In rural Washington, hospitals are faltering, stores can’t get supplies and people are staying closer to each other than you’d think
hospitals) based on what they billed last year. These are not grants, however, but loans against future earnings. Some rural hospitals are grabbing for this lifeline. Others view it warily, fearful of incurring debts they can’t repay.
A little south of the Canadian border, the Lummi Nation, with 20 confirmed Covid-19 cases, has installed a 21-bed care center next to its clinic to absorb any overflow from the nearest hospital, in Bellingham. Thinking ahead, the Lummi stocked up on medical and safety supplies in January and declared an emergency on March 3, 10 days before Trump did. The smaller Suquamish Tribe, which lacked a clinic, is now building one.
The tribes along more densely inhabited Puget Sound, especially those with intermingled “checkerboard” territories, don’t have the option—another big source of concern. The Tulalip Tribes abut the blue-collar town of Marysville in Snohomish County, where America’s first Covid-19 case appeared. They have 10 active cases, with two more suspected and 12 test results pending, but until a few days were able to obtain only 50 test kits at a time.
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