This study discusses waste-related issues in remote Alaskan villages, focusing on the relationships between the support providers, such as government officials and nonprofits, and the indigenous people, from the perspective of self-determination. With the increasing volume and variety of waste generated by recent lifestyle changes, health and environmental issues have become growing concerns. Each village is responsible for waste management and operating a disposal site. However, challenges exist regarding the current waste management regime, highlighting the importance of grant-funded initiatives and support from non-profit organizations. Based on interviews with supporters and observations of the negotiation process between supporters and indigenous people, this study analyzes the grants and collaborative efforts in Alaska. Through grants and collaborative initiatives, the assimilation of indigenous people into mainstream society is inevitable, although efforts to respect indigenous self-determination and communication are ongoing and serve as a framework for bridging the gap between the waste regime and status quo. However, two unsolved issues remain: the “support-in-waiting” dilemma, and the issues arising from the social, economic, and geographical diversity among settlements. The balance between respect for self-determination in environmental governance and provision of support extending beyond equality of opportunity will be the key to future relationships.