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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

Texas AG sues Biden administration over deportation freeze

Texas Attorney General Ken Paxton speaks to members of the media in 2016. Photo: Alex Wong/Getty Images

Texas Attorney General Ken Paxton is suing the Biden administration in federal district court over its 100-day freeze on deporting unauthorized immigrants, and he's asking for a temporary restraining order.

Between the lines: The freeze went into effect Friday, temporarily halting most immigration enforcement in the U.S. In the lawsuit, Paxton claims the move "violates the U.S. Constitution, federal immigration and administrative law, and a contractual agreement between Texas" and the Department of Homeland Security.

Dan Primack, author of Pro Rata
1 hour ago - Podcasts

Carbon Health's CEO on unsticking the vaccine bottleneck

President Biden has said that getting Americans vaccinated for COVID-19 is his administration’s top priority given an initial rollout plagued by organizational, logistical and technical glitches.

Axios Re:Cap digs into the bottlenecks and how to unclog them with Carbon Health chief executive Eren Bali, whose company recently began helping to manage vaccinations in Los Angeles.