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Fighting for better healthcare with UOPX alumna Roselyn Tso

Roselyn Tso | Episode 17


0:00 - Tell me about your passion for healthcare 0:02 and what steps you have completed. 0:05 - I've gone to places as the IHS director 0:08 that no other IHS director has visited, 0:12 and that set the stage for, i, I would say, one 0:15 of the most transformative approaches from the federal 0:19 government's perspective, that we can work side by side 0:24 with each of the 574 federally recognized tribes 0:28 in their space 0:30 for their travel communities the way they want it. 0:46 - Hello and welcome to the Degrees of Success podcast. 0:49 I'm your host, Frida Richards, 0:51 and today we have the great honor of having Ms. 0:54 Roselyn Tso join us. 0:56 She is the director of Indian Health Services. 1:00 She's also a member of the Navajo Nation. 1:03 She has a great passion for enhancing healthcare 1:06 for all native Americans. 1:09 And of course, she's a °®ÎÛ´«Ã½ alum. 1:12 Help me welcome Ms. Roselyn Tso. 1:14 Tell me how you grew up, Growing Up in Arizona 1:16 what your childhood was like, and where you're from. So 1:18 - I am from a little town in Arizona. 1:21 It's called Page Arizona, north northern part 1:24 of the state of Arizona. 1:26 I grew up there. I grew up on the Navajo Reservation. 1:29 I'm, I am the daughter of a Korean War veteran. 1:33 I am also the daughter of a 1:36 longtime minister on the Navajo reservation. 1:40 And then my father was a rancher 1:41 and he was also a businessman. 1:43 And my mother's role, she was there side by side with him 1:47 for more than 66 years. 1:48 And so I grew up in a home with imagine a rancher 1:53 and a military and businessman. 1:55 You know, you bring up, you, you, you're raised with a lot 1:57 of structure and a lot of discipline. 2:00 So I, I carry that, those with me. 2:02 I cherish those memories 2:05 and the work that my parents did to raise, 2:07 to raise me as they did. 2:10 And then from there, of course, going to high school 2:13 and in small town, 2:14 and then from there just, just keep moving forward. 2:17 - So what was it like growing up in a small 2:20 town in page Arizona? 2:22 - It was great, you know, I mean, it was great. 2:24 But, you know, the, some of the challenges that I still 2:27 worked through today as, as my job 2:29 as the Indian Health Service, for example, the home 2:32 that I grew up in, we didn't have electricity 2:34 and we didn't have water. 2:35 The home that, that is still there today, 2:37 that was our family home, finally got electricity in 2014, 2:42 and then still today, there's no running water. 2:45 So there are still many, many homes on our tribal, 2:48 tribal lands that don't have sufficient sewer and water 2:52 or even electricity. 2:54 So as, as we talk about healthcare 2:57 and as we talk about public health, those are still factors Public Health Challenges 3:00 that, that are fundamental needs 3:03 for our people across Indian country. 3:06 - So you have a great passion for your people, as you said, 3:10 your culture wanting to give back, 3:13 growing up in page Arizona, in a home 3:17 that had no electricity, 3:18 or excuse me, no running water, you've been able 3:21 to experience what you're trying to change. 3:26 Tell me clearly that passion comes from your, your childhood 3:30 and experiencing it, but what, 3:31 what else drives you in getting involved in healthcare 3:34 and making a change in the community? 3:36 - Thank you. So there are many, many parts of that 3:39 that great question. 3:41 First is just the challenges 3:43 that our people still live with today. 3:46 I mentioned earlier diabetes, you know, we, 3:49 we have the highest rates of diabetes across any country. 3:54 We have challenges with regards to just 3:57 public health infrastructure that impact our ability 4:01 to raise, you know, raise up some of our travel communities 4:04 to the level that we would like to see them. 4:07 But part part of that was, again, reinforced just recently 4:11 with the Covid pandemic. 4:13 It just reminds me of how important it's that we continue 4:17 to improve our travel communities with that infrastructure, 4:21 that infrastructure builds success, 4:23 that infrastructure build what we need 4:26 for our travel communities 4:27 to be successful as we move forward. 4:30 So whether it is broadband, whether it is improved roads, 4:34 whether it's housing, whether it's food insecurities 4:38 that many of our travel communities live with, all of that 4:42 is impacts a person's health. 4:45 So when we talk about transportation and, and, 4:49 and if we can't get a person from point A to point B 4:52 to their, to their appointments or whatever, 4:54 and not take into consideration transportation, then, 4:58 then we are not addressing the the person's need. Reconnecting with Traditional Practices 5:01 If we're talking about food insecurities, where many 5:04 of our families today struggle with that across, 5:07 across the nation struggle with food insecurity 5:10 and what do we do about that? 5:11 How do we build sustainability? 5:14 How do we build systems back into our travel communities 5:17 where we're less reliant 5:18 and we go back to some of our traditional practices. 5:21 And so we're seeing this as we move forward. 5:24 We're seeing that progress across Indian country is being 5:29 the most successful places that we see progress. 5:32 It's where travel communities are thriving. 5:35 When they go back to the traditional practices, they go back 5:38 to the traditional foods, they go back 5:40 to the traditional traditions of just, just the, the, 5:45 the practices of customs for dancing and singing 5:49 and those kinds of things 5:50 that are being brought back into their health, 5:52 into their communities. 5:54 There's that, those are the communities 5:56 that are thriving the most. 5:58 And I think that investment that reinvestment 6:00 to tribal communities are, is so important. 6:04 The the flip side of that is also 6:07 that Indian policies of the history, the history 6:11 of Indian policies 6:13 and how they still impact negatively impact tribal 6:17 communities today. 6:19 If you go to just the basic elements 6:22 of Indian policies that were established years 6:26 and years ago, they were to eradicate us. 6:29 They were to do away with the American Indians 6:32 and Alaska native people. 6:33 But as I've traveled throughout, 6:35 particularly over the last 27 months 6:37 to see travel communities thriving, 6:40 to see travel communities say we wanna change the outcomes 6:44 of our, our community so we can be healthier community. 6:47 That has been the best. That has been just an absolute 6:49 rewarding experience. 6:51 And there are other places where, 6:52 and other areas that we still have to work on. 6:56 But I think that we are on the right path to take to, 6:59 to make sure that any country is healthy. Historical Context and Systemic Issues 7:03 - Well, I'm gonna have to agree, you've been at the helm of 7:06 that will for 27 months. 7:07 So I'm confident as we move forward into this conversation 7:10 and hear more about your accomplishments 7:13 with those native tribes, that we will see that. 7:18 But before that, I, I wanna ask this. 7:21 Tell us the why, why 7:25 were Native American 7:29 or the tribal communities placed in this situation? 7:31 Tell me why this is that it, that it's common for them not 7:35 to have running water or for them to have diabetes. 7:39 Tell me the root, the why. 7:42 - So that, that's a very loaded question 7:46 and I don't feel that I can speak for tribes 7:49 or tribal leaders in, in this particular area. 7:53 But we do know that the lands that, that were, that 7:57 that tribal communities were moved from was part of it. 8:02 And what is on that land? 8:04 What is on that land that those precious minerals 8:07 or whatever, that there was, that the government was looking 8:10 for, to relocate American Indian people from their tribal 8:14 lands to different location. 8:17 That's one of them. 8:18 And and so as we look at the why of where, of why we are 8:23 where we are today, you know, you, you look at just 8:26 the boarding school era where many, many, 8:29 many children were relocated, taken from their families 8:33 and placed in, in government led boarding schools. 8:37 There's just, we've just completed through the, 8:40 the Secretary of Interior just completed a, a study on this 8:45 and the impacts. 8:46 And even though that some of those might have ended in the, 8:50 in the mid sixties, they're still impacting 8:55 the relocation of people taken from their tribal lands 8:59 and relocated into other places that were foreign to them. 9:03 Maybe they could grow things in the land that they used 9:06 to live on, and the new land maybe doesn't support that. 9:10 Maybe there's not that infrastructure, infrastructure 9:13 that's in place for that. 9:14 All of these things, you see, those, those 9:18 to me lead up to the why. 9:20 And so when you look at diabetes, 9:22 when you look at these other challenges that we have 9:25 of heart disease, you know, I, 9:26 we've been working very hard at Indian Health Service 9:30 about food is medicine 9:32 and everything that we take in 9:35 impacts our body one way or another. 9:37 And so if they are unhealthy, if they are not good, 9:42 or if that's not what we were traditionally accustomed 9:45 to eating, then those make a change. 9:48 Moreover, just the environments that we live in, 9:51 I've traveled several times to the state of Alaska 9:54 and just, you know, again, to understand 9:56 and appreciate their challenges just for transportation, Alaska Visit: Cost and Access Issues 10:00 they have to go, I, I might be able to fly into Anchorage, 10:05 Alaska, but from there to get to any village, this has to be 10:09 by air or by boat. 10:10 There's no roads in Alaska. 10:13 So how do you, how do you, we manage that, 10:15 not just from a healthcare perspective, 10:18 but just the way people live. 10:21 In, in a recent visit that I had, I visited a small village, 10:24 about 500 people, 10:26 and I always like to look in the stores 10:29 of the, the little stores. 10:30 I like to look at how, how their homes 10:32 are and how people live. 10:34 I went into the store 10:35 and it's $14 for a gallon of water, 10:40 14 for a gallon of water, 10:43 and then right next to it, it's maybe a dollar 20 10:47 for a can of soda. 10:49 So you look at those options that people have and, 10:54 and the resources or limited resources that they might have 10:57 if they're choosing the soda because they can afford that. 11:02 The challenge that that creates is 11:04 by the time children are school age, 11:07 they need reconstructive dental work. 11:10 So all of these things that we talk about, 11:13 and that's why I think from a healthcare perspective, 11:16 we have to take a step back 11:18 and really look at those social drivers of health 11:23 and how those impact the health of our community 11:27 because you can't just deal with the, the medical side. 11:31 You can't just deal with the pharmaceutical side 11:33 and say that we've done our part without looking at 11:37 what are these other factors that impact that patient 11:41 and for them to be successful, for them to be 11:44 where we want them to be as healthy tribal communities. 11:48 So it's more than just medical at ihs. 11:52 And when you look at our mission statement, 11:54 we talk about the, the physical, the mental, 11:58 the social and spiritual health of our people. Holistic Health at IHS 12:02 When you look at it, that that's the whole person. 12:05 And so that does take time as we start 12:08 to really think about, you know, you can, 12:10 you can imagine a if there's not sufficient housing in a 12:13 tribal community, what happens? 12:16 Somebody's worried about that 12:17 and somebody's gonna be impacted by that 12:20 and probably less in thinking of their health. 12:24 So that goes to the bottom of the list until it, 12:28 until it came be at the bottom of the list anymore. 12:31 And then of course, that has its own challenges with it. 12:34 So we know that policies across even policies today continue 12:39 to negatively impact our people. 12:41 But the, at the same time, we have many, 12:45 many travel communities that continue to thrive 12:47 because they are taking the approach 12:50 of addressing the whole person and 12:53 therefore building up each tribal community to be healthier. 12:58 - I heard you say that it's very important for, 13:02 or that you have, there's current, there's current tribes 13:04 that are thriving now that they're having the opportunity 13:08 to invest back into their traditions, 13:11 invest back into the food that that was traditionally 13:15 what they ate prior to being introduced to 13:20 others, other food such as soda 13:23 or maybe burgers or something along those lines. 13:25 I wouldn't necessarily be in line with the native 13:31 nutrition that was done in the past 13:33 or that was participated in the past. 13:36 My question to you is, what, 13:40 what are, what are those foods one that you think that 13:44 are helping the Native Americans get back 13:47 to their health and those traditions? 13:49 And then secondly, I wanted to acknowledge 13:52 that I absolutely agree with you 13:55 and I've seen studies, 13:57 I'm currently getting my doctorate right now 13:59 here at °®ÎÛ´«Ã½. 14:01 And in in those studies I've actually seen that all 14:06 of our bodies are aligned 14:09 to traditional foods. 14:11 Like, so we're not all supposed to be eating the same thing. 14:14 A burger for me is very different. 14:16 Well, my body will handle that very differently than a 14:18 burger for our producer or so on and so forth. 14:21 And so I think that that in itself is very important. 14:25 You're speaking about preventative, eat, eat this food 14:30 to, to prevent having to heal yourself 14:35 or have a medicine save you. 14:39 Tell me more about the food that 14:41 the Native Americans are accustomed to 14:44 that's actually aligning 14:45 with them staying healthy in those traditions. 14:49 - Well, there again, you know, there's over, 14:51 there's over 500, 14:53 actually 574 federally recognized tribes across, 14:58 across the country at the Indian Health Service being the Region-Based Traditional Foods 15:02 18th largest healthcare system. 15:04 We span about 37 states of where we have those tribes that, 15:08 that live in those 37 states. 15:10 And so, you know, again, taking one 15:13 of those 574 federally recognized tribes and, 15:17 and not layering that we're all like this 15:19 or we're all the same because we're not so 15:22 by regions perhaps. 15:23 So we're different foods that people were, were, 15:25 we're more accustomed to than other regions in Alaska, 15:30 for example, you know, they, they rely on the salmon. 15:34 They, they, that was their choice, that was their food. 15:38 And down in, in the lower 48, they were different kinds 15:41 of foods that that, that were traditionally, 15:45 that our people were traditional accustomed to. 15:47 And those, again, back, back when they were grown 15:52 and then they were utilized. 15:53 And then, so as you, as we, 15:56 so I can't quite answer your question specifically. 15:58 I can talk about maybe this tribe or that tribe, 16:01 but what, what's important to understand is that what I, 16:05 what I experienced as a young child 16:08 and what my parents tried to, what my mother tried 16:11 to prepare for us as, as a young child, 16:13 IWI wouldn't even say we're, we're our traditional foods. 16:17 She was just trying to put food on a table 16:19 that she could put together to, to make sure 16:21 that all all of us ate. 16:23 Children were able to have something to eat 16:26 at any given time. 16:27 So, so I think, I think it's bigger than that. 16:31 And what I see though, 16:33 what I've seen in tribal communities is that each tribe is, 16:37 is making those decisions for themselves. 16:40 What can they, what can they go back to? 16:43 How do they foster that? 16:45 I've been in, in a visiting a tribe in Oklahoma, 16:48 for example, and they have their own little grocery store 16:53 and they put in there what they believe is best 16:57 for their tribal communities they put in there. 17:00 So, so we don't, they don't just go to any grocery store. 17:03 So they're supporting that travel community 17:06 with the healthy choices from, from a a, 17:10 a community perspective. 17:12 And I think that if each community could do that, as opposed 17:15 to what I explained in what I experienced at Alaska 17:18 and what I observed in terms of prices 17:21 and so forth, if those things could be met in each tribal 17:24 community, that's what's gonna drive 17:27 improvement for that community. 17:29 Moreover, coupling that with education today, why it's 17:33 so important that we need to move around, why it's 17:37 so important for us to exercise or walk or whatever it is. 17:41 And many of the services that we do at IHS 17:44 through our diabetes program supports 17:47 that many tribes have taken those resources 17:50 and built wellness centers 17:52 or working on building wellness centers. 17:54 And again, a place, a safe place where people can go 17:57 to do their exercise or to do their walk walking Role of Education and Wellness Centers 18:01 or just to do food lessons. 18:04 How do you, how do you cook with the foods 18:07 that we have today and how do you make them healthier? 18:10 How do you make these, these quick meals? 18:12 Because we're all busy and we're all running from, 18:15 from point A to point B. 18:16 So I see that happening in tribal communities, 18:19 and if they, each tribal community can really invest in that 18:23 for their people, it's gonna make change. 18:26 It's making changes in our, in our tribal communities. 18:30 - That is very powerful. 18:31 And I wanna hear more about your passion for healthcare 18:36 because again, in my studies I've also found 18:39 that there's like in low income African American communities 18:44 there, there's food scarcity, there's less grocery stores, 18:49 but there'll be in like within five to 10 miles, 18:52 there'll be eight McDonald's, 10 Burger Kings, Wendy's, 18:57 pizza Hut, smoke shops, 19:01 the cash advance stores, all of that within a small amount 19:05 of space and maybe two grocery stores. 19:10 That in itself is completely 19:14 destructive for that community. 19:17 And it is only encouraging them to 19:22 spend money recklessly 19:24 and to possibly indulge in 19:29 tobacco or other things from the smoke shop. 19:31 And then the same thing with the food. 19:33 How much cheaper is it to get a Happy meal 19:35 or something along those lines as opposed to going 19:38 to your grocery store where there's only two of them. 19:42 And to your point, soda is substantially cheaper than the 19:45 healthier options. 19:48 You have made some very important moves 19:51 and changes for your community. 19:53 Tell me about your passion for healthcare 19:56 and what steps you have started within this 27 months 27 Months of Leadership 20:02 and, and completed to help move that forward. 20:08 - Thank you. So Indian Health Service is part 20:10 of the Department of Health and Human Services. 20:13 And through many treaty agreements, through many commitments 20:17 of the federal government, the the exchange for land 20:22 or exchange for resources in Indian country was dependent on 20:27 the government providing healthcare 20:29 to American Indians and Alaska natives. 20:31 That's what makes our relationships 20:33 with the federal government, each tribal relationship 20:36 with the federal government unique 20:38 because it is a nation to nation agreements 20:41 that were had way back when. 20:43 And, and many of those agreements, if not all, 20:46 include a component. 20:48 So Indian Health Service is that federal component. 20:51 We are the, the lead organization, if you will, 20:54 the lead government organization that provides 20:57 that healthcare for American Indians and Alaska natives. 21:01 One of the great things about the Indian Self-Determination 21:05 Act that was developed in 1975 provides 21:10 for tribal governments to assume they're part 21:14 of their healthcare system. 21:16 So since that time, tribes have contracted 21:21 or compacted their part of what I, what the government used 21:25 to pro provide for their tribal communities 21:27 in terms of healthcare. 21:29 Again, that self-determination, that self-governance act 21:34 that tribes have taken now has led IHS 21:38 to be about 40. 21:40 Less than 40% of IHS remains as a federal government. 21:45 The rest, or 60 plus percent 21:48 of the tribes have taken their portion 21:51 of the federal government to provide healthcare for them, 21:54 for their own communities. 21:56 That is thriving. 21:58 That is where the change is going to come, 22:01 is when tribal communities take responsibility 22:04 for their own healthcare 22:06 because they know what is best for their tribal communities. 22:09 The government can't say, oh, we should do this here 22:12 for this tribe, or we think that this is gonna work for no, 22:15 because we're not in their space. 22:17 We're not in those tribal communities. 22:20 We don't know how many grocery stores they 22:23 have or don't have. 22:25 We don't know what resources 22:26 that they have or they don't have. 22:28 So I think as we, as the government keeps moving forward 22:32 and fostering this relationship with the, 22:34 with tribal communities 22:36 and tribal governments, that the more 22:39 that tribal communities can take responsibility 22:42 for their healthcare system 22:44 or for their whole community, that that is 22:48 where they're going to make the best decisions. 22:51 And I think as we continue to embrace 22:53 that from the federal government, our role is to assist. 22:56 Our role is to support our role is to foster those steps Rural Health Access and Challenges 23:00 that the tribes choose to take. 23:02 I will say, you know, just the amazing work 23:06 that is happening in Indian country as a result 23:08 of self-governance and self-determination on, 23:11 on in Cherokee Nation. 23:13 For example, in Oklahoma, 23:15 we have the first medical school on tribal land. 23:19 So I wish we could have a medical school in every, you know, 23:23 in every region on tribal land. 23:26 But that's the beginning. 23:27 That's the beginning Out in Arizona, we have one 23:30 of the first cancer centers in a tribal community, 23:33 so people don't have to drive hours 23:36 and hours to get to for cancer care. 23:38 So we're getting there. 23:40 They are small steps and we have a long ways to go. 23:43 But the more that tribal governments can take responsibility 23:47 or when they choose to 23:49 and when they want to, 23:50 then they're going to be the catalyst. 23:52 They are making those changes. 23:54 They are showing that we can do this work as we move along. 23:59 And then most of our care is in rural America. 24:02 Most of our care is in, in, in isolated locations 24:06 where we have to drive four hours. 24:10 When you drive from Fort Peck, Montana to get to Billings, 24:14 Montana, if you need higher level of care, 24:16 it's a four hour drive. 24:18 So you're thinking about somebody that has dialysis, 24:21 you're thinking about somebody that's a cancer patient 24:24 and have to make that drive, you know, maybe two 24:27 or three times a week for dialysis. 24:29 How do we change this? 24:31 How do we really look at creative ways 24:34 that we bring services closer to the people in their, 24:37 in their tropical communities And not just for American, 24:39 Amy Alaska names, names for all, for all Americans, 24:43 that we deserve better healthcare across the nation. 24:46 The other thing I would say is that 24:49 over the years we sometimes at Indian Health Service, 24:53 we have made our system more complicated. 24:56 It's navigating the healthcare system today is already 24:59 complicated and we don't need to put more layers on that 25:04 for our American Indians and Alaska native people. 25:07 So dialing it back, simplifying it, going back 25:10 and saying, where do we need to streamline? 25:12 Where do we need to cut out these layers of, of steps 25:17 that maybe our people have to take? 25:19 Those are really important for us to do. 25:21 So as I look at healthcare 25:23 or as I've looked at it while being in this role, 25:26 has really been trying to look at it from that, 25:29 that patient perspective. 25:32 During the last part of my father's life, this is 25:36 my father's a decorated veteran, 25:39 but he chose not to go to the va. 25:42 He chose to go to his, 25:45 his small healthcare facility on the Navajo reservation. 25:49 That was his choice. 25:51 And even though I, I thought you, you have 25:54 the VA owes you this, you, you're entitled to this, 25:57 they're entitled to the best care possible, whether it's IHS Personal Inspiration and Future Goals 26:02 or the VA or however they choose to do it. 26:05 So, and then I had then I also went 26:07 through the same experience of navigating my mother's care 26:10 as, as a cancer patient. 26:12 She had breast cancer and, and navigating that for her. 26:15 But as, as what I saw with her was that was 26:19 during the pandemic 26:20 and that opened the door for, 26:22 even though it was always there for telehealth or, 26:26 or audio health. 26:28 And so she didn't have to drive as far we could take a call 26:31 with her at home and she didn't have to wait in a car 26:35 or drive in a car for hours to get to her appointment. 26:38 So those things are changing 26:40 as we see technology changing us 26:43 as we see these opportunities to make sure 26:46 that we have better outcomes 26:49 or even better experiences 26:50 for our patients is very, very important. 26:53 That's what drives me. 26:55 That's what reminds me that I see that. 26:58 And then I turn and look at my 5-year-old granddaughter 27:02 and I'm thinking, what do I leave for her? 27:04 What do I, what do I want? 27:06 What do I wanna make sure that my children have care, 27:10 the best care that they should be, that they should have. 27:14 And so they're healthy. 27:15 Not just healthy today, 27:17 but healthy 20 years from now, 40 years from now, 27:20 and 50 years from now. 27:21 So I think all of these things 27:23 that we're talking about when we're talking about these 27:25 social drivers of health, what are we eating? 27:28 How, what am my exam? 27:29 What, what is my responsibility to be an example to her 27:33 and to my grandchildren about what I eat? 27:36 Because we give them what we're eating 27:39 and we're, we're, if, if it's healthy, that's great. 27:42 If it's not, then it's not good. 27:44 'cause then we're just fostering this, these behaviors 27:47 as we continue to drive. 27:48 So that's what drives me every single day. 27:51 The work that I do. 27:52 There's a face at the end of every patient experience. 27:57 When I'm looking at policy, when I'm looking at what is it 28:00 that we're gonna work on at IHS, there's a, 28:03 there's a face there, there, there's an, it's meaningful, 28:06 there's a tribe there, 28:07 there's a tribal leader's voice I can hear saying, 28:11 we want this and we want that, 28:13 and this is the way we want it. 28:15 So again, it's not so much that we, we provide the care 28:18 that way, but we provide the care the way 28:21 in this case, our people want it. Tell 28:24 - Me what's up - Next. Closing Thoughts and Appreciation 28:25 Well, I'll take a little bit of time for myself. 28:27 I think there, you know, anyone that has been in these kinds 28:30 of positions, you need time to sort of just step away and, 28:35 and, and decompress, if you will, just the, 28:40 the past that, that we have dealt with. 28:42 So I'm looking forward to that. 28:43 I'm looking forward to getting a little bit of rest, 28:45 and then I'll decide, you know, what my next steps will be. 28:48 - Ms. So thank you so much for joining us 28:51 and even more thank you for the 27 months 28:54 of incredible service. Thank you. 28:56 - Thank you so very much. Thank you. 28:59 - That brings us to the end of this episode 29:01 of Degrees of Success. 29:03 Don't forget to like, subscribe, and comment. 29:06 I'm your host, Frida Richards, reminding you 29:09 that your next chapter might be your best one yet. 29:13 See you soon.

Listen to the podcast episode featuring UOPX alumna Roselyn Tso

Improving healthcare for Native Americans

°®ÎÛ´«Ã½ alumna Roselyn Tso is the retired director of the (IHS), the federal health program for American Indians and Alaska Natives. In this episode of the Degrees of Successâ„¢ podcast, host Freda Richards explores the urgent need for change in the healthcare system serving these populations, from underfunding to other barriers.

Opening quote

0:00

- Life is about finding the people who get you and sticking with them. That encapsulates all of it.

0:05

Students at °®ÎÛ´«Ã½ who find the place where somebody gets them, just stick with them.

0:10

Just stick with them and you'll, you'll get over that mountain.

0:25

- I wanna talk about your doctorate that you received here at °®ÎÛ´«Ã½. Is this where CAA was born in your mind?

Founding of CAA

0:33

- Yeah, well, CAA at this point in time is an inclusive collegiate partnership.

0:39

So the first college that we were able to

0:44

sit ourselves onto was West Valley College in Saratoga, California.

0:50

We had gone through 10 plus years of just being all over the community in whatever

0:56

space we could find. And it changed all the time. Our goal was to have an equitable spot on the college

1:02

campus for our students. Like other adults in the community have access to when they wanna go back to school, they go,

1:09

if they wanna go to college, they go to the campus. And so whatever that campus is, we needed a campus space

1:16

and just that central hub. And it took, just like with my University

1:22

of °®ÎÛ´«Ã½ program, it took a lot because it's like trying to get the brain around it.

1:27

Now what do you do again? And now is that, would it be like a department of our college

1:32

and you know, just trying to explain what it is. So here's what it is. It's its own private nonprofit,

1:39

charitable 5 0 1 c three.org program for adults with intellectual and developmental disabilities.

1:47

It's private college program. As a private college, it's providing, you know,

1:54

professors and campus space and all the things that you would expect at a college. It's an equitable college for these adults

2:02

who historically have not had access to structured high higher education in the same way

2:08

that other adults have in our communities. And they're one of the last groups in our community that has really had the gate shut on them at the

2:15

college campus. And not, not because they don't want to educate them, they would ask all the time for ourselves and others.

2:23

We, we were always going into meetings at colleges 'cause they were looking at how do we serve these adults?

2:29

You know, how do we do it in an equitable way? And we would say, just put us on campus.

What is CAA?

2:34

We have a program, it's all developed. We just need a place. And then to show how it works so we can replicate it on other campuses

2:41

or other people could, we can start the movement. Just put us on your campus and the first college to say, we have space, we can do that.

2:50

Come on over. Was West Valley the only one so far? And so we are forever indebted to them that it's our,

2:57

our flagship campus there, just the creative

3:02

forward progressive thinking of the West Valley Mission College District. So unbelievably supportive to our students.

3:10

So we situated ourselves there. And then from there we've been

3:17

able to put together the depth of programs

3:22

that, that our students really expect when they're coming to tour college.

3:29

- Tell me about some of those programs. - Well, we have 10 schools of study. So now we're a college of liberal arts.

3:35

Everything from science and, and dance and digital media studies with, you know, movie making

Schools of study

3:44

and all that to communications and language studies, Spanish, Italian, Chinese, you know,

3:50

whatever it is that they want to study. Our job is to come up with a way to make it happen in a school of study.

3:56

And so they, our schools of study are very broad, like communications houses a lot.

4:02

We have a brand new one that just opened up the School of Leadership and Civic engagement, which comes out

4:08

of classes that were happening where the students really wanted to be able to work in

4:13

that area during their class time as part of their structured learning. We have diploma tracks undergraduate, graduate,

4:21

and postgraduate our students, as I said, with Downs Autism,

4:26

any, any, any ability that they had come in with any learning ability.

4:31

And people say like any level, but we really don't look at it as levels. It's just what are your strengths today

4:36

and what are we working on as your next step? So their programs are progressive, where

4:42

whatever it is that they need today is what they'll get in that class. They're gonna put in the hours of experience with

4:48

and exposure to skills that are required to complete that class. And when they complete it, they get their credits.

4:54

So we have students graduating with an undergraduate diploma from our college who are at all different areas

5:01

of learning in different subject matter, but who have passions and have been pursuing them, things that they love.

5:07

And then when they get into graduate studies, it, then in an even bigger way, it's how do we contribute with

5:12

that in the community? How do we get out into the community with that? How do we start doing something with that?

5:18

And then postgraduate studies is just again, how to maybe globally, so like locally, nationally, globally,

Student progression & diplomas

5:25

just continuing to move out. We had some art students that were part of a global art exhibit, which is wonderful

5:32

and inclusive global art exhibit to show their work, their meaningful work and just things like that.

5:39

We, it's, it's based on what they want to do and what their goals are, of course, but we have those opportunities for them.

5:45

And then if they finish their postgraduate diploma and they still wanna learn, then they can do a postgraduate too with another emphasis.

5:52

And we're getting better and better as time goes by at being able to develop the infrastructure of

6:00

administrative databases and all those things needed to manage transcripts and learning goals and helping the students

6:08

and families understand where they are on their diploma journeys, you know, in their portals and just putting the,

6:14

putting them in the driver's seat. Say, here's where I am, here's what I need, here's how I wanna do it.

6:19

And I'm getting, you know, a, a larger and larger student advisory capacity going

6:25

within our college. You know, when you're a, a startup nonprofit, still pursuing a code that really fits what you do

6:33

and funding that really fits what you do. It's, it's an interesting task to try to build things

6:40

and staff them and, and you know, you get really good at being, you know, le tiny but mighty and just bringing in everybody's ideas

6:49

and you know, knowing that you don't have to invent every wheel. And that's what we really hope is to find other programs doing the same thing that we are

6:57

with lifelong opportunities for unlimited numbers of students online, on site

7:03

with all these different areas of study. And really focusing on getting adults everywhere.

7:08

Anyone who wants to come in and learn to be able to find those opportunities, they can then learn to take actions on and move forward and,

7:15

and make changes with. So we're looking for 'em. And I hope anybody that listens to this podcast that knows

7:23

of a program will contact us. We have a lot of friends and programs that are those post senior or those like more finite number of people

7:30

or number of years or whatever in different colleges and different communities. But we know they're out there

7:35

and we don't wanna invent every wheel. And, and that's another thing, somebody that comes into the diploma program at University

7:43

of °®ÎÛ´«Ã½, for example, say their doctorate 'cause that's where I was and they don't know where they're going,

7:48

but they just know what they have a passion for. And maybe they don't have a job doing that right now, but it's something they'd like to do.

7:55

That's, you know, that's really the key is to just as we're finding, to be able to get, to get

8:04

what you are doing, put together in a way that you can share it with other people

8:09

and get it encapsulated somehow so you can offer it. That's, that is such a tough thing

8:15

to do when you know you're trying to figure it out yourself. And the, the assistance that I had in trying

8:24

to put together the ideas that I had for our programs that were just, you know, how do I encapsulate that,

8:30

as I've said, has been just invaluable. But for anyone encapsulating what it is that you are learning and what your specialties are becoming

8:37

and finding out where you can take those to make a change. I think that's, that is one of the big things

8:43

that I know the alumni program too wants to reach out and help people with that have come

8:48

through programs at °®ÎÛ´«Ã½ and that is all of our goals. That is the goal. Yeah.

Why focus on adults?

8:55

- You had this experience with your daughter and then you created this incredible college.

9:04

When did you make the decision for it to be adults that are neurodivergent or IDD as opposed to children?

9:11

What, what, what was that that, - So that's a great question. We were coming up with all kinds of programs

9:17

for my daughter, you know, at the age, age range of five to 22. And definitely five to 18 till they get out of high school.

9:24

Lots of programs, lots of parents starting programs for the kids, you know, when they're at home

9:30

and they're not, you know, independent or working on trying to become as independent as they can and maybe getting out of the home.

9:37

But when they're younger, there's a lot of programs in the Bay Area where we were so many

9:43

that you could never possibly take part in all of them. I mean, just wonderful things and all these startup things. I was singing all these new programs popping up,

9:50

popping then the theater and everything else. And so yeah, we, my co-founder

9:55

and I were working with the theater program previously for the kids and I was bringing my theater background when I

10:02

went back for my master's and my daughter was diagnosed and I had to take the big break. I actually was looking at children's theater,

10:09

taking children's theater out to teach kids about all kinds of, you know, lessons and equity

10:18

and diversity and inclusion and all those wonderful things that we were embedding into the shows.

10:23

And the show. One of the shows that I did when I first got with that group was, it was a musical version of The Odyssey

10:30

for Children and I played Athena and it really was life changing because that group

10:36

and that experience made me want to do that with the art form, you know, with my art.

10:41

And so Athena was the second stage of my Alice, and it's Alice and Athena

10:48

and I just love her, her owl, I didn't even think about it at the time. The, the wisdom and the, the, the owl is the symbol

10:55

and the, yeah, it was just such a great experience. And then just that, that imagery of that, it was kind of cool for me.

11:01

So kind of the starting to then where I was going with it, with education and leading, you know, forward and,

11:07

and trying to get out in front of it and just like, you know, Athena did with Odysseus, you know,

11:14

so symbolic in different ways. It can make it whatever, you know, but find a lot in. But anyway, so I have Alice and Athena are my two things,

11:22

but realizing doing that with the kids, that that was really a joy of mine. But then what happened was in that theater program that

11:30

my co-founder and I were working on and my daughter was coming out of high school just finishing high school up,

11:35

she was buddy coaching in it, so was my son. Our first musical was Wizard of Oz. And my son wore all black and had a dog puppet

11:42

and he was toto, let's go this way, you know, was wonderful with them kinda like a buddy coach. And my daughter was buddy coaching Glenda

11:49

and was able to do Glenda in one of the shows just for fun. So they, we were all involved in it

11:56

and then all of a sudden, you know, the, some of our most beloved actors that had started with

12:01

that program were aging out and they couldn't come back and do a show and there was no adult theater program

12:07

that they could just slide right into that was similar, approaching it the same way, which was everybody

12:13

of all abilities on stage together with this wonderful play that was the model was, it's beautiful

12:18

'cause it's, theirs didn't have to look like anybody else's play. A lot of improvisation and fun and joy in music

12:25

and collaborative camaraderie, everything I loved, right? Yeah. So that's what was being built there.

12:31

So we thought, well let's do it for the adults and we'll make this college of adaptive arts. 'cause we had some town hall meetings

12:36

and they were telling us they wanted a college and telling us the problem of not having college. Could it be a real college? Could you teach reading?

12:43

And like, okay, so the first workshops that we did involved all kinds of different subject matter kinda in the arts.

12:49

So everything was through the channel of the arts. And then as it moved forward, then we just started

12:55

to develop more specific classes for those areas and then ended up with the schools of study and now it's a college of liberal arts with 10 schools

13:02

of study and and on like that. So it's really a matter, I think often for families and for parents of really needing to be,

13:09

and rightfully so focused on your child, the age that they are, what they have, what they need, and making sure that you're finding the programs

Arts as a foundation

13:17

for them at that point. And then you do hit a point where a lot of people call it kind of the cliff of service drop off

13:24

and it's not expected. There's a sense that there's gonna be so much there

13:29

for them, they seem so happy in what they're doing and then all of a sudden it just kind of drops

13:35

because, you know, there aren't the programs that the parents are creating and running and everything like there are for the younger kids.

13:41

And for reason, there's reasons for that too. So that was something that we could contribute access

13:47

to doing these whatever it is that they have a passion for and they want to be part

13:53

of their life ways they wanna contribute to the community, whatever that is for them, that we could bring that to them.

13:59

And so d and I would just say we're their agents, like I mentioned before, Dee and I were their agents

14:06

and we just created the stage with the light on them. And we, if we look at an organizational structure

14:12

for college of adaptive arts, the very bottom is us as co-founders and our board

14:18

and our staff is up there kind of like this, you know, the people that are the stage managers and that you'll see out on the stage.

14:25

But, but the, the students are the ones up on that stage, the community's really gonna see and it's their voice we want them to hear.

14:32

And when there's ever an opportunity to, you know, be at city hall to talk about something to,

14:40

there's no anything going on. We really hope the students can be the ones out there.

14:45

And so that's where this new department of leadership and and civic engagement is coming in, is

14:51

to really build up not just self-advocates and advocates for the college or,

14:56

but to really build up those community leaders that are going to be able to step out on that same level.

15:03

And just as CAA created an inclusive place for an inclusive model for higher education,

15:09

have an inclusive model for community engagement. So we're all involved and their voices aren't just heard,

15:14

but they're at an active part of change making and, you know, societal change and pursuing social justice.

15:22

- CAA just sounds incredible and it sounds like it's really supporting people and giving people similar to your daughter,

15:27

that encouragement, that confidence to be able to your point to go out and serve and to create other environments for people like-minded

15:37

or possibly in the same or similar situation, to also also feel empowered and confident.

15:43

So simply incredible. You've had so many students within this 15 years, right?

15:49

- Yeah, yeah. - Tell me one of the success stories. Tell me about what it looks like for people to go

15:56

through this process and a particular person or two that had a re a really pivotal moment.

Student success stories

16:01

- Yeah. Well there's one student in particular that I think of automatically.

16:07

People say, oh, it's, you know, this college is really only for those who would be able to go to community college

16:13

but might have a learning disability or they're very high functioning. So, and they, but, but what about, you know, our student who doesn't read

16:21

and, you know, they just to understand it's for everybody. So we had a student come in who we thought was, you know,

16:30

mostly everybody kinda thought was nonverbal, it was just selective speaking I think, but very nonverbal

16:37

and had some physical issues, deformities and things going on and had not ever thought about being involved in different

16:46

kinds of physical activities or arts that's physically, you know, dance, things like that.

16:53

And so actually found out that they could participate in dance and came in

16:58

and found their way that they were gonna bring their spirit to that art form.

17:05

And it was incredible and, but didn't have the confidence to

17:10

pursue other areas of learning. Like, for example, reading that was so difficult or science

17:17

or, no, don't even talk to 'em about science. They don't want school, they don't want homework. We don't have homework by the way. So the students love that everything happens in class like

17:25

it would if you were homeschooling everything's in class so that they get exposed to things with the instructor in a way

17:31

that's guided and strategic and then they have home activities they can do, but it isn't about grades

17:37

and being competing with other people. It's about where you are and moving that forward, whatever that ends up being by the end of the semester.

17:43

So once the student comfortable with that, then started pursuing some of these other areas and ended up finding a huge love of poetry

17:52

and literature and still is working on those reading skills that now has been exposed, not only exposed to

17:59

but has experienced, you know, great literature that they never approached before. And being able to be part of conversations

18:08

and get out into the community to present information

18:13

or what have you in, in a way that they're speaking so wonderfully

18:18

and communicating in their own communication style so beautifully because they have the confidence to do it

18:24

and not even thinking about being nervous about it. So just overcoming all the boundaries of fear of failure

18:30

and anxiety and those things that get in the way of really feeling like you could approach higher education

18:36

and finding out that it can be for you and that it will be set up for you. And then being able to broaden the scope of

18:42

what you're learning to the point where now you're in the community communicating, you're in the community dancing, you're in the community,

18:48

sharing messages in so many different ways and impacting people. So that's really neat. And then another student who did go

18:56

to a community college, we was with us for several years. We did not know that

19:02

that student actually got their diploma from that community college and they completed it,

19:08

but they didn't have any place to put what they were interested in. And then that was journalism and working on a paper

19:15

and had always worked on school papers and was really active in the paper at that community college.

19:20

And we had no idea that their dream was to like be an editor right, of a paper and

19:25

or to create their own paper. And this they, they knew they could do it and how to do it,

19:30

but what would the resources be and where would you have, where would you do that, where you'd have the support to be able to do that.

19:36

And so we said, well, okay, let's start a paper. And so this was a graduate student who's now in our

19:42

workforce development program and we started finding more and more of this out and oh my gosh, you have

19:48

that much journalistic background. Bring us in your columns, let us see what you've written. And so her, her goal is to be a professor at the college

19:56

and now she's producing our first Cardinal Times newspaper for our students and reporting on things.

20:04

The students went to a Barracuda's hockey game, they're invited to go to Barracuda and she interviewed a player

20:09

and she wrote an article about that and they invited her to come and interview a player. And that was just incredible, you know, opportunities that

20:18

what journalist in the Bay Area has a chance to do that every day and know back in the clubhouse

20:24

and you know, get involved. And so, and then a student that just recently discovered photography as an interest, who

20:32

before thought he might like to maybe work in the classroom with, with fellow students

20:37

and things as a staff member, maybe a goal for him. And then he got involved with photography in one

20:42

of the classes with an amazing teacher and now he wants to be a photographer. So guess what? He's a photographer.

20:48

He's the photographer for the, the times that the other student is the editor for.

20:54

And they are the team that are building this paper up and now he's finding this area totally out of the box

21:01

and non-traditional. And he's going other places and doing photography for them

21:06

because he's learning how to take some great pictures and he's doing it just, you know, he loves what he does and if he can, you know,

21:14

build into doing this vocationally in some way, it would just be a dream come true. And so not ever having explored that,

21:21

he didn't even know he had that interest. And now he's the photographer, the the photographic journalist for our, for our paper

21:29

that we're producing for our college. So just really neat stories like that all the time all around.

21:35

And those that really had an anxiety going back to school because they had felt like with maybe learning disabilities

21:42

or whatever the issues were, some of them have had real extreme bullying in their past and they're just not sure it's a safe space.

21:49

So we also have an arts behavioral model that is, you know, making sure that students are respecting each other

21:55

and coming in with, you know, positive attitudes of, of supporting each other and that they can trust each other in that space.

22:02

And the old theater term of we're going to leave it at the door, we employed that we're going to be glad we're gonna leave it at the door.

22:09

And learning that is a skill. That's a, I mean that takes a while sometimes for students to be able to understand the concept

22:15

of leaving it at the door, but an important one path. And then in the interpersonal relationships,

22:21

not just at the college, but with feathers outside of it, you know, the more they're able to employ things like attitude

22:27

and respect and you know, mutuality in their relationships in their classes, then they will know how to apply that outside of class

Behavioral & social model

22:35

and be encouraged to do that. And we treat the class space as a professional environment and how you come into the space

22:41

and how you interact with others in the space, which can be very new to our students. And so that's regardless of if they're there for one class

22:49

or 10 years, that's always gonna be a part of their learning process of those professional skills.

22:55

And then we have a school of business now too for them to pursue, you know, other kinds of professional skills,

23:02

but you know, those social, cognitive, developmental skills that we work on within this curriculum

23:07

that really was shaped and, you know, put into a, a structure that you could share

23:14

and train, you know, with others that is the foundation of everything.

23:19

Not how high do you kick or how well do you write a sentence or you know, how you can, you do a,

23:25

a lab experiment on your own to prove a hypothesis. It's, you know, it's just

23:30

what is your personal best today in your areas of learning choice and what does it mean for you to move forward

23:38

to your next steps and to continue to do that throughout your life. - You've made a pivotal change for these students.

23:48

You've created a place for them to feel comfortable. You've created a place for them to feel powerful

23:53

and you've created a place in them to where imposter syndrome is something of the past.

23:59

And I could, I could only imagine how that had to be transformative for them, their future

24:06

and the next generations coming behind them. So for them, and I'm sure if I were to meet any of them,

24:13

especially the two that you had mentioned, one, a journalist, one a photographer, and doing this with the times

24:19

and also setting up the brand new paper for the college, congratulations and an awesome thank you.

24:26

And your faith, your, your optimism is clear.

24:32

Like it is part of the vision and it is part of the value of the college. And you could see it moving into your students as well

24:38

as they move forward in their life and in their careers. And that in itself is absolutely incredible.

24:45

So thank you for that. Thank you for driving through and pushing past, 'cause I imagine it couldn't have been all unicorns and glitter, there had

24:51

to have been within this 15 years a little bit. There had to have been some rub.

24:57

Was there, was there, was there any, what what challenges did you deal with within this 15 years getting to this point?

Biggest challenge: gaining support

25:04

- The biggest challenge is when people just aren't getting behind you. When you know that what you have can, can con when you know

25:11

that what you have is viable and it's, and and you just are trying to find the support

25:18

and no matter how much you talk about it, no matter how much how you put it out there, it's just not like

25:25

taking root, you know, and you know that it needs to, and it should and it can, and it's not, it's not hard to do.

25:32

This is just us all getting together to do it. You know, we're training our teachers, right? You could have taught somewhere else

25:38

for 20 years in special ed. We still are gonna need to train you in our methods. It may not be a good fit.

25:44

You know, it's like just teaching people what it's about and well, usually it is,

25:49

but you know, it's definitely coming in and learning how we teach in the classroom, which is very different. But that's the main thing is just getting people to get

25:57

behind what you're doing and what the students are doing. That's been the big challenge. And of course, as you're around longer

26:04

and longer in the community, people start to get it more and more understand it. You have people spreading the word for you,

26:10

but then they're talking to people that have never seen it. And it's really, it really requires people, meeting the students, seeing what we do

26:17

to really understand it, seeing it on that campus and understanding what kind of a, of a,

26:23

of a inclusive partnership that can be and how that brings these individuals in our communities

26:29

that haven't had access. How it brings them access and how it is such a social justice issue.

26:35

That, and funding, of course, always funding, but it comes, it's the right thing at the right time.

26:43

By no fault of our own. I mean, we were just, you know, told by everybody else it was the right thing at the right time.

26:48

And we jumped in and we always say, Dee and I, we call each other we're Sisters of the Swell,

26:54

which is this, this watercolor that she got. We have two women on surfboards, you know,

27:00

waiting for the wave. 'cause we always talked about, we didn't even know that we were kind of catching one at the time that we were,

27:07

that this really was so, such a big hole in our educational system.

27:13

And then you've gotta, it's exhausting to ride it, get up on it and try to ride it to shore. Then you get there and you feel like, oh, okay, we hit

27:20

that milestone and then, you know, you're soaking wet and you're tired and you're looking around and you see all of these other people with their surfboards

27:27

that were out there at the same time, you didn't even know were there. And then you're just saying, Hey, okay, let's, let's climb this hill together

27:33

and see if we can get into the valley over there, you know, and where you, and so, and you don't even know what's there,

27:38

but you know, you gotta go to something else. So you're all just climbing the hill together

27:44

and getting strength in each other. We call our supporters mountain movers. They really, truly are.

27:49

But you're climbing that mountain or trying to move that mountain, you know, and then you get to the other side and now you know, there's, there's, you know, somewhat

27:57

of a bounty over there to be able to try to, you know, be part of, but you know, is it gonna go, are,

Climbing the mountain together

28:05

are you gonna be at the table? Is someone else gonna be invited to the table? So now you're all over there looking for tables to be able

28:11

to sit at, you know, and we're talking about our students really, you know, being able to get them a seat at the table in these places.

28:18

And so just, you know, all the, all the work that's required to really just have that hope and optimism

28:25

and what you're doing founded in the fact that you know, that you've, you know, gotten where you are, that you have what you have underneath you,

28:31

but primarily you have that meta support, all those people that are climbing that mountain with you

28:37

and that together you can come up with the information and the resources required to stand on, to get

28:43

to each new level. Like when mountain climbers put in their hook, and I'm not a mountain climber, I'm gonna call it a hook

28:49

and a rope, you know how they have to do that, you know, and if you have multiple yeah. And somebody at the top, you know, helping you out

28:56

and you know, you have to learn to do it before then you can even really get on, get up there at all to any degree, which we had to learn, kind

29:03

of build our processes. So all those things were challenges, but it really is just primarily being able to continue

29:12

to communicate until you can just build that group around you that understands, gets it,

29:18

and wants to go there with you in anything that you do. - Absolutely. Dr. Pamela, you were phenomenal.

29:24

And the, the things that you've accomplished with your partner and, and simply your, your goals

29:30

and aspirations moving forward, wanting to be able to touch and serve more so that they can feel more successful and empowered.

29:39

It's admirable. And so we are proud that you are a university °®ÎÛ´«Ã½ alum.

29:45

We are so, so grateful that you joined us today in sharing your story. I know that the listeners

29:51

and the viewers are definitely going to be able to get something from this that brings us to the end

Closing remarks

29:57

of this episode of Degrees of Success. I'm your host, Frida Richards.

30:02

Don't forget to like, comment, and subscribe and remember that your next chapter just

30:07

might be your best one yet. See you soon.

Chapters in this video

  • Growing up in Arizona
  • Public health challenges
  • Reconnecting with traditional practices
  • Cost and access issues in Alaska
  • Integrating holistic health
  • Education and wellness centers
  • Rural health access and challenges
  • Personal inspirations and future goals

About UOPX alumna Roselyn Tso

Portrait of Roselyn Tso

Roselyn Tso is an alumna of °®ÎÛ´«Ã½ with a master’s degree in organizational management. As an enrolled member of the Navajo Nation, she served as the 11th director of the Indian Health Service until she . IHS is the 17th largest healthcare system in the U.S. and serves American Indians and Alaska Natives.

Podcast host Freda Richards and guest Roselyn Tso pictured during the taping of the podcast

About the Degrees of Successâ„¢ Podcast

The Degrees of Success podcast by °®ÎÛ´«Ã½ brings you inspiring stories of UOPX alumni who have transformed their careers through education. Each episode highlights personal journeys of overcoming obstacles, achieving professional milestones and using education to unlock new opportunities. Whether you’re looking for motivation, career advice or guidance on how education can propel you forward, these alumni stories offer invaluable insights to help you succeed.

Listen to the Degrees of Successâ„¢ Podcast