Joanne is a 40 year old, very traditional, modest woman. She was never married and has no children. She lives alone. She has a high school education and lives on the reservation. She has a healthy traditional lifestyle and no major health problems. She is an assertive communicator when she decides she is ready to say something. She provides child care services to her neighbors out of her home. She is also talented beader and she obtains some income by selling her beadwork during community social events and occasionally at a booth next to the highway. She was diagnosed stage 2 breast cancer. Her health care is through Indian Health Services, but she also has “catastrophic” health insurance. There is no water or power to home; She does not have a phone. She does have an old truck (1980) for transportation. She lives 70 miles from cancer center.