RFK Jr. Expands Inner Circle with Native Health Adviser: What This Means for His Campaign

Mark Cruz recently took his oath of office as the first senior adviser on American Indian health under Health Secretary Robert F. Kennedy Jr. In a ceremony filled with symbolism, Cruz emphasized the importance of having a Native American voice in the decision-making process at Health and Human Services (HHS).

Cruz, a member of the Klamath Tribes from Oregon, aims to bridge the gap between tribal communities and HHS. His role includes creating a cohesive strategy for American Indian health, which is particularly crucial as health conditions in these communities often lag behind national averages. According to the U.S. Department of Health and Human Services, American Indian and Alaska Native populations face higher rates of obesity, diabetes, and heart disease compared to the general U.S. population.

Cruz’s background in government roles, including his work at the Department of the Interior and as chief of staff for a Congressman, has equipped him with unique insights. One of his key initiatives is advocating for more tribes to manage their health care services through a process called 638 contracting. This allows tribes to offer their own health services, which studies suggest leads to improved care. Research from the National Indian Health Board shows that when tribes run their facilities, they perform better due to local accountability and understanding of community needs.

Drawing from his experiences, Cruz has observed significant improvements in health service delivery. He recalls his childhood dental visits in Oregon, which were held in less-than-ideal conditions. Today, tribal facilities are modern and better equipped to serve community members.

Despite these advancements, challenges remain. Cruz acknowledged criticism regarding inefficiencies in the Indian Health Service (IHS), notably a policy called Departmental Efficiency Review, which some believe hampers patient care. He stated that while improving efficiency is vital, it’s essential to recognize the long-standing issues in funding and leadership that predate the current administration.

Addressing funding concerns, Cruz aims to work within current budgets and explore ways to streamline Medicaid reimbursements for tribal facilities. Conversations about direct reimbursements from CMS, rather than through state agencies, are on the agenda but require careful planning and discussion with state leaders.

In addition to health care management, Cruz is committed to tackling dietary issues and access to healthy foods in tribal communities, many of which are categorized as food deserts. High rates of diabetes, heart disease, and mental health challenges must also be addressed in his strategy moving forward.

As the first adviser dedicated to Indian health, Cruz feels honored to influence policy and advocate for Native needs within HHS. His goal is not just to address immediate issues but to set a vision for Indian health over the next 50 years, ensuring a brighter future for tribal communities.

The pathway to improved health for American Indian populations is complex, but Cruz’s leadership brings hope for meaningful change, grounded in history, culture, and community knowledge. For ongoing updates on health trends affecting Indian populations, check out the most recent reports from the National Indian Health Board.

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HHS,Policy,politics,public health