Mike Johanns actually said...

The system isn't working. We really do have, in many cases, 20, 30 or longer years in which tribes file petitions and never quite get an ans...

We want to make that a priority in our Indian health care considerations.

I will be very honest, I am not sure why people bother with it. Because it has to be so impossibly cumbersome.

It is just an enormously serious health condition, as you know.