In Practice, the American Medical Institution Operates as a Dual

In practice, the American medical institution operates as a dual system in which

A) the poor have had to utilize private sources of health care.
B) the rich have utilized public sources of health care.
C) the poor have utilized public sources of health care while the rich utilized private sources.
D) both the rich and the poor have utilized private sources of health care because the United States has no public health care system.