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

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Bernadette is diabetic, as are two aunts and both grandparents on her mother's side of the family and two aunts and several cousins on her father's side. Bernadette is an assistant in the Health and Human Services office, where her cousin Lisa is the director.

According to a fact sheet generated by the office of Health and Human Services, factors that affect the health of Oglala Sioux Tribe are smoking, obesity and poor nutrition, substance abuse, sedentary lifestyle, and disparity in health care, meaning they have lower health care status and limited access to specialized health care providers.