Reservations do not = ghetto, there just happens to be more wealthy tribes than others because not all have the "casino" to draw from. And the majority of tribes have actually been expanding into other long term ventures like utlities plants to communications and manufacturing. Unfortunately the "reservations" typically seen on TV and portrayed in Hollywood, are the dustbowl type with one general store and 16 taverns (these do exist more than they need to but all reservations are not like that.). The alcoholism rate is still seemingly high though, mostly due to the fact that the native population is much less than others, so it "seems" to be running far more rampant than it is. The Native alcoholism rate is actually not really much higher than it is for any other race. Natives just have the very true stigma attached to them from the time alcohol was actually introduced to them.