美国卫生服务局在2022年为原住民医疗服务提供5.52亿美元的资金缺口, 造成12万个申请未得到满足, 违反了条约. The IHS struggles with $552M funding shortfall for Native American healthcare in 2022, leaving 120k requests unmet and violating treaties.

印度保健服务面临持续的资金挑战,影响到260万美洲原住民和阿拉斯加原住民的医疗保健。 The Indian Health Service (IHS) faces ongoing funding challenges, impacting healthcare access for 2.6 million Native Americans and Alaska Natives. 购买/转介护理计划旨在支付IHS设施以外的医疗费用,在2022财年受到严重阻碍,拒绝了近5.52亿美元的120,000个请求. The Purchased/Referred Care program, meant to cover medical costs outside IHS facilities, was severely hindered in fiscal year 2022, denying nearly $552 million for 120,000 requests. 批评者认为这违反了与部落签订的条约,因为许多病人得不到必要的护理,造成健康差异。 Critics argue this violates treaties with tribes, as many patients are left without necessary care, contributing to health disparities. 2026财政年度综合保健服务需要630亿美元。 The IHS requires $63 billion for fiscal year 2026.