Table of Contents

FOREWORD...Page 5

INTRODUCTION (658 kb PDF)...Page 8

WHERE OUR HISTORY BEGAN (1.2 mb PDF)...Page 10

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

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

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

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

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

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

Competing Hospitals
Commendation
Self-Governance
Leaving Ketchikan

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

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

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