Nia Tagoai, a patient scheduler at a clinic offering health care and other services operated by the Seattle Indian Health Board, works at her desk Friday, Jan. 11, 2019, in Seattle.   Fallout from the federal government shutdown is hurting hundreds of Native American tribes and entities that serve them. The pain is especially deep in tribal communities with high rates of poverty and unemployment, and where one person often supports an extended family.  (AP Photo/Ted S. Warren) ORG XMIT: WATW205