The claim that the United States handed out smallpox blankets to exterminate Native Americans is narrower in fact and more damning in substance. The one documented deliberate case was British, at Fort Pitt in 1763, and the 1837 claim does not survive the evidence. The government's well-documented weapons were massacres, engineered starvation and the destruction of the buffalo.
Intent at Fort Pitt is documented, but whether the blankets transmitted smallpox is contested. Current scholarship does not support deliberate spreading in 1837, massacre tolls are given as ranges, and historians debate how far the buffalo slaughter was formal policy versus encouraged commercial hunting.