It is due to i believe the rise of cotton
The Philosophers were a secret group of the wealthiest, most powerful minds from the United States, the Soviet Union, and the Republic of China, formed after World War I. In theory, these three groups were already driving political forces in their respective countries.
The Emergency Medical Treatment and Labor Act (EMTALA) is a government law that requires anybody going to a crisis division to be settled and treated, paying little heed to their protection status or capacity to pay, yet since its institution in 1986 has remained an unfunded order. EMTALA's arrangements apply to all patients, not simply to Medicare patients.