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United States Public Health Service

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The Affordable Care Act is stirring up confusion and anger among the patients who visit a Los Angeles clinic dedicated to serving urban-based Native Americans. That's because President Barack Obama's reform has raised a painful question: which tribes get free health care and which have to pay?

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The construction of a dam near an Indian reservation on the Missouri River forced residents to less fertile land and put an end to their farming habits. Since then, American Indians have experienced a lack of nutrition, leading to diabetes, hypertension and obesity.

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Anne Schuchat is assistant U.S. surgeon-general and the director of CDC's National Center for Immunization and Respiratory Diseases and has spent over 18 years at CDC working in immunization, respiratory, and other infectious diseases.

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