Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Ex Input:
Paragraph: "Residents of some Baltimore neighborhoods are no better off than people living in impoverished North Korea and the violent West Bank, Bernie Sanders said during a campaign rally in Maryland ahead of that state’s primary. ""Poverty in Baltimore, and around this country — poverty is a death sentence,"" Sanders said April 24. He then laid out some rather unflattering and harsh comparisons: ""Fifteen neighborhoods in Baltimore have lower life expectancies than North Korea. Two of them have a higher infant mortality rate than the West Bank in Palestine. Baltimore teenagers between the ages of 15 and 19 face poorer health conditions and a worse economic outlook than those in distressed cities in Nigeria, India, China and South Africa. We are talking about the United States of America in the year 2016 — a country in which the top 1/10th of 1 percent now owns almost as much wealth as the bottom 90 percent."" While it would be wrong to take Sanders’ claim to mean that conditions overall are worse than Baltimore, we found that his specific comparisons are largely accurate. ""The comparisons fairly make the point that there are some parts of this rich country where conditions resemble those in much poorer countries,"" said Alan Berube, an expert on urban poverty at the Brookings Institution. ""This isn't isolated to Baltimore; there are neighborhoods in nearly every big U.S. city and metropolitan area, and many rural communities, that perform just as poorly on these outcomes."" Let’s take Sanders’ claims one by one. Life expectancy in North Korea The Sanders campaign referred us to a Washington Post article noting that 14 Baltimore neighborhoods had shorter life expectancies than North Korea in 2013. (The article originally said 15 but was corrected.) His number is slightly outdated. In 2014, the latest year where there’s data on both places, the average life expectancy in North Korea was 69.81 years, according to the CIA World Factbook. That placed the impoverished dictatorship at No. 155 in longest lifespans out of 224 countries. The United States overall ranked at No. 42 with 79.56 years. Residents in 12 of Baltimore's 56 neighborhoods lived shorter lives, according to data from the Baltimore City Health Department provided to the Baltimore Neighborhood Indicators Alliance. That’s not 15, but it’s close. (For context, just five Baltimore neighborhoods have life expectancies higher than the U.S. national average, and four of them are relatively affluent and white.) Here’s a map from the University of Maryland’s Capital News Service that compares the life expectancies of Baltimore neighborhoods in 2013 to other places in the world:  An important caveat: The city of Baltimore has a total population around 600,000 people while North Korea has a population 40 times that. That means fewer events in Baltimore neighborhood could swing the overall life expectancy of a neighborhood up or down. Infant mortality in the West Bank For this claim, the Sanders campaign referred us to a Vox article that said two neighborhoods in Baltimore — Little Italy and Greenmount East — had a higher rate of infant mortality than the West Bank, Honduras and Venezuela in 2013. But in his speech, Sanders only mentioned the West Bank. In 2014, 13.49 out of 1,000 babies died before their first birthday in the notorious conflict zone, according to the CIA’s World Factbook. The West Bank places in the middle of the pack in infant mortality at No. 117 out of 224 countries. The United States, meanwhile, ranked at No. 169 with a rate of 6.17 deaths per 1,000. In 2014, 11 Baltimore neighborhoods had a higher rate than the West Bank. In Hilltop and Little Italy, at least 20 out of 1,000 infants died before their first birthday. That’s not only higher than the West Bank, Honduras and Venezuela but also war-torn Syria and oppressive Uzbekistan. Teen health in distressed cities in developing countries Sanders claimed that ""Baltimore teenagers between the ages of 15 and 19 face poorer health conditions and a worse economic outlook than those in distressed cities in Nigeria, India, China and South Africa."" The Sanders campaign cited a Washington Post article by Johns Hopkins University researchers. ""Teenagers in Baltimore face poorer health and more negative outlooks than those in urban centers of Nigeria, India and China,"" they write. Contrary to what Sanders said, the work by the Johns Hopkins researchers don’t consider economic outlooks nor do they show Baltimore conditions being worse than South Africa’s. Nonetheless, his broader point is accurate. The researchers published a comprehensive set of studies published in the Journal of Adolescent Health in 2014 that compared the well-being of teens in impoverished areas in Baltimore; Ibadan, Nigeria; Johannesburg, South Africa; New Delhi, India; and Shanghai, China. Baltimore teens reported the highest rates pregnancy and, after Johannesburg, the second highest rates of substance use, sexual and physical violence, and feeling unsafe in their community:  Our ruling Sanders presented a series of comparisons showing that conditions in some parts of Baltimore rivaled that of ""the West Bank in Palestine,"" ""North Korea,"" and ""distressed cities in Nigeria, India, China and South Africa. Some of Sanders’ figures need to be updated, but the gist of his specific comparisons are accurate: 12 Baltimore neighborhoods have a lower life expectancy than North Korea; 11 have a higher infant mortality rate than the West Bank; and research shows health conditions are worse for poor teens than in Baltimore than in Ibadan, New Delhi and Shanghai." Claim: "Bernie Sanders Says an array of statistics show that conditions in some parts of Baltimore rival that of ""the West Bank in Palestine,"" ""North Korea,"" and ""distressed cities in Nigeria, India, China and South Africa."

Ex Output:
"Sanders presented a series of comparisons showing that conditions in some parts of Baltimore rivaled that of ""the West Bank in Palestine,"" ""North Korea,"" and ""distressed cities in Nigeria, India, China and South Africa. Some of Sanders’ figures need to be updated, but the gist of his specific comparisons are accurate: 12 Baltimore neighborhoods have a lower life expectancy than North Korea; 11 have a higher infant mortality rate than the West Bank; and research shows health conditions are worse for poor teens than in Baltimore than in Ibadan, New Delhi and Shanghai."


Ex Input:
Paragraph: The Sackler family owns Purdue Pharma, the privately held drug company that has made billions from OxyContin, and Sacklers hold most of the seats on the board. Members of the family have been accused in a case brought by the state of Massachusetts of deceiving patients and doctors about the drug’s risks as deaths mounted. And documents recently released in the case shine new light on former Purdue Pharma President Richard Sackler’s role in the aggressive marketing of the powerful opioid. As the allegations mount, family members who made their fortunes well before OxyContin even went on the market have sought to distance themselves from their relatives. At the same time, activists have called on institutions to cut ties with the Sacklers, staging protests at museums that have received millions in donations. “The Sackler name is becoming synonymous with the opioid epidemic, and it is damning for these institutions to have their name up,” said Nan Goldin, a photographer whose works have been displayed at Harvard’s Arthur M. Sackler Museum and at New York’s Metropolitan Museum of Art, which has a Sackler Wing. Lost in the outrage: One of the most generous and best known of the Sacklers died in 1987, nearly a decade before OxyContin was released. Arthur M. Sackler made his money from medical research, medical advertising and trade publications. His younger brothers, Raymond and Mortimer, bought out his stake after he died. Arthur Sackler’s name is on a gallery at the Smithsonian, a wing of galleries at London’s Royal Academy of Arts and a museum at Beijing’s Peking University. The Sackler Wing at the Met, which houses the celebrated Temple of Dendur from ancient Egypt, was funded by all three brothers. Richard has likewise donated heavily to various institutions. After a federal investigation, Purdue Pharma and three executives — none of them Sacklers — pleaded guilty in 2007 and agreed to pay more than $600 million for misleading the public about the risks of OxyContin. The Stamford, Connecticut, company has also been hit with a multitude of lawsuits over its role in the opioid crisis that killed more than 47,000 people in 2017 alone. Arthur’s nephew, Richard Sackler, who became president of Purdue Pharma in 1999 and remains on the board, is at the center of the litigation. He and other current and former executives have been accused of hiding the dangers of the drug from doctors and patients, encouraging physicians to prescribe more of the highest doses and minimizing the abuse crisis as it was unfolding. “This is not too bad. It could have been far worse,” he wrote to Purdue Pharma executives in 2001 after a federal prosecutor reported that 59 people in one state had died from OxyContin, according to documents released this week in the Massachusetts case. At the launch party for OxyContin in 1996, Richard Sackler boasted the drug would bring a “blizzard of prescriptions that will bury the competition,” the documents say. Years later, they say, he sought to shift blame onto drug users themselves, recommending the company “hammer on the abusers in every way possible.” “Richard followed that strategy for the rest of his career: collect millions from selling addictive drugs, and blame the terrible consequences on the people who became addicted,” attorneys in Massachusetts Attorney General Maura Healey’s office wrote. “By their misconduct, the Sacklers have hammered Massachusetts families in every way possible. And the stigma they used as a weapon made the crisis worse.” A spokesman for Richard Sackler’s family referred questions about the lawsuit to the company. Purdue Pharma said in a statement that Massachusetts’ case — the first one brought by a state to personally name members of the Sackler family — is “littered with biased and inaccurate characterizations.” The company said it will “aggressively defend against these misleading allegations.” Arthur Sackler’s widow and children insist that they never financially benefited from the sale of OxyContin. “It is a gross injustice to connect Arthur to the opioid crisis some 30 years after his death when he had nothing to do with it,” Dame Jillian Sackler said in a statement. “It denies the many important contributions he made working to improve world health and to build cultural bridges between peoples.” But activists have made no distinction between Arthur and his relatives. In July, dozens of activists led by Goldin held a protest inside the Arthur M. Sackler Museum at Harvard, scattering pill bottles and holding banners that read “SHAME ON SACKLER.” Similar demonstrations have been held at the Met and the Smithsonian. Goldin, who was addicted OxyContin for years, said that getting the institutions to act will be difficult. “Who is going to turn down the money? They offer millions to these institutions, and the board members are not necessarily committed to action, so it’s going to take a lot,” she said. A Met spokesman said that the Sackler family’s support began decades before the opioid crisis, but that the museum will be examining its gift acceptance policies. The Guggenheim, home to the Sackler Center for Arts Education, had no comment. A Harvard spokesman said in an email that Arthur Sackler’s donation in 1982 paid for the construction of the building that originally housed the museum but that his foundation does not fund the museum. ___ Associated Press reporter Verena Dobnik contributed to this report from New York. ___ Follow Alanna Durkin Richer at http://www.twitter.com/aedurkinricher Claim: Opioid crisis brings unwanted attention to wealthy family.

Ex Output:
The Sackler name is emblazoned on the walls at some of the world’s great museums and universities, including the Smithsonian, the Guggenheim and Harvard. But now the family’s ties to OxyContin and the painkiller’s role in the deadly opioid crisis are bringing the Sacklers a new and unwanted kind of attention and complicating their philanthropic legacy.


Ex Input:
Paragraph: The story gives no cost information. We wish the story had given the yearly cost of at least one of these therapies, and even some comment on the high cost of recovery from a typical hip fracture for the thousands of elderly women who suffer them. The story did a good job explaining the tradeoffs of benefits and harms and quotes a doctor who worries that fear of rare events may be preventing women from taking drugs that could save them from the typical hip fractures. If only the article took the extra step by talking about treatment benefits in absolute terms, rather than relative. The competing Reuters article tries to put the absolute benefit in perspective by noting that about half of people with osteoporosis will have a fracture in their lifetime. NPR does a good job of parsing the harm described in the JAMA article. Extra credit for including the notion of a “drug holiday” that is a practical reaction from treating physicians to a confusing landscape of discoveries about these drugs. The fact that this was the largest study to date is important, since large groups are needed to evaluate rare events like these thighbone fractures. There is helpful discussion of how to interpet the risk vs. benefits outlined in the study. The story avoids being alarmist and takes pains to point out the low absolute risk of the unsual thigh fracture. If anything, the story could have pointed out how devastating a typical hip fracture can be for an individual and society overall. The CDC estimates that one in four who suffer a hip fracture are dead within a year, and one in five will spend at least a year in a nursing home. NPR provides us with three fresh sources beyond the JAMA article itself. One strength of the story was its ending, with a discussion with a bone specialist about the option of taking a drug “holiday” from time to time, and the question of whether women who stop taking it temporarily should start again. The story describes the drugs as commonly available. The drugs are not novel, and the story says so. It’s clear that the story did not rely solely or largely on a news release. Claim: Drugs To Prevent Weak Bones Linked To Unusual Fractures In Women

Ex Output:

There was a very clear explanation of the difference between relative and absolute risk. And a very clear summary statement: “That’s obviously a lot more benfit than risk.” The story ends with another strong point: discussing some of the issues that women should be discussing with their doctors in a truly informed shared decision-making environment. This study has the potential to confuse readers and listeners. But the story addresses the seemingly contradictory elements well. Women over 65, who face most of the risk from osteoporosis, will have to question their providers as each new bit of evidence emerges balancing the risk of treatment with drugs against the benefits. An estimated 10 million people in the United States have osteoporosis.