Which reason for the fall of Rome do you believe is the most significant in the collapse of the empire, why

Invasions by Barbarian tribes

The most straightforward theory for Western Rome's collapse pins the fall on a string of military losses sustained against outside forces. Rome had tangled with Germanic tribes for centuries, but by the 300s “barbarian” groups like the Goths had encroached beyond the Empire's borders.

united states reinforcements contributed greatly to three allied victories in france at: cantigny (first major american battle), argonne (the largest in the united states military history, involving 1.2 million american soldiers), and château-thierry (one of the first actions under general pershing).

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.