Mae Cartwright, a social worker in Alaska, argues that the health care system often fails to meet Alaska Native people where they live and that the highest colorectal cancer incidence and mortality rates in the world are two to three times higher than any other racial or ethnic group in the United States. She argues that our health care systems often burden too much of the burden on individuals and their families, as well as their ability to complete recommended screenings without leaving their village. The solution is expanding screening options like the Shield blood test by Guardant Health, the first and only blood test approved by the FDA as a primary screening option for adults 45 and older at average risk, which has increased screening rates from 45% to 90%. Health care in Alaska Native communities must continue to be community-driven, culturally grounded and relationship-based.