stringent admission requirements and the extended course of study now required to become a physician inhibited economically disadvantaged students from pursuing careers in medicine, a problem with which IHS continues to struggle as it seeks to increase the number of Native American medical students through grants and scholarships. Thus diverse types of knowledge about health, wellness, and the body were increasingly marginalized and discredited, as a single model, emerging from an exclusively elite education, became progressively established.
A form of cultural genocide?
