The Aberdeen area is the reservation land in North and South Dakota as well as Iowa and Nebraska. Not only are these people getting a lower standard of care compared to the other reservations, they are getting a significantly lower quality of life compared to the average American Citizen. The IHS or Indian Health Service only has “a population of 18,000 people, this hospital has only 45 beds and 16 physicians” (“Disparities in Rural Healthcare as Seen on the Pine Ridge Native American Reservation – Contemporary Concerns in Medicine”). The University of Notre Dame Journal of Contemporary Medicine is overseen by the university administration and reviewed within the university by specialists to answer and report on current medicine and advancements within the United States. The university looked into the health disparities on the Pine Ridge reservation and found that some of the health issues that are seen on the reservation can be attributed to the lack of access to healthcare facilities. The Census Bureau also supports that the ability to access and afford medicine is a major challenge faced on the reservation as “those without healthcare are 38.3% us average 8.0%”