How does this image represent 19th century immigration

The researchers believe the late 19th and early 20th century immigrants stimulated growth because they were complementary to the needs of local economies at that time. Low-skilled newcomers were supplied labor for industrialization, and higher-skilled arrivals helped spur innovations in agriculture and manufacturing.

Explanation:

the answer should be monarchy

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.