Indigenous Elder Insights About Conventional Care Services in Alaska: Culturally Charged Spaces

Abstract

ABSTRACTIndigenous peoples around the world endure health and social disparities. In the United States, such disparities are typically ameliorated through conventional care services and organizations. Purpose: To examine points of tension that characterize culturally pluralistic care services in the United States, specifically Alaska, within context of Indigenous colonial histories. Design and Methods: The research design is ethnographic and multisited, comprising 12 months of fieldwork across urban, rural and remote village sites in Alaska. A conceptual lens that accounts for culturally diverse social spaces where relations of power are at stake frames research presented here. This work incorporates relational and participatory action research principles with Alaska Native Elders. Ethnographic evidence was collected through multiple methods, including field notes, documents, and interviews, with ethnographic analysis involving atlas.ti. Findings: Alaska Native Elders describe salient points of tension characterizing Alaska’s conventional care services through the following insights: generational curses-—a pain, prejudice on both sides—wounded, and value-systems clash—fighting. Conclusion: This article concludes with discussion about collective anxieties and implications for care services.