Answer:
Dorothea Dix played an instrumental role in the founding or expansion of more than 30 hospitals for the treatment of the mentally ill.
Explanation:
She was a leading figure in those national and international movements that challenged the idea that people with mental disturbances could not be cured or helped.
so, there for your answer is H I think.
They were hindered by economic development and lack of enforcement, so I'd say 1. Cost, because no one would pay for it.
