Answer:
Internal can be you don't want bad things happening to your body, you don't want drugs affecting your health,etc.External could be you don't want it to affect your family or people around you.For example, like a cigarette if you are smoking in public you can be affecting others passing by or hanging out with you(external)but if it's just you by yourself smoking it is damaging your lungs(internal)
The lower group suffers the most due to having little medical treatment because the people of lower groups don't have enough money to provide themselves with the best treatment.