From the beginning of the Covid-19 vaccination campaign in the United States, the non-Hispanic American Indian and Alaska Native (AI/AN) population has continuously had the highest first-dose and full vaccination rates of any racial or ethnic group.1 This trend is especially important given that AI/AN communities have been disproportionately affected by Covid-19 and by ongoing discrimination throughout the health care system.2,3 But since the early days of the pandemic, AI/AN communities have wo...