Besides washington, who led the state militias

ummm? is that supposed to be a question or a but this is a reason he won re-election

explanation:

"despite progress in the war, lincoln and most political pundits were convinced that he would lose his bid for reelection in 1864. the country was war weary and the democratic party's nominee, george mcclellan, was likely to negotiate a peace treaty with the confederacy if elected." - loc.gov

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.