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Impact Unfiltered

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by Impact Unfiltered

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24 episodes

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Podcast Overview

Impact Unfiltered is a podcast about bold leadership, real stories, and the ideas shaping the future of healthcare, business, and community. Each episode features candid conversations with changemakers—from health directors and entrepreneurs to tribal leaders and nonprofit innovators—who are making a difference where it matters most. Whether you’re building programs, leading teams, or just care deeply about impact, this show brings practical insight and unfiltered inspiration from the frontlines of meaningful work. Honest dialogue. Practical wisdom. Unfiltered impact.

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Recent Episodes

June 6, 2026

Sovereignty and Healing as One: Sherylene Yazzie’s Vision

In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Sherylene Yazzie, Executive Director of the Navajo Department of Health. A companion to the conversation with Navajo Nation President Buu Nygren, this dialogue centers on Yazzie’s guiding phrase: “Navajo healing Navajo.”She explains why sovereignty and healing are the same project, shares outcomes from the YHC detox facility in Phoenix — where more than 200 Navajo people have entered care — and lays out a vision for preventive health rooted in farming, agriculture, medicinal plants, running, and fasting. With strategies for reaching the next generation on the platforms they use, and a closing reflection on the traditional Navajo morning practice of asking the sun to burn away negativity, this episode is a master class in tradition-rooted leadership.1. Background and Role <ul><li>Yazzie has served over 20 years in public service. As Executive Director, she leads health strategy for the Navajo Nation, spanning 27,000 square miles and nearly half a million members.</li></ul>2. Navajo Healing Navajo<ul><li>Healing begins with individuals taking ownership. Decades of programming led people to believe solutions only come from hospitals, but Yazzie calls for a return to traditional and communal ways.</li></ul><ul><li>“Our people have been programmed to think our solutions are at the hospital — and forgotten our medicinal ways, our traditional ways, our communal ways.”</li></ul>3. Self-Governance and Healing<ul><li>Self-governance empowers sovereignty; Navajo healing Navajo empowers identity. The scale of the Nation demands monumental change.</li></ul>4. Phoenix Detox Facility<ul><li>The YHC facility exists because of self-governance. Over 200 Navajo people have been healed. The goal is not just recovery but creating productive citizens whose example ripples to younger generations.</li></ul>5. Preventive Health<ul><li>Yazzie’s priority is preventive health: medicinal communities, farming, and traditional practices. She emphasizes reprogramming how people think and behave, returning to pre-contact self-reliance.</li></ul>6. Why She Does This Work<ul><li>Driven by passion for elders, children, and all relatives, Yazzie says:</li></ul><ul><li>“I make a difference in someone’s life, even if it’s just one person — that means so much to me.”</li></ul>7. Expanding Behavioral Health<ul><li>The Nation has five agencies with facilities, but none accredited for detox. Yazzie’s plan is to elevate standards across all five, mirroring the YHC model closer to home.</li></ul>8. Tradition as Preventive Health<ul><li>Healing through farming, agriculture, medicinal plants, running, and fasting. The Navajo Nation is a food desert; water and infrastructure are catalysts for change.</li></ul>9. Reaching the Next Generation<ul><li>Youth live on phones and social media. Yazzie sees opportunity in podcasts, radio-style repetition, and cultural content. Language gaps are real — translating Navajo into English loses meaning.</li></ul><ul><li>“How do we reach the younger generation who don’t understand our Navajo language?”</li></ul>10. Empower Yourself First<ul><li>Her message: you can do anything you want, but empowerment begins with yourself.</li></ul>11. The Sun as Medicine<ul><li>A traditional morning practice: bless yourself with the sun, asking it to burn away negativity.</li></ul><ul><li>“Ask the sun. It has that much power. It will magically burn all of that negativity from you.”</li></ul>12. Closing Remarks and Gratitude<ul><li>The episode closes with recognition of Sherylene Yazzie’s leadership, appreciation for her integration of tradition and health, and encouragement to continue scaling the YHC model across the Nation.</li></ul>

June 6, 2026

President Buu Nygren: Treaty-Scale Healthcare and Navajo Sovereignty

In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Dr. Buu Nygren, President of the Navajo Nation, joined by Sherylene Yazzie, Director of Health. Together they explore the realities of running healthcare across 27,000 square miles for more than 200,000 residents — a hybrid landscape of 638 self-governance corporations and IHS-run hospitals.Nygren shares his personal vision: he wants Navajo people to live long, healthy lives again, the way his great-grandmother lived to 109. He details how the Nation responded to a 2023 fraud crisis by purchasing its own three-story residential treatment facility in Phoenix, reflects on advanced appropriations, transportation infrastructure, and the Gila River model he hopes to scale tenfold. With candid insights into behavioral health recovery and sovereignty in action, this episode is a guide to what it would take to “shock the system” through full tribal self-governance.1. Background and Role <ul><li>Nygren leads healthcare strategy for the Navajo Nation, joined by Health Director Sherylene Yazzie. Together they oversee services for 200,000+ residents across 17.5 million acres.</li></ul>2. Federal Partnerships and Advanced Appropriations <ul><li>Strong ties with HHS Secretary Kennedy ensure reliable funding. Advocacy for advanced appropriations keeps facilities open even during budget uncertainty. The Navajo system blends corporations like Utah Navajo Health System, Sage Memorial, and Tuba City Healthcare with IHS facilities such as Chinle, Shiprock, Kayenta, and Gallup.</li></ul><ul><li>“The relationships we’ve developed with Secretary Kennedy and his advocacy to make sure we continue to have advanced appropriations…”</li></ul>3. The Scale Problem <ul><li>Covering 27,000 square miles, ambulance response is slowed by poor roads. Nygren met with DOT officials about washboard roads and potholes that delay emergency care. Healthcare must be thought of holistically alongside transportation.</li></ul>4. The Vision: Long, Healthy Lives Again <ul><li>Centenarians were once common. Today, diabetes and hypertension cut lives short. Nygren’s goal is holistic wellness — traditional prayers, culture, and faith alongside modern care.</li></ul><ul><li>“I want Navajo people to live long healthy lives again.”</li></ul>5. Confronting Addiction <ul><li>Alcoholism and drug abuse remain the biggest behavioral health challenges. In 2023, fraudulent Phoenix “treatment” operations exploited Navajo people, warehousing them in tents and supplying alcohol. Arizona AG Kris Mayes prosecuted many of those firms.</li></ul><ul><li>“Trying to make sure these people know that their lives are valuable.”</li></ul>6. The Phoenix Residential Treatment Facility <ul><li>The Nation purchased a 30,000-square-foot facility downtown. About 200 people have entered care; 50 have graduated. Managed by Axiom, it impressed AG Mayes on her tour. Next steps include detox and transitional housing, with long-term plans to bring care home to Navajo.</li></ul>7. Scaling Self-Governance: Learning from Gila River <ul><li>Gila River is the model for true self-governance. Nygren’s challenge is scaling that model 10–20x for Navajo. Sovereignty means running programs directly and capturing federal dollars. Tribally built facilities should be funded through 105(l) leases.</li></ul><ul><li>“If we did what Gila River or some of the other nations have done, I think we would shock the system.”</li></ul>8. Closing Remarks and Gratitude <ul><li>The episode closes with recognition of President Nygren and his leadership team, appreciation for their commitment to bringing funding and control back to tribes, and encouragement for the Navajo Nation’s continued self-governance journey.</li></ul>

June 6, 2026

Building the Future of Tribal Public Health with Geoff Strommer

In this episode of Impact Unfiltered, host Stewart sits down at the Self-Governance Conference with Geoff Strommer, an Indian law attorney with 35 years representing tribes, tribal governments, and tribal organizations. His work spans legislation, litigation, and negotiation, with fingerprints on nearly every major stage of the self-governance arc.Geoff explains what it takes — agency by agency, statute by statute, dollar by dollar — to move authority from the federal government to tribal governments. He details how Alaska’s 27 co-signers built the strongest model of tribal cohesion in the country, why 105(l) leases are a once-in-a-generation game changer for tribal infrastructure, and how a recent New York district court win could expand self-governance into water and sewer treatment facilities. With stories of tribes like Jamestown S’Klallam filling rural healthcare voids the private market can’t sustain, this episode is a working tour of how policy becomes lived reality.1. Background and Role <ul><li>Geoff has spent 35 years representing tribes on self-governance, shaping legislation, litigation, and negotiation.</li></ul>2. Why It’s a Fight Inch by Inch <ul><li>The original Indian Self-Determination Act faced resistance from IHS and BIA. Every step required litigation and amendments to force compliance.</li></ul>3. The Eight-Generation View <ul><li>Tribal leaders plan far ahead. Long shots from decades ago have become today’s reality, proving persistence pays off.</li></ul>4. Alignment Among Tribes <ul><li>Early friction gave way to cohesion. Since the late 1980s, tribes have worked together despite differences.</li><li>“It’s working together that has made it work.”</li></ul>5. The Alaska Model <ul><li>In 1992, Alaska tribes asked for one demonstration slot instead of competing. Today, 27 co-signers negotiate together, covering the entire state’s IHS system.</li></ul>6. The National Picture <ul><li>Cohesion has strengthened. Tension between self-governance and Title I contracting tribes has narrowed. About 65–70% of tribes participate in some form.</li></ul>7. The Two Biggest Wins <ul><li>105(l) leases grew from $400K in 2016 to nearly $900M today. Contract support costs, after decades of litigation, are now fully funded. Together, they transformed tribal finances and facilities.</li></ul>8. The Untapped 105(l) Opportunity <ul><li>Only 25–30% of tribes use 105(l). A recent court win could expand leases to water and sewer treatment — a breakthrough for infrastructure.</li></ul>9. The Reality of Rural Infrastructure <ul><li>Some communities still lack water and sewage systems. Residents carry waste in buckets and melt snow for drinking water — in the U.S., in 2026.</li></ul>10. Cutting Red Tape <ul><li>Self-governance aimed to eliminate meaningless reporting. Simplification remains a priority.</li></ul>11. What’s Next <ul><li>Move contract support costs and 105(l) funds to mandatory appropriations. Expand self-governance into Fish and Wildlife, National Parks, and other agencies. Jamestown S’Klallam already manages the Dungeness National Wildlife Refuge.</li><li>“They are more culturally connected to those lands than anybody else in this country, and they’re better stewards of them.”</li></ul>12. What He Wants Everyone to Know <ul><li>Self-governance works. The more authority transferred, the better tribes perform.</li><li>“Tribes are operating some of the largest, most sophisticated public health systems. Because they are truly the last public health system in this country.”</li></ul>13. Tribes as Rural Healthcare Anchors <ul><li>Rural healthcare is collapsing. Tribes step in as anchors. Jamestown S’Klallam built a clinic serving four counties, cutting travel from two hours to 15 minutes.</li></ul>14. Closing Remarks and Gratitude <ul><li>The episode closes with recognition of Geoff Strommer’s 35 years of work, appreciation for the legal infrastructure he helped build, and encouragement for tribes to keep fighting for every square inch.</li></ul>

24 total episodes available

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Frequently asked questions

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What is Impact Unfiltered?: Impact Unfiltered is a podcast about bold leadership, real stories, and the ideas shaping the future of healthcare, business, and community. Each episode features candid conversations with changemakers—from health directors and entrepreneurs to tribal leaders and nonprofit innovators—who are making a difference where it matters most.

Whether you’re building programs, leading teams, or just care deeply about impact, this show brings practical insight and unfiltered inspiration from the frontlines of meaningful work.

Honest dialogue. Practical wisdom. Unfiltered impact.
How often does this podcast release new episodes?: This podcast updates daily.
Where can I listen to this podcast?: This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
Does this podcast accept guests?: Yes, this podcast regularly features guests.

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