Well that would be a democracy run by Jackson. Correct? And I think that would cause an imbalance in power.
The Europeans in the Caribbean felt the need to bring in enslaved Africans as laborers because the native American Indian workers had become physically weak due to diseases and the Caribbean plantations were in requirement of stronger labor force. The Africans by birth were very strong and they as slaves would perfectly suit the needs of the Caribbean plantations.
It would be "Doctors Without Borders" that functions to provide clinics and surgeries in developing nations, although it should be noted that other organizations such as the International Red Cross help fund these efforts.
