The Matsunaga Vietnam Veterans Project, one of the largest surveys of Native American Vietnam Veterans found that one third of these veterans lived with full or partial PTSD at the time of the study, more than 25 years after the war, a prevalence more than twice as high as that of white or Japanese American Vietnam veterans. The project also documented the social isolation experienced by many Native veterans. Untangling these patterns can be difficult: is the high rate of isolation reported by Native veterans related to culture or the fact that many live in rural areas?