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Molin Malicay, director of the Sonoma County Indian Health Project in Santa Rosa, Calif., says there's much confusion in PPACA "pamphlets and videos about who is Indian." (AP Photo/Eric Risberg)

SAN FRANCISCO — When Liz DeRouen needs any kind of health care services, from diabetes counseling to a dental cleaning, she checks into a government-funded clinic in Northern California’s wine country that covers all her medical needs.

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