In 1865, Emancipation releases Southern whites from the responsibility of providing (limited) health care to Black people. Beginning on March 3, 1865, the federal government becomes involved in healthcare with the passage of the Freedmen's Bureau legislation.
The Freedmen's Bureau operates 90 health care facilities throughout the South until its funding expires, leading to the closure of many of these facilities. This creates dependency on the state for healthcare and weakens communally-led infrastructures of caring.