Native Americans’ use of healthcare

What social and economic history and circumstances affect Native Americans’ use of healthcare?
What cultural issues might exist for an American Indian or Alaska Native suffering from PTSD and alcoholism? How might their culture help or hinder in this situation?
What specific cultural dynamics affect the ways that Hispanic Americans seek and receive healthcare? Have you seen these aspects of culture play out in your nursing practice?
How might it be possible to incorporate alternative folk remedies with mainstream Western medicine in developing a treatment plan for a Hispanic patient?