Which of these was a major issue dividing the federalist and republican parties

This was because they had disagreements on how large and powerful the federal government should be.

The Federalists were in support of a strong central government system which should be run by well-educated people. The Democratic-Republicans wanted most power to stay with the states and wanted the 'common man' to run the country.

assuming that you are talking about the one in egypt: hecka oil

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.