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Out on the Frontier

Rural Enrollment Strategies

Bullhook Community Health Service Area30,000 people – 90,000 Cows9,000 square miles –larger

than the state of New Jersey 2 Tribal Nations

Let us put our minds together and see what life we can make for our children ~Sitting Bull

Independence – Isolation - Infrastructure

I know there is a road here…. somewhere?!

Be Available – Be Adaptable – Be Adventurous

Minus 39 degrees –wind chill -56 below 0 and 10 inches of snow

Make it Personal. It’s about people not politics.