instruction:
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.
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Paragraph: Becerra was discussing the findings of a 147-page report prepared by his office that also found that detainees face long periods of confinement without breaks and language barriers in the 10 detention facilities state authorities inspected in 2017. Becerra said the annual report released Tuesday is the first of 10 that the state Legislature requires of the California Department of Justice, which is tasked with inspecting all federal immigration detention facilities in the state. That law was one of three immigration-related “sanctuary state” bills passed in 2017 that the Trump administration unsuccessfully challenged in court. Inspectors spent one day on scheduled visits at 10 facilities in operation in 2017. ICE contracted with four for-profit prison companies and six county sheriffs to house and care for the inmates. Since then and amid growing protests, sheriffs in Sacramento and Contra Costa counties terminated their contracts with ICE to house federal immigration inmates in the local jails. A third facility near Bakersfield is also facing closure after the city of McFarland told ICE it would not renew its contract when it expires in March. Becerra said many of the problems are caused by inadequate federal oversight. He said a common “challenge” inspectors found at most facilities included confining inmates to their cells for up to 22 hours a day. He noted that most of the detainees are not accused of crimes and are awaiting court decisions on their immigration status. ICE spokeswoman Lori Haley said the private prison companies and county jails that house detainees “must meet rigorous performance standards.” “The safety, rights and health of detainees in ICE’s care are of paramount concern and all ICE detention facilities are subject to stringent, regular inspections,” Haley said. The attorney general’s report estimated that 74,000 immigrant detainees have been held in California detention centers over a three-year period ending in 2017 with an average stay of 50 days per inmate. Becerra said the state inspections of federal immigration facilities in California were necessary “because everyone in this country has constitutional rights and everyone at the end of the day — child and adult — deserve to be treated in a human way.” In a separate report , California’s state auditor Elaine Howle said cities and counties failed to properly monitor the facilities in their locales. Howle’s report also called on ICE to be more transparent in its detention operations. “The state lacks complete information about how much it costs and what conditions the detainees face,” Howle’s report concluded. “Also unclear are how many detainees are being held throughout California, where they are being held, and for how long.” Claim: California officials: Immigration facilities lack oversight.
answer:
Detainees confined to federal immigration detention facilities located in California have inadequate access to health care, lawyers and family, state Attorney General Xavier Becerra said Tuesday.


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Paragraph: McLaren Flint Hospital on Friday requested an administrative hearing before the state enforces the terms of an order over issues with the bacteria that causes Legionnaires’ disease. The Flint Journal reports McLaren’s attorneys say the order issued Wednesday by the Michigan Department of Health and Human Services and Department of Licensing and Regulatory Affairs contains allegations, findings and conclusions that are untrue. Flint, while under state financial management, switched to the Flint River for water in 2014 without treating it to reduce corrosion. Lead leached from pipes, contaminating the system. At the same time, a deadly Legionnaires’ disease outbreak occurred that led to criminal charges against government officials. ___ Information from: The Flint Journal, http://www.mlive.com/flint Claim: Flint hospital wants hearing on order over Legionella risks.
answer:
A Flint hospital ordered by the state to take steps to reduce the risk of exposure to Legionella bacteria wants a hearing on the matter.


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Paragraph: "The story mentioned that the test carried a $399 price tag. Of course there are larger cost perspectives. If this diagnostic test truly has value, it might lead to more targeted therapy – perhaps decreasing overall medical costs. If it is a poor test, it may increase medical costs beyond the initial $399 for the test itself. The story included discussion about how this test might be of benefit; it did not include quantification of benefit (i.e. :how much faster could it enable a clinician to make a diagnosis?) though one of the points of the story was that the actual benefit of this test was somewhat imprecise. Lastly – the statement that any information is good is a red herring. However, we’ll again give the story the benefit of the doubt on this criterion. The story discussed problems associated with false positive or false negative results. It mentioned that physicians might not have the appropriate training to understand what to do with the results of the test and could make, what an expert quoted in the story described as ""foolish decisions"" The story mentioned that this and other genetic test kits prey on individuals’ deepest anxieties. That said – there are many more harms possible. Creating the precedent for direct marketing of lab tests – even if the results go to the doctor carries significant risks. It could prey on peoples’ insecurities, cause financial harm, adversely affect the patient-clinician relationship, and lead to other family members of test positive patients (family members without symptoms) getting a meaningless test due to worry. It was good that the story pointed out that there is little oversight for the accuracy of genetic test kits. Overall the story did a good job; it gave data such as 1% rate of genetic abnormality in unaffected vs. 3% in bipolar patients. It said, ""The report that accompanies those results instructs doctors that a positive test means patients are two to three times more likely to have bipolar disorder."" If the reporter had gone the next step, it would have been even better. For example, if someone has no symptoms of bipolar disorder, then the likelhood of current bipolar is 0% – so a 2-3 time increase in risk is still 0. For someone with many symptoms, the risk of bipolar disorder might be 50-60% (rough estimate) and an abnormal test might increase that substantially. Granted, interpreting the quantitative data for readers may be difficult but it would have been helpful to put it into terms that were easier to understand. But in discussing why the test was useful, the company founder said that it was important ""even if it just helps a little bit"". The story should have noted that this lack of quantification of benefit is problematic. We’ll give the story the benefit of the doubt on this criterion. The story did not engage in overt disease mongering. The story included quotes not only from the scientist who developed the test discussed, but from several experts in the field. The story did not make clear how diagnosis of bipolar disorder with the test vs. without the test differed. However it would appear that this may have been intentional as it isn’t actually clear how diagnosis of this disorder is dramatically altered in the era where this test is available. The story mentioned that this was a commercially available product. (Though it failed to mention that this test would likely not be covered by insurance, it also did not imply that it would. This, of course, will affect availability.) The story was clear that the test for bipolar disorder it described had been commercially available for about a month. It also mentioned that there about 1000 other test kits (for other genetic traits) which are available. Does not appear to rely on a press release." Claim: At-home gene test stirs up debate
answer:

This is an excellent story that used a concrete example (i.e. bipolar disorder) to highlight the pitfalls involved with the use of genetic test kits for gene alleles. Rather than write a story heralding the first commercial availability of a test to identify genetic markers associated with risk of bipolar disorder, this was a thoughtful piece that presented both the hope and the hype associated with the product. While failing to provide concrete estimates for the benefit from the product or diagnostic alternatives, the story painted an accurate picture of the uncertainty for deriving benefit.