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Diseases such as smallpox brought by Europeans into the New world via Columbian exchange in the period 1450-1750 killed 90% of Native Americans near/away settlements. Native Americans weren't as used to smallpox as the Europeans and also didn't have the knowledge or tech to develop a cure for smallpox.
The result of this benefited colonizing Europeans by making land easier to take for settlement.European settlements thrived while native Americans greatly declined. This also enabled Europeans to exploit the land/resources, establish law, and gain control over the native population.
What if the Native Americans had experience with Smallpox before the European settlements arrived? The native Americans would've learned signs of the disease, and methods to prevent the disease from spreading. This would've not killed over half the population, meaning the Natives would've had a better fighting chance against the Europeans taking their land.
Native Americans would be organized into more advanced tribes, following a hierarchy. Elders would be the leaders, and be most respected in the tribe. A patriarchal society wouldn't be enforced, and women would have equal rights to men.
Culturally, Native Americans would be polytheistic or have beliefs in animism. Natives would be "in touch" with nature.
Native Americans would respect the land by not exploiting the natural resources to better the economy. Natives would"live off the land" and not over-hunt. Farming and agriculture would be ways tribes can produce food to trade with each other.
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