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The indian health service (ihs), an agency within the department of health and human services, is responsible for providing federal health services to american indians and alaska natives the provision of health services to members of federally-recognized tribes grew out of the special government-to-government relationship between the federal. American literature, 1865-1914 the transformation of a nation the civil war major industries were consolidated into monopolies regional writing another expression of the realist impulse.
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