Mark Trahant, the editorial page editor of the Seattle PI, welcomes five distinguished guests to examine the genesis of the groundbreaking Indian Health Care Improvement Act. This important legislation was signed into law on Sept. 30th, 1976 and was intended to assist Indian communities, both tribal and urban, in exercising their self-determination rights to develop and manage health care services for their communities. Guests include staff members who wrote or contributed many sections to the bill, in both the Democratically controlled legislative branch and the Nixon/Ford White House. They discuss the inner workings of policy and the mechanics of government.