America is one of the few developed countries without universal healthcare coverage, despite that, America spends about 17% of GDP on healthcare, which is higher than most developed nations. This evidence tells us that the american healthcare system is inefficient and needs to be reformed. Besides, the fact that insurance in many cases is dependend on employment gives buisness a lot of power over their employees.
Of these options, the only one that was truly true of both the first and second industrial revolution is the "use of the assembly line" although the length of these lines varied.
I think the answer is A. American democracy is needed to educated citizens. Because the American democracy is needed to educated citizens to many reformers wanted to improve education in the early 1800s.