Anchor: Adjustments in managed care need to be made--and under pressure from consumers and their representatives in Congress, they are already being made.
Entailed: Managed care changes will need to be coming.
Contradiction: Manage care will stay just as it is.
Contradiction: A man in a blue shirt is holding a white dog.
Contradiction: I'm a fan of the wildlife shows that are on the Discovery Channel. 
Contradiction: A couple walks alone on the beach.
Contradiction: A group is playing instruments.