I think it's b but I'm not positive
<em>What exactly do you not understand?</em>
Answer:
HOPE THIS HELPS
Explanation:
Causes: Middle Class
Middle class and wealthier upper class get better health care options, more leisure time and more consumption.
Effects: middle class
Middle class incomes are declining and Americans are becoming more unhealthy
Female role: more women are going to work to earn their own wadges
Male role: going to collage and learning more.