How have these shifts affected the physical environment?

it depends could have a bunch of volcanoes or too much rain and too many mountians

Explanation:

- "made the south's economy grow rapidly and a small effect that a lot of people don't know is that it made the more demand of slaves and cotton products. and also new states formed due to plantations growing in size."

< 3

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.