instruction:
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.
question:
Authorities have managed to mitigate the spread of the virus and the COVID-19 respiratory disease it causes among Singapore’s citizens by rigorous contact tracing and surveillance, earning praise from the World Health Organization. The Ministry of Health reported just 14 cases among Singaporeans and permanent residents on Saturday. But the disease is spreading rapidly within the large migrant worker community, highlighting what rights groups say is a weak link in containment efforts. Authorities have ramped up testing for the disease in the dormitories. Saturday’s new cases takes the total in the city-state, which is under a partial lockdown, to 5,992. It has reported 11 deaths from the disease.
answer:
Singapore reports 942 new COVID-19 cases in record daily jump.


question:
Since 2000, 34 of Iowa’s 118 community hospitals have closed their birthing units, according to the Iowa Department of Public Health. There have been two so far this year, down from eight closures last year — the most in a single year. Most of those closures have happened at smaller facilities than the 49-bed Marshalltown hospital. Iowa’s aging population is a key reason for these closures, Dr. Stephen Hunter, vice chairman of obstetrics at the University of Iowa Hospital & Clinics in Iowa City, told Iowa Public Radio . “Some rural counties have lost as many as 40 percent of their population in the last three decades,” Hunter said. “That’s a lot of people gone, unfortunately. That leaves a system that’s not adequate for those that remain in those counties.” Hunter said the state is also facing a severe shortage of OB/GYNs and family practice doctors who practice obstetrics. And, he said, Medicaid reimbursements are so low for obstetrics that hospitals can’t support the service. According to figures from the University of Iowa Hospitals & Clinics, Medicaid reimbursed it about one-third of what commercial insurance plans did for services such as ultrasounds and deliveries last year. Competition from bigger hospitals in bigger cities presents a business challenge, too. “There simply aren’t enough women choosing to deliver locally,” UnityPoint Health President Jenni Friedly said. “This is a problem that has been going on for a long time. . There are enough women becoming pregnant, but they are going elsewhere to deliver. It’s clear OB/GYN patients are already selecting Ames and Des Moines for their care.” Stephanie Trusty, a nurse who tracks birthing trends for the state, told the Marshalltown Times-Republican that “some of these birthing units are beautiful. They’re like a four-star hotel.” But does the loss of birthing units at the smaller hospitals and consolidation of birthing services affect health outcomes? A 2017 University of Minnesota study said the loss of labor and delivery units in smaller, more remote counties is linked with a decrease in prenatal care and increase in out-of-hospital and preterm births. The Iowa Public Health Department and the University of Iowa are keeping watch for any such problems, but so far have not seen any sizable incidence, Trusty said. Hansen Family Hospital CEO Doug Morse in Iowa Falls told Iowa Public Radio that hospital officials decided labor and delivery care were too expensive to continue in the aging, rural community with a declining birth rate. After three months of public meetings, Morse said, hospital officials opted to use half the money they would save to turn the unit into a mental health program for seniors. “It really did become fairly clear that people recognize that this wasn’t necessarily ... delivering babies isn’t necessarily a service that matches an elderly population,” he said. The closing of the birth unit at the Iowa Falls hospital forced Jessica Sheridan to change her plans to have her baby born there, just five minutes from her home. She established relationships with doctors in Ames, an hour away, where her daughter was delivered in mid-December. “We were lucky. It was nice weather,” Sheridan said.
answer:
Costs forcing some hospitals to stop delivering babies.


question:
The wealthy family in a motion on Monday argued that Massachusetts Attorney General Maura Healey’s lawsuit mischaracterized internal records to create the “false impression” they personally directed privately-held Purdue’s marketing of painkillers. Her lawsuit, filed in June in Suffolk County Superior Court and revised earlier this year to include new allegations, was the first by a state to try to hold Sackler family members personally responsible for contributing to the opioid epidemic. The case is among roughly 2,000 lawsuits filed mostly by state and local governments seeking to hold Purdue and other pharmaceutical companies responsible for the opioid crisis. Opioids were involved in a record 47,600 overdose deaths in 2017 in the United States, according to the U.S. Centers for Disease Control and Prevention. Healey’s complaint cites records to argue that family members, including Purdue’s former President Richard Sackler, personally directed deceptive opioid marketing while making $4.2 billion from Purdue from 2008 to 2016. They did so even after Purdue and three executives in 2007 pleaded guilty to federal charges related to the misbranding of OxyContin and agreed to pay a total of $634.5 million in penalties, the lawsuit said. But in their motion, the Sacklers said nothing in the complaint supports allegations they personally took part in efforts to mislead doctors and the public about the benefits and addictive risks of opioids. They said their role was limited to that of typical corporate board members who participated in “routine” votes to ratify the management’s staffing and budget proposals. “Not a single document shows an individual director engaging in any unlawful conduct regarding the sale of prescription opioids or ordering anyone else to do so,” the Sacklers’ lawyers wrote. Healey, in a statement, called the motion “an attempt to avoid accountability.”  At least 35 states have cases pending against Purdue. Four  have also named Sackler family members as defendants, including Richard Sackler, Theresa Sackler and Mortimer D.A. Sackler. Last week, Purdue reached its first settlement in the recent wave of lawsuits, agreeing with the Sacklers to a $270 million deal with Oklahoma’s attorney general. Oklahoma’s lawsuit did not name Sacklers as defendants. Purdue had been exploring filing for bankruptcy before the accord’s announcement, Reuters reported in early March.
answer:

Purdue's Sackler family fights 'inflammatory' Massachusetts opioid case.