WINDOW ROCK, Ariz. - American Indian children in Arizona and across the United States are more likely to live in poverty, to die in infancy and to lack health coverage, according to a new report.

The study, from the Georgetown University Center for Children and Families, recommended that federal health officials work to lower the uninsured rate for these children in order to reduce their health disparities. Study co-author Lauren Roygardner, a senior research associate at Georgetown, said that despite the multiple avenues for coverage, too many native children are falling through the cracks.

"One of the complexities is the sort of patchwork-quilt effect of coverage," she said. "These children are covered with Medicaid, CHIP, some kids have employer-sponsored insurance, and then there's the Indian Health Service as well. There's just still gaps, so we don't have every child covered yet."

The report found that across the United States, about 14% of native children are uninsured, more than double the overall rate of children across the country. Roygardner said the study looked closely at about a dozen states with the greatest concentration of native children.

Roygardner described the report as a statistical look at changes to the estimated 774,000 native children between 2010 and 2017. It found that group to be disproportionately poor, in poor health and twice as likely to be uninsured. Of those states studied, Arizona had the largest coverage gaps.

"We looked at the top 10 states," she said. "Arizona has over 98,000 children, and that is the greatest share of child population under 19, so that was 12.8% of the AI/AN (American Indian and Alaska Native) population."

Roygardner said Arizona's decision to expand Medicaid in 2013 is one bright spot for this group of kids.

"We show the percentage of the AI/AN children within your state who are covered with Medicaid," she said, "and it does look like we are seeing an improvement, with 54% in 2010 - and by 2017, that increased by four percentage points to 58%."

The study recommended that the federal government take steps to evaluate how well existing programs are working, make necessary improvements, and provide the funding to ensure native children live healthy and productive lives.

The report is online at ccf.georgetown.edu.

By Taylar Dawn Stagner for Grist.
Broadcast version by Mark Richardson for Louisiana News Connection reporting for the Grist-Public News Service Collaboration

Allie “Nokko” Johnson is a member of the Coushatta Tribe of Louisiana, and they love teaching young tribal members about recycling. Johnson helps them make Christmas ornaments out of things that were going to be thrown away, or melts down small crayons to make bigger ones.

“In its own way, recycling is a form of decolonization for tribal members,” Johnson said. “We have to decolonize our present to make a better future for tomorrow.“

The Coushatta Reservation, in southern Louisiana, is small, consisting of about 300 tribal members on or nearby the reservation, and rural — the nearest Walmart is 40 minutes away. Recycling hasn’t been popular in the area, but as the risks from climate change have grown, so has the tribe’s interest. In 2014, the tribe took action and started gathering materials from tribal offices and departments, created recycling competitions for the community, and started teaching kids about recycling. 

Recently, federal grant money has been made available to tribes to help start and grow recycling programs. Last fall, the Coushatta received $565,000 from the Environmental Protection Agency for its small operation. The funds will be used to repair repair a storage shed, build a facility for the community to use, and continue educational outreach. But it may not be enough to serve the area’s 3,000 residents of Native and non-Native recyclers for the long haul. 

Typically, small tribes don’t have the resources to run recycling programs because the operations have to be financially successful. Federal funding can offset heavy equipment costs and some labor, but educating people on how to recycle, coupled with long distances from processing facilities, make operation difficult. 

But that hasn’t deterred the Coushatta Tribe.

In 2021, the European Union banned single-use plastics like straws, bottles, cutlery, and shopping bags. Germany recycles 69 percent of its municipal waste thanks to laws that enforce recycling habits. South Korea enforces strict fees for violations of the nation’s recycling protocols and even offers rewards to report violators, resulting in a 60 percent recycling and composting rate. 

But those figures don’t truly illuminate the scale of the world’s recycling product. Around 8.3 billion metric tons of plastic have been manufactured since the 1950’s and researchers estimate that 91 percent of it isn’t recycled. In the United States, the Department of Energy finds that only 5 percent is recycled, while aluminum, used in packaging has a recycling rate of about 35 percent. The recycling rate for paper products, including books, mail, containers, and packaging, is about 68 percent.

There are no nationwide recycling laws in the U.S., leaving the task up to states, and only a handful of states take it seriously: Ten have “bottle bills,” which allow individuals to redeem empty containers for cash, while Maine, California, Colorado, and Oregon have passed laws that hold corporations and manufacturers accountable for wasteful packaging by requiring them to help pay for recycling efforts. In the 1960s, the U.S. recycling rate across all materials — including plastic, paper, and glass — was only 7 percent. Now, it’s 32 percent. The EPA aims to increase that number to 50 percent nationwide by 2030, but other than one law targeted at rural recycling moving through Congress, there are no overarching national recycling requirements to help make that happen. 

In 2021, Louisiana had a recycling rate of 2.9 percent, save for cities like New Orleans, where containers are available for free for residents to use to recycle everything from glass bottles to electronics to Mardi Gras beads. In rural areas, access to recycling facilities is scarce if it exists at all, leaving it up to local communities or tribal governments to provide it. There is little data on how many tribes operate recycling programs, and the EPA tracks neither the number of tribal recycling programs nationwide, nor tribal recycling rates.

“Tribal members see the state of the world presently, and they want to make a change,” said Skyler Bourque, who works on the tribe’s recycling program. “Ultimately, as a tribe, it’s up to us to give them the tools to do that.”

But the number one issue facing small programs is still funding. Cody Marshall, chief system optimization officer for The Recycling Partnership, a nonprofit, said that many rural communities and tribal nations across the country would be happy to recycle more if they had the funds to do so, but running a recycling program is more expensive than using the landfill that might be next door. 

“Many landfills are in rural areas and many of the processing sites that manage recyclables are in urban areas, and the driving costs alone can sometimes be what makes a recycling program unfeasible,” he said.

The Recycling Partnership also provides grants for tribes and other communities to help with the cost of recycling. The EPA received 91 applications and selected 59 tribal recycling programs at various stages of development for this year, including one run by the Muscogee (Creek) Nation in Oklahoma, which began its recycling program in 2010. Today, it collects nearly 50 metric tons of material a year — material that would have otherwise ended up in a landfill.

“Once you start small, you can get people on board with you,” said James Williams, director of the Muscogee (Creek) Nation’s Environmental Services. He is optimistic about the future of recycling in tribal communities. “Now I see blue bins all through the nation,” he said, referring to the recycling containers used by tribal citizens.

Williams’ department has cleaned up a dozen open dumps in the last two years, as well as two lagoons — an issue on tribal lands in Oklahoma and beyond. Illegal dumping can be a symptom of lack of resources due to waste management being historically underfunded. Those dumping on tribal land have also faced inadequate consequences. 

“We still have the issue of illegal dumping on rural roads,” he said, adding that his goal is to clean up as many as possible. “If you dump something, it’s going to hit a waterway.”

According to Williams, tribes in Oklahoma with recycling programs work together to address problems like long-distance transportation of materials and how to serve tribal communities in rural areas, as well as funding issues specific to tribes, like putting together grant applications and getting tribal governments to make recycling a priority. The Choctaw Nation in Oklahoma also partners with Durant, a nearby town. Durant couldn’t afford a recycling program of their own, so they directed recycling needs to the tribe. 

This year’s EPA grant to the Muscogee program purchases a $225,000 semitruck, an $80,000 truck for cardboard boxes, and a $200,000 truck that shreds documents. Muscogee was also able to purchase a $70,000 horizontal compactor, which helps with squishing down materials to help store them, and two $5,000 trailers for hauling. Williams’ recycling program operates in conjunction with the Muscogee solid waste program, so they share some of their resources. 

Returns on recycled material aren’t high. In California, for instance, one ton of plastic can fetch $167, while aluminum can go for $1,230. Corrugated cardboard can also vary wildly from $20 to $210 a ton. Prices for all recycled materials fluctuate regularly, and unless you’re dealing in huge amounts, the business can be hard. Those who can’t sell their material might have to sit on it until they can find a buyer, or throw it away. 

Last year, Muscogee Creek made about $100,000 reselling the materials it collected, but the program cost $250,000 to run. The difference is made up by profits from the Muscogee Creek Nation’s casino, which helps keep the recycling program free for the 101,252 tribal members who live on the reservation. The profits also help non-Natives who want to recycle. 

The Coushatta Tribe serves 3,000 people, Native and non-Native, and they have been rejected by 12 different recycling brokers – individuals that act as intermediaries between operations and buyers – due to the distance materials would have to travel. 

Skyler Bourque said she couldn’t find a broker that was close enough, or that was willing to travel to the Coushatta Tribe to pick up their recycling. “We either bite the cost,” she said, “or commute and have to pay extra in gas. It’s exhausting.”

Currently, the only place near them that’s buying recyclables is St. Landry Parish Recycling Center, which only pays $0.01 per pound of cardboard. A truck bed full of aluminum cans only yields $20 from the nearest center, 90 minutes away. That’s how much the tribe expects to make for now. 

Still, the Coushatta Tribe of Louisiana is not giving up.

With this new injection of federal money, they will eventually be able to store more materials, and hopefully, make money back on their communities’ recyclables. Much like the Muscogee Creek Nation, they see the recycling program as an amenity, but they still have hopes to turn it into a thriving business. 

In the meantime, the Coushatta keep up their educational programming, teaching children the value of taking care of the Earth, even when it’s hard. 

“It’s about maintaining the land,” Johnson said. 


Taylar Dawn Stagner wrote this article for Grist.


get more stories like this via email

A team of educators and supporters recently proposed changes to South Dakota's framework for Indigenous education, making the lessons more accessible for teachers across the state.

The Oceti Sakowin Essential Understandings and Standards, in the works since 2008, were approved by the state in 2018 for education about the region's Indigenous cultures and ways of knowing. Some of the core understandings are built on themes including environment, identity, kinship, traditions and sovereignty.

According to the document, the framework offers not just an opportunity to learn about Indigenous people but also from them.

Roberta Bizardie, Sicangu Lakota, superintendent of the Todd County School District, sits on the 2024 Revisioning and Reaffirming Team and said it is meant to be imbued throughout an entire school day, rather than restricted to just social studies or history class.

"We want kids to understand when you walk in the door, we're incorporating them throughout your whole day," Bizardie explained. "And just to really help build up that identity side of who our kids are."

According to a 2023 state survey, 62% of South Dakota educators reported using the standards, a 17% increase from 2021, though the response rate dropped. There are no state requirements to implement the standards, though Bizardie pointed out Todd County has a policy to ensure they are used.

Bizardie noted while the current accepted standards focus on younger kids, her goal is to create grade-level expectations for K-12 students in Todd County. The 2024 proposal does not change the core understandings themselves but includes a deeper integration of Native language and will make lessons more accessible to both students and teachers.

"It was just kind of cleaning things up," Bizardie added. "When a teacher, whether you are Indigenous, non-Indigenous, you could look at this document and say, 'Oh, I can do this.'"

The 2024 proposal is open to public comment through Sept. 16.


get more stories like this via email

Historic inequities have left many tribal nations behind the rest of the country but a new Arizona State University program is designed to launch them into the digital future.

The university's Center for Tribal Digital Sovereignty is designed to help Native Americans plan and develop their digital footprint. The project is a joint effort between The American Indian Policy Institute at the Sandra Day O'Connor College of Law and the National Congress of American Indians.

Tracy Morris, executive director of the institute, said it is all about providing full access to the digital universe.

"Tribal digital sovereignty is the exercise of self-determination of all digital aspects in a tribe, that the tribe itself controls," Morris outlined. "That could be the infrastructure, it could be the data, it could be the physical networks, it could be their cloud or whatever."

Morris argued developing a platform for digital information is critical to tribal autonomy. The program will support tribes in Arizona and across the U.S. in achieving equal access to the governance, social and economic advantages of broadband and other technologies.

Morris pointed out digital sovereignty encompasses all aspects of a tribal nation's digital plan and footprint, such as tribal codes, managing data protection, digital equity, network infrastructure, development of funding sources and capacity building.

"The point is for tribes to be able to implement the best thing that they can and exercise their digital sovereignty so that they can serve their members," Morris explained. "For the end user, they should be able to have the same access as, theoretically, you or I have in a city."

Morris added broadband and other communications technologies are a necessary 21st-century platform for tribal independence. She believes establishment of the Center is a significant turning point for Native Americans.

"If you look at Indian law and Indian history, it's usually something imposed on us in the past or it's taken away from us," Morris observed. "We have a level playing field here. We're all competing. We're all competing. We're all the same resources, the same capacity, the same people to do the work. And it's exciting."


get more stories like this via email