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According to 2003 [[United States Census Bureau]] estimates, a little over one third of the 2,786,652 Native Americans in the United States live in three states: [[California]] at 413,382, [[Arizona]] at 294,137 and [[Oklahoma]] at 279,559.
As of 2000, the largest tribes in the U.S. by population were [[Cherokee]], [[Navajo Nation|Navajo]], [[Choctaw]], [[
In addition, there are a number of tribes that are [[List of State Recognized American Indian Tribal Entities|recognized by individual states]], but not by the federal government. The rights and benefits associated with state recognition vary from state to state.
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Military defeat, cultural pressure, confinement on reservations, forced cultural assimilation, outlawing of native languages and culture, termination policies of the 1950s and 1960s and [[Indian Reorganization Act|earlier]], as well as [[Indian slavery|slavery]] have had deleterious effects on Native Americans' mental and physical health. Contemporary health problems include [[poverty]], [[alcoholism]], [[heart disease]], [[diabetes]], and [[New World Syndrome]].
As recently as the 1970s, the [[Bureau of Indian Affairs]] was still actively pursuing a policy of "assimilation"
In the state of [[Virginia]], Native Americans face a unique problem. Virginia has no federally recognized tribes, largely due to [[Walter Ashby Plecker]]. In 1912, Plecker became the first registrar of the state's Bureau of Vital Statistics, serving until 1946. Plecker believed that the state's Native Americans had been "mongrelized" with its [[African American]] population. A law passed by the state's General Assembly recognized only two races, "white" and "colored". Plecker pressured local governments into reclassifying all Native Americans in the state as "colored", leading to the destruction of records on the state's Native American community.
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