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—Dr Prager's response to my Editorial on hypothermia deaths and pedestrian motor vehicle accidents among American Indians in the Southwest highlights some important issues. He states that we need "bold-thinking Native Americans [the preferred term is American Indians among many American Indians and American Indian scholars] who can deal with the root causes of alcoholism by finding ways to strengthen their own traditional and rich cultures while incorporating what they feel is the best of all American civilization." Prager may be interested to know that many tribes and tribal members have been doing this for years and continue to strengthen their culture through tribal sovereignty. In fact, the Cheyenne River Sioux Tribe where Prager briefly worked has been very aggressive in its efforts to gain greater control and regulation over the sale and distribution of alcohol.The Cheyenne River Indian Reservation demonstrates that the exercise of tribal sovereignty
Lujan CC. Alcohol and the Future of Native Americans-Reply. JAMA. 1993;269(4):471-472. doi:10.1001/jama.1993.03500040037016