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'If You Knew the Conditions' - A Chronicle of the Indian Medical Service and American Indian Health Care, 1908-1955 (Paperback)
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'If You Knew the Conditions' - A Chronicle of the Indian Medical Service and American Indian Health Care, 1908-1955 (Paperback)
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After their sequestering on reservations across the West, American
Indians suffered from appalling rates of disease and morbidity.
While the United States Indian Service (Bureau of Indian Affairs)
provided some services prior to 1908, it was not until then that
the Indian Medical Service was established for the purpose of
providing services to American Indians. Born in an era of
assimilation and myths of vanishing Indians, the Indian Medical
Service provided emergency and curative care with little
forethought of preventive medicine. DeJong argues that the U.S.
Congress provided little more than basic, curative treatment, and
that this Congressional parsimony is reflected in the services (or
lack thereof) provided by the Indian Medical Service. DeJong
considers the mediocre results of the Indian Medical Service from a
cultural perspective. He argues that, rather than considering a
social conservation model of medicine, the Indian Service focused
on curative medicine from a strictly Western perspective. This
failure to appreciate the unique American Indian cultural norms and
values associated with health and well-being led to a resistance
from American Indians which seemingly justified parsimonious
Congressional appropriations and initiated a cycle of benign
neglect. 'If You Knew the Conditions' examines the impact of the
long-standing Congressional mandate of cultural assimilation,
combined with the Congressional desire to abolish the Indian
Service, on the degree and extent of disease in Indian Country.
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