Washington State considered a pioneer in the healthcare field because it formed the first health maintenance organization. Thus the option 1st is correct.
What is Healthcare?
Healthcare refers to the maintenance of the health by taking good care, medical facility and preventing the diseases. The services of the healthcare is delivered by the health professionals such as the doctors.
The Washington State considered a pioneer in the healthcare field because it was the first one to set up the organization which was known as University of Washington's Medical School in 1946.
It was set up in the regions of the Seattle where the physicians played the great role in the medicine, politics and society. Thus it was considered the pioneer of the health care services.
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