Future hazy for Indian clinic
Federal funds may end, force S.L. health center to close
But for Harvey, 37, the center is more than a clinic. It also provides a social network, helping her stay connected to her culture through activities such as powwows. That's critical for Harvey, who lived her entire life in the Four Corners area until she moved here about a year ago.
"We're out in the middle of the white man's world," Harvey said. "It's nice to keep tradition."
But now, Utah's only urban Indian health clinic is threatened by President Bush's 2007 budget proposal to erase the $33 million federal allocation for urban Indian health clinics. At least 17 of the 34 clinics across the country, including Salt Lake's, may have to close their doors, while the rest would be forced to cut services.
If the center were closed, Harvey said she doesn't know where she'd go for the same services.
"I'd probably move back" to the reservation, she said.
Dena Ned, executive director of the Indian Walk-in Center, 120 W. 1300 South, said the center serves an estimated 4,000 urban Indians each year, most of whom are uninsured and at or below the poverty level.
In Bush's 2007 budget proposal, it is suggested that urban Indians can go to community health centers instead, since those centers are slated to receive a $181 million increase that would build or expand 300 sites.
Alex Conant, spokesman for the White House Office of Management and Budget, noted the increase and said: "Urban Indians, like all Americans, continue to benefit from the president's initiatives to make health care more affordable and available."
But clinic directors and urban Indians say increasing community health center funding doesn't solve the problem.
"Many tribes are viewing this as an assault on trust responsibility," said Geoffrey Roth, executive director of the National Council of Urban Indian Health.
Community health centers are already "stretched to the limit," said Amy Simmons, spokeswoman for the National Association for Community Health Centers. The proposed program expansion isn't designed to meet the needs of urban Indians, said Daniel Hawkins, the association's vice president for federal, state and public affairs, in a recent letter to Bush.
In Utah, Dexter Pearce, deputy director of Community Health Centers Inc., said he wasn't sure about the current proposal, but a federal funding increase of $1 million over the past five years all went to rural areas.
Community Health Centers has a $200,000 contract to provide primary care for the Indian Walk-in Center.
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