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This thesis recounts my personal experience working as a volunteer medical interpreter for the Language and Culture Resource Center at East Tennessee State University. The result of my time spent volunteering as a medical interpreter, shadowing professional medical interpreters, and witnessing patient-provider interactions during interpreted sessions was an inspiration to study medical interpretation further and delve into the challenges faced by patients who require medical interpreters. During my time researching this topic, I found that the United States is severely lacking in Spanish medical interpreters—with some healthcare facilities employing no medical interpreters—even though the size of the Hispanic population is on the rise. I also found that the language and cultural barriers to the Hispanic population receiving quality healthcare are a significant reason why the Hispanic population reports a lower satisfaction with U.S. healthcare. Through years of observation and practice, I developed research questions to help guide one in discovering what areas the Hispanic population is least satisfied with in healthcare. To discern what those areas of the greatest dissatisfaction are exactly, this research study manifests in the creation of a survey designed to improve the quality of healthcare received by the Hispanic population of Northeast Tennessee by identifying some of the principal issues faced by the Hispanic population within the U.S. healthcare system. The goal of this thesis is to highlight these issues as areas of focus for healthcare providers when they care for patients specifically in interpreted appointments.

Latin America is in a political crisis, yet Bolivia is still widely recognized as a beacon of hope for progressive change. The radical movements at the beginning of the 21st century against neoliberalism that paved the road for the election of Bolivia's first indigenous president, Evo Morales, beckoned a change from colonial rule towards a more just society. Paradoxically, in pursuing progress through economic growth, the Bolivian state led by President Morales has replicated the colonial division of labor through a development model known as neo-extractivism. Deeply rooted tensions have also emerged between indigenous communities and the Bolivian state due to the latter's zealous economic bond with the extractivist sector. Although these paradoxes have received significant attention, one substantial aspect that remains underexplored and undertheorized is how such tensions affect socio-political relations at the intersections of class, race and gender where indigenous women in Bolivia occupy a unique position. To address this research gap, this qualitative study poses the following research questions: 1. How does neo-extractivism affect the lives of indigenous women? 2. How does the state shape relations between neo-extractivism and indigenous women? 3. How do indigenous women organize to challenge the impact of state-led extractivism on their lives and their communities? To answer these questions, I conducted a multi-sited ethnographic study between October 2017 and June 2018 in Oruro, Bolivia, an area that is heavily affected by mining contamination. By analyzing processes of social reproduction, I argue that neo-extractivism leads to water contamination and water scarcity, becoming the epicenter of the deterioration of subsistence agriculture and the dispossession of indigenous ways of life. Because indigenous women are subsistence producers and social reproducers whose activities depend on water, the dispossession of water has a dire effect on them, which demonstrates how capitalism relies on and exacerbates neo-colonial and patriarchal relations. To tame dissent to these contradictions, the Bolivian and self-proclaimed "indigenist state" defines and politicizes ethnicity in order to build a national identity based on indigeneity. This state-led ethnic inclusion, however, simultaneously produces class exclusions of indigenous campesinxs (peasants) who are not fully engaged in market relations. In contrast to the government's inclusive but rigidly-defined indigeneity, indigenous communities embrace a fluid and dual indigeneity: one that is connected to territories, yet also independent from them; a rooted indigeneity based on the praxis of what it means to be indigenous. Indigenous women and their communities embrace this fluid and rooted indigeneity to build alliances across gender, ethnic, and geographic lines to organize against neo-extractivism. Moreover, the daily responsibilities of social reproduction within the context of subsistence agriculture, which are embedded in Andean epistemes of reciprocity, duality, and complementarity, have allowed indigenous women to build solidarity networks that keep the social fabric within, and between, communities alive. These solidarity networks are sites of everyday resistances that represent a threat and an alternative to capitalist, colonial and patriarchal mandates.

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As educational leaders navigate change initiatives inherent in implementing Common Core academic standards and the Local Control Funding Formula, a focus on research-based practices through which leaders mediate policy and create and support environments in which teachers trust the principal, colleagues, and clients may contribute to academic achievement. The purpose of this study was to analyze the relationship between teacher trust in the principal, in colleagues, and in the students and parents who are their clients, and academic achievement. Specifically, the association between teacher trust and the difference in achievement between students of Latino and White ethnicities in California schools was investigated. The school percentage of students proficient or advanced on the 2013 California Standards Test in English Language Arts and standardized scores from the Omnibus Trust Scale constituted the data sources for this research. Multiple regressions were the primary statistical tests used to analyze the data. The results showed a statistically significant relationship between school disadvantaged economic status and achievement as well as a statistically significant relationship between school disadvantaged economic status and teacher trust in clients. After controlling for disadvantaged economic status, investigation of the relationship between teacher trust and achievement revealed a statistically significant association between teacher trust in the principal, in colleagues, and in clients and school academic achievement. When examining the relationship between teacher trust and the difference in achievement between students of Latino and White ethnicities, no statistical significance was detected. Additional research on the difference in achievement between students of Latino and White ethnicities, using measures of teacher trust as predictor variables with a larger sample, is recommend.

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