Annette Squetimkin-Anquoe, third from right, a member of the Colville Indian tribe and the Chief Traditional Health Officer at the Urban Indian Health Institute in Seattle, leads a talking circle meeting Friday, Jan. 11, 2019, to discuss the practice of traditional Indian medicine, including blessings and smudging, with employees of the Seattle Indian Health Board. Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family. (AP Photo/Ted S. Warren)
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