Many Native Americans who live on reservations deal with the federal government through two agencies: the Bureau of Indian Affairs and the Indian Health Service.
Some Indian reservations offer a quality of life that is among the poorest to be found in the United States. Life qualities in reservations are sometimes so poor that they're easily comparable to the quality of life in the developing world. Shannon County, South Dakota, home of the Pine Ridge Indian Reservation, is routinely described as one of the poorest counties in the nation.
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As a UK resident,I'm astonished that these segregation ghettoes still exist.
The South African Bantustans have been got rid of long ago, as have the racial bars on non-white Americans of other ethnicities.