use the system that they have in Alaska. they don’t have reservation instead they have corporations with tribe members holding stock in the corporation and the corporation owns the land. it works a lot better then the reservation system in the lower 48
If only Trump had the time, the info and advice to make it happen, the best hospitals are the Native Hospitals in Alaska, i had the misfortune to be stuck in what was supposed to be the best in Anchorage two years ago for six days, terrible condition, nasty nurses, dirty room. Providence, the place where “over my dead body” won’t work.
Alaska tribes for the most part are pretty well off in Alaska.