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Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.

Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths. (Oona Zenda/KFF Health News)

Oona Zenda/KFF Health News

Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.

Just hours after Rhonda Swaney left a prenatal appointment for her first pregnancy, she felt severe pain in her stomach and started vomiting.

Then 25 years old and six months pregnant, she drove herself to the emergency room in Ronan, Montana, on the Flathead Indian Reservation, where an ambulance transferred her to a larger hospital 60 miles away in Missoula. Once she arrived, the staff couldn’t detect her baby’s heartbeat. Swaney began to bleed heavily. She delivered a stillborn baby and was hospitalized for several days. At one point, doctors told her to call her family. They didn’t expect her to survive.

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William H Foege standing next to a bust of Hygeia.

Former Centers for Disease Control (CDC) director William H Foege standing next to a bust of Hygeia, the Greek goddess of health, 1985. Image courtesy Centers for Disease Control.

Getty Images, Smith Collection/Gado

Bill Foege: One of Humanity’s Heroes

At a time when public health is under attack in America, and people without medical expertise are making decisions that are having negative consequences globally, we would do well to remember those who helped achieve what had been remarkable progress in world health. One such person was Dr. William “Bill” Foege, a giant in the public health sector who died recently at the age of 89.

Among his many achievements is the role he played in eradicating smallpox, a disease that had been the scourge of humanity, killing as many as 500 million people. Like many contagious diseases, smallpox remained intractable in parts of the world that lacked effective healthcare systems.

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WHO Withdrawal and Trump’s Transactional Approach to Global Health Policy
boy in white tank top with face mask
Photo by Oscar Nolasco on Unsplash

WHO Withdrawal and Trump’s Transactional Approach to Global Health Policy

On January 22, the United States finalized its exit from the World Health Organization. This move did not come as a surprise. The process began more than a year earlier, the day after President Trump took his oath of office for a second term. His dislike for the world body and its handling of the COVID-19 pandemic is well known, as is his deal-making approach in foreign policy.

Trump’s logic is driven by self-interest and the notion of “What’s in it for us?” This transactional approach became even more apparent in December, when the U.S. Government signed 14 bilateral health agreements with African nations totaling US$ 16 billion.

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Rising Costs, Chronic Disease and AI: The Fight to Save U.S. Healthcare
Sure, political activism is good for the system. It's also good for your health.
Sure, political activism is good for the system. It's also good for your health.

Rising Costs, Chronic Disease and AI: The Fight to Save U.S. Healthcare

In most industries, leaders can respond quickly when market conditions change. Within months, companies can shrink or expand their workforces, adopt innovative technologies, and reconfigure operations.

Healthcare lacks such flexibility. It takes a decade to train new physicians. Hospitals take years to plan, fund, and build — years longer than it takes for basic infrastructure in other industries.

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