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Table of Contents

FOREWORD...Page 5

INTRODUCTION...Page 8

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WHERE OUR HISTORY BEGAN...Page 10

  • Shamans in Traditional Society
  • The Great Death
  • Russian Medicine in Southeast Alaska

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THE AMERICAN ERA...Page 20

  • Confronting an Epidemic
  • The Beginning of Mt. Edgecumbe
  • Bedridden Childhoods
  • It Was a Miracle

BREAKING THE BONDS....Page 44

  • Bringing the "Great Society" to Alaska
  • IHS at the Crossroads
  • Community Participation
  • Talking to the People
  • Natives Take Control

CREATING A NATIVE HEALTH CORPORATION...Page 64

  • A Time to be Daring
  • The Early Years
  • Working With the Villages

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THE PROFESSIONAL STAGE...Page 80

  • Serious as a Heart Attack
  • Talking to a Stone Wall
  • Planning a New Clinic
  • Closing the Deal

ACHIEVING SELF-DETERMINATION...Page 108

  • Financing the Juneau Clinic
  • Merging with Mt. Edgecumbe
  • A Mature Contractor

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CONFLICT RESOLUTION...Page 132

  • Competing Hospitals
  • Commendation
  • Self-Governance
  • Leaving Ketchikan

VILLAGE-CENTERED HEALTH CARE...Page 166

  • Economies of Scale
  • The Last Clinic Contract
  • Medevac
  • Assuming Full Responsibility
  • Primary Health Care
  • Rural Health Care for All

ON THE FRONTIER OF MEDICINE...Page 186

  • Crisis in Dental Care
  • Upending the Pyramid
  • Frontier Extended Stay
  • Telemedicine
  • Healthy Infrastructures
  • Modern Health Care Matrix

HEALING OURSELVES...Page 216

APPENDIX...Page 219

  • Acknowledgements
  • Notes and Sources
  • List of Directors
  • Gumboot Awards
  • Photo credits
  • Bibliography

INDEX (126 kb PDF)...Page 235

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