Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.

Input: Consider Input: After hearing about a few more episodes Breckenridge had, Berger suggested she get a gate for the top of the stairs, in case Breckenridge were to fall. She then asked Breckenridge if she had set up Alexa, the virtual assistant developed by Amazon, which she had. They then discussed different exercises they had gone over in the past. Berger asked the patient about her arm mobility — asking her to lift her arm — and stability, prompting her to stand up without holding on to anything. After about a 30-minute session, they said their goodbyes and logged off their computers. Berger, a physical therapist, certified dementia specialist and owner of Rehab Smarter, conducted the entire session online. Rehab Smarter is a local telehealth business that provides comprehensive rehabilitation services to patients over the internet. “This has been a saving grace for me,” Breckenridge said. “It’s not because I don’t want to go to the doctor’s office. It’s because I can’t get to them. If I could, I would be there.” The Brunswick resident turned to telehealth services due to her decreased mobility. She is, for the most part, homebound due to having multiple seizures a day. While she has online sessions with doctors, they still recommend that she come into the office at times to run certain tests and other functions that physicians are not yet capable of completing online. She works with Berger through online sessions about twice a week. Working with her is “completely the same” as if she were sitting with Berger face to-face. “Just because you’re stuck at home doesn’t mean that you can’t get the help that you need,” she said. “People just need to find the help that they need, and sometimes it’s on the internet.” Berger started Rehab Smarter about 18 months ago. She conducts sessions with her patients through an online portal where she can email with them directly, upload videos and add notes for their benefit. Everything is Health Insurance Portability and Accountability Act, or HIPAA, compliant. She typically doesn’t do a face-to-face assessment with the patient, but she has gone in-home to see the setup and suggested any modifications to help the patient with mobility. She may also do an initial assessment and meet with the caregiver, if there is one, and ask what the patient’s goals are. “Most of what clinicians do is educate and teach the client how to take care of themselves,” she said. She demonstrates different exercises with her patients online and, with her expertise, can detect muscle strength and functionality by just observing them perform simple tasks. “You can test cognition over the internet, you can test sensation,” she said. “You can’t listen to the heart without special equipment, but that exists.” Her average client has COPD, heart failure, diabetes, kidney disease, arthritis, high blood pressure and other conditions, all at once. They turn to telehealth because it’s difficult for them to get out of the home and go to a doctor’s office, although they sometimes do so. “It’s not really home care,” she said. “It’s not really outpatient. It’s a platform for clients that either have maxed out their benefits through traditional means or have prevention and wellness issues that will not be covered. It’s another opportunity for people.” Telehealth can be beneficial to the healthcare provider as well. When Berger provides home care through a company she works for, she can see up to six clients a day and then has hours of paperwork to complete, for insurance purposes. Through virtual care, she can see up to 12 patients with minimal paperwork. Her telehealth service is not covered under insurance, which cuts out a lot of the paperwork. A session can range from $80 to $200. With telehealth, a patient is not limited to one doctor. If Berger finds that a patient needs care in an area in which she’s not an expert, she can consult with a doctor across the country to get the patient the care they need. “So you can now get care by anybody who’s appropriate, wherever you are, at least to a point that you could not have gotten before,” she said. But even with the internet playing such a vital role in the future of medicine, there are still many limitations to telehealth. “You can’t touch a patient,” Berger said. “If you have an abdominal problem and your physician is palpitating your stomach to feel for tension and different things, you can’t do that (over the internet). Blood tests and physical surgeries also can’t be done, at this point in time at least.” Frederick Memorial Hospital is also making headway in telehealth services. The Chronic Care Management Program gives patients tablets, blood pressure monitors, a pulse oximeter and a scale to detect their vitals in the comfort of their own home. They consult with a nurse on the team once a week by phone. By the end of the summer, they plan to have video conferencing, according to Lisa Hogan, a nurse at FMH and the team lead for both the Chronic Care Management and telemonitoring programs. The program took off in 2017 and started with 30 monitors for in-home patients. Today it has 203 in the community. Up to 200 more monitors will be added in 2020. There is already a waiting list to be a part of the program. This past winter, the hospital also launched a separate Virtual Visit Program through Monocacy Health Partners, the hospital’s own physician group. The program is for employees and primary care patients of MHP, according to Alex Nason, director of IT innovation at FMH. Through a series of questions, primary care providers can assess ailments such as upper respiratory infections, flu, cold, rash and pink eye. Although physicians can make diagnoses and write prescriptions after conducting a telehealth session, about 20 percent of the time the provider decides that they would like to see the patient in person. Through these efforts, FMH saw an 84 percent reduction in readmission rates and a 56 percent reduction in emergency room visits in 2018, according to Hogan. “Telehealth as technology has become easier to use, less expensive and more accepted. And the clinical validation is there as more and more parts of health care are embracing it,” Nason said. “I think as the technology advances, the research continues to accrue validation and the economics of healthcare continue to evolve, we’re seeing more and more movement, acceptance and options of telehealth because the stars are starting to align.” ___ Information from: The Frederick (Md.) News-Post, http://www.fredericknewspost.com

Output: Telehealth rises as medium increases in validity.


Input: Consider Input: "Don't mess with Charlie Crist when it comes to open government. It was Crist, as Florida governor, who created something called the Office for Open Government. And we've heard stories of the governor himself ordering agency heads to hand over public records requested by nosy reporters. Now Crist is taking up the cause of the nation's people in a debate over transparency when it comes to the health care reform bill. ""It seems that a bill that was crafted in a closed-door, backroom meeting in the White House will end the same way,"" Crist, who is running for U.S. Senate, said in a statement released Jan. 5, 2010. ""President Obama has broken his pledge to the American people to be transparent throughout this process, and (Senate Majority Leader) Harry Reid and (House Speaker) Nancy Pelosi have only aided in the secrecy with sweetheart deals and dead of the night votes."" Crist is claiming that Obama broke a promise when it comes to transparency and health care reform. Lucky for us, we have this thing at PolitiFact called the  Obameter  , where we are tracking Obama's more than 500 campaign promises. If you'll now turn to  Promise No. 517  . To achieve health care reform, Obama said in August 2008, ""I'm going to have all the negotiations around a big table. We'll have doctors and nurses and hospital administrators. Insurance companies, drug companies -- they'll get a seat at the table, they just won't be able to buy every chair. But what we will do is, we'll have the negotiations televised on C-SPAN, so that people can see who is making arguments on behalf of their constituents, and who are making arguments on behalf of the drug companies or the insurance companies. And so, that approach, I think is what is going to allow people to stay involved in this process."" If it only happened ... While the Senate and House floor debates have been televised on C-SPAN, negotiations have almost always been away from television cameras. ABC's Jake Tapper put the discrepancy in front of White House press secretary Robert Gibbs this week, to see if the final negotiations between the House, the Senate and the president would be televised. ""There have been a countless number of public hearings,"" Gibbs said. ""The Senate did a lot of their voting at 1 and 2 in the morning on C-SPAN ... I think what the president promised and pledged was so that you could see who was fighting for their constituents and who was fighting for drug and insurance companies."" But, Tapper pressed, the president was talking about negotiations, not votes -- which would hardly be a campaign promise since they would have been televised regardless. ""Well, but the bill gets put together on the floor of the Senate,"" Gibbs said. ""That's where the bill got augmented. And I think if you watched that debate ... you'd have seen quite a bit of public hearing and public airing."" Despite the action on the House and Senate floors, most of the serious negotiations on the health care bill have been done in the same fashion as other major initiatives in the past -- behind closed doors. From negotiations with the drug companies and health care interests to final assembly of the delicate compromise on abortion, the bulk of the big deliberations and discussions have occurred out of the public eye. The debate over the resulting bill may have been on C-SPAN as Gibbs claims, but the real sausagemaking took place in a private kitchen. 517 a Promise Broken. On top of that, C-SPAN CEO Brian Lamb  wrote  to House and Senate leaders last week inviting negotiations on the channel. ""President Obama, Senate and House leaders, many of your rank-and-file members, and the nation’s editorial pages have all talked about the value of transparent discussions on reforming the nation’s health care system,"" Lamb wrote. ""Now that the process moves to the critical stage of reconciliation between the Chambers, we respectfully request that you allow the public full access, through television, to legislation that will affect the lives of every single American."" Obama promised an end to closed-door negotiations and complete openness for the health care talks. But he has failed to deliver. When Crist says ""President Obama has broken his pledge to the American people to be transparent throughout this process,"" he's right."

Output: President Obama has broken his pledge to the American people to be transparent throughout (health care reform negotiations).


Input: Consider Input: On 18 April 2016, the “Unbelievable Facts” Facebook page posted an image purportedly showing a paramedic and a doctor who saved each other’s lives:  The story seemed like the most farfetched of urban legends, but it was in fact true. The photograph was taken from a news story from Los Angeles-area outlet KTLA on 29 March 2015, and shows Dr. Michael Shannon, Chris Trokey, and three other firefighters from Orange County Fire Authority’s Paramedic Engine 29. According to KTLA, Shannon saved Trokey’s life in 1981, just after he was born: Trokey was just 3.2 pounds at birth, and doctors had initially gave him a 50/50 chance at surviving. But his pediatrician — Dr. Shannon — helped save his life, staying with the infant around the clock until his health improved and he was stable. Trokey returned the favor in 2011, when Dr. Shannon was involved in a car accident: Firefighters from Paramedic Engine 29 were returning from another call and responded within minutes to the fiery crash. By the time they arrived, Shannon’s vehicle was also ablaze and the flames were burning his legs. Fire crews then worked to extinguish the flames and rescue him using the Jaws of Life. The seriously injured Shannon was taken to Mission Hospital in Mission Viejo where he spent the next 45 days recovering from internal injuries. He also had to have two of his toes amputated. Among those who had helped save Shannon that day was Orange County Fire Authority paramedic Chris Trokey, whose own life had been saved 30 years earlier by the pediatrician. “I didn’t know about until I went to the hospital and started talking about it, Dr. Shannon. And I was like, ‘Oh my gosh, Dr. Shannon?’” Trokey recalled on Sunday. “That’s when I found out.”


Output: A paramedic saved the doctor who saved his life as a baby.