Hopes Cautiously Pinned on Redevelopment

The reservation is one of the poorest counties in the country. Locals look to the new health center as a chance to revive the economy.

"They come to witness the rising of a health center triple the size of the one it will replace: a tired building whose very bricks, mortared in place long ago by the Army Corps of Engineers, recall displacement and loss. The site will also include dozens of houses to accommodate all the nurses and doctors the reservation expects — or hopes — will come."