How have population changes affected the Medicaid program?
O
A. Poverty has decreased, so the program costs the government less
to run.
O
B. The population has become more rural, so the program's quality
has declined.
O
C. Poverty has increased, so the program costs the government
more to run
O
D. The population has become more centralized, so the program's
quality has improved.

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explanation:

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after a more than a decade and a half of combating al qaeda (aq) in afghanistan and pakistan,

the united states faces a diverse array of threats from al qaeda affiliates in the middle east and

africa. while senior al qaeda figures reportedly remain based in pakistan, the network includes

a number of affiliates across the middle east and africa including al qaeda in the arabian

peninsula (aqap), al qaeda in the islamic maghreb (aqim), and al shabaab. al qaeda also

retains a small but possibly growing presence in afghanistan. u.s. officials have stated that al

qaeda still maintains a foothold in syria through its ties to hay’at tahrir al sham (formerly

known as the nusra front), though the exact nature of that relationship may be evolving. this

report examines the threat posed by al qaeda affiliates in the middle east and africa as described

by u.s. officials and outside observers, as well as the u.s. approach to date in responding to these

threats. this was all i could find hope this : )

they became hereditary because there weren't many jobs for people in lower classes