And that's also true. One thing about the reservations that I notice.......I work enforcement on the T.O. rez, and the spouse is an ambo paramedic on the GR rez.......is that there is next to no middle class. There truly are the tribal government indians who are the rich, and then there are the rest of the indians on the same rez who are mostly poor. Unfortunately, the tribal big wigs keep the poor down, by still blaming everything on the white man to this day, keeping a victim culture going, as opposed to giving any kind of motivation to their people to actually do the "self determination" that they always talk about. Also, they embezzle and engage in fraudulent schemes with money, additionally to keep themselves rich, while keeping their own people poor. You want a job on the GR rez, there's an indoctrination program to brainwash all as to how every tribal problem is because of the white man still, and racism against whites is what comes out of that, along with class warfare between the two major classes. EMS-wise, the main calls that come out, are ODs, drunk/disorderly, domestic violence, diabetic emergency, MVAs with DUI ETOH/drugs, and your regulars who think that an ambulance is their personal urgent care or personal pharmacy.