I'd say state, but with the research i did here's what I found, i hope it gives you some help.
State and local governments are spending more -- about one-third of their budgets -- than at anytime since the federal government started keeping such records in 1987, according to a new report by the Pew Charitable Trusts.
While total U.S. healthcare costs grew by 4 percent in 2012, local and state healthcare costs grew at twice that rate, according to a Pew analysis of data from the Centers for Medicare & Medicaid Services
Answer: The Indus river was a constant flow of natural resources. The river also made the soil very fertile and that meant good crops when planted in the right season, it also made it easy for trade boats to pass through.