I focus specifically on three factors salient to Native women’s health-care experiences: the function of race, class, gender, sexuality, and citizenship in reproductive health care as this health care serves the interests of settler colonialism; the organizational neglect and institutional control of reproductive health care within IHS (what I call the “double discourse” of imperialist medicine), which emerges from multiple locations; and the tensions between what Native women want and need and what they can access.
