Hediye G. answered 05/02/19
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a. Let A(t) be Average per citizen cost, then A(t)=C(t)/P(t),
b. Average rate of change in the per capita health care cost from year 4 to year 8 will be[A(8)-A(4)]/(8-4), just plug in 8 and 4 and calculate it.
Remember that average rate of change is the slope of the secant line between any two points of the function.