Which of the following was not a long-term effect of the creation of the mongol states shown in the map?

a. a negative demographic impact resulting from the spread of disease from east asia to west asia and europe
b. the spread of islam from its heartland in the middle east to the indian ocean region
c. the widespread adoption of firearms by states in the middle east and western europe
d. environmental degradation caused by the destruction of farmland and forests

. The widespread adoption of firearms by states in the Middle East and Western Europ

Explanation:

hr2520 is the patient's act. there is required the secretary of health to summon a committee to develop a national strategic plan of prevention. this committee has forth provisions that make possible for the govern entities to acquire private health insurance services.

is easier to keep this hr2520 as federal, because that way the secretary of health has centralized power to deal with private insurance companies and the federas government has more ways and power to negotiate with them, than doing this process state by state in their specific terms.