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Native Citizenship through a Different Lens

Lila Teeters Knolle, Indians Now Taxed: Citizenship and Taxation in Settler-Colonial South Dakota, 44 J. Am. Ethnic History 44 (2025).

Native people’s citizenship is in the news.  In its attacks on birthright citizenship, the Trump administration argues that because “Indians in tribal relations” were not citizens under the original understanding of the Citizenship Clause, children of undocumented or temporarily present immigrants are not either. These claims rely on egregious distortions of history and law.1

The contemporary debates, however, reflect little about how Native people viewed citizenship in the decades before, in 1924, Congress statutorily extended citizenship to all “Indians born within the territorial citizenship of the United States.”2 The answers are complex and varied. In Indians Now Taxed, Professor Lisa Teeters Knolle has opened a new and important window on Native citizenship. The article also sheds new light on the sad history of allotment, the federal policy that deprived tribal nations of most of their remaining lands, and particularly the way it pitted homesteading settlers against the Native people whose land they occupied.

Indians Now Taxed examines contests over citizenship and taxation in the early twentieth century. The article discusses such contests in many states, but focuses on Dewey County, South Dakota. Most of the county falls within the Cheyenne River Sioux Reservation, while the remainder falls within the Standing Rock Sioux Reservation. In other words, the entire county was built on Lakota lands that allotment opened to non-Native settlement. For the Lakota, allotment acts were the culmination of decades of violations of solemn treaty promises. Unlike those earlier violations, allotment brought non-Native people into the heart of formerly cohesive tribal communities.

Knolle adds to our understanding of this devastating loss with a nuanced perspective on the non-Native settlers benefiting from allotment. Lured to the high plains by promises of cheap lands, they faced huge start-up costs to build the schools, roads, and bridges to connect isolated businesses and farms. Communities typically paid for such infrastructure through property taxes. But the migrant settlers had little property of their own to tax. Taxation was therefore “a central dilemma in growing US settlements on Native lands.” (P. 54.) The settlers’ response to this dilemma was to tax Native allottees.

The taxes—at least initially–were illegal. When land was allotted to individual Indians, it was held “in trust” by the federal government for twenty-five years, and could not be taxed, sold, or otherwise encumbered. In reaction, many counties simply taxed trust property illegally, sometimes jailing the owners and foreclosing on their land. Others taxed any property not directly linked to allotments. In 1903, the Supreme Court rejected the efforts of Roberts County, South Dakota, to tax permanent improvements on allotted land on the Sisseton-Wahpeton Sioux Reservation,3 while in 1906, the Eighth Circuit rejected Thurston County, Nebraska’s efforts to sell proceeds from Omaha and Winnebago allotments.4

But counties kept trying to find loopholes in the law. Dewey County decided to tax property derived from untaxable property, such as the offspring of livestock acquired with trust funds, or the movable property purchased from their sale. Cheyenne River Sioux citizen Harry Kingman, for example, received bills for “back taxes” on his agricultural tools, his horses, his cows, and even his dog. When he and other allottees refused to pay, the county seized and sold their horses. In response, the Cheyenne River Sioux organized. They wrote to and met with their federal agent and local and state tax commissions. When this did not work, they raised tribal funds to sue in federal court.

Citizenship was a key ideological hook for the taxes. The 1887 Allotment Act provided that as soon as allotments had been made, Indian allottees would become citizens of the United States. Advocates for taxation of allottees now argued that citizenship required taxation. Never mind that until 1951, South Dakota law prohibited citizen Indians from voting “while maintaining tribal relations.”5 Never mind that the era was rife with non-Indian resistance to property taxation. In South Dakota, this resistance led to a state commission that found that county property taxes were “in disregard of the law” and subject to “gross inequalities.” (P. 57.) When it came to Indians, however, the same commission informed the U.S. that taxation was “vital to the welfare of the government and the maintenance of good citizenship” and “no more than just  . . . to the Indian under supervision of your office.” (P. 57.) South Dakota was not alone in these claims. Oklahoma Senator Robert Owen, for example, argued that “[u]niform taxation is absolutely essential to preserve the spirit of cordial friendship between the Indian citizen and his far more numerous neighbors.”

U.S. officials accepted the allegations that taxation would benefit the Indians. Secretary of the Interior Walter Lowrie Fisher, for example, opined that the “justifiable” complaints of local communities led them to “condone[] unfair or even illegal methods. . . .” The solution? “[T]he Indian’s lands should be opened for general development, and especially to local taxation as rapidly as practicable.” (P. 58.)

And that is what the United States did. In 1906, Congress enacted the Burke Act, allowing the Secretary of the Interior to issue fee patents that removed “all restrictions as to sale, incumbrance, or taxation” on land allotted to any Indian deemed “competent and capable of managing his or her affairs.”6 For new allottees, citizenship would be delayed until the lifting of restrictions. Armed with this new authority, federal officials forced fee patents on thousands of allottees who didn’t want them.7 Subject to property taxation, the vast majority of new citizens lost their lands, many to tax foreclosure sales or mortgages taken out to pay their taxes.

In 1916, the federal courts held that Dewey County’s taxation of allottees who had not yet received patents was illegal.8 In response, states and local governments sought to “accelerate the release of Indigenous individuals from trust status.” (P. 65.) And federal officials complied. Between 1917 and 1920, the Indian Office issued more than 17,000 fee patents, almost double the number issued since 1906.9 Native people resisted, dodging mailmen with fee patents in their bags, protesting to federal agents, and suing in federal court. In 1923, the Ninth Circuit ruled in their favor, holding that fee patents without the consent of the allottee were unconstitutional.10 But by then, much of the prematurely patented land had been lost.

The year before, a new Commissioner of Indian Affairs (ironically Charles Burke, the lead sponsor of the 1906 Burke Act) had rejected Dewey County’s taxation arguments. Burke noted that the community had already received vast benefits from the Lakota: it was built upon Lakota land and the money paid to Indians brought “immense sums” to the county’s banks. (P. 65.) While about a quarter of Lakota children attended public schools, a similar fraction of Lakota families paid taxes, and the United States nevertheless reimbursed counties for Indians in public school.

Indians Now Taxed adds an important dimension to our understanding of the allotment era. Scholars (including myself) often assume that the desire for faster access to land and Indian assimilation drove premature fee patenting. But Knolle’s research shows that property taxation may have played a larger role. Further, the origins of this shift were distinctly local, rather than the broader national policies behind allotment. And while these local communities violated Native people’s rights, their actions lacked some of the greed or dishonesty often attributed to such actions. Instead, federal allotment policies had created new settlements in which property taxes, the funds necessary to build a community, were off limits without breaking the law.

And what does this add to our understanding of Indian citizenship? As to the current birthright citizenship debates, it underscores that even decades after the Citizenship Clause was ratified, Indian citizenship was linked to ordinary jurisdiction, not the allegiance or domicile that the Trump Administration claims. As earlier work by Knolle shows, Indigenous activism ensured that the 1924 Indian Citizenship Act would not deprive Indians of their federal rights.11 It also reinforces the ways that citizenship, which for many other groups is the source of rights and federal protection, was deployed against Native peoples, and how Native people organized to retain their rights.

Cite as: Bethany Berger, Native Citizenship through a Different Lens, JOTWELL (August 4, 2026) (reviewing Lila Teeters Knolle, Indians Now Taxed: Citizenship and Taxation in Settler-Colonial South Dakota, 44 J. Am. Ethnic History 44 (2025)), https://lex.jotwell.com/native-citizenship-through-a-different-lens/.

Against Anticommandeering in Indian Law

Ann E. Tweedy, Anticommandeering & Indian Affairs Legislation, 62 Harv. J. Legis. 39 (2025).

In its foundational Indian law decisions, the U.S. Supreme Court has consistently recognized federal supremacy on all matters regarding Indian affairs. This plenary power can preempt both Tribal and state authorities. SCOTUS granted certiorari in Haaland v. Brackeen to assess the constitutionality of the Indian Child Welfare Act (ICWA), with some of the challenges being on the basis that the law infringes on state authority under the Tenth Amendment’s anticommandeering doctrine. Indian country anxiously awaited to see if the court would once again abandon longstanding Indian law precedent in favor of state rights, as it recently did in Oklahoma v. Castro Huerta. The court concluded that ICWA was valid. But, the decision left me confounded on the continued viability of anticommandeering arguments to strike down federal Indian affairs legislation. Fortunately, Professor Ann Tweedy’s recent article, Anticommandeering & Indian Affairs Legislation, published in the Harvard Journal on Legislation, considers the applicability of anticommandeering to Indian law following Brackeen.

The anticommandeering doctrine holds that when Congress requires states to adopt or enforce federal law, such actions violate the Tenth Amendment. First articulated by the Supreme Court in the 1990s under the Rehnquist court, the doctrine has been successfully used to strike out provisions of various pieces of federal legislation including the Low-Level Radioactive Waste Policy Amendments Act (required states to take title and assume liability for radioactive waste within their borders), the Brady Handgun Violence Protection Act (required state and local law enforcement to conduct background checks on prospective gun buyers), and the Professional and Amateur Sports Protection Act (prohibited states from establishing sports gambling regulatory schemes).

Congress passed ICWA in 1978 in response to “an alarmingly high percentage of Indian families [] broken up by the removal, often unwarranted, of their children from them by nontribal public and private agencies and [] an alarmingly high percentage of such children are placed in non-Indian foster and adoptive homes and institutions.” In custody proceedings involving an Indian child, the law provides Tribes sole jurisdiction when the child resides or is domiciled in Indian country or when the child is a ward of a Tribal court. In all other scenarios, Tribes and states maintain concurrent jurisdiction. When the proceedings are in state court, ICWA mandates substantive and procedural safeguards to ensure Tribal access to the proceedings and to prevent the breakup of Indian families. ICWA also establishes placement preferences for members of the child’s extended family; other members of the Indian child’s Tribe; and other Indian families. ICWA has led to increased Tribal participation and Indian placements in applicable child custody proceedings.

The original plaintiffs (three non-Native couples, the birth mother of an Indian child, and Texas, Louisiana, and Indiana) challenged ICWA on a variety of bases, including the nondelegation doctrine, the Equal Protection Clause, and the Tenth Amendment. In the Court’s June 2023 decision, none of these challenges proved successful, although the Court dismissed the equal protection arguments due to lack of standing, leaving room for future litigation on that issue on the merits. In the context of anticommandeering, Justice Barrett, writing for the majority (joined by Roberts, Sotomayor, Kagan, Gorsuch, Kavanaugh, and Jackson), dismissed the numerous anticommandeering arguments raised by the plaintiffs against various ICWA provisions. Professor Tweedy deftly untangles all of the arguments and the Court’s response against their application.

To summarize, the Court concluded that the anticommandeering doctrine does not apply to legislation like ICWA “that applies ‘evenhandedly’ to state and private actors.” It also found that ICWA’s placement preferences and recordkeeping requirements were not sufficiently burdensome to run afoul of the Tenth Amendment. Finally, it found that Congress can direct state courts to follow federal law due to federal preemption.

Although the anticommandeering doctrine was not successful in striking down ICWA, it could be successful in striking down other federal Indian laws. Professor Tweedy argues that the majority could have made the case against the application of the anticommandeering doctrine more simply and more broadly: “[T]he Tenth Amendment generally has no application in the context of Indian Affairs legislation, particularly where Congress has directly spoken on an issue, given Congress’s plenary power in that area.” (P. 59.) Instead, the Court took what Professor Tweedy describes as a “granular” approach the application of the anticommandeering doctrine in Indian affairs. By doing so, the Court opens the floodgates to litigation on other Indian affairs legislation.

Professor Tweedy highlights another important flaw in the majority’s discussion of anticommandeering. The Court had previously only examined the anticommandeering doctrine against federal legislation passed under Congress’s interstate commerce authority. The Court fails to consider whether the doctrine should apply in the context of the Indian Commerce Clause, part of the basis of federal supremacy in Indian affairs, the scope of which differs from that of the Interstate Commerce Clause.

The anticommandeering doctrine is not going away. But Professor Tweedy’s important work may provide a path to limit the viability of anticommandeering claims in Indian country moving forward.

Cite as: Aila Hoss, Against Anticommandeering in Indian Law, JOTWELL (March 5, 2026) (reviewing Ann E. Tweedy, Anticommandeering & Indian Affairs Legislation, 62 Harv. J. Legis. 39 (2025)), https://lex.jotwell.com/against-anticommandeering-in-indian-law/.

Transforming the Master’s Tools: The History of Courts of Indian Offenses

Alexandra Fay, Courts of Indian Offenses, Courts of Indian Resistance, __ Mich. L. Rev. __ (forthcoming 2026), available at SSRN (April 8, 2025).

Much of the history of federal Indian policy is a story of failed attempts to make Native peoples give up what makes them distinct. The complement of this history is the way Native peoples resisted each of these attempts, often using the implements of federal policy in doing so. Failure of U.S. treaty negotiators to recognize differentiation between tribal groups led some Native peoples to develop centralized political structures to coordinate their response. The devastation of federal boarding schools created a generation of Native people who formed the Society of American Indians, the first modern pan-Indian advocacy group, and communicated their resistance in ways familiar to non-Native policymakers and the public had to acknowledge. Mid-twentieth century relocation of Native people from their tribal homelands into American cities brought together people from many tribes to unite against Termination Policy. This is not a triumphal history—many lives, lands, and lifeways were lost in the process. But it underscores the ways that Native people have transformed the tools designed to destroy them to survive and fight back.

In Courts of Indian Offenses, Courts of Indian Resistance, Professor Fay adds to this history. She examines how Native people transformed the Courts of Indian Offenses created by the Department of Interior in the late nineteenth century. Interior created these courts for the express purpose of “civilizing” the Indians, directing them to punish the practices of medicine men, plural marriage, religious dances, and other “heathenish rites and customs.” Although their judges were tribal members, local federal agent appointed these judges and could remove them. Most tribes have now replaced these courts, and the old rules criminalizing tribal culture no longer exist. But five such courts still exist, serving sixteen tribes; their judges are still appointed by the federal government, and their current title, “CFR Courts,” reflects the federal regulations that govern them.

This history reached the Supreme Court in Denezpi v. United States, 596 U.S. 591 (2022). Denezpi considered whether a federal prosecution of a man that the Southern Ute Tribe’s CFR Court had already prosecuted violated the Double Jeopardy Clause. The majority of the Court held that it did not, relying on the dual-sovereignty doctrine to hold that because the federal and tribal laws criminalizing the conduct were “defined by separate sovereigns” the two courts “proscribe separate offenses.” Id. at 599. Justice Gorsuch, however, joined by Justices Sotomayor and Kagan, dissented, using the blatantly colonizing federal origins of the courts in support of a conclusion that CFR Courts prosecuted federal crimes. Id. at 612 (Gorsuch, J. dissenting).

Professor Fay examines archival records of these courts to argue that they were in fact “a means of maintaining tribal self-government by accommodating the assimilationist designs of federal bureaucrats.” Almost none of their convictions, she shows, were for the “heathenish” crimes they were created to police. The need to select judges with authority in tribal communities meant that the judges did not necessarily embrace assimilationist goals. More than one, for example, had multiple wives, although not being a polygamist was one of the few qualifications for such judges, and polygamy itself was one of the few crimes they were intended to police. Although the courts were created at the height of the assimilationist era in federal Indian policy, Professor Fay argues that compulsory education and military intervention played far larger roles in suppressing Indigenous tradition.

Of course, little of this history is new. As Professor Fay notes, the 1928 Merriam Report, The Problem of Indian Administration, noted the courts’ departure from federal commands in favor of local norms, William Hagan thoroughly plumbed this history in William Hagan’s Indian Police and Judges: Experiments in Acculturation and Control (1966), and an amicus brief in Denezpi of Federal Indian Law Scholars and Historians that I participated in summarized this history as well.

But Courts of Indian Offenses, Courts of Indian Resistance is the first standalone history of the courts since Hagan’s, and as Fay notes, Hagan regarded the courts as “vanguards of a more highly developed civilization.” Fay, quoting Hagan at 168. Fay further places the history in conversation with scholarship in other fields, including subaltern studies, the history of the administrative state, and Michael Lipsky’s examination of street level bureaucrats. Fay also painstakingly compiles available data regarding the courts to show exactly how few of their cases fell into the categories the Department of Interior sought to punish. Out of 1565 cases reflected in federal records, she finds, only 2 concerned dances or feasts, 28 concerned plural marriage, and 14 concerned medicine men. She also provides case studies of the Yakama, Pima, and Standing Rock Sioux courts. As Fay notes, the absence of prosecution of religious dances at Standing Rock is particularly significant because federal efforts to suppress the Ghost Dance there contributed to the 1890 massacre at Wounded Knee.

It is the case study section of the article that I hope Professor Fay will expand as she finalizes the article. Although the Pima case study includes tantalizing hints of the intersection of prosecutions with community politics, otherwise the article has few examinations of the actual cases the courts decide or the particular judges who decided them. Nor does it currently engage in the broader history and cultures of the three Indigenous communities she examines, which is important in understanding the roles of the courts in those communities. It would also be useful to consider the relationship between the courts and contemporary tribal courts; although few CFR Courts exist today, many present-day tribal courts had their origins in Courts of Indian Offenses. I hope to see more of that kind of examination in the published work.

But the article already makes an important contribution as a modern archival examination of failed efforts of assimilation. This kind of history is particularly relevant now, in the face of unprecedented efforts to destroy existing norms and institutions of the rule of law. May the example of tribal people, who took a tool intended to destroy them and used it to continue their traditions, inspire us in the days ahead.

Cite as: Bethany Berger, Transforming the Master’s Tools: The History of Courts of Indian Offenses, JOTWELL (August 28, 2025) (reviewing Alexandra Fay, Courts of Indian Offenses, Courts of Indian Resistance, __ Mich. L. Rev. __ (forthcoming 2026), available at SSRN (April 8, 2025)), https://lex.jotwell.com/transforming-the-masters-tools-the-history-of-courts-of-indian-offenses/.

Tribal Representation in American Democracy

Elizabeth Hidalgo Reese, Tribal Representation and Assimilative Colonialism, 76 Stan. L. Rev. 771 (2024).

Nothing ruins my appetite for research and commentary on elections and politicians more than a presidential election. Civic duty and guilt keep me engaged, albeit begrudgingly. So, when my initial intrigue in picking up Professor Elizabeth Reese’s recent article, Tribal Representation, and Assimilative Colonialism, turned into captivation, I knew this piece was something I had to share.

Tribes have been exercising their authority as sovereign nations since time immemorial. Tribal sovereignty is an inherent authority that originates from a social contract between a government and its citizens. It predates the United States and colonial governments. Although colonization and genocide diminished Indigenous populations and impeded Tribal governments, Tribes persisted. Today, Tribes occupy a unique status in the United States. They maintain their nationhood while being part of the American family of governments—federal, state, local, and territorial.

The United States recognizes the sovereignty of 574 Tribal nations, each with distinct governing authority over their land and people. Tribes control over 100 million acres of land, a little over half as part of reservation and trust lands. Nearly 10 million people identify as American Indian or Alaska Native, although not all are Tribal citizens. Some Tribes have land bases and populations that are comparable to smaller states. American Indian and Alaska Native people are the most heavily regulated group under federal law.

And, yet, as Professor Reese astutely observes, there are no Indian states nor Tribal representation in the federal legislature. This article examines why this is the case. She also considers mechanisms for formal representation of Tribes within American democracy.

The article is elegant in its organization, with three discrete sections that build off one another. Section I outlines the long and racist history of the disenfranchisement of Native people in democratic processes. Native people were considered “uncivilized” and “savage.” Minority enfranchisement, it was said, would also threaten the political power of white majorities. Native people were not afforded U.S. citizenship until the passage of the Indian Citizenship Act of 1924.

Section I also chronicles the history of failed proposals for Native statehood. In the first treaty between the newly formed United States and a Tribal nation, the Treaty with the Delawares, 1778, a provision contemplated the Delaware Nation’s future membership in the confederation and representation in Congress. However, this never came to pass.

Two additional proposals concerned lands west of the Mississippi, an area later known as Indian Territory, where several Tribes would be relocated to following forced removal. Orchestrated by President Andrew Jackson in 1834, Congress introduced legislation establishing this land as a territory that would eventually be admitted as a state. The legislation was met with staunch opposition and failed. Another proposal involving converted Indian Territory into the State of Sequoyah. The Five Tribes with reservations in this area–Cherokee, Choctaw, Chickasaw, Seminole, and Muscogee–supported the proposal. Legislation in both the House and Senate failed.

Efforts to secure Tribal delegates to Congress have also been unsuccessful. The Treaty of New Echota, 1835, between the United States and the Cherokee Nation provides a Tribal delegate in the House of Representatives “whenever Congress shall make provision for the same.” Congress has not made such a provision despite calls from the Cherokee Nation to do so. Congressional legislation provided for Congressional delegates from the Five Tribes in Indian Territory. These, too, failed.

Professor Reese coins the term “assimilative colonialism” to describe this systemic exclusion of Tribal governments in US representative democracy. She defines it as “the practice of offering American political power–whether citizenship, the right to vote, or the possibility of statehood–only on terms of racial, cultural, or political erasure.”

In Section II, the article describes the status quo for Native participation in electoral politics today. Despite increased representation of Native people in government and Tribal successes in lobbying, Native people continue to be disenfranchised. Native and Tribal representation is particularly insufficient at the federal level, where Congress exercises plenary power, the ability to legislate over all matters concerning Tribes and Native people. Plenary power can and has been used to abrogate treaty rights, infringe on Tribal sovereignty, and limit Indigenous civil and human rights.

The status quo is insufficient to support Tribal and Indigenous interests in American political systems meaningfully, the article concludes. So, Section III considers “representative remedies” to better align Tribal representation in American democracy. It asks the reader to “open your imagination to alternatives to the status quo,” which would require significant structural changes to our political institutions. The article uses variations of the term “imagine” over ten times. I heeded the request in the context of the models considered in the article and some that were not.

I imagined what Tribal statehood could look like today and considered if such a model could exist without undermining Tribal nationhood. I imagined not only a Cherokee delegate in the House but hundreds of Tribal delegates, even voting ones! Even in the Senate! I couldn’t stop there. I brought back treatymaking. I imagined rewriting entire swaths of the Constitution, salivated at the thought of overruling problematic Indian law decisions from the Supreme Court, and drafted a dozen bills in my head.

My musings might not be what Professor Reese had in mind in her request for the reader to use their imagination. But her call for creativity in legal reform was refreshing. So much of legal scholarship, including my own, is anchored in pragmatism and incrementalism. Here’s to hoping Professor Reese’s excellent article encourages the legal academy to be more ambitious in future work.

Cite as: Aila Hoss, Tribal Representation in American Democracy, JOTWELL (March 18, 2025) (reviewing Elizabeth Hidalgo Reese, Tribal Representation and Assimilative Colonialism, 76 Stan. L. Rev. 771 (2024)), https://lex.jotwell.com/tribal-representation-in-american-democracy/.

Improving Health Services for Tribal Communities

Vanessa Ann Racehorse, Tribal Health Self-Determination: The Role of Tribal Health Systems in Actualizing the Highest Attainable Standard of Health for American Indians and Alaska Natives, __ Colum. Hum. Rts. L. Rev. __ (forthcoming), available at SSRN (April 10, 2024).

The life expectancy of Native Americans is almost eleven years less than the average of all races in the United States. (P. 20.) And across countless other metrics—from drug addiction to diabetes—Natives suffer disproportionately high rates of illness and death compared to other Americans. (P. 20.) Despite this, funding for Indian Health Services (IHS) remains below the level of support given to non-Indians and well short of what is needed to provide adequate health care to tribal communities. (P. 19.) Professor Vanessa Ann Racehorse’s article, Tribal Health Self-Determination: The Role of Tribal Health Systems in Actualizing the Highest Attainable Standard of Health for American Indians and Alaska Natives, does a fabulous job describing the linked problems of health disparities and insufficient funding for Native communities, while also offering suggestions on how health outcomes might be improved. But the article’s contributions extend beyond laying a foundation for better understanding tribal health care; Professor Racehorse also shows that when Indian nations assert their powers of self-determination in the health care space, outcomes for tribal members can improve.

Tribal Health Self-Determination is a reminder of the relatively high levels of reservation poverty and the ways that poverty, subordination, and health intersect. As Professor Racehorse highlights, Indian health is made worse by past injustices such as forced sterilization that contribute to historical trauma. (Pp. 11-12.) But health disparities are not inevitable. Under international law, tribal members have a right to the highest attainable standard of health. (Pp. 34-39.) Moreover, tribal takeover of IHS facilities can lead to better health outcomes through culturally competent care and local accountability. (Pp. 40-58.) Under-funding remains a challenge, but Professor Racehorse’s article provides a strong argument for supporting tribal assertions of authority over facilities that were previously run by the federal government.

Perhaps the strongest section of the article is Part II, which focuses on Indian Health Care and Health Disparities. Having laid out the legislative history behind Indian health care in Part I, Professor Racehorse spends the middle part of her article highlighting the health disparities facing Indians and analyzing the possibilities of attacking these disparities through litigation. Not surprisingly for those who have been following the ways the U.S. Supreme Court has narrowed the enforceability of the federal government’s trust responsibilities towards tribes, Professor Racehorse’s careful analysis shows the limits of litigation. But by tying her analysis to a particular challenge—health care disparities—Professor Racehorse was able to move beyond the standard theoretical complaints that are bound to be fully explored in the Indian law literature over the next decade.

The U.S. Supreme Court has so successfully chipped away at idea of a general trust responsibility that it is reasonable to ask if such a trust relationship even exists anymore. In place of general trust obligations, the Court is insisting that tribes cannot enforcement the government’s trust responsibilities unless the U.S. government has opened itself up to judicial accountability through particular legislation. See United States v. Jicarilla Apache Nation, 564 U.S. 162 (2011); Arizona v. Navajo Nation, 599 U.S. __ (2023). Doctrinal critiques of this sort of narrowing risk obscuring the point—the Supreme Court is making it increasingly difficult for Indian nations to insist that the U.S. live up to what had been long-standing and well-established policy objectives. What is great about Professor Racehorse’s coverage of such litigation is that by linking the shifting doctrinal ground to the troubling level of disparities in health outcomes and health funding, readers can see how these arcane doctrinal changes negatively impact tribal members struggling with poverty, inadequate services, and health challenges on Indian reservations.

Finally, Professor Racehorse’s article stands out because of the way it helps open the field for other scholars interested in Indian Health Services.12 Such work crosses a number of scholarly lines—poverty law, health law, and Indian law—but likely will be of greatest significance in Indian country. There is a tendency to treat Native lived experience as a case study for a larger phenomenon or to focus in jurisdictional issues while neglecting those systems that most impact tribal members in their daily lives. Professor Racehorse’s Tribal Health Self-Determination should interest all readers, from those who will find the health disparity statistics shocking to those looking for ways to improve tribal health services and outcomes.

Cite as: Ezra Rosser, Improving Health Services for Tribal Communities, JOTWELL (July 1, 2024) (reviewing Vanessa Ann Racehorse, Tribal Health Self-Determination: The Role of Tribal Health Systems in Actualizing the Highest Attainable Standard of Health for American Indians and Alaska Natives, __ Colum. Hum. Rts. L. Rev. __ (forthcoming), available at SSRN (April 10, 2024)), https://lex.jotwell.com/improving-health-services-for-tribal-communities/.