This past October, sick with the flu, Shirley Crane went to the Indian Health Service clinic in Lower Brule to see whether she might have H1N1. No lab technicians were available to test her. On poor, rural reservations such as Lower Brule, the lack of doctors, physician's assistants, nurses, dentists - even lab technicians - is a constant irritant, Crane, Lower Brule's community health director, said.
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