In reply to @sueinmn…I really have no concrete ideas. However, our tribal and local community offer loan forgiveness for doctors who work here for two years. I think this serves as an incentive to increase the possibility of retaining medical personnel, but it doesn’t happen. I asked a neurologist once (we presently don’t have any here) her reasons for leaving and she stated there was no community here for her (meaning cultural diversity-other than Caucasian and American Indian) and it’s so small that there isn’t local shopping for cultural foods or much to do, in general. We are geographically so very far away for most people of various cultures to find comraderie and our weather is extremely harsh. Also, although many people may disagree with me; I moved to this community a very long time ago and I am still considered an “outsider” because I wasn’t born here. The medical personnel who do stay are very committed to their work.