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Fan Fei / Modern Healthcare

The Indian Health Service has battled mismanagement and underfunding for several years, and it's unlikely President Trump's administration will lend a helping hand soon.

The bottom line: The IHS network of hospitals and clinics exclusively treats Native Americans who are in federally protected tribes, and many tribal leaders have traveled to D.C. to beg Congress for help to improve a system they say is riddled with substandard care. Congress is attempting to pass legislation to help employee recruitment and retention within IHS. But don't expect larger meaningful changes to the system, considering Trump's 2018 budget would cut IHS funding by $56 million.

What's happening in Congress: The Senate is again proposing a bill that would help remove problematic IHS employees and improve employee recruitment by allowing IHS to boost pay scales and repay student loans. The Senate will hold a hearing on the bill June 13.

The first iteration of this bill popped up a year ago. A spokesperson for the Senate Indian Affairs Committee said the Trump administration is looking over the legislation, and so far "feedback has been generally positive." This comes several months after a Senate staffer said the committee had to "make sure the Trump administration also supports a reform-focused bill."

Reality check: Even if the Senate bill passes, the Trump administration has made it clear it would cut financial support for IHS. The budget, for instance, would eliminate a grant program that helps tribes take over their IHS facilities. And in areas where IHS would gain additional funding, the increased rate would fall short of inflation. Frustration within Native American communities is real.

Go deeper

Updated 7 hours ago - World

Mexican President López Obrador tests positive for coronavirus

Mexico's President Andrés Manuel López Obrador during a press conference at National Palace in Mexico City, Mexico, on Wednesday. Photo: Ismael Rosas/Eyepix Group/Barcroft Media via Getty Images

Mexican President Andrés Manuel López Obrador announced Sunday evening that he's tested positive for COVID-19.

Driving the news: López Obrador tweeted that he has mild symptoms and is receiving medical treatment. "As always, I am optimistic," he added. "We will all move forward."

7 hours ago - Politics & Policy

Sarah Huckabee Sanders to run for governor of Arkansas

Sarah Huckabee Sanders at FOX News' studios in New York City in 2019. Photo: Steven Ferdman/Getty Images

Former White House press secretary Sarah Huckabee Sanders will announce Monday that she's running for governor of Arkansas.

The big picture: Sanders was touted as a contender after it was announced she was leaving the Trump administration in June 2019. Then-President Trump tweeted he hoped she would run for governor, adding "she would be fantastic." Sanders is "seen as leader in the polls" in the Republican state, notes the Washington Post's Josh Dawsey, who first reported the news.

Coronavirus has inflamed global inequality

Illustration: Aïda Amer/Axios

History will likely remember the pandemic as the "first time since records began that inequality rose in virtually every country on earth at the same time." That's the verdict from Oxfam's inequality report covering the year 2020 — a terrible year that hit the poorest, hardest across the planet.

Why it matters: The world's poorest were already in a race against time, facing down an existential risk in the form of global climate change. The coronavirus pandemic could set global poverty reduction back as much as a full decade, according to the World Bank.