Seeking care in South Dakota

Published 7:47 AM ET, Fri April 15, 2016
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Inyan Pedersen, 34, holds her newborn daughter Sincere. Two of Inyan's younger children were born on a scheduled Cesarian, because the closest birthing center is two hours away. Misha Friedman/For KHN and NPR
In January of this year, Cody Pedersen was stabbed in the neck. It took the ambulance over two hours to arrive and Cody considers himself very lucky to survive. Misha Friedman/For KHN and NPR
Edie Hoff an Urban Indian Health clinic nurse, drives from Sioux Falls to Wagner where the nearest IHS-run clinic is located. She picks up free medicine for Native Americans who are still registered as residence of that reservation but live in Sioux Falls. Urban Indian Health clinic cannot dispense medication, and can only issue prescriptions to be bought in a pharmacy. Whereas Native Americans are entitled to free medication. Edie is a Blackfoot and is originally from Montana. Misha Friedman/For KHN and NPR
Joe Marrowbone, 34, originally from Cherry Creek in Cheyenne River Sioux Indian Reservation, now lives in Sioux Falls and is a registered patient with Urban Indian Health. Misha Friedman/For KHN and NPR
Joe and his family at their home in Sioux Falls. Misha Friedman/For KHN and NPR
Jami Larson, 32, is a member of Lower Brule Sioux Tribe. She is a RN and specializes in diabetes among Native Americans in Pierre, South Dakota. She goes food shopping with her diabetic patients to better explain how food labels work and which types of food to avoid. Misha Friedman/For KHN and NPR
Larson examines Allen Marshall, 67, a home-bound patient with diabetes in Pierre, South Dakota. Misha Friedman/For KHN and NPR
Robin, 50, is from Rosebud Indian Reservation. She works as a cleaner in Pierre and suffers from diabetes. Misha Friedman/For KHN and NPR
Robin is on strong pain medications. She listens to Larson explain how to organize her diet. Misha Friedman/For KHN and NPR