I don't think it should be taken at face value because those ways could be the main ways to earn money, but it could probably be the least reliable or successful ways. This sentence could just be a lie taken literaly in which has a hidden meaning. This could be a meaning that you might not get, in which will leave you ripped off.
You would probalby get in trouble.
In attempting to reform the nation’s health care system, President Clinton
wanted to "<span>(A) provide health insurance to all Americans," although the Republican Majority in Congress blocked the measure. </span>
Answer:
D. new immigrants i think. sorry if i got it wrong