22 pages • 44-minute read
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Content Warning: This section of the guide includes discussion of illness, death, and racism.
The Sioux are an alliance of tribes that each has their own language and ways of living. The tribes included are the Dakota, Lakota, and Nakota people of the Northern Great Plains, which now comprise the states of Montana, Minnesota, Nebraska, North Dakota, and South Dakota. The Sioux also live in parts of central Canada.
The Sioux’s culture is grounded in their traditionally nomadic lifestyle and their values founded in spiritual connections to the land. Historically, the Sioux relied on buffalo for sustenance and developed spiritual practices that emphasized harmony with nature. One of their most significant traditions is the spiritual quest, a ritual journey undertaken by people seeking spiritual guidance from nature. These quests often take place on sacred sites and play a central role in shaping personal identity and communal values. In “The Medicine Bag,” Iron Shell’s quest symbolizes this search for purpose and reflects the importance of spiritual practices in Sioux culture.
The arrival of Euro-American colonists in the mid-19th century disrupted this way of life. The Sioux were eventually forced onto reservations, and this ended their nomadic way of life. Their treaties with the United States limited their lands, and government policies attempted to erase their traditional practices through forced assimilation. Boarding schools for Indigenous children were a brutal and widespread method of suppressing cultural expression by breaking up families, giving children Western names, cutting their hair, and forbidding them from speaking their native languages. The story’s reference to Iron Shell being taken to a white man’s boarding school is an example of this historical reality. Martin’s struggle to accept his Indigenous heritage shows how the loss of cultural identity can continue for generations.
The social experience of Indigenous Americans is shaped by a long history of marginalization. Indigenous peoples, including the Sioux, are often stereotyped in demeaning ways and misrepresented in popular media. Movies and television often portray Indigenous cultures inaccurately or as token characters, such as The Indian Chief (Great Big Little Panther) and Princess Tiger Lilly in Disney’s 1953 animated film Peter Pan. These portrayals contribute to social stigma and identity challenges for young Indigenous Americans, as seen in “The Medicine Bag,” where Martin initially feels embarrassed about his heritage due to negative societal perceptions.
Despite advances in cultural recognition and legal rights, Indigenous Americans still experience disparities in quality of life, facing “significant and unique barriers” to gaining jobs, education, healthcare, and household wealth compared with the general US population (Bever, Don. “Native American Communities Continue to Face Barriers to Opportunity That Stifle Economic Mobility.” Joint Economic Committee, 10 May 2022). Poverty, violence, and low life expectancy disproportionately affect Indigenous American populations (Campanelli Andreopoulos, Giuliana, and Alexandros Panayides. “Beyond the Aggregate: Uneven Development and Target Policies for Native American Reservations.” IRIS Journal of Economic & Business Management, 25 Aug. 2025). In many cases, these social determinants are ignored or neglected by state and federal governments. Grandpa’s illness and death highlight the precarity of Indigenous healthcare, especially for the elderly.



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