What did spain do after the american revolution to discourage america settlements west of the appalachian mountain

One of the things that Spain did after the American Revolution to discourage American settlements west of the Appalachian Mountains was to fortify many of their pre-existing forts in the area to make them seem more intimidating. 

Explanation:

This is because they closed the ports to New Orleans which made American trade more difficult and enraged the society.

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.