“Our hospital is like a MASH unit.” The man picked to run the Indian Health Service struggled to turn around its operations in South Dakota. He faces the Senate on Wednesday.
By Anna Wilde Mathews and Christopher Weaver Dec. 10, 2019 10:53 am ET Three years ago, the U.S. Indian Health Service needed a savior for its hospital in Rosebud, S.D.
Rosebud, however, continues to struggle. The operating rooms, which Adm. Weahkee shut in June 2016 in what was supposed to be a short-term disruption, remain closed. That is despite extensive efforts at renovation and hundreds of thousands of dollars paid for surgeons who couldn't do their jobs because they had no place to operate. The hospital can’t deliver babies or do colonoscopies.
For decades, policy makers in Washington have promised major improvements to the IHS, which is responsible for providing free health care to 2.6 million Native Americans under U.S. treaties. For many, the IHS is their sole source of health care. The president of the Rosebud Sioux Tribe said he endorsed Adm. Weahkee’s nomination, citing his qualifications, in a statement relayed by a tribal official. The tribe is also suing the IHS, alleging it provides inadequate care.
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Several Native American groups have expressed support for Adm. Weahkee’s nomination, saying he has done a good job working with tribes. Adm. Weahkee, a member of the Zuni Tribe, has spent most of his career at the agency and was born at an IHS hospital in Shiprock, N.M. In October, an agency hospital on the Standing Rock reservation in North Dakota failed a regulatory inspection after a cancer patient repeatedly accused a nurse of physically abusing her, including by punching her in the back. A video showed the nurse, Maria Wilkie, entered the patient’s room alone while a second nurse paced outside, according to the inspection report.
The Rosebud hospital has changed CEOs at least six times since Adm. Weahkee departed in October 2016, including this Thanksgiving week. Many of them worked at Rosebud on only an interim basis. The agency has struggled to find people willing to accept the job full time. if { function loadCSS{function d{for;t?o.media=n||"all":setTimeout}var o=window.document.createElement,a=t||window.document.getElementsByTagName[0],i=window.document.styleSheets;return o.rel="stylesheet",o.href=e.trim,o.media="only x",a.parentNode.appendChild,d,o}window.loadCSS=loadCSS; } #g-ihsleaders-occupancy-box.ai2html_export { max-width: 700px; width:100%; margin: 0 auto; } .g-aiImg { margin-top: -1.2px; } .
A physician assistant later asked the agency to authorize referrals to an outside hospital for a magnetic resonance imaging scan and to an orthopedic specialist, according to Mr. Heinert’s medical records. A few weeks after Adm. Weahkee arrived, a nurse anesthetist died. That forced the agency to close the operating rooms and stop delivering babies, saying it aimed to “resume these services as quickly as possible.”
The agency disputed this account, but didn’t say which aspects were inaccurate. The IHS said it is replacing HVAC equipment throughout Rosebud.That September, with the climate issues unresolved, Rosebud hired a general surgeon. Adm. Weahkee’s temporary stint in Rosebud ended the next month. The agency paid at least $420,000 over the next year for surgeons who had no place to operate.
Back at Rosebud, the latest hold up in the operating suite came when it tried to install cabinets, a project that dragged on for more than six months.
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