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.
question:
Paragraph: "During his widely watched monologue about his newborn son’s recent medical emergency, ABC late-night host Jimmy Kimmel offered a bit of praise for one group of Americans that doesn’t receive much love these days: members of Congress. ""President Trump last month proposed a $6 billion cut in funding to the National Institutes of Health. And thank God our congressmen made a deal last night to not go along with that. They actually increased funding by $2 billion."" Is that what happened? Basically, yes. Kimmel has a point that by approving the increase, both Republicans and Democrats in Congress rebuked Trump’s proposal and made clear a distaste for cutting NIH. Budget experts, however, may quibble that Kimmel oversimplified a bit on the numbers. First, some background. NIH conducts and disseminates research into the causes, diagnosis, prevention and cure of human diseases. It is a collection of 27 separate institutes and centers, such as the National Cancer Institute, the National Institute of Allergy and Infectious Diseases, and the National Institute of Neurological Disorders and Stroke. Explaining Kimmel’s comment starts with the release earlier this year of the Trump White House’s budget blueprint. While this proposal did not offer significant detail, it did include a cut for NIH. Specifically, the proposal would reduce spending for fiscal year 2018 by $5.8 billion compared to the fiscal 2017 level, through a range of reorganizations, consolidations and other changes. That’s short of a $6 billion cut, as Kimmel described it, but it’s pretty close. Fast-forward a few weeks to congressional negotiations over a bill to keep the government funded and avoid a government shutdown. Under the agreement reached by lawmakers, NIH would see a $2 billion increase in its budget over the five-month period of extended federal spending. (That's on top of the funding that was already expected.) According to news reports, the agreement provides an additional $400 million for Alzheimer’s disease and an additional $476 million for the National Cancer Institute, $120 million for the Precision Medicine Initiative, and an additional $110 million for the BRAIN Initiative, which aims to map the human brain. Where Kimmel oversimplified matters is on the numbers. Specifically, the $2 billion increase did not directly replace Trump’s $5.8 billion proposed cut -- the two actions are distinct, since they targeted two different fiscal years. It would have been more accurate to say that the $2 billion increase directly rejected a separate Trump proposal to cut $1.2 billion from NIH for the remainder of fiscal 2017, which concludes at the end of September. (Remember, the $5.8 billion cut was to be for the 2018 fiscal year, not for the rest of 2017.) Indeed, the Trump proposal to cut NIH by $5.8 billion in 2018 is still officially on the table since Congress hasn’t yet acted on spending for 2018. The agreement Kimmel cited only addresses a five-month extension of federal spending. That said, Kimmel’s overarching point -- that Congress effectively rejected Trump’s proposal to cut NIH -- is on target, experts say. Steve Ellis, vice president of the group Taxpayers for Common Sense, agreed that while Kimmel oversimplified the numbers, he added that the talk show host’s ""overall message is accurate. The administration sought cuts and Congress boosted the funding."" And the decision to protect NIH in the budget has been supported not just by Democrats but also by key Republicans, including the chairmen of the two chambers’ health appropriations subcommittees, Sen. Roy Blunt, R-Mo., and Rep. Tom Cole, R-Okla., as well as Sen. Lamar Alexander, R-Tenn. ""There is no appetite on the Hill for cutting NIH,"" Stan Collender, a budget expert at the consulting firm Qorvis MSLGROUP, told PolitiFact. Our ruling Kimmel said, ""President Trump last month proposed a $6 billion cut in funding to the National Institutes of Health. And thank God our congressmen made a deal last night to not go along with that. They actually increased funding by $2 billion."" Technically, the two funding changes Kimmel referenced are for different fiscal years, so Congress didn’t precisely exchange the increase for Trump’s proposed cut. But Kimmel’s broader point is solid: The move by Congress to increase, rather than decrease, NIH’s funding for the rest of the 2017 fiscal year is a signal that lawmakers are in no mood to cut NIH’s budget by $5.8 billion once the 2018 spending bills are taken up." Claim: President Trump last month proposed a $6 billion cut in funding to the National Institutes of Health. And thank God our congressmen made a deal last night to not go along with that. They actually increased funding by $2 billion.
answer:
"Kimmel said, ""President Trump last month proposed a $6 billion cut in funding to the National Institutes of Health. And thank God our congressmen made a deal last night to not go along with that. They actually increased funding by $2 billion."" Technically, the two funding changes Kimmel referenced are for different fiscal years, so Congress didn’t precisely exchange the increase for Trump’s proposed cut. But Kimmel’s broader point is solid: The move by Congress to increase, rather than decrease, NIH’s funding for the rest of the 2017 fiscal year is a signal that lawmakers are in no mood to cut NIH’s budget by $5.8 billion once the 2018 spending bills are taken up."


question:
Paragraph: "There is no mention of cost. The story could have at least reported what the drug costs in its current use against blood cancer. The story did a good job of explaining both the potential benefits and harms of the drugs. This was a particular strength of this story – and made it stand out in comparison with the LA Times blog story that we also reviewed. Harms were emphasized from the outset – even in the headline – in the AP story but were never mentioned in the LA Times story. And this story reminded readers of the side effects encountered with another MS drug, Tysabri. Outstanding job on this issue by the AP. The story did a very good job of explaining the studies. There is no sign of disease-mongering in this story. Two apparently independent sources were quoted. The story did a good job comparing the new drugs with existing approaches to treat MS. Story explains that the drug is already sold to treat a rare blood cancer and stated that ""it’s too soon to know if the pills will be approved by the government or widely adopted by physicians."" It does not report, however, as the LA TImes blog did, that ""The drug company MD Serono, an affiliate of Merck, has requested approval from the Food and Drug Administration to market the tablet. However it recently received a ""refuse to file"" letter from the FDA, which means the agency is requiring additional information or data. MD Serono said it is pursuing the matter with the FDA and hopes to re-submit its application."" We think that’s a crucial piece of information that affects availability, although, of course, doctors can still prescribe it for off-label use even before the FDA acts on the new request. The novelty of ""tests of the first two oral drugs developed for treating MS"" was clear in the story. It is clear that this story did not rely on a news release." Claim: MS pills show promise and risk, studies say
answer:
Nice job explaining harms and benefits – including putting the potential risks/harms right in the headline. The appeal of an oral drug for MS is clear. The risks emphasized in this story, though, raise important questions


question:
Paragraph: That— and some TLC — usually does the job. At a recent meeting, the Janesville School Board received the annual school nursing report. The report showed that while Band-Aids and ice packs are applied by the hundreds, school nurses are dealing with more serious concerns. Between the 2014-15 school year and the 2018-19 school year, the number of students requiring health plans, daily medication, inhalers and emergency medication has slowly crept up. Nurses, with the help of health aides, hand out daily medication; set up medical kits for field trips; work with doctors, nurses and parents to serve students with medically complex needs; give eye exams; and provide education and support to parents on everything from bed bugs to seizures and toilet training to allergies, The Janesville Gazette reported. That’s the short list. By the numbers In the 2018-19 school year, the Janesville School District had five nurses serving 10,049 students at 21 district schools and 13 private or nonprofit four-year-old kindergartens. That’s a ratio of one nurse to 2,010 students. Student numbers will remain about the same for the 2019-20 school year. “While the Department of Public Instruction does not mandate a specific ratio to school districts, the average ratio of school nurses to pupils in Wisconsin school districts is 1 to 1,625,” district Director of Pupil Services Kimberli Peerenboom wrote in her report to the board. State law does not require schools to have nurses but does say “emergency nursing services shall be available during the regular school day and during all school sponsored activities of students.” Along with the five nurses, the district also uses health aides. Each elementary school has four hours a day the principal can designate as health aide hours, according to Peerenboom’s report. In the upper grades, principals don’t have hours to designate, but they can assign health-aide duties to office staff, the report stated. Some health aides are also secretaries or serve in other paraprofessional roles that involve working with students. Apart from the general cuts and scrapes, 1,715 students had a documented health condition. Asthma, allergies and attention deficit disorder make up the majority of those cases. Other conditions include Crohn’s disease, diabetes, migraines, cerebral palsy, depression, anxiety and autism spectrum disorders. In addition, 227 students take a daily medication at school, that’s up from 183 students in the 2016-17 school year. The number of students who need emergency medication has gone from 134 students in the 2014-15 school year to 231 in the 2018-19 school year. Nurses aren’t in charge of figuring out why those numbers have increased, they just have to deal with the results. In the 2018-19 school year, nurses and health aides reported 161,089 visits from students, according to Peerenboom’s report. A visit counted as anything from needing a Band-Aid to taking daily medication, the report said. With 21 schools, that’s an estimated 43 visits per day. The numbers in action Based on a recent morning spent with school nurse Heidi Bakke, 43 students a day seemed like a reliable count. An hour before the 8:20 a.m. bell at Wilson Elementary, Bakke was updating a health plan. Such plans are for students with chronic conditions who might need monitoring or intervention during the school day. Creating a plan involves a complex back and forth among the school nurse, parents, and physicians and their nurses. It can be a complicated process. ″(The nurses) are probably not going to be in the building when the emergency happens, so we train medical emergency response teams at each school,” Bakke said. The nursing team recently implemented “grab-and-go bags.” The bags contain all the emergency supplies for children with medical needs and a copy of each child’s health plan. Nurses also must prepare a similar kit when a student with a health plan goes on a field trip. And the nurses also have to let teachers know what to look for. “The kiddos who have diabetes — those are the hardest ones to train teachers on because they have frequent blood sugar checks.” Bakke said. “If the kid is out hiking at the Janesville Schools Outdoor Lab, their blood sugar might drop, so you have to have snacks available.” The morning we visited, Bakke was mentoring a new nurse, Holly Cavey. Also in the small office was Cheri Diehls, the school’s part-time health aide. Once Cavey is trained, she will have five schools to cover, while Bakke has six. That’s another change. Nurses used to travel to all schools, now they’re assigned to five or six. “It’s a better model,” Bakke said. “It provides better continuity of care. I want the kids to get to know nurse Heidi.” While the nurses worked on reports, responded to emails and took calls from physicians’ offices and parents, kids needing immediate attention trooped in and out of the office. There were general owies, issues with hearing or sight, a bloody nose, a student needing their daily medication, another needing help with an inhaler, and a half dozen other issues traditionally associated with a trip to the nurse’s office. Cavey and Bakke then headed to Franklin Middle School, where there seemed to be a lunch rush in the nurse’s office. Health aide Angela Basurto-Bonilla was keeping things calm, explaining to students that if their temperature was normal and they weren’t throwing up, it would be best for them to stay in school. The nurse’s office is across from the main office, and sometimes the new students got them mixed up. The proximity works well since sometimes the office secretaries worked as health aides. “Do you feel sick? Well, you’re in the right place,” Basurto-Bonilla told a student. Bakke said the health aides were crucial to the success of the district’s nursing program. Their skills, demeanor and their day-to-day knowledge of students are crucial to the nurse’s work. Despite the number of reports she writes and the amount of training she does, it’s the interaction with students that’s the most important to her. ___ Information from: The Janesville Gazette, http://www.gazetteextra.com Claim: School nurses serve many needs.
answer:

School injuries usually don’t require much care: a Band-Aid for a scraped knee, an ice pack for a bump or bruise, or a tissue for a bloody nose.