Because anyone could’ve said they were a doctor and no one had any idea of knowing if they were telling the truth or not. Also because doctors were still learning about medicines and surgeries.
The best answer for this question would be:
People in large cities and rural villages had different opinions of how people should choose marriage partners.
In the excerpt it is easily determined that people have different opinions about marriages. In tribes, they have a more traditional perspective into marriage.
The bill of rights was created to establish the basic civil liberties of the people "we the pople " and that was accomplished with the 10 amendments which are called "the bill of rights" they are related to the basic civil liberties found in the preamble as bestowed upon us by our creator.
The answer to this problem would be a