I’m in northern Alberta, living near some of these places they did this stuff in. I know all about how heavily handed the church was. There was disease rest assured, but there was also a lot of thinning the herd going on. Very much like they are doing to us now.
There was a reservation a few miles away.
The rate of alcoholism, neglect and violence was very high on the reservation.
Much of it seemed coincident with how much money they got from the federal and state governments.
Perhaps not as bad as some urban ghettos, but similar problems.
I had Indian friends tell me the people who could leave the reservations, did, and made their way in the world.