History: United States Of America, 1900-1930

Unlike in all other developed countries, health care coverage in the United States is not universal. In 2004, private insurance paid for 36% of personal health expenditures, private out-of-pocket payments covered 15%, and federal, state, and local governments paid for 44%. In 2005, 46.6 million Americans, 15.9% of the population, were uninsured, 5.4 million more than in 2001. The main cause of this rise is the drop in the number of Americans with employer-sponsored health insurance. The subject of uninsured and underinsured Americans is a major political issue. A 2009 study estimated that lack of insurance is associated with nearly 45,000 deaths a year. In 2006, Massachusetts became the first state to mandate universal health insurance. Federal legislation passed in early 2010 will create a near-universal health insurance system around the country by 2014.
Crime and law enforcement
Law enforcement in the United States is primarily the responsibility of local police and sheriff's departments, with state police providing broader services. Federal agencies such as the Federal Bureau of Investigation (FBI) and the U.S. Marshals Service have specialized duties. At the federal level and in almost every state, jurisprudence operates on a common law system. State courts conduct most criminal trials; federal courts handle certain designated crimes as well as certain appeals from the state systems.