The most accurate response that reflects the impact of Mao's communist policies on China is:
Mao began the Great Leap Forward that led to famine and many deaths.
The Great Leap Forward, initiated in 1958, aimed to rapidly transform China into a socialist society through collectivization and industrialization. However, it resulted in one of the deadliest famines in history, leading to the deaths of millions of people due to poor planning, mismanagement, and natural disasters.