What were the two most important consequences of american imperialiam?

The late nineteenth century was known as the “Age of Imperialism,” a time when the United States and other major world powers rapidly expanded their ... One of the most notable instances of American imperialism was the annexation of Hawaii in 1898, which allowed the United States to gain possession and control of all

Do you have more info about it ? i doubt this is the answer because i don't have all the information but if trouble was brewing in a clinic maybe it was an argument as to which clinic was better or smth of that nature