What type of integration is represented by a chain of nursing homes?

A 54-year-old woman developed an asymptomatic 1 x 1 cm nodule in her buccal mucosa. An excisional biopsy was done and was described microscopically as a circumscribed mass of dense collagen and fibroblasts. This would be a:

a. Pyogenic granuloma b. Peripheral fibroma c. Focal fibrous hyperplasia d. Neurofibroma e. Papilloma

Which phase in the historical progression of federalism and health policy started in the 1960s?

A) minimalist period B) emergent period C) growth period D) post-reform period