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.

Input: Consider Input: Paragraph: In its latest “report card,” the American College of Emergency Physicians said such reduced access earned the nation a “D+” — that’s down from the overall “C-“ grade from the group’s last report in 2009. Shortages and reduced hospital capacity make it more difficult to access emergency care, the group said. It also warned about the impact on disaster preparedness. While the report does not measure the actual quality of care provided, it does offer a snapshot of national and state policies affecting emergency medicine as seen by providers. Washington, D.C., was ranked the highest in the report, earning a “B-“ grade, while Wyoming ranked last and was the only state to earn an overall failing grade of “F.”  The group’s task force looked at scores of measure in five major categories — access to care, quality and patient safety, liability, injury prevention and disaster preparedness — and relied on data from the Centers for Disease Control and the Centers for Medicare and Medicaid Services, among others. The report comes just as the Affordable Care Act, known as Obamacare, comes into full effect this year. The 2010 law aims to expand access to health insurance and reduce the nation’s healthcare costs, but it has become a political flashpoint amid a troubled rollout of the federal insurance exchange website. While the physician’s report does not factor in all of the effects of the law — its grades are based on data from early 2013 — emergency rooms could be used even more as more Americans gain insurance coverage under Obamacare, it said. Some health experts have predicted that increasing the number of insured patients should reduce pressure on hospital emergency rooms because access to regular doctor care will improve, something that is hoped would prevent chronic conditions from spiraling out of control or help catch other problems before they worsen. But insurance coverage could also lead those who might have held off going to the emergency room to seek care, said Jon Mark Hirshon, an emergency medicine doctor and researcher at the University of Maryland who oversaw the group’s report card. Newly insured people also may have a hard time finding a regular doctor who accepts their plan, he said. “On top of that, emergency departments are open 24 hours a day, seven days a week. If I have a primary care provider but it’s 9 o’clock at night on a Friday and they’re closed, then people come to the emergency department,” Hirshon told Reuters. The group is asking for congressional hearings to probe whether the law puts “additional strains” on emergency rooms. Already, beds for patients have fallen from a rate of 358 per 100,000 people four years ago to about 330 beds per 100,000 people now, the report said. Wait times have increased to a median of 4.5 hours compared to four hours in 2009. Despite the dismal U.S. grade given by the group, it noted that policies and infrastructure varied widely by state. States with the best emergency care include Massachusetts, Maine, Nebraska and Colorado, while Kentucky, Montana, New Mexico and Arizona rounded out the bottom, just above Wyoming. States are also still grappling with the uninsured. By law, hospitals must provide emergency care regardless of patients’ ability to pay. Under Obamacare, states can expand access to Medicaid, the federal-state health insurance plan for the poor. Data shows that Medicaid patients use emergency rooms as much as other insured patients, but several recent studies have shown that Medicaid patients utilize them more than the uninsured. One study this month showed Oregon patients given Medicaid through a lottery increased their emergency room use by 40 percent compared to those not offered Medicaid. “We have to be leaner and more efficient, but it just becomes more and more challenging,” Hirshon said. Claim: Doctors say pressure on ERs may rise, give U.S. failing grade.

Output: People seeking urgent medical could face longer wait times and other challenges as demand increases under Obamacare, U.S. emergency doctors said in a report on Thursday that gives the nation’s emergency infrastructure a near failing grade.


Input: Consider Input: Paragraph: Dock Phillip Ellis, best remembered as the winningest pitcher on the champion 1971 Pittsburgh Pirates baseball club, was also one of his sport’s more colorful personalities, although his exploits were generally overshadowed by those of players (Curt Flood, Richie Allen, Reggie Jackson) more talented and more controversial. Ellis’ intolerance for slights which he perceived to be related to the color of his skin was well-established long before he reached the major leagues (he declined to play on his high school’s baseball team because it was coached by a “racist,” and while in the minor leagues he once took a bat into the stands in pursuit of a racially-motivated heckler), and he was the subject of several headline-grabbing altercations during his prime years in the big leagues:    “I know the orders came from [baseball commissioner] Bowie Kuhn, and I don’t like it. Look around, there are fellows who wear white shoes in practice. Some wear jackets. Others don’t wear hats. I wasn’t going to say anything, but since they seem to be aiming in my direction, I’m going to say things. They didn’t put out any orders about Joe Pepitone when he wore a hairpiece down to his shoulders.”    But, oddly enough, the most notorious aspect of Dock Ellis’ playing days wasn’t disclosed until several years after he had retired, and it involved an accomplishment that is usually the highlight of any pitcher’s career. On 12 June 1970, Ellis hurled the first no-hitter of the 1970 season as he blanked the Padres 2-0 in the opening game of a double-header in San Diego. Ellis’ feat was a bit unusual in that he seemed particularly wild that day, walking eight batters and hitting one, but many pitchers have achieved stellar results despite laboring with obvious control problems. (Yankee hurler Bill Bevens came within one out of throwing a no-hitter against Brooklyn in the fourth game of the 1947 World Series despite issuing the Dodgers an astounding ten bases on balls.) In post-game interviews Ellis said he had been thinking about a no-hitter from the fourth inning onward and attributed his wildness to his efforts to keep the ball away from hitters: “I know guys who don’t want to talk about it, but if you’re going to throw [a no-hitter], you’re going to throw it. The ball I was throwing was moving. I was keeping the ball away from the hitters. That’s why I walked so many.” Fourteen years later, however, Dock Ellis revealed an alternative explanation for his lack of control that day: he was under the influence of LSD at the time. According to accounts he gave the press in April 1984, Ellis had spent the morning of 12 June 1970 relaxing in his home town of Los Angeles, under the mistaken belief that the Pirates had the day off. Ellis said he ingested LSD around noon, but at about 1:00 PM his girlfriend picked up a newspaper and discovered that not only were the Pirates scheduled to play a double-header in San Diego that evening, but Ellis was slated to start the first game for Pittsburgh. Ellis’ companion hustled him off to the airport by 3:30 PM and got him on a flight to San Diego, where arrived at 4:30 PM, in time for the double-header’s 6:05 PM start. Ellis told reporters he remembered little of what took place during the game itself:  “I can only remember bits and pieces of the game. I was psyched. I had a feeling of euphoria. I was zeroed in on the [catcher’s] glove, but I didn’t hit the glove too much. I remember hitting a couple of batters and the bases were loaded two or three times. The ball was small sometimes, the ball was large sometimes, sometimes I saw the catcher, sometimes I didn’t. Sometimes I tried to stare the hitter down and throw while I was looking at him. I chewed my gum until it turned to powder. They say I had about three to four fielding chances. I remember diving out of the way of a ball I thought was a line drive. I jumped, but the ball wasn’t hit hard and never reached me.”  Any assignment of a “True” status to this story must be a guarded one: only Dock Ellis knows whether or not he actually took LSD the day he pitched his no-hitter, and even if he did ingest LSD that day, judging the extent to which the drug (which can affect different people in different ways) was affecting him by the time he took part in that evening’s game is problematic. Baseball is a difficult game to play at the major league level, even for skilled professionals free from the effects of mind-altering substances, yet Ellis managed to pitch a complete game that evening, apparently did not act so unusually that his teammates or manager took notice, and was quite lucid while conducting post-game interviews with the press. (Of course, since it’s a long-standing baseball superstition that players should avoid speaking to a teammate who is in the midst of pitching a no-hitter, the other Pirates likely had little or no interaction with Ellis in the dugout during the latter half of the game.) Although Ellis might correctly be described as having been “under the influence of LSD” during his no-hitter, quite possibly the drug’s primary effects had peaked and were wearing off by game time. Dock Ellis’ recollections are also somewhat questionable. Donald Hall’s 1976 biography, Dock Ellis in the Country of Baseball, initially stated that Ellis had been drinking (vodka) before his no-hitter. Ellis maintained that he never pitched again while under the influence of LSD after his 1970 no-hitter, but he later said he had also taken the drug before the 1974 Cincinnati game in which he intentionally threw at the first several batters. And that admission came after he had previously stated that he took “pep pills,” not LSD, before that 1974 game. Then he said in 1985 that he “never pitched a game in the major leagues I wasn’t high.” Claim: Pittsburgh Pirates pitcher Dock Ellis hurled a no-hitter while under the influence of LSD.

Output: An unfortunate aspect of Dock Ellis’ admission is that he is now remembered by many people (especially those too young to have seen him play during his heyday with the Pirates) as “the guy who pitched a no-hitter on drugs,” a characterization which not only slights a baseball career that included some very fine moments, but also obscures the many acts of charity and conscience in which Ellis engaged both during and after his playing days: he worked with the Pennsylvania Department of Corrections to rehabilitate black prisoners, helped start the Black Athletes Foundation for Sickle Cell Research, and served as the coordinator of an anti-drug program in Los Angeles before passing away from liver disease in 2008.


Input: Consider Input: Paragraph: "New York continues to be the epicenter of the novel coronavirus in the United States, with the lion's share of cases coming from, or around, New York City. The city’s residents have been warned to stay home for weeks, with Gov. Andrew Cuomo formally signing a state-wide ""stay-at-home"" order on March 20 that banned all non-essential businesses from conducting in-office work and stopped all ""non-essential gatherings of individuals of any size for any reason."" Yet a photo shared on Facebook April 2 showed an overcrowded NYC subway car along with a caption that seemed almost unbelievable during a time of extreme social distancing: ""This is NYC#2 train this afternoon!!!! And their mayor and governor wants to blame trump!!!! Damn what a disgrace!!!! Spread this far and wide!!!!"" The image was flagged as part of Facebook’s efforts to combat false news and misinformation on its News Feed. (Read more about our partnership with Facebook.) In this case, the post isn’t far off – the image is real and was taken just three days earlier, during rush hour on a Bronx-bound train on March 30. The photo was posted that evening on Twitter by user Hiam Abbas, who wrote: ""4:30 PM today, #2 BX bound train. Trains are infrequent. All cars were this crowded. Social distancing? Containment? Essential workers are at risk."" 4:30 PM today, #2 BX bound train. Trains are infrequent. All cars were this crowded. Social distancing? Containment? Essential workers are at risk. @NYCTSubway @WajahatAli @NYCMayor @NYGovCuomo @Gothamist @NY1 @nyc311 @nytimes @JumaaneWilliams @AOC @shaunking @NewYorker @ABC7NY https://t.co/IEx8B9KdyM pic.twitter.com/Wp7Kj5Ca8i Abbas’ post  includes another photo of an overcrowded train, this one heading into Manhattan during the morning commute. With ridership plummeting and fewer crew members working, New York’s Metropolitan Transportation Authority announced implementation of its ""essential service plan,"" which aims to  to help move healthcare workers, first responders and essential personnel while scaling back train and bus service overall; some lines are running on modified schedules and others aren’t running at all. But public transit is a commuting lifeline for many essential workers, and the reduction in service can make it difficult to maintain the social distancing that health officials recommend. The MTA responded to Abbas’ photo on Twitter, saying it would be ""escalated to supervision for investigation."" In an interview with the news channel New York 1 that same day, Mayor Bill de Blasio said fewer people are riding the subway, so this kind of problem isn’t typical. He said subway cars can get overcrowded sometimes due to a train breaking down or a service delay, but he also concluded that crowding on trains was ""not acceptable."" ""I understand people are trying to get somewhere, but no one should be getting on a crowded train,"" de Blasio said. ""Spread out throughout the train. Wait for the next train."" According to a report by the New York Times, although overall subway ridership is down 87%, the steepest declines have occurred in richer neighborhoods. Manhattan, which has a median income around $80,000, saw a 75% decrease in ridership, the Times reports, while the Bronx, where the median household income is about $38,000, saw only a 55% decrease. The post is off on the date of the photo, but only by a few days; it was taken well into New York’s stay-at-home order." Claim: Photo shows a crowded New York City subway train during stay-at-home order.


Output: An image circulating online of an overcrowded New York City subway car is legitimate. It was taken on March 30 during evening rush hour.