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A heart attack in 1946 forced Minoka-Hill into semi-retirement, though she continued her “kitchen clinic”. She also set up a boarding school to help poor Native American children. In 1934, at the age of 54, she obtained a license from the state to become a fully recognized medical practitioner, in order to admit patients to the local hospital. Her application fee was paid by local doctors, who strongly supported her work. In her later years, she was recognized by the University of Wisconsin College of Agriculture, the State Medical Society of Wisconsin, the American Medical Association, the Indian Council Fire of Chicago, and the Oneida Nation for her contributions to the health of the people in Oneida. She was able to attend the American Medical Convention in Atlantic City, New Jersey for her recognition. She continued to practice medical services as best as she could, with her health in consideration, until her death in Fond du Lac, Wisconsin on March 18, 1952.

copied from Lillie Rosa Minoka-HillIn 1905 Charles Hill proposed to her, asking her to join him in Oneida, Wisconsin on his tribal reservation. She knew that life would be difficult in the rural area, but she agreed. Charles wanted a farmer's wife, though she wanted to stay active in her medical practice. They compromised and she became the sole physician in Oneida while also maintaining the house and children. They had six children together, three boys and three girls. According to her children, much of her early life was not disclosed to them. Josephine Hill Cote was one of her youngest daughters, who was also a twin.

In 1916, Charles died of a sudden attack of appendicitis; their twins were only five months old. The farm and livestock were mortgaged, and Minoka-Hill had to manage the debt. When Charles Hill died in 1916, Minoka-Hill had six children, ranging in age from 5 months to 9 years, and a mortgaged farm with no running water or electricity. Although she could have returned to Philadelphia and received assistance from her family, she remained in Wisconsin as she saw helping Indians as her calling. In 1918, their children contracted influenza during the international epidemic, but all survived. In 1922 their daughter Rosa Melissa Hill died from typhoid fever. She saw the majority of her patients after her husband passed away.

copied from Lillie Rosa Minoka-Hill