By Claire Carlson for The Daily Yonder.
Broadcast version by Eric Tegethoff for Oregon News Service for the Public News Service/Daily Yonder Collaboration

A new public health clinic on the Grand Ronde reservation in rural Polk and Yamhill counties, Oregon, promises to address healthcare gaps and advance tribal sovereignty for the Confederated Tribes of Grand Ronde. The clinic, which opened May 17, 2024, will offer preventative services like vaccines, dental care, and nutrition classes to bolster the overall wellbeing of tribal members.

Officials working for the tribe say the new clinic will help the community take care of its own. "We're making sure that we can look after our own members and not be waiting on somebody else to provide some kind of help or service or something," said Ryan Webb, the engineering and planning manager for the Confederated Tribes of Grand Ronde, at a press tour of the new building on May 6.

The clinic will add to an already robust hospital system that offers basic and specialty care to the community, which means tribal members don't have to travel far distances (a minimum of 50 miles round trip to the nearest city) to access the majority of their healthcare needs.

Tribal members said this kind of self-reliance is nonnegotiable because of a long history of mistreatment by the federal government.

In 1857, the government forcibly removed the Tillamook people - a diverse group of Native Americans who lived up and down the Oregon coast in 29 distinct bands each with their own language - from their homelands and onto the original Grand Ronde reservation, creating the Confederated Tribes of Grand Ronde. Over 300 Native Americans were forced to walk more than 200 miles to get to the reservation, a journey that's remembered by tribal members as Grand Ronde's "Trail of Tears." Once they reached the reservation, services like healthcare and education were promised to be provided by the federal government, but tribal members say these promises were not kept.

Then, in 1954, Congress passed the Western Oregon Termination Act that ended federal recognition of 60 tribes in western Oregon, the largest number of tribes to be terminated under any single federal law. This meant that the Confederated Tribes of Grand Ronde, along with tribes like the Coos, Coquille, Siletz, Siuslaw, and Lower Umpqua, lost every treaty right they had with the federal government.

"Everything was taken," said Cheryle Kennedy, chairwoman of the Grand Ronde tribal council and former tribal health director. "There wasn't compensation or anything. It was, 'no, you're no longer Indian, no more identity. You can't receive any Indian service and all of your land is gone.'" It was the government's way of assimilating Native Americans into mainstream American culture.

The government was no longer required to offer any of the programs or resources extended to federally recognized tribes. Any property held by the tribes was taken by the government, which proved to be economically devastating, especially to the Klamath Tribes in southern Oregon who possessed valuable timberlands.

Eventually, after nearly three decades of lobbying, some Oregon tribes regained federal recognition, including the Confederated Tribes of Grand Ronde in 1983. Their current reservation is roughly 11,500 acres in size.

The tribe has been working to rebuild their nation since receiving federal recognition for the second time, and a thriving healthcare system has been central to this effort. The first health clinic in Grand Ronde was built in 1997, and the tribe has been expanding ever since.

Currently, tribal members can receive optometry, pharmacy, behavioral health, cardiology, opioid treatment, and naturopathy services on the reservation. Kelly Rowe, the tribe's current health director, is working to bring endocrinology, rheumatology, and nephrology services to Grand Ronde. All enrolled Grand Ronde tribal members can get free health services from the hospital.

"The whole thought behind the big clinic was to bring everything here to Grand Ronde so people could get it without having to travel," Rowe said.

The newly-built public health clinic expands the hospital's preventative health services by providing a permanent location for vaccine administration (a need the Covid-19 pandemic highlighted), dental care, and nutrition classes. It also features an outdoor fish pit where tribal members can learn how to prepare traditional meals.

The clinic was built with support from Energy Trust, a nonprofit that works with utilities, community organizations, government agencies and others to bring the benefits of energy efficiency and renewable energy to more people in Oregon, according to an Energy Trust spokesperson.

Energy Trust pointed the tribe to sustainability grants to pay for the solar panels that cover the building's roof, which the tribe said will enable them to be even more self-reliant in the face of natural disaster. If their electricity goes out, the new building will still be able to power itself, keeping vaccines that require refrigeration cool.

Along with the technical support from Energy Trust, the Confederated Tribes of Grand Ronde paid for the project using Covid-19 federal relief funds and tribal money.

"I think that [shows] the tribe's investment in healthcare for its people, because they're very committed to making sure that they're providing healthcare and providing as much as possible for the membership," Rowe said.


Claire Carlson wrote this article for The Daily Yonder.


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The Department of the Interior is disbursing $7 million to offices throughout the country for Indigenous-led conservation projects.

The Indian Youth Service Corps initiates public service projects, run by Native young adults, that aim to benefit Native communities.

In South Dakota, the program is hosted through an agreement between Conservation Legacy's Ancestral Lands Program and a little-known arm of the National Park Service called the Rivers, Trails and Conservation Assistance Program.

David Thomson is the program's regional manager.

"So we provide free professional assistance for a year's time frame," said Thomson. "And we come in as planners and help those communities through that process to really get those projects off the ground."

Communities can apply for this assistance and - Thomson said - current projects include building an Indigenous outdoor classroom at a Sioux Falls elementary school, renovating a trail with the Lower Brule Sioux Tribe, and developing an outdoor recreation area in Kyle on the Pine Ridge reservation.

A second South Dakota corps member coordinates cultural events with local Tribes in Wind Cave National Park.

Much of this work, especially the outreach, is done by Indian Youth Service Corps members - who benefit from a good-paying job, typically after college, and a professional development opportunity.

Thomson said after a year of service, a unique public lands hiring authority can work toward converting corps members into permanent staff.

"We need to always be diversifying and strengthening our workforce," said Thomson, "and definitely diversifying our workforce is going to improve the National Park Service in the future."

According to the Park Service, 2.5% of its 2020 employees were Native Americans, almost twice the proportion of Native Americans in the general U.S. population.




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New research shows Indigenous youth comprise more than a third of the children in Montana's foster care system, despite making up a far smaller segment of the state's overall population.

Researchers said addressing the problem is challenging. Data from the National Center for Juvenile Justice show the number of Indigenous youth comprise 30% of the children in foster care, despite making up just 10% of the Montana population.

Deana Around Him, Indigenous children, youth and families researcher for the organization Child Trends and citizen of the Cherokee Nation, said a combination of factors is driving the disparity, but it often comes down to a lack of child oversight.

"Child neglect can lead a family to be engaged with the child welfare system and result in a child being removed from a home," Around Him explained. "We wonder if that is more of a question about the resources available to families and if the solution should be different than removal."

Around Him acknowledged solutions have been hard to achieve in Montana but researchers are exploring kinship and other family-based support systems that have shown hints of success in the past. A 10-year data analysis by the Montana Free Press showed Native children are placed in foster care at roughly five times the rate of white children.

The Juvenile Justice data showed Native American children in Montana far outpace any other racial group in the child welfare system. Around Him noted in addition to family-based solutions, making resources available to struggling families is also important so they can make what would seem like easy decisions.

"Getting a job may not be so simple as like 'yes, take the job'" Around Him asserted. "Because it offers greater income for your family but if taking that job requires you to find child care, and if there's limited child care available in the community, who are you leaving our child with?"

There has been a national effort in recent years to keep children in their home when it's safe to do so but despite those efforts, the number of Indigenous children in the Montana foster care system has continued to grow.


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The Black Hills National Forest is one of the latest federal lands to enter a co-stewardship agreement with local tribal nations-a management model encouraged by the Biden administration.

The Pactola / Ȟe Sápa Visitor Center sits on the south end of the Pactola Dam, along the 1.2 million acres making up the Black Hills. A ceremony held this month honored a new memorandum of understanding for co-stewardship of the center, bringing together local tribal nations and the U.S. Forest Service to jointly administer the site.

About 80 similar agreements were made after a 2021 federal order, according to the Interior Department.

Ada Montague, staff attorney for the Native American Rights Fund, said the agreements are opportunities to make good on federal treaty promises; ongoing legal obligations the U.S. government has toward tribal nations.

"There's often a difficult history to reconcile with," Montague acknowledged. "That's usually a big first challenge. But when there are engaged folks on both sides who want to see something go forward, then typically the difficulties are more technical."

The technical challenges may be around the structure and terms of agreement, Montague pointed out, but there are increasingly more models for them, including a sovereign-to-sovereign cooperative agreements online resource launched by The University of Washington Law Library in March.

Tribes involved in the Black Hills agreement include the Cheyenne River, Standing Rock, Oglala, Rosebud and Crow Creek Sioux Tribes.

Weston Jones, who is Oglala Lakota and a summer law clerk for the Native American Rights Fund, said co-stewardship of the visitor center allows tribes to teach the public.

"They can share stories, they can share plant knowledge, animal knowledge, watershed knowledge and all the natural resource knowledge and pass that to their next generation," Jones noted.

The Forest Service said the center averages about 40,000 visitors a year.


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