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Native reservations have treaties with the government giving them tribal sovereignty

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[52] According to Kunitz study on alcoholism in Native American populations, reasons for the prevalence of alcoholism and alcohol consumption on reservations is attributable to "access to alcohol became much easier, and patterns of drinking that had not been particularly problematic in the past began to have measurable consequences in respect of morbidity and mortality." [51] Such consumption and addiction is especially prevalent on reservations