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.

Ex Input:
Paragraph: About 400 patients, many of them with cancer, were given the oil for free at a flagship clinic at the Public Health Ministry in a suburb of Bangkok. The initial four formulations handed out are used for treating conditions such as migraines, insomnia, nausea, numbness and pain. The medicines are touted as being based on traditional remedies. Thailand was previously known for harsh anti-drug laws, but is now eyeing the economic potential of cannabis. A report last year by Prohibition Partners, which claims to be the leading authority on the subject, said Asia’s medical cannabis market would be worth around $5.8 billion by 2024. Around 25 similar clinics have been operating part-time since the legislature agreed in 2018 to amend the country’s drug laws to allow the use and production of medical cannabis. The Health Ministry clinic and another in Bangkok are forerunners of a planned nationwide network, if they show positive results. “Marijuana could be an answer. At least the patients’ quality of life is improved,” said Dr. Prasert Mongkolsiri, the director of a public hospital, who helped advise patients on Monday. “At least it can lessen the side effects of the modern chemical-based medicines that they’ve been taking for 10 or 20 years,” he said, referring to chemotherapy for cancer patients. Chamroen Nakurai, 57, was diagnosed with lymph node cancer two years ago. She said cannabis oil helps lessen the side effects of her chemotherapy, but until now she had been able to get it only through illegal underground suppliers. “The treatment isn’t widely available and the cost is quite high if you visit underground clinics, but this service is free and anyone can access it,” she said. Nuthjutha Ulpathorn, 29, was born with cerebral palsy that makes her unable to walk and garbles her speech. She began to use cannabis oil two months ago after her mother brought her to a government hospital that started to give out cannabis oil. “I sleep better, and (am) less cranky,” Nuthjutha said with a smile. Health Minister Anutin Charnvirakul, the chief architect of the new policy drive, toured the suburban clinic on Monday. He expressed hope that the remedies might be soon added into the National List of Essential Medicine, which allows them to be covered by Thailand’s 30-baht ($1) universal health care scheme. Officials say the policy of free cannabis is likely to be changed. Anutin is the leader of the Bhumjai Thai Party, a partner in the country’s coalition government. The party won 50 seats in March’s general election after Anutin campaigned for legalization of the production of marijuana to aid farmers. Moves to allow small-scale private production are moving ahead. The Public Health Ministry, meanwhile, supervises cannabis production at six locations around the country. Claim: Thailand launches full-time clinics dispensing cannabis oil.

Ex Output:
Thailand on Monday opened its first two full-time clinics dispensing cannabis oil for medical treatment, a step forward in the government’s policy of promoting the licensed use of marijuana products to relieve the symptoms of a range of ailments.


Ex Input:
Paragraph: The Office of Inspector General on Friday released two reports that look into the longstanding challenges of the 28 hospitals directly operated by the federal Indian Health Service. The OIG, which acknowledged that reports of inadequate health care services for Native Americans have been of concern to the federal government for almost a century, criticized the agency’s limited oversight regarding compliance with federal regulations and quality of care, detailing how the agency’s regional administrators have few sources of information to assess the services provided at the facilities. The Indian Health Service, commonly referred to as IHS, is responsible for providing health care services to enrolled tribal members as part of the government’s treaty obligations to Native American tribes. But the agency has faced challenges for decades, and within the past year it has been under increased scrutiny from Congress after inspections of hospitals in the Great Plains uncovered severe deficiencies. The OIG says IHS’s eight regional offices conduct activities to monitor the quality of the facilities, but those efforts are minimal in some areas. One of the reports states that the primary source of information that the regional offices use to detect quality problems is a small number of complaints and patient harm reports. “However, according to hospital administrators, most patient complaints relate to customer service and wait times, rather than medical care,” according to the report. “Further, most hospitals (20 of 28) receive fewer than 100 complaints per year for inpatient and outpatient visits combined, averaging about 1 complaint per 1,000 patient visits. ... Considering the quantity and subject matter of complaints and patient harm reports, they are unlikely to provide hospital staff with the breadth of information needed to identify and diagnose systemic quality or compliance breakdowns.” The OIG, which gathered the information for the reports between April and October 2014, also said that only half of the regional offices conducted mock inspection surveys that could provide insight regarding the facilities’ quality practices. The watchdog also faulted the IHS for staggering findings of outdated facilities and the weekslong process that job applicants must follow, even when the physician vacancy rate was 33 percent at the time the information for the reports was gathered. According to the report, in 15 of the 28 hospitals, administrators reported that aging or inadequate physical environments affected their ability to give quality care. Corroded pipes in one hospital caused sewage to leak into the operating room. The IHS has now been under scrutiny for more than a year after inspectors from the Centers for Medicare and Medicaid Services, known as CMS, found several quality-of-care deficiencies at hospitals in South Dakota and Nebraska. At one facility, the alarming conditions of its emergency room led officials to close it for seven months. The OIG on Friday recommended that CMS inspectors survey IHS facilities more frequently. The IHS in a statement Friday concurred with recommendations made by the OIG, including the need for more training for staffers and new ways to monitor hospital quality. The IHS also said it began a mock survey initiative at 26 hospitals in May 2016 to assess compliance with the standards that facilities must meet to be able to participate in the Medicare program. The IHS’s statement also highlighted a team that was formed in February 2016 “to ensure that dependable, quality care is delivered consistently across IHS facilities.” ___ Follow Regina Garcia Cano on Twitter at https://twitter.com/reginagarciakNO ___ Associated Press writer James Nord contributed to this report from Pierre, South Dakota. Claim: Watchdog: Staff issues affect care at reservation hospitals.

Ex Output:
The internal watchdog of the U.S. Department of Health and Human Services says the often-substandard quality of care at hospitals serving Native Americans is the result of outdated equipment and technology, lack of resources and difficulty attracting and keeping skilled staff.


Ex Input:
Paragraph: "The costs of foods containing vitamin E is not really in question, so we’ll call this one not applicable. The story comes a whisker away from earning a satisfactory on this one. It leads by noting that participants with the highest vitamin E intakes had a 25% lower risk of dementia compared with those who had the lowest intakes, It more precisely quantifies this benefit later in the story, where it explains that 120 people developed dementia in the group with the highest vitamin E intake compared with 164 people in the low- intake group. What would have been most informative, however, is if the story had provided some denominators for this comparison — that is, 120 out of how many people developed dementia in the first group compared with 164 out of how many people in the second? This would given readers a better sense of the absolute risk reduction associated with higher vitamin E intake. We know this sets the bar high, but for good reason, we think. There are no known harms to eating a diet rich in foods containing vitamin E, but this story goes the extra mile and notes that high vitamin E intake from supplements can cause excessive bleeding. The story uses appropriate language and caveats when reporting on the results of this observational study. It notes that the findings ""do not prove that vitamin E itself protects the aging brain,"" and there is no talk about vitamin E ""lowering the risk"" of dementia. The story also provides the key details regarding how the researchers conducted the study, including the number of participants; how vitamin E intake was assessed; how long the participants were followed; what confounding factors were included in the analysis; and how much vitamin E participants were getting in the group that had the lowest risk. Had the story sought out a comment from an expert in nutritional epidemiology, they likely would have pointed out some problems with trying to assess dietary intake from a single baseline questionnaire as was used in this study. They also would have provided additional context about the MANY other studies (including other large cohorts) that have looked at associations between antioxidants and dementia/ cognitive decline. Nevertheless, readers can’t miss the take-home message, which is that these findings are not conclusive. There was no disease-mongering of dementia in this story. Although the story is generally well balanced, it could have benefited from the inclusion of an independent comment on the findings. Valuable context about prior studies and the serious limitations of the current study would have been helpful. There is currently no proven method for preventing age-related dementia. We might have wished that this story had mentioned some other diet and lifestyle choices that are associated with reduced risk in observational studies. These include staying physically active, not smoking, eating a Mediterranean-style diet (rich in fruits and vegetables and omega-3 fatty acids), and keeping your mind engaged in intellectually challenging pursuits. But since the evidence is kind of squishy for all of this, we rule this satisfactory. The story provides a list of foods that are rich in this micronutrient. The idea that vitamin E and other antioxidants might protect against dementia is not new, and the story doesn’t suggest that it is. While the story doesn’t appear to have lifted anything directly from the press release issued for this study, it also doesn’t seem to have interviewed anyone about the research. Since we can’t be sure to what extent the story relied on a release, we’ll call it not applicable." Claim: Higher vitamin E intake tied to lower dementia risk

Ex Output:

While the story has a few notable deficiencies — no independent comment and insufficient statistical detail regarding the magnitude of the effect — readers will undoubtedly come away with the right bottom line message about this study: Interesting, but inconclusive. Dementia will place a growing burden on individuals and our society as the population ages, yet there are currently no effective ways to prevent or treat this condition. Instead of offering false hope about strategies that have little chance of making a difference, stories such as this one help give readers a realistic view of where they should they spend their time and energy when trying to reduce health risks.