The nurse is reviewing health care bills that have passed in the last 4 decades yet have failed in their purpose. The nurse recognizes that a flaw in these bills is that they a. encouraged each state to do what was best for its residents without consideration of what was best for the nation as a whole. b. avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts. c. did not include financing to pay for the suggested changes. d. created new layers of bureaucracy in health care administration.