The 20th century produced such a plenty of discoveries and advances that in some ways the face of medicine changed out of all recognition. In 1901 in the United Kingdom, for instance, the life expectancy at birth, a primary indicator of the effect of health care on mortality (but also reflecting the state of health education, housing, and nutrition), was 48 years for males and 51.6 years for females. After steady increases, by the 1980s the life expectancy had reached 71.4 years for males and 77.2 years for females. Other industrialized countries showed similar dramatic increases. By the 21st century the outlook had been so altered that, with the exception of oft-fatal diseases such as certain types of cancer, attention was focused on morbidity rather than mortality, and the emphasis changed from keeping people alive to keeping them fit.
As the twentieth century progressed, the size of the United States Federal Government expanded dramatically. This naturally resulted in the Vice President having to take on more of the responsibilities that the President simply didn't have time to take care of.
