55:39,000 Speaker 3: as a tribal nation, as a sovereign nation. And so 980 00:55:39,280 --> 00:55:42,359 Speaker 3: they're going to be battling that in court. But if 981 00:55:42,400 --> 00:55:46,759 Speaker 3: the Supreme Court decides that this Indian Child Welfare Act 982 00:55:47,280 --> 00:55:52,239 Speaker 3: is you know, racist or discriminatory based on race, it 983 00:55:52,320 --> 00:55:57,200 Speaker 3: means that a number of other bills another under of 984 00:55:57,239 --> 00:56:02,439 Speaker 3: other things in the law that that, for instance, that 985 00:56:02,560 --> 00:56:07,360 Speaker 3: exist due to the political status of Indigenous nations, have 986 00:56:07,440 --> 00:56:10,240 Speaker 3: the potential to also be thrown out on the basis 987 00:56:10,239 --> 00:56:12,000 Speaker 3: of racial discrimination. 988 00:56:12,680 --> 00:56:15,759 Speaker 6: And that I think, will you know, will lead to. 989 00:56:15,800 --> 00:56:18,480 Speaker 3: A lot of a lot more land grabs, a lot more, 990 00:56:19,000 --> 00:56:21,920 Speaker 3: a lot less services being provided, for instance, like the 991 00:56:21,920 --> 00:56:24,839 Speaker 3: Indian Health Service, for instance, they might say, oh, why 992 00:56:24,840 --> 00:56:28,600 Speaker 3: do Native Americans get this healthcare? They might they might 993 00:56:29,280 --> 00:56:32,080 Speaker 3: start taking down a whole bunch of other things that 994 00:56:32,160 --> 00:56:35,600 Speaker 3: are really important to us. So it's really it's a 995 00:56:35,680 --> 00:56:36,680 Speaker 3: huge issue right now. 996 00:56:36,960 --> 00:56:39,960 Speaker 1: It's a troubling time. And I could see how people 997 00:56:40,040 --> 00:56:42,120 Speaker 1: in the past might have said, Oh, don't worry, that 998 00:56:42,160 --> 00:56:45,120 Speaker 1: won't happen I think it's pretty clear that these things 999 00:56:45,120 --> 00:56:47,120 Speaker 1: can happen pretty quickly and pretty aggressively. 1000 00:56:47,200 --> 00:56:47,399 Speaker 2: Now. 1001 00:56:47,640 --> 00:56:49,920 Speaker 1: I think the last couple of years, I've showed a 1002 00:56:49,920 --> 00:56:53,799 Speaker 1: lot of people that things can get worse somehow, you know, 1003 00:56:54,239 --> 00:56:57,120 Speaker 1: and that these things can be taken more and more 1004 00:56:57,200 --> 00:56:59,719 Speaker 1: can be taken from people that have already had so 1005 00:56:59,800 --> 00:57:01,120 Speaker 1: much taken from them. 1006 00:57:01,160 --> 00:57:05,320 Speaker 2: So I guess I like to finish off normally instead 1007 00:57:05,320 --> 00:57:07,680 Speaker 2: of just being like, here is some sad shit and 1008 00:57:07,680 --> 00:57:10,240 Speaker 2: support thing to it and then kind of like dropping 1009 00:57:10,239 --> 00:57:13,880 Speaker 2: the mic asking people how they can do something to 1010 00:57:13,920 --> 00:57:17,320 Speaker 2: stand solidarity. So like, if either of you want to mention, 1011 00:57:17,560 --> 00:57:20,760 Speaker 2: I know this bears is flat. There are other attempts 1012 00:57:20,760 --> 00:57:24,240 Speaker 2: to appropriate and colonize Indigenous land, sacred spaces and fucking 1013 00:57:24,280 --> 00:57:28,120 Speaker 2: border wall. It's bulldozing Kumi graveyards. Like, as I'm talking 1014 00:57:28,160 --> 00:57:32,200 Speaker 2: to you, are there ways that people can stand solidarity 1015 00:57:32,200 --> 00:57:33,360 Speaker 2: with Indigenous communities? 1016 00:57:33,960 --> 00:57:36,080 Speaker 4: I'll go first because Victor will have a better answer 1017 00:57:36,080 --> 00:57:38,280 Speaker 4: than me, and he can. He can. You can jump 1018 00:57:38,280 --> 00:57:42,680 Speaker 4: in after me. But I think as like a low 1019 00:57:42,760 --> 00:57:43,760 Speaker 4: level entry thing. 1020 00:57:43,680 --> 00:57:46,440 Speaker 5: That people can do, and it kind of touches on 1021 00:57:46,520 --> 00:57:50,080 Speaker 5: how trying to remove the burden on asking for education 1022 00:57:50,240 --> 00:57:52,920 Speaker 5: and doing the education yourself for that. 1023 00:57:52,960 --> 00:57:55,920 Speaker 4: What people can do is just you can read books 1024 00:57:55,960 --> 00:57:56,640 Speaker 4: by Native. 1025 00:57:56,440 --> 00:57:58,680 Speaker 5: Authors and that teaches you a lot of history. And 1026 00:57:58,720 --> 00:58:02,840 Speaker 5: there's like some incredible Native authors who are writing beautiful 1027 00:58:03,080 --> 00:58:07,520 Speaker 5: stories that are weave with fact and fiction book books, 1028 00:58:07,600 --> 00:58:13,240 Speaker 5: and then like Native Media Reservation Dogs is like a 1029 00:58:13,280 --> 00:58:16,200 Speaker 5: TV show on Hulu that is a really great show 1030 00:58:16,400 --> 00:58:19,320 Speaker 5: that everyone should watch. So I think you can do 1031 00:58:19,400 --> 00:58:23,120 Speaker 5: some like easy things that just takes remove some of 1032 00:58:23,160 --> 00:58:27,080 Speaker 5: the needing to be taught to on yourselves and you 1033 00:58:27,120 --> 00:58:28,840 Speaker 5: can just learn about what we're missing. 1034 00:58:29,240 --> 00:58:30,680 Speaker 4: So those are like very very easy. 1035 00:58:30,720 --> 00:58:34,080 Speaker 5: And then in terms of like just from my point 1036 00:58:34,120 --> 00:58:36,280 Speaker 5: of view as a as an MD, there are a 1037 00:58:36,360 --> 00:58:41,240 Speaker 5: lot of ways to get involved because these the reservations 1038 00:58:41,280 --> 00:58:45,280 Speaker 5: are chronically understaffed. They're just like rural medicine IHS or 1039 00:58:45,320 --> 00:58:49,240 Speaker 5: not IHS. Royal medicine is very under understaffed in in 1040 00:58:49,280 --> 00:58:54,080 Speaker 5: our country, and so there's always opportunities for doctors to 1041 00:58:54,160 --> 00:58:58,160 Speaker 5: go and work and it's like valuable and amazing for 1042 00:58:58,280 --> 00:59:00,439 Speaker 5: us and for the community to be able to do. 1043 00:59:01,360 --> 00:59:03,600 Speaker 5: So there are ways to do that through local companies 1044 00:59:03,600 --> 00:59:06,840 Speaker 5: and directly through the IHS sites. 1045 00:59:08,320 --> 00:59:14,080 Speaker 3: Yeah, yeah, yeah, I think I think conversation. You know, 1046 00:59:15,040 --> 00:59:20,880 Speaker 3: I would love if white allies would talk to their 1047 00:59:20,920 --> 00:59:24,600 Speaker 3: family members and their friends. And I think there are 1048 00:59:24,640 --> 00:59:28,480 Speaker 3: a lot of moments where in these day to day 1049 00:59:28,520 --> 00:59:34,400 Speaker 3: personal interactions when Natives might come up to stand up, 1050 00:59:34,480 --> 00:59:38,240 Speaker 3: like if you hear something that is ignorant, you hear 1051 00:59:38,320 --> 00:59:41,240 Speaker 3: something that might be racist, to stand up to the 1052 00:59:41,280 --> 00:59:45,520 Speaker 3: people that you know in your own circles and say, hey, no, 1053 00:59:45,640 --> 00:59:49,120 Speaker 3: that's not correct. To talk to your friends and family 1054 00:59:49,720 --> 00:59:53,440 Speaker 3: about what you learned with regard to colonization. Are the 1055 00:59:53,480 --> 00:59:57,040 Speaker 3: issues that Native American people face because I think some 1056 00:59:57,080 --> 00:59:59,080 Speaker 3: of the people that we listen to the most of 1057 00:59:59,160 --> 01:00:02,800 Speaker 3: the people that we love, our friends and our family, 1058 01:00:02,840 --> 01:00:04,160 Speaker 3: and I think there needs to be a lot more 1059 01:00:04,200 --> 01:00:08,680 Speaker 3: conversation in those spaces, a lot more accountability because I 1060 01:00:08,760 --> 01:00:11,880 Speaker 3: know that it can be very hard when when difficult 1061 01:00:11,880 --> 01:00:16,720 Speaker 3: things come up in those personal interactions to challenge someone. 1062 01:00:17,280 --> 01:00:19,680 Speaker 3: But I think that that is where that that sort 1063 01:00:19,680 --> 01:00:22,080 Speaker 3: of thing can really move the needle in the long run. 1064 01:00:23,200 --> 01:00:26,200 Speaker 3: And I think that sometimes people just choose to stay silent, 1065 01:00:26,720 --> 01:00:28,400 Speaker 3: and I would like that to change this. 1066 01:00:29,640 --> 01:00:32,840 Speaker 1: Yeah, very well said. That seems like a fantastic place 1067 01:00:32,880 --> 01:00:37,000 Speaker 1: to close it here. Thank you. Both so much for 1068 01:00:37,120 --> 01:00:41,200 Speaker 1: coming on and hanging out with us. You've been listening 1069 01:00:41,240 --> 01:00:44,000 Speaker 1: to the House of Pod and it could happen here. 1070 01:00:44,720 --> 01:00:46,920 Speaker 1: Let's get some plugs in for you guys. Can you 1071 01:00:47,400 --> 01:00:49,760 Speaker 1: Let's start with you, Victor. Tell us where people can 1072 01:00:49,760 --> 01:00:52,160 Speaker 1: find you or plug anything you want to plug. 1073 01:00:53,040 --> 01:00:55,040 Speaker 6: Come to the rest. Just ask for me. 1074 01:00:58,880 --> 01:00:59,880 Speaker 1: Original Facebook. 1075 01:01:01,600 --> 01:01:06,680 Speaker 3: Yeah, my Instagram and Twitter are Vlocarmen V L O 1076 01:01:07,120 --> 01:01:08,480 Speaker 3: C A R M E end. 1077 01:01:09,080 --> 01:01:10,360 Speaker 1: Very cool and Mollie. 1078 01:01:10,920 --> 01:01:13,880 Speaker 5: I exited the Twitter sphere after Elon Musk took over, 1079 01:01:14,040 --> 01:01:17,440 Speaker 5: so I'm off, but you can find me in Sacramento. 1080 01:01:19,560 --> 01:01:22,960 Speaker 1: All right. You guys have been so awesome. Thank you 1081 01:01:23,000 --> 01:01:25,600 Speaker 1: both for coming on. We hope to talk again sometime. 1082 01:01:26,360 --> 01:01:26,800 Speaker 6: Thank you. 1083 01:01:31,560 --> 01:01:34,040 Speaker 7: It could happen here as a production of cool Zone Media. 1084 01:01:34,120 --> 01:01:36,760 Speaker 7: For more podcasts from cool Zone Media, visit our website 1085 01:01:36,840 --> 01:01:39,040 Speaker 7: cool zonemedia dot com or check us out on the 1086 01:01:39,080 --> 01:01:42,480 Speaker 7: iHeartRadio app, Apple Podcasts, or wherever you listen to podcasts. 1087 01:01:43,080 --> 01:01:45,240 Speaker 7: You can find sources for It could Happen here, updated 1088 01:01:45,280 --> 01:01:49,320 Speaker 7: monthly at cool zonemedia dot com slash sources. Thanks for listening.