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: On July 14 2019, a Facebook user shared a photograph purportedly illustrating the risks posed by grill brushes and the metal they can leave behind attaching to food that is consumed. In an attached status update, the poster warned:I would suggest to anyone that has a metal brush to clean your grill get rid of it. This is the result of eating a bristle off of one. I am looking at a long recovery. — at Pelham Medical Center.In the attached image, an exposed abdomen bears a long and painful-looking scar with more than twenty staples. No other details about the image were included with the post, but the obvious inference was that this was the result of surgery that was required after inadvertently ingesting metal fragments left on a grill by a cleaning brush.No information was included about how the injury manifested or which symptoms people already exposed to grilled foods might exhibit. However, news stories from previous years indicated that even if rare, summer grilling has occasionally led to people accidentally consuming food with grill brush debris attached.In May 2015, CBS reported that a Connecticut woman had been treated for the same injury. Her symptoms were described as a “sharp” and “unusual” pain:[In May 2015], a woman in Connecticut needed emergency surgery to remove a wire barbecue brush bristle from her digestive tract — and doctors say she’s not the first. Cheryl Harrison of Wallingford, Connecticut, was rushed to the hospital by her husband after feeling a sharp and unusual pain in her stomach.That pain was caused by a single stray bristle that had fallen off the metal grill cleaning brush and found its way into the hamburger she ate. She came into the emergency room within a day because of severe abdominal pain. After a CT scan showed the wire, doctors were able to remove it from her stomach through laparoscopic surgery.The article went on to describe a similar case in which the patient was not made aware of the injury as quickly. One doctor stated the injury was difficult to identify because the small size of the bristles meant they were difficult to find:Dr. Aziz Benbrahim, her general surgeon at MidState Medical Center, told CBS News she was lucky because she came in right away. A previous patient of his who had a grill brush wire stuck in his system waited for a couple of weeks. It had punctured his intestine.“I had to open him up completely, ” said Benbrahim. “Then we remove this wire and we found out also why he had chest pain — because he also had pulmonary embolism, which is a blood clot in his lungs.”“He was just lucky he was still alive,” he added. “All from this wire.”[…]“Nobody knows the statistics, that’s the problem. The only paper published talks about 6 or 7 cases and I believe it’s a much, much more common,” Benbrahim said. “When I was talking to my colleagues at the hospital, I was surprised that all of them had at least one or two patients like this. I didn’t think it was that common. And this isn’t a very big hospital, so I assume that in a bigger hospital they would have more.”The story further noted that in one hospital, at least six patients had similar injuries from ingesting grill brush wire over an 18-month period. One year later, WTSP reported that a man in Florida was injured the same way:A warning if you plan to fire up the grill this holiday weekend. A Lakeland man discovered a hidden health hazard the hard way, and it could be on your grill right now.“This is my little parting gift,” says Clif Hennecy. It’s a souvenir from the doctor’s office that Hennecy never imagined his doctor would find stuck in his stomach during a routine checkup.“It’s just a tiny, little bristle, but it’s stainless steel,” says Hennecy.The Lakeland man says the metal bristle came from the brush he used to use to clean his grill.“It’s a scary proposition having one of those lodged inside your stomach. It can cause abscesses, and cause infections, and it can cause people to die,” Hennecy says.And in July 2017, a boy in Canada was hurt when he swallowed wire fragments:Jenna Kuchik was kicking back after a July 4 [2017] barbecue with her fiance and three children when her 4-year-old son, Oliver Schenn, began to scream in pain.Terrified, Kuchik ran for the EpiPen. Oliver, whom Kuchik and her fiance, Matt Schenn, affectionately call Ollie, has a severe nut allergy. But the boy was not exhibiting any of symptoms of a reaction — only choking, screaming and crying.Twenty-four hours and two hospitals later, Ollie would emerge from surgery after doctors removed two tiny metal fibers from his esophagus. The culprit: the family’s wire barbecue brush.That outlet included some statistics about frequency, noting it was low but acute, and possibly underreported:Barbecue brushes have caused an estimated 1,698 emergency room visits from 2002 to 2014, according to a study published in 2016 in the journal Otolaryngology-Head and Neck Surgery. The rate of injuries is low when compared to similar emergencies, like children ingesting batteries, but the study’s lead, Dr. David Chang, associate professor at the University of Missouri’s department of otolaryngology, believes the data underrepresents the total volume of injuries. Urgent care clinics and primary care doctors likely see many similar cases that aren’t covered by the data in Chang’s study.A 2018 Consumer Reports article provided alternative methods of cleaning a grill without the ubiquitous wire brush:Consider alternative cleaning tools. Depending on what type of grill you have, you might try cleaning warm grill grates with a tool such as a pumice stone or a coil-shaped bristle-free brush. Check your owner’s manual for recommendations … You can also brush loose food particles off a warm grate with a wad of crumpled-up aluminum foil. Make sure grill grates are not hot enough to burn you.The claim about ingesting grill brush wires and requiring hospitalization represents a known but rare risk. Experts advise anyone who experiences symptoms like stomach pain after consuming grilled food to seek medical attention. Instead of using a wire grill brush, consumer safety advocates advise alternative grill cleaning methods, such as aluminum foil. Claim: People sometimes ingest metal fragments from grill brushes and become seriously injured.

Output: Can Grill Brushes Cause You to Ingest Metal and Become Ill?


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: The decision by Cleveland County District Judge Thad Balkman in Norman, Oklahoma, came in the first case to go to trial out of 2,700 nationally by states, counties and cities seeking to hold drug companies responsible for the deadly epidemic. Balkman reduced the amount he had awarded in August by $107 million after agreeing with New Brunswick, New Jersey-based J&J that he had made a math error. J&J said it will appeal, and that the award and finding of liability were “neither supported by the facts nor the law.”  A spokesman for Oklahoma Attorney General Mike Hunter said that office is reviewing the decision and will formally respond within the next few days. Opioids were involved in almost 400,000 overdose deaths from 1999 to 2017, according to the U.S. Centers for Disease Control and Prevention. Following a non-jury trial, Balkman ruled in August that Oklahoma had proven that J&J engaged in misleading marketing about the benefits of painkillers, and that their addictive risks caused a public nuisance in the form of the opioid crisis. Hunter had sought to have J&J pay $17 billion to help fund addiction treatment and other services to repair damage from the opioid epidemic over the next 30 years. Balkman, however, awarded only enough money for one year of programs, saying Oklahoma failed to support its claims regarding the need to abate the epidemic in future years. Following the August ruling, Oklahoma asked Balkman for permission to return to his courtroom annually to prove those costs, but Balkman on Friday maintained his prior ruling. J&J, meanwhile, argued that it deserved a $355 million credit, reflecting pre-trial settlements by the drugmakers Purdue Pharma LP and Teva Pharmaceutical Industries Ltd.  Balkman concluded on Friday that state law did not allow such credits. Last month, J&J and four other companies proposed a $48 billion settlement framework to resolve all of the opioid cases they face, with J&J paying $4 billion. Lawyers for the local governments have opposed the proposal. If approved, the settlement would let J&J resolve some of the thousands of product liability lawsuits it faces. The company also faces litigation over whether its baby powder causes cancer, a claim it denies. Claim: I helped win one of the biggest private lawsuits against Medicare fraud in history. The government declined to pursue the case, so my firm did, and we recovered $324 million for taxpayers.


Output: An Oklahoma judge on Friday said Johnson & Johnson must pay that state $465 million for fueling the opioid epidemic through the deceptive marketing of painkillers, down from his original award of $572 million.