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.

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.

Although federal Indian policies are largely determined by Congress and the executive branch, it is the commissioner and assistant secretary of Indian Affairs who must implement them. Over the past two centuries, the overarching goals of federal Indian policy have been the social and political integration and assimilation of Native Americans and the extinguishment of aboriginal title to Indian lands. These goals have been woven into policies of emigration, assimilation, acculturation, termination, reservations, and consumerism, shifting under the influence of a changing national moral compass. Indian Affairs commissioners have and continue to hold an enormous power to dictate how these policies affect the fate of Indians and their lands, a power that David H. DeJong shows has been used and misused in different ways through the years. By examining the work of the Indian affairs commissioners and their assistant secretaries, DeJong gives new insight into how federal Indian policy has evolved and been shaped by the social, political, and cultural winds of the day.

Plagues, Politics, and Policy is an overview of the major health challenges confronting American Indians and Alaska Natives over the past fifty years and is a case study of the federal government's attempt to provide medical services to a categorical group of people in the United States. While it is not a detailed analysis of what socialized healthcare should or should not look like, it does examine the major social and political issues affecting the delivery of health services to American Indians and Alaska Natives. This book addresses broad policy questions, such as whether or not American Indians and Alaska Natives have received better healthcare since the Indian medical service transferred from the Bureau of Indian Affairs to the Public Health Service in 1955. In the initial decades of Public Health Service control of IHS, the problems of infectious diseases were largely eliminated, but they have been replaced by new challenges which will require IHS and tribal leaders to work together to come up with solutions. Many American Indians and Alaska Natives also face public health challenges rooted in the social and political history of the federal Indian relationship. In this book, DeJong provides a path to improving the future of health care for American Indians and Alaska Natives.

Paternalism to Partnership examines the administration of Indian affairs from 1786, when the first federal administrator was appointed, through 2021. David H. DeJong examines each administrator through a biographical sketch and excerpts of policy statements defining the administrator's political philosophy, drawn from official reports or the administrator's own writings. The Indian Office, as an executive agency under the secretary of war (1789 to 1849) and secretary of the interior (1849 to present), was directed by the president of the United States. The superintendents, chief clerks, commissioners, and assistant secretaries for Indian affairs administered policy as prescribed by Congress and the president. Each was also given a level of discretion in administering this policy. For most of the federal-Indian relationship, administrators were limited in influencing policy. This paternalism continued well into the twentieth century. Beginning in the 1960s Congress and the president ameliorated their views on the federal-Indian relationship and moved away from paternalism. Since 1966 every administrator of the Bureau of Indian Affairs has been Native American, and each has exercised increasing authority in shaping policy. This has given rise to a federal-Indian partnership that has witnessed tribal nations again exercising their inherent rights of self-government. In this documentary history David H. DeJong follows the progression of federal Indian policy over more than two hundred years, providing firsthand accounts of how the federal-Indian relationship has changed over the centuries.

During the nineteenth century, upstream diversions from the Gila River decreased the arable land on the Gila River Indian Reservation to only a few thousand acres. As a result the Pima Indians, primarily an agricultural people, fell into poverty. Many Pima farmers and leaders lamented this suffering and in 1914 the United States Indian Irrigation Service assigned a 33-year-old engineer named Clay "Charles" Southworth to oversee the Gila River adjudication. As part of that process, Southworth interviewed 34 Pima elders, thus putting a face on the depth of hardships facing many Indians in the late nineteenth century.Southworth's interviews fell into obscurity until recently, when they were rediscovered by David DeJong. The interviews cover decades of Pima history and reveal the nexus between upstream diversions and Pima economy, agriculture, water use, and water rights. In "Forced to Abandon Our Fields," DeJong provides the historical context for these interviews; transcripts of the interviews provide first-hand descriptions of both the once-successful Pima agricultural economy and its decline by the early twentieth century. These interviews suggest that it was not the triumph of Western civilization that displaced the Pima agricultural economy but the application of a philosophy of economic liberalism that prevented the Pima from building on their previous successes.

By 1850 the Pima Indians of central Arizona had developed a strong and sustainable agricultural economy based on irrigation. As David H. DeJong demonstrates, the Pima were an economic force in the mid-nineteenth century middle Gila River valley, producing food and fiber crops for western military expeditions and immigrants. Moreover, crops from their fields provided an additional source of food for the Mexican military presidio in Tucson, as well as the U.S. mining districts centered near Prescott. For a brief period of about three decades, the Pima were on an equal economic footing with their non-Indian neighbors. This economic vitality did not last, however. As immigrants settled upstream from the Pima villages, they deprived the Indians of the water they needed to sustain their economy. DeJong traces federal, territorial, and state policies that ignored Pima water rights even though some policies appeared to encourage Indian agriculture. This is a particularly egregious example of a common story in the West: the flagrant local rejection of Supreme Court rulings that protected Indian water rights. With plentiful maps, tables, and illustrations, DeJong demonstrates that maintaining the spreading farms and growing towns of the increasingly white population led Congress and other government agencies to willfully deny Pimas their water rights. Had their rights been protected, DeJong argues, Pimas would have had an economy rivaling the local and national economies of the time. Instead of succeeding, the Pima were reduced to cycles of poverty, their lives destroyed by greed and disrespect for the law, as well as legal decisions made for personal gain.