Michael A Shapiro Photography / Pine Ridge: Health Care On the Reservation:

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JJ's mother, Melvina, seems an archtypical matriarch, as she stands outside the hospital with Angie and Melissa, who is calling into her new job saying she won't be able to come in because she has to accompany JJ to another hospital to get an MRI, which they cannot do in the new hospital on the reservation.

The hospital personnel don't offer to communicate with family members., nor do they pay attention to the needs of the patients. They sent one man on crutches across the street to fill out paper work, but he couldn't walk, so Melvina offered him a ride.