How did mass culture signify a change in american life?
a. the new middle-class strove to create a completely independent identity.
b. americans became more alike in their purchasing.
c. a class of trendsetters emerged from the middle class.
d. rich and poor people used the exact same goods.

according to the quotation from booker t. washington's 1895 atlanta compromise speech.

in the great leap from slavery to freedom . . the masses of us are to live by the production of our hands . . we shall prosper . . as we learn to dignify and glorify common labor.

washington believed that  hard work had its own kind of dignity.

explanation:

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when people started to question traditional christian beliefs, they became criminals in the eyes of the church: they were accused of heresy and then, executed. the church held unbelievable power and anyone who tried to defy it or its beliefs, was demonized and persecuted.

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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.