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Native American tribes are turning their backs on government medical care to keep their communities from receiving inadequate treatment, but are quickly finding out it's a costly feat, the New York Times reports.

Why it matters: Some of the 24 hospitals overseen by the Indian Health Service are systemically failing, with one in the Great Plains responsible for patients' deaths and misdiagnoses, according to several federal investigations.

  • These groups that largely rely on Indian Health Service hospitals have death rates for preventable diseases 3 to 5 times higher than other races.

Millions of dollars are needed long-term for tribes to achieve better health care, and some regions are finding their casino money won't cut it. Leaders hope applying federal grants and more money from Medicaid and Medicare may help.

Still, a takeover of the Sioux San hospital’s operations by 18 tribal communities led to upgraded equipment, more qualified health care workers and the ability to reopen a disqualified inpatient hospital and ER.

Go deeper: Warren presents 2020 plan to protect tribal lands, support Native Americans

Go deeper

U.S. ambassador to Russia will return home briefly: State Department

John Sullivan, U.S. Ambassador to Russia, during a briefing in Moscow in 2015. Photo: Anton Novoderezhkin/TASS via Getty Images

The State Department said Monday that the U.S. ambassador to Russia, John Sullivan, will now be returning to the United States this week before returning to Moscow "in the coming weeks."

Why this matters: The statement, from a State Department spokesperson, comes just hours after Axios reported that Sullivan had indicated he intended to stand his ground and stay in Russia after the Kremlin “advised” him to return home to talk with his team.

Scoop: Leaked Ukraine memo reveals scope of Russia's aggression

Russian President Vladimir Putin visits a military exposition in Sevastopol, Crimea, in Jan. 2020. Photo: Mikhail Svetlov/Getty Images

Russia has been holding last-minute military exercises near commercial shipping lanes in the Black Sea that threaten to strangle Ukraine's economy, according to an internal document from Ukraine's ministry of defense reviewed by Axios.

Why it matters: With the eyes of the world on the massive buildup of troops in eastern Ukraine, the leaked memo shows Russian forces escalating their presence on all sides of the Ukrainian border.

Elon Musk: Autopilot feature wasn't enabled in fatal Texas crash

Photo: Patrick T. Fallon/Bloomberg via Getty Images

Tesla CEO Elon Musk tweeted on Monday that "data logs recovered so far" show the car's Autopilot feature was not enabled — and it did not have access to "full self-driving mode" — in the deadly crash in Texas involving the company's electric vehicle.

Background: Local investigators said they believed the car was operating without anyone in the driver's seat. At the time of death, one man was in the passenger seat, while another was in the rear seat, KPRC 2 reports.