240 full-color pagescomprehensive list of SEARHC directorsover 130 interviewsendnotesbibliographyindex

A well-researched book about a subject little known to most Alaskans ... "Gumboot Determination" will serve as a key reference within the Native community and the broader Alaskan public as well.
– Alexandra J. McClanahan, CIRI Historian
This remarkable book ... tells the complex and often engrossing story of the Southeast Alaska Regional Health Consortium ... [reflecting] the struggle of all Alaska Natives for health services appropriate to their local needs.
– Dr. Robert Fortuine, author of Chills and Fever
"Gumboot Determination" is a major contribution to the understanding of Alaska Native health.
– Emery Johnson, Director, Indian Health Service (1969-1981)
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