Determine the major political and social factors that influenced the outcomes for health reform in the United States that occurred during the 1900s

Please respond to the following: and make sure that you make citations. You must also respond to my classmate’s sample that I uploaded. Examine two (2) efforts at health reform in the United States that occurred during the 1900s. Determine the major political and social factors that influenced the outcomes for each. Support your rationale with specific examples of such influence. From the e-Activity, compare and contrast at least two (2) pros and cons of developing a state health insurance exchange. Speculate on which exchange you believe would be most beneficial for the majority of the insured in your state. Provide support for your rationale.