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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Question: 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.

Answer: 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.


Question: Paragraph: On June 21 2020, the Facebook page “The Runic Witch” shared the following meme, which described a garden in England “dedicated entirely to plants that … can kill you”:At the bottom of the meme was a photograph of a black gate, the archway of which read “The Poison Garden.” Both doors featured a skull and crossbones symbol and the words “these plants can kill.” Text at the top read:There’s a garden in England dedicated entirely to plants that are deadly and can kill you. It’s the most dangerous garden in the world. It holds over 100 killers [such as hemlock], strychnine, and nightshade.The Alnwick Garden is a “complex of formal gardens” not far from the Scottish border. It contains a number of sub-sections, including a massive treehouse, a cherry orchard, a bamboo labyrinth, and water features:Number nine on the above “Map Key” is marked to the left of the center fountain, and a rendering of the iron gates seen in the meme is visible.The Poison Garden was added in 2005, and a page on the Garden’s visitor site says of the deadlier plant section:The Alnwick Garden plays host to the small but deadly Poison Garden—filled exclusively with around 100 toxic, intoxicating, and narcotic plants. The boundaries of the Poison Garden are kept behind black iron gates, only open on guided tours.Visitors are strictly prohibited from smelling, touching, or tasting any plants, although some people still occasionally faint from inhaling toxic fumes while walking in the garden.An archived version of the page shed a bit more light onto the garden’s creation:It’s not often that the Home Office becomes involved with plants in the setting of a public garden, but in this instance a number of the ‘inmates’ have to have their very own license in order to be there at all.Many of the plants are already well-known for their medicinal properties, but as its creator, the Duchess of Northumberland said:‘I wondered why so many gardens around the world focused on the healing power of plants rather than their ability to kill… I felt that most children I knew would be more interested in hearing how a plant killed, how long it would take you to die if you ate it and how gruesome and painful the death might be.’Another since updated section, titled “Intoxicating inhabitants,” described some of the plants growing in the garden as the ones mentioned in the meme:There are over 100 plants of varying deadliness grown in the Poison Garden. Some of the plants are beautiful despite being deadly, and other look so harmless it is hard to imagine their dangerous, even fatal, qualities.Nux vomica’s Latin name implies much, but it perhaps rings more bells as strychnine. Interestingly, hemlock, a poison in its own right, can be used as an antidote to Strychnine, but don’t tell Socrates, who was sent to his death with a cup of hemlock.Those of a certain age will be familiar with Castor Oil, which is made from the plant Ricinus communis, but a single seed from the same plant will kill an adult in the most horrible way. Ricin causes nausea, severe vomiting, convulsions and subsequent disintegration of the kidneys, liver and spleen…In 2014, Smithsonian Magazine profiled the Poison Garden and spoke to Jane Percy, the Duchess of Northumberland about the macabre project’s inspiration:The duchess thought she might want to include an apothecary garden, but a trip to Italy set her on a slightly different course. After visiting the infamous Medici poison garden, the duchess became enthralled with the idea of creating a garden of plants that could kill instead of heal. Another trip—this one to the archeological site of the largest hospital in medieval Scotland, where the duchess learned about soporific sponges soaked in henbane, opium and hemlock used to anesthetize amputees during 15th-century surgeries—reinforced her interest in creating a garden of lethal plants.“I thought, ‘This is a way to interest children,'” she says. “Children don’t care that aspirin comes from a bark of a tree. What’s really interesting is to know how a plant kills you, and how the patient dies, and what you feel like before you die.”[…]“What’s extraordinary about the plants is that it’s the most common ones that people don’t know are killers,” the duchess says. Visitors are often surprised to learn that the laurel hedge, nearly ubiquitous in English gardens, can be highly toxic. But some visitors have had experience with laurel’s sinister side—the duchess has heard a few talk about how, after loading up their cars with pruned laurel leaves to take to the dump, drivers have fallen asleep behind the wheel of their car from the toxic fumes the branches emit.In the meme, plants in the nightshade family (which also contains potatoes, tomatoes, and eggplant) were mentioned. In the article, a more specific explanation appeared alongside a detail about the garden’s other interesting inhabitants:As part of the Poison Garden’s educational mission, the duchess grows a variety of drugs, from cannabis to cocaine (derived from the leaves of the coca plant), which she and garden guides use as a jumping-off point for drug education. “It’s a way of educating children without having them realize they’re being educated,” she says.Other poisonous plants might be less well-known to visitors, but are no less potent. One of the duchess’s favorite plants is Brugmansia, or angel’s trumpet, a member of the Solanaceae family (which includes deadly nightshade) that grows in the wild in South America. “It’s an amazing aphrodisiac before it kills you,” she says, explaining that Victorian ladies would often keep a flower from the plant on their card tables and add small amounts of its pollen to their tea to incite an LSD-like trip. “[Angel’s trumpet] is an amazing way to die because it’s quite pain-free,” the duchess says. “A great killer is usually an incredible aphrodisiac.”As such, the “Poison Garden” meme was both popular and largely accurate. The Poison Garden is a sub-attraction as part of the larger Alnwick Garden, and it is grown behind the depicted, imposing iron gates. Among the deadly plants in it are hemlock, Nux vomica (strychnine), and Ricinus communis (ricin).Comments Claim: There's a garden in England dedicated entirely to plants that are deadly and can kill you. It's the most dangerous garden in the world. It holds over 100 killers [such as hemlock], strychnine, and nightshade.

Answer: Is There a Garden in England Dedicated Solely to Deadly Plants Called the ‘Poison Garden’?


Question: Paragraph: "To prevent the spread of coronavirus, one state lawmaker wants to take the ""assembly"" out of the North Carolina General Assembly. North Carolina state Rep. Kelly Alexander, a Democrat from Mecklenburg County, suggested on Twitter that legislators should consider video conferencing. The start of the legislature’s session is scheduled for April 28. Alexander posted his tweet on March 11. That same day the World Health Organization labeled the spread of the novel coronavirus as a ""pandemic,"" prompting a wave of event cancellations and changes across the globe. ""With a vaccine a year in the future the General Assembly should use more teleconferences and fewer in person meetings to cut down on potential exposure...after all most of the GA’s members are in the high risk age group,"" Alexander tweeted, adding: ""besides we need to modernize...just saying."" Is it  that ""most"" of North Carolina’s legislators are in the ""high risk age group?"" Alexander never responded to an email from PolitiFact, so we don’t know how he came to his conclusion. Regardless, his tweet is on-point. First, let’s first look at what health experts say about the novel coronavirus (also known as COVID-19) and who’s most at-risk. The virus causes a fever, cough and shortness of breath in people anywhere from two to 14 days after exposure, according to the the Centers for Disease Control and Prevention. The CDC says people with chronic medical conditions such as heart disease, diabetes or lung disease are most at-risk. As for age, there’s no specific birth date at which people become more vulnerable. Generally speaking: the older you are, the more likely you are to have complications from the novel coronavirus. That said, top health organizations have defined ""older adults"" as people who are at least 60 years old. The CDC has previously, in a document unrelated to the coronavirus, defined older adults as those over 60. The World Health Organization specifically mentioned people over 60 in its recent report on the coronavirus outbreak in China. Health experts recently told CNN that the term ""older"" typically refers to anyone over 60. And US Surgeon General Jerome Adams said 60 is the ""average age of people who need medical attention."" It also appears that people older than 60 are more susceptible to complications from the virus. Scientific American reported that patients in China were more at-risk of death if they developed acute respiratory distress syndrome, known as ARDS, after contracting coronavirus. The average age of those who contracted the syndrome was 61. So we know that people who are 60-years-old or older are likely to be more at-risk than other age groups. With this in mind, let’s look at the age of North Carolina’s legislators. The legislature includes 170 members: 120 in the House and 50 in the Senate. In the Senate, 28 members are 60-years-old or older. In the House, 63 members are older than 60. That means 91 members are aged 60 or older -- which is 53% of the General Assembly. Those numbers come from James White, the House principal clerk, and Sarah Holland, the Senate’s principal clerk. So it’s  that a majority of legislators are 60 or older. How does that compare to Congress? In the U.S. House, 197 of its 435 members are 60 or older. In the U.S. Senate, 66 of its 100 members are 60 or older. That means about 49% of Congress is at least 60 years-old. Those numbers come from a report by the Congressional Research Service and Jennifer Manning, the service’s senior research librarian. Rep. Alexander said ""most"" North Carolina legislators are in the ""highest risk age group"" for coronavirus. The highest risk age group is generally people who are aged 60 and older. Alexander’s claim is on-point: more than half of legislators are older than that." Claim: "Kelly Alexander Says ""most"" NC legislators are in the ""high risk age group"" for coronavirus"

Answer:
"A Democratic North Carolina House member tweeted that ""most"" legislators are in the high risk age group for coronavirus. The high risk age group includes people 60 and older. More than half of NC legislators are in that age group."