During the 1800s, the united states only became involved with european affairs when they directly affected the country.
a. true
b. false

This is true; this was called the policy of isolationism, that is the belief that it is best for one's country if the government of one's country does not intervene into matters of others.

Do you have more info about it ? i doubt this is the answer because i don't have all the information but if trouble was brewing in a clinic maybe it was an argument as to which clinic was better or smth of that nature