When covid-19 vaccines first became available, Native Americans acted swiftly and with determination to get their shots — as though they had everything to lose. Covid hospitalization and death rates for American Indians and Alaska Natives had skyrocketed past those of non-Hispanic whites. Leveraging established systems like the Indian Health Service and tribal organizations, Native Americans urgently administered vaccines. Data from the Centers for Disease Control and Prevention showed they achieved the highest vaccination rates of any race or ethnicity. Yet, tribal health officials said, they eventually ran up against the challenges that broadly stalled the U.S. vaccination
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