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A participant in a talking circle meeting at the Urban Indian Health Institute in Seattle an abalone shell with burning sage in it, Friday, Jan. 11, 2019, during a discussion of the practice of traditional Indian medicine, including blessings and smudging.  Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Annette Squetimkin-Anquoe, a member of the Colville Indian tribe and the Chief Traditional Health Officer at the Urban Indian Health Institute in Seattle, holds a booklet with a cover that reads "Passport to Tradition," Friday, Jan. 11, 2019, during a talking circle meeting to discuss the practice of traditional Indian medicine with employees of the Seattle Indian Health Board.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Annette Squetimkin-Anquoe, right, a member of the Colville Indian tribe and the Chief Traditional Health Officer at the Urban Indian Health Institute in Seattle, passes an abalone shell with burning sage in it, Friday, Jan. 11, 2019, during a talking circle meeting to discuss the practice of traditional Indian medicine, including blessings and smudging, with employees of the Seattle Indian Health Board.  Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family. (AP Photo/Ted S. Warren)
Caitlin Marie-Lieb Keller, left, and Sofia Locklear, right, both employees of the Urban Indian Health Institute in Seattle, have a meeting in front of a white board used for an earlier discussion of the federal government shutdown, Friday, Jan. 11, 2019, in Seattle.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Annette Squetimkin-Anquoe, right, a member of the Colville Indian tribe and the Chief Traditional Health Officer at the Urban Indian Health Institute in Seattle, burns sage in an abalone shell, Friday, Jan. 11, 2019, during a talking circle meeting to discuss the practice of traditional Indian medicine, including blessings and smudging, with employees of the Seattle Indian Health Board.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Nia Tagoai, a patient scheduler at a clinic offering health care and other services operated by the Seattle Indian Health Board, works at her desk Friday, Jan. 11, 2019, in Seattle.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Dr. Alex Kivimaki, left, talks with Dr. Andrea Bachhuber-Beam, as they work at a clinic offering health care and other services operated by the Seattle Indian Health Board, Friday, Jan. 11, 2019, in Seattle.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Artwork fills a wall in a waiting room at a clinic offering health care and other services operated by the Seattle Indian Health Board, Friday, Jan. 11, 2019, in Seattle.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren)
Annette Squetimkin-Anquoe, third from right, a member of the Colville Indian tribe and the Chief Traditional Health Officer at the Urban Indian Health Institute in Seattle, leads a talking circle meeting Friday, Jan. 11, 2019, to discuss the practice of traditional Indian medicine, including blessings and smudging, with employees of the Seattle Indian Health Board.  Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family. (AP Photo/Ted S. Warren)
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