They are part of an expanding experiment in decentralization, in which about 20% of federally recognized tribes in Oklahoma, California, Arizona and elsewhere have been granted permission to take full control of their health care.įor the North Carolina Cherokee, self-governance has meant adopting an integrated care model designed by Alaska Natives to deliver care that not only improves patients’ health, but also is tailor-made for the needs of the tribe. ![]() Profits from the tribe’s casino have helped the 12,000 members of the Eastern Band of Cherokee Indians opt out of the troubled U.S. “It doesn’t look like a hospital, and it doesn’t feel like a hospital,” Kristy Nations said on a recent visit to pick up medications at the pharmacy. The hospital’s motto - “Ni hi tsa tse li” or “It belongs to you” - is written in Cherokee syllabary on the wall at the main entrance. Rattlesnake Mountain, which the Cherokee elders say holds ancient healing powers, is visible from most angles. Light pours through large windows and glass ceilings of the Cherokee Indian Hospital onto a fireplace, a waterfall and murals. ![]() This story can be republished for free ( details).ĬHEROKEE, N.C. This story also ran on The Charlotte Observer.
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