In the 1800s, factories hired more women and children than they had in the past because factory owners wanted to entire families earn a better living. most male laborers had left the cities to move to rural areas. machines could now do the heavy labor formerly done by men. most men stopped working in factories to labor on farms.

health care plans in the united states having high costs because they are focusing on providing quality programs for different groups of individuals. the quality of the service is based on money flow received from the members. without this investment, couldn't be possible a constant scientific searching to prevent death and illness caused because of low levels of health investigation. currently, the complaints are not about the highest cost, but about the coverage and benefits to access the necessary health services required by the members.  

besides, if a global health system is established the quality levels will fall down because of the standardized of the health. the access to care will increase but the quality will be low because it depends on the money invested.