Kristi Noem actually said...

One of the tenets of the American dream is that no matter what your circumstances are, if you work hard here in America, that you can succeed.

Noem emphasizes the importance of hard work for success in America.

06/24/2015

More Kristi Noem Quotes

Well, what created the situation was CMS coming in and saying they would no longer reimburse for services provided in that emergency departm...

For 7 months the emergency department has been closed.

My tribes will tell you that they feel as though no consultation happens and that virtually they are left out of the decisionmaking process.

they are doing it as charity care, sure, they would like to get something.