The United States claimed the border lay at the

The United States laid claim to the territory from the Perdido River to the Mississippi River, which the Americans believed had been a part of the old province of Louisiana when the French had agreed to cede it to Spain in 1762.

Explanation:

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.

a variant spelling of the word dote (british)