Which factors led to the economic development of the middle colonies

The Middle Colonies flourished economically due to fertile soil, broad navigable rivers, and abundant forests. The Middle Colonies were the most ethnically and religiously diverse of the British colonies in North America, with settlers coming from all parts of Europe and a high degree of religious tolerance.

no statements but ok.

the statement that best describes the idea of manifest destiny that was used in the 19th century would be that "it was fate that the united states would continue to  expand westward," since people thought the us was "destined" to do so. 

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.