The main idea of the paragraph is that given the United States' advanced medical and public health capabilities, there was no excuse for the occurrence of a deadly epidemic. The best option to express this idea is that 'an epidemic should not have occurred.' It highlights the unexpected nature of such an outbreak in a wealthy nation with extensive healthcare resources. ;
The paragraph indicates that the occurrence of a deadly epidemic in the U.S. was unacceptable due to its advanced medical and public health capabilities. The best option reflecting this main idea is that 'an epidemic should not have occurred.' This emphasizes the notion that adequate resources were available to prevent such an outbreak.
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