After taking the health equity quiz I noticed that my understanding of health in America was way lower than expected. The statistic that I found the most surprising was that the United States was not ranked first in the world in life expectancy but 29th instead. I decided to watch the “Bad Sugar” episode and learned that type 2 diabetes is the most prevalent disease within the Tohono O’Odham Native America tribe known as the Pima. Type 2 diabetes can lead to liver failure, glaucoma, and nerve damage and possible amputation. There is a link between living in stress and poverty and the chances of getting type 2 diabetes. This link illustrates why people of the Tohono O’Odham tribe have a high prevalence of type 2 diabetes and it has all to do with the environment they live in and their poor living conditions. The Tohono O’Odham tribe had a lack of water for almost 100 years and that lead to many deaths by starvation and raised the rate of diabetes within the whole tribe. In more recent years the US Military began to distribute free commodity foods for the Native American tribe, however, these foods were high in fat and sugar which ultimately hurt their health and in turn only helped to worsen the diabetes situation. Even though the genetics of the Pima tribe are prevalent to diabetes, changes in the environment and living conditions can help to prolong the occurrence and fight the disease. Taking more control of the Pima Indians community and raising the levels of health care, education, social policy and economic and workforce development can very heavily benefit the overall understanding of diabetes and what can be done to help Pima tribe patients with the disease and how to cope with the disease from day to day. All these changes can not only lead to reducing the death of the people in this tribe from Diabetes but can also overall reduce the possibility of other diseases and illnesses.