The first indigenous group encountered by Columbus, the 250,000 Taínos of Hispaniola , represented the dominant culture in the Greater Antilles and the Bahamas. Within thirty years about 70% of the Taínos had died.  They had no immunity to European diseases, so outbreaks of measles and smallpox ravaged their population.  Increasing punishment of the Taínos for revolting against forced labour, despite measures put in place by the encomienda , which included religious education and protection from warring tribes,  eventually led to the last great Taíno rebellion (1511–1529).
Britain´s NHS has long been considered a gold standard for operating cost control yet today its finances are in serious trouble. The vast majority of hospitals run deficits and the majority of those run deficits exceeding £50m annually. Junior hospital doctors have been on strike five times this year and during their most recent strike made history by withholding emergency services. General Practitioners are reportedly also fed up with their increased work loads and declining earnings. Waits for procedures of up to 18 weeks are normal. The NHS typically depletes its annual funding for dental care by the early fall.