American arts, theatre, music
Theater of the United States is based in the Western tradition, mostly borrowed from the performance styles prevalent in Europe, especially England. Today, it is heavily interlaced with American literature, film, television, and music, and it is not uncommon for a single story to appear in all forms. Regions with significant music scenes often have strong theater and comedy traditions as well. Musical theater may be the most popular form: it is certainly the most colorful, and choreographed motions pioneered on stage have found their way onto movie and television screens. Broadway in New York City is generally considered the pinnacle of commercial U.S. theater, though this art form appears all across the country. Off-Broadway and off-off-Broadway diversify the theatre experience in New York. Another city of particular note is Chicago, which boasts the most diverse and dynamic theater scene in the country. Regional or resident theatres in the United States are professional theatre companies outside of New York City that produce their own seasons. Even tiny rural communities sometimes awe audiences with extravagant productions American contemporary music can be heard all over the world, through MTV, Channel V, VH1 and by artists such as Michael Jackson, Tupac Shakur, Jay-Z, Notorious B.I.G, Elvis Presley, Jimi Hendrix, Billy Joel, Metallica, Guns N' Roses, , Bob Dylan, Bruce Springsteen, Benny Goodman, Frank Sinatra, Randy Newman, Madonna, Eminem, Backstreet Boys, Aerosmith, B. B. King, The Doors, Prince, Bon Jovi, Nirvana, Van Halen, Garth Brooks, and The Ramones. American popular music also contains many styles of music that developed in the US and were popular music when they came up (or still are). Examples are Rock & Roll, Hip-Hop, Swing, Jazz, Blues, Country, R&B, Funk, and various others.
Medicine and health care in the USA
The U.S. health care system far outspends any other nation's, measured in both per capita spending and percentage of GDP. The World Health Organization ranked the U.S. health care system in 2000 as first in responsiveness, but 37th in overall performance. The United States is a leader in medical innovation. In 2004, the nonindustrial sector spent three times as much as Europe per capita on biomedical research. Unlike in all other developed countries, health care coverage in the United States is not universal. In 2004, private insurance paid for 36% of personal health expenditures, private out-of-pocket payments covered 15%, and federal, state, and local governments paid for 44%. In 2005, 46.6 million Americans, 15.9% of the population, were uninsured, 5.4 million more than in 2001. The main cause of this rise is the drop in the number of Americans with employer-sponsored health insurance. The subject of uninsured and underinsured Americans is a major political issue. A 2009 study estimated that lack of insurance is associated with nearly 45,000 deaths a year. In 2006, Massachusetts became the first state to mandate universal health insurance.
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American political parties
The United States has operated under a two-party system for most of its history. For elective offices at all levels, state-administered primary elections choose the major party nominees for subsequent general elections. Since the general election of 1856, the major parties have been the Democratic Party, founded in 1824, and the Republican Party, founded in 1854. Since the Civil War, only one third-party presidential candidate—former president Theodore Roosevelt, running as a Progressive in 1912—has won as much as 20% of the popular vote. Within American political culture, the Republican Party is considered center-right or "conservative" and the Democratic Party is considered center-left or "liberal". The states of the Northeast and West Coast and some of the Great Lakes states, known as "blue states", are relatively liberal. The "red states" of the South and parts of the Great Plains and Rocky Mountains are relatively conservative. The winner of the 2008 presidential election, Democrat Barack Obama, is the 44th U.S. president. All previous presidents were men of solely European descent. The 2008 elections also saw the Democratic Party strengthen its control of both the House and the Senate. In the 111th United States Congress, the Senate comprises 58 Democrats, two independents who caucus with the Democrats, and 40 Republicans; the House comprises 258 Democrats and 177 Republicans. There are 28 Democratic and 22 Republican state governors
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