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The American Medical Association institutionalizes racial segregation through "state's rights."

Date: 1874

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The American Medical Association (AMA) allows state and local societies to determine whether or not Black people can be included in their local medical societies, thereby adopting a system of governance that allows each state to determine their own bylaws regarding segregation. When pressured, the AMA refuses to take a stance on racial segregation, leaving it up to state's rights.