Revision with unchanged content. This book examines problems of miscommunication between Native Americans and non-Natives in health care facilities on Montana Reservations. By exploring verbal and nonverbal sociolinguistic disparities through personal interviews, the “objectifying” discourse of Western biomedicine is shown to be taken for granted and to often impede doctors’ abilities to effectively communicate with Native patients. Since the doctor-patient relationship is contextualized by problematics of social differences, it is important to focus on the personal and social effects of intercultural linguistic miscommunications. Given the recent emphasis on training doctors to be more proficient in communicating, it is critical to determine whether these strategies are relevant to Native American settings. Differences in the legitimated linguistic abilities and etiquettes that people possess shape ongoing negotiations of high stakes health situations that are assessed in order to determine how these differences can be bridged. This book is addressed to professionals and scholars in Native American Studies, minority health care, doctor-patient relations, sociolinguistics, and cross-cultural communications.