The issue I always had with episodes like The Apple is that no one ever discusses that maybe the way of life there was originally chosen by the people. Someone built Vaal.
Very good point. But I doubt that the indigenous people built Vaal and then had their memories somewhat erased. Looks to me like a sophisticated alien race put it there. "The Apple" inevitably appears to be in contrast to statements like these in "The Paradise Syndrome":
MCCOY: Shouldn't we contact them, Jim? Tell them?
KIRK: Tell them what? That an asteroid's coming to smash their world into atoms?
SPOCK: Too primitive to grasp the concept of space flight, Doctor. Our appearance here would only confuse and frighten them.
KIRK: We've got a job to do. Let's get back to the Enterprise.
(Along the path.)
MCCOY: What's the matter, Jim?
KIRK: What? Oh, nothing. It's just so peaceful, uncomplicated. No problems, no command decisions. Just living.
I had always interpreted Spock's comments in "Errand of Mercy" as an excuse when they were about to violate the Prime Directive:
SPOCK: Captain, our information on these people and their culture was not correct. This is not a primitive society making progress toward mechanisation. They are totally stagnant. There is no evidence of any progress as far back as my tricorder can register.
KIRK: That doesn't seem likely.
SPOCK: Nevertheless, it is true. For tens of thousands of years, there has been absolutely no advancement, no significant change in their physical environment. This is a laboratory specimen of an arrested culture.
In simpler language, if the indigenous society wasn't making progress of some kind it was no longer protected by the Prime Directive?

Makes me wonder how this reflects in broader terms on the culture of the Native Americans. Assuming they had been visited by visitors from outer space, would the Prime Directive have been in place or not?
After all we are talking about a TV series of the 1960's and IIRC respect for Native American culture was rather non-existent while progress was a holy and worshipped cow.
Bob
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