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.


get more stories like this via email

Members of the Nebraska Santee Sioux Tribe hope a solution to their five-year water ordeal may be on the way.

Their tap water has been unusable for drinking or cooking since 2019, when unsafe manganese levels led the Environmental Protection Agency to issue a "no drink" order.

Kameron Runnels, vice chairman of the Santee Sioux Nation, said a bill passed in the Nebraska Legislature allows them to tap into the state's Water Sustainability Fund for possibly as much as $20 million, although it is not a long-term solution. Ultimately, the tribe hopes to connect to the Randall Community Water District in South Dakota, which will cost roughly $53 million.

"Connecting to that water system would provide us that generational change to our water system and give us clean water for the next, who knows, maybe forever," Runnels explained.

The tribe is waiting to hear the status of its Water Sustainability Fund application, and a $20 million U.S. Department of Agriculture grant it applied for more than a year ago. For now, they continue to provide bottled water for the 800 members who reside on tribal lands, at a cost of nearly $15,000 a month.

A Bureau of Indian Affairs grant that covered the water costs for about a year recently ran out, but Runnels said they were just awarded a grant from the Omaha-based Sherwood Foundation which should cover another year of bottled water. He noted nobody knows why the manganese levels are so high and pointed out the Indian Health Service went to great lengths to try to find available safe water.

"They used ground-penetrating radar, using airplane flights, looking for pockets of water all over our tribal lands," Runnels recounted. "They did exploratory drilling in about 20 different sites but they could never find quality or quantity of water."

Runnels added the Water Sustainability Fund and the attention they are getting from state and federal lawmakers has been encouraging. He regrets other Nebraska Tribes were not helped by the new state law and said water issues are rampant among the country's Indian population.

"Somewhere around 50% of tribal households have some kind of water quality situation," Runnels reported. "They either don't have water or they just don't have clean drinking water."


get more stories like this via email

Indigenous leaders in Montana have announced the release of an online tool to help Native voters learn about the issues and candidates on the ballot.

Ballot Builder is now live in 10 Indigenous Montana communities.

Ballot Builder is a nonpartisan tool to inform voters before heading to the polls - from where candidates stand on certain issues, to the records of federal, state and local judges.

Western Native Voice Executive Director Ronnie Jo Horse said the tool lets voters create a sort of mock ballot they can print and take to a polling place, so they can fill in their official ballot with more certainty and a lot less stress.

"It can be overwhelming, especially for first-time voters," said Horse. "So, we're hoping that Ballot Builder can really be a tool that can be used for the voter to make voting go more easily - but more than that, really having an informed vote before they go."

Horse said the tool was created to empower Native American voters to make informed decisions about every candidate and simplify complex ballot initiatives.

She estimated that it will be used by at least 60,000 Indigenous voters this year, and she said she wants to expand Ballot Builder to other parts of the state.

Western Native Voice worked with the group Branch Politics to create Ballot Builder.

Montana joins a growing list of states where voters can do their homework about candidates and issues prior to an election.

Indigenous voters in 10 Montana Indian Country counties can even download tailored educational tools and sample ballots well ahead of going to the polls - or, Horse said, before voting by mail.

"They themselves," said Horse, "can explore what's on their ballot and who's on their ballot, and what the offices do."

Horse said the app also offers people the option to register to vote.

Sunday marks 100 years since the United States granted citizenship to all Native Americans. North Dakota voices are observing the milestone, and highlighting the challenges that still exist.

In 1924, what's now known as the Snyder Act was signed into law. Historians say a key element of the act was establishing voting rights for Indigenous people.

Jody DeLong, a social science instructor at Turtle Mountain Community College, said it came after a number of Natives signed up for military service and fought in World War I. Despite efforts to afford them more rights, he said Natives were still shut out of the democratic process for a long time.

"Even though the act was passed, in the Constitution it states that the states have the right to determine who's an eligible voter within their state," he said, "and it wasn't until some 40 years later that every state made it allowable for Native Americans to vote."

Today, he points to restrictive rules that still make voting difficult, including North Dakota's Voter ID law. Some regional tribes have gone to court over redistricting matters.

Advocacy organizations across the nation encourage Native people to educate themselves about the Snyder Act, hopefully inspiring them to become civically engaged.

DeLong, a board member for North Dakota Native Vote, said the act also paved the way for Indigenous populations to gain representation in state legislatures and Congress. He said many tribal areas still struggle with poverty and other issues, but he alludes to the collective energy being seen to put more Natives in positions of power.

"We get to vote for leaders that are going to represent our values, protect our culture and promote our people," he said.

DeLong acknowledged that being recognized as U.S. citizens has helped Natives overcome stereotypes, with many living and working in non-tribal communities. He said that visibility has opened the door for non-Natives to have a more empathetic view of those with tribal ancestry and realize their contributions.