AP has a compelling story of political and moral neglect:

Ta’Shon Rain Little Light, a happy little girl who loved to dance and dress up in traditional American Indian clothes, had stopped eating and walking. She complained constantly to her mother that her stomach hurt.

When Stephanie Little Light took her daughter to the Indian Health Service clinic in this wind-swept and remote corner of Montana, they told her the 5-year-old was depressed.

Ta’Shon’s pain rapidly worsened and she visited the clinic about 10 more times over several months before her lung collapsed and she was airlifted to a children’s hospital in Denver. There she was diagnosed with terminal cancer, confirming the suspicions of family members.

A few weeks later, a charity sent the whole family to Disney World so Ta’Shon could see Cinderella’s Castle, her biggest dream. She never got to see the castle, though. She died in her hotel bed soon after the family arrived in Florida.
[...]
Ta’Shon’s story is not unique in the Indian Health Service system, which serves almost 2 million American Indians in 35 states.

On some reservations, the oft-quoted refrain is “don’t get sick after June,” when the federal dollars run out. It’s a sick joke, and a sad one, because it’s sometimes true, especially on the poorest reservations where residents cannot afford health insurance. Officials say they have about half of what they need to operate, and patients know they must be dying or about to lose a limb to get serious care.

Wealthier tribes can supplement the federal health service budget with their own money. But poorer tribes, often those on the most remote reservations, far away from city hospitals, are stuck with grossly substandard care. The agency itself describes a “rationed health care system.”

Here’s what makes this whole unconscionable situation even worse:

The U.S. has an obligation, based on a 1787 agreement between tribes and the government, to provide American Indians with free health care on reservations. But that promise has not been kept. About one-third more is spent per capita on health care for felons in federal prison, according to 2005 data from the health service.

Shocking, isn’t it, the U.S. government failing to honor an agreement with the Native American people?

And these are some of the measurable consequences of that dishonoring:

American Indians have an infant death rate that is 40 percent higher than the rate for whites. They are twice as likely to die from diabetes, 60 percent more likely to have a stroke, 30 percent more likely to have high blood pressure and 20 percent more likely to have heart disease.

There are many more horror stories where Ta’Shon Rain Little Light’s came from:

Rhonda Sandland says she couldn’t get help for her advanced frostbite until she threatened to kill herself because of the pain — several months after her first appointment. She says she was exposed to temperatures at more than 50 below, and her hands turned purple. She eventually couldn’t dress herself, she says, and she visited the clinic over and over again, sometimes in tears.

“They still wouldn’t help with the pain so I just told them that I had a plan,” she said. “I was going to sleep in my car in the garage.”

She says the clinic then decided to remove five of her fingers, but a visiting doctor from Bismarck, N.D., intervened, giving her drugs instead. She says she eventually lost the tops of her fingers and the top layer of skin.

The same clinic failed to diagnose Victor Brave Thunder with congestive heart failure, giving him Tylenol and cough syrup when he told a doctor he was uncomfortable and had not slept for several days. He eventually went to a hospital in Bismarck, which immediately admitted him. But he had permanent damage to his heart, which he attributed to delays in treatment. Brave Thunder, 54, died in April while waiting for a heart transplant.

“You can talk to anyone on the reservation and they all have a story,” says Tracey Castaway, whose sister, Marcella Buckley, said she was in $40,000 of debt because of treatment for stomach cancer.

Buckley says she visited the clinic for four years with stomach pains and was given a variety of diagnoses, including the possibility of a tapeworm and stress-related stomachaches. She was eventually told she had Stage 4 cancer that had spread throughout her body.

Let’s remember that this unconscionably crappy healthcare is provided to Native Americans by the same U.S. government which provides the best healthcare in the nation to veterans.

Obama the candidate was painfully aware of the full horror of this situation:

While campaigning on Indian reservations, presidential candidate Barack Obama cited this statistic: After Haiti, men on the impoverished Pine Ridge and Rosebud Reservations in South Dakota have the lowest life expectancy in the Western Hemisphere.
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Obama’s budget for 2010 includes an increase of $454 million, or about 13 percent, over this year. Also, the stimulus bill he signed this year provided for construction and improvements to clinics.

Incremental measures, like an increase of 13% over last year’s budget, aren’t going to buy very much improvement. Sen. Byron Dorgan (ND), chairman of the Senate Indian Affairs Committee, is the only person in Washington who seems to be seriously fighting to improve the Indian Health Service. He was able to persuade the Senate to pass a bill that “would have directed Congress to provide about $35 billion for American Indian health programs over the next 10 years.” But a similar bill died in the House “after it became entangled in an abortion dispute”.

Does Obama the president — the one who can walk and chew gum at the same time (walk on water, that is) — actually plan to do anything about the Indian Health Service? Or is he too busy shuttling hither and yon making really fine speeches about his commitment to health care reform? (Whenever he has time and energy left over after coming up with mega-billions to bail out Wall Street, that is.)