She spent the rest of her life deeply connected to Omaha medical and political concerns.

That is the real reversal.

The education system expected Native students to be transformed by white institutions.

Susan transformed an institution of her own.

The medical system had once failed to send a doctor.

Susan became the doctor.

Then she built the hospital.

The federal government claimed to be managing Native welfare.

Susan created care without waiting for federal action.

The child who learned that an Omaha patient could be treated as unimportant became a physician whose hospital treated both Omaha and white patients.