The government pays for or directly provides for more than 50% of all health care services in the U.S. through military/VA, Medicare/Medicaid (CMS), Indian Health Services (IHS) and other programs/facilities.

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The Indian Health Services is a branch of the U.S. Department of Health and Human Services. The agency provides health services to those of Native American Indian and Alaskan Native ethnicities. The organization’s mission is “to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level” (Indian Health Services, 2013). The agency provides health services to members of over 550 tribes in 35 states. Typically, the agency funds health care services through contractors, such as hospitals, physicians, clinics, and others. The agency may pay directly for some health care services, if those services are deemed a priority and other programs for care have been exhausted.

Indian Health Services provides health care services in areas of primary care, preventive …