Where did the first major civil war battle with heavy casualties occur?

It was the Battle of Manassa (also known as the Battle of Bull Run)

Explanation:

That was the first major Civil War battle were heavy casualties occurred, since this took plase only mounths after the war began.

ernest bai koroma (president) loko christianity

ahmad tejan kabbah (president) mandingo islam

johnny paul koroma (military junta limba christianity

julius maada bio (military junta mende christianity

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.