The hearing "followed on a Republican-led staff investigation begun last summer amid new complaints from tribal members," Rogers writes. Chairman John Barrasso (R-Wyo.), a surgeon, said, “What we found is simply horrifying and unacceptable. In my view the information provided to this committee and witnessed first-hand can be summed up in one word: malpractice.” (U.S. Health and Human Services Department map)
Another problem is that the tribes in the rural, isolated Great Plains "are among the poorest in the nation and so more vulnerable to health problems," making it hard to attract medical professionals to the area, Rogers writes.