What state is created when it breaks from its original state because it's citizens do not want to secede?

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.

to replace ineffective because   andrew jackson's spoil system was a deliberate policy after he became president to remove federal employees he considered to be political opponents and replace them with his own supporters.