"Our tribal health leaders are facing hugely difficult decisions"
Native people in America are facing the same situation the rest of the country finds itself in - but with a few significant differences.
Testing supplies and personal protection equipment are in short supply, as they are everywhere else, but among Native people, there is a disproportionate level of infectious disease, with 1 to 3 times the mortality of the overall population.
There is a higher level of lung disease and diabetes, many Native communities lack safe water and a quarter of the people are uninsured.
But despite those challenges, including an Indian Health Service that funds clinics at less than half the amount per patient than the national average, some tribes have emerged with a lot to teach about preparedness and taking care of community.