TASK DEFINITION: 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.
PROBLEM: Paragraph: The story does not talk about costs, which was disappointing. The costs of intensive medical therapy can easily be identified. Using an online pharmacy we calculated the costs to be about $1,500 to $2,000 annually for medical therapy, using generic drugs. Using the Health Care Blue Book, we found the average cost of coronary artery bypass sugery and hospitalization to be about $62,000. We think that this is important information for readers that should have been included. The quantification here was presented in such a way to make it clear to readers that there was no significant benefit found to surgical intervention, which is a fair conclusion to draw from the study. The story says, “In the Stich study, 41% of patients assigned to treatment with drugs alone died during the follow-up period, which averaged five years. That compared with a mortality rate of 36% among patients who received bypass surgery plus medication. Although the relative reduction in risk of death was 14%, the result didn’t meet tests for statistical significance, meaning it could have resulted from chance alone.” That’s a great way to describe the lack of statistical significance. It would have been even more powerful to show readers the actual number of patients who died in each group. The story provides great information about the study itself and about the overall state of the evidence supporting heart surgery. “How best to treat these patients has been fraught with uncertainty,” is one of the more notable phrases from the story. It also says, “Many patients aren’t evaluated for heart surgery to treat diseased arteries because they don’t suffer classic chest pain or because doctors worry that hearts weakened by heart failure won’t benefit from the procedure. Other doctors recommend immediate bypass surgery despite a lack of vigorous studies to support that strategy.” The story does not engage in disease-mongering and takes a very careful approach to describing the types of patients who would be affected by this study’s results. We also like the way they provided snapshots of patients who were in both arms of the study — surgery and non-surgery — at the end of the story, making it clear, as the study did, that both routes can be equally successful. The story brings in some strong independent voices who help make sense of this complicated study: James Fang, a cardiologist at University Hospitals Case Medical Center in Cleveland, who wrote an editorial accompanying the study, Raymond Gibbons, a cardiologist at the Mayo Clinic, and Clyde Yancy, chief of cardiology at Northwestern University’s Feinberg School of Medicine. Rarely do you see a story that spends as much time with independent experts as it does with the authors of the study. The story does a great job showing how the standard interventions for heart disease stacked up against each other in this study. We wish that some mention had been made of diet and exercise and that at least a sentence had been included about whether there might be differences in outcomes seen as a result of different medication patterns. The story doesn’t make it clear what exactly the patients were taking. The story makes it clear that the range of treatments studied by the authors are widely available. The story makes it clear that there is a great need for more evidence in this field and that this study will be surprising to many clinicians because of a long-held assumption that surgery is the superior option. tudies published in the early 1990s supported the view that bypass surgery provided a better long term outcome. The story does not rely on a news release. Claim: More Options Before Bypass Surgery, Study Finds

SOLUTION: The piece gave readers some powerful information to help them sort through the range of factors that should be considered for any medical intervention. The only weakness our reviewers found with the story is the lack of comment about cost. Too often stories present medical options as false choices of best versus worst. They don’t take into consideration the very real differences between patients’ medical histories, diagnoses and expectations. This story should be applauded for giving readers a clear understanding of the complexities of shared decision-making between providers and patients. As noted by one of the experts quoted in the story, “You don’t have a good therapy and a bad therapy, you have a choice.” This is a message that the story gets across very well and is an important one for readers.

PROBLEM: Paragraph: The Advocate reports national and local politicians, law enforcement, health care experts and social services professionals attended a summit Tuesday in Baton Rouge hosted by Republican U.S. Sen. Bill Cassidy of Louisiana. They agreed providing mental health services to keep patients out of emergency rooms and jail is vital, but the speakers said it must be a bottom-up effort. Cynthia Kemp says she had worked toward better service in Arlington, Virginia, roughly a decade ago, raising about $800,000 for a jail diversion program and crisis intervention team. She’s now with the federal Substance Abuse and Mental Health Services Administration. Cassidy says communities need to leverage local money to collect federal grant assistance. ___ Information from: The Advocate, http://theadvocate.com Claim: Mental health care summit: Local officials must lead effort.

SOLUTION: Federal officials say Louisiana leaders must take the lead in addressing mental health care for their own communities.

PROBLEM: Paragraph: The appeal is real, according to a May 7, 2014, ABC News article that said the family of Baylor Fredrickson, a 7-year-old bi-racial boy who is battling Leukemia, are seeking donors who need to be ethnically similar to him. The article said, “Baylor needs a bone marrow transplant and his sister Maddie is not a match. Their parents are Japanese and German, so a mixed race donor — Asian and Caucasian — would be ideal, but so far a worldwide search has come up empty.” Asian American Donor Program spokesperson Jonathan Leong told reporters that trying to encourage more Asian Americans to  register on the national donor list has been his mission for more than two decades. At present, there are about 400,000 mixed race donors listed in the national registry. There are 10 Million donors listed on the national registry. There is special page for Baylor posted on Facebook at: https://www.facebook.com/amatchforbay Posted 06/04/14 Comments Claim:    Baylor Fredrickson, a 7-year-old boy from Albany, N.Y., is looking for a bone marrow donor.  

SOLUTION:
Baylor Fredrickson Needs Bone Marrow Match.