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President Franklin D. Roosevelt started what is now known as the  welfare program in the United States. It was created in response to  the Great Depression.
Headed by Maj. Gen. Oliver O. Howard, the Freedmenâs Bureau might be termed the first federal welfare agency. Despite handicaps of inadequate funds and poorly trained personnel, the bureau built hospitals for, and gave direct medical assistance to, more than 1,000,000 freedmen.