Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.

Input: Consider Input: After hearing about a few more episodes Breckenridge had, Berger suggested she get a gate for the top of the stairs, in case Breckenridge were to fall. She then asked Breckenridge if she had set up Alexa, the virtual assistant developed by Amazon, which she had. They then discussed different exercises they had gone over in the past. Berger asked the patient about her arm mobility — asking her to lift her arm — and stability, prompting her to stand up without holding on to anything. After about a 30-minute session, they said their goodbyes and logged off their computers. Berger, a physical therapist, certified dementia specialist and owner of Rehab Smarter, conducted the entire session online. Rehab Smarter is a local telehealth business that provides comprehensive rehabilitation services to patients over the internet. “This has been a saving grace for me,” Breckenridge said. “It’s not because I don’t want to go to the doctor’s office. It’s because I can’t get to them. If I could, I would be there.” The Brunswick resident turned to telehealth services due to her decreased mobility. She is, for the most part, homebound due to having multiple seizures a day. While she has online sessions with doctors, they still recommend that she come into the office at times to run certain tests and other functions that physicians are not yet capable of completing online. She works with Berger through online sessions about twice a week. Working with her is “completely the same” as if she were sitting with Berger face to-face. “Just because you’re stuck at home doesn’t mean that you can’t get the help that you need,” she said. “People just need to find the help that they need, and sometimes it’s on the internet.” Berger started Rehab Smarter about 18 months ago. She conducts sessions with her patients through an online portal where she can email with them directly, upload videos and add notes for their benefit. Everything is Health Insurance Portability and Accountability Act, or HIPAA, compliant. She typically doesn’t do a face-to-face assessment with the patient, but she has gone in-home to see the setup and suggested any modifications to help the patient with mobility. She may also do an initial assessment and meet with the caregiver, if there is one, and ask what the patient’s goals are. “Most of what clinicians do is educate and teach the client how to take care of themselves,” she said. She demonstrates different exercises with her patients online and, with her expertise, can detect muscle strength and functionality by just observing them perform simple tasks. “You can test cognition over the internet, you can test sensation,” she said. “You can’t listen to the heart without special equipment, but that exists.” Her average client has COPD, heart failure, diabetes, kidney disease, arthritis, high blood pressure and other conditions, all at once. They turn to telehealth because it’s difficult for them to get out of the home and go to a doctor’s office, although they sometimes do so. “It’s not really home care,” she said. “It’s not really outpatient. It’s a platform for clients that either have maxed out their benefits through traditional means or have prevention and wellness issues that will not be covered. It’s another opportunity for people.” Telehealth can be beneficial to the healthcare provider as well. When Berger provides home care through a company she works for, she can see up to six clients a day and then has hours of paperwork to complete, for insurance purposes. Through virtual care, she can see up to 12 patients with minimal paperwork. Her telehealth service is not covered under insurance, which cuts out a lot of the paperwork. A session can range from $80 to $200. With telehealth, a patient is not limited to one doctor. If Berger finds that a patient needs care in an area in which she’s not an expert, she can consult with a doctor across the country to get the patient the care they need. “So you can now get care by anybody who’s appropriate, wherever you are, at least to a point that you could not have gotten before,” she said. But even with the internet playing such a vital role in the future of medicine, there are still many limitations to telehealth. “You can’t touch a patient,” Berger said. “If you have an abdominal problem and your physician is palpitating your stomach to feel for tension and different things, you can’t do that (over the internet). Blood tests and physical surgeries also can’t be done, at this point in time at least.” Frederick Memorial Hospital is also making headway in telehealth services. The Chronic Care Management Program gives patients tablets, blood pressure monitors, a pulse oximeter and a scale to detect their vitals in the comfort of their own home. They consult with a nurse on the team once a week by phone. By the end of the summer, they plan to have video conferencing, according to Lisa Hogan, a nurse at FMH and the team lead for both the Chronic Care Management and telemonitoring programs. The program took off in 2017 and started with 30 monitors for in-home patients. Today it has 203 in the community. Up to 200 more monitors will be added in 2020. There is already a waiting list to be a part of the program. This past winter, the hospital also launched a separate Virtual Visit Program through Monocacy Health Partners, the hospital’s own physician group. The program is for employees and primary care patients of MHP, according to Alex Nason, director of IT innovation at FMH. Through a series of questions, primary care providers can assess ailments such as upper respiratory infections, flu, cold, rash and pink eye. Although physicians can make diagnoses and write prescriptions after conducting a telehealth session, about 20 percent of the time the provider decides that they would like to see the patient in person. Through these efforts, FMH saw an 84 percent reduction in readmission rates and a 56 percent reduction in emergency room visits in 2018, according to Hogan. “Telehealth as technology has become easier to use, less expensive and more accepted. And the clinical validation is there as more and more parts of health care are embracing it,” Nason said. “I think as the technology advances, the research continues to accrue validation and the economics of healthcare continue to evolve, we’re seeing more and more movement, acceptance and options of telehealth because the stars are starting to align.” ___ Information from: The Frederick (Md.) News-Post, http://www.fredericknewspost.com

Output: Telehealth rises as medium increases in validity.


Input: Consider Input: "A Republican group has launched a racy ad saying Colorado state Sen. Morgan Carroll, a Democratic congressional candidate, voted to allow welfare recipients to use public benefit cards at ATMs in strip clubs and marijuana dispensaries. The National Republican Congressional Committee’s ad shows how down and dirty the race between Carroll and Republican incumbent Rep. Mike Coffman is getting in the final sprint to Election Day. They’re fighting over suburban Denver’s 6th Congressional District, one of the nation’s most competitive swing districts. ""Career politicians waste lots of money. Morgan Carroll is one of the worst,"" the narrator says at the beginning of the ad, titled ""Clubs."" ""Carroll voted to allow welfare recipients to use your tax dollars at ATMs at strip clubs and pot dispensaries,"" the narrator continues as the video shifts from Carroll addressing the Legislature to her standing at a podium in front of a red neon silhouette of a nude female figure and the words ""STRIPPERS"" and ""MORGAN CARROLL"" on a brick wall. There's a row of marijuana-filled jars beside the senator. ""It's enough to make you ask, 'What's Morgan Carroll thinking?' Welfare for lap dances? Morgan Carroll is careless with our money,"" the ad concludes. We examined the claim that ""Carroll voted to allow welfare recipients to use your tax dollars at ATMs at strip clubs and pot dispensaries."" The facts are fairly straightforward. Carroll was among a dozen Democratic senators who voted against final passage of a 2015 bill to prohibit welfare recipients from using state-issued electronic benefit transfer (or EBT) cards to obtain cash from ATMs at pot shops and strip clubs. Low-income families use these debit cards to buy ""essential goods"" such as food and clothing and to help pay for utilities and rent. Senate Bill 65, which became law, expanded on existing state law prohibiting people from using the cards to withdraw ATM cash at liquor stores, casinos and gun shops. Federal law already required states to prevent people receiving public benefits from using EBT cards at liquor stores, gambling and adult entertainment venues. Colorado also has had trouble preventing people from withdrawing ATM cash totalling hundreds of thousands of dollars at casinos and liquor stores, according to Watchdog.org. State officials and lawmakers warned that Colorado would face financial sanctions for failing to comply with federal prohibitions against EBT card use at strip clubs. There were also concerns about a federal crackdown after several reports of people using the benefit cards at shops selling medical or recreational marijuana -- a drug that’s legal under state law but illegal under federal law. ""We stand to lose a lot if we don't show we are trying"" to prevent the use of tax money for marijuana, Republican Sen. Vicki Marble, a primary sponsor of the bill, told the Associated Press last year. ""The growers here put in a lot of time and effort. A raid would be absolutely devastating to our state."" Why did Carroll -- along with many other Democratic senators -- vote against the bill? ""The reason she voted against it was because of 'banking deserts,' where many poor people don't have"" bank ATMs in their neighborhoods, said Carroll campaign spokesman Drew Godinich. Removing their ability to get cash from ATMs at the many marijuana dispensaries that dot Colorado cities and towns hampers low-income families’ ability to access money to purchase legitimate products elsewhere, he added. According to the Atlantic magazine, a March study by the Federal Reserve Bank of New York on the increase of ""banking deserts"" found that ""lower-income communities and communities of color have historically and disproportionately limited access to mainstream banking services."" This makes it harder for people in these communities to manage their finances and build wealth, the study said. Democratic lawmakers had repeatedly defeated similar legislation, arguing that improper ATM withdrawals at strip clubs, liquor stores, casinos represent a tiny fraction of the total use of cash-assistance cards, the Denver Post reported. Critics also note that the 2015 law doesn't prevent someone on welfare from using their EBT card to make a withdrawal at a supermarket ATM and then go spend the cash at a pot shop or a strip club. Our ruling NRCC says, ""Carroll voted to allow welfare recipients to use your tax dollars at ATMs at strip clubs and pot dispensaries."" There's slightly more to this than the NRCC lets on: Carroll voted, unsuccessfully, to allow welfare recipients to continue withdrawing money from ATMs at strip clubs and pot dispensaries. Carroll’s spokesman said the senator voted against the bill that prohibited people from using public benefit cards for cash withdrawals at strip clubs and marijuana dispensaries because she was concerned about the impact on residents of poor neighborhoods where there are few -- if any -- banking services. State officials and lawmakers warned that Colorado could face financial sanctions for failing to comply with federal prohibitions against the use of benefit cards at adult entertainment venues. With that additional information in mind, we rate the claim .

Output: "National Republican Congressional Committee Says Colorado congressional candidate Morgan Carroll ""voted to allow welfare recipients to use your tax dollars at ATMs at strip clubs and pot dispensaries."


Input: Consider Input: Her brother, Arun, said the incident a couple of months ago came after Pinki had been upset after receiving zero marks in an exam, and had been arguing with teachers for her paper to be re-marked. But Pinki’s problems ran much deeper. Highly ambitious, she was anxious she wouldn’t fulfill her dreams. At the same time she’d been under pressure from some family members to follow a more traditional route - to marry and settle down. “She didn’t know what else to do,” Arun said. “She put a lot of pressure on herself.”  Pinki’s story is emblematic of problems confronting India’s young, in a society impatient for progress and yet underprepared for the challenges that inevitably accompany modernity. Cultural issues, discrimination, parental pressure and competition for highly paid jobs are combining to create a suicide epidemic among young Indians. Compounding the problem is a system that barely recognizes mental health issues. India has the world’s highest suicide rate among 15 to 29 year olds, ahead of next-placed North Korea, according to a September report by the World Health Organization. For the first time, suicide is the leading cause of death among young Indian women, overtaking deaths during childbirth, the WHO says.In most parts of the world suicides tend to occur among the most disadvantaged groups, but in India they are happening among better educated young adults living in the most prosperous regions. In south India, where literacy rates and incomes are highest in the country, suicide rates are 10 times higher than in northern states, according to a study published in The Lancet medical journal in 2012. “Aspirations are at a much higher level and society around them is not always keeping pace, so the disappointment is much greater,” said Vikram Patel, a professor at the London School of Hygiene and Tropical Medicine, who carried out the research. MENTAL HEALTH NEGLECT As India’s policymakers strive to put the country on a path to modernity, something akin to China’s transformation of the past two decades, the young are feeling the pressure. In particular, young females. Unlike the rest of the world where younger men are more likely to take their lives than women, in India the opposite is the case. Experts put this down to women’s low status in society. Compounding the issue, little help is at hand for those suffering from mental illness. In India, the condition often goes undiagnozed or untreated, and until a couple of months ago the country did not have national mental health policy. Spending on mental health accounts for 0.06 percent of the government’s health budget, the lowest level in the world after Zimbabwe. For most Indians with mental illnesses “there is literally no care available”, Harsh Vardan, then-health minister, said in October announcing plans to build more mental hospitals and train more psychiatrists.In January, the health ministry launched a nationwide program to provide community support for adolescents suffering from mental illness. TRAPPEDIn the run-up to Chauhan’s suicide, conflict had been building on different fronts. Exam pressure weighed heavily on her mind. There were disputes with her parents. She felt trapped between the competing ideals of old India and new.She lived in a village on the edge of Gurgaon where the timeless India of wheat fields and cattle-drawn carts abuts the frantically rising apartment towers of the budding middle class. Chauhan didn’t want to get married as a teenager, the path for most women in her village. In many families, once a woman gets married there is little chance for education and her primary job is to serve her husband’s family. “She had been arguing with her parents, who wanted her to get married, but she was ambitious, she wanted to prove herself and achieve her dreams,” said her brother, Arun. When she scored zero on a physics paper she was crushed, fearing it would blemish her job chances. Chauhan along with other students pleaded with their teachers for the papers to be reassessed. Her university, Government Girls College, declined comment when contacted by Reuters, saying the case was under police investigation. A teacher at the college, who asked not to be identified, said there was a mismatch between student’s expectations and what they were capable of. “We find many students get a shock when they come here because they have been doing well in school and then they don’t get good marks (here).”  Another teacher said that while the college provided counseling to students, the high student-to-teacher ratio meant some people missed the safety net. Pinki appeared to fall into that category. Tragically, the college later said that what had pushed her to fatally strike a match was the result of an error. Pinki had in fact passed the exam, and was one of the best students performing in her class.


Output: In modernizing India, suicide is on the rise among young.