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However, with the new termination policy, most of them were rendered ineligible, and were left with no access to hospitals, clinics or health care in general. The health of Native Americans dropped far below that of white Americans.
His covert agenda was to protect the financial investment that the American Board had made in the mission buildings that they had established in the southeast. The impact of removal on native populations has led to some debate in terms of demographics. The extent of the loss of life among migrants has an impact on the ability of people to maintain community structures such as clan and kin relationships.