How did john winthrop's "city upon a hill" demonstrate puritan beliefs?

Puritans believed that they were the people appointed by God to work as a guide to others and that every nation existed etc. John Winthrop (the Puritan leader) felt that the puritan livings of holy lifestyle and doing righteous works would purify the Anglican church. Moreover, the pioneers of the Massachusetts Bay Colony would be throwing off all the evil and past wrongdoings of Europe.

He used the phrase "city upon a hill" to explain the fact that the colony was founded with a declared mission of creating the world a signatory to the settlers' sincerity.

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.