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Ketcham to Commissioner of Indian Affairs, June 1918, in United States, Department of the Interior, Reports of the Department of the Interior for the Fiscal Year Ended June 30, 1918, vol. 2 (Washington: Government Printing Office, 1919), 413, NADP Document D147.
[Page 413]

GRAND RONDE AND SILETZ.

      The Grand Ronde School is under the jurisdiction of the superintendent of the Siletz Reservation, Oreg. The Government farmer, who is a member of the tribe, is the sole representative of the Indian Office at this place. Practically all that he has to do is give out aid to several old, dependent Indians. The best of order prevails here, so that no supervision is needed.
      If the rank and file of the population are considered, Grand Ronde is the most thoroughly civilized Indian jurisdiction I ever have visited. Its one need is proper medical attention, and I would suggest that the Indian Office make an arrangement for a contract physician for this place. The distance of the Indians from a qualified physician renders it practically impossible for them to afford the services of a doctor in cases of emergency. As a consequence they are at the mercy of a Chinese, who practices his arts according to the manner in vogue in the Celestial Kingdom. Siletz has a resident physician, and conditions there are quite similar to those at Grand Ronde.