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This Monday, June 26, 2017, photo, shows a sign outside of the detention center in San Carlos, Ariz. Some tribal health care and corrections workers have raised concerns that a patchwork approach to providing health care within scores of jails on reservations has resulted in staff determining whether to send an inmate to a hospital, or provide basic care themselves, sometimes with unfortunate consequences. (AP Photo/Mary Hudetz).

This Monday, June 26, 2017, photo, shows a sign outside of the detention center in San Carlos, Ariz. Some tribal health care and corrections workers have raised concerns that a patchwork approach to providing health care within scores of jails on reservations has resulted in staff determining whether to send an inmate to a hospital, or provide basic care themselves, sometimes with unfortunate consequences. (AP Photo/Mary Hudetz).

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