In 1930, Rafael Leónidas Trujillo seized power in the Dominican Republic and introduced a reign of terror. Evangelina’s controversial work brought her into conflict with the new regime. Her radical ideas about healthcare and women's rights, along with her refusal to kowtow to Trujillo, left her increasingly isolated. More and more people distanced themselves from her. Over the years, her mental health deteriorated, and she lost everything she held dear.