Two effects of the gold rush ?

poverty and disease

Explanation:

due to the gold rush, many people travelled west to dig for gold. they made pop up towns  which had no laws or healthcare. this created a lot of disease as when they were travelling west, most medications and resources would have been thrown away to make their carriages lighter so the horses could carry their weight after a long time.

poverty was also a major factor as not many people would actually find gold so they'd end up working for bigger companies to find gold and would get paid barely anything.  

I hope that was helpful, friend :)

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.