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IN EARLY 2021, as the first batches of coronavirus vaccines were being distributed around the country and many places struggled with availability, I walked into a Cherokee Nation health clinic in our tribe's main city of Tahlequah, Oklahoma, and rolled up my sleeve.
As the needle plunged in, I felt relieved. More importantly, I felt accountable. American Indians and Alaska Natives experienced the highest death rate among all ethnic groups during the height of the pandemic, with a mortality rate twice that of their white counterparts, according to the CDC.
The pandemic only magnified the poverty and existing health crises of many in our communities-while cutting off critical outlets of support. As a culture, together we have survived colonialism and forced assimilation, the theft of our land and resources, and systemic oppression such that the majority of us have left our ancestral lands to seek opportunities elsewhere. That's right: An estimated 70 percent of Indigenous people in the U. S. now live in urban or suburban areas. And no matter where we live, there are huge challenges accessing tribal health services.
American Indians and Alaska Natives face higher rates of obesity, diabetes, alcohol-use disorder, and suicide, among other health issues. While the average life expectancy in the U.S. has risen in recent years, ours hasn't. It's now seven years shorter than that of white Americans. Once the vaccine went into production, our tribal government coordinated closely with the federal Indian Health Service to enable early access to elders, frontline health workers, and the native speakers who still teach and embody our culture. Then officials quickly opened access to everyone in the tribe and helped supply clinics serving other people around the state.
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