Impact Unfiltered

Impact Unfiltered
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Impact Unfiltered is a podcast about bold leadership, real stories, and the ideas shaping the future of healthcare, business, and community. Each episode features candid conversations with changemakers—from health directors and entrepreneurs to tribal leaders and nonprofit innovators—who are making a difference where it matters most. Whether you’re building programs, leading teams, or just care deeply about impact, this show brings practical insight and unfiltered inspiration from the frontlines of meaningful work. Honest dialogue. Practical wisdom. Unfiltered impact.

  1. Jul 21

    Beyond the Four Walls: Dr. Lisa Birdsall Fort on the Future of Remote Healthcare

    Welcome to another episode of Impact Unfiltered, where host Philippe sits down with Dr. Lisa Birdsall Fort, emergency physician and Associate Chief Medical Information Officer (CMIO) at Ochsner Health. Dr. Fort shares her journey into clinical informatics and explains how she bridges clinical care, technology, and administration to improve patient outcomes. The conversation explores Ochsner's virtual emergency department, the growing role of AI in healthcare, and innovations such as ambient listening, smart rooms, wearables, and agentic technology. Dr. Fort also discusses the future of remote care, particularly for rural and aging communities, and shares leadership lessons on adaptability, lifelong learning, and embracing innovation. Whether you're in healthcare or simply curious about its future, this episode offers valuable insights you won't want to miss. 1. Introduction to Impact Unfiltered and Episode Overview Introduction of guest: Dr. Lisa Birdsall Fort of Ochsner Health Setting the themes: clinical informatics, artificial intelligence, and virtual care transformation 2. Meet Dr. Lisa Birdsall Fort: Roles and Day-to-Day Emergency physician who still practices clinically, calling it “the best day of my week” Associate CMIO over inpatient care at Ochsner Health, spanning EDs, medical-surgical areas, ICUs, and procedural areas Medical director and leader over Ochsner’s virtual care center, providing centralized monitoring across 40-plus hospitals 3. What Is a CMIO? Chief Medical Information Officer, a relatively new title emerging over the past decade to decade and a half One of four associate CMIOs, each covering a domain such as inpatient, digital medicine, pediatrics, or ambulatory care 4. The Path from Provider to Technology Leader Started in operations as an ED medical director around 2011–2012 Tasked with bringing electronic health records into the emergency department during the “meaningful use” era Joined Ochsner in 2017 and moved into quality work on sepsis, heart attack, and stroke care 5. Finding Her “Why”: Hurricane Katrina A third-year medical student who evacuated to Baton Rouge during Hurricane Katrina Volunteered at the Pete Maravich Assembly Center at LSU, caring for evacuees arriving from New Orleans Inspired by an emergency physician’s breadth of skill: “that’s what I wanna be” 6. Defining Impact: “Clin-gineering” The humanity of emergency medicine lies in being present with patients during acute injury or illness “Clin-gineering” pairs bedside insight with an understanding of the system needed to support it 7. Technology in Practice: The Virtual Emergency Department Stood up in roughly five weeks to help patients who don’t truly need the ED find the right care Navigates patients coming from nurse-on-call, urgent care, primary care, and specialty clinics 8. Staying Aligned with Community Need Observe the environment and talk to the people doing the work, not just the leader voice Consolidate, centralize, and standardize resources through the virtual care center and virtual nursing program 9. Artificial Intelligence in Healthcare: Augmentation, Not Replacement AI is not new to healthcare, but tools like ChatGPT opened an entirely new toolkit Ambient listening captures the conversation so clinicians focus on the patient, not the screen Smart rooms, wearables, and patches help monitor for fall risk, pressure injuries, and more 10. The Future of Healthcare: Remote Care and Agentic Technology Strategy horizons are shrinking, making it hard to project even seven months, let alone seven years Delivering care beyond “the four walls of the hospital,” including in patients’ homes “Faith or fear”: partnering with trusted digital companions to free people for the most complex work 11. Legacy, Leadership, and What’s Next Advice to her younger self: stay flexible and pivot when opportunities cross your path “Never give up on the next amazing thing”

  2. Jun 6

    Sovereignty and Healing as One: Sherylene Yazzie’s Vision

    In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Sherylene Yazzie, Executive Director of the Navajo Department of Health. A companion to the conversation with Navajo Nation President Buu Nygren, this dialogue centers on Yazzie’s guiding phrase: “Navajo healing Navajo.” She explains why sovereignty and healing are the same project, shares outcomes from the YHC detox facility in Phoenix — where more than 200 Navajo people have entered care — and lays out a vision for preventive health rooted in farming, agriculture, medicinal plants, running, and fasting. With strategies for reaching the next generation on the platforms they use, and a closing reflection on the traditional Navajo morning practice of asking the sun to burn away negativity, this episode is a master class in tradition-rooted leadership. 1. Background and Role Yazzie has served over 20 years in public service. As Executive Director, she leads health strategy for the Navajo Nation, spanning 27,000 square miles and nearly half a million members.2. Navajo Healing Navajo Healing begins with individuals taking ownership. Decades of programming led people to believe solutions only come from hospitals, but Yazzie calls for a return to traditional and communal ways.“Our people have been programmed to think our solutions are at the hospital — and forgotten our medicinal ways, our traditional ways, our communal ways.”3. Self-Governance and Healing Self-governance empowers sovereignty; Navajo healing Navajo empowers identity. The scale of the Nation demands monumental change.4. Phoenix Detox Facility The YHC facility exists because of self-governance. Over 200 Navajo people have been healed. The goal is not just recovery but creating productive citizens whose example ripples to younger generations.5. Preventive Health Yazzie’s priority is preventive health: medicinal communities, farming, and traditional practices. She emphasizes reprogramming how people think and behave, returning to pre-contact self-reliance.6. Why She Does This Work Driven by passion for elders, children, and all relatives, Yazzie says:“I make a difference in someone’s life, even if it’s just one person — that means so much to me.”7. Expanding Behavioral Health The Nation has five agencies with facilities, but none accredited for detox. Yazzie’s plan is to elevate standards across all five, mirroring the YHC model closer to home.8. Tradition as Preventive Health Healing through farming, agriculture, medicinal plants, running, and fasting. The Navajo Nation is a food desert; water and infrastructure are catalysts for change.9. Reaching the Next Generation Youth live on phones and social media. Yazzie sees opportunity in podcasts, radio-style repetition, and cultural content. Language gaps are real — translating Navajo into English loses meaning.“How do we reach the younger generation who don’t understand our Navajo language?”10. Empower Yourself First Her message: you can do anything you want, but empowerment begins with yourself.11. The Sun as Medicine A traditional morning practice: bless yourself with the sun, asking it to burn away negativity.“Ask the sun. It has that much power. It will magically burn all of that negativity from you.”12. Closing Remarks and Gratitude The episode closes with recognition of Sherylene Yazzie’s leadership, appreciation for her integration of tradition and health, and encouragement to continue scaling the YHC model across the Nation.

  3. Jun 6

    President Buu Nygren: Treaty-Scale Healthcare and Navajo Sovereignty

    In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Dr. Buu Nygren, President of the Navajo Nation, joined by Sherylene Yazzie, Director of Health. Together they explore the realities of running healthcare across 27,000 square miles for more than 200,000 residents — a hybrid landscape of 638 self-governance corporations and IHS-run hospitals. Nygren shares his personal vision: he wants Navajo people to live long, healthy lives again, the way his great-grandmother lived to 109. He details how the Nation responded to a 2023 fraud crisis by purchasing its own three-story residential treatment facility in Phoenix, reflects on advanced appropriations, transportation infrastructure, and the Gila River model he hopes to scale tenfold. With candid insights into behavioral health recovery and sovereignty in action, this episode is a guide to what it would take to “shock the system” through full tribal self-governance. 1. Background and Role Nygren leads healthcare strategy for the Navajo Nation, joined by Health Director Sherylene Yazzie. Together they oversee services for 200,000+ residents across 17.5 million acres.2. Federal Partnerships and Advanced Appropriations Strong ties with HHS Secretary Kennedy ensure reliable funding. Advocacy for advanced appropriations keeps facilities open even during budget uncertainty. The Navajo system blends corporations like Utah Navajo Health System, Sage Memorial, and Tuba City Healthcare with IHS facilities such as Chinle, Shiprock, Kayenta, and Gallup.“The relationships we’ve developed with Secretary Kennedy and his advocacy to make sure we continue to have advanced appropriations…”3. The Scale Problem Covering 27,000 square miles, ambulance response is slowed by poor roads. Nygren met with DOT officials about washboard roads and potholes that delay emergency care. Healthcare must be thought of holistically alongside transportation.4. The Vision: Long, Healthy Lives Again Centenarians were once common. Today, diabetes and hypertension cut lives short. Nygren’s goal is holistic wellness — traditional prayers, culture, and faith alongside modern care.“I want Navajo people to live long healthy lives again.”5. Confronting Addiction Alcoholism and drug abuse remain the biggest behavioral health challenges. In 2023, fraudulent Phoenix “treatment” operations exploited Navajo people, warehousing them in tents and supplying alcohol. Arizona AG Kris Mayes prosecuted many of those firms.“Trying to make sure these people know that their lives are valuable.”6. The Phoenix Residential Treatment Facility The Nation purchased a 30,000-square-foot facility downtown. About 200 people have entered care; 50 have graduated. Managed by Axiom, it impressed AG Mayes on her tour. Next steps include detox and transitional housing, with long-term plans to bring care home to Navajo.7. Scaling Self-Governance: Learning from Gila River Gila River is the model for true self-governance. Nygren’s challenge is scaling that model 10–20x for Navajo. Sovereignty means running programs directly and capturing federal dollars. Tribally built facilities should be funded through 105(l) leases.“If we did what Gila River or some of the other nations have done, I think we would shock the system.”8. Closing Remarks and Gratitude The episode closes with recognition of President Nygren and his leadership team, appreciation for their commitment to bringing funding and control back to tribes, and encouragement for the Navajo Nation’s continued self-governance journey.

  4. Jun 6

    Building the Future of Tribal Public Health with Geoff Strommer

    In this episode of Impact Unfiltered, host Stewart sits down at the Self-Governance Conference with Geoff Strommer, an Indian law attorney with 35 years representing tribes, tribal governments, and tribal organizations. His work spans legislation, litigation, and negotiation, with fingerprints on nearly every major stage of the self-governance arc. Geoff explains what it takes — agency by agency, statute by statute, dollar by dollar — to move authority from the federal government to tribal governments. He details how Alaska’s 27 co-signers built the strongest model of tribal cohesion in the country, why 105(l) leases are a once-in-a-generation game changer for tribal infrastructure, and how a recent New York district court win could expand self-governance into water and sewer treatment facilities. With stories of tribes like Jamestown S’Klallam filling rural healthcare voids the private market can’t sustain, this episode is a working tour of how policy becomes lived reality. 1. Background and Role Geoff has spent 35 years representing tribes on self-governance, shaping legislation, litigation, and negotiation.2. Why It’s a Fight Inch by Inch The original Indian Self-Determination Act faced resistance from IHS and BIA. Every step required litigation and amendments to force compliance.3. The Eight-Generation View Tribal leaders plan far ahead. Long shots from decades ago have become today’s reality, proving persistence pays off.4. Alignment Among Tribes Early friction gave way to cohesion. Since the late 1980s, tribes have worked together despite differences.“It’s working together that has made it work.”5. The Alaska Model In 1992, Alaska tribes asked for one demonstration slot instead of competing. Today, 27 co-signers negotiate together, covering the entire state’s IHS system.6. The National Picture Cohesion has strengthened. Tension between self-governance and Title I contracting tribes has narrowed. About 65–70% of tribes participate in some form.7. The Two Biggest Wins 105(l) leases grew from $400K in 2016 to nearly $900M today. Contract support costs, after decades of litigation, are now fully funded. Together, they transformed tribal finances and facilities.8. The Untapped 105(l) Opportunity Only 25–30% of tribes use 105(l). A recent court win could expand leases to water and sewer treatment — a breakthrough for infrastructure.9. The Reality of Rural Infrastructure Some communities still lack water and sewage systems. Residents carry waste in buckets and melt snow for drinking water — in the U.S., in 2026.10. Cutting Red Tape Self-governance aimed to eliminate meaningless reporting. Simplification remains a priority.11. What’s Next Move contract support costs and 105(l) funds to mandatory appropriations. Expand self-governance into Fish and Wildlife, National Parks, and other agencies. Jamestown S’Klallam already manages the Dungeness National Wildlife Refuge.“They are more culturally connected to those lands than anybody else in this country, and they’re better stewards of them.”12. What He Wants Everyone to Know Self-governance works. The more authority transferred, the better tribes perform.“Tribes are operating some of the largest, most sophisticated public health systems. Because they are truly the last public health system in this country.”13. Tribes as Rural Healthcare Anchors Rural healthcare is collapsing. Tribes step in as anchors. Jamestown S’Klallam built a clinic serving four counties, cutting travel from two hours to 15 minutes.14. Closing Remarks and Gratitude The episode closes with recognition of Geoff Strommer’s 35 years of work, appreciation for the legal infrastructure he helped build, and encouragement for tribes to keep fighting for every square inch.

  5. Jun 6

    Strength Through Adversity Richard Peterson on Tribal Leadership

    In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Richard Peterson, President of the Central Council of the Tlingit & Haida Indian Tribes of Alaska. Serving his sixth term, Peterson leads the oldest federally recognized tribe in Alaska, representing nearly 39,000 citizens across Southeast Alaska. Peterson shares the story behind his tribe’s historic co-stewardship agreement with the U.S. Forest Service over the Mendenhall Glacier — a site that sees 1.6 million visitors annually and now hosts Tlingit cultural ambassadors who challenge the federal narrative that “Tlingit didn’t have anything to do with glaciers.” Migration stories and 9,000-year-old DNA prove otherwise. He also walks through the 48-acre education campus and tribal college being built outside Juneau, the philosophy of building allyship through inclusive culture, and an unforgettable lesson from a Tongass elder: it’s the wind that makes the trees strong. 1. Background and Role Peterson leads Tlingit & Haida, recognized in 1935, now Alaska’s largest tribe.2. Tlingit & Haida at a Glance Born out of a lawsuit by the Alaska Native Brotherhood and Sisterhood, the tribe covers many communities in Southeast Alaska. Alaska has 229 federally recognized tribes, with a coastline larger than the lower 48 combined.3. The Mendenhall Glacier Agreement The visitor center sits on Auke Territory. After years of advocacy, cultural ambassadors now greet visitors, correcting federal narratives and showing living ties to the land.“People go there and they want to see the fauna, the flora, the animals. I think you want to see the first people, the real people of the land.”4. Allyship Through Visibility Economic impact matters, but visibility is the bigger win. Tlingit culture is inclusive, welcoming allies.5. The Education Campus and Tribal College A 48-acre site in Juneau will consolidate language immersion, Head Starts, daycare, and expand into K–12 and a tribal college. A new MOU with University of Alaska Southeast supports indigenous studies. The college will be inclusive, open to non-Native students.6. Why Allyship Matters Peterson, half Native and half non-Native, stresses appreciation over appropriation. Allies are essential to ensure tribes don’t “just go away.”7. Healthy Tribes, Healthy Communities The vision is to graduate from co-stewardship to full tribal stewardship. Partnerships with Juneau have strengthened, shown in joint responses to flooding.“Healthy tribes make healthy communities.”8. The Biggest Uphill Battle Often the hardest challenge is self-imposed limits — how tribes see and talk about themselves shapes what’s possible.9. Sage Wisdom: Lean Into Values Mentors remind: “Our people always remember who shows up.” Cultural values remain the cornerstone.10. The Closing Seed: Strength of Tribes Peterson emphasizes sovereignty, culture, and values are not less than anyone else’s.“We come from incredible strong histories as the first Peoples of Turtle Island.”11. Leadership Lessons: Tongass Trees and the Wind Surround yourself with strong leaders. An elder taught that Tongass trees are strong because of the winds.“It’s through adversity that we get strong.”12. Closing Remarks and Gratitude The episode closes with recognition of Richard Peterson’s leadership, appreciation for Tlingit & Haida’s inclusive allyship, and gratitude expressed in “Gunalchéesh.”

  6. Jun 6

    Breaking Barriers in Native Filmmaking Jeremy Charles

    In this episode of Impact Unfiltered, host Philippe sits down at the Tribal Self-Governance Conference with Jeremy Charles, a Cherokee filmmaker based in Tulsa, Oklahoma, and founder of Pursuit Films. For 12 years, he has worked with tribal nations across Indian Country, creating documentaries that highlight sovereignty, culture, and capacity-building. Jeremy shares his philosophy of “storytelling with sovereignty in mind” — building Native capacity to tell Native stories, with sovereignty as the resolution to conflicts at the heart of every narrative. He explains why mainstream audiences are finally listening, the barriers that kept Native filmmakers out of the industry for generations, and how Pursuit Films created the For Our People documentary series to translate dense policy into stories that touch the heart. With reflections on relationship-building, the extra context needed when telling tribal stories, and a clear-eyed thesis that impact follows capacity, this episode is a guide for anyone trying to build authentic Native media. 1. Background and Role Jeremy is a Cherokee filmmaker based in Tulsa. He founded Pursuit Films in 2014 and has spent 12 years producing documentaries with tribal self-governance organizations.2. Storytelling With Sovereignty in Mind His conference session framed sovereignty as the resolution to many conflicts facing Indian Country.“Sovereignty leads to positive outcomes… sovereignty is a solution to a lot of challenges.”3. Indian Country’s Complicated History With the Camera For generations, Native peoples were denied the platform to tell their own stories. Only in the last 15–20 years has storytelling capacity grown.“If you are a Gila River citizen, your people should be telling your story.”4. Why Mainstream Is Finally Listening For years, the question was: “Who’s the audience?” Recent shows and documentaries proved the audience exists. With nearly 600 federally recognized tribes, each a distinct culture, Native peoples are now eager to share because people are finally listening.5. Building Capacity in Native Filmmaking Jeremy came up before the digital revolution, when film gear was prohibitively expensive. Today, technology has democratized access. Pursuit Films focuses on putting cameras in young people’s hands and developing storytelling instincts. Technical skills are easier; creativity takes longer.6. The For Our People Documentary Series Working with Tribal Self-Governance for four years, Pursuit Films created a platform to translate policy into relatable stories. Producing at least four films annually, the series premieres at the conference. Subjects see themselves on screen, take the stage, and inspire other tribes.“All these policies have real outcomes and real people’s lives. If we can tell those stories, then more people will listen to the nuances.”7. Storytelling for Tribal Nations Requires Extra Context Mainstream audiences often lack background, so tribal documentaries must provide history up front. Trust takes longer to build, requiring more relationship work and patience.8. Impact Follows Capacity Impact comes after capacity is built. As more artists join, the platform develops naturally.“If you have a great story, people will listen to it and it will break through the noise.”9. How to Connect Learn more at pursuitfilms.com and tribalselfgov.org.10. Closing Remarks and Gratitude The episode closes with recognition of Jeremy Charles’s work in Native storytelling, appreciation for the capacity he is building across Indian Country, and encouragement to continue making more stories — the great ones will rise.

  7. Jun 6

    Faith and Resilience Jessica Schneider on Rural Health

    In this episode of Impact Unfiltered, host Stewart speaks with Jessica Schneider, an Alaska Native leader from a remote Arctic Circle village of 670 people. She serves on her tribal council as secretary and chairs behavioral health social services for the Maniilaq Association Health Board. Jessica discusses the behavioral health crisis facing Alaska Native youth — the nation’s highest suicide rates, especially among young males during the seasonal transition. She shares the loss of her son at 17 to a traumatic brain injury, and how that tragedy fuels her advocacy. Together, they explore life in a fly-in-only village 549 miles from Anchorage, the new fiber optic cable that will unlock telehealth, and intergenerational programs that could close the isolation gap. With personal reflections and a closing on Joshua 1:9 — the verse that carried her through her hardest years — this episode highlights resilience, faith, and leadership in rural Alaska. 1. Background and Role Jessica represents her community on the tribal board, serves as secretary, and chairs behavioral health social services for Maniilaq.2. Why Congress and Federal Funding Matter Grants often fund only narrow items like transportation. Rural Alaska’s costs make standard amounts insufficient.“The more we fight for it from Congress, the more voices we can have for our people.”3. The Youth Behavioral Health Crisis Alaska Native youth face the nation’s highest suicide rates, especially young males during seasonal transition. Girls attempt but rarely complete.4. A Personal Loss That Shapes the Mission Jessica’s son was injured at 16 by a traumatic brain injury and passed away after his 17th birthday in 2016.“He had his final birthday… and he was never the same.”5. Isolation and Rural Reality Her village has no road system; travel is by plane year-round or snow machine in winter. Kotzebue is the hub; Anchorage is 549 miles away. A new fiber optic cable will finally unlock reliable telehealth.6. Telehealth Post-COVID Remote work and telemedicine adopted during COVID remain. Outcomes are positive, but each expansion requires funding real positions.7. Intergenerational and Community Programming Summer solstice softball tournaments, elder involvement, and multipurpose tribal facilities close cultural gaps. Bible camps and church conferences draw youth, but Jessica sees need for winter and spring camps.“They’re our next leaders. We have to walk with them.”8. Subsistence and Culture Camp Culture camp centers on harvesting and subsistence: fishing for whitefish, pike, sheefish, char, and grayling. The Western Arctic Caribou Herd is in decline, and members now need licenses where they previously did not.“Times are getting tough.”9. Capacity and Administration Challenges Tribal administration requires educated staff for finance and compliance. Small tribes often rely on consultants for audits, draining resources.“It just comes down to who’s in the office.”10. Faith, Calling, and Joshua 1:9 Jessica shares Joshua 1:9 — “Be strong and courageous… for the Lord your God is with you wherever you go.” The verse carried her through her hardest years as a young single parent. Stewart gently challenges her that today may be the day to fully step into leadership.11. Closing Remarks and Gratitude The episode closes with recognition of Jessica Schneider’s heart for youth and her tribe, appreciation for her vulnerability, and encouragement to continue advocating for Alaska Native youth at the federal level.

  8. Jun 6

    Shaping Tribal Self-Governance with Lloyd Miller

    Welcome to another episode of Impact Unfiltered, where host Stewart sits down at the Self-Governance Conference with Lloyd Miller — an Indian law attorney and lobbyist who has practiced since 1979. With three U.S. Supreme Court victories and his fingerprints on nearly every major piece of tribal self-governance legislation, Miller offers a living history of how sovereignty moved from vision to reality. He walks through the 1988 Indian Self-Determination Act amendments, the pivotal 1994 reforms, and today’s expansion into HHS. Along the way, he shares what 45 years of this work has taught him about persistence, the long view, and why tribally-run services consistently outperform federal delivery. With reflections on the Maine tribes case that inspired his career, the moral weight of the federal trust responsibility, and Martin Luther King’s “bending the arc,” this episode is a master class in the patient work of changing systems. 1. Background and Role Indian law attorney and lobbyist since 1979, Miller joined his firm after a federal clerkship and never left — all the firm does is tribal work. He has three Supreme Court victories and was a lobbyist for the 1988 amendments that launched self-governance.2. The Acme of Self-Governance Self-governance conferences once drew small gatherings; today they are major events. Miller calls this moment “the acme of tribal self-governance.”3. A Brief History: 1988 and 1994 The 1988 enactment began as an experiment at Interior, later expanded to IHS. In 1994, amendments shifted power, allowing tribes to sue when agencies failed to comply. Expansion followed rapidly, improving healthcare, social services, and child welfare.4. Why Tribes Outperform IHS IHS historically failed to bill Medicare or Medicaid effectively. Tribes invested in billing infrastructure, growing collections dramatically. Some now generate twice as much from third-party sources as from federal appropriations.5. The Dignity of Billing and Coding Tribal billers and coders know their work protects entire hospitals. Engagement is high because the work directly serves their communities.6. Breaking Silos Self-governance principles have expanded beyond healthcare. A Trump-era employment law modeled on self-governance brought a dozen agencies into the fold. Discussions continue about pulling more HHS departments into the model, despite bureaucratic resistance.7. The Madness of Grant Buckets Tribes once had to report on dozens of separate grants, creating duplication and inefficiency. Self-governance allows holistic reporting, freeing tribes from redundant oversight.8. Why Lloyd Does This Work Inspired by Tom Tureen and the Maine tribes case, Miller saw law as a way to vindicate historic injustice.“Being able to vindicate that kind of historic injustice was God’s work, in law.”9. Two Pieces of Advice Have the long view — Supreme Court victories can take decades. Never give up — if courts fail, go to Congress; if Congress stalls, return to the courts.10. The Vision of Sovereignty Tribal governance now stands on equal footing with states and the federal government. It will never be perfect, but the arc is bending. Miller cites Martin Luther King’s vision of justice.11. Identity and Trust Responsibility For Indian people, cultural and spiritual identity is paramount. Federal services are prepaid obligations under broken treaties.“Every treaty was broken. Every treaty made promises. The United States has this land, all of it indigenous. They owe the tribes — it’s prepaid healthcare, prepaid social services.”12. Closing Remarks and Gratitude The episode closes with recognition of Lloyd Miller’s 45 years of work, appreciation for the history he shares with younger advocates, and encouragement to maintain the long view and never give up.

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About

Impact Unfiltered is a podcast about bold leadership, real stories, and the ideas shaping the future of healthcare, business, and community. Each episode features candid conversations with changemakers—from health directors and entrepreneurs to tribal leaders and nonprofit innovators—who are making a difference where it matters most. Whether you’re building programs, leading teams, or just care deeply about impact, this show brings practical insight and unfiltered inspiration from the frontlines of meaningful work. Honest dialogue. Practical wisdom. Unfiltered impact.

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  • Creator
    Impact Unfiltered
  • Years Active
    2025 - 2026
  • Episodes
    25
  • Rating
    Clean
  • Copyright
    © Impact Unfiltered
  • Show Website
    Impact Unfiltered