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# Public health in the USA
SOURCE: [How the Bad Blood Started](https://www.nytimes.com/2019/09/13/podcasts/1619-slavery-healthcare.html?action=click&module=audio-series-bar&pgtype=Article&region=header), episode 4, *1619*, *New York Times* podcast. Hosted by Nikole Hannah-Jones. September 13th, 2019.
SOURCE: (AUDIO) (EN) [How the Bad Blood Started](https://www.nytimes.com/2019/09/13/podcasts/1619-slavery-healthcare.html?action=click&module=audio-series-bar&pgtype=Article&region=header), episode 4, *1619*, *New York Times* podcast. Hosted by Nikole Hannah-Jones. September 13th, 2019.
We begin this story in the fall of 1866, with a woman named Rebecca Lee Crumpler. Rebecca Lee Crumpler is a young black woman who was born free and raised in Pennsylvania by her aunt. Her aunt was a medicine woman. She used to go from home to home tending to the sick, and Rebecca liked to tag along and to help her. She liked it so much that she went on to become a nurse, and she was so good at being a nurse that she makes the really unusual decision to go on and become a doctor. So she eventually goes to the New England Female Medical College, which is a college that was specifically built to train women in medicine, and thats really extraordinary. Because around the time she graduates, theres about 54,000 doctors in the country, and only 300 of them are women, and only one of those women is black. And that woman is Rebecca Lee Crumpler. And so about a year after she finishes medical school, the Civil War comes to an end, and she makes another unusual decision, which is to completely uproot her life and to head down to the South because four million people have just been released from slavery into freedom. And Crumpler knows that its going to be a huge challenge to help these people assimilate into society and to address their many basic needs, including health care.