Indigenous Peoples around the world and our allies often reflect on the many challenges that continue to confront us, the reasons behind health, economic, and social disparities, and the best ways forward to a healthy future. This book draws on theoretical, conceptual, and evidence-based scholarship as well as interviews with scholars immersed in Indigenous wellbeing, to examine contemporary issues for Native Americans. It includes reflections on resilience as well as disparities. In recent decades, there has been increasing attention on how trauma, both historical and contemporary, shapes the lives of Native Americans. Indigenous scholars urge recognition of historical trauma as a framework for understanding contemporary health and social disparities.