Indian women are no longer systematically sterilized when they control their own clinics.  I've been to households where the kids can keep secrets from their parents, 'cause the kids can speak the language better.  The growth of native filmmaking, particularly digital, is a huge new feature of reservation life.  On the whole, casinos (despite some abuse as in every culture or business) have turned around reservation life.

Plus everyone gets a cool pickup truck.  (OK, i'm not minimizing the intense problems that still exist on many reservations... unemployment, suicide, alcohol.  But they're gradually diminishing.)  Health care alone  is a huge win.

I've heard a thousand jokes about how the tribes have found a way to stick the needle in the vein of the culture which tried to eliminate them.  

"Life shrinks or expands in proportion to one's courage." - Anaïs Nin