I've known several doctors (and teachers)  who have gone to reserves to work for native health care, . and every one of them gave up in exasperation and disgust . One was driven off the reserve and had to grab the first helicopter out of town. We are only getting 10% of the story, the demand for more money. We never get the full story of substance abuse, violence,  and corruption on the reserves,  the real things doctors have to deal with once there.