Who are the old & new immigrants during the 1900s?

The so-called “old immigration” described the group European immigrants who “came mainly from Northern and Central Europe (Germany and England) in early 1800 particularly between 1820 and 1890 they were mostly protestant”[6] and they came in groups of families they were highly skilled, older in age, and had moderate

Explanation:

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.