We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Alcohol-Related Deaths of American Indians-Reply

Carol Chiago Lujan, PhD
JAMA. 1992;268(23):3318. doi:10.1001/jama.1992.03490230047025.
Text Size: A A A
Published online


In Reply.  —Dr Gibb's letter suggests that tribal sovereignty is part of the problem rather than part of the solution to alcohol abuse. Gibb's views, unfortunately, reflect a lack of knowledge concerning tribal sovereignty and American Indian governments. Thus, a brief discussion of inherent tribal sovereignty is in order.American Indian nations and tribes were sovereign, self-governing communities before Europeans came to America, and the US Constitution recognizes the sovereignty of American Indian tribes.1 Through treaties with the United States, American Indian tribes retained their sovereign rights to self-government, and American Indian reservations were established to provide homelands for American Indian people in the face of the advancing tide of European settlement.2Congress unilaterally ended treaty making in 1871, and at the height of the Social Darwinist era in 1887, the Allotment Act was enacted to break up reservations, distribute 160-acre parcels of tribal land to individual American


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.