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It's not just the chips are down, but the tips are down in Las Vegas.

I'm David Brancaccio. First, day 10 of the partial government shutdown here, there's news some

employees told not to show up at the Labor Department are being called back without pay for

now so they can do the September

inflation report, and that is so that the yearly adjustment in Social Security payments can

happen. It's not clear when we'll actually get that consumer price index. And another shutdown

effect federal programs for tribal communities. These are part of the government's treaty and

trust responsibility for services

in Indian country in exchange for land and resources. Marketplaces Savannah Peters has that.

Since the shutdown began, Liz Malurba with United South and Eastern Tribes has been fielding calls

from tribal clinic directors who are running into roadblocks billing Medicare for their

patient's telehealth visits. Telehealth is very important for our elders and especially for

ultra-rural tribal communities. Malurba says some tribes have the resources to float those costs and

hope for reimbursement.

Others are suspending services.

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