Cody Pedersen and his wife, Inyan, know that in an emergency they will have to wait for help to arrive.
Cody, 29, and his family live in Cherry Creek, a Native American settlement within the Cheyenne River Indian Reservation in north central South Dakota.
The reservation is bigger than Delaware and Rhode Island combined. But Cherry Creek has no general store, no gas station and few jobs.
When Inyan, 34, was preparing to give birth to her two youngest children, doctors scheduled her to have cesarean sections in a hospital rather than having her wait until she was in labor to come in.
In January, Cody was stabbed in the neck. It took an ambulance two hours to arrive.
Photos: Misha Friedman for KHN and NPR