 Chairman John St. Clair of the tribe's business council says those plans got held up by the pandemic, which was also a stark reminder of why the tribe wanted control of the clinic to begin with. We had run into problems. Problems rolling out COVID-19 testing and vaccines, hiring and retaining health care workers, and getting sick tribal members the care they needed. The biggest obstacle was Indian Health Service. The IHS didn't respond to a request for comment about that.