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The US Department of Health and Human Services (HHS) Office of Minority Health (OMH) estimates that in 2016, 22% of AI/ANs lived on reservations or other US Census-defined tribal areas while 60% of AI/ANs lived in metropolitan areas.

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"American Indians as sovereign nations need partners outside of Indian Country. One of the most important aspects of nation building is the careful cultivation of allies."

-Samuel Slater,
Navajo Nation, 2016 Champion for Change