All such consultations are to be open and candid so that all interested parties may evaluate for themselves the potential impact of relevant proposals. Self-government means government in which decisions are made by the people who are most directly affected by the decisions. Consultation is an enhanced form of communication that emphasizes trust and respect. It is a shared responsibility that allows an open and free exchange of information and opinion among parties that leads to mutual understanding and comprehension. Consultation is integral to a process of mutually satisfying deliberations to result in collaboration and joint decision-making.
Participation is effective, mutually satisfactory, joint decision-making.
In true participation, an individual is not required to endorse or accept unilateral decisions made by either party. To formalize the requirement for consultation and participation by representatives of tribal governments in IHS policy development and program activities. To promote the development of innovative methods of obtaining consultation on issues from tribal representatives and involving representatives in Agency decision making processes. The principal focus for consultation and participation activities of the IHS is with individual tribal governments. Meetings between IHS management and the Board of Directors of the NIHB are scheduled on a quarterly basis.