Byron Dorgan: “I have sometimes described dealing with the BIA very much like walking through wet cement.”

We have now reached the tipping point that requires, in my judgment, action by Congress.

Senator Dorgan once said it takes four agencies and 49 steps. I think with the Mandan, Hidatsa and Arikara Nation, we say it is seven agencies and 100 steps.

The problems facing American Indian and Alaska Native children are so significant that only concerted action by the Executive branch agencies and Congress would begin to address them.

Although histories, cultures, and languages may be diverse, one theme was always consistent--the challenges of accessing healthcare and life-saving services.