The early United States expressed its opposition to Imperialism, at least in a form distinct from its own Manifest Destiny, through policies such as the Monroe Doctrine. However, beginning in the late 19th and early 20th century, policies such as Theodore Roosevelt’s interventionism in Central America and Woodrow Wilson’s mission to "make the world safe for democracy" changed all this. They were often backed by military force, but were more often affected from behind the scenes. This is consistent with the general notion of hegemony and imperium of historical empires. In 1898, Americans who opposed imperialism created the Anti-Imperialist League to oppose the US annexation of the Philippines and Cuba. One year later, a war erupted in the Philippines causing business, labor and government leaders in the US to condemn America's occupation in the Philippines as they also denounced them for causing the deaths of many Filipinos. American foreign policy was denounced as a "racket" by Smedley Butler, an American general. He said, "Looking back on it, I might have given Al Capone a few hints. The best he could do was to operate his racket in three districts. I operated on three continents".