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It was created to further outline the uses and resposibilities of medicaid, specifically with IMDs. It places more responsibility on the states for middle-aged people in need of this type of care, rather than the federal government. These changes and specifications occurred throughout the 1970's and 80's, when mental health was becoming more of an understood issue, and treatment of those with mental diseases was being improved.

It is funded through member states' voluntary contributions, and in cases where additional funding is needed, they look for money in other areas or from other contributions.

The arguments are supported by the stories told by individuals and families and cultural reasearch to help understand the stories.

Women in some countries are much more familiar and used to rape, in fact, they will openly answer questions about it in front of others. There is debate as to whether rape should be treated the same as other humanitarian efforts, or differently, as each way has benefits and drawbacks for the feminist movements and for humanitarian workers. This pushes humanitarianism to a stage with politics, world progress, and other changes. They only meant to help those in need, but by using their work to see where changes can be made, the world will hopefully be a better place.