In the sumerian times, What did they do to solve their problems

To defend themselves, the Sumerians built walls and dug moats around their cities. By 3000 B.C.E., the solutions to the challenges faced by the Sumerians had transformed Sumerian farming villages into walled city-states.

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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.

i would say your answer is a)

sorry if im wrong